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HUBUNGAN TEKANAN DARAH SISTOLIK DAN FREKUENSI NAPAS DENGAN MORTALITAS PADA PASIEN CIDERA KEPALA DI IGD Bagus Rahmat Santoso; Mahmuddin Rahma
CNJ: Caring Nursing Journal Vol 4 No 1 (2020)
Publisher : Universitas Muhammadiyah Banjarmasin

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ABSTRAK Cidera kepala adalah gangguan traumatik pada otak yang menimbulkan perubahan fungsi atau struktur pada jaringan otak. Hipotensi atau hipertensi pada pasien cidera kepala berat merupakan sumber yang jelas penyebab kerusakan otak skunder, hipotensi dapat menyebabkan iskemia otak sedangkan hipertensi dapat mengeksaserbasi serebri. Faktor lain yaitu frekuensi napas yang tidak baik dapat menimbulkan risiko terjadinya hipoksia jaringan. Hipoksia jaringan akan menyebabkan resiko trauma sekunder pada jaringan otak yang akan berakibat pada kematian pasien. Tujuan penelitian ini adalah untuk mengetahui hubungan tekanan darah sistolik dan frekuensi napas dengan mortalitas pada pasien cidera kepala. Pada penelitian ini menggunakan metode deskriptif analitik dengan rancangan kohort. Jumlah sampel 30 orang menggunakan nonprobability sampling jenis accidental sampling. Pengumpulan data didapatkan dari data sekunder dan data primer dengan instrument berupa checklist. Data diolah dengan SPSS 16.0 dengan menggunakan uji korelasi Mann-Whitney. Dari hasil analisis statistik didapatkan hubungan yang bermakna antara hubungan TDS dengan mortalitas (p=0,000) dan hubungan frekuensi napas dengan mortalitas (p=0,003). Tekanan darah sistolik dan frekuensi napas menjadi faktor yang memiliki hubungan dengan mortalitas pada pasien cidera kepala. Kata Kunci: Frekuensi Napas, Mortalitas, Tekanan Darah Sistolik ABSTRACT Head injury is a traumatic disorder in the brain that causes changes in function or structure in brain tissue. Hypotension or hypertension in severe head injury patients is a clear source of secondary brain damage, hypotension can cause cerebral ischemia whereas hypertension can exacerbate cerebral. Another factor, namely the frequency of breath that is not good can pose a risk of tissue hypoxia. Tissue hypoxia will cause the risk of secondary trauma to the brain tissue which will result in the patient's death. This research to determine the relationship between systolic blood pressure and respiratory rate and mortality in head injury patients. This research using a descriptive analytic method with a cohort design. The number of samples of 30 people using nonprobability sampling type accidental sampling. Data collection was obtained from secondary data and primary data with an instrument in the form of a checklist. Data were processed using SPSS 16.0 using the Mann-Whitney correlation test. From the results of statistical analysis, it was found that there was a significant relationship between the relationship between TDS and mortality (p = 0.000) and the relationship between respiratory rate and mortality (p = 0.003). Systolic blood pressure and respiratory rate are factors that have a relationship with mortality in head injury patients.. Keywords: Respiration Rate, Mortality, Systolic Blood Pressure

Hubungan Pengkajian Nyeri Menggunakan CPOT Terhadap Perubahan Status Hemodinamik pada pasien di ICU Bagus Rahmat Santoso; Eirene Eunike Meidiana Gaghauna
DINAMIKA KESEHATAN: JURNAL KEBIDANAN DAN KEPERAWATAN Vol 12, No 2 (2021): Dinamika Kesehatan Jurnal Kebidanan dan Keperawatan
Publisher : Universitas Sari Mulia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33859/dksm.v12i2.777

