FACTORS ASSOCIATED WITH HYPOTHERMIA POST-SPINAL ANESTHESIA IN THE CENTRAL SURGICAL INSTITUTION AT H. BADARUDDIN KASIM HOSPITAL, TANJUNG TABALONG
Main Article Content
Abstract
Background: Hypothermia is a decrease in body core temperature <36oC due to disruption of the body's thermoregulatory mechanisms during and in postoperative patients in a central surgical facility. This is influenced by several factors, such as postoperative body temperature, length of operation time, age, gender, and nutritional status of the patient. Purpose: : To determine the factors related to the incidence of hypothermia after spinal anesthesia at the Central Surgical Installation
of H. Badaruddin Kasim Tanjung Tabalong Hospital. Methods: This study is a quantitative study correlative with a cross sectional design. The population and sample of the study amounted to 350 respondents who were taken using the total
sampling technique. The research instrument is in the form of observation sheets. Data analysis was carried out bivariately using the chi-square test with a significance level of p=0.05. Results: : The results showed that there was a
significant relationship between postoperative temperature (p=0.000), nutritional status (p=0.000), age (p=0.006), and sex (p=0.000) and the incidence of hypothermia after spinal anesthesia. Meanwhile, the length of operation time
(p=0.342) stated that there was no relationship. Conclusion: Postoperative temperature, nutritional status, age, and gender are factors related to the incidence of hypothermia after spinal anesthesia at the Central Surgical Installation of H. Badaruddin Kasim Tanjung Tabalong Hospital. Efforts are needed to improve the prevention of hypothermia through monitoring body temperature and optimal patient management before and after spinal anesthesia.
Article Details
References
Butterworth, J. F., Mackey, D. C., & Wasnick, J. D. (2022). Morgan & Mikhail’s Clinical Anesthesiology. New York: McGraw-Hill.
Sessler, D. I. (2016). Perioperative thermoregulation and heat balance. The Lancet, 387(10038), 2655–2664.
Sessler, D. I., & Kurz, A. (2018). Mild perioperative hypothermia. The New England Journal of Medicine, 336(24), 1730–1737.
Guyton, A. C., & Hall, J. E. (2021). Textbook of Medical Physiology. Philadelphia: Elsevier.
Smeltzer, S. C., Bare, B. G., Hinkle, J. L., & Cheever, K. H. (2018). Brunner & Suddarth’s Textbook of Medical-Surgical Nursing. Philadelphia: Wolters Kluwer.
Sujadi, D., Suharmanto., dan Indrawan, K. (2025). Komplikasi Spinal Anastesi Pada Pasien Operasi: Literature Review. Fakultas Kedokteran, Universitas Lampung.
Putri, R. A., & Sari, D. K. (2020). Faktor-faktor yang mempengaruhi kejadian hipotermia pasca anestesi spinal. Jurnal Keperawatan Klinis, 7(2), 85–92.
Pratiwi, N., & Handayani, L. (2019). Hubungan karakteristik pasien dengan kejadian hipotermia pasca operasi. Jurnal Keperawatan Medikal Bedah, 5(1), 34–41.
Qoriah, N. U., et al. (2025). Hubungan Usia Dan Lama Operasi Dengan Kejadian Hipotermia Pada Pasien Anastesi Spinal Di Instalasi Bedah Sentral RSUD Kota Tanjungpinang. JURU RAWAT (Jurnal Update Keperawatan). Vol. 5, No. 1.
World Health Organization. (2023). Safe Surgery Saves Lives. Geneva: WHO.
Harifuddin, M., Tarigan, A. A, Br., dan Fernanda, P. A. (2024). Hubungan antara Usia dan IMT dengan Kejadian Hipotermi Post Spinal Anestesi. Vitalis Medis : Jurnal Kesehatan dan Kedokteran. Vol. 1, No. 1