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All Journal JURNAL KEPERAWATAN MERSI Jaringan Laboratorium Medis
Negoro, M. Syamsul Arif Setiyo
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Biochemistry, Genetics & Molecular Biology Immunology & microbiology Public Health

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Pengaruh Mobilisasi Progresif Level II terhadap Tekanan Darah dan Saturasi Oksigen pada Pasien Kritis di Ruang ICU Khairiyah, Atikah; Mardiyono, Mardiyono; Negoro, M. Syamsul Arif Setiyo
JURNAL KEPERAWATAN MERSI Vol 14, No 1 (2025): April
Publisher : Prodi Keperawatan Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkm.v14i1.12827

Abstract

Background: Critical patients are admitted to the ICU, undergoing bed rest and immobilization. Not only do they develop pressure ulcers, but also their hemodynamics and saturation may decline gradually. Passive ROM is usually administered to prevent joint shifts and to maintain blood pressure and saturation. Progressive mobilization is initiated to maintain blood pressure and saturation. Objective: To evaluate progressive mobilisation to maintain blood pressure, systolic and diastolic pressure, and increase saturation. Method: Penelitian adalah pre-post test control group design. Samples were recruited by consecutive sampling for 18 subjects. The intervention group was administered progressive mobilization level II for 30 minutes for 3 days, and the control group was administered passive ROM for 3 days. Data were analysed by paired t-test and independent t-test. Results: Passive progressive mobilization level II effectively decreases systolic blood pressure (p=0.022) and diastolic blood pressure (p=0.000), and significantly increases saturation (p=0.000). Conclusion: Passive progressive mobilization level II is more effective in decreasing blood pressure and increasing saturation than passive ROM.
Crossmatch to Transfusion Ratio (C/T Ratio) Komponen Darah WB dan PRC Safitri, Valina Intan; Negoro, M. Syamsul Arif Setiyo
Jaringan Laboratorium Medis Vol. 5 No. 1 (2023): May 2023
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jlm.v5i1.8587

Abstract

A crossmatch test between patient and donor’s blood must be carried out before blood transfusion. However, not all crossmatched blood will be transfused to the patient. This indicates inappropriate distribution of blood products, blood wastage, inaccessibility of blood for emergency patients, increased costs, and increased workload for staff. Crossmatch to Transfusion Ratio (C/T Ratio) is used as an indicator to determine the efficiency of blood use and can serve as a guide to anticipate excessive blood demand. This study aims to determine C/T Ratio score of blood components WB and PRC in the Brebes Regency Hospital 2021. This research is a descriptive study with a retrospective approach. Sampling was done using total sampling technique. Data was obtained from the blood requests recapitulation book in Brebes Regency Hospital’s Blood Bank 2021. The result showed there were 47 units WB crossmatched and 34 units (72%) transfused. There were 4589 units PRC crossmatched and 4369 units (95%) transfused. The C/T Ratio score of WB is 1.38. The C/T Ratio score of PRC is 1.05. The overall C/T Ratio score is 1.05.
Pengaruh Mobilisasi Progresif Level II terhadap Tekanan Darah dan Saturasi Oksigen pada Pasien Kritis di Ruang ICU Khairiyah, Atikah; Mardiyono, Mardiyono; Negoro, M. Syamsul Arif Setiyo
JURNAL KEPERAWATAN MERSI Vol. 14 No. 1 (2025): April
Publisher : Prodi Keperawatan Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkm.v14i1.12827

Abstract

Background: Critical patients are admitted to the ICU, undergoing bed rest and immobilization. Not only do they develop pressure ulcers, but also their hemodynamics and saturation may decline gradually. Passive ROM is usually administered to prevent joint shifts and to maintain blood pressure and saturation. Progressive mobilization is initiated to maintain blood pressure and saturation. Objective: To evaluate progressive mobilisation to maintain blood pressure, systolic and diastolic pressure, and increase saturation. Method: Penelitian adalah pre-post test control group design. Samples were recruited by consecutive sampling for 18 subjects. The intervention group was administered progressive mobilization level II for 30 minutes for 3 days, and the control group was administered passive ROM for 3 days. Data were analysed by paired t-test and independent t-test. Results: Passive progressive mobilization level II effectively decreases systolic blood pressure (p=0.022) and diastolic blood pressure (p=0.000), and significantly increases saturation (p=0.000). Conclusion: Passive progressive mobilization level II is more effective in decreasing blood pressure and increasing saturation than passive ROM.
Co-Authors Fachry Abda El Rahman Khairiyah, Atikah Safitri, Valina Intan