PEMBERIAN CAIRAN INFUS DAN SELIMUT HANGAT TERHADAP SUHU TUBUH DAN HEMODINAMIK PASIEN PASCA OPERASI SECTIO CAESAREA DI RUANG PEMULIHAN (STUDI DI RSUD DR. ABDUL AZIZ SINGKAWANG KALIMANTAN BARAT)

Abstract

Background : Caesarean section or sectio caesarea has various complications such as thermoregulation disorders, namely a decrease in body temperature to hypothermia which affects hemodynamic status. One of the treatments to maintain a normal body temperature is to use heat conduction which includes a heating element either internally by giving warm intravenous fluids or active external heating with the use of a warm electric blanket in the recovery room.Purpose : To prove the effectiveness of giving infusion fluids and warm blanket to post-caesarean patients' body temperature and hemodynamics in the recovery room.Methods : This type of research is a true experiment approach using a pre and post-test control group design. The sample was selected by purposive sampling technique, obtained 64 samples, consisting of 16 respondents who were given warm infusion fluids and warm blankets, 16 respondents who were given intravenous fluids, 16 who were given warm blankets, and 16 respondents who were given standard treatment at the hospital.Results : There was a statistically significant difference in the average value of the increase in body temperature was 36.74o C (p = 0.000), systolic blood pressure was 118.81 mmHg (p = 0.000), diastolic blood pressure was 92.12 mmHg (p = 0.000), pulse was 88.75 breaths/minute (p = 0.002), respiration was 22.81 breaths/minute (p=0.003), MAP was 86.12 mmHg (p = 0.033) and oxygen saturation was 98.3% (p = 0.00) after being given warm infusion fluids and warm blanket for 60 minutes in postoperative caesarean section patients.Conclusion : Giving infusion fluids and warm blanket for 60 minutes in the recovery room is better given to patients after sectio caesarea surgery because they provide a strong increase in body temperature and hemodynamic status compared to other intervention groups with an effect size value of 1.30.Keywords : warm infusion fluids, warm blanket, body temperature, hemodynamics, sectio caesare