GAMBARAN KEJADIAN SHIVERINGN PADA PASIEN YANG MENJALANI ANESTESI SPINAL DI INTALASI BEDAH SENTRAL RSUD. ANDI MAKKASAU KENRE MASSE Fakultas Kesehatan Program Studi D IV Keperawatan Anestesiologi Institut Teknologi dan Kesehatan Bali Email : [email protected] ABSTRAK Latar Belakang. Anestesi spinal memicu vasodilatasi yang memfasilitasi pusat tubuh untuk meredistribusi panas ke perifer serta memicu ambang menggigil. Lebih jelasnya, distribusi panas ke perifer itu sendirilah yang memainkan peran utama dalam penurunan suhu tubuh. Sebagai kompensasi, aktivitas otot dipacu untuk mendapatkan panas 2 melalui proses menggigil dan mempertahankan homeostasis. Tujuan. Mengetahui gambaran kejadian Shivering Pada Pasien Yang Menjalani Anestesi Spinal Di instalasi bedah sentral RSUD. Andi Makkasau kota Parepare. Metode. Penelitian ini termasuk penelitian cross sectional, karena variabel bebas dan tergantung pada objek penelitian diukur atau dikumpulkan pada waktu yang bersamaan. Sampel dalam penelitian ini adalah semua Pasien Bedah laparatomi (elektif dan cito) dengan tindakan Anestesi Spinal di RSUD Andi Makkasau kota Parepare pada saat peneliti melakukan penelitian yaitu tanggal 1 mei 2022 sampai dengan 1 juni 2022. Pengambilan sampel menggunakan teknik total yaitu teknik pengambilan sampel dimana jumlah sampel yang sama dengan populasi. Hasil. Peneliti menemukan usia sebagian besar responden memiliki umur 17-30 Tahun (34.4%). jenis kelamin laki-laki 22 (34.4%). berat badan >70 Kg 28 (43.8%). ASA 1 51 (79.7%). Dan SC 32 (50%). Sedang hasil observasi dari 64 pasien bedah yang menjalani anestesi spinal menunjukkan bahwa kejadian shivering pada pasien yang menjalani anestesi spinal Sebagian besar mengalami shivering dan hanya 9,4% yang tidak mengalami kejadian shivering. Kesimpulan. Penelitian ini menggambarkan angka kejadian shevering pada anastesi spinal di rumah sakit andi makkasau kota pare pare,di mana pada beberapa sampel yang di teliti di dapatkan beberapa pasien dengan anastesi spinal mengalami shivering dengan tingkat derajat shivering yang berbeda,dengan data ini bisa di tarik kesimpulan tingginya angka kejadian shivering di rumah sakit andi makkasau kota pare pare dengan anastesi spinal. Kata Kunci: Spinal, Anestesi, Shivering

THE OCCURRENCE OF SHIVERING IN PATIENTS UNDERGOING SPINAL ANESTHESIA IN CENTRAL SURGICAL INSTALLATION OF ANDI MAKASAU HOSPITAL Kenre Masse Faculty of Health Diploma IV Nursing Anesthesiology Institute of Technology and Health Bali Email: [email protected] ABSTRACT Background. Spinal anesthesia triggers vasodilation that facilitates the body's center to redistribute heat to the periphery and triggers the shivering threshold. More specifically, heat distribution to the periphery plays a major role in decreasing body temperature. Muscle activity is stimulated to obtain heat through the shivering process and maintain homeostasis. The purpose of this study was to identify the occurrence of shivering in patients undergoing spinal anesthesia in the Central Surgical Installation of Andi Makkasau Hospital at Parepare. Method. This study employed a cross-sectional study because the independent and dependent variables on the research object were measured or collected at the same time. The sample in this study were all patients with laparotomy surgery (elective and cito) with Spinal Anesthesia at Andi Makkasau Hospital, Parepare, from the time the researcher conducted the study, May 1st to June 1st, 2022. Total sampling techniques were used; hence, the number of samples and population were the same. Results. Findings indicated that most respondents were aged 17-30 (34.4%), 22 respondents were male (34.4%). Moreover, 28 respondents had a body weight >70 Kg (43.8%), 51 respondents were in ASA 1 (79.7%) and 32 respondents undergoing SC (50%). The result of observations from 64 surgical patients who underwent spinal anesthesia showed the occurrence of shivering in the majority of patients undergoing spinal anesthesia; only 9.4% did not experience shivering. Conclusion. This study describes the occurrence of shivering in spinal anesthesia at the Andi Makkasau Hospital, Parepare. In several samples studied, patients with spinal anesthesia experienced different degrees of shivering. With this data, it can be concluded that there is a high occurrence of shivering in Andi Makkasau Hospital, Pare-Pare, with spinal anesthesia. Keywords: Spinal, Anesthesia, Shivering