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All Journal MEDISAINS Jurnal Keperawatan Sriwijaya The Indonesian Biomedical Journal Jurnal Keperawatan Padjadjaran JMM (Jurnal Masyarakat Mandiri) Pendekar : Jurnal Pendidikan Berkarakter Media Ilmu Kesehatan Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Indonesian Journal of Medicine Manuju : Malahayati Nursing Journal Jurnal Ilmu Kedokteran dan Kesehatan International Journal of Nursing and Health Services (IJNHS) Jurnal Pemberdayaan: Publikasi Hasil Pengabdian Kepada Masyarakat Medika Kartika : Jurnal Kedokteran dan Kesehatan Jurnal Pengabdian Masyarakat Borneo Jurnal Aisyah : Jurnal Ilmu Kesehatan Journal of Borneo Holistic Health Nursing Sciences Journal Jurnal Mandala Pengabdian Masyarakat Caring : Indonesian Journal of Nursing Science MAHESA : Malahayati Health Student Journal Tropical Health and Medical Research Journal Jurnal Berita Kesehatan Medika Respati : Jurnal Ilmiah Kesehatan AMALA Jurnal Pengabdian Kepada Masyarakat Literasi: Jurnal Pengabdian Masyarakat dan Inovasi Poltekita: Jurnal Ilmu Kesehatan
Lesmana, Hendy
Jurusan Keperawatan, Fakultas Ilmu Kesehatan, Universitas Borneo Tarakan
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Journal : Indonesian Journal of Medicine

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The Effect of Changes in Postural Position Angle Degree on Central Venous Pressure Measurement Lesmana, Hendy; Ose, Maria Imaculata; Zulfia, Rahmatuz; Tobing, Kurniaty Ika Sari
Indonesian Journal of Medicine Vol 4, No 3 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Central venous pressure is often used in intensive care, especially in patients who ex­pe­rience impaired fluid balance, heart failure, evaluation of therapeutic response and media for the­­rapy or hypertonic fluid. The patient's hemodynamic condition during treatment in the intensive care unit (ICU) is con­­stantly changing (unstable), therefore, serial monitoring of central venous pressure is needed and the patient's position must be constant. Changing the position of the patient in a place is some­ti­­mes something that cannot be avoided when the patient is in intensive room. This study aimed to examine the effect of changing the position of patients in bed at 00, 150, 300, and 450 on central venous pressure (CVP) va­lues.  Subjects and Method: This was quasi-experimental study, using a post test with­out control group with repeated measures. This study was conducted in the ICU/ICCU Room at Tarakan Ho­s­pital, No­rth Kalimantan, from May to June 2019. A total of 30 patients was selected by acci­den­­­tal sampling. The dependent variable was central venous pressure. The independent variable was the position of the patient when a central venous pressure examination was carried out, with the degree of positions which were 00, 150, 300, and 450. The data was obtained from observation she­et. CVP was measured by water manometer. The data were analyzed by Anova.Results: The lowest mean CVP was achieved at 0º (Mean=15.13; SD= 5.79). The highest mean CVP was achieved at 45º (Mean=18.18; SD=5.35). The different mean between 0º and 45º was sta­tis­tically significant (p=0.001). The mean CVD at 15º was mean=16.35; SD=5.73. The mean CVD at 30º was mean=17.07; SD=5.42). The different mean between 15º and 30º was statistically sig­ni­fi­cant (p=0.047).  Conclusion: The best position for perform central venous pressure is 45o.Keywords:  central vein pressure, intensive care, patient positionCorrespondence: Hendy Lesmana. Nursing Department, Faculty of Health, Universitas Borneo Tarakan. Email: damayanti.titha@gmail.com.Indonesian Journal of Medicine (2019), 4(3): 192-200https://doi.org/10.26911/theijmed.2019.04.03.01
Co-Authors Agang, Mohammad Wahyu Ahmat Pujianto Ahmat Pujianto Akbar Tukan, Ramdya Alfiaanur Alfiaanur Alfianur Alfianur Aminuddin Aminuddin Ana Damayanti Anastasia Anna Aris Junaidi Armanto, Armanto Batu, Yuliana Baydhuri, Putri Intan Bayu Purnomo Budiman Burhan Burhan, Burhan Cahyaningrum, Widyastuti Citra Alpiani Damayanti, Ana Darni Darni Darni Darni DEWI WIJAYANTI Dewi Wijayanti Dewy Haryanti Parman Dewy Haryanti Parman Dewy Haryanti Parman Farasian Magdalena Sisca Sihotang Febrianti, Selvia Fitriya Handayani Haeril Amir Handayani, Fitriya Handoko, Setiawan Tri Hasanah, Devi Miftahul Hasriana Hasriana Hasriana Hasriana Hasriana, Hasriana Irwan, M Irwansyah Irwansyah Iskandar, Ayuk Cucuk Jamhari Jamhari Kartanti, Natalia Ida Losong, Aprilisya Nensyiawati Lukita, Ardi Rama M Akbar Nugraha M. Akbar Nugraha Madda, Hasmidah Marta, Ayu Putu Maslikan, Sunarti Maya Sari Mochammad Imron Awalludin Muhammad Taufiqqurohman Muhammad, Saiful Najihah, Najihah Napitupulu, Regia Nawir, Daud Nerli Adria Sinabutar Noviani, Doris Nugraha, M Akbar Nur Indah Noviyanti Ose, Maria Imaculata Paridah Paridah Paridah Paridah Parman, Dewy Haryanti Pujianto, Ahmat Putri Aulia Rohmadiana Putri Ayu Utami Qur’ani Qur’ani Rahma Yulis Rangga, Alfrida Rasdiana, Rasdiana Rika Wahyuni Ririn Ariyanti, Ririn Selvia Febrianti Siti Hamidah Surani, Wahyu Suryana, Nia Kurniasih syahran syahran Tambunan, Santi Tobing, Kurniaty Ika Sari Tri Wahyu Murni Utami, Putri Ayu Utami, Putri Ayu Wahyudi, Donny Tri Wahyuni Arsianti, Rika Yacoline Pailungan, Ferly Yuliana Yuliana Yuliana Yuliana Yuni Retnowati Yunita Yunita Zakinah, ST Zulfia, Rahmatuz