Perpustakaan Terpadu

Kejadian hipotermia mengalami peningkatan 60%-90% periode post operasi. Hal ini mengakibatkan peningkatan iskemia miokard, penurunan tekanan darah, penurunan metabolisme otak hingga penurunan kesadaran. Hingga saat ini metode untuk mengatasi permasalahan tersebut adalah penggunaan teknik active warming. FAW dan cairan intravena hangat merupakan contoh teknik active warming. Banyak penelitian membahas terkait pengaruhnya, tetapi belum terdapat penelitian yang membahas perbedaan efektivitasnya. Studi ini bertujuan untuk mengetahui pengaruh intervensi active warming terhadap kejadian hipotermia post operasi. Studi ini dilakukan dengan metode Literature Review. Artikel yang direview diperoleh dari tiga database yakni Science Direct, Pubmed dan Google Schoolar. Dengan menggunakan keyword (Active Warming OR Forced Air Warming OR Force Air Device OR Warmed Intravenous Fluids) AND (Post Operative Hypothermia OR Perioperative Hypothermia) AND (Adult Patients). Kemudian dilakukan seleksi terhadap 10 artikel menggunakan JBI Critical Appraisal tools. Hasil akhir pencarian dan penyeleksian literature ditemukan 10 artikel yang sesuai dengan kriteria inklusi. Sebanyak 5 artikel dengan intervensi FAW menunjukkan berpengaruh dengan nilai p value <0,05. Sedangkan pada artikel cairan intravena hangat hanya 4 artikel yang signifikan berpengaruh. Pemberian intervensi FAW lebih efektif pengaruhnya terhadap kejadian hipotermia post operasi dibandingkan cairan intravena hangat. Hal ini karena FAW bekerja dengan mentranfer panas dan mencegah kehilangan panas tubuh. Sehingga keseimbangan suhu tubuh lebih cepat dicapa

The incidence of hypothermia has increased by 60% -90% in the postoperative period. This results in an increase in myocardial ischemia, a decrease in blood pressure, a decrease in brain metabolism and a decrease in consciousness. Until now the method to overcome these problems is the use of active warming techniques. FAW and warm intravenous fluids are examples of active warming techniques. Many studies discuss the effect, but there are no studies that discuss the difference in effectiveness. This study aims to determine the effect of active warming intervention on the incidence of postoperative hypothermia. This study was conducted using the literature review method. The articles reviewed were obtained from three databases ;ScienceDirect, Pubmed and GoogleSchoolar. By using the keyword (Active Warming OR Forced Air Warming OR Force Air Device OR Warmed Intravenous Fluids) AND (Post Operative Hypothermia OR Perioperative Hypothermia) AND (Adult Patients). Then, 10 articles were selected using JBI Critical Appraisal tools and taking into account the PICOS framework. The final result of the literature search and selection found 10 articles that matched the inclusion criteria. A total of five articles with FAW intervention showed an effect with a p value <0.05. While in the article of warm intravenous fluids, only four articles had a significant effect. The FAW intervention was more effective in influencing the incidence of postoperative hypothermia than warm intravenous fluids. This is because FAW works by transferring heat and preventing body heat loss. So that the body temperature balance more quickly achieved.