Hubungan Indeks Massa Tubuh Dengan Kejadian Shivering Pada Pasien Spinal Anestesi Di Rumah Sakit Umum Daerah Genteng Banyuwa n gi E RWIN KRISNA YUDA Fakultas Kesehatan Program Studi DIV Keperawatan Anestesiolgi Institut Teknologi dan Kesehatan Bali Email : [email protected] ABSTRA C K Latar be lakang : Shivering menjad i kompli ka si y ang sering terjadi dan m embuat stres pasien yan g akan menjalani operasi dengan teknik spinal anestesi . Shivering terjadi akibat vasodilatasi perifer yang disebabkan blo kad e simpatis terha da p reseptor suhu sehingga men ghamb at respon komp ensasi terhada p suhu . Shivering terjadi karena beberapa faktor, diantara nya adalah terpa pa r dengan suhu lingkungan yang din gin, status fi sik ASA, umur, status gi zi, indeks massa tubuh yang rendah, jenis kelamin dan lamanya operasi . Tujua n Peneli tian : Untuk m engetahui h ub ungan antara indeks massa tub uh dengan kejadian shivering pada spinal anestes i Metode Peneitian : Penilitan ini menggunakan desain penelitian ob servasional analitik dengan pendekatan c ross sectional . Teknik pengambilan samp el m enggunakan accidental sam pl ing . Penelitian ini dilaksanakan di R umah Sakit Umum Daerah Genteng Banyuwangi dengan alokasi waktu tanggal 1 - 30 April 2021. Besar sample yang digunakan dal am penelitian ini adalah 60 responden . Instrumen pengumpulan data yang di gunakan adalah lembar obs er vasi. Teknik analisis data yang d igunakan Descripti ve statistic , Chi Square dan Pearson Correlation . Hasil : K ejadi an Shi vering yaitu sebany ak 33 respond e n dengan pr esentas e ( 55 % ). Berd asarkan hasil uji statistic mengguna kan chi square didapatkan nilai s ig nifikansi p value 0,001 (p < 0,05 ) dengan korelasi 0,578 Kesimpulan : Mayoritas r esp onden yang me miliki Indeks Massa Tubuh > 18,5 k g/m 2 yaitu sebany ak 53 % , Mayoritas r esponden yang mengalami kejadia n shivering yaitu seban yak 33 r esponden dengan presentas e 55 % , B erda sarkan hasil uji statistic menggunakan chi square didapatkan h ubungan signifikansi antara Indeks Mass a Tubuh dengan Kejadian Shivering . Kata Kunci : Anestesi Spinal , IMT , Shivering

THE CORRELATION BETWEEN BO DY MASS INDEX AND INCIDENCE OF SHIVERING IN SPINAL ANESTHESIA PATIENT AT GENTENG BANYUWANGI GENERAL HOSPITAL ERWIN KRISNA YUDA Faculty of Health Diploma IV Nursing Anesthesiology Program Institute of Technology and Health Bali Email : [email protected] Background : Shivering is a complication that often occurs and causes stress to patients who will undergo surgery with spinal ane sthesia . Shivering occurs due to peripheral vasodilation caused by sympa thetic b l ockade of temperature receptors; thereby inhibiting the compensatory response to temperature. Shivering occurs due to several factors, including exposure to cold environmental temperatures, ASA physical status, age, nutritional status, low body ma ss index , gender and duration of surgery. Aim : To determine the correlation between body mass index and the incidence of shivering in spinal anesthesia . Method : This study employed analytical observational research design with a cross sectional approach. T his rese arch was carried out at the Genteng Banyuwangi General Hospital in April 1 st - 30 th , 2021. There were 60 respondents recruited as the sample through accidental sampling technique . The data were collected using an observation shee t and analysed by d escripti ve statistics with Chi Square and Pearson Correlation. Finding : The finding showed that 33 respondents (55%) experienced shivering . Furthermore , based on the results of statistical tests using chi square, the significance value of p value was 0.001 (p < 0. 05) with a correlation of 0.578 . Conclusion: The maj ority of respondents who have B ody Mass Index > 18.5 kg/ m2 ( 53% ) , and the majority of respondents who experience shive ring are 33 respondents ( 55% ) . Based on the result of statistical tests using chi squ are, the re is a significant correlation between Bod y Mass Index with the incidence of Shivering. Keywords : Spinal Anesthesia, BMI, Shivering