PREVALENSI SHIVERING PADA PASIEN POST OPERASI DI INSTALASI BEDAH SENTRAL RSUD AJIBARANG

Abstract

ABSTRACT

Post-operative shivering (POS) is a relatively common complication during postoperative recovery, but its occurrence among patients with diverse surgical characteristics and anesthesia techniques requires further contextual assessment at the hospital level. Limited local data on the prevalence and distribution of patient characteristics associated with POS may hinder the strengthening of thermoregulatory monitoring and preventive strategies in perioperative care. This study aimed to describe the prevalence of POS and the distribution of characteristics among patients experiencing POS at Ajibarang Regional Hospital. A descriptive cross-sectional design was used involving 83 patients undergoing major or minor surgery under general or spinal anesthesia at the Central Surgical Unit of Ajibarang Regional Hospital during the study period. POS was observed during postoperative recovery and assessed using the Bedside Shivering Assessment Scale (BSAS). Data were analyzed descriptively using univariate analysis to determine the prevalence and distribution of POS according to respondent characteristics and perioperative conditions. The results showed that 35 of 83 patients (42.2%) experienced POS, with most cases classified as mild to moderate in severity. Descriptively, the proportion of POS was higher among male patients, those aged 18–35 years, patients receiving spinal anesthesia, those undergoing major surgery, patients with an underweight BMI, those with operative durations longer than 60 minutes, and those exposed to operating room temperatures of 20–20.9°C. This study provides baseline data on POS at Ajibarang Regional Hospital and supports the need for systematic thermoregulatory monitoring as part of perioperative care.

ABSTRACT

Post-operative shivering (POS) merupakan komplikasi yang cukup sering terjadi selama pemulihan pascaoperasi, tetapi variasi kejadiannya pada pasien dengan karakteristik pembedahan dan teknik anestesi yang beragam masih memerlukan gambaran kontekstual di tingkat rumah sakit. Keterbatasan data lokal mengenai prevalensi dan distribusi karakteristik pasien dengan POS dapat menghambat penguatan pemantauan termoregulasi dan strategi pencegahan pada pelayanan perioperatif. Penelitian ini bertujuan untuk menggambarkan prevalensi POS dan distribusi karakteristik pasien yang mengalami POS di RSUD Ajibarang. Penelitian menggunakan desain deskriptif dengan pendekatan cross-sectional pada 83 pasien yang menjalani operasi mayor maupun minor dengan anestesi umum atau spinal di Instalasi Bedah Sentral RSUD Ajibarang selama periode penelitian. Kejadian POS diamati selama pemulihan pascaoperasi dan dinilai menggunakan Bedside Shivering Assessment Scale (BSAS). Analisis data dilakukan secara univariat untuk menggambarkan prevalensi dan distribusi kejadian berdasarkan karakteristik responden dan kondisi perioperatif. Hasil penelitian menunjukkan bahwa 35 dari 83 pasien (42,2%) mengalami POS, dengan tingkat keparahan yang lebih banyak berada pada kategori ringan hingga sedang. Secara deskriptif, proporsi POS lebih tinggi pada laki-laki, kelompok usia 18–35 tahun, anestesi spinal, operasi mayor, BMI underweight, durasi operasi >60 menit, dan suhu ruang operasi 20-20,9°C. Penelitian ini memberikan data dasar mengenai POS di RSUD Ajibarang dan mendukung perlunya pemantauan termoregulasi secara sistematis sebagai bagian dari pelayanan perioperatif.