Panduan Penulisan
Penerapan Therapeutic Positions terhadap Parameter Vital Signs Pasien Stroke di Rumah Sakit Pusat Otak Nasional Prof. Dr. Dr. Mahar Mardjono Jakarta
Sari
ABSTRACT
This study aims to determine the application of therapeutic positions to the vital signs parameters of stroke patients at the Prof. Dr. National Brain Center Hospital. Dr. Mahar Mardjono Jakarta. This research is an application of Evidence-Based Nursing which was applied to 12 respondents. Each patient in the study group was positioned in various therapeutic positions every 2 hours following a semi-fowler's rotating schedule, lying on their side to the healthy side (Unaffected Side Position), lying on their back (Supine Position), and lying on their side to the side with hemiparesis or hemiplegia (Affected Side Position). Based on the results, the average systolic blood pressure decreased on the second post-intervention day (day 2) with a mean of 124.08 and a standard deviation of 3,147, while the diastolic mean was not much different from the first day, namely 83.17 and a standard deviation of 2,657. The average heart rate on the second-day post-intervention decreased with a mean of 84.92 and a standard deviation of 0.900. In the respiration rate variable, the decrease in the mean value post-intervention on the second day was 15.33 (standard deviation 0.888). The mean value for oxygen saturation levels (SPO2) with the mean post-test value on the second day was 99.75 (standard deviation 0.452). So it can be concluded that providing therapeutic positions intervention can reduce blood pressure, heart rate, and respiration rate and increase oxygen saturation.
Keywords: Therapeutic Positions, Vital Signs
ABSTRAK
Penelitian ini bertujuan untuk mengetahui Penerapan Therapeutic Positions Terhadap Parameter Vital Signs Pasien Stroke Di Rumah Sakit Pusat Otak Nasional Prof Dr. dr. Mahar Mardjono Jakarta. Penelitian ini merupakan Penerapan Evidence-Based Nursing yang diterapkan pada 12 responden. Setiap pasien dalam kelompok studi diposisikan pada berbagai posisi terapeutik setiap 2 jam dengan mengikuti jadwal berputar seperti semi fowler's, berbaring miring ke sisi yang sehat (Unaffected Side Position), berbaring terlentang (Supine Position) dan berbaring miring ke sisi yang hemiparesis atau hemiplegia (Affected Side Position). Berdasarkan hasil bahwa rata-rata tekanan darah sistole terjadi penurunan pada post intervensi hari kedua (day 2) dengan mean 124.08 dan standar deviasi 3.147, sedangkan diastole diperoleh mean yang tidak berbeda jauh dengan hari pertama yaitu 83.17 dan standar deviasi 2.657. Rata-rata heart rate post intervensi hari kedua terjadi penurunan dengan mean 84.92 dan standar deviasi 0.900. Pada variabel respiration rate diperoleh penurunan untuk nilai mean post intervensi hari kedua adalah 15.33 (standar deviasi 0.888). Nilai mean pada kadar saturasi oksigen (SPO2) dengan nilai mean post-test hari kedua 99.75 (standar deviasi 0.452). Pemberian intervensi therapeutic positions dapat menurunkan tekanan darah, heart rate, respiration rate dan meningkatkan saturasi oksigen.
Kata Kunci: Posisi Terapeutik, Tanda-Tanda Vital
Teks Lengkap:
Download ArtikelReferensi
Ahangar, A. A., Saadat, P., Alijanpour, S., Galeshi, M., Hosseinalipour, S., & Gholinia, H. (2018). Post Ischemic Stroke Complication: How Much Nursing Diagnosis are Confirms by Neurologist? Journal of Patient Care, 04(02). https://doi.org/10.4172/2573-4598.1000140
Ali, G., Ahmed, A., & Mohamed Zaky, H. (2021). Effect of Changing Selected body Positions on Oxygen Saturation among Patients with Acute Stroke. Minia Scientific Nursing Journal, 009(1), 71–78. https://doi.org/10.21608/msnj.2021.188500
Ahangar, A. A., Saadat, P., Alijanpour, S., Galeshi, M., Hosseinalipour, S., & Gholinia, H. (2018). Post Ischemic Stroke Complication: How Much Nursing Diagnosis are Confirms by Neurologist? Journal of Patient Care, 04(02). https://doi.org/10.4172/2573-4598.1000140
Ali, G., Ahmed, A., & Mohamed Zaky, H. (2021). Effect of Changing Selected body Positions on Oxygen Saturation among Patients with Acute Stroke. Minia Scientific Nursing Journal, 009(1), 71–78. https://doi.org/10.21608/msnj.2021.188500
Amila et al. (2019). Pencegahan Stroke Berulang Melalui Pemberdayaan Keluarga Dan Modifikasi Gaya Hidup. Jurnal Abdimas, 22(2), 143–150.
