Perbedaan Kejadian Shivering pada Pasien Sectio Caesarea dengan Metode Spinal Anastesi Enhanced Recovery After Caesarean Surgery (ERACS) dengan Non ERACS
DOI:
https://doi.org/10.57214/jka.v9i2.980Keywords:
Caesarean Section, ERACS, Non-ERACS, Shivering, Spinal AnesthesiaAbstract
Background: The use of spinal anaesthesia is favoured over general anaesthesia due to the ease of monitoring the risk of complications. Shivering is known as a frequent complication in patients undergoing surgery with spinal anaesthesia with an incidence of 40-70%. The occurrence of shivering must be immediately prevented and overcome so as not to pose a risk that harms the patient, one of which is by implementing Enhanced Recovery After Caesarean Surgery (ERACS). Research purposes: To determine the difference in the incidence of shivering in sectio caesarean patients with spinal anaesthesia method ERACS with Non ERACS. Research method: This study is a comparative descriptive quantitative study with a case control design. The sample was sectio caesarean delivery patients at the Regional Hospital in 2025 as many as 60 people who were divided into two groups, namely the ERACS and Non ERACS groups of 30 people each with quota sampling technique. Data analysis used univariate and bivariate analysis with the Man Whitney test. Results: There is a difference in the incidence of shivering in sectio caesarea patients with spinal anaesthesia method ERACS with Non ERACS (pvalue = 0.035). Suggestion: Sectio caesarea patients are advised to choose the ERACS spinal anaesthesia method so that the incidence of shivering can be minimized
References
Agrawijaya, R. S., Sudadi, & Pratomo, B. Y. (2024). Tata laksana non farmakologi pada shivering post spinal anesthesia. Jurnal Komplikasi Anestesi, 11(2), 6–16. https://doi.org/10.22146/jka.v11i2.12641
American College of Obstetricians and Gynecologists. (2019). American College of Obstetricians and Gynecologists' Committee on Practice Bulletins: Obstetrics. Obstetrics & Gynecology, 133(3), 208–225. https://doi.org/10.1097/AOG.0000000000003132
Aziz, A. S., Susanto, A., & Budi, M. (2024). Hubungan lama operasi dengan kejadian shivering pasca anestesi spinal di RSUD Brebes. Jurnal Ilmu Kesehatan Mandira Cendikia, 3(2), 180–188.
Berghella, V. (2022). Cesarean delivery: Preoperative planning and patient preparation. UpToDate. https://www.uptodate.com/contents/cesarean-delivery-preoperative-planning-and-patient-preparation
Bobak, I. M., Jensen, M. D., & Lowdermilk, L. (2018). Buku ajar keperawatan maternitas (4th ed.). Jakarta: EGC.
Capdevila, X., Aveline, C., Delaunay, L., Bouaziz, H., Zetlaoui, P., Choquet, O., … Bonnet, F. (2020). Factors determining the choice of spinal versus general anesthesia in patients undergoing ambulatory surgery: Results of a multicenter observational study. Advances in Therapy, 37(1), 527–540. https://doi.org/10.1007/s12325-019-01171-6
Chin, A., & van Zundert, A. (2024). Spinal anesthesia. NYSORA. https://www.nysora.com/techniques/spinal-anesthesia-2/
Cunningham, F. G., Gant, N. F., Levono, K. J., Gilstrap, L. C., Hauth, J. C., & W. K. D. (2019). Williams obstetrics (25th ed.). New York: McGraw-Hill Companies Inc.
Esmat, I. M., Mohamed, M. M., Abdelaal, W. A., El-Hariri, H. M., & Ashoor, T. M. (2021). Postspinal anesthesia shivering in lower abdominal and lower limb surgeries: A randomized controlled comparison between paracetamol and dexamethasone. BMC Anesthesiology, 21(1), 1–13. https://doi.org/10.1186/s12871-021-01483-7
Ferede, Y. A., Aytolign, H. A., & Mersha, A. T. (2021). The magnitude and associated factors of intraoperative shivering after cesarean section delivery under spinal anesthesia: A cross sectional study. Annals of Medicine and Surgery, 72, 103022. https://doi.org/10.1016/j.amsu.2021.103022
Golder, H. J., & Papalois, V. (2021). Enhanced recovery after surgery: History, key advancements and developments in transplant surgery. Journal of Clinical Medicine, 10(8). https://doi.org/10.3390/jcm10081634
Hannallah, M. (2024). Anesthesia for cesarean delivery. In Anesthesiology core review: Part two advanced exam. New York: McGraw-Hill Education.
Keltz, A., Heesen, P., Katz, D., Neuman, I., Morgenshtein, A., Azem, K., … Orbach-Zinger, S. (2022). Intraoperative pain during caesarean delivery: Incidence, risk factors and physician perception. European Journal of Pain, 26(1), 219–226. https://doi.org/10.1002/ejp.1856
Kesty, C., & Bernolian, N. (2022). Enhanced recovery after caesarean section (ERACS). Jakarta: Direktorat Jenderal Pelayanan Kesehatan, Kementerian Kesehatan RI.
Komarijah, N., Setiawandari, & Waroh, Y. K. (2023). Determinan kejadian persalinan sectio caesarea (SC) di RSUD Syamrabu Bangkalan. In Prosiding Seminar Nasional Hasil Riset dan Pengabdian (pp. 2513–2522).
