PASSIVE LEG RAISING TOWARDS HEMODYNAMICS

FITKES UNJANI, 2023

IKP, 2020

Atikel tentang Pengaruh Passive Leg Raising terhadap Hemodinamik pada Pasien Syok Hipovolemik di IGD Rumah Sakit Dustira Cimahi

FITKES UNJANI, 2023

Journal of Islamic Nursing

Changes in position is one of the nursing interventions in the management of patients with mechanical ventilation. Several studies found contradictory effects in different groups of patients. Subiyanto (2018) states that the elevation position of the head 30 degrees lateral left with a time of 5 minutes to 30 minutes has been effective to provide positive changes to the hemodynamic status. But at the Hospital the time used to position the patient is 120 minutes, so it is necessary to know the hemodynamic changes that occur during 120 minute. This studyaaimed to determineathe effective time for the left lateral position of the head elevation of 30 degrees to the hemodynamic status. The research design used was a quasi experimental pre-test-posttest design with a control group. The population was all patients who were installed mechanically at the ICU General Hospital (RSU) Tangerang District in April to July 2019. Samples of 15 respondents in the intervention group and 15 respondents in the control group used purposive sampling technique. Results Estimated significant influence between the left lateral position of the head elevation of 30 degrees to the hemodynamic status on systolic blood pressure P value 0.045, diastolic blood pressure value P 0.001, MAP value P 0.000, Heart Rate value P 0.002 and respiratory rate P value 0.09. There is no effect on SPO2 P value 0.334. No effective time was identified for the implementation of the left lateral position of the head elevation of 30 degrees to the hemodynamic status. in systolic blood pressure, diastolic blood pressure, MAP, Hearth Rate and Respiratory Rate there was a significant increase in the mean value for 120 minutes, while in SPO2 there was a change in the average value of SPO2.

Workshop Peningkatan Publikasi Ilmiah Bagi Dosen FITK IAIN Syekh Nurjati Cirebon, 2017

These papers will not be based on research but will develop and test hypotheses. The papers are likely to be discursive and will cover philosophical discussions and comparative studies of others' work and thinking.

Medicine & Health, 2008

Pesakit yang memerlukan rawatan di Unit Rawatan Intensif berkemungkinan melalui pengalaman yang tidak menyenangkan. Pengalaman ini termasuk dalam bentuk insideninsiden berfakta dan juga gangguan ingatan terhadap persekitaran dalam unit, sebagai contohnya, kerap bermimpi, halusinasi dan pengalaman yang menakutkan. Tujuan kajian ini adalah untuk mengenalpasti pengalaman yang dilalui pesakit ketika mereka dirawat dengan bantuan pernafasan mekanikal di ICU HUKM. Kajian yang berbentuk irisan rentas ini menggunakan soalselidik pengalaman rawatan intensif "Intensive Care Experience Questionnaire" yang mengandungi empat domain: kepekaan terhadap keadaan sekeliling, pengalaman yang menakutkan, pengingatan semula pengalaman dan kepuasan terhadap jagarawatan. Seramai 45 responden yang di unit rawatan intensif (ICU) memenuhi kiteria yang telah ditetapkan menyertai kajian ini. Kajian ini telah dijalankan di ICU HUKM dari Januari 2006 hingga Mac 2006. Kajian menunjukkan bahawa 20 responden (44%) adalah peka terhadap persekitaran mereka, 31 responden (69%) melaporkan pengalaman yang menakutkan. Kebanyakan responden, 43 (96%) berpuas hati dengan jaga-rawatan. Terdapat kolerasi yang positif antara kepekaan terhadap persekitaran dengan keupayaan responden untuk mengingat semula pengalaman (p<0.05). Kepekaan pesakit terhadap persekitaran merupakan faktor sumbangan yang signifikan dalam menjangka keupayaan pesakit untuk mengingat kembali pengalaman semasa di ICU dengan nilai pekali beta 0.353 dan p<0.05. Hasil kajian ini membolehkan jururawat memperlihatkan keperluan pesakit yang bernafas dengan bantuan mekanikal daripada maklumat pesakit. Pesakit melaporkan frustasi dalam usaha mereka untuk menyuarakan laporan pengalaman yang tidak menyenangkan masing-masing. Informasi ini memperihalkan paras frustasi sebenar yang dialami oleh pesakit apabila mereka ingin menyuarakan diri semasa dibantu oleh alat pernafasan mekanikal.

