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All Journal Medika Kartika : Jurnal Kedokteran dan Kesehatan Jurnal Cakrawala Ilmiah
Nur Pudyastuti Pratiwi
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Humanities Dentistry Economics, Econometrics & Finance Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Public Health Social Sciences Veterinary Other

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PENATALAKSANAAN PNEUMONIA HOSPITAL PADA PERDARAHAN SUBARAKNOID Arief Kurniawan; Nur Pudyastuti Pratiwi
Medika Kartika : Jurnal Kedokteran dan Kesehatan Vol 5 No 2 (2022): Medika Kartika : Jurnal Kedokteran dan Kesehatan
Publisher : Fakultas Kedokteran Universitas Jenderal Achmad Yani

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Abstract

Ekstravasasi darah ke rongga subaraknoid yang menyebabkan kedaruratan neurologis disebut perdarahan subaraknoid memiliki mortalitas dan morbiditas besar. Aneurisma serebral adalah penyebab paling sering perdarahan subaraknoid nontraumatik. Seorang wanita 73 tahun mengalami penurunan kesadaran satu jam sebelum masuk Rumah Sakit Dustira Cimahi. Pasien didiagnosis perdarahan subaraknoid, perdarahan intraventikuler karena ruptur aneurisma di tip basiler, hipertensi dalam terapi, epilepsi dalam terapi, immune thrombocytopenic purpura, dan hiperglikemia reaktif dd diabetes melitus tipe II. Pasien menjalani operasi eksternal ventricular drainage dalam anestesi umum. Terapi yang diberikan pascabedah adalah head up 300 dengan dukungan ventilator, ceftriakson, parasetamol, morfin, perdipin, manitol, kalnex, trileptal dan vitamin K. Pasien berhasil sapih ventilator pada hari ke-15 dan pindah ke bangsal pada hari ke-16 dengan nilai Glasgow Coma Scale E3M5V5. Pasien mengalami komplikasi pascabedah berupa pneumonia hospital yang memperberat kondisi pasien. Penatalaksanaan pneumonia hospital meliputi dukungan pernapasan, pemberian antibiotika dan obat-obatan suportif lainnya. Tatalaksana pneumonia hospital sudah sesuai pedoman Infectious Disease Society of America 2016 dan Acute Respiratory Distress Syndrome Guideline 2019, namun kondisi komorbid kronis dan umur tua turut meningkatkan morbiditas pasien ini. DOI : 10.35990/mk.v5n2.p220-232
HUBUNGAN KUNJUNGAN PRABEDAH TERHADAP KEPUASAN PASIEN DI RUMAH SAKIT DUSTIRA CIMAHI Arief Kurniawan; Budi Santoso; Nur Pudyastuti Pratiwi
Jurnal Cakrawala Ilmiah Vol. 3 No. 9: Mei 2024
Publisher : Bajang Institute

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Abstract

Preoperative visits have become part of clinical practice in many hospitals. Preoperative visits aim to provide information to patients about the surgical and anesthesia procedures that will be performed. This study aims to explore the relationship between preoperative visits and patient satisfaction to improve the quality of health services. This research method uses an observational descriptive approach through questionnaires to elective surgery patients at Dustira Hospital Cimahi. There were 543 patients undergoing surgery under anesthesia during April 2024, while 215 patients met the inclusion criteria and completed the questionnaire. Based on the sample characteristics, the majority of patients were women (54.9%), followed by the age group of 31-45 years (44.2%), undergoing major surgery (63.3%), and general anesthesia (57.2%). Patient satisfaction levels, when correlated with sample characteristics, showed that highly satisfied patients were male, aged 46-60 years, underwent minor surgery, and received general anesthesia, while other groups were at satisfactory levels. Patient satisfaction based on the questionnaire showed that most patients were satisfied with the service, with the highest order being satisfied (55.8%), followed by highly satisfied (37.4%), neutral (13.5%), and dissatisfied (8.1%). Patients felt satisfied and highly satisfied with anesthesia and surgical services, while no patients felt dissatisfied. This condition indicates that preoperative visits can increase patient satisfaction
Co-Authors Arief Kurniawan Budi Santoso