Pengaruh Blanket Warmer Terhadap Kejadian Hipotermi Pada Pasien Pasca Operasi Dengan Spinal Anastesi Di Rumah Sakit Khusus Bedah Columbia Asia Semarang

Autori

  • Aprillia Surya Kusuma Universitas Widya Husada Semarang
  • Heni Prasetyorini Universitas Widya Husada Semarang

DOI:

https://doi.org/10.51771/jintan.v6i2.2230

Parole chiave:

Blanket warmer, hypothermia, postoperative

Abstract

Background: Hypothermia is one of the complications experienced by postoperative patients undergoing spinal anesthesia. This condition may increase the risk of patient discomfort, shivering, impaired wound healing, and cardiovascular complications. Objective: To determine the effect of blanket warmer use on the incidence of hypothermia in postoperative patients with spinal anesthesia. Methods: This study used a pre-experimental design with a one-group pretest-posttest approach. The sample consisted of 45 respondents selected using purposive sampling technique. Data were collected through measurement of patients’ body temperature before and after the blanket warmer intervention. Data were analyzed using the Wilcoxon Signed Rank Test. Results: Before the intervention, the majority of patients experienced mild hypothermia, totaling 41 people (91.1%), moderate hypothermia 3 people (6.7%), and severe hypothermia 1 person (2.2%). After the administration of the blanket warmer, 29 people (64.4%) had normal body temperature, while 16 people (35.6%) still experienced mild hypothermia (p-value = 0.000), indicating that there was a significant effect of blanket warmer use on the incidence of hypothermia in postoperative patients with spinal anesthesia. Conclusion: The use of a blanket warmer is recommended as part of the standard perioperative nursing care to maintain patients’ body temperature stability.

 

Riferimenti bibliografici

Abud, T., Kounidas, G., Martin, K. R., Werth, M., Cooper, K., & Myint, P. K. (2022). Determinants of healthy ageing: A systematic review of contemporary literature. Aging Clinical and Experimental Research, 34(6), 1215–1223. https://doi.org/10.1007/s40520-021-02049-w

Adindu, E., Singh, D., Geck, M., Stokes, J., & Eeric Truumees, null. (2025). The impact of obesity on postoperative and perioperative outcomes in lumbar spine surgery: A systematic review and meta-analysis. The Spine Journal: Official Journal of the North American Spine Society, 25(6), 1081–1095. https://doi.org/10.1016/j.spinee.2024.12.006

Al-dardery, N. M., Abdelwahab, O. A., El-Samahy, M., Seif, A. M., Mouffokes, A., & Khaity, A. (2023). Self-warming blankets versus active warming by forced-air devices for preventing hypothermia: A systematic review and meta-analysis. Medicine, 102(18), e33579. https://doi.org/10.1097/MD.0000000000033579

Arora, L., Sharma, S., & Carillo, J. F. (2024). Obesity and anesthesia. Current Opinion in Anaesthesiology, 37(3), 299–307. https://doi.org/10.1097/ACO.0000000000001377

Atmaja, H. I., & Hudiyawati, D. (2025). Penerapan Terapi Blanket Warmer terhadap Pasien yang Mengalami Hipotermi Pasca Operasi di Recovery Room IBS RSUD Dr. Soeratno Gemolong. Jurnal Kesehatan Tambusai, 6(3). https://doi.org/doi.org/10.31004/jkt.v6i3.43609

Azizah, A. R. N., Haris, F., & Rahmawanto, R. (2025). Efektivitas Penggunaan Blanket Warmer untuk Pencegahan Hipotermi pada Pasien Post-Operative dengan Pengaruh Anastesi Spinal. TRIAGE: Jurnal Ilmu Keperawatan, 12(1). https://doi.org/doi.org/10.61902/triage.v12i1.1601

Bharath, Dr. T., Ibrahim, Dr. G. B. M., Baskaran, Dr. R., Raja, Dr. K. K., & Raj, Dr. S. (2022). A clinical study on psychological morbidity in patients with major abdominal surgeries. International Journal of Surgery Science, 6(1), 24–30. https://doi.org/10.33545/surgery.2022.v6.i1a.813

Chen, R., Du, Y., Chen, L., Bai, Y., Zhang, Y., Yu, T., … Wang, G. (2025). The impact of perioperative hypothermia on surgical site infection risk: A meta-analysis. BMC Anesthesiology, 25(1), 443. https://doi.org/10.1186/s12871-025-03277-7

