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Saputra, Charles
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Health Professions Medicine & Pharmacology Nursing Public Health

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GAMBARAN KARAKTERISTIK DAN KUALITAS HIDUP PASIEN GAGAL JANTUNG KONGESTIF DI RS X, ATAMBUA Berek, Pius A. L.; Made, Yovita; Fouk, Maria Fatimah W. A.; Anugrahini, Christina; Saputra, Charles; Alimansur, Moh.
coba Vol 13 No 2 (2025): Mei 2025
Publisher : Akademi Keperawatan Dharma Husada Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32831/jik.v13i2.865

Abstract

Latar Belakang: Gagal jantung kongestif (GJK) merupakan salah satu penyakit kronis progresif yang berdampak luas terhadap berbagai aspek kehidupan pasien, termasuk fisik, psikologis, sosial, dan lingkungan. Pemantauan kualitas hidup pasien menjadi penting dalam perencanaan intervensi keperawatan yang holistik. Tujuan: Penelitian ini bertujuan untuk mengidentifikasi karakteristik dan kualitas hidup pasien gagal jantung kongestif di RS X Atambua. Metode: Penelitian ini menggunakan desain deskriptif kuantitatif dengan pendekatan cross-sectional. Sebanyak 120 pasien GJK berpartisipasi dalam pengisian kuesioner Minnesota Living with Heart Failure Questionnaire (MLHFQ) yang terdiri dari 20 item pertanyaan mencakup empat domain kualitas hidup: fisik, psikologis, sosial, dan lingkungan. Hasil: Hasil analisis menunjukkan bahwa sebagian besar pasien memiliki kualitas hidup yang tergolong rendah. Persentase responden dengan kualitas hidup baik dalam masing-masing domain adalah: fisik (25,8%), psikologis (53,3%), sosial (34,2%), dan lingkungan (37,5%). Kesimpulan: Kualitas hidup pasien gagal jantung kongestif di RS X Atambua cenderung rendah, terutama pada domain fisik. Temuan ini menunjukkan perlunya pendekatan multidisipliner dalam meningkatkan kualitas hidup pasien, dengan fokus pada perawatan fisik dan dukungan sosial yang berkelanjutan. Kata Kunci: gagal jantung kongestif, kualitas hidup, MLHF, pasien kronik, RSUD Atambua
The Role of Emergency Pleural Drainage in the Obstructive Shock in a Left Massive Hemothorax: A Case Report Lainy, Krisdianto Putra; Saputra, Charles; Bria, Januario; Wijaya, Oka; Chaerunnisa, Afina; Alvarabie, Radietya
Respiratory Science Vol. 4 No. 3 (2024): Respiratory Science
Publisher : Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/respirsci.v4i3.139

Abstract

Background: Spontaneous hemothorax is much less common, and the causes include malignancies, anti-coagulant medications, vascular ruptures, endometriosis, pulmonary infarctions, adhesions with pneumothorax, and hematologic abnormalities such as hemophilia. This report presented a confirmed case of obstructive shock in a patient with massive left hemothorax and elaborated on the role of emergency pleural drainage in this particular clinical situation. Case: Reported a case of a 56-year-old man with a 2-month history of dyspnea, leg swelling, abdominal bloating, hemoptysis, and fatigue. Physical examination revealed an asymmetrical chest wall expansion with a predominance of abdominal breathing. His neck and face were markedly discolored and swollen, with distended veins. The left hemithorax was dull on percussion and, on auscultation, significantly reduced air entry at the left lung base. Discussion: The patient was given an O2 non-rebreathing mask (NRBM) on arrival. The patient was administered two vasopressors (dopamine, 2.5 mcg/kg per body weight/minute, and norepinephrine, 0.1 mcg/kg per body weight/minute). Given the patient’s hemodynamic instability and high probability of imminent death. The patient required urgent intervention to relieve the obstructive shock. The surgical department was inserted to treat the massive hemothorax, which drained approximately 1.5 liters of blood. The patient received supplementary oxygen, antibiotics, and furosemide.­ Conclusion: The pleural fluid drainage alleviated the dyspnea. As supportive therapy, the patient received oxygen, antibiotics, and furosemide. On the follow-up, the mediastinal shift had resolved simultaneously.
Co-Authors Alimansur, Moh. Alvarabie, Radietya Anugrahini, Christina Bria, Januario Chaerunnisa, Afina Fouk, Maria Fatimah W. A. Lainy, Krisdianto Putra Made, Yovita Pius Almindu Leki Berek Wijaya, Oka