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All Journal Jurnal Ilmu Kesehatan Respiratory Science Jurnal Impresi Indonesia
Saputra, Charles
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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.
Unusual Presentation of Pulmonary Tuberculosis with Massive Haemothorax Leading to Obstructive Shock: A Case Report Rebhung, Yudith Megumi; Abolla, Swempi Melchiadi; Bria, Januario E; Saputra, Charles
Jurnal Impresi Indonesia Vol. 5 No. 1 (2026): Jurnal Impresi Indonesia
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/jii.v5i1.7401

Abstract

Introduction : Tuberculosis (TB) remains a major global health burden and continues to pose significant diagnostic challenges due to its nonspecific clinical manifestations. Although pleural effusion is a common extrapulmonary manifestation of TB, massive spontaneous haemothorax leading to obstructive shock is exceedingly rare and potentially life-threatening. Case Description : We report the case of a 56-year-old male who presented with progressive dyspnea and was initially diagnosed with cardiogenic shock and acute decompensated heart failure at a referring hospital. Physical examination revealed hypotension, tachycardia, tachypnea, elevated jugular venous pressure, and decreased breath sounds over the left lung. Imaging demonstrated massive left-sided pleural effusion with mediastinal shift. Bedside transthoracic echocardiography showed preserved biventricular function with significant extrinsic cardiac compression. Emergency chest tube placement evacuated approximately two liters of blood, resulting in rapid hemodynamic improvement, confirming the diagnosis of obstructive shock secondary to massive spontaneous haemothorax. Despite negative molecular testing for tuberculosis from sputum and pleural fluid, chest computed tomography revealed findings highly suggestive of pulmonary tuberculosis. Anti-tuberculosis therapy was initiated, leading to further clinical improvement. The patient was discharged in stable condition after five days of hospitalization. Conclussion : This case underscores pulmonary tuberculosis as a rare etiology of massive spontaneous haemothorax causing obstructive shock. Early recognition of obstructive shock, prompt mechanical decompression, and thorough etiological evaluation are critical for optimal outcomes. In the absence of microbiological confirmation, radiological findings play a pivotal role in establishing a diagnosis of clinically confirmed tuberculosis, and early initiation of anti-tuberculosis therapy may be lifesaving
Co-Authors Abolla, Swempi Melchiadi Alimansur, Moh. Alvarabie, Radietya Anugrahini, Christina Bria, Januario Bria, Januario E Chaerunnisa, Afina Fouk, Maria Fatimah W. A. Lainy, Krisdianto Putra Made, Yovita Pius Almindu Leki Berek Rebhung, Yudith Megumi Wijaya, Oka