The Relationship Between Length of Surgery and the Occurrence of Shivering in Sectio Cesarea Patients using Spinal Anaesthesia

Dwi Novitasari; Sandri E Perangin Angin; Asmat Burhan

doi:10.37287/ijghr.v6i2.2751

Dwi Novitasari Faculty of Health, Universitas Harapan Bangsa
Sandri E Perangin Angin Faculty of Health, Universitas Harapan Bangsa
Asmat Burhan Faculty of Health, Universitas Harapan Bangsa

DOI: https://doi.org/10.37287/ijghr.v6i2.2751

Keywords: length of surgery, post anesthetic shivering (pas), spinal anesthesia

Abstract

Sectio cesarea is a surgical procedure to deliver a fetus with an incision on the abdominal wall and uterine wall of the mother. Spinal anesthesia in SC can cause shivering. The risk of shivering can occur due to the length of surgery. Objective: To determine the relationship between the length of surgery and the incidence of shivering in SC patients. Methods: This research design uses a correlation with a cross-sectional approach. Sampling technique with Purpose sampling of 115 patients who performed spinal anesthesia on SC patients. The research instrument contains patient data, which includes age, length of surgery, and incidence of shivering. This study used an observation sheet to measure the incidence of shivering in patients undergoing cesarean section, and the results of the data were analyzed using the chi-square test. Results: Most respondents were 21-35 years old (81.7%), the majority of the duration of surgery was less than 60 minutes with 67 patients (58.3%), and the incidence of shivering was 62 patients (53.9%). Conclusion: There is a relationship between the length of surgery and the occurrence of shivering in cesarean section patients who use spinal anesthesia at Efarina Etaham Berastagi Hospital with a p-value of 0.008 (<0.05).

References

Amir, F., & Yulianti, S. (2020). Hubungan Paritas dan Usia Terhadap Persalinan Sectio Caesarea di RSU Bahagia Makassar Tahun 2020. Jurnal Kesehatan Delima Pelamonia, 4(2), 75–84. https://doi.org/10.37337/jkdp.v4i2.179

Brunner & Suddarth. (2015). Buku Ajar Keperawatan Medikl Bedah (Eduisi 8 V). EGC.

Didien, S. (2018). Asuhan Kebidanan Kegawatdaruratan Maternal Neonatal. http://library1.nida.ac.th/termpaper6/sd/2554/19755.pdf

Hidayah, E. S., Khalidi, M. R., & Nugroho, H. (2021). Perbandingan Insiden Shivering Pasca Operasi dengan Anestesi Umum dan Anestesi Spinal di RSUD Abdul Wahab Sjahranie Samarinda. Jurnal Sains Dan Kesehatan, 3(4), 525–530. https://doi.org/10.25026/jsk.v3i4.447

Irawan, D. (2018). Kejadian Menggigil Pasien Pasca Seksio Sesarea dengan Anestesi Spinal yang Ditambahkan Klonidin 30 mcg Intratekal di RSUD Arifin Achmad Pekanbaru, Indonesia. Jurnal Kesehatan Melayu, 1(2), 88. https://doi.org/10.26891/jkm.v1i2.2018.88-92

Mashitoh, D., Mendri, N. K., & Majid, A. (2018). Lama Operasi Dan Kejadian Shivering Pada Pasien Pasca Spinal Anestesi. Journal of Applied Nursing (Jurnal Keperawatan Terapan), 4(1), 14. https://doi.org/10.31290/jkt.v(4)i(1)y(2018).page:14-20

Millizia, A., Sayuti, M., Nendes, T. P., & Rizaldy, M. B. (2021). Faktor-Faktor yang Berhubungan dengan Kejadian Postoperative Nausea and Vomiting pada Pasien Anestesi Umum di Rumah Sakit Umum Cut Meutia Aceh Utara. AVERROUS: Jurnal Kedokteran Dan Kesehatan Malikussaleh, 7(2), 13. https://doi.org/10.29103/averrous.v7i2.5391

Mukarromah, N., Wulandari, Y., Sinar, R., & Sumarliyah, E. (2022). The Effect of Giving a Hot Pack to Grade Shivering in PostOperative Patients following a Cesarian Section in the Recovery Room. Gaceta Medica de Caracas, 130(Supl 1), S156–S163. https://doi.org/10.47307/GMC.2022.130.S1.28

Mulyandari, R. (2020). Hubungan Lama Bedah Abdomen Dengan Kejadian Shivering Pasca General Anestesi Di Ibs Rsud Wates Kulonprogo. Poltekkes.

