Perbandingan Pemberian Pethidin dengan Tramadol terhadap Kejadian Shivering pada Pasien Pasca Sectio Caesarea dengan Anestesi Spinal

Martunus Juddin; Weni Hastuti; Paragista Yasintya Galuh Puspitasari

doi:10.61132/corona.v1i2.1060

Authors

Martunus Juddin ITS PKU Muhammadiyah Surakarta
Weni Hastuti ITS PKU Muhammadiyah Surakarta
Paragista Yasintya Galuh Puspitasari ITS PKU Muhammadiyah Surakarta

DOI:

https://doi.org/10.61132/corona.v1i2.1060

Keywords:

Pethidine, Tramadol, Shivering, Sectio Caesarea, Spinal Anesthesia

Abstract

Pethidine and tramadol are used for analgesia during obstetric procedures, this study is to compare in overcoming the incidence of shivering after cesarean section. to analyze the comparison of pethidine and tramadol administration on the incidence of shivering in post-cesarean section patients with spinal anesthesia. the study used a quasi-experimental design with a non-equivalent control group design. The study population was post-cesarean section patients with spinal anesthesia with a total sampling technique of 30 respondents. The research instrument used the Bedside Shivering Assessment Scale and the SOP for administering pethidine and the SOP for dministering tramadol. Data analysis used the Mann-Whitney test at a significance of 5%. most were 26-35 years old with obese BMI. The degree of shivering with the administration of pethidine after 10 minutes as much as 100% experienced a decrease in shivering to degree 0 while the administration of tramadol was 73.3% with a degree of shivering 0, but there were still respondents with degree 1 shivering as much as 20.0% and 6.7% with degree shivering. There is a difference in the effectiveness of tramadol and pethidine administration in reducing the incidence of shivering in post-cesarean section patients with spinal anesthesia (p 0.035 <0.05), so Ha is accepted. Then the results of the Symmetric Measure test obtained the results of the incidence of shivering equivalent to 36% having a moderate effect so that it can be concluded that the administration of tramadol and pethidine has a strong effect on reducing the incidence of shivering in patients with cesarean section. Pethidine administration is more effective in reducing the degree of shivering than tramadol administration.

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