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Typhoid fever is an infectious disease caused by Salmonella typhi. Transmission can occur through air or food contaminated with the urine and feces of typhoid sufferers, such as air used for drinking, cooking, and washing food. Symptoms of typhoid fever include a prolonged high fever, defined as an elevated body temperature of >37.5°C. Other symptoms can include fatigue, nausea, abdominal pain, constipation or diarrhea, and headache. This study aimed to treat children with typhoid fever. The method used was a case study of a five-year-old child with typhoid fever who was hospitalized for four days. The results showed that the child had fever, obesity, and decreased appetite. The child's problem was hypothermia, while cooling interventions were used to manage hypothermia, and one of the cooling procedures performed was the application of aloe vera compresses. The evaluation results showed that the hyperthermia resolved after four days of hospitalization. Based on this study, it is hoped that patients and their families can independently apply aloe vera compresses to treat hypothermia in children.

Hypothermia during surgery is a common occurrence among pediatric patients due to their immature thermoregulation system, higher body surface area-to-weight ratio, and thinner subcutaneous fat layer. This condition can lead to several complications, including increased bleeding, coagulation disorders, surgical wound infections, and delayed healing. Prevention strategies include active and passive warming methods. The purpose of this study is to evaluate the effectiveness of active and passive warming in preventing intraoperative hypothermia in pediatric patients. A scoping review approach was applied to interpret the evidence based on predetermined inclusion and exclusion criteria, followed by data exploration, analysis, and synthesis of findings. The results indicate that active warming methods—such as forced-air warming, blanket warming, and warmed intravenous fluids—are more effective than passive warming in maintaining normothermia during surgery. Moreover, combining both approaches provides optimal prevention against hypothermia. Overall, active warming plays a vital role in stabilizing body temperature and enhancing patient safety during pediatric surgery. Therefore, its implementation should be considered a standard practice in perioperative nursing care.

Low Birth Weight (LBW) infants are among the leading causes of neonatal morbidity and mortality in Indonesia. This condition is associated with the immaturity of organ systems, including thermoregulation and respiratory function, making infants prone to stress, hypothermia, and oxygenation problems. One nursing intervention that helps improve physiological stability is the nesting technique, which positions the baby similarly to the intrauterine condition using soft rolled cloths as a “nest.” This case study aimed to determine the effect of nesting on oxygen saturation and pulse frequency changes in LBW infants in the perinatology room of RSUD Batang. The design used a descriptive case study with a nursing process approach involving 5 LBW infants who met inclusion criteria. The intervention was carried out by applying nesting for 30 minutes, then measuring oxygen saturation and pulse rate before and after the intervention using a pulse oximeter. The results showed an increase in oxygen saturation and changes in pulse rate after nesting. The mean oxygen saturation before intervention was 94%, increasing to 98% after three days of treatment. The average pulse rate increased from 130 beats/minute to 136 beats/minute, remaining within normal physiological limits (120–160 bpm). This indicates improved comfort and physiological stability due to the flexed position during nesting, which reduces stress and enhances oxygen efficiency. In conclusion, the nesting technique effectively improves oxygen saturation and stabilizes pulse rate in LBW infants. It is recommended as an evidence-based nursing practice for promoting comfort and physiological stability in premature or LBW infants in perinatology units.    

Low Birth Weight (LBW) infants are among the leading causes of neonatal morbidity and mortality in Indonesia. This condition results from the immaturity of organ systems, including thermoregulation, making infants vulnerable to hypothermia. One non-pharmacological intervention to maintain body temperature stability is the nesting technique, which positions the baby in a flexed posture similar to the intrauterine condition using soft rolled cloths as a “nest.” This case study aimed to determine the effect of nesting on body temperature changes in LBW infants in the perinatology room of RSUD Batang. The study used a descriptive case study with a nursing process approach involving five LBW infants (<2500 g, spontaneous breathing). The intervention involved applying nesting for 30 minutes daily over three consecutive days. Body temperature was measured before and after the intervention using a digital thermometer. The results showed an increase in body temperature in all subjects. The average temperature before intervention was 35.9°C and increased to 36.6°C after three days of nesting therapy. This indicates that nesting effectively helps maintain body temperature stability in LBW infants by providing comfort, reducing stress, and conserving body energy. In conclusion, nesting is an effective evidence-based nursing intervention for improving body temperature in LBW infants and is recommended for perinatology care settings.