Demilie, A. E., Denu, Z. A., Bizuneh, Y. B., & Gebremedhn, E. G. (2024). Incidence and factors associated with failed spinal anaesthesia among patients undergoing surgery: A multi- center prospective observational study. BMC Anesthesiology, 24(1), 129. https://doi.org/10.1186/s12871-024-02484-y

Ding, N., Yang, J., & Wu, C. (2024). Comparison of prewarming plus intraoperative warming with intraoperative warming alone in patients undergoing minimally invasive thoracic or abdominal surgery: A systematic review and meta-analysis. PloS One, 19(9), e0310096. https://doi.org/10.1371/journal.pone.0310096

Doelakeh, E. S., & Chandak, A. (2023). Risk Factors in Administering Spinal Anesthesia: A Comprehensive Review. Cureus, 15(12), e49886. https://doi.org/10.7759/cureus.49886

Ellison, E. C. (2023). Fischer’s Mastery of Surgery: EBook Without Multimedia (8th ed). Philadelphia: Wolters Kluwer Health.

Eugenia, M., Dewi, D. A. M., Senapathi, T. G. A., & Wiryana, I. M. (2022). Karakteristik Nyeri Pasca-Operasi Ortopedi di RSUP Sanglah Periode Oktober-Desember 2020. Jurnal Medika Udayana, 11(10).

Feleke, M. G., Chichiabellu, T. Y., & Ayalew, T. L. (2022). Magnitude and reasons of surgery cancellation among elective surgical cases in Wolaita Sodo University Comprehensive Specialized Hospital, Southern Ethiopia, 2021. BMC Surgery, 22(1), 300. https://doi.org/10.1186/s12893-022-01749-y

Habib, Z., Arifuzaman, M., Gupta, A., Muscat, N., Fawzy, S. I., Rasool, M. U., … Bhattacharya, S. (2024). Perioperative Hypothermia in Surgical Patients: A Retrospective Cohort Analysis at a Busy District General Hospital. Cureus, 16(9), e70139. https://doi.org/10.7759/cureus.70139

Hafiduddin, M., Br.Tarigan, A. A., & Fernanda, P. A. (2024). Hubungan antara Usia dan IMT dengan Kejadian Hipotermi Post Spinal Anestesi. Vitalitas Medis : Jurnal Kesehatan Dan Kedokteran, 1(1), 17–30. https://doi.org/10.62383/vimed.v1i1.1274

Hasan, M. T., Novitasari, D., & Yudono, D. T. (2025). Implementasi Blanket Warmer untuk Peningkatan Suhu Tubuh Pasien Hipotermia Post Operasi dengan General Anastesi Di RSUD Cilacap. Jurnal Pengabdian Masyarakat, 4(2). https://doi.org/doi.org/10.30640/abdimas45.v4i2.5180

Hernandez, N. S., Begashaw, B., Riesenburger, R. I., Kryzanski, J. T., & Liu, P. (2023). Spinal anesthesia in elective lumbar spinal surgery. Anesthesia and Pain Medicine, 18(4), 349–356. https://doi.org/10.17085/apm.23031

Hewson, D. W., Tedore, T. R., & Hardman, J. G. (2024). Impact of spinal or epidural anaesthesia on perioperative outcomes in adult noncardiac surgery: A narrative review of recent evidence. British Journal of Anaesthesia, 133(2), 380–399. https://doi.org/10.1016/j.bja.2024.04.044

Hidayat, A. K., & Muhaji, M. (2025). Pengaruh Pemberian Blanket Warmer terhadap Hemodinamik pada Pasien Shivering Pasca Spinal Anestesi di IBS RSUD dr. Tjitrowardojo Purworejo. Quantum Wellness: Jurnal Ilmu Kesehatan, 2(2). https://doi.org/doi.org/10.62383/quwell.v2i2.1834

Hunie, M., Fenta, E., Kibret, S., & Teshome, D. (2021). The Current Practice of Spinal Anesthesia in Anesthetists at a Comprehensive Specialized Hospital: A Single Center Observational Study. Local and Regional Anesthesia, 14, 51–56. https://doi.org/10.2147/LRA.S300054

