GAMBARAN HEMODINAMIK PADA PASIEN PASCA OPERASI DI RUANG PEMULIHAN
DOI:
https://doi.org/10.31004/jkt.v6i2.45550Keywords:
frekuensi nadi, ketidakstabilan hemodinamik, pascaoperasi, ruang pemulihan, tekanan darah.Abstract
Penelitian ini bertujuan untuk menggambarkan kejadian hemodinamik pada pasien pascaoperasi di ruang pemulihan Instalasi Bedah Sentral RSUD Tidar Kota Magelang. Penelitian menggunakan desain studi kasus. Populasi dalam penelitian ini adalah seluruh pasien pascaoperasi di ruang pemulihan dengan jumlah sampel 38 orang yang memenuhi kriteria inklusi, yaitu pasien dewasa berusia ≥18 tahun dalam keadaan stabil setelah operasi pada tanggal 29-30 April 2025. Data dikumpulkan melalui lembar observasi dan dokumentasi tekanan darah serta frekuensi nadi, kemudian dianalisis secara univariat. Hasil penelitian menunjukkan bahwa dari 38 responden terdapat 33 (86,8%) responden yang tidak memiliki riwayat hipertensi. Dari 33 responden yang tidak memliki riwayat hipertensi tersebut terdapat 25 (75,7%) responden yang mengalami kenaikan tekanan darah pada saat pascaoperasi, yaitu 9 responden (27,2%) pada kategori tekanan darah 120-139/80-89 mmHg, 11 responden (33,3%) pada kategori tekanan darah 140-159/90-99 mmHg, dan 5 responden (15,1%) pada kategori tekanan darah >160/100 mmHg. Hasil frekuensi nadi dari 38 responden menunjukkan bahwa pada frekuensi nadi 60-100x/menit sebanyak 27 respoden (71,0%) mengalami penurunan frekuensi nadi pada kategori <60x/menit sebanyak 7 responden dan 1 responden pada kategori frekuensi nadi >100x/menit. Pada kategori frekuensi nadi >100x/menit tidak mengalami perubahan frekuensi nadi pascoperasi. Kesimpulan dari penelitian ini adalah bahwa ketidakstabilan hemodinamik pascaoperasi cukup sering terjadi dan dipengaruhi oleh berbagai faktor, sehingga diperlukan pemantauan intensif di ruang pemulihan untuk mencegah terjadinya komplikasi serius.References
Abebe, B., Kifle, N., Gunta, M., Tantu, T., Wondwosen, M., & Zewdu, D. (2022). Incidence and factors associated with post-anesthesia care unit complications in resource-limited settings: An observational study. Health Science Reports, 5(3), 1–9. https://doi.org/10.1002/hsr2.649
Abebe, M. M., Arefayne, N. R., Temesgen, M. M., & Admass, B. A. (2022). Incidence and predictive factors associated with hemodynamic instability among adult surgical patients in the post-anesthesia care unit, 2021: A prospective follow up study. Annals of Medicine and Surgery, 74(December 2021), 103321. https://doi.org/10.1016/j.amsu.2022.103321
Ackland, G. L., Brudney, C. S., Cecconi, M., Ince, C., Irwin, M. G., Lacey, J., Pinsky, M. R., Grocott, M. P., Mythen, M. G., Edwards, M. R., Miller, T. E., Sanders, R., Hughes, F., Bader, A., Thompson, A., Hoeft, A., Williams, D., Shaw, A. D., Sessler, D. I., … Hamilton, M. (2019). Perioperative Quality Initiative consensus statement on the physiology of arterial blood pressure control in perioperative medicine. British Journal of Anaesthesia, 122(5), 542–551. https://doi.org/10.1016/j.bja.2019.01.011
Aggarwal, S., Goyal, V. K., Chaturvedi, S. K., Mathur, V., Baj, B., & Kumar, A. (2016). A comparative study between propofol and etomidate in patients under general anesthesia. Brazilian Journal of Anesthesiology (English Edition), 66(3), 237–241. https://doi.org/10.1016/j.bjane.2014.10.005
Akça B, K. Ü. D. Z. B. E. D. B. T. G. A. A. A. M. (2025). Foundations and Advancements in Hemodynamic Monitoring: Part I-Elements of Hemodynamics. Turk J Anaesthesiol Reanim. https://doi.org/doi: 10.4274/TJAR.2025.251925
Alhawari, H. H., Al-Shelleh, S., Alhawari, H. H., Al-Saudi, A., Aljbour Al-Majali, D., Al-Faris, L., & Alryalat, S. A. (2018). Blood Pressure and Its Association with Gender, Body Mass Index, Smoking, and Family History among University Students. International Journal of Hypertension, 2018, 2–6. https://doi.org/10.1155/2018/4186496
American Society of Anesthesiologists. (2020). ASA Physical Status Classifcation System.
