HUBUNGAN HIPERSALIVASI DENGAN SPASME JALAN NAFAS PADA TINDAKAN EKSTUBASI DI UPT RSUD MASSENREMPULU KABUPATEN ENREKANG FAKULTAS KESEHATAN PROGRAM STUDI D IV KEPERAWATAN ANESTESIOLOGI INSTITUT TEKNOLOGI DAN KESEHATAN BALI Email: [email protected] ABSTRAK Latar Belakang : Hipersalivasi terjadi ketika proses ekstubasi dikarenakan refleks menelan pasien yang belum baik setelah dilakukan tindakan ekstubasi.Spasme jalan nafas merupakan respon berlebihan yang distimulasi oleh adanya darah, sekret, atau debris bedah, terutama saat kedalaman anestesi yang ringan. Selama keadaan anestesi ringan stimulasi atau manipulasi bukal, faring, laring, dan perut atas, dan iritasi hidung semua terlibat dalam produksi spasme jalan nafas. Biasanya, Spasme jalan nafas dimanifestasikan dengan stridor yang dapat berlanjut menjadi obstruksi jalan napas dan membutuhkan respon segera. Tujuan : Untuk mengetahui hubungan hipersalivasi dengan spasme jalan nafas pada tindakan ekstubasi di UPT RSUD Massenrempulu Kabupaten Enrekang. Metodologi : Desain dalam penelitian ini adalah analitik observasional, jumlah sampel sebanyak 50 responden yang diambil secara consecutive sampling. Alat pengumpulan data menggunakan lembar observasi, data dianalisis dengan menggunakan uji statistik spermean-rho. Hasil Penelitian: Mayoritas responden hipersalivasi sebanyak 38 Orang (76,0%), sedangkan yang tidak hipersalivasi sebanyak 12 Orang (24,0%). Sedangkan responden yang mengalami spasme jalan nafas derajat 0 sebanyak 10 orang (20%), derajat 1 Sebanyak 29 orang (58.0%) dan derajat 2 sebanyak 11 orang (22%) dan tidak ada responden yang mengalami spasme jalan nafas derajat 3. Berdasarkan table 5.9 diperoleh hasil ada hubungan antara hipersalivasi dengan spasme jalan nafas dengan pasien pasca general anestesi di UPT RSUD Massenrempulu Kabupaten Enrekang ( p=0,000 ) dengan hubungan kuat. Kesimpulan : Ada hubungan antara hipersalivasi dengan spasme jalan nafas pada pasien pasca tindakan ekstubasi. Kata Kunci : Hipersalivasi, Spasme jalan nafas, Ekstubasi.

THE CORRELATION BETWEEN HYPERSALIVATION AND AIRWAY SPASM ON EXTUBATION AT MASSENREMPULU HOSPITAL OF ENREKANG REGENCY Faculty of Health Diploma IV of Nursing Anesthesiology Institute of Technology and Health Bali Email: [email protected] ABSTRACT Background: Hypersalivation occurs during extubation because the patient’s swallowing reflex is not good after extubation. Airway spasm is response which is stimulated by blood, secretions, or surgical debris, especially when the depth of mild anesthesia. During mild anesthesia, stimulation or manipulation of buccal, pharyngeal, larynx, upper abdomen, and nasal irritation are all involved in the production of airway spasm. Airway spasm is usually manisfated by stridor which can continue to airway obstruction and require an immediate response. Purpose: To determine the correlation between hypersalivation and airway spasm on extubation at Massenrempulu Hospital of Enrekang Regency Method: This research used analytical correlational design. There were 50 respondents recruited as the samples which were chosen by using consecutive sampling technique. The data were collected by using observation sheet and analyzed by using Spearman rho test. Findings: The findings showed that 38 respondents (76.0%) had hypersalivation and 12 respondents (24.0%) did not have hypersalivation. However, 10 respondents (20%) had airway spasm degree 0, 29 respondents (58.0%) had airway spasm degree 1, 11 respondents (22%) had airway spasm degree 2, and there was no respondent had airway spasm degree 3. Based on table 5.9 showed there was correlation between hypersalivation and airway spasm on post general anesthesia patients at Massenrempulu Hospital of Enrekang Regency with strong correlation (p=0,000). Conclusion: There is correlation between hypersalivation and airway spasm on post extubation patients. Keywords: Hypersalivation, Airway Spasme, Extubation