Angka Kejadian Hipotermia dan Lama Perawatan di Ruang Pemulihan pada Pasien Geriatri Pascaoperasi Elektif Bulan Oktober 2011–Maret 2012 di Rumah Sakit Dr. Hasan Sadikin Bandung

Abstract

Tindakan anestesi dan pembedahan adalah salah satu penyebab kejadian hipotermia. Keadaan ini sangat tidak menguntungkan bagi pasien geriatri dengan gangguan fungsi kardiopulmonal. Penelitian dilakukan dengan metode prospektif observasional dengan rancangan penelitian deskriptif kasus kontrol terhadap 129 orang pasien geriatri pascaanestesi umum dan pascaanestesi regional yang masuk ke ruang pemulihan Rumah Sakit Dr. Hasan Sadikin Bandung pada Oktober 2011 sampai Maret 2012. Angka kejadian hipotermia pada pasien geriatri pascaanestesi di ruang pemulihan sebanyak 113 orang (87,6%). Terdapat hubungan bermakna kejadian hipotermia dengan lama perawatan di ruang pemulihan pada pasien geriatri yang telah menjalani operasi elektif di Rumah Sakit Dr. Hasan Sadikin Bandung (p≤0,05). Lama tinggal di ruang pemulihan rata-rata pada pasien hipotermia adalah 110 menit dan pada pasien yang tidak hipotermia 70 menit. Simpulan penelitian ini menunjukkan bahwa angka kejadian hipotermia pascaoperatif geriatri adalah 87,6% dan pasien dengan hipotermia mendapatkan perawatan lebih lama di ruang pemulihan.

Kata kunci: Hipotermia pascaanestesi, lama perawatan, geriatri, ruang pemulihan

The Incidence of Hypothermia and Duration of Care in the Recovery Room on Postoperative Geriatric Patients at Dr. Hasan Sadikin Hospital Bandung During October 2011–March 2012

Anesthesia and surgery is one of the causes of the incidence of hypothermia . This situation is not favorable for geriatric patients with impaired cardiopulmonary function. This was a prospective observational study with a descriptive case-control design on 129 geriatric patients post general and regional anaesthesia in the recovery room of Dr. Hasan Sadikin Hospital Bandung during the period of October 2011 to March 2012. The incidence of hypothermia in geriatric patients post anaesthesia in recovery room was 113 people (87.6%). There was a significant relationship between the incidence of hypothermia and the duration of care in the recovery room in geriatric patients who have undergone elective surgery at the Dr. Hasan Sadikin Hospital Bandung (p≤0.05) . Average the length of stay in recovery room was 110 minutes in patients experiencing hypothermia while it was 70 minutes in those whom did not experience hypothermia. In conclusions, the incidence of postoperative hypothermia in geriatric patients was 87.6% and patients whom experienced hypothermia have a longer care in the recovery room.

Key words: Geriatric, hypothermia post anesthesia, length of stay

DOI: 10.15851/jap.v2n1.236