Blood transfusion is a critical medical procedure that requires the blood to be at a temperature close to normal human body temperature, approximately 36– 38°C. Transfusing cold blood can lead to serious complications such as hypothermia, coagulation disorders, and even cardiac arrest. Therefore, a reliable and automated blood warming device is essential to ensure safe transfusions. This study aims to design and modify a Blood Warmer Thawing device based on the Arduino Uno microcontroller as an innovative and cost- effective solution, particularly for healthcare facilities with limited resources. The system integrates a DS18B20 temperature sensor to monitor the temperature of the heating medium in real time, with data displayed on a 20x4 I2C LCD. Users can set the desired temperature via a 4x4 keypad, and the system automatically adjusts the heater performance based on the detected temperature. To enhance safety and operational efficiency, the device is also equipped with a buzzer as a warning indicator when the temperature exceeds the safe threshold, and utilizes a DC motor and cooling fan to maintain proper heat circulation. Test results indicate that the device is capable of maintaining the liquid temperature within the ideal range for blood transfusions, with high stability and fast response to temperature changes. This innovation offers a practical, affordable, and easy-to-implement solution to support effective and safe blood transfusion procedures in various healthcare settings.

Hypothermia after general anesthesia is a common complication that can seriously impact patient recovery. Identifying risk factors contributing to this occurrence is crucial for effective prevention and management. Objective: To determine the risk factors associated with the occurrence of hypothermia after general anesthesia in patients in the Surgical Unit of Regina Maris Regional Hospital, Medan. Methods: This study used a quantitative analytical design with a cross-sectional approach. A sample of 78 patients undergoing general anesthesia was selected using a purposive sampling technique. Data were collected through observation and documentation, and analyzed using the Chi-square test. Results: Factors shown to be significantly associated with the occurrence of hypothermia after general anesthesia included preoperative body temperature (p=0.010), gender (p=0.014), and duration of surgery (p=0.001). Meanwhile, age and body mass index did not show a significant association. Conclusion: Body temperature, gender, and duration of surgery are the main determinants of the occurrence of hypothermia after general anesthesia. Preventive strategies that focus on body temperature management before and during surgery are needed, especially in high-risk patients.

Surgery with spinal anesthesia techniques often causes complications such as hypothermia with shivering symptoms that can affect hemodynamics, one method of overcoming shivering is the provision of blanket warmers. Knowing the effect of blanked warmer on hemodynamics in shivering patients after spinal anesthesia in IBS RSUD dr.Tjitrowardojo Purworejo. This study used a type of quasi-experimental research with a pretest posttest control group design approach, sampling with purposive sampling. The research sample amounted to 30 respondents of post-spinal anesthesia patients. The results showed that there was an effect on hemodynamics as evidenced by the Wilcoxon Signed Rank Test in the experimental group of blood pressure P value 0.001 and pulse 0.000 in the control group obtained p value 1.000, and a different test using the mann whitney test obtained a significant value of blood pressure and pulse p value of 0.000 (α < 0.05). There is an effect of giving blanket waremer on hemodynamics in post-spinal anesthesia patients in IBS RSUD dr.Tjitrowardojo Purworejo. As an alternative and can improve the comfort of patients who experience hemodynamic disorders in postoperative shivering patients with spinal anesthesia.

