Gambaran Kejadian Shivering Pasca Anestesi Spinal Pada Operasi Ortopedi di Recovery Room IBS RSUD Dr. Zainoel Abidin Banda Aceh Fakultas Kesehatan Program Studi DIV Keperawatan Anestesiologi Institut Teknologi Dan Kesehatan Bali Email : [email protected] ABSTRAK Latar Belakang: Shivering merupakan salah satu komplikasi yang sering didapatkan paska operasi yang disebabkan oleh efek samping agen anestesi. Komplikasi dari shivering dapat berhubungan dengan peningkatan konsumsi oksigen, hipoksemia, munculnya asidosis laktat, pelepasan katekolamin dan rasa tidak nyaman pada pasien. Menurut data dari World Health Organization jumlah pasien pembedahan meningkat setiap tahunnya. The British Orthopeadic Association and National Joint Registry menyampaikan bahwa pembedahan ortopedi merupakan pembedahan spesialis terbesar ke sembilan. Metode: Penelitian ini merupakan penelitian kuantitatif dengan pendekatan deskriptif yang dilakukan di Recovery Room IBS RSUD dr. Zainoel Abidin Banda Aceh. Penelitian ini dilakukan dari bulan Februari hingga Maret 2022 dengan jumlah sampel 93 yang diambil menggunakan teknik purposive sampling. Metode penggumpulan data melalui observasi dan dokumentasi. Hasil: Berdasarkan derajat dari shivering maka didapatkan 11 (11,8%) responden mengalami shivering derajat 0, 29 (31,2%) responden mengalami shivering derajat 1, 25 (26,9%) responden mengalami shivering derajat 2, 18 (19,4%) responden mengalami shivering derajat 3 dan 10 (10,8%) responden mengalami shivering derajat 4. Analisa: Frekuensi terbanyak dari shivering berada pada derajat 1. Shivering dipengaruhi oleh beberapa faktor seperti hipotermia intra operatif, jenis dan dosis dari agen anestesi, metode pemberian anestesi, nyeri, perdarahan, panjangnya waktu operasi, hambatan reflek spinalis, penurunan aktivitas simpati dan alkalosis respiratorik. Semakin banyak dan kuat faktor tersebut berperan maka mungkin dapat menyebabkan derajat shivering yang lebih tinggi. Kesimpulan: Pada penelitian ini didapatkan derajat shivering dengan frekuensi terbanyak adalah derajat 1. Oleh karena itu sangat penting untuk memonitoring secara berkala suhu pasien paska operasi. Kata Kunci: Shivering, Paska Anestesi Spinal, Bedah Ortopedi

The Shivering Incident of Post Spinal Anesthesia in Orthopedic Surgery at Recovery Room of Central Surgical Installation Dr. Zainoel Abidin Hospital Banda Aceh Faculty of Health Diploma IV Nursing Anesthesiology Institute of Technology and Health Bali Email : [email protected] ABSTRACT Background: Shivering is one of complications that felt after surgery. It caused by side effects of anesthesia. Complications of shivering can be related to the increased of oxygen consumption, hypoxemia, the appearance of lactic acidosis, release of catecholamines and discomfort in the patient. According to data from the World Health Organization, the number of surgical patients is increasing every year. The British Orthopedic Association and National Joint Registry stated that orthopedic surgery is the ninth largest specialist surgery. Purpose: To determine the the shivering incident of post spinal anesthesia in orthopedic surgery at recovery room of central surgical installation dr. Zainoel Abidin hospital banda aceh Method: This study employed quantitative design with descriptive approach that was conducted in recovery room of central surgery installation at dr. Zainoel Abidin hospital, Banda Aceh. This study conducted from February – March in 2022. There were 93 respondents recruited as sample of the study which were selected by using purposive sampling technique. The data were collected by using observation sheet and documentation. Result: The finding showed that based on the degree of shivering, it was found that 11 respondents (11.8%) experienced degree 0 shivering, 29 respondents (31.2%) experienced 1-degree shivering, 25 respondents (26.9%) experienced 2-degree shivering, 18 respondents (19.4 %) experienced 3-degree shivering and 10 respondents (10.8%) experienced 4-degree shivering. The highest frequency of shivering was at degree 1. Shivering was influenced by several factors such as intraoperative hypothermia, type and dose of anesthetic agent, method of anesthetic administration, pain, bleeding, length of operation time, inhibition of spinal reflexes, decreased sympathetic activity and respiratory alkalosis. The more and stronger these factors played, the more likely it was to cause a higher degree of shivering. Conclusion: The degree of shivering with the highest frequency is 1-degree. Therefore, it is very important to periodically monitor the temperature of postoperative patients. Keywords: Shivering, Postoperative Spinal Anesthesia, Orthopedic Surgery