Hubungan Indeks Massa Tubuh (IMT) Dengan Kejadian Shivering Pada Pasien Spinal Anes t esi Di Rumah Sakit Umum Daerah Anutapura Palu IRMAWATI Fakultas Kesehatan Program Studi D IV Keperawatan Anestesiologi Institut Teknologi dan Kesehatan Bali Email : [email protected] ABSTRAK Latar Belakang . Shivering merupakan komplikasi yang seri ng terjadi pada teknik anestesi spinal. Faktor risiko terjadinya shivering spinal anestesi salah satunya adalah IMT rendah. IMT rendah lebih mudah kehilangan panas sehingga tubuh berkompensasi terhadap penurunan suhu tubuh untuk meningkatkan produksi panas. Tujuan. P enelitian ini untuk mengetahui hubungan IMT dengan kejadian shivering pada pasien spinal a nestesi . Metode . Desain penelitian ini adalah observasional analitik dengan pendekatan cross sectional . Teknik pengambilan sampel menggunakan total sampli ng. Sampel penelitian sebanyak 5 0 data analisa dan menggunakan uji Spearman ’s Rho . Hasil. Dari 50 responden di dapatkan hasil sebanyak 21 orang (5 6 %) responden memiliki IMT kurus , s edang 19 orang (38,0%), dan gemuk 3 orang (6,0%). Untuk shivering sebagian besar responden mengalami shivering derajat 4 sebanyak 28 orang (56%) , derajat 3 sebanyak 2 orang (4%) , dan derajat 1 sebanyak 4 orang (8%) dan sisanya 16 orang (32%) tidak mengalami shivering . Berdasarkan uji statistik Spearman Row didapatkan p value 0,00 1 ( p < 0,05) dengan nilai r = - 536 yang berarti terdapat hubungan yang sedang antara IMT dengan shivering dengan arah hubungan negatif. Kesimpulan . Semakin tinggi IMT maka semakin rendah kejadian shivering yang dialami oleh pasien yang menjalani operasi dengan spinal anestesi. Kata Kunci. S pinal a nestesi, IMT, Shivering

The Correlation Between Body Mass Index (BMI) and Shivering Incidence in Patients with Spinal Anesthesia at Anutapura Palu Hospital Irmawati Faculty of Health Diploma IV of Nursing Anesthesiology Program Institute of Technology and Health bali Email : [email protected] ABSTRACT Background: Shivering is a common complication with spinal anesthesia technique. One of the risk of shivering after spinal anesthesia is low body mass index (BMI). A low BMI is easier to lose heat, and the body compensates to decrease body temperature to increase heat production. Aim: To determine the correlation between body mass index (BMI) and sh ivering incidence in patients with spinal anesthesia at Anutapura Palu Hospital. Method: This study employed analytic observational design with cross sectional approach. The sample of this study were 50 respondents which were recruited by using total samp ling technique. The data were analyzed by using Spearman’s Rho test. Result: The finding showed that there were 21 respondents (56%) were skinny and there were 19 respondents (38%) had moderate mody mass index, and there were 3 respondents (6%) were fat. In case of shivering, there were 28 respondents (56%) experienced 4 degree of shivering, 2 respondents (4%) experienced 3 degree of shivering, there were 4 respondents (8%) experienced 1 degree of shivering and there were 16 respondents (32%) did not experience shivering. The spearman Rho test showed that value 0.00 1 ( p < 0.05) wi th r = - 536 , it meant that there was a negative correlation between body mass index with shivering Conclusion: The higher the body mass index, the lower the shivering incidence experience by post operative patients with spinal anesthesia. Keywords: S pinal a nesthesia, MBI, Shivering