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Shinta Aprilia; Anis Ardiyanti; Nafisatun Nisa; Rinda Intan Sari

Jurnal Inovasi Riset Ilmu Kesehatan 2024 Pusat Riset dan Inovasi Nasional

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.  

Sulistiawati Sulistiawati; Damayanty S; Anna Waris Nainggolan; Nuraisyah Nuraisyah; Ade Rachmat Yudiyanto

The Journal General Health and Pharmaceutical Sciences Research 2024 LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Background​ Background LBW is still a concern for public health throughout the world and is associated with a number of short-term and long-term problems. More than 20 million births each year are estimated to be LBW, accounting for 15% to 20% of all births globally. In poor countries, the LBW birth rate is 16.5%, while in industrial countries it is 7%. Babies with low birth weight (LBW) may experience a number of problems and complications at birth. Metabolic problems, especially hypothermia, may appear in the short term. Method The research used is quantitative, information about what you want to know is examined using numerical data through a retrospective survey. Conducting a retrospective survey is one method of collecting historical data. This research uses a cross-sectional strategy. The sample for this in-depth research was all 60 mothers who gave birth at Sapta Medika Hospital. Analysis data using univariate and bivariate analysis. From the results of statistical tests it was found that p.value = 0.004 and α = 0.05, where the value of P.value (0.004) < α (0.05), so it can be concluded that there is a relationship between maternal age and the incidence of low birth weight (LBW) babies. ). Where the P value (0.019) < α (0.005), so it can be concluded that there is a relationship between maternal parity and the incidence of low birth weight (LBW) babies. Where the P.value (0.001) < α (0.05), so it can be concluded that there is a relationship between maternal nutritional status and the incidence of low birth weight (LBW) babies.     

M. Rossy Rachasiwi; Naufal Annasy

Jurnal Pelaksanaan Pengabdian Bergerak bersama Masyarakat 2024 Asosiasi Riset Ilmu Kesehatan Indonesia

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.

Cintya Whinike; Suprapti Suprapti; Ita Yuliani

Jurnal Ilmu Keperawatan dan Kebidanan 2024 Asosiasi Riset Ilmu Kesehatan Indonesia

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.

Muhammad Hafiduddin; Aprillia Amesabila Br.Tarigan; Pradita Ayu Fernanda

Jurnal Kesehatan dan Kedokteran 2024 Lembaga Pengembangan Kinerja Dosen

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