Gambaran Saturasi Oksigen Pasien Perokok Pasca Anestesi Umum Inhalasi Di RSU Kota Tarakan Agus Mulyadi Fakultas Kesehatan Program Studi D IV Keperawatan Anestesiologi Institut Teknologi Dan Kesehatan Bali Email : [email protected] ABSTRAK Latar belakang: Pemberian tindakan anestesi, mutlak diperhatikan kecukupan oksigen dalam darah. Masih tingginya jumlah perokok di Indonesia membawa dampak yang berpengaruh dalam sektor kesehatan termasuk dalam pelayanan anestesi Pemberian anestesi khususnya anestesi umum inhalasi pada pasien dengan riwayat merokok memiliki resiko yang cukup besar.. Saturasi oksigen atau daya ikat hemoglobin terhadap oksigen sangat menentukan kelangsungan proses anestesi baik pra, intra maupun pasca anestesi umum. Derajat perilaku merokok dalam Glover Nilsson Smoking Behavioral Questionnaire terbagi menjadi 3 jenis kategori yaitu ringan , sedang dan berat. Tujuan : Penelitian bertujuan untuk mengetahui gambaran saturasi oksigen pasien perokok pasca anestesi umum inhalasi di RSU Kota Tarakan Metode: Penelitian ini adalah penelitian observasional dengan desain potong lintang. Jumlah sampel dalam penelitian ini berjumlah 50 orang yang diambil melalui metode consequtive sampling. Dalam penelitian ini saturasi oksigen diobservasi menggunakan Pulse Oxymeter, sedangkan pengukuran derajat perilaku merokok menggunakan alat ukur Glover Nilsson Smoking Behavioral Questionnaire Hasil: Sebanyak 50 responden yang termasuk dalam kriteria inklusi didapatkan 31 responden (62%) termasuk responden dengan derajat perilaku merokok sedang, 7 responden (14%) dengan perilaku merokok ringan dan 12 orang (24%) termasuk kategori perilaku merokok berat. Hasil observasi SpO2 5 menit pasca anestesi menunjukkan 2 responden (4%) kadar saturasi oksigen rendah, 48 responden (96%) saturasi oksigen normal. Hasil observasi 15 menit dan 30 menit di ruang pemulihan menunjukan saturasi oksigen normal pada rentang 96-100%. Kesimpulan: Hasil penelitian dapat disimpulkan bahwa mayoritas (96%) gambaran saturasi oksigen pasien perokok pasca anestesi umum inhalasi adalah normal. Lebih cepat penghentian merokok sebelum operasi akan lebih baik dalam menurunkan resiko komplikasi pasca anestesi. Kata kunci: Saturasi oksigen, derajat perilaku merokok, Anestesi umum inhalasi

Oxygen Saturation Post-Inhalation General Anesthesia in Smoking Patients in Tarakan City General Hospital Agus Mulyadi Faculty of Health Diploma IV of Nursing Anesthesiology Institute of Technology and Health Bali E-mail: [email protected] ABSTRACT Background: In anesthesia services, the adequacy of oxygen in the blood is absolutely considered. The high number of smokers in Indonesia has a significant impact on the health sector, including in anesthetic services. Anesthesia, especially inhalation general anesthesia in patients with a history of smoking has a considerable risk. Oxygen saturation or the binding capacity of hemoglobin to oxygen greatly determines the continuity of the anesthetic process both in pre, intra and post general anesthesia. The degree of smoking behavior in the Glover Nilsson Smoking Behavioral Questionnaire is divided into 3 types of categories, namely mild, moderate and severe. Objective: The aim of the study was to describe the oxygen saturation of smoking patients after given the inhalation general anesthesia at Tarakan City General Hospital Methods: This study was an observational study with a cross-sectional design. The number of samples in this study was 50 people who were selected through the consecutive sampling method. In this study, oxygen saturation was observed using a Pulse Oximeter, while the degree of smoking behavior was measured by using the Glover Nilsson Smoking Behavioral Questionnaire. Results: Among 50 respondents who met the inclusion criteria, 31 respondents (62%) had a moderate smoking behavior, 7 respondents (14%) had a light smoking behavior and 12 people (24%) had a heavy smoking behavior. The results of SpO2 observation 5 minutes after anesthesia showed 2 respondents (4%) had low oxygen saturation level and 48 respondents (96%) had normal oxygen saturation level. The results of 15 minutes and 30 minutes of observation in the recovery room showed a normal oxygen saturation in the range of 96-100%. Conclusion: In conclusion, the majority of the smoking patients (96%) had normal oxygen saturation level post-inhalation general anesthesia. The sooner the patients stop smoking before the surgery the better the chance to reduce the risk of post-anesthesia complications. Keywords: Oxygen Saturation, Smoking Behavior Level, Inhalation General Anesthesia.