The common issue faced by newborn babies is their difficulty in regulating body temperature with their environment. This often leads to hypothermia, which is a significant cause of mortality in newborns. Therefore, biomedical equipment that can regulate temperature in the newborn environment is crucial. In the design and development research of an Infant Warmer Temperature Control System using the PID method, key components include the Atmega328P microcontroller, a Skin Sensor for monitoring baby body temperature, and an SSR driver circuit for heater control. The PID control method utilizes feedback mechanisms to correct errors between measured values and their deviations.To ascertain accuracy, functional testing was conducted using an Incubator Analyzer. The comparison between the skin sensor and the Incubator Analyzer showed minimal differences, with the largest difference being 0.15℃ and the smallest 0.01℃. It can be concluded that the skin sensor readings are accurate within tolerance limits. The maximum error percentage of the device was 0.2%, while the minimum error percentage was 0%. Based on these findings, it is concluded that the PID method Infant Warmer temperature control system designed functions effectively, manages overshoot well, and maintains stability.

Body Mass Index (BMI) is the most commonly used and practical indicator for measuring levels of overweight and obesity in adults. to determine the relationship between body mass index and the incidence of hypothermia in post-spinal anesthesia patients at the Central Surgical Installation (IBS) of Ibnu Sina Hospital, Gresik Regency. The research design used was a cross-sectional study with a population of 100 people. The sample used in this study was purposive sampling with 80. Results: the majority of respondents had a BMI of 18.5-25.0 (normal ) (88.8%). The incidence of hypothermia in the majority of respondents was body temperature ≤36°C (hypothermia) (77.5%) and the results of Chi-Square Tests showed a p-value <0.05, namely p-value = 0.001, so it can be concluded that there is a significant relationship Between the relationship between Body Mass Index and the incidence of hypothermia in patients after spinal anesthesia at Ibnu Sina Regional Hospital. Conclusion: based on research that there is a relationship between Body Mass Index and the incidence of hypothermia in patients after spinal anesthesia at Ibnu Sina Regional Hospital.

Sectio caesarean is a surgical process involving an incision that is very risky and causes many complications for the human body. One of the complications caused by an intra-cesarean section is hypothermia. Hypothermia is a medical emergency that occurs when the body loses heat faster than it produces warmth. When the body temperature drops, the nervous system and other organs typically cannot function properly, which in turn affects the functioning of many other organs (Dafiani, 2021). This study aimed to determine the effect of a blanket warmer on the body temperature of intra-cesarean section patients to prevent hypothermia. This quantitative study used a quasi-experimental design (pre-test–post-test with a control group design). Data were collected on intra-section cesarean patients. As many as 35 respondents had been given non-pharmacotherapy therapy in the form of a blanket warmer. The results of the analysis showed that most pregnant women were aged 20–35 years in the no-risk group (91.4%), cesarean section with absolute indication (68.6%), and cesarean section duration < 60 minutes (57.1%). The minimum body temperature of 35.7°C before receiving a blanket warmer, and a maximum body temperature of 36.6°C after receiving one. After carrying out statistical tests using the Wilcoxon test, a P-value of 0.000, or ≤ 0.05, was obtained. In conclusion, blanket warmers influence the incidence of intra-cesarean hypothermia at SMC Telogorejo Hospital. Suggestions for further research include developing variables that can disrupt the thermoregulation system, as well as comparing the use of tools other than blanket warmers to prevent hypothermia before surgery.  

Hypothermia is a common complication following spinal anesthesia, which can lead to more severe consequences if not detected and treated early. Early detection of hypothermia is essential for preventing additional complications, such as cardiovascular instability, delayed recovery, or prolonged hospitalization. This study aims to analyze the effectiveness of providing health education in improving the early detection of hypothermia among patients after spinal anesthesia at Gemolong Regional Hospital. The research utilized a quantitative approach, applying a pre-experimental one-group pre-test and post-test design to measure the impact of the intervention. A total of 15 patients who underwent spinal anesthesia were selected as respondents and were provided with health education on recognizing the signs, risks, prevention, and treatment of hypothermia. Health education sessions were conducted through interactive presentations and written materials, emphasizing practical knowledge that could be directly applied by healthcare staff and patients. The primary data collection tool involved pre-test and post-test assessments to measure the participants' understanding of hypothermia and its management. The results indicated a significant improvement in the patients' understanding of hypothermia after receiving the health education. The average score of the post-test was noticeably higher than the pre-test, suggesting that the education effectively increased awareness and preparedness for early detection of hypothermia. This finding emphasizes the importance of integrating health education programs into clinical practice, especially for patients undergoing spinal anesthesia, to enhance early detection and reduce the risks of complications related to hypothermia.