Anderson, C. S., & Olavarría, V. V. (2019). Head Positioning in Acute Stroke: Down but Not out. Stroke, 50(1), 224–228. https://doi.org/10.1161/STROKEAHA.118.020087
Benjamin, E. J., Muntner, P., Alonso, A., Bittencourt, M. S., Callaway, C. W., Carson, A. P., Chamberlain, A. M., Chang, A. R., Cheng, S., Das, S. R., Delling, F. N., Djousse, L., Elkind, M. S. V., Ferguson, J. F., Fornage, M., Jordan, L. C., Khan, S. S., Kissela, B. M., Knutson, K. L., … Virani, S. S. (2019). Heart Disease and Stroke Statistics-2019 Update: A Report From the American Heart Association. In Circulation (Vol. 139, Issue 10). https://doi.org/10.1161/CIR.0000000000000659
Boehme, A. K., Esenwa, C., & Elkind, M. S. V. (2017). Stroke Risk Factors, Genetics, and Prevention. Circulation Research, 120(3), 472–495. https://doi.org/10.1161/CIRCRESAHA.116.308398
Brunser, A. M., Muñoz Venturelli, P., Lavados, P. M., Gaete, J., Martins, S., Arima, H., Anderson, C. S., & Olavarría, V. V. (2016). Head position and cerebral blood flow in acute ischemic stroke patients: Protocol for the pilot phase, cluster randomized, Head Position in Acute Ischemic Stroke Trial (HeadPoST pilot). International Journal of Stroke, 11(2), 253–259. https://doi.org/10.1177/1747493015620808
Chandra, A., Stone, C. R., Li, W. A., Geng, X., & Ding, Y. (2017). The cerebral circulation and cerebrovascular disease II: Pathogenesis of cerebrovascular disease. Brain, 3(2), 57–65. https://doi.org/10.4103/bc.bc_11_17
Crapser, J., Ritzel, R., Verma, R., Venna, V. R., Liu, F., Chauhan, A., Koellhoffer, E., Patel, A., Ricker, A., Maas, K., Graf, J., & McCullough, L. D. (2016). Ischemic stroke induces gut permeability and enhances bacterial translocation leading to sepsis in aged mice. Aging, 8(5), 1049–1063. https://doi.org/10.18632/aging.100952
El-moaty, A. M. A., El-mokadem, N. M., & Abd-elhy, A. H. (2017). Effect of Semi Fowler ’ s Positions on Oxygenation and Hemodynamic Status among Critically Ill Patients with Traumatic Brain Injury. Novelty Journals, 4(2), 227–236.
Faridah, A. A., Noor Istiqomah, I., Kurnianto, S., & Khovifah, N. (2022). The Effectiveness of Range of Motion (ROM) on Increasing Muscle Strength in Stroke Patients: Literature Review. Nursing and Health Sciences Journal (NHSJ), 2(2), 137–142. https://doi.org/10.53713/NHS.V2I2.118
Grysiewicz, R. A., Thomas, K., & Pandey, D. K. (2008). Epidemiology of Ischemic and Hemorrhagic Stroke: Incidence, Prevalence, Mortality, and Risk Factors. Neurologic Clinics, 26(4), 871–895. https://doi.org/10.1016/j.ncl.2008.07.003
Handayani, F. (2012). Angka Kejadian Serangan Stroke Pada Wanita Lebih Rendah Daripada Laki-Laki. Keperawatan Medikal Bedah, 1(1), 75–79.
Helen, M., Evilianti, M., & Juita, R. (2021). The Effect of Active Range of Motion (ROM) Training on Muscle Strength of Non-Hemorrhagic Stroke Patients in BIDDOKKES Polda Metro Jaya. Nursing and Health Sciences Journal, 1(1), 74–77. https://doi.org/10.53713/NHS.V1I1.22
Herisson, F., Godard, S., Volteau, C., Le Blanc, E., Guillon, B., Gaudron, M., Schunk, A., Rouaud, V., De Gaalon, S., Marc, G., Ollivier, Y., Legout, A., Urbanczyk, C., Vaduva, C., Bourdaud, L., Bodic, P., Bertout, C., Doury, E., Breuilly, C., … Allibert, R. (2016). Early sitting in ischemic stroke patients (SEVEL): A randomized controlled trial. PLoS ONE, 11(3), 1–13. https://doi.org/10.1371/journal.pone.0149466
Holmegard, H. N., Nordestgaard, B. G., Jensen, G. B., Tybjaerg-Hansen, A., & Benn, M. (2016). Sex hormones and ischemic stroke: A prospective cohort study and meta-analyses. Journal of Clinical Endocrinology and Metabolism, 101(1), 69–78. https://doi.org/10.1210/jc.2015-2687
Irman, I., Natashia, D., & Gayatri, D. (2021). Stimulasi Auditori Menggunakan Murottal terhadap Vital Signs Pasien Stroke Fase Akut. Jurnal Keperawatan Silampari, 4(2), 625–633. https://doi.org/10.31539/jks.v4i2.1926
Janus-Laszuk, B., Mirowska-Guzel, D., Sarzynska-Dlugosz, I., & Czlonkowska, A. (2017). Effect of medical complications on the after-stroke rehabilitation outcome. NeuroRehabilitation, 40(2), 223–232. https://doi.org/10.3233/NRE-161407
Jx, S., David, M., & Werring, J. (2020). Stroke: causes and clinical features. Stroke: Causes and Clinical Features, 561–566.