Nasman Puar. (2021). Anestesi Spinal Levobupivacaine Isobarik pada Sectio Caesarea. Medicinus, 34(1), 52–54. https://doi.org/10.56951/medicinus.v34i1.56

Notoatmodjo, S. (2012). Metodologi Penelitian Kesehatan. Rineka Cipta.

Nugroho, A. M., Harijanto, E., & Fahdika, A. (2016). Keefektifan Pencegahan Post Anesthesia Shivering (PAS) pada ras Melayu: Perbandingan Antara Pemberian Ondansetron 4 mg Intravena Dengan Meperidin 0.35 mg/kgBB Intravena. Journal Manager Anesthesia & Critical Care, 34(1), 64–69. https://macc.perdatin.org/index.php/my-journal/article/view/93

Rahmawati, H. S. (2020). (2020). Perbandingan Efek Anestesi Spinal Menggunakan Levobupivacain 0,5 % Isobarik 10 Mg Dengan 12,5 Mg Terhadap Onset, Durasi Blok Sensorik, Dan Motorik Serta Hemodinamik Pada Seksio Sesaria. (Vol. 3, Issue 2017) [Universitas Hasanudin Makasar.

Rante, D., Novitasari, D., & Utami, T. (2022). Gambaran Shivering pada Pasien Sectio Caesarea Post Spinal Anestesi Pemberian Levica. Snppkm, 7(2013), 293–305. https://prosiding.uhb.ac.id/index.php/SNPPKM/article/view/1062%0Ahttps://prosiding.uhb.ac.id/index.php/SNPPKM/article/download/1062/355

Rehatta, E, H., A, T., I, R., Soenarto, Y, B., & T., M. (2019). Anestesiolgi dan Terapi Intensif Buku Teks Kati-Perdatin. Gramedia Pustaka Utama.

Romansyah, T., Siwi, adiratna sekar, & Khasanah, S. (2022). Relationship of Long Operation With Shivering Events in Post Spinal. Jurnal Cakrawala Ilmiah, 2(2), 467–476.

Sony, Masyitah, S. U., & Dewi, A. (2019). Gambaran Efektifitas Petidin 25 Mg Intravena Untuk Mengurangi Reaksi Menggigil Pada Pasien Seksio Sesarea Pasca Anestesi Spinal Di Rsud Arifin Achmad Provinsi Riau. Angewandte Chemie International Edition, 6(11), 951–952., 2(2), 1–9.

Sugiyono. (2013). Metode Penelitian Pendidikan Pendekatan Kuantitatif, Kualitatif (Edisi pert). Alfabeta.

Syauqi, D., Purwandari, H., & Priyono, D. (2019). Hubungan Lama Operasi Dengan Terjadinya Shivering. British Medical Journal, 1(4858), 383–384. https://doi.org/10.1142/9789812816979_0004

Wicaksana, A. (2020). Buku Ajar Perawatan Maternitas. In Https://Medium.Com/ (Vol. 3). https://medium.com/@arifwicaksanaa/pengertian-use-case-a7e576e1b6bf

Widiyono, W., Suryani, S., & Setiyajati, A. (2020). Hubungan antara Usia dan Lama Operasi dengan Hipotermi pada Pasien Paska Anestesi Spinal di Instalasi Bedah Sentral. Jurnal Ilmu Keperawatan Medikal Bedah, 3(1), 55. https://doi.org/10.32584/jikmb.v3i1.338.