GAMBARAN KEJADIAN PONV PASCA SPINAL ANESTESI DI RSU KERTHA USADA SINGARAJA I Putu Andika Agus Permana Fakultas Kesehatan Program Studi D IV Keperawatan Anestesiologi Institut Teknologi Dan Kesehatan Bali Email: andikaaguspermana @gmail.com ABSTRAK Latar Belakang : Po st Operative Nausea and Vomiting (PONV) merupakan mual dan atau muntah yang terjadi dalam 24 jam pertama setelah pembedahan. PONV dap at dipengaruhi oleh beberapa fak tor diantara nya dari faktor pasien, faktor obat anestesi, dan fak tor pembedahan. PONV dapat menyebabkan terjadinya aspirasi, peningkatan biaya perawatan dan terjadiny a morbiditas bahkan mortalitas. Tujuan : Mengidentifikasi g ambaran k ejadian PONV p asca spinal a nestesi di RSU Kertha Usada Singaraja. Metode : D esain penelitian deskriptif kuantitatif dengan pendekatan cross sectional . B esar sampel dalam penelitian ini 112 responden dengan menggunakan teknik consecutive sampling . Analisa data dilakukan analisa data deskriptif statistic . Hasil : Dalam p en e litian ini didapatkan sebagian besar mengalami nilai PONV 1 yaitu 8.9%. Faktor pasien yang terjadi PONV pasca spinal anestesi pad a usia dewasa awal (26 - 35 Tahun) dengan nilai PONV 2 yaitu 3.6% . P ada perempuan dengan nilai PONV 1 yaitu 7.1%. Pada IMT kelompok 30.0 - 34.9 (obesitas level 1) nilai PONV 2 yaitu 3.6% dan r esponden tidak merokok dengan nilai PONV 1 yaitu 8.9% . Pada faktor pembedahan yang menyebabkan PONV pasca spinal anestesi berdasarkan jenis pembedahan paling banyak ada pada kelompok abdominal dengan nilai PONV 1 yaitu 7.1% , dan p ada lama operasi pada kelompok < 2 jam nilai PONV 1 yaitu 7.1% . P ada obat anestesi spinal yang menyebabkan PONV pasca spinal anestesi mayoritas res ponden menggunakan golongan hiperbarik (buvipacaine 0,5%) dengan nilai PONV 1 yaitu 8.9% . Kesimpulan : Gambaran kejadian PONV pasca spinal anestesi dipengaruhi oleh beberapa fak tor antara lain : usia, jenis kelamin, IMT, riwayat kebiasaan buruk ( merokok ) , jenis pembedahan, lama operasi, dan jenis obat anestesi spinal . Kata Kunci: Kejadian PONV , Post Spinal Anestesi , Post Operative Nausea and Vomiting.

THE INCIDENCE OF PONV AFTER SPINAL ANESTHESIA IN RSU KERTHA USADA SINGARAJA I Putu Andika Agus Permana Faculty of Health Diploma IV of Nursing Anesthesiology Institute of Technology and Health Bali Email: [email protected] ABSTRACT Background: Post - operative Nausea and Vomiting (PONV) is nausea and/or vomiting that occurs in the first 24 hours after surgery. PONV can be influenced by several factors including from the patient his/herself, anesthetic drug and surgical factors. PONV can cause asp iration, increase the cost of care and the occurrence of morbidity and even mortality. Aim: To identify the incidence of PONV after spinal anesthesia at Kertha Usada Hospital Singaraja. Methods: Descriptive quantitative research design with a cross section al approach. The sample in this study were 112 respondents which were selected through consecutive sampling technique. The data were analyzed by using statistical descriptive data analysis. Results: In this study, it was found that the majority of responde nts (8.9%) experienced PONV 1. 3.6% of patients aged 26 - 35 years experienced PONV 2 after the spinal anesthesia and 7.1% female respondents experienced PONV 1. 3% of the respondents with Body Mass Index 30.0 - 43.9 (obese level 1) experienced PONV 2 and 8, 9% non - smoking respondents experienced PONV 1. The study also found that abdominal surgery was the major factor in surgery causing PONV after the spinal anesthesia, in which there were 7.1% of these respondents experienced PONV 1. Based on the duration of surgery, the majority of respondents who experienced PONV 1 (7.1%) were those who went into surgery for < 2 jam. It was also found that the majority of respondents (8,9%) who experienced PONV were under the spinal anesthesia of hyperbaric group (bupivacain e 0,5%) in which they reported that they experienced PONV 1. Conclusion: The incidence of PONV after spinal anesthesia is affected by several factors, including age, gender, BMI, history of bad habits (smoking), the type of surgery, duration of surgery an d the kind of spinal anesthesia. Keywords: The incidence of PONV, After Spinal Anesthesia, Post - operative Nausea and Vomiting.