KEJADIAN SHIVERING PADA PASIEN INTRA SPINAL ANESTESI DI RUANG OK RUMAH UMUM DAERAH SAKIT BATARA SIANG PANGKEP AHMAD HAMZAH Fakultas Kesehatan Program Studi D-IV Keperawatan Anestesiologi Institut Teknologi dan Kesehatan Bali Email : [email protected] ABSTRAK Latar Belakang : Spinal anestesi diberikan pada pasien yang menjalani pembedahan diarea abdominal. Spinal anestesi dapat menganggu termoregulasi suhu sehingga menghambat respons kompensasi terhadap suhu sehingga menyebabkan shivering. Tujuan : Untuk mengetahui kejadian shivering pada pasien intra spinal anestesi di Rumah Sakit Batara Siang Pangkep 2022 Metode : Penelitian ini menggunakan desain penelitian deskriptif kuantitatif dengan rancangan cross sectional. Sampel dalam penelitian ini adalah pasien intra spinal anestesi sebanyak 80 responden dengan menggunakan teknik non probability sampling. Data diperoleh dari hasil observasi secara langsung di ruang OK Rumah Sakit Umum Batara Siang Pangkep pada bulan April-Mei 2022. Hasil Penelitian : Hasil penelitian menunjukkan bahwa responden yang mengalami shivering sebanyak 44 orang (55.0%) dan responden yang tidak mengalami shivering sebanyak 36 orang (45.0%). Kesimpulan : Spinal anestesi menyebabkan vasodilatasi perifer yang dapat menyebabkan hipotermi, maka timbul respon tubuh pada proses termoregulasi fisiologis yang disebut shivering. Shivering terjadi diakibatkan oleh beberapa factor yaitu jenis kelamin, umur, lama operasi, jumlah perdarahan, indeks masa tubuh, dan ketinggian blokanestesi. Kata Kunci : Spinal anestesi, shivering, pembedahan abdominal, hipotermi.

SHIVERING INCIDENCE IN PATIENTS WITH INTRA SPINAL ANESTHESIA IN OPERATING ROOM OF BATARA SIANG PANGKEPGENERAL HOSPITAL AHMAD HAMZAH Faculty of Health Diploma IV of Nursing Anesthesiology Institute of Technology and Health Bali Email: [email protected] ABSTRACT Background : Spinal anesthesia is given to patients undergoing abdominal surgery. Spinal anesthesia can interfere with temperature thermoregulation; inhibiting the compensatory response to temperature and resulting in shivering. Aim : To find out the incidence of shivering in patients with intra spinal anesthesia at Batara Siang PangkepGeneral Hospital in 2022. Methods: This study employed a quantitative descriptive research design with a cross sectional design. The sample in this study were 80 respondents with intra spinal anesthesia, which were selected using non-probability sampling technique. The data were collected through direct observation in the Operating Room of the Batara Siang Pangkep General Hospital from April-May 2022. Results : The results showed that 44 respondents (55.0%) experienced shivering and 36 respondents (45.0%) did not experience shivering. Conclusion : Spinal anesthesia causes peripheral vasodilation which can cause hypothermia, and the body's response to the physiological thermoregulation process is called shivering. Shivering occurs due to several factors, namely gender, age, duration of surgery, amount of bleeding, body mass index, and the height of anesthetic block. Keywords: Spinal Anesthesia, Shivering, Hypothermia, Abdominal Surgery