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PENERAPAN METODE SUCTION TERTUTUP PADA PASIEN YANG TERPASANG ENDOTRACHEAL TUBE DAN VENTILATOR TERHADAP SATURASI OKSIGEN, TEKANAN DARAH, DENYUT JANTUNG: STUDI KASUS: Application of Closed Suction Method to Patients with Endotracheal Tube and Ventilator Installation on Oxygen Saturation, Blood Pressure, Heart Rate: A Case Study Calisanie, Nyayu Nina Putri; Fauzi, Deni Hamdan
Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Vol. 9 No. Supp-1 (2023): JIKep | Edisi Khusus 1 2023
Publisher : UPPM STIKES Pemkab Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33023/jikep.v9i3.1584

Abstract

Pendahuluan : Masalah yang sering timbul pada pasien yang terpasang ventilator invasif adalah bersihan jalan napas, diperlukan upaya untuk mengatasinya, salah satunya adalah tindakan suction, namun tindakan tersebut memberikan resiko dampak negatif seperti desaturasi oksigen, perubahan sistol dan diastol, serta peningkatan pada frekuensi denyut jantung. Suction metode tertutup dapat meminimalkan dampak yang mungkin terjadi. Tujuan: Mengidentifikasi  penerapan suction metode tertutup pada pasien dengan endotracheal tube dan ventilator terhadap saturasi oksigen, tekanan darah, denyut jantung. Metode: Desain penelitian adalah studi kasus dengan mendeskripsikan kondisi pasien yang terpasang endotracheal tube dan ventilator yang mendapatkan tindakan suction metode tertutup yang diberikan pada 3 pasien yang dilibatkan dalam penelitian. Hasil : Prosedur suction metode tertutup memberikan dampak berupa peningkatan, denyut jantung dan peningkatan tekanan darah yang berangsur turun pada kondisi nilai sebelumnya setelah menit ke 5, sedangkan pada saturasi O2 tidak mengalami penurunan baik pada saat pelaksanaan prosedur maupun setelah pelaksanan prosedur. Faktor pendukung pelaksanaan prosedur ini lebih banyak dibandingkan faktor penghambat seperti sarana yang mudah dan murah, dampak terhadap pasien yang minimal, serta kepraktisan dan kemudahan petugas dalam pelaksanaan. Kesimpulan: metode suction tertutup memberikan dampak minimal terhadap penurunan saturasu O2, perubahan denyut jantung dan tekanan darah serta dapat diaplikasikan dengan mudah di lapangan
The Effect of Progressive Muscle Relaxation on Anxiety in Covid-19 Patients in Bandung Herdiman, Herdiman; Fauzi, Deni Hamdan; Lindayani, Linlin
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 8 No. Special Edition (2022): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Aims: Hospitalized patients with COVID-19 have been shown to experience high levels of anxiety, according to studies of their mental health, and yet these patients' states of mind have been shown to play a significant role in boosting the immune system during COVID-19 treatment. Purpose: The purpose of this study was to determine the effect of progressive muscle relaxation on anxiety in patients with COVID-19. Methods : The research method was a Quasi Experimental pre-test and post-test design with a control group.  The sampling technique was Convenience Sampling with 40 samples which were divided into 20 samples as intervention group and 20 people as control group. Progressive muscle relaxation of 20-30 minutes twice a day for 5 days was only given to the intervention group. A pre-test and post-test using the Fear of COVID-19 Scale (FCV-19S) were implemented to measure anxiety. Data was collected and analyzed using Paired Sample  T-test and ANCOVA. Results: showed a statistically significant change in anxiety levels from pre- to post-test for those in the intervention group, but no such change for those in the control group. The significance level for this test is 0.05, so the square root of the mean is 123,578 (F = 115,479) and the standard deviation is 0.000 (p 0.0001). In the intervention group, there is a statistically significant change in sleep quality scores between the pre- and post-test, while in the control group, there is no such change. Its square root is 112.118, its factor is 32.315, and its sign is 0.000 (p 0.05). Conclusions: The conclusion is that anxiety in patients with COVID-19 can be significantly reduced by administering progressive muscle relaxation.