EFEKTIVITAS ELEVASI K AKI TERHADAP KESTABILAN TEKANAN DARAH PADA PASIE N SECTIO CAESARIA DENGAN SPINAL ANESTESI DI INSTALASI KAMAR BEDAH RUMAH SAKIT TK. II ROBERT WOLTER MONGISIDI MANADO I Wayan sucipto Fakultas kesehatan Program studi D IV keperawatan anestesiologi Institute teknologi dan kesehatan bali Email : [email protected] ABSTRAK Latar belakang: Sectio Caesaria adalah pembedahan untuk melahirkan janin dengan membuka dinding perut dan dinding uterus. Sectio caesaria memerlukan tindakan anestesi dimana tehnik anestesi yang sering digunakan adalah spinal anestesi. Spinal anestesi memiliki efek vasodilatasi pembuluh darah yang menyebabkan terjadinya perubahan tekanan darah. Salah satu cara mencegah hipotensi adalah dengan memberikan elevasi kaki. Tujuan: untuk mengetahui efektivitas elevasi kaki terhadap kestabilan tekanan darah pada pasien sectio caesaria dengan spi nal anestesi Metode : jenis penelitian ini adalah pre - experimental ( intact - group comparison ). Populasi dalam penelitian ini adalah ibu yang dilakukan tindakan sectio caesaria, sampel di ambil secara purposive sampling sebanyak 40 responden yang dibagi menj adi 1 kelompok yang diberikan elevasi kaki d an 1 kelompok yang tidak diberikan elevasi kaki. Data dianalisis menggunakan uji independent t - test . Hasil : Berdasarkan uji statistic uji independent t - test pada sistole menit ke 10 didapatkan nilai Sig.(2 - ta iled) 0.042 d an diastole menit ke 10 didapatkan nilai Sig. (2 - tailed) 0.002. Hal itu berarti pemberian elevasi kaki efektif menjaga kestabilan tekanan darah pada pasien section caesaria dengan spinal anestesi. Kesimpulan: elevasi kaki efektif menjaga kesta bilan tekanan darah pada pasien sectio caesaria dengan spinal anestesi Kata kunci : elevasi kaki, sectio caesaria, tekanan darah

THE EFFECTIVENESS OF FOOT ELEVATION TOWARD BLOOD PRESSURE STABILITY AMONG SECTIO CAESAREA PATIENTS WITH SPINAL ANESTHESIA AT OPERATING THEATER, ROBERT WOLTER MONGISIDI MANADO TK. II HOSPITAL I Wayan sucipto Faculty of Health Diploma IV Nursing Anesthesi ology Program Institute of Technology and Health Bali Email : [email protected] ABSTRACT Background : Sectio Caesarea in a surgical technique of giving birth through incisions in the abdominal wall and on the uterine. Sectio Caesarea requires anesthesia, which is spinal anesthesia. Spinal anesthesia has a vasodilation effect of blood vessels which causes b lood pressure changes. Foot elevation is the way to prevent hypotension. Aim : To determine the effectiveness of foot elevation toward blood pressure stability among sectio caesarea patients with spinal anesthesia at operating theater, Robert Wolter Mongi sidi Manado Tk. II Hospital. Method : This study employed pre - experiental design (intact - group comparison). The population of this study were mothers who underwent sectio caesarea. There were 40 respondents recruited which were divided 2 groups. 1 group pr ovided foot elevation and 1 group did not provide foot elevation. The data were analyzed by using independent t - test. Result : I ndependent t - test showed that on the 10 th minutes sistole obtained Sig value (2 - tailed) 0.042 and 10 th minutes diastole obtained Sig value (2 - tailed) 0.002. Which means that foot elevation effectively maintains the stability of blood pressure in sectio caesarea patients with spinal anesthesia. Conclusion : Foot elevation could maintain effectively the bood pressure among sectio c aesarea patients with spinal anesthesia. Keywords : foot elevation, sectio caesarea, blood pressure