Background: one of the activities that create a bonding between mother and child is bathing the baby. But most mothers are afraid when doing it, this is because the baby's physical condition is still weak. Therefore, it is important for postpartum mothers to know how to bathe the baby correctly and safely. However, based on preliminary studies conducted at PMB SR, it was found that most postpartum mothers still use shamans or in-laws to bathe their babies. Objective: to determine the skills overview postpartum mothers in PMB SR. The benefits of research for the population in the research area are to increase the knowledge and skills of postpartum mothers about how to bathe babies properly and safely, so as to prevent hypothermia, infection, and infant death, and increase bonding attachment between mother and baby. Research design: this study uses a descriptive design with a cross sectional approach. the population of all postpartum mothers in PMB SR who met the inclusion criteria amounted to 30 people in the period 08 May - 08 June 2023 the measuring instrument in this study was the baby bathing skills checklist. Results: from the results of descriptive analysis obtained, respondents with skilled categories of 7 people (23%), and unskilled obtained 23 people (77%). Discussion: based on the results obtained, most postpartum mothers are not skilled in bathing their babies. It is expected that this study can be used as data to improve the skills of mothers by changing the method in the class of pregnant women from lectures to a combination of lectures and demonstrations.

Background: Spinal anesthesia is a procedure that involves administering drugs through the lumbar interspinous gap into the subarachnoid space. Hypothermia, a condition in which the body's core temperature drops below 36°C, carries a higher risk in the elderly and can cause serious perioperative complications. Body Mass Index (BMI) is an important parameter used to assess nutritional status, closely related to obesity and body fat mass, and can influence the body's response to anesthesia. Objective: This study aims to identify the relationship between hypothermia and age and BMI in post-spinal anesthesia patients at RSI Muhammadiyah Tegal. Method: This observational research with a cross-sectional design involved 73 samples selected through purposive sampling, with data analyzed using the Spearman Rank test to test the correlation between variables. Results: Most respondents were aged 19-44 (60.3%) and female (71.2%). As many as 58.9% of respondents experienced mild hypothermia, and 49,3% had normal BMI (18.5-25.5). The Spearman Rank test results showed a significant relationship between hypothermia and age and BMI after spinal anesthesia (p=0.008, P<0.05). Conclusion: There is a substantial association between hypothermia and age and BMI post-spinal anesthesia, indicating the importance of monitoring these factors perioperatively to reduce the risk of possible complications

Infant deaths generally occur in the early neonatal period due to hypothermia. The incidence of hypothermia in newborns is quite high, globally ranging from 8.5-52%, an estimated 17 million newborns experience hypothermia in developing countries. The incidence of hypothermia in newborn babies is 92.3%, the infant mortality rate due to hypothermia is 6.3%. One intervention to minimize the incidence of hypothermia in newborn babies is to initiate early breastfeeding. The aim of the research was to determine the effect of early initiation of breastfeeding on hypothermia in newborn babies at the Bakti Timah Karimun Hospital. The research method used a pre-experiment with a one group pretest-posttest design. The sampling technique was purposive sampling with 14 respondents. The measuring instruments in this study were a digital axillary thermometer, standard operating procedures (SOP) for early breastfeeding initiation and observation sheets. Data analysis using paired sample t-test. The results of the paired sample t-test found a p-value = 0.000 (p<0.05), so it can be concluded that there is an influence of early initiation of breastfeeding on hypothermia in newborn babies in the Midwifery Room at Bakti Timah Karimun Hospital. Early initiation of breastfeeding can be used as an intervention for newborns to minimize the incidence of hypothermia

Newborns can experience hypothermia shortly after birth, hypothermia occurs through several mechanisms, which are related to the body's ability to balance heat production and heat loss. Failure caused by a decrease in the body temperature of the baby born falls by about 0.30C per minute. To avoid hypothermia, several ways can be done, including by using skin wrap. Skin wrap is a plastic bag to reduce heat loss due to evaporation so that it can easily increase the baby's temperature. The method of using skin wrap can be used to prevent hypothermia in neonates, both premature and not. Hypothermia in infants can worsen the condition of babies who lose heat after birth. Providing education and outreach regarding the application of skin wraps for newborns is carried out so that all nurses understand the importance of implementing this in order to maintain thermoregulation in newborns. Education was carried out for all nurses in the Awal Bros Group Hospital environment on May 25 2023 with a total of 94 participants which was carried out online with zoom.

