Noviana Nur Zaidah
Universitas Kusuma Husada Surakarta

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PENGARUH PEMASANGAN NIV (NON INVASIVE VENTILATION) DAN HFNC (HIGH FLOW NASAL CANNULA) TERHADAP FREKUENSI NAFAS DAN SATURASI OKSIGEN PADA PASIEN HAPPY HIPOXIA TERKONFIRMASI COVID-19 Wahyu Rima Agustin; Sutiyo Dani Saputro; Noviana Nur Zaidah; S Susilowati
Jurnal Kesehatan Kusuma Husada Vol. 14 No. 2, Juli 2023
Publisher : Universitas Kusuma Husada Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34035/jk.v14i2.1091

Abstract

Penggunaan NIV pada pasien gagal napas pada 3 jam pertama lebih efektif dalam memperbaiki klinis respirasi, kadar pCO2 dan rasio PaO2/FiO2 dibanding penggunaan ventilasi mekanik dengan intubasi. HFNC dapat memberikan campuran udara dan oksigen dengan FiO2 tinggi yang dipanaskan dan dilembabkan secara memadai dengan laju aliran 30 - 60 L / menit, dan dianggap memiliki sejumlah manfaat fisiologis. Penelitian ini bertujuan umtuk mengetahui pengaruh pemasangan NIV (Non Invasive Ventilation) dan HFNC (High Flow Nasal Cannula) terhadap frekuensi nafas dan saturasi oksigen pada pasien happy hipoxia terkonfirmasi Covid-19. Metode penelitian ini menggunakan rancangan Quasy Experiment dengan bentuk Pre Post Test. Penelitian ini menilai frekuensi nafas dan saturasi oksigen sebelum dan sesudah pemasangan NIV dan HFNC. Teknik sampling dengan menggunakan purposive sampling sebanyak 172 responden. Pengaruh pemasangan NIV dan HFNC terhadap frekuensi nafas dan saturasi oksigen pada pasien happy hipoksia terkonfirmasi covid-19 dilakukan uji uji Wilcoxon. Hasil analisa Uji Wilcoxon menunjukkan bahwa ada pengaruh pemasangan NIV (Non Invasive Ventilation) dan HFNC (High Flow Nasal Cannula) terhadap Frekuensi Nafas (p value 0,000) dan saturasi oksigen (p value 0,000) pada pasien happy hipoxia terkonfirmasi Covid-19 . Kesimpulan pada penelitian ini asalah ada pengaruh pemasangan NIV (Non Invasive Ventilation) dan HFNC (High Flow Nasal Cannula) terhadap frekuensi nafas dan saturasi oksigen pada pasien happy hipoxia terkonfirmasi Covid-19. The use of NIV in patients with respiratory failure in the first 3 hours is more effective in improving clinical respiration, pCO2 levels and PaO2/FiO2 ratios compared to the use of mechanical ventilation with intubation. HFNC can provide adequately heated and humidified high FiO2 air and oxygen mixtures at flow rates of 30 – 60 L/min, and is thought to have a number of physiological benefits. This study aims to determine the effect of NIV (Non Invasive Ventilation) and HFNC (High Flow Nasal Cannula) installations on respiratory frequency and oxygen saturation in happy hypoxic patients confirmed with Covid-19. This research method uses the Quasy Experiment design with the Pre Post Test form. This study assessed respiratory rate and oxygen saturation before and after NIV and HFNC installation. The sampling technique used purposive sampling of 172 respondents. The effect of NIV and HFNC installation on respiratory frequency and oxygen saturation in happy hypoxic patients confirmed by Covid-19 was carried out by the Wilcoxon test. The results of the Wilcoxon Test analysis showed that there was an effect of NIV (Non Invasive Ventilation) and HFNC (High Flow Nasal Cannula) installation on Respiratory Frequency (p value 0.000) and oxygen saturation (p value 0.000) in happy hypoxic patients confirmed with Covid-19. The conclusion in this study is that there is an effect of NIV (Non Invasive Ventilation) and HFNC (High Flow Nasal Cannula) installation on respiratory frequency and oxygen saturation in happy hypoxic patients confirmed with Covid-19.
Pengaruh Latihan Otot Pernafasan terhadap Peningkatan Fungsi Paru pada Periode Awal Ekstubasi Setiyawan Setiyawan; Muhamad Nur Rahmad; Noviana Nur Zaidah
Faletehan Health Journal Vol 11 No 03 (2024): Faletehan Health Journal, November 2024
Publisher : Universitas Faletehan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33746/fhj.v11i03.729

Abstract

There had been no structured breathing exercise intervention for patients at the beginning of post-extubation after the installation of mechanical ventilation in a hospital in Indonesia. Thus, this study aimed to determine the effects of respiratory muscle exercises on lung function in the early period of extubation. The research design used quasi experimental without control group. Respiratory muscle training intervention is carried out 1 hour after extubation through deep breathing 30 times (rest pause for 10 deep breaths) for 30-60 minutes. The exercises were given once a day for 3 days or according to the patient's condition. The population of this study were all patients after installation of a ventilator at the ICU. The sampling technique was consecutive with a total of 30 respondents. The instrument was an observation sheet, the results of respiratory frequency, and oxygen saturation parameters from the bedside monitor. Bivariate data analysis used Wilcoxson test. The results of the study showed that there were effects of respiratory muscle training on lung function in the initial extubation period with a p-value of 0.000 (p-value < 0.05). The results of the study proved that respiratory muscle training can improve the oxygenation function of the lungs in the early period of extubation.