Pengaruh Posisi Semi Fowler Dengan Kombinasi Lateral Kanan Terhadap Perubahan Haemodinamik Pada Pasien Gagal Jantung Di Ruang ICCU Rumah Sakit Umum Daerah Margono Soekarjo Purwokerto
DOI:
https://doi.org/10.35960/vm.v13i02.519Keywords:
Gagal Jantung kongestif, Perubahan hemodinamik, Posisi semi fowler dan lateral kananAbstract
Gagal jantung bukan merupakan suatu penyakit melainkan sekumpulan tanda dan gejala yang muncul pada keadaan patofisiologi dengan abnormalitas fungsi jantung yang bertanggung jawab dalam tidak adekuatnya perfusi sitemik. Hal ini menyebabkan adanya gangguan hemodinamik dan berisiko menjadi penurunan kondisi kritis. Pada keadaan kritis pasien dengan gagal jantung membutuhkan penatalaksanaan baik farmakologis maupun non farmakologis dengan tujuan memperbaiki perburukan kondisi, penyebab, perbaikan hemodinamik, menghilangkan kongesti paru dan perbaikan oksigenasi jaringan. Pengaturan posisi merupakan salah satu faktor yang harus diperhatikan dalam menjaga sirkulasi sistemik yang adekuat karena dapat mempengaruhi sistem hemodinamik. Penelitian ini bertujuan untuk mengetahui pengaruh posisi semi fowler dengan kombinasi lateral kanan terhadap perubahan hemodinamik pada pasien gagal jantung kongestif di ruang ICCU RSUD Prof. dr. Margono Soekardjo Purwokerto. Penelitian ini menggunakan metode quasi experimental design dengan pendekatan pretest-posttest control group design. Responden dalam penelitian ini adalah pasien gagal jantung kongestif dengan teknik pengambilan sampel menggunakan purposive sampling sebanyak 31 responden. Analisis data menggunakan analisis univariat dan analisis bivariat dengan uji Wilcoxon dan Mann Whitney. Hasil analisis didapatkan adanya pengaruh pemberian posisi semi fowler dengan kombinasi lateral kanan dengan kombinasi lateral kanan terhadap perubahan status hemodinamik pasien gagal jantung kongestif di ruang ICCU RSUD Prof. dr. Margono Soekardjo Purwokerto.
References
American Heart Association (AHA). (2013). Scientific Position, Risk Factors and Coronary Heart Disease, AHA Scientific Position
Anchala, A Mercy. (2016). A Study to Assess the Effect of Therapeutic Positions on Hemodynamic Parameters among Critically Ill Patients in the Intensive Care Unit at Sri Ramachandra Medical Centre. Journal of Nursing & Care: SRM University, Kattankulathur, Chennai, India
Aries MJH, Aslan A, Jan Willem J Elting, Roy E Stewart, Jan G Zijlstra, Jacques De Keyser and Patrick CAJ Vroomen, (2011). Intra-Arterial Blood Pressure Reading In Intensive Care Unit Patients In The Lateral Position. Journal of Clinical Nursing, 21, 1825–1830.
Badr, C., Elkins, M.R., & Ellis, E.R., (2002). The effect of body position on maximal expiratory pressure and flow. Australian Journal of Physiotherapy. The University of Sydney 2 Royal Prince Alfed Hospital Sydney, 48.
Blais, K. K., Hayes, J. S, Kozier, B., & Erb, G. (2006). Praktik keperawatan professional konsep & perspektifedisi 4. Alih bahasa Yuningsih, Y & Subekti, N.B. Jakarta : EGC
Brower R . Consequences of bed rest . Crit Care Med. 2009 ; 37 ( 10 ) ( suppl ): S422-S428 .
Cicolini, G., Gagliardi, G., & Ballone, E. (2010). Effect of Fowler’s Body Position on Blood Pressure Measurement. Journal of Clinical Nursing, Volume 19, Issue 23-24.
Cowie, M.R. (2015). The Global Burden Of Hearth failure. London: National Heart & Lung Cardiology.
Gelman, S. (2008). Venous Function and Central Venous Pressure. [Review Article]. Anaesthesiology, 108, 735-748.
