HUBUNGAN ANTARA STATUS FISIK AMERICAN SOCIETY OF ANESTHESIOLOGIST (ASA) I – II DENGAN WAKTU PENCAPAIAN BROMAGE SCORE 2 PADA PASIEN PASCA SPINAL ANESTESI DI RSD MANGUSADA HIPZAH PADILA Fakultas Kesehatan Program Studi D-IV Keperawatan Anestesiologi Institut Teknologi Dan Kesehatan Bali Email : [email protected] ABSTRAK Latar Belakang : pembedahan adalah tindakan medis yang dilakukan bertujuan untuk menyelamatkan nyawa, mencegah keecacatan dan komplikasi. Evaluasi pra anestesi dilakukan penata anestesi untuk mengetahui status fisik ASA pasien pra operasi. Bromage score merupakan salah satu indikasi respon motorik pada pasien yang diberikan pasca spinal anestesi untuk dapat dilakukan dari ruang anestesi care unit. Tujuan : Untuk mengetahui hubungan antara status fisik American society of anesthesiologist (ASA) I – II dengan waktu pencapaian bromage score 2 pada pasien pasca spinal anestesi di RSD Mangusada. Metode : Penelitian ini menggunakan desain analitik korelasi dengan pendekatan cross-sectional. Sampel pada penelitian ini berjumlah 97 responden yang diambil menggunakan metode convinience sampling. Uji statistik yang digunakan adalah uji non parametric test menggunakan uji statistik chi – square. Hasil : Pasien pasca spinal anestesi memiliki ASA I sebanyak (73,2%) dan ASA II sebanyak (26,8%). Untuk pencapain bromage score didapatkan bahwa sebagian besar pasien memiliki bromage score 2 < 90menit sebanyak (54,6%) dan sisanya memiliki bromage score 2 > 90menit (45,4%). Berdasarkan uji chi – square didapatkan nilai p-value 0,001 yang berarti ada hubungan antara status fisik (ASA) I – II dengan waktu pencapaian bromage score 2 pada pasien pasca spinal anestesi di RSD Mangusada. Kesimpulan : Semakin tinggi status fisik (ASA) pasien maka semakin lama pasien mencapai bromage score 2. Kata Kunci: Pra Anestesi, ASA, Bromage Score, Pasca Anestesi

THE CORRELATION BETWEEN THE PHYSICAL STATUS BASED ON THE AMERICAN SOCIETY OF ANESTHESIOLOGISTS (ASA) I – II AND THE TIME REQUIRED TO ACHIEVE THE BROMAGE SCORE OF 2 IN PATIENTS WITH POST-SPINAL ANESTHESIA AT MANGUSADA HOSPITAL HIPZAH PADILA Faculty of Health Diploma IV of Nursing Anesthesiology Institute of Technology and Health Bali Email: [email protected] ABSTRACT Background: surgery is a medical procedure that aims to save lives, and prevent disability and complications. Pre-anesthesia evaluation was carried out by the nurse anesthetists to determine the preoperative ASA physical status of the patient. Bromage score is an indication of motor response in patients with post-spinal anesthesia to be carried out in the anesthesia care unit. Aim: To find out the correlation between the physical status of patients based on the American Society of Anesthesiologists (ASA) I – II and the time required by patients to achieve the Bromage score 2 after receiving spinal anesthesia at Mangusada Hospital. Methods: This study employed a correlation analytic design with a cross-sectional approach. The sample in this study was 97 respondents who were taken using the convenience sampling method. The data were analyzed using the non-parametric test, the chi-square statistical test. Results: The results showed that 73.2% of patients were categorized in ASA I and 26.8% of patients were in ASA II. It was also found that based on the Bromage score test, the majority of patients (54.6%) achieved a score of 2 within the time below 90 minutes; and the rest of the patients (45.4%) achieved a score of 2 within the time above 90 minutes. The Chi-square test revealed that there was a correlation between the patients’ physical status (ASA I-II) and the time required to achieve the Bromage score 2 after receiving spinal anesthesia (p-value of 0.001). Conclusion: The higher the patient’s physical status (ASA), the longer it will take for the patient to achieve the Bromage score of 2. Keywords: Pre-Anesthesia, ASA, Bromage Score, Post-Anesthesia