I’zaaz, M. H., Sebayang, S. M., & Hikmanti, A. (2025). Implementasi Blanket Warmer untuk Peningkatan Suhu Tubuh pada Pasien Hipotermi Pasca Anestesi Spinal di Rumah Sakit Islam Purwokerto. Jurnal Pengabdian Masyarakat Aufa, 7(2). https://doi.org/10.51933/jpma.v7i2.1987

Kelleci, Y., Abdullayev, R., Cakmak, G., Ozdemir, H., Umuroglu, T., & Saracoglu, A. (2023). Perioperative Hypothermia and Associated Factors: A Prospective Cohort Study. Journal of Anesthesiology and Reanimation Specialists’ Society, 31(4), 339–348. https://doi.org/10.54875/jarss.2023.29964

Kementerian Kesehatan RI. (2020). Profil kesehatan Indonesia 2019. Jakarta: Kementerian Kesehatan Republik Indonesia.

Kementerian Kesehatan RI. (2022). Keputusan Menteri Kesehatan Republik Indonesia Nomor HK.01.07/MENKES/1541/2022 Tentang Pedoman Nasional Pelayanan Kedokteran Tata Laksana Anestesiologi Dan Terapi Intensif. Kementerian Kesehatan Republik Indonesia.

Kumar, K., Lin, C., Symons, T., & Railton, C. (2023). Narrative Review on Perioperative Shivering during Caesarean Section under Neuraxial Anaesthesia. Romanian Journal of Anaesthesia and Intensive Care, 29(1), 41–46. https://doi.org/10.2478/rjaic-2022-0006

Major, A. L., Jumaniyazov, K., Jabbarov, R., Razzaghi, M., & Mayboroda, I. (2024). Gynecological Laparoscopic Surgeries under Spinal Anesthesia: Benefits and Challenges. Journal of Personalized Medicine, 14(6), 633. https://doi.org/10.3390/jpm14060633

Manurung, J., & Tajudin, A. (2023). Factors Associated with Hypothermia Post Spinal Anesthesia in the Central Surgical Installation in 2023. West Science Interdisciplinary Studies, 1(9). https://doi.org/10.58812/wsis.v1i09.1582

Mo, L., Fu, J., Zhang, W., Kuang, J., & Jiang, T. (2026). Operating-room temperature and warming protocols as predictors of postoperative hypothermia in ovarian cancer surgery: A retrospective cohort study. Medicine, 105(5), e47452. https://doi.org/10.1097/MD.0000000000047452

Muchtar, R. S. U., Suangga, F., & Kurniawan, A. (2023). Blanket Warmer terhadap Peningkatan Suhu Pasien Pasca Operasi. Jurnal Ilmu Keperawatan Al-Asalmiya Nursing, 12(2). https://doi.org/10.35328/keperawatan.v12i2..2559

Park, J.-B., Kim, T.-W., Ji, S.-H., Jang, Y.-E., Lee, J.-H., Kim, J.-T., … Kim, E.-H. (2025). Comparison between upper body and full underbody forced-air warming blanket in pediatric patients undergoing cardiovascular interventions under general anesthesia: A randomized controlled trial. BMC Anesthesiology, 25(1), 254. https://doi.org/10.1186/s12871-025-03100-3

Pratiwi, K. D. T., Raya, N. A. J., & Puspita, M. M. (2021). Manajemen Hipotermia dalam Keperawatan Perioperatif pada Pasien yang Menjalani Pembedahan Abdomen: A Literature Review. Community of Publishing In Nursing, 9(5).

Purwadadi, I. K., Agustini, N. L. P. I. B., Nuryanto, K., & Putri, N. M. M. E. (2024). The Effectiveness of Blanket Warmer, Warm Intravenous Fluids, and Operating Room Temperature Modification in Preventing Perioperative Hypothermia. Jurnal Kesehatan, 15(1), 134–143. https://doi.org/10.26630/jk.v15i1.4043

Rahmanto, E. T., Novitasari, D., & Sukmaningtyas, W. (2024). Hubungan Lama Operasi dengan Hipotermi pada Pasien Pascaspinal Anestesi. Jurnal Penelitian Perawat Profesional, 6(4). https://doi.org/10.37287/jppp.v6i4.2687

Rauch, S., Miller, C., Bräuer, A., Wallner, B., Bock, M., & Paal, P. (2021). Perioperative Hypothermia-A Narrative Review. International Journal of Environmental Research and Public Health, 18(16), 8749. https://doi.org/10.3390/ijerph18168749

Rezaei, A. R., Zienkiewicz, D., & Rezaei, A. R. (2025). Surgical site infections: A comprehensive review. Journal of Trauma and Injury, 38(2), 71–81. https://doi.org/10.20408/jti.2025.0019

Salim, S. N. J., Handayani, R. N., & Andriyani, F. H. N. (2026). Kajian Komplikasi Pasca Spinal Anestesi: Studi Deskriptif Di Rumah Sakit Emanuel Banjarnegara. Jurnal Ilmiah Wahana Pendidikan, 12(3).

