Shobirun, Shobirun
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PENGARUH MOBILISASI PROGRESIF LEVEL I TERHADAP TEKANAN DARAH DAN SATURASI OKSIGEN PASIEN KRITIS DENGAN PENURUNAN KESADARAN Hartoyo, Mugi; Shobirun, Shobirun; Budiyati, Budiyati; Rachmilia, Rizqi
Jurnal Perawat Indonesia Vol. 1 No. 1 (2017): May 2017
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (74.785 KB) | DOI: 10.32584/jpi.v1i1.3

Abstract

AbstrakPasien yang dirawat di ruang Intensive Care Unit (ICU) merupakan pasien kritis yang dalam keadaan terancam jiwanya karena kegagalan atau disfungsi pada satu atau multipel organ yang disertai gangguan hemodinamik. Pasien kritis dalam keadaan penurunan kesadaran memiliki keterbatasan dalam mobilisasi, yang berdampak terhadap tekanan darah dan saturasi oksigen yang tidak stabil. Salah satu intervensi yang dapat dilakukan untuk menangani hal tersebut dengan mobilisasi progresif level I berupa head of bed, ROM, dan rotasi lateral. Penelitian ini bertujuan untuk mengetahui pengaruh mobilisasi progresif level I terhadap tekanan darah dan saturasi oksigen pada pasien kritis dengan penurunan kesadaran di ruang ICU. Metode penelitian ini menggunakan pra eksperimental dengan rancangan pre-test and post-test one group design. Responden penelitian ditetapkan dengan non probability sampling dengan metode total sampling. Penelitian dilaksanakan di ruang ICU pada 15 responden yang terdiri dari 10 responden perempuan dan 5 responden laki-laki dan memenuhi kriteria inklusi. Uji dependent t-test menunjukkan ada pengaruh mobilisasi progresif level I terhadap tekanan darah sistolik (p = 0,024), tekanan diastolik (p = 0,002), dan saturasi oksigen (p = 0,000). Mobilisasi Progresif Level I dapat meningkatkan tekanan darah dan saturasi oksigen pada pasien kritis dengan penurunan kesadaran. Mobilisasi Progresif Level I dapat dijadikan salah satu intervensi keperawatan untuk meningkatkan tekanan darah dan saturasi oksigen pasien kritis dengan penurunan kesadaran dengan tekanan darah di bawah normal. Kata kunci: Mobilisasi progresif level I, tekanan darah, saturasi oksigen, pasien kritis. AbstractThe effect of progressive level I mobilization on blood pressure and oxygen saturation in critical patients with decreased awareness. Patients who are treated in the Intensive Care Unit (ICU) are critical patients who are in danger of failure or dysfunction in one or multiple organs accompanied by hemodynamic disturbances. Critical patients in a state of reduced consciousness have limitations in mobilization, which have an impact on blood pressure and unstable oxygen saturation. One intervention that can be done to deal with this is with progressive level I mobilization in the form of head of bed, ROM, and lateral rotation. This study aims to determine the effect of progressive level I mobilization on blood pressure and oxygen saturation in critical patients with decreased awareness in the ICU. This research method uses pre-experimental design with pre-test and post-test one group design. Research respondents were determined by non-probability sampling with total sampling method. The study was conducted in the ICU room in 15 respondents consisting of 10 female respondents and 5 male respondents and met the inclusion criteria. The dependent t-test showed that there was an effect of progressive level I mobilization on systolic blood pressure (p= 0.024), diastolic pressure (p= 0.002), and oxygen saturation (p= 0.000). Level I Progressive Mobilization can increase blood pressure and oxygen saturation in critical patients with decreased consciousness. Level I Progressive Mobilization can be used as one of the nursing interventions to increase blood pressure and oxygen saturation of critical patients with decreased consciousness with below normal blood pressure. Keywords: Progressive level I mobilization, blood pressure, oxygen saturation, critical patients
The Effectiveness of Role Play on Knowledge and Skills of Spinal Injury Indications Evacuation Improvement Saputro, Mahmud Gunggung; Sudiro, Sudiro; Mahardini, Fina; Shobirun, Shobirun
JKG (JURNAL KEPERAWATAN GLOBAL) (JKG) Jurnal Keperawatan Global Volume 8 Number 2 Year 2023
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkg.v8i2.879

Abstract

Background: Spinal injuries are paralysis-causing injuries caused by trauma or disease processes. Members of the Youth Red Cross still have limited knowledge and abilities when it comes to evacuating signs of spinal cord injury. When it comes to performing first aid, knowledge and abilities are crucial. The role-playing approach is one of the methods used to improve knowledge and abilities. The research aimed to find out the effectiveness of role plays in developing knowledge and evacuation skills of spinal cord injury signs in SMAN 1 Ngemplak Youth Red Cross members. Methods: This study used a quasi-experimental design with a control group and a pretest-posttest design. Purposive sampling was employed using a sample of 40 respondents who were divided into two groups: 20 respondents in the control group and 20 respondents in the intervention group. A questionnaire and an observation sheet were utilized as part of the research instrument. On the knowledge variable, the independent t-test was utilized, and on the skill variable, the Mann-Whitney test was used. Results: Between the control and intervention groups, there were substantial differences in knowledge and skill factors. This is demonstrated by a significance value of 0.01 in the knowledge variable and a significance value of 0.023 in the skills variable. Conclusion: For Youth Red Cross SMAN 1 members, role play was effective in developing knowledge and skills of the evacuation of spinal cord injury indicators.