Pain, agitation, delirium guidelines tahun 2013 menyatakan bahwa critical-care pain observation tool merupakan instrumen penilaian nyeri pada pasien tidak dapat berkomunikasi yang paling valid dan reliabel. Skala COMFORT merupakan standar instrumen penilaian intensitas nyeri di indstalasi rawat intensif RSUP Haji Adam Malik Medan. Tujuan penelitian ini membandingkan proporsi penilaian dan reliabilitas skala COMFORT dengan CPOT dalam menilai intensitas nyeri pada pasien yang menggunakan ventilasi mekanik di Instalasi Perawatan Intensif RSUP Haji Adam Malik, Medan. Penelitian ini menggunakan desain crosssectional pada 57 pasien di Instalasi Perawatan Intensif RSUP Haji Adam Malik Medan pada Maret-April 2016 yang memenuhi kriteria inklusi. Intensitas nyeri dinilai menggunakan skala COMFORT dan CPOT oleh 2 penilai yang berbeda pada saat istirahat dan saat stimulus noxious. Fisher's exact test, diperoleh nilai p=0,003 (p<0,05). Tidak terdapat perbedaan reliabilitas yang signifikan secara statistik pada saat stimulus noxious, nilai p = 0,13 (95% IK:-4-16%; p>0,05). Simpulan penelitian ini adalah CPOT merupakan instrumen penilaian nyeri yang lebih tepat dan cermat dibanding dengan skala COMFORT, namun tidak terdapat perbedaan reliabilitas CPOT dibanding dengan skala COMFORT dalam menilai intensitas nyeri pada pasien yang menggunakan ventilasi mekanik saat stimulus noxious.

JURNAL PARADIGMA (PEMBERDAYAAN & PENGABDIAN KEPADA MASYARAKAT), 2021

The number of ventilators in Indonesia is considered insufficient, encouraging a number of private institutions and educational institutions to create many ventilator innovations, but there are still many ventilator prototypes that have not passed the BPFK testing. This study aims to identify the factors that cause the prototype has not passed BPFK testing and determine strategies that can be applied by BPFK Surabaya and socialize them. The method used to analyze the problem and its solution is fishbone diagram, USG, and SWOT analysis, while in evaluating the understanding of the participants in the socialization, pretest and posttest were used which were analyzed using paired t-test. The results showed that the main factor causing the problem was that the specification guidelines used were still general in nature and had not fully paid attention to the patient safety aspect, so the aggressive strategy developed was to create new specification guidelines. The results of the evaluation data analysis using the t-test showed that the value of Sig. (2-tailed) = 0.000 < 0.05, so it can be concluded that there is a significant increase in knowledge after the socialization of the new specification guidelines.

International Journal of Nursing and Midwifery Science (IJNMS), 2022

Decubitus is defined as an injury due to the patient's position which has not changed for more than 6 hours. Decubitus is a localized tissue that tends to occur when soft tissue is compressed between the bony prominence and the external surface for a long period of time. This study aims to identify the relationship between mobilization and the incidence of pressure sores in the ICU room at Linggajati Regional General Hospital. The design of this study used a descriptive analytic study with an accidental sampling technique of 11 patients. The instruments used are in the form of questionnaires and checklists with univariate and bivariate analysis with chi-square. The chi-square analysis test obtained a p-value of 0.01 (α : 0.05), P< so that Ho was rejected and Ha was accepted, which means that there is a relationship between mobilization and the incidence of pressure sores at Linggajati Regional General Hospital Kuningan Regency. In 11 respondents studied, there were 5 people (45.4%) who had less mobilization, 4 people (36.4%) had sufficient mobilization and 2 people (18.2%) had good mobilization. Then the results of the respondent's decubitus assessment there were 5 people (45.4%) who had pressure sores and 6 people (54.5%) did not. There is a relationship between mobilization and the incidence of pressure sores in patients in the Intensive Care Unit (ICU) Linggajati Regional General Hospital, Kuningan Regency. Suggestions for nursing staff to set standard operating procedures for treating patients in the ICU, especially patients with severe disease and limited mobility. It is recommended to conduct further research related to all the factors that influence the occurrence of pressure sores in ICU patients, especially implementing nursing care and setting standard operating procedures.