Background: The application of patient safety goals is an effort made by hospitals to improve the quality of health services. Handover activities that are not accompanied by effective communication can cause errors that can harm the patient. Recommendations from WHO require nurses to improve communication patterns, especially when carrying out handovers, namely by using SBAR communication which consists of Situation, Background, Assessment and Recommendation. Based on the data summary of reported incidents that occurred in the hospital as many as 20 incident cases in the past year, including cases of KTD, KNC, KTC and KPCS. From these incidents, there were 6 cases related to miscommunication during handovers. Some nurses still do not apply the SBAR communication method when carrying out handovers, resulting in cutting/lagging of the information provided and resulting in incidents. Objective:to determine the reltionshipbetween SBAR Communication during handover and the implementation of patient safety at Bakti Timah Karimun Hospital. Methods: This research is quantitative with a cross-sectional approach. The population of this study were all inpatient nurses at Bakti Timah Karimun Hospital with total sampling, which consisted of 63 respondents. Results: showed that 41 respondents (65%) used SBAR communication during handovers in the good category and implemented patient safety. Conclusion:This means that the implementation of SBAR communication during the handover is good but not optimal because there are still 35% who have not implemented it. Based on the chi square test, there is a relationship between SBAR communication during handover and the application of patient safety (p=0.000 <0.05). Suggestion:, it is expected that nurses can carry out SBAR communication during handovers effectively so that they can implement patient safety optimallyKeywords : Newbron, Skin wrap, hypothermia.

Newborns can experience hypothermia shortly after birth, hypothermia occurs through several mechanisms, namely related to the body's ability to balance between heat production and heat loss. Failures caused by a decrease in the baby's body temperature drop by about 0.30C per minute. There are several ways to avoid hypothermia, including using skin wrap. Skin wrap is a plastic bag to reduce heat loss due to evaporation so that it is easy to increase the baby's temperature. The method of using skin wrap can be used to prevent hypothermia in neonates, both premature and non-premature. Hypothermia in infants can worsen the condition of babies who lose heat after birth. This study aims to determine the effectiveness of the use of skin wrap in regulating body temperature in newborns in the Peristi Room of Awal Bros Hospital Batam. The research method used is a quasi-experimental method with a pretest and posttest design with a sample of 20 respondents. The sampling method used purposive sampling technique, the instrument used was the SOP for the use of skin wrap and observation sheets. Based on the Shapiro-Wilk statistical test analysis, a p-value of 0.000 was obtained with results > 0.05, which means that there is an effective use of skin wrap in increasing body temperature in newborns.  

Shivering a complication that often occurs due to spinal anesthesia, due to postoperative hypothermia. Risk factors shivering include: age, weight, operating room temperature and anesthetic drugs. One of the nonpharmacologi was to reduce grade shivering is by giving hot packs and thick blankets to samples with temperatures < 35.5⁰C. This research to determine the effectiveness comparison between use of hot packs and thick blankets. The design Quasi Experiment with post test control group design. The population all post spinal anesthesia shivering patients in the IBS Recovery Room of RST Slamet Riyadi. The sample are 2 groups,shivering patient with hotpack treatment and shivering patient with thick blanket controls. The sample 32 respondents, 16 respondents treatment group and 16 respondents control group. Data analysis Mann Whitney statistical test. The results showed that p value = 0.008 < α = 0.05 ,that H0 is rejected Ha is accepted, that  difference in the effectiveness of using hot packs with thick blankets on grade shivering in post spinal anesthesia patients in the recovery room.