Benzelc, E. C., & Hoppens, K. D. (1991). Postoperative, Factors associated with hypertension complicating carotid endarterectomy. Acta Neurochirurgica, 112, 1–2.
Bronislav, Č., Jan, V., Klára, B., & Jiří, J. (2024). Preoperative electrocardiogram in prediction of 90-day postoperative mortality: retrospective cohort study. BMC Anesthesiology, 24(1), 348. https://doi.org/10.1186/s12871-024-02745-w
Buford, T. W. (2016). Hypertension and aging. Ageing Research Reviews. https://doi.org/https://doi.org/10.1016/j.arr.2016.01.007
Casanoval, A., & Anugrahini, H. N. (2019). Percepatan Pemulihan Hemodinamik Pada Pasien Perdarahan Karena Trauma Setelah Dilakukan Resusitasi Cairan Di Igd Rsu Haji Surabaya. Jurnal Keperawatan, 13(03).
Chrynscialdy Tumbey, Made Suandika, M. B. Y. (2024). GAMBARAN PERUBAHAN HEMODINAMIK PASCA INDUKSI PADA PASIEN ODONTEKTOMI DENGAN GENERAL ANESTESI. Jurnal Penelitian Perawat Profesional, Volume 6 N.
D. Keith rose et al. (1996). Cardiovascular Events in the Postanesthesia Care Unit (pp. 772–781).
Das, P., & C., M. (2022). Effects of intraoperative hemodynamic instability on postoperative adverse outcomes in patients with cardiovascular comorbidities undergoing noncardiac surgery − an observational study. Research and Opinion in Anesthesia & Intensive Care, 9(2), 139–144. https://doi.org/10.4103/roaic.roaic_34_21
Gropper, M. A. (2020). Miller’s Anesthesia, Vol 2, Set E-Book : Elseiver Health Sciences (Ninth Edit).
Hannah Kibler & Sharon Vannoy. (2023). Bradycardia. In Cardiovascular Manual for the Advanced Practice Provider (pp. 81–89).
Ji, H., Niiranen, T. J., Rader, F., Henglin, M., Kim, A., Ebinger, J. E., Claggett, B., Merz, C. N. B., & Cheng, S. (2021). Sex Differences in Blood Pressure Associations with Cardiovascular Outcomes. Circulation, 143(7), 761–763. https://doi.org/10.1161/CIRCULATIONAHA.120.049360
Kozarek, K., Sanders, R. D., & Head, D. (2020). Perioperative blood pressure in the elderly. Current Opinion in Anaesthesiology, 33(1), 122–127. https://doi.org/10.1097/ACO.0000000000000820
Omama, S., et al. (2025). I PREVALENCE AND FACTORS ASSOCIATED WITH POSTOPERATIVE HEMODYNAMIC CHANGE IN THE POSTANAESTHETIC CARE UNIT AMONG ADULT HEALTH AND REHABILITATION. 473–482.
Pramono, A., & Sugiyarti, C. A. (2023). Hubungan Antara Usia dan Kejadian Hipertensi Pasca Operasi American Society of Hypertension ( ASH ) menyebutkan bahwa kondisi hipertensi adalah sebuah sindrom ataupun kumpulan indikasi kardiovaskuler yang progresif akibat dari suatu yang signifikan ( Amer. Al Makki Health Informatics Journal, 1(1), 23–28.
Saputra. (2018). Pengaruh Anestesi Spinal Terhadap Hemodinamik Pada Pasien Yang Menjalani Seksio Sesarea Di RSUD Kota Makassar Tahun 2017. Universitas Muhammadiyah Makassar, Makassar.
