The Effect of Giving a Hot Pack to Grade Shivering in Post-Operative Patients Following a Cesarian Section in the Recovery Room

Nur, Mukarromah and Yuanita, Wulandari and Rheyma, Sinar and Eni, Sumarliyah. The Effect of Giving a Hot Pack to Grade Shivering in Post-Operative Patients Following a Cesarian Section in the Recovery Room. GACETA MEDICA DE CARACAS.

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Abstract

Introduction: Shivering is a complication that often results from spinal anesthesia due to postoperative hypothermia. Risk factors for shivering include age, the length of the operation, the operating room temperature, type of anesthesia, and having a low body mass index. One way to reduce shivering is by giving hot packs with a temperature <36 ºC. The purpose of this study was to determine the effect of hot packs in response to shivering in post-caesarean section surgery patients. Methods: The research consisted of a pre-experimental with a one-group pretest-posttest design. The population in this study was all of the post-operative cesarean section patients in the Recovery Room of Siti Khodijah Hospital Muhammadiyah Cabang Sepanjang. The 25 patients making up the study sample was determined using the consecutive sampling technique over 2 weeks. Providing hot packs was the independent variable and shivering grades was the dependent variable. Hot packs with closed packaging at a temperature of 40ºC were placed on the right and left arm of the patient and left for about 15 minutes followed by a re-evaluation of the body temperature and the determination of the shivering grade in the sample. Data analysis was performed using the Wilcoxon Signed-Rank statistical test. Results: The results showed a p-value = 0,0001 <α = 0.05. This means that there is a significant effect due to giving hot packs in terms of a change in body temperature. There were also differences before the treatment by 1 shivering grade for 20 samples and 2 shivering grades for 5 samples. After being given the treatment, the shivering grade changed by 0 for 20 samples and by 1 shivering grade for 5 samples. Conclusion: This study concluded that the administration of hot packs caused a reaction in the skin receptors and channeled the effects of a hypothalamic temperature through evaporation to reduce the shivering grade. Keywords: Caesarian section, Hot pack, Shivering grade.

Item Type:	Article
Subjects:	R Medicine > RT Nursing
Divisions:	Jurnal > Fakultas Ilmu Kesehatan
Depositing User:	ENI SUMARLIYAH SUMARLIYAH
Date Deposited:	12 Jul 2023 04:48
Last Modified:	12 Jul 2023 04:48
URI:	http://repository.um-surabaya.ac.id/id/eprint/7361

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