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Suandika , Made
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Perbedaan Posisi Elevasi Kaki dan Posisi Trendelenburg terhadap Kestabilan Tekanan Darah Pasca Induksi Spinal Anestesi Febrianor , M; Suandika , Made; Yudono , Danang Tri
Bali Medika Jurnal Vol 10 No 2 (2023): Bali Medika Jurnal
Publisher : Stikes Wira Medika Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36376/bmj.v10i2.356

Abstract

Salah satu komplikasi akut yang terjadi pada spinal anestesi ialah penurunan tekanan darah pasca induksi. Salah satu tindakan yang bisa dilakukan untuk mencegah hat tersebut adalah elevasi kaki atau posisi Trendelenburg dan terbukti dapat mempertahan kan kestabilan tekanan darah pada pasien spinal anestesi. Tujuan penelitian ini adalah untuk mengidentifikasi tekanan darah pasca induksi, pasca intervensi Elevasi Kaki 45º dan posisi 10º Trendelenburg. Metode penelitian ini menggunakan kuantitatif, desain two group pretest posttest. Sampel penelitian 54 responden pasca anestesi dengan teknik sample purposive sampling, uji normalitas dengan uji Shapiro-Wilk serta analisis data yang digunakan adalah uji paired t-test dan independent t-test. Hasil independent t test diperoleh kelompok TDS setelah intervensi yaitu nilai p = 0.000 < 0.05, lalu TDD setelah intervensi dengan nilai p = 0.036 < 0.05 maka disimpulkan bahwa terdapat perbedaan yang signifikan antara TDS dan TDD pada masing masing kelompok intervensi, nilai rata-rata menunjukkan posisi 10º T memiliki pengaruh dalam menstabilkan tekanan darah dari pada posisi EK 45º, dilihat dari rata-rata nilai pada 10º T ialah 136.96 (TDS) 75.30 (TDD), lalu pada EK 45º ialah 120.11 (TDS) dan 72.52 (TDD). Kesimpulannya, hasil penelitian pada kelompok 10º T dapat memberikan kestabilan tekanan darah dibandingkan posisi EK 45º.   One of the acute complications that occurs in spinal anesthesia is a decrease in blood pressure after induction. One of the actions that can be taken to prevent hat is leg elevation or Trendelenburg position and has been proven to maintain blood pressure stability in spinal anesthesia patients. The Objective is to identify post-induction blood pressure, post-intervention 45º leg elevation and 10º Trendelenburg position. This study uses quantitative, two group pretest posttest design. The research sample was 54 respondents after anesthesia with purposive sampling technique, normality test with Shapiro-Wilk test and data analysis used was paired t-test and independent t-test. The results of the independent t test obtained by the TDS group after the intervention are p value = 0.000 <0.05, then TDD after the intervention with a p value = 0.036 <0.05, it is concluded that there is a significant difference between TDS and TDD in each intervention group, the average value shows that the 10º T position has an influence in stabilizing blood pressure than the 45º EK position, this can be seen from the mean value at 10º T is 136.96 (TDS) 75.30 (TDD), then at 45º EK is 120.11 (TDS) and 72.52 (TDD). In Conclusion, the results of the study in the 10º T group can provide blood pressure stability compared to the 45º EK position.
Prevalensi dan Derajat Anemia pada Pasien Chronic Kidney Disease Hemodialisis di Purwokerto Zhafira, Fiskalisha Zulfa; Cahyaningrum, Etika Dewi; Suandika , Made
Bali Medika Jurnal Vol 12 No 1 (2025): Bali Medika Jurnal Vol 12 No 1 Juli 2025
Publisher : Stikes Wira Medika Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36376/bmj.v12i1.438

Abstract

Anemia merupakan komplikasi utama pada pasien gagal ginjal kronik (CKD) yang memperburuk kualitas hidup dan meningkatkan morbiditas. Data mengenai profil anemia pada pasien CKD yang menjalani hemodialisis di rumah sakit di Indonesia masih terbatas. Tujuan: Penelitian ini bertujuan untuk menganalisis karakteristik dan derajat anemia pada pasien CKD yang menjalani hemodialisis di RST Wijayakusuma Purwokerto serta faktor-faktor yang berhubungan. Metode: Studi cross-sectional ini melibatkan 119 pasien CKD dewasa yang menjalani hemodialisis rutin minimal tiga bulan. Data dikumpulkan melalui rekam medis dan dianalisis secara statistik menggunakan uji chi-square untuk melihat hubungan antara karakteristik pasien dengan derajat anemia. Hasil: Mayoritas pasien berusia 55–64 tahun (31,1%) dan berjenis kelamin laki-laki (63,9%). Sebagian besar (54,6%) mengalami anemia berat (Hb <8 g/dL), dengan prevalensi tertinggi pada pasien dengan durasi CKD >12 bulan (53,4%) dan lama hemodialisis 13–24 bulan (59,5%). Terdapat hubungan signifikan antara durasi CKD dan lama hemodialisis dengan derajat anemia (p<0,05). Simpulan: Anemia berat sangat umum ditemukan pada pasien CKD hemodialisis di RST Wijayakusuma Purwokerto, terutama pada mereka dengan durasi penyakit dan terapi yang lebih lama. Temuan ini menekankan pentingnya deteksi dini dan penatalaksanaan anemia secara optimal pada populasi ini.   Anemia is a major complication in patients with chronic kidney disease (CKD) that worsens quality of life and increases morbidity. Statistics on the profile of anemia in CKD patients undergoing hemodialysis in secondary hospitals in Indonesia is still limited. Purpose: This study aims to analyze the characteristics and degree of anemia in CKD patients undergoing hemodialysis at Wijayakusuma Hospital in Purwokerto, as well as related factors. Method: This cross-sectional study involved 119 CKD patients adult undergoing routine hemodialysis for at least three months. Data were collected from medical records and analyzed statistically using the chi-square test to examine the relationship between patient characteristics and the degree of anemia. Results: The majority of patients were aged 55–64 years (31.1%) and male (63.9%). Most (54.6%) had severe anemia (Hb <8 g/dL), with the highest prevalence among patients with a duration of chronic kidney disease (CKD) >12 months (53.4%) and hemodialysis duration of 13–24 months (59.5%). There was a significant association between the duration of CKD and the duration of hemodialysis with the severity of anemia (p<0.05). Conclusion: Severe anemia is very common in hemodialysis patients with chronic kidney disease in secondary hospitals, especially in those with longer disease duration and therapy. These findings emphasize the importance of early detection and optimal management of anemia in this population.
Co-Authors Cahyaningrum, Etika Dewi Febrianor , M Yudono , Danang Tri Zhafira, Fiskalisha Zulfa