GAMBARAN KEJADIAN SHIVERING PASIEN PASCA SECTIO CAESAREA DEN GAN TINDAKAN SPINAL ANESTESI DI RUMAH SAKIT UMUM KERTHA USADA BULELENG TAHUN 2021 Wayan idep Winduri Falkutas Kesehatan Program Studi D IV Keperawatan Anestesiologi Institut Teknologi Dan Kesehatan Bali Email: [email protected] ABSTRAK Latar Belakang: S pinal anestesi diberikan pada pasien yang menjalani pembedahan diarea abdominal bawah seperti sectio caesarea . Spinal anestesi dapat menganggu termoregulasi suhu sehingga menghambat respons kompensas i terhadap suhu sehingga menyebabkan shivering. Tujuan: Untuk mengetahui gambaran kejadian shivering pasien pasca sectio caesarea dengan tindakan spinal anestesi di R SU Kertha Usada B uleleng . Metode: Penelitian ini menggunakan desain penelitian deskripti f kuantitatif dengan rancangan cross sectional. Sampel dalam penelitian ini adala h pasien yang dilakukan section caesarea dengan spinal anestesi sebanyak 118 responden dengan menggunakan teknik convinience sampling . Data diperoleh dari hasil observasi lang sung dan dianalisis secara deskriptif di ruang operasi RSU Kert ha Usada Bulel e ng pada bulan Maret - April 2021. Hasil Penelitian: H asil penelitian menunjukkan bahwa responden sectio caesarea dengan spinal anestesi yang mengalami shivering sebanyak 95 orang (80.5%) dan responden sectio caesarea dengan spinal anestesi yang tidak mengalami shivering sebanyak 23 orang (19.5%). Dari keseluruhan faktor penyeb ab shivering faktor mayoritas yang menyebabkan shivering yaitu jumlah perdarahan dan ketinggian blok aneste si (80.5%). Kesimpulan: Kejadian shivering pasien pasca sectio caesarea dengan tindakan spinal anestesi di RSU Kertha Usada B uleleng disebabkan oleh faktor umur, lama operasi, jumlah perdarahan, indeks masa tubuh, dan ketinggian blok anestesi. Kata Kunc i: Spinal anestesi, Sectio caesarea, Shivering

THE INCIDENCE OF SHIVERING IN PATIENTS AFTER CAESAREAN SECTION UNDER SPINAL ANESTHESIA AT KERTHA USADA GENERAL HOSPITAL BULELENG IN 2021 Wayan idep Winduri Faculty of Health Diploma IV of Nursing Anesthe siology Institute of Technology and Health Bali Email: [email protected] ABSTRACT Background: Spinal anesthesia is given to patients undergoing surgery in the lower abdominal area such as caesarean section. Spinal anesthesia can interfere with temperature thermoregulation, thereby inhibiting the compensatory response to temperature, causing shivering. Aim: To describe the incidence of shivering in patients after caesarean section under spinal anesth esia at Kertha Usada Hospital Buleleng. Methods: This study is a quantitative descriptive research with cross sectional design. The sample in this study were patients who underwent caesarean section under spinal anesthesia; a total 118 respondents which we re selected through convenience sampling technique. The data was collected from direct observation in the operating room of the Kertha Usada Hospital, Buleleng during March - April 2021 and then analyzed descriptively. Results: The results showed that 95 res pondents (80.5%) who had undergone the caesarean section under spinal anesthesia experienced shivering and 23 respondents (19.5%) who had undergone caesarean section under spinal anesthesia did not experience shivering. Out of all the factors causing shive ring, the major factors causing shivering are the amount of blood loss and the height of the anesthetic block (80.5%). Conclusion: The incidence of shivering in patients after caesarean section under spinal anesthesia in Kertha Usada Hospital Buleleng was caused by age, duration of operation, amount of blood loss, body mass index and the height of anesthetic block. Keywords: Spinal Anesthesia, Caesarean Section, Shivering