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Journal : Jurnal NERS

Left Lateral Positioning with Head Elevation Increase The Partial Pressure of Oxygen on Patients with Mechanical Ventilation Karmiza Karmiza; Muharriza Muharriza; Emil Huriani
Jurnal Ners Vol. 9 No. 1 (2014): April 2014
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (230.449 KB) | DOI: 10.20473/jn.v9i1.2979

Abstract

Introduction: Breathing literally means the movement of oxygen from the atmosphere and reach the cells and carbon dioxide into the atmosphere. Partial pressure of oxygen (pO2) is one of the important components in the process of respiration, especially in patients with mechanical ventilation. There are several interventions that can be performed in an effort to improve the ventilation, one of them is patients positioning: left lateral position with 30 degrees head elevation. This study aimed to determine the effect of left lateral position with 30 degrees head elevation to the value of partial pressure of oxygen in patients with mechanical ventilation in intensive care unit RSUP DR. M. Djamil Padang.Methods: This study was Pra Experiments with one group pretest posttest design. 15 samples taken by purposive sampling method. Data obtained by blood gasses analysis and it was conducted since May 8th untill June 5th, 2013. Univariate data presented in frequency distribution table, while the bivariate data using the paired T test. Result: Univariate analysis showed the value of the partial pressure of oxygen ( pO2 ) before intervention between 119-228 mmHg , while the value of the partial pressure of oxygen ( pO2 ) after intervention between 132-269 mmHg . Paired T test results showed a signifi cant difference between the value of the partial pressure of oxygen (pO2) before and after intervention (p = 0.040, p < 0.05 ).Discussion: The left lateral position with 30 degrees head elevation could increase the partial pressure of oxygen (pO2) in patients with mechanical ventilation.Results: The results of this study can be used for increasing the nursingcare quality of patients with mechanical ventilation in order to reduce the time of hospitalization. Further research on these positioning interventions can be developed for patients with primary respiratory problems or lung disease.
Kejadian Ventilator Associated Pneumonia (VAP) pada Klien dengan Ventilasi Mekanik Menggunakan Indikator Clinical Pulmonary Infection Score (CPIS) Dally Rahman; Emil Huriani; Ema Julita
Jurnal Ners Vol. 6 No. 2 (2011): Oktober 2011
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (236.77 KB) | DOI: 10.20473/jn.v6i2.3975

Abstract

Introduction: Ventilator Associated Pneumonia (VAP) is defined as nosocomial pneumonia that occurs 48 hours after using mechanical ventilation. The incident of VAP in Dr. M. Djamil Padang Hospital was still high when compared to other hospitals that reached only 9%. Nursing intervention that can be used to avoid VAP is endotracheal secretions suctioning. However, the results of the intervention has not been evaluated by using standardized measuring tool. The purpose of this study was to determine the description of signs differences of VAP on first and third day to clients with mechanical ventilation who were performed endotracheal secretions suctioning in ICU Dr. M. Djamil Hospital Padang 2011. Method: The type of this study was a descriptive analytic. The samples were 15 who had a mechanical ventilation during minimal 3 days. Respondents were derived by Accidental Sampling by using Simplified Version of CPIS as a measuring tool. The statistic test is paired t-test. Result: The result of this study showed that there was a significant difference of the signs of VAP on the first and the third day with p=0,048 (< 0.05). Discussion: There were significant difference on symptom of VAP in mechanically ventilated patient in day 1 and day 3. Simplified version of CPIS was sensitive in early determining VAP. Simplified Version of CPIS are expected to be included in standard procedures of patient management and assessment intervention of endotracheal secretions suctioning.
Co-Authors Aba, Delta Meda Abdullah, Khatijah Lim Affim, Yonna Agustin, Nia Mitra Aisya Rahmadhanty Arina Widya Murni Avit Suchitra Basmanelly Basnelly - Chan, Chong Mei Dally Rahman Darmawidyawati Darmawidyawati Debby Sinthania Dian Agusti Tanjung Dian Novita Putri Dian Novita Putri Didi Yunaspi Dini Tryastuti Dwi Novrianda Eka Rhestifujiayani, Eka Elvia Donny Harida Ema Julita Endang Sulistyowati Esi Afriyanti Fahmy, Rahmi Feki Surya Ardica Feri Fernandes Fety Septia Feronika Fitri Mailani Fitri, Tiya Rama Fitria, Yola Gusti Surmasih Hamzah Hamzah Harningsih, Nurfa Rahim Hema Malini Hema Malini, Hema Hendra - Hendria Putra Heni Pujiastuti Herien, Yelly Ilfa Khairina Indah Marzalia Putri Karmiza Karmiza Khatijah Binti Abdullah Khatijah Lim Abdullah Krisdianto, Boby Febri Kristanti Wahyuningtyas Lenggogeni , Devia Putri Lenggogeni, Devia Putri Leni Merdawati Lili Fajria Mahatir, Mahatir Maisa, Esthika Ariany Marza, Wirdhatul Vier Mery sepriani MISTATI NOVITASARI Muhammad Saleh Muharriza Muharriza Muharriza Muharriza, Muharriza Muliantino, Mulyanti Roberto Muthmainah Muthmainah Mutia Dwi Sagita Nasution, Salmi Dianita Neherta, Meri Nelwati Nelwati Nofrizon Nofrizon Nurfa Rahim Harningsih Nurul Huda Oktarina, Elvi P. Eko Prasetyo Putra, Ifon Driposwana Putri Suhaini R.Ade Sukarna Rachmania, Filosofie Rahmi Muthia Rahmi Muthia Rahmi Mutia Rahmi, Hidayatul Rahmiwati Rahmiwati Reni Prima Gusty Rika Fatmadona Rika Sabri Rika Sarfika Rike Gussanti Handayani Nasution Ritta Farma Roni Eka Saputra Rosalina Primarta Mesuri Sari, Adliah Wulan Sari, Lina Manda Selvi Marcellia Shinta Herlina Sidaria, Sidaria Siska Prima Olimviani Sovia Susianty Sri Idawati Sri Idawaty Suharizal, Suharizal Sumarsih, Gusti Susmiati Susmiati Tiurmaida Simandalahi Ucip Sucipto Vebby Fitri Nur&#039;arita Vebby Fitri Nur’arita Vebby Fitri Nur’arita Wati, Afdalina Rahmida Yanti Puspita Sari Yanti Puspita Sari Yesni, Marnila Yevri Zulfiqar Yonrizal Nurdin Yunita, Amanda Rahma Yutika Jasvita Zulkarnain Edward