HUBUNGAN LAMA OPERASI DENGAN KEJADIAN SHIVERING PADA PASIEN PASCA SPINAL ANESTESI DI IBS RSUD WANGAYA I Putu Nurbawa Fakultas Kesehatan Program Studi D IV Keperawatan Anestesiologi Institut Teknologi Dan Kesehatan Bali Email: [email protected] ABSTRAK Latar Belakang: Shivering (menggigil) merupakan keadaan yang ditandai dengan adanya peningkatan akt ifitas otot. Salah satu faktor yang dapat menyebabkan terjadinya shivering adalah lamanya pelaksanaan operasi yang dilakukan. Shivering dapat dicegah dengan dengan pemberian selimut penghangat, pemasangan penghangat cairan infus, meminimalkan kehilangan pa nas selama operasi dan penggunaan obat - obatan. Tujuan: Mengetahui hubungan lama operasi dengan kejadian shivering pada pasien pasca spinal anestesi di IBS RSUD Wangaya. Metode: Penelitian ini merupakan penelitian korelasi dengan pendekatan cross - sectional. Alat pengumpulan data berupa lembar observasi. Populasi dalam penelitian ini adalah seluruh pasien yang menjalani tindakan operasi dengan spinal anestesi. Sampel diambil secara non probabiliti sampling dengan tehnik consecutive sampling sebanyak 100 respo nden. Hasil: Lama operasi di ruang IBS RSUD Wangaya sebagian besar berada pada tingkat sedang (60 - 120 menit) sebanyak 49 responden (49%). Kejadian shivering paling banyak pada derajat 0 sebanyak 49 responden (49%), selanjutnya derajat 4 sebanyak 37 (37%), disusul derajat 3 sebanyak 9(9%) dan derajat 2 sebanyak 5(5%). Hasil uji Spearman’s rho menunjukkan p - value 0,001 yang berarti ada hubungan antara lama operasi dengan kejadian shivering pada pasien pasca spinal anestesi di IBS RSUD Wangaya Kesimpulan: Sem akin lama durasi pembedahan yang dilakukan maka semakin tinggi derajat shivering yang dialami oleh pasien yang menjalani operasi spinal anestesi di IBS RSUD Wangaya . Kata Kunci: Lama Operasi, Shivering, Spinal Anestesi

THE CORRELATION BETWEEN DURATION OF OPERATION WITH SHIVERING CASE ON PATIENT OF POST SPINAL ANESTHESIA AT IBS WANGAYA HOSPITAL I Putu Nurbawa Faculty of Health Diploma IV of Nursing Anesthesiology The Institute of Technology and Health Bali Email: [email protected] ABSTRACT Background: Shivering is a condition characterized by an increase in muscle activity. One of the factors that can cause shivering is length of the operation conducted. Shivering can be prevented by providing a heating blanket, installing an intravenous fluid warmer, minimizing heat loss during operation and using medications. Purpose: The purpose of this study was to determine the correlation between duration of operation with shivering case on patient of post spinal anesthesia at IBS Wangaya Hospital Method: This stu dy was a correlation study with a cross - sectional approach. Data collection tools was a form of observation sheets. The population in this study were all patients who underwent operation with spinal anesthesia. The sample amples were selected by non - probab ility sampling with consecutive sampling technique as many as 100 respondents. Result: The duration of operation in the IBS room at Wangaya Hospital was mostly at a moderate level (60 - 120 minutes) as many as 49 respondents (49%). The highest case of shivering was in degree 0 as many as 49 respondents (49%), then degree 4 as many as 37 (37%), followed by degree 3 as many as 9 (9%) and degree 2 as many as 5(5%). The results of the Spearman's rho test showed a p - value of 0.001 which means that there was a correlation between duration of operation with shivering case on patient of post spinal anesthesia at IBS Wangaya Hospital Conclusion: The longer the duration of the operation, the higher the degree of shivering experienced by patients undergoing spinal anesthesia operation at IBS of Wangaya Hospital Keyword: Duration of Operation, Shivering , Spinal Anesthesia