The Effect of Giving a Hot Pack to Grade Shivering in PostOperative Patients following a Cesarian Section in the Recovery Room

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 ofa 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 samplewasdeterminedusingtheconsecutivesampling 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