HUBUNGAN STATUS FISIK AMERICAN SOCIETY OF ANESTHESIA (ASA) I – III DENGAN WAKTU PENCAPAIAN BROMAGE SCORE 2 PADA PASIEN PASCA SPINAL ANESTESI. Ni Putu Della Ari Cahyani Fakultas Kesehatan Program Studi DIV Keperawatan Anestesiologi Institut Teknologi Dan Kesehatan Bali Email : [email protected] ABSTRAK Latar Belakang : Pembedahan adalah tindakan medis yang dilakukan bertujuan untuk me nyelamatkan nyawa, mencegah kecacatan 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 a nestesi untuk dapat dikeluarkan dari ruang anestesi care unit . Tujuan : Untuk mengetahui hubungan status fisik American society of anesthesia (ASA) I – III dengan waktu pencapaian bromage score 2 pada pasien pasca spinal anestesi. Metode : Penelitian ini menggunakan desain analitik korelasi dengan pendekatan cross - sectional . Sampel pada penelitian ini berjumlah 46 responden yang diambil menggunakan metode consecutive sampling . Uji statistik yang digunakan adalah uji non parametric test mengg unakan uji statisti k chi - square . Hasil : Pasien pasca spinal anestesi memiliki ASA II sebanyak (47,8%), sisanya ASA I sebanyak (28,3%), dan ASA III sebanyak (23,9%). Untuk pencapaian bromage score didapatkan bahwa sebagian besar memiliki bromage score 2 2 jam sebanyak (47,8%). Berdasarkan uji chi square didapatkan p - value 0,001 yang berarti ada hubungan antara status fisik ASA I - III dengan waktu pencapaian bromage score 2 pada pasien pasca sp inal anestesi. Kesimpulan : Semakin tinggi status fisik (ASA) pasien maka semakin lama pasien mencapai bromage score 2. Kata Kunci : Spinal Anestesi, ASA, Bromage Score 2

x THE CORRELATION BETWEEN THE PHYSICAL STATUS OF THE AMERICAN SOCIETY OF ANESTHESIA (ASA) I – III AND BROMAGE SCORE OF 2 ACHIEVEMENT TIME IN POST - SPINAL ANESTHETIC PATIENTS. Ni Putu Della Ari Cahyani Faculty of Health Diploma IV Nursing Anesthesiology Institute of Technology and Health Bali Email: [email protected] ABS TRACT Background. Surgery is a medical action that is carried out to save lives, preventing disability and complications. The pre - anesthesia evaluation of preoperative patients was carried out to determine the ASA physical status. Bromage score indicates motor response in p atients who are given post - spinal anesthesia to be released from the anesthesia care unit. The purpose of this study was to identify the correlation between the physical status of the American Society of Anesthesia (ASA) I – III and Bromage score of 2 achi evement times in post - spinal anesthetic patients . Method. This study employed a correlation analytic design with a cross - sectional approach. The sample in this study was 46 respondents who were recruited using the consecutive sampling method. The statistic al test used was a non - parametric test using a chi - square statistical test. Results. Findings indicated that post - spinal anesthesia patients had ASA II (47.8%), the remaining respondents had ASA I (28.3%), and ASA III (23.9%). For the achievement of the Br omage score, it was found that most of them had a Bromage score of 2 2 hours (47.8%). Based on the Chi - square test, a p - value of 0.001 was obtained, which means that there was a correlation between t he physical status of ASA I - III with the time to achieve Bromage score 2 in patients after spinal anesthesia. Conclusion. The higher the patient's physical status (ASA), the longer it would take the patient to achieve a Bromage score of 2. Keywords: Sp inal Anesthesia, ASA, Bromage Score 2