Secco, G., Vailati, D., Basta, B., Bonvecchio, E., Fusco, T., Mori, L., … Marino, G. (2025). Comparative respiratory outcomes of thoracic spinal versus general anesthesia in laparoscopic colorectal surgery: A retrospective study. Saudi Journal of Anaesthesia, 19(4), 573–579. https://doi.org/10.4103/sja.sja_372_25

Simegn, G. D., Bayable, S. D., & Fetene, M. B. (2021). Prevention and management of perioperative hypothermia in adult elective surgical patients: A systematic review. Annals of Medicine and Surgery (2012), 72, 103059. https://doi.org/10.1016/j.amsu.2021.103059

Tubalawony, S. L., & Siahaya, A. (2023). Pengaruh Anastesi Spinal terhadap Kejadian Hipotermi pada Pasien Post Operasi. Jurnal Keperawatan, 15(1).

Umifa, K. N., Rahim, A., & Merisdawati, M. (2025). The Effect of Warm Blankets on Body Temperature in Hypothermic Post-Caesarean Patients. Citra Delima Scientific Journal of Citra Internasional Institute, 9(1). https://doi.org/10.33862/citradelima.v9i1.571

Wang, X., Su, W., Yuqing, M., Ge, H., Chang, W., Ma, G., & Meng, Y. (2026). Effectiveness of Forced-air Warming in Preventing Hypothermia During Laparoscopic Surgery: A RCT Meta-analysis. Journal of PeriAnesthesia Nursing, 41(1), 215–224. https://doi.org/10.1016/j.jopan.2025.05.023

Wardhani, A. I., Sutrisno, R. Y., & Suprapti, Y. (2025). Efektivitas Pemberian Blanket Warmer Pada Pasien Pascaoperasi Dengan Hipotermia Di Recovery Room: Study Case. Jurnal Penelitian Perawat Profesional, 7(3). https://doi.org/10.37287/jppp.v7i3.6460

Weinstein, J., Muhalwes, R., Ronenson, A., Halpern, S. H., Grisaru-Granovsky, S., Akawi, T., … Ioscovich, A. (2024). The anesthetic approach to repeated cesarean sections: A prospective cohort study. European Journal of Obstetrics & Gynecology and Reproductive Biology: X, 22, 100301. https://doi.org/10.1016/j.eurox.2024.100301

Wongyingsinn, M., & Pookprayoon, V. (2023). Incidence and associated factors of perioperative hypothermia in adult patients at a university-based, tertiary care hospital in Thailand. BMC Anesthesiology, 23(1), 137. https://doi.org/10.1186/s12871-023-02084-2

Wulandari, R., Wibowo, T. H., & Yudono, D. T. (2022). Hubungan Usia Dengan Hipotermi pada Pasien Lanjut Usia Post General Anestesi di Ruang Pemulihan Rumah Sakit Jatiwinangun Purwokerto. Jurnal Kesehatan, Kebidanan, Dan Keperawatan, 15(2). https://doi.org/10.35960/vm.v15i2.855

Yang, H., Gu, S., Fan, J., & Li, W. (2024). Factors Influencing the Occurrence of Intraoperative Hypothermia in Patients Undergoing General Anesthesia Intervention: A Study in a Tertiary Care Hospital. Medical Science Monitor: International Medical Journal of Experimental and Clinical Research, 30, e943463. https://doi.org/10.12659/MSM.943463

Zhang, H., Gao, X., Ke, W., Wang, Z., Ma, Q., Yu, W., … On Behalf Of The Intraoperative Hypothermia Investigators-Center Consortium, null. (2025). Characteristics and Risk Factors of Intraoperative Hypothermia in Adults: A Multicenter Prospective Observational Clinical Study. Journal of Clinical Medicine, 15(1), 31. https://doi.org/10.3390/jcm15010031

Pubblicato

2026-08-10

Fascicolo

Sezione

Articles