HUBUNGAN STATUS FISIK AMERICAN SOCIETY OF ANESTESIOLOGIST DENGAN BROMAGE SCORE PADA PASIEN PASKA SPINAL ANESTESI PUTU GEDE DEDY CRISNA DARMAWAN Fakultas Kesehatan Program Studi D - IV Keperawatan Anestesiologi Institut Teknologi dan Kesehatan Bali Email: [email protected] ABSTRAK Latar Belakang : Bromage score berkaitan dengan lama tindakan operasi, yakni akan membutuhkan perawatan yang lebih lama di ruang pemulihan. Dengan demikian diharapkan pasien di monitor dengan baik sehingga tidak terjadi komplikasi pasien pasca spinal anestesi (Fitria, 2018). Penilaian status fisik (ASA) American Society of Anasthesiologist pra anestesi sangatlah penting dilakukan oleh seorang perawat anestesi. Tujuan : Mengetahui hubungan Status Fisik American Society Of Anestesiologist (ASA) dengan Bromage Score Pada Pasien Pasca Spinal Anestesi. Metode : Penelitian ini menggunakan desain analitik korelasi yang menggunakan pendekatan Cross Sectional. Jumlah responden dalam penelitian ini sebanyak 50 orang pengambilan sampel menggunakan teknik purposive sampling. Alat pengumpulan data yang digunakan berupa lembar observasi. Sampel pada penelitian ini semua pasien yang menjalani operasi dengan teknik spinal anestesi di Rumah Sakit Umum Bangli. Analisa data dalam penelitian ini menggunakan Uji Chi Square. Hasil Penelitian : Berdasarkan hasil penelitian yang didapat dari 50 responden sebagian besar pasien yang akan menjalani operasi dengan teknik spinal memiliki penilaian ASA dengan gangguan sistemik ringan sebanyak 32 orang (64,0%), dan untuk penilaian bromage score paska anestesi spinal sebagian besar penilaian bromage score pasien yaitu tidak dapat mengangkat tungkai bawah tetapi dapat menekuk lutut sebanyak 26 responden (52,0%). Sehingga berdasarkan hasil analisa data menggunakan uji Chi-Square didapatkan hasil Continuity Correction sebesar 0,257 dan signifikansi p-value 0,612 (>0,05) maka hipotesis H0 diterima yang berarti bahwa tidak ada hubungan yang signifikan antara status fisik ASA pasien dengan pencapaian nilai Bromage Score pasien. Kesimpulan : Berdasarkan hasil penelitian bahwa status fisik ASA tidak memiliki hubungan yang signifikan terhadapa penilaian bromage score paska anestesi. Kata Kunci : ASA, Bromage Score, Paska Anestesi

THE CORRELATION BETWEEN THE AMERICAN SOCIETY OF ANESTHESIOLOGISTS PHYSICAL STATUS WITH THE BROMAGE SCORE IN POST-SPINAL ANESTHETIC PATIENTS PUTU GEDE DEDY CRISNA DARMAWAN Faculty of Health Diploma IV Nursing Anesthesiology Institute of Technology and Health Bali Email: [email protected] ABSTRACT Background: The Bromage score is related to the length of the operation, which will require more extended treatment in the recovery room. Thus, it is hoped that patients will be appropriately monitored; hence, those complications do not occur in patients after spinal anesthesia (Fitria, 2018). The American Society of Anaesthesiologists (ASA) physical status assessment in pre-anesthesia is critical for an anesthetist nurse. The purpose of this study was to determine the correlation between the physical status of the American Society of Anesthesiologists (ASA) and the Bromage Score in Post-Spinal Anesthesia Patients. Method: This study employed a correlation analytic design through a cross-sectional approach. The number of respondents in this study was 50 who underwent surgery with spinal anesthesia techniques at Bangli Hospital and were recruited using the purposive sampling technique. The data were collected using observation sheets and analyzed using the Chi-Square test. Results: Findings indicated that from 50 respondents, most of the patients who underwent surgery with spinal techniques through ASA assessment, 32 respondents (64.0%) had a mild systemic disorder. Moreover, the Bromage score after spinal anesthesia was mainly unable to lift the lower leg; however, it could bend the knee with 26 respondents (52.0%). Therefore, the Chi-Square test showed the results of the Continuity Correction were 0.257, and the significance of the p-value was 0.612 (>0.05), then the H0 hypothesis was accepted. Hence, there was no significant correlation between the patient's ASA physical status and Bromage Score achievement. Conclusion: Based on the study results, ASA's physical status does not significantly correlate with the post-anesthesia Bromage score assessment. Keywords: ASA, Bromage Score, Post-Anesthesia