Studi Kasus Gambaran Kejadian Shivering terhadap Lama Tindakan Operasi pada Pasien Pasc operasi dengan Regional Anestesi Teknik Spinal Anestesi di Ruang Pulih Sadar RSUD Haji Provinsi Jawa Timur

Latar Belakang :
Anestesi regional yang sering digunakan adalah anestesi spinal. Teknik ini menghalangi pelepasan hormon katekolamin yang menurunkan produksi panas, sehingga memicu kejadian shivering (menggigil). Penelitian ini bertujuan untuk Mengetahui Gambaran Kejadian Shivering Terhadap Lama Tindakan Operasi Pada Pasien Post Operasi Dengan Regional Anestesi Teknik Spinal Anestesi Di Ruang Pulih Sadar RSUD Haji Provinsi Jawa Timur.
Metode :
Penelitian deskriptif dengan pendekatan kualitatif studi kasus. Sampel berjumlah 5 orang yang dipilih menggunakan teknik purposive sampling. Instrumen penelitian memakai lembar observasi kuesioner Modified Crossley And Mahajan Scale. Data dikumpulkan melalui observasi langsung pada Desember 2025.
Hasil :
Responden yang menjalani Tindakan Operasi dengan Regional Anestesi Teknik Spinal Anestesi mengalami kejadian shivering dengan tingkat kejadian tertinggi berada pada derajat 3. Responden yang menjalani Tindakan Operasi tergolong dalam kategori durasi sedang hingga Panjang, dengan rata-rata waktu Tindakan berkisar antara 1 hingga 2 jam. Terdapat kecenderungan yang signifikan antara durasi Tindakan operasi dengan kejadian shivering. Semakin lama Tindakan operasi berlangsung, maka semakin tinggi pula Tingkat keparahan shivering yang dialami oleh responden di ruang Pulih Sadar.
Kesimpulan :
Semakin lama Tindakan operasi berlangsung, maka semakin tinggi pula Tingkat keparahan shivering yang dialami oleh responden di ruang Pulih Sadar.

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Background: Spinal anesthesia is a frequently used form of regional anesthesia. This technique inhibits the release of catecholamines—hormones that reduce heat production— thereby triggering shivering. This study aimed to examine the incidence of shivering in relation to the duration of surgery among post-operative patients who underwent spinal anesthesia in the recovery room at RSUD (Regional General Hospital) Haji, East Java. Methods: This was a descriptive study utilizing a qualitative case study approach. The sample consisted of five individuals selected via purposive sampling. Data collection involved direct observation conducted in December 2025, utilizing an observation sheet based on the Modified Crossley and Mahajan Scale. Results: The respondents undergoing surgery with spinal anesthesia experienced shivering, with the highest incidence level reaching Grade 3. Surgical durations fell into the medium-to-long categories, with an average procedure time ranging from one to two hours. A significant trend was observed between surgical duration and the occurrence of shivering; the longer the surgery lasted, the greater the severity of shivering experienced by the respondents in the recovery room. Conclusion: The longer the surgery lasted, the greater the severity of shivering experienced by the respondents in the recovery room.