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Perbandingan Kejadian Post Operative Cognitive Dysfunction (POCD) Pada Geriatri Yang Dilakukan General Dan Regional Anestesi di RSUD Dr. Moewardi


Oleh :
Amarisanti - G0011018 - Fak. Kedokteran

Tujuan Penelitian adalah untuk mengetahui perbandingan kejadian Post Operative Cognitive Dysfunction (POCD) pada geriatri yang dilakukan general dan regional anestesi di RSUD Dr. Moewardi

Metode Penelitian ini merupakan penelitian observasional analitik dengan pendekatan cross sectional. Subjek penelitian pasien operasi dengan general anestesi dan regional anestesi di Instalasi Bedah Sentral (IBS) RSUD Dr. Moewardi Surakarta. Dengan consecutive sampling didapatkan 28 sampel, yang terdiri dari 17 sampel pasien general anestesi dan 11 sampel pasien regional anestesi. Data analisis menggunakan Chi Square, serta diolah dengan Statistical Product and Servive Solution (SPSS) 17.00 for Windows.

Hasil  Penelitian adalah  Kelompok I dan Kelompok II menunjukkan perbedaan bermakna (p value < 0,05). Kelompok I lebih banyak mengalami kejadian POCD (70,5 %) dibanding Kelompok II yang mengalami POCD (27,3%). Kelompok I yang tidak mengalami POCD sebesar 29,5 % dan pada Kelompok II yang tidak mengalami POCD sebesar 72,7%.
Simpulan    : Pemberian obat anestesi secara general lebih dapat menyebabkan terjadinya kejadian Post Operative Cognitive Dysfunction (POCD) pada pasien geriatri dibanding pemberian obat anestesi secara regional.


Kata kunci    : POCD, geriatri, general anestesi, regional anestesi, post operative

 

This research aimed to compare Post Operative Cognitive Dysfunction (POCD) to the geriatric conducted by general and regional anesthesia at the RSUD Dr. Moewardi

This study is an observational analitic reaserach study with cross sectional approach. Research subjects with general anesthesia surgery patients and regional anesthesia in Instalasi Bedah Sentral (IBS) RSUD Dr. Moewardi Surakarta. By consecutive sampling obtained 28 samples, consisting of 17 samples of patients of general anesthesia and regional anesthesia 11 patient samples. Data analysis using chi square, and processed with the Statistical Product and Servive Solution (SPSS) 17.00 for Windows.

The results of statistical analysis and data on the incidence of POCD value between Group I and Group II showed significant differences (p value < 0.05). Group I more experienced POCD incidence (70.5%) compared to Group II who had POCD (27.3%). Group I who did not experience POCD by 29.5% and in Group II who did not experience POCD was 72.7%.

Administration of drugs in general anesthesia can lead to more events Post Operative Cognitive Dysfunction (POCD) in geriatric patients compared to administration of regional anesthetics.


Keywords: POCD, geriatric, general anesthesia, regional anesthesia, post operative.