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All Journal Jurnal Keperawatan The Journal of Experimental Life Sciences (JELS) Indonesian Journal of Cardiology Majalah Patologi Indonesia Indonesian Journal of Clinical Pathology and Medical Laboratory (IJCPML) Journal of Nursing Science Update Journal of Global Pharma Technology Jurnal Penelitian Sains dan Kesehatan Avicenna
Djanggan Sargowo
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

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Journal : Journal of Nursing Science Update

 1 
PERBEDAAN KEBERHASILAN TERAPI FIBRINOLITIK PADA PENDERITA ST-ELEVATION MYOCARDIAL INFARCTION (STEMI) DENGAN DIABETES DAN TIDAK DIABETES BERDASARKAN PENURUNAN ST-ELEVASI Ni Made Dewi Wahyunadi; Djanggan Sargowo; Tony Suharsono
Journal of Nursing Science Update (JNSU) Vol. 5 No. 1 (2017)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1527.591 KB)

Abstract

ST-elevation myocardial infarction (STEMI) adalah kondisi yang terjadi akibat rupturnya plak aterosklerosis yang menyebabkan oklusi total pada arteri koroner. Salah satu tindakan reperfusi yang dapat dilakukan pada pasien STEMI adalah pmberian fibrinolitik yang sebaiknya diberikan dalam waktu <12 jam setelah munculnya nyeri dada. Keberhasilan terapi fibrinolitik dapat dipengaruhi oleh beberapa hal salah satunya adalah pasien menderita diabetes atau tidak. Tujuan penelitian ini adalah membedakan keberhasilan terapi fibrinolitik pada penderita STEMI dengan diabetes dan tidak diabetes berdasarkan penurunan ST-elevasi. Metode dalam penelitian ini analitik observasional dengan pendekatan cross sectional prospective. Jumlah sampel 34 responden diambil dengan pendekatan consecutive sampling. Pengukuran dilakukan dengan cara observasi langsung ke pasien dan mengobservasi catatan rekam medis pasien STEMI dengan diabetes dan tidak diabetes diemergensi jantung PJT RSUP Sanglah Denpasar, ICCU RSUD Badung dan ICU BRSU Tabanan. Uji analisis yang digunakan untuk membedakan keberhasilan terapi fibrinolitik pada penderita STEMI dengan diabetes dan tidak diabetes adalah uji Fisher. Hasil analisis uji Fisher menunjukkan bahwa terdapat perbedaan keberhasilan terapi fibrinolitik yang signifikan pada pasien diabetes dan tidak diabetes (p<0.000), dimana keberhasilan terapi fibrinolitik pada pasien diabetes (10%) lebih sedikit dibandingkan pada pasien yang tidak diabetes (79%). Dapat disimpulkan bahwa terdapat perbedaan keberhasilan terapi fibrinolitik yang signifikan pada pasien diabetes dan tidak diabetes, dimana dalam penelitian ini keberhasilan terapi fibrinolitik ini kemungkinan juga dipengaruhi oleh waktu pemberian fibrinolitik dan faktor resiko STEMI lain yang dialami oleh pasien seperti hipertensi, obesitas, hiperlipidemia dan merokok.Kata kunci: STEMI, terapi fibrinolitik, diabetes dan tidak diabetes, penurunan ST-elevasi
PATIENT'S CHEST DISCOMFORT ASSOCIATED WITH DELAY IN REPERFUSION THERAPY ACUTE CORONARY SYNDROME Elizabeth Yun Yun Vinsur; Djanggan Sargowo; Tony Suharsono
Journal of Nursing Science Update (JNSU) Vol. 6 No. 1 (2018)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (113.088 KB) | DOI: 10.21776/ub.jik.2018.006.01.13

Abstract

 Acute Coronary Syndrome (ACS) is a group of symptoms that are classify as unstable angina (ATS), ST-Segment Elevation Myocardial Infarction (STEMI) and non ST-Segment Elevation Myocardial Infarction (NSTEMI). Main objective to provide timely reperfusion therapy is essential to improve survival. Initial and rapid intervention after the occurrence of coronary artery disease is associated with better clinical outcomes, but it is hampered by the nature of the patient's seeking decisions Patients expect the type of heart attack they often see in medical movies and television: like chest pain that grips and causes it to fall to the floor. This study aims to analyze the chest discomfort experienced by patients associated with delay in reperfusion therapy of Acute Coronary Syndrome. The method used is observational analytic with cross sectional approach. Nonprobability sampling with time quota technique obtained sample of 60 respondents. The results obtained as many as 55% of patients come more than 120 minutes after the onset of discomfort in the chest. The patient's delay in coming to the associated hospital is an accompanying symptom factor at onset with p = 0.048, and OR = 4.596 (1.014-20.828). There were no significant differences in the scores of knowledge, behavior, and beliefs based on the ACS response index between patients who came <120 minutes and> 120 minutes. The conclusions of this study present the accompanying symptom presentations at onset with the time interval between the appearances of the SKA symptoms until arriving at the IGD door. Seeing the results of this study suggests the need for efforts from medical staff to optimize the interpretation of "chest pain characteristics" to patients and families or who are susceptible about specific and non-specific cardiac signs. Keywords: acute coronary syndrome, prehospital delay, onset to door, reperfusion
Co-Authors ADITYA KURNIAWAN Andi Wahjono Angliana Chouw Dadang Hendrawan Dwi Laksono Adiputro Dwi Sarbini Elizabeth Yun Yun Vinsur Ferry Sandra Fida Rasidah Heni Pujiastuti Ika Kustiyah Oktaviyanti Jayarani Fatimah Putri Karyono Mintarum Lalu Aries Fahrozi M Aris Widodo M Saifur Rohman Mifetika Lukitasari Miryanti Cahyaningtias Mohammad Aris Widodo Muhammad Saifur Rohman Muhtar Khudori Ni Made Dewi Wahyunadi Paramita Viantry Rachmad Romdoni Rina Yudha Rusdianto Rusdianto Saifur Rohman Sasmojo Widito Tony Suharsono vitriyaturrida vitriyaturrida widodo Ph.D yanna indrayana Yanni Dirgantara Yudi Her Oktaviono, Yudi Her