Louis, H. S., & Isaacs, C. (2023). Cesarean delivery. Medscape. https://emedicine.medscape.com/article/263424-overview
Moldenhauer, J. S. (2024a). Analgesia and anesthesia for labor and delivery. MSD Manuals: Gynecology and Obstetrics. https://www.msdmanuals.com/professional/gynecology-and-obstetrics/labor-and-delivery/analgesia-and-anesthesia-for-labor-and-delivery
Moldenhauer, J. S. (2024b). Cesarean delivery. MSD Manuals: Gynecology and Obstetrics. https://www.msdmanuals.com/professional/gynecology-and-obstetrics/labor-and-delivery/cesarean-delivery
Nathania, V. (2022). Koma setelah operasi caesar lalu meninggal, seperti inilah bahayanya operasi persalinan yang dialami Happy Damanik. Grid Health. https://health.grid.id
Nisak, A. Z., Kusumastuti, D. A., & Munawati. (2023). Perbedaan metode konvensional dan ERACS dengan tingkat nyeri pada pasien post sectio caesarea. Jurnal Ilmu Keperawatan dan Kebidanan, 14(1), 261–268. https://doi.org/10.26751/jikk.v14i1.1689
Norbaiti, N., Nuriaty, R. S., Ariady, D., & Anisa, N. (2024). Hubungan paritas dan usia ibu dengan kejadian sectio caesarea di RSUD Ulin Banjarmasin tahun 2023. Nursing Applied Journal, 2(1), 105–112. https://doi.org/10.57213/naj.v2i1.171
Olawin, A. M., & Das, J. M. (2022). Spinal anesthesia. National Library of Medicine, StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK537299/
Pan, J., Hei, Z., Li, L., Zhu, D., Hou, H., Wu, H., … Zhou, S. (2020). The advantage of implementation of enhanced recovery after surgery (ERAS) in acute pain management during elective cesarean delivery: A prospective randomized controlled trial. Therapeutics and Clinical Risk Management, 16, 369–378. https://doi.org/10.2147/TCRM.S244039
Panji, P. A. S. (2023). Pembiusan pada operasi SC. Jakarta: Kementerian Kesehatan Republik Indonesia. https://yankes.kemkes.go.id/view_artikel/2980/pembiusan-pada-operasi-sc
Prasetyani, I. Y., Yunita, L., & Nuwindry, I. (2024). Indentifikasi faktor-faktor pemilihan metode persalinan sectio caesarea di Rumah Sakit Pertamina Tanjung. Jurnal Ilmu Kesehatan, 1(3), 244–256.
Pratiwi, F., Ariningtyas, N., & Sandy, C. A. (2023). Gambaran faktor penyebab persalinan sectio caesarea di RSUD Wonosari, Gunungkidul Yogyakarta. Jurnal Ilmu Kesehatan Mulia Madani Yogyakarta, 4(2), 1–11.
Prayanangga, K., & Nilasari, D. (2022). Enhanced recovery after cesarean surgery (ERACS): Analisis berbasis bukti. Jurnal Anestesiologi Indonesia, 14(3), 274–287. https://doi.org/10.14710/jai.v0i0.50022
Putra, M. S. P. (2024). Kenali metode ERACS: Persalinan nyaman dan modern untuk moms. Hermina Hospitals. https://herminahospitals.com/id/articles/kenali-metode-eracs-persalinan-nyaman-dan-modern-untuk-moms.html
Qona'ah, A., Rosuliana, N. E., Bratasena, I. M. A., & Cahyono, W. (2019). Management of shivering in post-spinal anesthesia using warming blankets and warm fluid therapy. Jurnal Ners, 14(3), 305–309. https://doi.org/10.20473/jn.v14i3(si).17166
Rahmawati, I. (2024). Karakteristik ibu bersalin dengan sectio caesarea di RSUD RA Kartini Jepara. Hikmah Journal of Health, 2(1), 1–8.
Rohenti, I. R., & Saputri, V. M. (2023). Profil penggunaan obat anestesi pasien sectio caesarea pada inisiasi menyusui dini (IMD) di salah satu rumah sakit wilayah Kota Bekasi. Majalah Farmasi dan Farmakologi, 1, 1–6. https://doi.org/10.20956/mff.Special
Rusnowanto, Sodikin, Solikhah, U., & Elsanti, D. (2024). Faktor-faktor yang menyebabkan kejadian shivering pada pasien sectio caesarea dengan spinal anestesi di RSUD Banyumas. Barongko: Jurnal Ilmu Kesehatan, 2(2), 300–309. https://doi.org/10.59585/bajik.v2i2.345
Saifuddin, A. B. (2021). Ilmu kebidanan. Jakarta: Yayasan Bina Pustaka Sarwono.
Suwiknyo, M. (2023). Faktor-faktor yang berhubungan dengan shivering pada pasien post operasi menggunakan teknik spinal anestesi. Semarang: Universitas Islam Sultan Agung.
Tambuwun, F. M., Natalia, S., & Muharni, S. (2023). Faktor-faktor yang berhubungan dengan kejadian sectio caesarea di Instalasi Bedah Sentral RSUD Kota Tanjungpinang. Jurnal Pendidikan Tambusai, 7(3), 71–79.
Winarni, E. (2020). Efektifitas penggunaan blanket warmer terhadap suhu pada pasien shivering post spinal anestesi replacement ekstremitas bawah. Naskah Publikasi, Stikes Kusuma Husada. https://eprints.ukh.ac.id/id/eprint/110/
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