Pengaruh Pemberian Hot Pack Terhadap Kejadian Shivering Post Operasi Laparatomi Dengan Spinal Anestesi Di RS Wava Husada
Pengaruh Pemberian Hot Pack Terhadap Kejadian Shivering Post Operasi Laparatomi Dengan Spinal Anestesi Di Rs Wava Husada
Abstract
Shivering, which often occurs after spinal anesthesia if left unchecked can worsen postoperative conditions, causing perioperative hypothermia. The purpose of this study was to determine the effect of giving hot packs on the incidence of shivering after laparatomy surgery with spinal anesthesia. The research method used Quasi Experimental Two Group Pretest-Posttest Design. Non-probability sampling technique with accidental sampling type totaling 38 respondents, with Shapiro wilk normality test and wilcoxon rank-sum test. The research instrument used an electric hot pack, the intervention was given once for 15 minutes on the right and left forearms. Research in the treatment group showed that most of them experienced shivering. The results of the Wilcoxon rank-sum test in the intervention group were (p = 0.000), in the Mann Whitney test with the results (p = 0.000) which means there is an effect of giving before and after hot packs on the degree of shivering in patients post laparatomy surgery with spinal anesthesia. Giving hot packs is proven to have an effect in reducing shivering and increasing body temperature in postoperative laparatomy patients with spinal anesthesia. This simple intervention can help improve patient comfort and recovery after surgery. It is expected that health workers use hot packs as an action to overcome shivering.
References
2. Karaman S, Günü?en I, Ceylan MA, Karaman Y, Çetin EN, Derbent A, et al. Dexmedetomidine infusion prevents postoperative shivering in patients undergoing gynecologic laparoscopic surgery. Turkish J Med Sci. 2013;43(2):232–7.
3. Sari EK, Ariningpraja RT. Demam: Mengenal Demam dan Aspek Perawatannya [Internet]. Universitas Brawijaya Press; 2021. Available from: https://books.google.co.id/books?id=PINTEAAAQBAJ
4. Rauch S, Miller C, Bräuer A, Wallner B, Bock M, Paal P. Perioperative Hypothermia—A Narrative Review. 2021;
5. Lopez MB. Postanaesthetic shivering - from pathophysiology to prevention. Rom J Anaesth Intensive Care. 2018;25(1):73–81.
6. Hidayah ES, Khalidi MR, Nugroho H. Perbandingan Insiden Shivering Pasca Operasi dengan Anestesi Umum dan Anestesi Spinal di RSUD Abdul Wahab Sjahranie Samarinda. J Sains dan Kesehat. 2021;3(4):525–30.
7. Vural F, Çelik B, Deveci Z, Yasak K. Investigación de la incidencia accidental de hipotermia y factores de riesgo. Rev Turkish J Surg [Internet]. 2018;34(4):300–5. Available from: https://www.ncbi.nlm.nih.gov/pubmed/30664429
8. Mashitoh D, Mendri NK, Majid A. Lama Operasi Dan Kejadian Shivering Pada Pasien Pasca Spinal Anestesi. J Appl Nurs (Jurnal Keperawatan Ter. 2018;4(1):14.
9. Purbaya IP. Hubungan Lama Operasi Dengan Kejadian Shivering Pada Pasien Pasca Spinal Anestesi Di Ibs Rsud Wangaya. 2021;
10. Ferede YA, Aytolign HA, Mersha AT. “The magnitude and associated factors of intraoperative shivering after cesarean section delivery under Spinal anesthesia’’: A cross sectional study. Ann Med Surg [Internet]. 2021;72(November):103022. Available from: https://doi.org/10.1016/j.amsu.2021.103022
11. Susanto FA. Pengukuran Suhu Tubuh Online Sebagai Pencegahan Penyebaran Virus Flu Di Lingkungan Kampus. J Sist Inf dan Bisnis Cerdas. 2020;13(2):67–74.
12. Maharani DA, Nugraha DA, Aziz A. Prototype Pengecekan Suhu Tubuh Untuk Mencegah Covid-10 Berbasis Internet of Things Di Universitas Pgri Kanjuruhan Malang. JATI (Jurnal Mhs Tek Inform. 2023;7(1):72–80.
13. Hall JE, Widjajakusumah MD, Tanzil A, Ilyas E. Guyton dan Hall Buku Ajar Fisiologi Kedokteran [Internet]. Elsevier Health Sciences; 2019. Available from: https://books.google.co.id/books?id=TPn2DwAAQBAJ
14. Nursalam. Konsep & Metode Keperawatan (ed. 5) [Internet]. Salemba Medika; 2020. Available from: https://books.google.co.id/books?id=62jmbdySq2cC
15. Amsalu H, Zemedkun A, Regasa T, Adamu Y. Evidence-Based Guideline on Prevention and Management of Shivering After Spinal Anesthesia in Resource-Limited Settings: Review Article. Int J Gen Med. 2022;15(August):6985–98.
16. Zulfikar, Sumarni T, Eko Kurniawan W, Kesehatan Universitas Harapan Bangsa F. Hubungan Lama Operasi dengan Kejadian Shivering Pada Pasien Pasca Spinal Anestesi Di RSUD Meuredu Kabupaten Pidie Jaya Aceh. J Kesehatan, Kebidanan, dan Keperawatan [Internet]. 2023;16(02):138–44. Available from: http://ejournal.uhb.ac.id/index.php/vm
17. Mukarromah Nur YW. Pengaruh Pemberian Hot-Pack Terhadap Grade Shivering Pada Pasien Post Operasi Seksio Sesaria Di Recovery Room Rumah Sakit Siti Khodijah Muhammadiyah Cabang Sepanjang. 2019;(0713067202).
18. Salsabilla. Jurnal Penelitian Perawat Profesional Pencegahan Tetanus. Br Med J. 2020;2(5474):1333–6.
19. Pudianto O, Heri Wibowo T, Utami T, Studi Keperawatan Anestesiologi Program Sarjana Terapan Fakultas Kesehatan Universitas Harapan Bangsa P. Pengaruh Pemberian Cairan Intravena Hangat Terhadap KejadianMenggigil Pada Pasien Dengan Spinal AnestesiDi Rsud Kota Probolinggo. JCI J Cakrawala Ilm [Internet]. 2023;3(2):491–8. Available from: http://bajangjournal.com/index.php/JCI
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