Sarka Ade Susana, and T. W. S. A. M. (2024). Perbandingan Penggunaan Propofol Dengan Thiopental Terhadap Status Hemodinamika Pasien Anestesi Umum Di Rsup Dr . Soeradji Tirtonegoro Klaten. Jurnal Ilmu Keperawatan Dan Kebidanan, 2(3), 96–107.
Scott, M. J., Turan, A., Angus, S., Cannesson, M., Cole, D. J., Culley, D., Duggan, E., Dutton, R. P., Feldman, J., Grocott, M. P. W., Huet, O., Huffenberger, A., Janda, A. M., Khanna, A. K., Ko, C., Matadial, C., McEvoy, M. D., Shah, N., Szokol, J., & Sun, L. Y. (2024). Perioperative Patients With Hemodynamic Instability: Consensus Recommendations of the Anesthesia Patient Safety Foundation. Anesthesia and Analgesia, 138(4), 713–724. https://doi.org/10.1213/ANE.0000000000006789
Sirait, R. H., & Yuda, B. (2021). Profil Hemodinamik Pasien yang Menjalani Seksio Sesarea dengan Anestesi Spinal pada Primipara dan Multipara di RSU UKI Periode Tahun 2015-2017. Bunga Rampai Santifika, 2013–2015.
So, V., Balanaser, M., Klar, G., Leitch, J., McGillion, M., Devereaux, P. J., Arellano, R., Parlow, J., & Gilron, I. (2021). Scoping review of the association between postsurgical pain and heart rate variability parameters. Pain Reports, 6(4), E977. https://doi.org/10.1097/PR9.0000000000000977
Solak, N., Çetin, M., Can, M. A., Gürçay, N., Gülhan, S. Ş. E., Aydoğdu, K., Fındık, G., & Bıçakçıoğlu, P. (2024). Are precautions actually a risk factor in the development of bronchopleural fistula after pneumonectomy? A retrospective analysis of 299 cases. Updates in Surgery, 76(6), 2303–2311. https://doi.org/10.1007/s13304-024-01772-z
Soumya Tippireddy, D. G. (2023). Anesthetic Management for Enhanced Recovery After Major Surgery (ERAS). National Library of Medicine.
Sun, M., Xu, M., & Sun, J. (2023). Risk factor analysis of postoperative complications in patients undergoing emergency abdominal surgery. Heliyon, 9(3), e13971. https://doi.org/10.1016/j.heliyon.2023.e13971
Widiyono, W., Suryani, S., & Setiyajati, A. (2020). Hubungan antara Usia dan Lama Operasi dengan Hipotermi pada Pasien Paska Anestesi Spinal di Instalasi Bedah Sentral. Jurnal Ilmu Keperawatan Medikal Bedah, 3(1), 55. https://doi.org/10.32584/jikmb.v3i1.338
Wolde, Y., Samuel, S., Abebe, T., Gebrehiwot, G., Reshad, S., Amsalu, H., Alemnew, S., Dedachew, Y., & Desalegn, M. (2024). Incidence and factors associated with postoperative hemodynamic change in the postanaesthetic care unit among adult surgical patients at a tertiary care hospital in Ethiopia: a prospective observational study. BMC Anesthesiology, 24(1). https://doi.org/10.1186/s12871-024-02854-6
Wu, Y., Zhou, H., Li, W., Chen, S., Wang, H., He, B., Jiang, H., & Wang, W. (2024). The Impact of Blood Pressure Rhythm and Perioperative Blood Pressure Variability on Short-Term Prognosis in Patients with Type A Aortic Dissection. British Journal of Hospital Medicine (London, England : 2005), 85(10), 1–13. https://doi.org/10.12968/hmed.2024.0344
Xie, G. H., Shen, J., Li, F., Yan, H. H., & Qian, Y. (2024). Development and Validation of a Clinical Model for Predicting Delay in Postoperative Transfer Out of the Post-Anesthesia Care Unit: A Retrospective Cohort Study. Journal of Multidisciplinary Healthcare, 17(May 2024), 2535–2550. https://doi.org/10.2147/JMDH.S458784
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