Guyton, A.C., & Hall, J. L. (2008). Buku Ajar Fisiologi Kedokteran (11th ed). Jakarta: EGC Penerbit Buku Kedokteran
Julie, C.H. (2008). The effect of positioning on cardiac ouput measurement, http://proquest.umi.com/pqdweb?index=0&did=579636611&SrchMode=1&sid=3 &Fmt=2&VInst=PROD&VType=PQD&RQT=309&VName=PQD&TS=1213971 316&clientId=45625, diunduh tanggal 19 Juni 2017.
Hamburg, E.J & Bonjer, H.J., (2007). Effect of Patient Position on Cardiovascular and Pulmonary Function. Anesthesiology 1:241–245.
Hudak dan Gallo. 2011. Keperawatan Kritis: Pendekatan Asuhan Holistik. Edisi - VIII . Jakarta: EGC.
Kasron. (2012). Buku Ajar : Gangguan Sistem Kardiovaskuler. Yogyakarta : Nuha Medika.
Kemenkes. (2015). Info Datin: Situasi Kesehatan Jantung. Jakarta: Badan Penelitian dan pengembangan Kesehatan Kementrian Kesehatan RI
Kathleen, M. Vollman. (2012). Hemodynamic Istability:Is It Really a Barrier to Turning Critically III Patients. American: Critical Care Nurse: 32: 70-75 doi: 10.4037/ ccn2012765.
Kim, H.J., Sohng, K.Y. (2006). Effects of Backrest Position on Central Venous Pressure and Intracranial Pressure in Brain Surgery Patients. Taehan Kanho Hakhoe Chi, 36(2):35 3-6
Kowalak JP, Welsh W, Mayer B. (2011). Buku Ajar Patofisiologi. Jakarta: EGC.
Kumar, Cannon. (2009). Acute Coronary Syndromes: Diagnosis and Managements. Mayo Clin Proc. 2009 Oct; 84(10): 917–938.
Kowalski M.T., Caroline Bunker Rosdahl. (2014). Buku ajar keperawatan dasar edisi 10 vol 2. Jakarta: EGC
Kozier & Erb, et al. (2009). Buku Ajar Praktik Keperawatan Klinis edisi 5. Jakarta : EGC.
Lilly, L. S., (2011). Pathophysiology of Heart Disease. 5th edition. Philadelphia: Lippincott Williams and Wilkins.
Mancini, Donna, M., MD; David Henson, MD; John LaManca, PhD; and Sanford Levine, MD. (2009). Respiratory Muscle Function and Dyspnea in Patients With Chronic Congestive Heart Failure Vol 86, No 3. AHA Journals.
Mariyono, H.H. & Santoso, A. (2007). Gagal Jantung. Jurnal Penyakit Dalam Ed 8 (03)
McCance KL, S. H. (2010). Pathophysiology: The Biologic Basis for Disease in Adults and Children. Kanada: Mosby Elsevier.
Mcphee, S & Ganong, W (2010). Patofisiologi Penyakit: Pengantar Menuju Kedokteran Klinis. EGC. Jakarta.
Miyamoto, S., Fujita, M., Sekiguchi H., Okano Y., Nagaya, N., Ueda, K., & Tamaki, S.I., (2001). Effects of Posture on Cardiac Autonomic Nervous Activity in Patients With Congestive Heart Failure. Journal of the American College of Cardiology: Vol. 37, No. 7, 2001. American College of Cardiology
Mohammadpour, A., Banansharifi, M., Basirimoghaddam, M & Nematollahi. (2013). The effect of change in body condition on blood pressure in Cardiac Care Unit. Iran Journal Critical Care Nurse. 6(1):49-56
Monnet Xavier, Jean Louis Teboul and Christian Richard. (2007). Cardiopulmonary interactions in patients with heart failure. ippincott Williams & Wilkins.
Muttaqin, A. (2012). Pengantar Asuhan Keperawatan Klien dengan Gangguan Sistem Kardiovaskular. Jakarta : Salemba Medika.
Nurhayati, Euis. (2009). Gambaran Faktor Resiko Pada Pasien Penyakit Gagal Jantung Kongestif di Ruang X.A RSUP Dr. Hasan Sadikin Bandung. www.stikesayani.ac.id/publikasi/e.../201004-004.pdf.
Okhasa, et al, (2013). Cerebral Perfusion Among Acute Traumatic Brain Injury Patients at Supine versus Semifowler Position. Advances in Life Science and Technology, 20: ISSN 2244-7181.
