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EFFECTIVENESS POSITION OF HEAD 30˚AND 45˚ WHEN SUCTION MEASURES ON HEMODYNAMIC STATUS OF STROKE PATIENTS IN NATIONAL BRAIN CENTER HOSPITAL Frisca Rinandar1 (RS Pusat Otak Nasional) Arif Setyo Upoyo2 (Universitas Jenderal Soedirman) Ridlwan Kamaluddin2(Universitas Jenderal Soedirman) Jurusan Keperawatan Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman Purwokerto ABSTRACT Background: Stroke is a clinical manifestation of brain dysfunction, whether focal or global, lasting, more than 24 hours or causing death. Changes in patient position are nursing actions that can affect the patients hemodynamic status. This study aims to determine the effectiveness of head position 30˚ and 45˚ when suction action on hemodynamic status of stroke patients. Methodology: This research used the design of pre and post test with two groups design. The sampling technique was purposive sampling. The sample is 34 respondents for two groups. The instrument used an observation sheet. The statistical test used paired t test and continued independently t test. Results: The results showed significant differences in oxygen saturation (p = 0.001), heart rate (p = 0.038), respiration rate (p = 0.048) and Mean Arterial Pressure (p = 0.027) at head position 30˚ and oxygen saturation values ​​( p = 0.001), heart rate (p = 0.046), respiration rate (p = 0.045) and Mean Arterial Pressure (p = 0.048) at head position 45˚. However, there was no significant difference in hemodynamic status between groups of head position 30˚ with head position 45˚ when suction action in stroke patients with oxygen saturation values ​​(p = 0.850), heart rate (p = 0.391), respiration rate (p = 0.703) and Mean Arterial Pressure (p = 0.744). Conclusions: Semifowler 30˚ and 45˚ position when suctioning is effective to maintain hemodynamic status within the normal range. Keywords: Head Position, Hemodynamic Status, Stroke