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Sukirno Sukirno
Perpustakaan Fak. Kedokteran UGM Yogyakarta
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Journal : Manuju : Malahayati Nursing Journal

 1 
Evaluasi Terhadap Penggunaan Protokol Airway Breathing Circulation pada Pasien Syok Baso, Yusriani Saleh; Sukirno, Sukirno
Malahayati Nursing Journal Vol 7, No 9 (2025): Volume 7 Nomor 9 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i9.21844

Abstract

ABSTRACT Circulatory disorders are one type of emergency condition that is often found in the IGD so that it requires fast and appropriate assistance. Shock is a clinical condition due to inadequate tissue perfusion. The ABC protocol is a systematic and structured approach that is very important in handling emergency patients, including shock patients. The method used is descriptive observational. The population is all IGD nurses and a sample of 30 nurses who work on morning and afternoon shifts. Data collection using observation sheets according to standard operating procedures for the management of shock patients compiled based on the American Heart Association (AHA) and PPNI guidelines, and was carried out for 2 (two) weeks. The protocol was carried out well with the results of checking airway patency 56.6%, Performing the head-tilt chin-lift maneuver correctly 43.3%, Providing oxygen correctly 63.3%, Monitoring oxygen saturation 36.6, Checking pulse and initial blood pressure 53.3%, IV access, fluid administration and re-evaluation 46.4%. The results of the study showed that most nurses implemented the ABC protocol well, but there were several factors that influenced the ABC protocol not being carried out properly, namely: high workload, limited resources and nurses not working according to standard operating procedures. Another thing that influenced the ABC protocol was the lack of understanding of nurses regarding standard operating procedures. The evaluation showed that the implementation of the ABC protocol by IGD nurses was good, but not yet fully optimal, especially in terms of airway and follow-up monitoring. Continuous training, routine clinical audits and direct surveys are needed, and increased awareness of the importance of early stabilization according to the protocol. Keywords: Airway, Breathing, Circulation, Shock  ABSTRAK Gangguan sirkulasi adalah salah satu jenis kondisi gawat darurat yang sering dijumpai di IGD sehingga membutuhkan pertolongan yang cepat dan tepat. Syok adalah suatu keadaan klinis akibat perfusi jaringan yang tidak adekuat. Protokol ABC merupakan pendekatan sistematis dan terstruktur yang sangat penting dalam penanganan pasien gawat darurat tidak terkecuali pada pasien syok. Metode yang dilakukan adalah deskriptif observasional. Populasi seluruh perawat IGD dan sampel sebanyak 30 perawat yang bertugas pada sift pagi dan sore. Pengumpulan data menggunakan lembar observasi sesuai standar prosedur operasional penatalaksanaan pasien syok yang susun berdasarkan pedoman American Heart Association (AHA) dan PPNI, dan dilakukan selama 2 (dua) minggu. Protokol dilakukan  baik dengan hasil:memeriksa patensi jalan napas 56,6%, melakukan manuver head-tilt chin-lift secara tepat 43.3%, memberikan oksigen dengan benar 63,3%, melakukan pemantauan saturasi oksigen 36,6, pemeriksaan nadi dan tekanan darah awal 53,3%, Akses IV,pemberian cairan dan evaluasi ulang 46,4%. Hasil penelitian menunjukkan sebagian besar perawat melaksanakan protokol ABC dengan baik, Namun ada beberapa faktor yang mempengaruhi protokol ABC tidak dilakukan dengan tepat yaitu: beban kerja yang tinggi, keterbatasan sumber daya dan perawat tidak bekerja sesuai  standar prosedur operasional, Hal lain yang mempengaruhi protokol ABC adalah kurangnya pemahaman perawat terhadap standar prosedur operasional. Evaluasi menunjukkan bahwa penerapan protokol ABC  oleh perawat IGD sudah baik, namun belum sepenuhnya optimal terutama dalam hal airway dan monitoring lanjutan. Diperlukan pelatihan berkelanjutan, audit klinis dan survey langsung secara rutin, dan peningkatan kesadaran pentingnya stabilisasi awal sesuai protokol. Kata Kunci: Airway, Breathing, Circulation, Syok