Rémy C. Martin-Du Pana, Raymond Benoitb, Lucia Girardier. (2004). The role of body position and gravity in the symptoms and treatment of various medical diseases. Peer reviewed article SWISS MED WKLY ;134:543–551
Richard S. T. Leung, Michael E. Bowman, John D. Parke, Gary E. Newton, & Douglas Bradley (2004). Avoidance of the Left Lateral Decubitus Position During Sleep in Patients With Heart Failure: Relationship to Cardiac Size and Function. Journal of the American College of Cardiology. Vol. 41, No. 2. American College of Cardiology Foundation
Rustandi Budi, Sari Fatimah, Titin Mulyati. (2014). Pengaruh pemberian posisi terhadap nilai tidal volume. Jurnal Kesehatan Stikes Satriya Bhakti Nganjuk, Vol. 2 No. 1
Sherwood, L. 2012. Fisiologi Manusia dari Sel ke Sistem. Edisi 6. Jakarta : EGC
Singal, G dkk. (2013), A Study on the Effect of Position in COPD Patients to Improve Breathing Pattern”, International Journal Of Scientific Research.
Smeltzer, S. C., & Bare B. G. ( 2015). Buku Ajar Keperawatan Medikal Bedah Edisi 8 Volume 1. Jakarta: EGC
Sonnenblick, E.H., Francis, G.S., Tang, W.H.W., PooleWilson, P., (2015). 'Pathophysiology of Heart Failure', in V. Fuster, R.A. O'Rouke, R.A. Walsh, P. Poole-Wilson (eds), Hurst's The Heart, ed 12, vol 1, McGraw Hill
Stillwell, S. B. (2011). Pedoman keperawatan kritis edisi 3. Alih bahasa Yudha, E.K. Jakarta : EGC
Taryono, Y. (2013). Perbandingan nilai Rapid Shallow Breathing Index pada Semi fowler 150, 300, dan 450 pasien dengan gagal nafas akut yang terpasang ventilator. Universitas Indonnesia
Thiyagu, H. (2012). Pengaruh Hiperglikemia Terhadap Mortalitas Pasien Gagal Jantung Kongestif Periode Juli Sampai Desember Di Rumah Sakit Umum Pusat Haji Adam Malik (RSUP HAM) Medan. http://repository.usu.ac.id/handle/123456789/37596.
Tyson, S., & Nightingale, P., (2004). The Effect of Possition on Oxigen Saturation in Acute Stroke: s Systematic review. Clinical Rehabilitation, 18, 863-871
Vincent, J. R., Parel, A., Martin, G, S., Rocca, D., Giorgio, Y., Bencit, P. (2011). Clinical Review: Update on Hemodynamic Monitoring- aconsensus of 16. Critical Care, 15 (4), 2-9. Doi: 10.1186/cc10291
Vollman, KM. (2010). ‘Introduction to progressive mobility’. Critical Care Nurse. vol.30, no.2, pp. 3–4
Winkelman C. Bed rest in health and critical illness: a body systems approach . AACN Adv Crit Care. 2009 ; 20 ( 3 ): 254-266 .
Woods, S.L., Froelicher, E.S.S., Motzer, S.U., & Bridges, E.J. (2010). Cardiac Nursing (6 ed). Philadelphia: Lippincott Williams and Wilkins
World Health Organization. 2015. Cardiovascular Diseases (CVDs) diupdate pada January 2015 dalam who.int.og.
Downloads
Published
How to Cite
Issue
Section
License
Submitted paper will be firstly reviewed by the editors to determine whether the paper meet the edition theme and submission guidelines. Papers which meet the theme and the guidelines will be assigned to selected reviewers for peer-reviews. Viva Medika: Jurnal Kesehatan, Kebidanan dan Keperawatan is a double blind peer-reviewed journal which involves reviewers based on their experties relevant to the topic of the paper. Final decision of paper acceptance is solely decided by the editors according to reviewers' comment.
Plagiarism and self-plagiarism are prohibited. Viva Medika: Jurnal Kesehatan, Kebidanan dan Keperawatan uses PlagiarismCheckerX and iThenticate to scan papers for detecting plagiarism. Thus, Appropriate citation and quotation should be used
.png)
.png){kind=small}
