Perbandingan Kejadian Shivering pada Indeks Massa Tubuh di Bawah Ideal dan Indeks Massa Tubuh di Atas Ideal pada Pasien dengan Spinal Anestesi Ni Luh Putu Sri Wahyuni Fakultas Kesehatan Program Studi D IV Keperawatan Anestesiologi Institut Teknologi Dan Kesehatan Bali Email: [email protected] ABSTRAK Latar Belakang: Shivering adalah respon fisiologis tubuh terhadap paparan dingin dalam mempertahankan panas setelah vasokonstriksi perifer. Salah satu faktor penyebab munculnya shivering adalah indeks massa tubuh. Indeks massa tubuh merupakan parameter yang digunakan untuk mengetahui status berat badan seseorang berdasarkan perhitungan berat badan dan tinggi badan. Tujuan: Penelitian ini bertujuan untuk membandingkan kejadian shivering pada indeks massa tubuh di bawah ideal dan indeks massa tubuh di atas ideal pada pasien spinal anestesi. Metode: Desain penelitian ini analitik komparatif dengan pendekatan cross sectional menggunakan 56 sampel. Pengambilan sampel menggunakan teknik Consecutive Sampling. Instrumen yang digunakan pada saat pengumpulan data yaitu lembar observasi Crossley dan Mahajan R.P. Analisa data dilakukan secara univariat dan bivariat menggunakan Uji Chi -Square dengan SPPS Versi 2.0. Hasil: Pada penelitian ini menunjukkan sebanyak 28 responden dengan IMT di bawah ideal mengalami shivering sebanyak 10 responden (62,5%). Sebanyak 28 responden pada IMT di atas ideal mengalami shivering sebanyk 6 responden (37,5%). Maka perbandingan kejadian shivering pada indeks massa tubuh 23 kg/m2. Kesimpulan: Semakin rendah indeks massa tubuh seseorang maka semakin besar kemungkinan terjadi shivering pasca spinal anestesi. Sebelum pembedahan sebaiknya dilakukan pemantauan indeks massa tubuh untuk mengetahui status berat badan pasien sehingga dapat mencegah terjadinya shivering. Kata Kunci: IMT, Spinal Anestesi, Shivering

THE COMPARISON OF SHIVERING INCIDENCE BETWEEN UNDERWEIGHTS BODY MASS INDEX AND OVERWEIGHT BODY MASS INDEX ON PATIENTS WITH SPINAL ANESTHESIA Ni Luh Putu Sri Wahyuni Faculty of Health Diploma IV of Nursing Anesthesiology Institute of Technology and Health Bali Email: [email protected] ABSTRACT Background: Shivering is a physiological response to cold exposure to maintain heat after peripheral vasoconstriction. One of the factors that cause shivering is body mass index. Body Mass Index (BMI) is a parameter used to determine someone’s weight based on weight and height calculation. Purpose: To determine the comparison of shivering incidence between underweight body mass index and overweight body mass index on patients with spinal anesthesia. Method: This research employed analytical comparative design with cross sectional approach. There were 56 respondents recruited as the samples. The samples were taken by using consecutive sampling technique. The instrument used was Crossley observation sheet and Chi -Square test with Mahajan R.P. The data were analysed univariate and bivariate by using SPPS Version 2.0. Findings: The result of the research showed that out of 28 respondents with underweight BMI, there were 10 respondents (62.5%) had shivering incidence and out of 28 respondents with overweight BMI, there were 6 respondents (37.5%) had shivering incidence. Therefore, the comparison of shivering incidence on BMI 23 kg/m2. Conclusion: The lesser of someone’s BMI the higher chance for shivering incidence post spinal anesthesia. Before doing incision, monitoring body mass index should be carried out to prevent shivering incidence. Keywords: IMT, Spinal Anesthesia, Shivering