PREVALENSI SHIVERING PADA PASIEN POST OPERASI DENGAN SPINAL ANESTESI DI RUANG PEMULIHAN RUMAH SAKIT UMUM DAERAH (RSUD) KOTA MATARAM Ita Mariana Fakultas Kesehatan Program Studi DIV Keperawatan Anestesiologi Institut Teknologi Dan Kesehatan Bali Email : [email protected] ABSTRAK Latar Belakang : Shivering merupakan komplikasi yang sering terjadi pada pasien dengan spinal anestesi berupa aktivitas otot involunter serta berulang pada satu otot rangka atau lebih yang biasanya terjadi pada masa awal pemulihan post anestesi. Berdasarkan wawancara dengan perawat yang bertugas di IBS, didapatkan data bahwa angka kejadian shivering di RSUD Kota Mataram masih cukup tinggi. Hal ini dibuktikan dengan data bahwa 5 dari 10 pasien (50%) yang menjalani operasi dengan spinal anestesi mengalami shivering. Kejadian shivering post anestesi spinal bisa terjadi karena beberapa faktor, diantaranya adalah jenis kelamin, umur, lamanya operasi dan jenis operasi. Tujuan : Mengetahui prevalensi shivering pada pasien post operasi dengan spinal anestesi di ruang pemulihan Rumah Sakit Umum Daerah (RSUD) Kota Mataram. Metode : Penelitian ini menggunakan desain penelitian deskriptif dengan pendekatan cross sectional. Sampel berjumlah 100 responden. pengambilan sampel penelitian menggunakan non probability sampling dengan teknik Consecutive sampling. Alat pengumpulan data menggunakan lembar observasi. Hasil : Hasil pada penelitian ini didapatkan dari 100 responden penelitian yang mengalami shivering mencapai 36 responden dimana pada perempuan sebanyak 25 responden dengan rentang usia dewasa awal sebanyak 14 responden, lama operasi sebanyak sedang (1-2 jam) sebanyak 21 responden dan jenis pembedahan obgyn sebanyak 22 responden. Kesimpulan : Kejadian shivering pada pasien pada pasien post operasi dengan anestesi spinal di ruang pemulihan RSUD Kota Mataram sekitar 36% dari 100 responden. Saran : diharapkan dapat menggali informasi dari hasil penelitian ini sebagai tambahan pengetahuan, pengalaman dalam penanganan pasien yang menjalani perawatan di ruang recovery dengan shivering dan lebih interaktif dalam mengganti baju atau selimut pada pasien operasi dengan spinal anestesi. Kata Kunci: Hipotermia, Shivering Anestesi Spinal, Post Operasi

THE PREVALENCE OF SHIVERING IN POST-SURGERY PATIENTS WITH SPINAL ANESTHESIA IN THE RECOVERY ROOM OF THE MATARAM CITY GENERAL HOSPITAL Ita Mariana Faculty of Health Diploma IV Nursing Anesthesiology Institute of Technology and Health Bali Email: [email protected] ABSTRACT Background. Shivering is a complication that often occurs in patients with spinal anesthesia in the form of involuntary and repetitive muscle activity in one or more skeletal muscles, usually in the early post-anesthesia recovery period. Based on interviews with nurses on duty at Central Surgical Installation (CSI), it was found that the occurrence of shivering in the Mataram City Hospital was still relatively high. This showed by the data that out of 10 patients, half of them (50%) who underwent surgery with spinal anesthesia experienced shivering. Shivering in post spinal anesthesia could occur due to several factors, including gender, age, duration, and type of surgery. The purpose of this study was to identify the prevalence of shivering in postoperative patients with spinal anesthesia in the recovery room at the Mataram City General Hospital. Method. This study employed a descriptive research design with a cross-sectional approach. The sample was 100 respondents recruited using non-probability sampling with the consecutive sampling technique. The data were collected using observation sheets. Results. Findings indicated that from 100 respondents, 36 respondents experienced shivering, 25 respondents were women, and 14 respondents were in the early adult age range. Moreover, 21 respondents had a duration of surgery of 1 to 2 hours, and 22 respondents had ob-gyn surgery. Conclusion. Patients with spinal anesthesia in the recovery room at the Mataram City Hospital were around 36% of 100 respondents. It is suggested that the information from the results of this study can be obtained as additional knowledge and experience in handling patients undergoing treatment in the recovery room with shivering and be more interactive in changing clothes or blankets in surgery patients with spinal anesthesia. Keywords: Hypothermia, Spinal Anesthesia Shivering, Post Surgery