Keputusan Menteri Kesehatan Republik Indonesia, 1 (2019).
Logan, A., Freeman, J., Kent, B., Pooler, J., Creanor, S., Vickery, J., Enki, D., Barton, A., & Marsden, J. (2018). Standing Practice In Rehabilitation Early after Stroke (SPIRES): A functional standing frame programme (prolonged standing and repeated sit to stand) to improve function and quality of life and reduce neuromuscular impairment in people with severe sub-acu. Pilot and Feasibility Studies, 4(1), 1–18. https://doi.org/10.1186/s40814-018-0254-z
McCoy, C. E., Langdorf, M. I., & Lotfipour, S. (2018). American Heart Association/American Stroke Association deletes sections from 2018 stroke guidelines. Western Journal of Emergency Medicine, 19(6), 947–951. https://doi.org/10.5811/westjem.2018.9.39659
Mohammed, H., & El-Sayed, Z. (2022). Effect of Different Therapeutic Positions on Selected vital Parameters among Patients with Stroke: Randomized Control Trial. Assiut Scientific Nursing Journal, 10(30), 95–107. https://doi.org/10.21608/asnj.2022.130187.1351
Mohyeldin, D., Mohamed, B., & Babiker, N. E. (2021). Journal of Drug Delivery and Therapeutics Estimation of Fibrinogen Level among Ischemic Stroke Patients in Khartoum State-2021. 11, 132–139.
Polcaro, P., Casamorata, F., Macchi, C., Cecchi, F., & Poggesi, A. (2020). diagnostics Comparison between Ischemic and Hemorrhagic Strokes in Functional Outcome at Discharge from an Intensive Rehabilitation Hospital. https://doi.org/10.3390/diagnostics11010038
Soto-Cámara, R., González-Bernal, J. J., González-Santos, J., Aguilar-Parra, J. M., Trigueros, R., & López-Liria, R. (2020). Age-related risk factors at the first stroke event. Journal of Clinical Medicine, 9(7), 1–12. https://doi.org/10.3390/jcm9072233
Tsao, C. W., Aday, A. W., Almarzooq, Z. I., Alonso, A., Beaton, A. Z., Bittencourt, M. S., Boehme, A. K., Buxton, A. E., Carson, A. P., Commodore-Mensah, Y., Elkind, M. S. V., Evenson, K. R., Eze-Nliam, C., Ferguson, J. F., Generoso, G., Ho, J. E., Kalani, R., Khan, S. S., Kissela, B. M., … Martin, S. S. (2022). Heart Disease and Stroke Statistics-2022 Update: A Report from the American Heart Association. In Circulation (Vol. 145, Issue 8). https://doi.org/10.1161/CIR.0000000000001052
Venketasubramanian, N., Yoon, B. W., Pandian, J., & Navarro, J. C. (2017). Stroke epidemiology in south, east, and south-east asia: A review. Journal of Stroke, 19(3), 286–294. https://doi.org/10.5853/jos.2017.00234
Wahyuni, E. et. al. (2022). Sleep Hygiene Education untuk Menurunkan Insomnia dan Peningkatan Kualitas Tidur Wanita. Jurnal Penelitian Kesehatan “SUARA FORIKES” (Journal of Health Research “Forikes Voice”), 13(0), 46–52. https://doi.org/10.33846/SF13NK309
wahyuni, E., Masyitha Irwan, A., Kadar Fakultas Keperawatan, K. S., Hasanuddin, U., Indah, T., Tamalanrea, K., Makassar, K., & Selatan, S. (2021). Model Intervensi Pengurangan Garam Pada Penderita Hipertensi. http://journal.stikeskendal.ac.id/index.php/Keperawatan
Wen, T., Liu, B., Wan, X., Zhang, X., Zhang, J., Zhou, X., Lau, A. Y. L., & Zhang, Y. (2018). Risk factors associated with 31-day unplanned readmission in 50,912 discharged patients after stroke in China. BMC Neurology, 18(1), 1–11. https://doi.org/10.1186/s12883-018-1209-y
Westerlind, E., Persson, H. C., & Sunnerhagen, K. S. (2017). Return to work after a stroke in working age persons; a six-year follow up. PLoS ONE, 12(1), 1–14. https://doi.org/10.1371/journal.pone.0169759
DOI: https://doi.org/10.33024/mahesa.v4i5.14389
Refbacks
- Saat ini tidak ada refbacks.
Publisher: Universitas Malahayati Lampung
Semua artikel dapat digunakan dibawah lisensi Creative Commons Attribution-ShareAlike 4.0 International License
kostenlose besucherzähler