viii HUBUNGAN DURASI TINDAKAN OPERASI TERHADAP KEJADIAN SHIVERING PADA PASIEN PEMBEDAHAN POST SPINAL ANESTESI Ni Made Sri Nuramuni Fakultas Kesehatan P rogram Studi D IV Keperawatan Anestesiologi Institut Teknologi Dan Kesehatan Bali Email: [email protected] ABSTRAK Latar Belakang : Anestesi spinal adalah tindakan anestesi yang dilakukan dengan cara menyuntikan obat anestesi lokal ke cairan serebrospinal , untuk menghentikan transmisi saraf motorik, sensorik, dan otonom di tingkat medulla spinalis yang bersifat reversible . Namun salah satu komplikasi umum dan tidak menyenangkan dari pasca spinal anest esi adalah Post Anesthetic Shivering (PAS) . Tujuan : M engetahui hubungan durasi tindakan operasi terhadap kejadian shivering pada pasien pembedahan post spinal anestesi. Metode : Penelitian ini menggunakan desain penelitian deskriptif korelasional dengan pe ndekatan cross - sectional . Sampel penelitian ini melibatkan pasien pembedahan dengan spinal anestesi berjumblah 43 responden . Pengambilan sampel pada penelitian ini dengan menggunakan non probability sampling dengan t ehnik pengambilan sampel Consecutive sam pling . Pengambilan sampel dilakukan pada bulan April 2021. Alat pengumpulan data menggunakan rekam medis dan lembar observasi . Hasil : Durasi lama operasi di Kamar Operasi RSUD Klungkung, s ebagian besar responden merupakan kelompok operasi sedang (60 - 120 me nit) sebanyak 29 responden (6 7 . 4 % ). Sebagian besar responden mengalami d erajat shivering ke - 2 sebanyak 18 responden (4 1 .9%). Hasil uji statistik menggunakan spearman’ rho dengan level signifikansi (α = 0,0 5 ) diperoleh hasil p - value (0,02 ≤ 0,05) maka Ha di terima . Kesimpulan Petugas kesehatan diharapkan dapat memberikan intervensi dalam pencegahan kejadian PAS dengan cara pemberian obat, selimut hangat, lampu penghangat saat intra hingga post operasi . Kata Kunci: Durasi Operasi , Shivering, Post Spinal A nestesi

THE CORRELATION BETWEEN DURATION OF SURGERY AND SHIVERING INCIDENCE ON POST SPINAL ANESTHESIA PATIENTS Ni Made Sri Nuramuni Faculty of Health Diploma IV of Nursing Anesthesiology Institute of Technology and Health Bali Email: [email protected] ABSTRACT Background : Spinal anesthesia is an anesthetic action performed by injecting a local anesthetic drug into cerebrospinal fluid to stop the transmission of motor, sensory, and autonomic ner ves at medulla spinalis which is reversible. However, one of the common and unpleasant complications of post spinal anesthesia is Post Anesthetic Shivering (PAS). Purpose : To determine the correlation between duration of surgery and shivering incidence on post spinal anesthesia patients Method : The study used descriptive correlational study with cross sectional approach. The samples of this study were 43 post spinal anesthesia patients. The samples were taken by using non probability sampling with consecut ive sampling technique. The samples were collected in April 2021. The instruments used in this study were medical record and observation sheet. Findings : The duration of surgery in operating room of Klungkung Hospital, it showed that 29 respondents (6 7 . 4% ) were categorized as moderate surgery (60 - 120 minutes), most of the respondents such as 18 respondents (4 1 .9%) felt shivering level 2. The result of Spearman rho test showed that Ha was accepted (α = 0,0 5 ) and p - value (0,02 ≤ 0,05) . Conclusion: The health workers are expected to give intervention in preventing PAS incidence by giving medicine, warm blanket, and warm lamp during intra until post - operative. Keywords: Duration of surgery , Shivering, Post spinal anesthesia