Electronic Theses and Dissertation

ABSTRAK

Pendahuluan: Shivering merupakan salah satu komplikasi anestesi spinal yang paling umum terjadi. Kondisi ini menimbulkan beberapa efek merugikan bagi pasien serta mengganggu klinisi dalam memantau tanda vital serta penanda hemodinamik lain selama prosedur operasi berlangsung. Penelitian ini bertujuan untuk menilai perbandingan efektivitas Pethidine dan Dexamethasone terhadap durasi Shivering intra operatif pada pasien anestesi spinal.
Metode: Penelitian ini termasuk studi observasional dengan desain potong lintang yang dilakukan di instalasi bedah sentral rumah sakit umum daerah dr. Zainoel Abidin Banda Aceh. Observasi durasi Shivering dengan pemberian Pethidine dan Dexamethasone dilakukan menggunakan stopwatch. Uji Mann-Whitney U test digunakan untuk menilai perbandingan durasi kedua agen anti-Shivering dengan tingkat kepercayaan 95%.
Hasil: Sebanyak 78 subjek penelitian terlibat dalam penelitian ini dengan rerata usia penderita dengan pemberian Dexamethasone dan Pethidine secara berurutan 38,67 tahun dan 36,41 tahun. kedua kelompok didominasi oleh jenis kelamin perempuan dengan persentase > 50%. Durasi Shivering rerata pada pasien dengan pemberian Pethidine adalah 41 detik, sedangkan dengan pemberian Dexamethasone memiliki rerata 44 detik (p = 0,005).
Kesimpulan: Terdapat perbedaan durasi Shivering yang bermakna antara penggunaan Pethidine dan Dexamethasone sebagai anti-Shivering pada pasien anestesi spinal. Durasi Shivering intra operatif pada pasien anestesi spinal dengan penggunaan Pethidine lebih singkat dibandingakan dengan pemberian Dexamethasone.

Kata kunci: Shivering, Anestesi Spinal, Pethidine, Dexamethasone.

ABSTRACT Introduction: Shivering is one of the most common complications of spinal anesthesia. This condition causes several adverse effects for the patient and interferes with the clinician in monitoring vital signs and other hemodynamic markers during the surgical procedure. This study aims to compare the effectiveness of Pethidine and Dexamethasone on the duration of intraoperative Shivering in spinal anesthesia patients. Methods: This study included an observational study with a cross-sectional design which was carried out in the central surgical installation of dr. Zainoel Abidin Banda Aceh. Observation of Shivering duration by giving Pethidine and Dexamethasone was done using a stopwatch. The Mann-Whitney U test was used to compare the duration of the two anti-Shivering agents with a 95% confidence level. Results: A total of 78 research subjects were involved in this study with the mean age of patients receiving Dexamethasone and Pethidine respectively 38.67 years and 36.41 years. both groups were dominated by female sex with a percentage > 50%. The average Shivering duration in patients given Pethidine was 41 seconds, while those with Dexamethasone had a mean of 44 seconds (p = 0.005). Conclusion: There is a significant difference in Shivering duration between the use of Pethidine and Dexamethasone as anti-Shivering in spinal anesthesia patients. The duration of intraoperative Shivering in spinal anesthesia patients with the use of Pethidine was shorter than the administration of Dexamethasone. Keywords: Shivering, Spinal Anesthesia, Pethidine, Dexamethasone.