HUBUNGAN JENIS PEMBEDAHAN DENGAN SHIVERING INTRA OPERASI PADA PASIEN SPINAL ANESTESI DI RUANG OPERASI RSAD TK. II UDAYANA Ni Ketut Febriyanti Fakultas Kesehatan Program Studi DIV Keperawatan Anestesiologi Institut Teknologi Dan Kesehatan Bali Email: [email protected] ABSTRAK Latar Belakang: Pada intra anestesi spinal terjadi blok sensoris terhadap reseptor suhu perifer sehingga menghambat respon kompensasi terhadap suhu serta shivering . Kejadian shivering banyak ditemukan pada pasie n dengan jenis pembedahan besar. Tujuan: Mengetahui hubungan jenis pembedahan dengan shivering intra operasi pada pasien spinal operasi Metode: Penelitian ini menggunakan desain penelitian deskriptif korelasi dengan pendekatan ( cross sectional ). Sampel penelitian ini melibatkan pasien yang melakukan pembedahan dengan teknik anestesi spinal berjumlah 100 responden yang diambil dengan teknik Consecutive sampling . Data diambil dengan lembar observasi dan rekam me d is pasien dilakukan pada bulan Februari - M aret kemudian data diolah dengan uji statistik chi square Hasil: D idapatkan dari uji chi square signifikansi P value 0.019 yang berarti p < 0.05 yang berarti bahwa terdapat hubungan antara jenis pembedahan dengan shivering intra oper asi pada pasien spinal anestesi Kesimpulan : Petugas kesehatan diharapakan mempersiapkan infus hangat sebelum dimulainya pembedahan laparotomi karena jenis pembedahan laparotomi sering mengalami shivering intra operasi Kata Kunci: A nestesi spinal, Shivering , Intra Operasi, Jenis Pembedahan.

THE CORRELATION BETWEEN TYPES OF SURGERY AND I NTRA OPERATIVE SHIVERING ON SPINAL ANE STHESIA PATIENTS IN O P ERATING ROOM OF UDAYANA LEVEL II HOSPITAL Ni Ketut Febriyanti Faculty of Health Diploma IV of Nursing Anesthe siology Institute of Te chnology and Heal th Bali Email: [email protected] ABSTRA CT Background : In intra spinal anesthesia, sensory blo cking occurs to peripheral temperature receptors so it inhibits the respon se on te mperatu re and shi vering. Shivering inciden ce a re mostly found on patien ts with majo r surgery. Purpose : To determine the correlation between types of surgery and int r a - operative shivering on spinal anesthesia pati ents. Method : This study employe d descriptive correlational study with cross sectional approach. The samples on this study were 100 respondents who underwent spinal anesthesia . Those were taken by using consecutive sampling t echnique. The data were collect ed by using observation sheet and m edical record of patients and were done on Februar y - March. The data were analyzed by using chi square test. Findings : Based on chi square test, it showed that there was correlation between types of surgery and intra - ope rative shive ring on s pinal anesthesia patients (p value 0.019 , p < 0.05) . Conclusion : The health workers are expected to prepare the warm infuse before doing laparotomy be c ause this surgery usually cause s intra - operative shivering. Keywords : Spi nal ane sthesia, Shivering, Intra - operative, T ypes of surgery