GAMBARAN KEJADIAN SHIVERING TERKAIT PEMBERIAN OKSIGENASI PADA PASIEN SUB ARACHNOID BLOCK DI RSUD KARANGASEM I Made Dwi Cipta Darmawan Fakultas Kesehatan Program Studi D IV Keperawatan Anestesiologi Institut Teknologi dan Kesehatan Bali Email: [email protected] ABSTRAK Latar Belakang: Shivering masih sering terjadi pada intra anestesi dan dampaknya sangat buruk bagi tubuh pasien. Shivering menyebabkan ketidaknyamanan dan meningkatkan rasa nyeri akibat tarikan pada luka operasi. Pergerakan otot berulang ini juga dapat meningkatkan produksi panas metabolik sampai 500-600% dari nilai basal, meningkatkan konsumsi oksigen serta produksi karbon dioksida. Tujuan: Untuk menggambarkan kejadian shivering terkait pemberian oksigenasi pada pasien sub arachnoid block di RSUD Karangasem. Metode: Desain penelitian deskriptif dengan pendekatan cross-sectional. Populasi dalam penelitian ini adalah seluruh pasien anestesi sub arachnoid block yang diberikan oksigenasi sebanyak 60 responden yang diambil menggunakan teknik consecutive sampling. Pengumpulan data dilakukan pada bulan Maret – April 2023 menggunakan lembar observasi. Data dianalisa menggunakan deskriptif statistik. Hasil Penelitian: Hasil penelitian ini menunjukan bahwa pemberian oksigenasi normal 2 liter/menit sebanyak 42 orang (70,0%) dan pemberian oksigenasi tidak normal lebih dari 2 liter/menit sebanyak 18 orang (30,0%). Dan sebagian besar mengalami shivering yaitu 42 orang (70,0%) dan tidak mengalami shivering yaitu 18 orang (30,0%). Kesimpulan: Sebagian besar responden yang diberikan oksigenasi normal 2 liter/menit lebih banyak mengalami kejadian shivering sehingga diharapkan dapat mencegah terjadi shivering dengan pendekatan non farmakolgi dan pendekatan farmakologi. Kata Kunci: Oksigenasi, Shivering, Sub Arachnoid Block

THE OCCURRENCE OF SHIVERING RELATED TO OXYGENATION IN SUB-ARACHNOID BLOCK PATIENTS AT KARANGASEM HOSPITAL I Made Dwi Cipta Darmawan Faculty of Health Diploma IV Nursing Anesthesiology Institute of Technology and Health Bali Email: [email protected] ABSTRACT Background. Shivering still occurs during intra-anesthesia, which harms the patient's body. Shivering causes discomfort and increases pain due to surgical wound flexibility. This repetitive muscle movement can also increase metabolic heat production up to 500-600% of the basal value, increasing oxygen consumption and carbon dioxide production. The purpose of this study was to determine the occurrence of shivering related to oxygenation in sub-arachnoid block patients at Karangasem Hospital. Method. This study employed a descriptive research design with a cross-sectional approach. The population in this study were all 60 respondents of sub-arachnoid block anaesthesia patients who were given oxygenation recruited using a consecutive sampling technique. Data were collected in March – April 2023 using observation sheets. Data were analyzed using descriptive statistics. Results. Findings indicated that 42 respondents (70.0%) gave normal oxygenation of 2 litres/minute, and 18 respondents (30.0%) gave abnormal oxygenation of more than 2 litres/minute. Furthermore, most of them experienced shivering in 42 respondents (70.0%), and 18 respondents (30.0%) did not experience shivering. Conclusion. Most respondents who were given normal oxygenation of 2 litres/minute experienced more shivering; hence, it is hoped that shivering can be prevented with non-pharmacological and pharmacological approaches. Keywords: Oxygenation, Shivering, Sub-Arachnoid Block