Co-Authors A, Hafidza Ulfa A. B. Tjandrarini Abdul Rahim Abdullah Taman Abdurrohim Abdurrohim, Abdurrohim Aca, Rukman Adeng Pustikaningsih Adi, Hanindyo Aditya Probo Saputro Adriyani, Fitri Adya Paramita Prabandari Afrida Putritama Agatha Saputri Agung Basuki Prasetyo, Agung Basuki Al Hafiz, M. Alamsyah, Rizky Aldawood, Abdulrahman Saad Alfarisi, Muhammad Tsalman Algifari, M. Alsubiatun, Arif Armadani Amelia Pertiwi, Nur Amsanah, Amsanah Andhika Puspito Nugroho Andiki, Febri Andriwibowo, Andriwibowo Annisa Ratna Sari Anung, Anung Apianta, Reydiki Ardhana, Yudistira Ari Nidhi Astuti Ariyanto, Resa Arju Susanto Arpangi Arpangi, Arpangi Athaullah, Axel Atmaja, Cornelius Devito Aulawi, Hanif Azzajjad, Muhammad Fath Baso, Yusriani Saleh Brian Dwi Saputro Budi Harjanto BUDI SETIADI DARYONO Budi Tiara Novitasari Cahya, Ratna Cahyo Figur Satrio, Wilopo carmidah, carmidah Dede Hermawan Dewi Amaliah Nafiati Dhyah Setyorini Dian Juliani Diana Rahmawati Divie Dantha Dewi Djohar, Ahnaf Fa’iz Dwiyanto Dwiyanto, Dwiyanto Eko Suroso Emawati, Heni Endang Mulyani Er, Luthvi Rachman Erlinda Kusuma Wardani Etika Rahmawati Euis Sustini Fadriani, Hetty Falatah, Hamzah Faid Faresta, Rangga Alif Farzan, Amrin Fathur Rohman, Muhammad Iqbal Fauzi, Habal Fauziah, Rizkia Firdaus, Ahmad Ferdi Fisimar, Farhan Al Fuad Achmadi Givy Devira Ramady Hafizha A, Faishal Hakim, Mizanul Hanani, Tri Hari Purwanto Harun Sitompul Haryadi - Haryanto, Fahrani Almira Rizkya Hendri Hermawan Adinugraha Heni Pujiastuti Heri Kurniawan, Heri Hermawaty, Hermawaty Hermin Indah Wahyuni Hesty Arlich Arifiyani Hidayat, Danih Jian Horasdia Saragih Huda, Muhammad Chairul Huddin, Muhammad Nurhaula Iman Hidayat INDRIYATI, SRI Irma Cahyaningtyas, Irma Irma Dewi Isda Iyakrus Jaya, Intan Purnama Joni Iskandar, Joni Juljana Luturmas, Asnat Jumani, Jumani Junaidi, Teuku Kamil, Roid Karsani Apriliyadi, Eki Khabib Sholeh Khikmawanto, Khikmawanto Kiromim Baroroh Kuntoro Kuntoro L. Hartanto Nugroho La Ode Ali Imran Ahmad, La Ode Ali Imran Laeli Budiarti Laksita, Arin Dea M. Aditya Indra Kesuma, M. Aditya Indra M. Astro, Hendarwin Ma'rufah, Hastini Ma’mun, Sukron Madani, M Fikri Haikal Mahardika, Andrew Ghea Mahendra Adhi Nugroho Maolana, Ikhsan Marjanah, Marjanah Marpaung, Dewi Natalia Ma’mun, Sukron Mega Dewanti, Pinanti Mega Rahayu Misri Gozan Mohammad Fakhrudin Mohammad Nasikin Mugiarti, Rizka Fitriani Muhammad Khoirul Fikri Muhammad Luthfi Muhammad Sandi Arimawan Muhammad Taufik Hidayat Muharudin, Eko Mukhtotib Mukhtotib, Mukhtotib Murti, Baiq Dwi Mutsanna, Hasan Nafiudin Nafiudin, Nafiudin Nanang Surachman, Diki Ngadirin Setiawan Nijar, Afnan Farhan Ningsih, Adeng Pustika Novialumi, Anita Nuriana, Nuriana Nurrahman, Arief Paramita Prananingtyas Patriani Wahyu Dewanti Pongkendek, Jesi Jecsen Prabowo, Hanindyo Adi Pramudita, Marta Pratiwi, Dwi Setyo Probowasito, Taufik Prsetyo, Muhamad Guntur Putra, Luthfie Novansa Putri, Titania Saskia Qusayri, Muhammad R.C. Hidayat Soesilohadi Rachmini Saparita Rahayu Rahayu Rahayu, Esmi Warassih Pudji Rahmat Ramadhan Rahmayetty, Rahmayetty Rajli, Firstnanda Fattan Al Ramadani, Arfah Ramadhan, Dikri Ramadhan, Risan Ramadi, Givy Devira Ramdani, Rika Rani Andriani, Rani Ridwan, Daenuri Riyatno, Jagi Rizki, Azrul rohmah, rohmah Rosidi Rosidi ROSMALINA ROSMALINA, ROSMALINA Rostika Flora RR. Ella Evrita Hestiandari Safari Tamba, Rousdy Safarudin, Andi Saidah, Ati Salamatul Afiyah Samin Samin Saputra, Beny Dwi Sari, Afriana Septiawan, Adi Shaputra, Roni Zakaria Sianturi , Donmarth Sinaga, Amran Jahot Siti Nursaadah, Siti Siti Sumarmi Sopyan, Alif Wahyu Sosrohadi, Somadi Sri Lestari, Ninik Sri Murniasih Sri Wahyu Ananingsih Subawi, Handoko Subiastuti, Aprilia Sufi Suci Aulia, Andis Sudaryatno Sudaryatno Suhana, Asep Sukandi, Ganjar Kurniawan Sumaeni, Baiq Susanto, Arju SUWARNO HADISUSANTO Thariq, Muhammad Tiffani, Michell Tirkaamiana, Muhammad Taufan Titik Haryati Tjipto Leksono Tri Nurhidayah, Tri Triguna, M Ivan Tyesta Addy Listya Wardhani, Lita Usada, Sinnta Utami, Luh Putu Juwita Vani Arnelita Wahid Wachyu Adi Winarto Wahyu Wibowo Wahyu, Indra Dwi Wahyuni, Anggun Wahyuningtyas, Nunuk Waluyo Waluyo Wardana, Khansadhia Afifah Wibowo, Lalitya Nareswari Widiawati, Kristiana Wiladiyah, Lala Willa Permatasari, Raden Winata, Siti Dewi Wirjawan, Agung Ys, Herawati Zulkarnayn, Muhamad Ilham Zurrahmi, Hafi