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All Journal Indonesian Journal of Nursing Research (IJNR) Jurnal Keperawatan GSH
Muhammad Rossy Rachasiwi
Universitas Muhammadiyah PKU Surakarta
Education Health Professions Nursing Public Health

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Analisis Multivariat Durasi Operasi sebagai Prediktor Independen Post-Operative Nausea and Vomiting (PONV) pada Pasien Bedah Ortopedi: Sebuah Studi Kohort Retrospektif Muhammad Rossy Rachasiwi; Bayu Despriyanto Pratama
Indonesian Journal of Nursing Research (IJNR) Vol. 9 No. 1 (2026)
Publisher : Program Studi S1 Keperawatan Universitas Ngudi Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35473/ijnr.v9i1.4739

Abstract

Postoperative nausea and vomiting (PONV) remains a frequent and distressing complication affecting recovery, particularly in prolonged orthopedic surgeries. To determine whether surgery duration exceeding 120 minutes acts as an independent predictor of PONV in orthopedic surgery patients. A retrospective cohort study was conducted on 45 adult patients (ASA physical status I–II) undergoing Open Reduction Internal Fixation (ORIF) under general anesthesia. Data were collected using structured data collection sheets and analyzed using multiple logistic regression. The overall PONV incidence among 45 subjects (predominantly female and non-smokers) was 57.8%. Bivariate analysis indicated significant associations between surgery duration, sex, and smoking status with PONV (p<0.05). Multivariate analysis confirmed surgery duration >120 minutes as the strongest independent predictor (adjusted Odds Ratio [aOR] 8.41; 95% CI 2.10–33.65; p=0.003). Surgery duration exceeding 120 minutes is an independent determinant of PONV and should serve as a basis for implementing multimodal antiemetic prophylaxis.   Abstrak Post-Operative Nausea and Vomiting (PONV) masih menjadi komplikasi pasca-anestesi yang sering dan mengganggu pemulihan, terutama pada bedah ortopedi dengan durasi operasi panjang. Mengetahui apakah durasi operasi >120 menit merupakan prediktor independen PONV pada pasien bedah ortopedi. Studi kohort retrospektif terhadap 45 pasien dewasa ASA I–II yang menjalani ORIF dengan anestesi umum instumen penelitian menggunakan lembar observasi / lembar pengumpul data (Data Collection Sheet); data dianalisis menggunakan regresi logistik ganda. Insidensi PONV pada 45 subjek (dominan perempuan dan bukan perokok) mencapai 57,8%. Durasi operasi, jenis kelamin, dan status merokok berhubungan signifikan dengan PONV pada uji bivariat (p<0,05). Analisis multivariat mengonfirmasi durasi operasi >120 menit sebagai prediktor independen terkuat (aOR 8,41; 95% CI 2,10–33,65; p=0,003). Durasi operasi >120 menit merupakan determinan mandiri PONV dan perlu dijadikan dasar pemberian profilaksis antiemetik multimodal.​
HUBUNGAN STATUS FISIK ASA DENGAN WAKTU PENCAPAIAN BROMAGE SCORE 2 PADA PASIEN SPINAL PASCA ANESTESI DI RUANG PEMULIHAN Muhammad Rossy Rachasiwi; Bayu Despriyanto Pratama
Jurnal Keperawatan GSH Vol. 15 No. 1 (2026): Januari 2026
Publisher : Akademi Keperawatan Giri Satria Husada Wonogiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56840/jkgsh.v15i1.175

Abstract

ABSTRAK Latar Belakang: Pemulihan motorik pasca anestesi spinal penting untuk menentukan kesiapan pasien dipindahkan dari ruang pemulihan. Salah satu indikator pemulihan motorik adalah pencapaian Bromage Score 2. Status fisik ASA (American Society of Anesthesiologists) diduga memengaruhi waktu pencapaian skor tersebut. Tujuan: Mengetahui hubungan antara status fisik ASA dengan waktu pencapaian Bromage Score 2 pada pasien spinal pasca anestesi di ruang pemulihan. Metode: Penelitian ini menggunakan desain observasional analitik dengan pendekatan cross-sectional. Sampel sebanyak 60 responden dipilih secara purposive sampling di ruang pemulihan RSI Sultan Agung Semarang. Data dikumpulkan menggunakan lembar observasi ASA dan Bromage Score. Analisis data menggunakan uji korelasi Spearman. Hasil: Mayoritas responden memiliki status ASA I (55%), dan waktu pencapaian Bromage Score 2 terbanyak terjadi pada menit ke-44. Hasil uji Spearman menunjukkan adanya korelasi positif antara status ASA dan waktu pencapaian Bromage Score 2 (r = 0,326; p = 0,011), yang berarti hubungan tersebut signifikan secara statistik meskipun berkategori lemah. Kesimpulan: Terdapat hubungan bermakna antara status fisik ASA dan waktu pencapaian Bromage Score 2. Semakin tinggi status ASA, waktu pemulihan motorik cenderung lebih lama. ABSTRACT Background: Motor recovery after spinal anesthesia is crucial in determining a patient’s readiness to be transferred from the recovery room. One indicator of motor recovery is achieving a Bromage Score of 2. The ASA physical status (American Society of Anesthesiologists) is suspected to influence the time needed to reach this score. Objective: To determine the relationship between ASA physical status and the time to achieve Bromage Score 2 in post-spinal anesthesia patients in the recovery room. Methods: This study employed an analytical observational design with a cross-sectional approach. A total of 60 respondents were selected using purposive sampling in the recovery room of Sultan Agung Islamic Hospital, Semarang. Data were collected using ASA and Bromage Score observation sheets and analyzed with the Spearman correlation test. Results: The majority of respondents had ASA I status (55%), and the most frequent time to achieve Bromage Score 2 was at 44 minutes. Spearman correlation test showed a positive relationship between ASA status and the time to achieve Bromage Score 2 (r = 0.326; p = 0.011), indicating a statistically significant relationship despite being categorized as weak. Conclusion: There is a significant relationship between ASA physical status and the time to achieve Bromage Score 2. The higher the ASA status, the longer the motor recovery time tends to be.
Co-Authors Bayu Despriyanto Pratama