EFEKTIFITAS PERBANDINGAN BLANKET WARMER DENGAN SELIMUT BIASA (TEBAL) TERHADAP PENANGANAN SHIVERING PADA PASIEN POST SEKSIO SESAREA DENGAN ANESTESI SPINAL DI RUANGAN PEMULIHAN RSUD KECAMATAN MANDAU TAHUN 2021/2022 SUPRIADI Fakultas Kesehatan Program Studi D-IV Keperawatan Anestesiologi Istitut Teknologi Dan Kesehatan Bali E-mail: [email protected] ABSTRAK Latar Belakang: Salah satu komplikasi dari spinal anestesi adalah penurunan suhu (hipotermia), yang akan berlanjut menjadi shivering. Menggigil (shivering) merupakan keadaan yang ditandai dengan adanya peningkatan aktifitas paska anastesi spinal. Efek samping shivering diantaranya adalah peningkatan konsumsi oksigen, metabolisme, curah jantung dan ventilasi semenit, penurunan saturasi oksigen, peningkatan tekanan darah, tekanan intracranial dan tekanan intraokuler. Intervensi untuk mengatasi shivering salah satunya adalah penggunaan selimut. Beberapa yang sering digunakan adalah selimut tebal dan Blanket Warmer. Tujuan: Penelitian ini bertujuan untuk mengetahui efektifitas perbandingan penggunaan Blanket Warmer dan selimut tebal terhadap suhu pada pasien shivering post spinal anestesi yang dilakukan operasi Sectio Caesaria. Metode: Penelitian ini menggunakan desain observasi dengan pendekatan cross sectional. Sampel sebanyak 80 orang yang terbagi menjadi 40 orang dengan Blanket Warmer dan selimut tebal. Suhu rata –rata pretest 34,0-35,8°C, sedangkan rata-rata suhu posttest 36,0-36,6°C. Hasil: Berdasarkan analisa statistik terhadap 80 sampel yang dilakukan penelitian, diketahui bahwa nilai p - value sebesar 0,000 hal ini berarti terdapat pengaruh Blanket Warmer dan selimut biasa terhadap derajat shivering pasien post SC dengan spinal anestesi. Berdasarkan uji Wilcoxon terhadap efektifitas penanganan shivering antara Blanket Warmer dan selimut biasa didapatkan hasil bahwa p-value sebesar 0.481 (>0,05) Kesimpulan: Tidak ada perbandingan antara pemberian Blanket warmer dan selimut biasa terhadap penanganan shivering pada pasien Sectio Caesarea (SC) dengan anastesi spinal di ruangan pemulihan RSUD Mandau. Kata kunci : Anestesi spinal, Shivering, Blanket Warmer

THE EFFECTIVENESS OF COMPARISON BETWEEN BLANKET WARMER AND THICK BLANKET TOWARD SHIVERING MANAGEMENT ON POST SECTIO CAESAREA PATIENT WITH SPINAL ANESTHESIA IN RECOVERY ROOM OF MANDAU HOSPITAL IN 2021/2022 SUPRIADI Faculty of Health Diploma IV of Nursing Anesthesiology Institute of Technology and Health Bali E-mail: [email protected] ABSTRACT Background: One of the complications of spinal anesthesia is decreasing temperature (hypothermia) which lead into shivering. Shivering is a condition caused by increasing of activities post spinal anesthesia. The side effect of shivering includes increased oxygen consumption, metabolism, cardiac output and minute ventilation, decreased oxygen saturation, increased blood pressure, intracranial pressure and intraocular pressure. One of the interventions to overcome shivering is the use of blankets. The commons used are thick blankets and Blanket Warmer. Purpose: To determine the effectiveness of comparison between blanket warmer and thick blanket toward the temperature of shivering patients with spinal anesthesia who were conducted sectio caesarea surgery. Method: The research employed observational design with cross sectional approach. The samples were 80 respondents which were divided into 40 respondents used Blanket Warmer and thick blanket. The average of pre-test was 34,0-35,8°C and the average of post-test was 36,0-36,6°C. Findings: Based on statistical analysis on 80 respondents, the p-value was 0,000 which meant there was an effect of Blanket Warmer and thick blanket toward shivering degree on post sectio caesarea patients with spinal anesthesia. Based on Wilcoxon test, there was an effect on shivering between Blanket warmer and blanket with p-value was 0.481 (>0,05). Conclusion: There is no comparison between blanket warmer and thick blanket toward shivering management on sectio caesarea patients with spinal anesthesia in recovery room of Mandau Hospital. Keywords: Spinal Anesthesia, Shivering, Blanket Warmer Date : August 10th 2022 Translated by : Putu Rusanti, S.Pd., M.Pd.