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All Journal Jurnal Keperawatan Widya Gantari Indonesia Journal of Biomedical Sciences and Health
Purnaningsih, Enggar
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Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

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HUBUNGAN KEPATUHAN PENGGUNAAN “FORM AYO CEGAH EKSTRAVASASI” DENGAN KEJADIAN EKSTRAVASASI DI RSUP DR. KARIADI SEMARANG Purnaningsih, Enggar; Lestari, Ayuk Puji; Widodo, Agus; Dyah, Vera Pramuktining
Jurnal Keperawatan Widya Gantari Indonesia Vol 4, No 1 (2020): Jurnal Keperawatan Widya Gantari Indonesia
Publisher : Fakultas Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52020/jkwgi.v4i1.1620

Abstract

Sistem dokumentasi merupakan aspek penting dalam asuhan keperawatan termasuk permasalahan ekstravasasi yang merupakan efek samping kemoterapi. Peneliti menyusun Form Ayo Cegah Ekstravasasi yaitu lembar dokumentasi ekstravasasi awal yang meliputi form pengkajian ekstravasasi dan penatalaksanaan ekstravasasi di Rumah Sakit sedangkan lembar dokumentasi ekstravasasi lanjut meliputi form monitoring ekstravasasi dan form penatalaksanaan ekstravasasi di rumah. Penelitian ini bertujuan untuk mengetahui hubungan kepatuhan penggunaan Form Ayo Cegah Ekstravasasi dengan kejadian ekstravasasi. Penelitian ini merupakan penelitian analitik dengan pendekatan cross sectional. Sampel dari pasien diambil dengan menggunakan purposive convenience sampling dengan jumlah sampel sebanyak 170 pasien, sementara untuk perawat dilakukan total sampling. Hasil uji bivariat menunjukkan bahwa ada hubungan yang signifikan antara umur, jenis pembuluh darah, jenis obat kemoterapi, kepatuhan petugas dalam penggunaan form dan kepatuhan pasien dalam penggunaan form dengan kejadian ekstravasasi (p value < 0.05). Pada uji multivariat didapatkan hasil bahwa kepatuhan petugas dan kepatuhan pasien dalam pengisian form merupakan variabel yang dominan berpengaruh terhadap kejadian ekstravasasi dengan Odd Ratio sebesar 55.531 untuk kepatuhan perawat dan Odd Ratio sebesar 30.991 untuk kepatuhan pasien. Diharapkan Form Ayo Cegah Ekstravasasi dapat diimplementasikan sebagai strategi dalam menurunkan resiko ekstravasasi melalui sistem dokumentasi komprehensif pada pasien kanker yang menjalani kemoterapi.
Analysis of the Implementation of the "Gass Track Chemotherapy Program" As an Alternative Solution to Improve Oncology Services Ekowati, Sri Indah; Purnaningsih, Enggar
Journal of Biomedical Sciences and Health Vol. 3 No. 1 (2026)
Publisher : Universitas Karya Husada Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34310/jbsh.v3.i1.296

Abstract

Background: Timeliness in chemotherapy scheduling is essential in oncology practice. In Dr. Kariadi Hospital, increasing patient volume led to long waiting lists and treatment delays averaging 7 days. To address this issue, an innovation called "Gass Track," adapted from the fast-track system, was developed to accelerate chemotherapy services. Objective: This study aimed to analyze the implementation of the Gass Track chemotherapy program as an alternative solution to improve service efficiency and timeliness in oncology care at Dr. Kariadi Hospital, Semarang, Indonesia. Methods: This pre-post observational study used retrospective secondary data from January 2023 to June 2024, conducted at the Oncology Installation of Dr. Kariadi Hospital, Semarang. Individual patient-level chemotherapy delay data were extracted from medical records. Data were analyzed to compare chemotherapy delay distributions, patient flow, and service throughput between the pre-implementation (January May 2023) and post-implementation (June 2023 June 2024) periods. Results: A total of 8,479 programmed chemotherapy patients were recorded. Of 6,273 post-implementation patients, 509 (8.1%) received care via Gass Track. The median chemotherapy delay decreased from 7 days (IQR: 6 8) pre-implementation to 4 days (IQR: 3 5) post-implementation. A Mann-Whitney U test on individual patient-level data confirmed the reduction was statistically significant (U = 12,988,890; p < 0.001; rank-biserial r = 0.877, indicating a large effect). Monthly chemotherapy throughput increased by approximately 9.4% (from 441.2 to 482.5 patients/month). Conclusion: Gass Track improved patient flow, reduced delays, and supported timeliness in oncology chemotherapy services without requiring additional resources.
Co-Authors AGUS WIDODO Dyah, Vera Pramuktining Lestari, Ayuk Puji Sri Indah Ekowati