PENGARUH PENGGUNAAN KOMBINASI SELIMUT KAIN DAN BLOOD/FLUID WARMER TERHADAP SUHU TUBUH PADA PASIEN INTRAOPERATIF DI INSTALASI KAMAR OPERASI RSPAD GATOT SOEBROTO

DENY, WAHYU PRAYOGO (2026) PENGARUH PENGGUNAAN KOMBINASI SELIMUT KAIN DAN BLOOD/FLUID WARMER TERHADAP SUHU TUBUH PADA PASIEN INTRAOPERATIF DI INSTALASI KAMAR OPERASI RSPAD GATOT SOEBROTO. Skripsi, S1 Keperawatan STIKes RSPAD Gatot Soebroto.

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Abstract

ABSTRAK Nama : Deny Wahyu Prayogo Program Studi : Sarjana Keperawatan Judul : Pengaruh Penggunaan Kombinasi Selimut Kain dan Blood/Fluid Warmer terhadap Suhu Tubuh pada Pasien Intraoperatif di Instalasi Kamar Operasi RSPAD Gatot Soebroto Operasi dan tindakan pembiusan berisiko tinggi memicu timbulnya inadvertent perioperative hypothermia akibat paparan pendingin kamar bedah, kelumpuhan pusat termoregulasi di hipotalamus, serta guyuran cairan intravena bersuhu dingin. Isolasi pasif berupa penyelimutan kain Tunggal tidak cukup kuat untuk membendung kaskade penurunan suhu tubuh inti pasien. Penelitian ini bertujuan untuk menganalisis pengaruh penggunaan kombinasi blood/fluid warmer dan selimut kain terhadap suhu tubuh pada pasien intraoperatif di Instalasi Kamar Operasi RSPAD Gatot Soebroto. Rancangan penelitian menggunakan quasi- experimental dengan non-equivalent control group design yang melibatkan 36 responden. Subjek terbagi secara seimbang ke dalam kelompok intervensi (n = 18) yang menerima proteksi ganda selimut kain dan blood/fluid warmer, serta kelompok kontrol (n = 18) yang hanya menerima selimut kain tunggal/standar. Pengukuran suhu tubuh inti dilakukan secara berkala dan dianalisis menggunakan uji Paired Samples T-Test dan Independent Samples T-Test. Hasil analisis bivariat menunjukkan adanya perbedaan rerata suhu tubuh intraoperatif yang sangat signifikan antara kedua kelompok (p = 0,001). Kelompok intervensi berhasil mengunci rerata suhu tubuh dalam batas aman normotermia (36,0 °C – 37,5 °C), sedangkan kelompok kontrol mengalami penurunan suhu yang drastis menyentuh zona hipotermia klinis (< 36,0 °C). Kesimpulannya, penggunaan kombinasi blood/fluid warmer dan selimut kain terbukti secara signifikan efektif dalam menjaga stabilitas suhu tubuh pasien intraoperatif. Temuan ini direkomendasikan sebagai dasar ilmiah penyusunan Standar Prosedur Operasional (SOP) manajemen termoregulasi di rumah sakit. Kata Kunci: Blood/fluid warmer, Hipotermia perioperatif, Pasien intraoperatif, Selimut kain, Suhu tubuh. ABSTRACK Nama : Deny Wahyu Prayogo Program Studi : Bachelor of Nursing Judul : The Fffect of Combining a Cotton Blanket and a Blood/Fluid Warmer on Core Body Temperature among Intraoperative Patients at the Operating Room Installation of RSPAD Gatot Soebroto Surgical procedures and anesthesia administration carry a high risk of triggering inadvertent perioperative hypothermia due to cold operating room exposure, central thermoregulation impairment at the hypothalamus, and the infusion of cold intravenous fluids. Passive thermal insulation using a single cotton blanket has proven insufficient to halt the cascade of core body temperature reduction. This study aimed to analyze the effect of combining a blood/fluid warmer and a cotton blanket on core body temperature among intraoperative patients at the Operating Room Installation of RSPAD Gatot Soebroto. A quasi-experimental design with a non-equivalent control group was employed, involving 36 intraoperative patients. Subjects were divided equally into an intervention group (n = 18) receiving dual protection with a cotton blanket and a blood/fluid warmer, and a control group (n = 18) receiving a standard cotton blanket only. Core body temperature was measured periodically and analyzed using Paired Samples T-Test and Independent Samples T-Test. Bivariate analysis revealed a highly significant difference in mean intraoperative core temperature between both groups (p = 0,001). The intervention group successfully maintained mean temperature within the safe normothermic range (36,0 °C – 37,5 °C), whereas the control group experienced a sharp temperature decline into clinical hypothermia (<36,0 °C). In conclusion, the combined use of a blood/fluid warmer and a cotton blanket is significantly effective in maintaining core body temperature stability in intraoperative patients. These findings are recommended as an evidence-based foundation for formulating Standard Operating Procedures (SOP) regarding perioperative thermoregulation management in hospitals. Keywords: Blood/Fluid warmer, Body temperature, Cotton blanket, Intraoperative patients, Perioperative hypothermia

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