Hypothermia is a common and serious complication of spinal surgery and it is associated with many harmful perioperative outcomes. The aim of this study was to compare the effectiveness of warming blankets and warm fluid therapy to manage shivering. A quasi-experiment with a non-equivalent control group was applied as the research design. There were 60 patients involved in the study. The instrument of this study was a warmer fluid modification, a warming blanket and a cotton blanket. The data was analyzed using an applied paired t-test and independent t-test. After 60 minutes of the intervention, the mean and SD of body temperature of the patients receiving warm fluids was 36.71 ± 0.18, a warming blanket was 36.12 ± 0.35, and the control group was 35.76 ± 0.22. The p values were 0,000. Warm fluid therapy and warming blankets are significant in terms of increasing the body temperature of post-spinal anesthesia patients. Warm fluids are more effective than warming blanket. Warming blankets and warm fluid therapy can be used as a way to increase the body temperature of patients with hypothermia.
Background: Nurses' performance as an integral part of the health care system is an important part that determines the quality of health services in hospitals. Nurses' performance in providing health services always gets special attention from patients. The perception of patients at the Mataram City Hospital shows that the performance of contract nurses is still considered low. There are several factors that can affect the performance of nurses in hospitals, including the physical work environment, workload and work wages. Objective: This study aims to determine whether there is a relationship between the physical work environment, workload and work wages with the performance of contract nurses at the Mataram City Hospital. Research Methods: The type of research used is quantitative research with a cross sectional approach. The research location is at the Mataram City Hospital. Data collection using a questionnaire. Respondents in this study were contract nurses at the Mataram City Hospital. The number of samples in this study were 80 respondents. Results: The results of the analysis showed that p < 0.05, this means that statistically the independent variables have an influence on the dependent variable, it can be concluded that there is a joint effect of perceptions of the work environment, workload and work wages with the performance of contract nurses at the Mataram City Hospital. Conclusion: this study concludes that there is a relationship between the physical work environment, workload and work wages with the performance of contract nurses at the Mataram City Hospital
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