Masalah Nyeri merupakan suatu respon alami yang bersifat langsung terhadap suatu peristiwa atau kejadian yang tidak mengenakkan karena kerusakan jaringan, seperti proses penyakit atau tindakan pengobatan dan pembedahan ( Hayati, 2014 dalam Apriani et al, 2018). Munculnya nyeri pada pasien penurunan kesadaran disebabkan oleh penyakit akut dan banyaknya intervensi dan tindakan yang dilakukan di ICU seperti: operasi, trauma, tindakan invasif, perawatan luka dan perubahan posisi pada pasien (Sutari, 2014 dalam Apriani et al, 2018).Tujuan: penelitian ini untuk menganalisis hubungan pengkajian nyeri menggunakan CPOT terhadap perubahan status hemodinamik pada pasien.Metode: Desain penelitian ini adalah penelitian korelasi yang dilakukan analisis data statistik menggunakan Mann-Whitney. Lembar penilaian skala nyeri CPOT dan Lembar Observasi Status hemodinamik.Hasil: pengukuran tingkat nyeri menggunakan CPOT Â berhubungan dengan perubahan status hemodinamik dengan kenaikan yang beragam tergantung tingkatan nyeri yang dirasakan oleh pasien.Kesimpulan: perlunya monitoring tingkat nyeri khususnya pada pasien yang menggunakan ventilator diruang Intensive care sebagai salah satu upaya monitoring status hemodinamik yang berpengaruh dalam perbaikan kondisi pasien di ICU.Â Kata Kunci: CPOT, Nyeri, Status Hemodinamik

Pengaruh Family Health Seek Behavior Terhadap Outcome Pasien Stroke Dengan Menggunakan National Institute Of Health Stroke Scale (NIHSS) di Ruang IGD Eirene Eunike Meidiana Gaghauna; Bagus Rahmat Santoso; Muhammad Alfian
DINAMIKA KESEHATAN: JURNAL KEBIDANAN DAN KEPERAWATAN Vol 11, No 2 (2020): Dinamika Kesehatan Jurnal Kebidanan dan Keperawatan
Publisher : Universitas Sari Mulia

Â MasalahÂ Stroke merupakan masalah kesehatan yang utama bagi masyarakat modern saat ini. Dewasa ini, stroke semakin menjadi masalah serius yang dihadapi hampir diseluruh dunia. Hal tersebut dikarenakan serangan stroke yang mendadak dapat mengakibatkan kematian, kecacatan fisik dan mental baik pada usia produktif maupun usia lanjut (Junaidi, 2011). Menurut WHO (World Health Organization) tahun 2012, kematian akibat stroke sebesar 51%. Prevalensi stroke di Kalimantan Selatan merupakan yang tertinggi di antara provinsi lain di pulau Kalimantan yaitu sebesar 9,2 permil, sedangkan provinsi Kalimantan Barat 5,8 per mil, Kalimantan Tengah 6,2 permil, Kalimantan Timur 7,7 permil.Tujuan:Â penelitian iniÂ untukÂ mengidentifikasi pengaruh Family Health Seek Behavior terhadap outcome pasien stroke.Metode:Â Metode penelitian ini adalah observasional analitik yang dilakukan analisis data statistik menggunakan Chisquare.Â lembar observasi dari responden tentang Family Health Seek Behavior dan Outcome pasien stroke dengan nilai NIHSS.Hasil:Â AdanyaÂ pengaruhÂ positif antara perilaku family health seek behavior terhadap outcome pasien stroke dengan menggunakan nilai NIHSS di IGD RSUD Ulin Banjarmasin dimana semakin lama jeda waktu rujukan pasien akan semakin memperburuk kondisi fisik pasien stroke.Kesimpulan: PerluÂ adanyaÂ pengenalan terhadap keluarga mengenai tanda gejala stroke serta pemahaman tindakan pertama yang harus segera dilakukan.Â Kata Kunci:Â Family HealthÂ Seek Behavior, NIHSSABSTRACTIntroduction: Stroke problem is a major health problem for modern society today. Today, stroke is increasingly becoming a serious problem faced almost all over the world. This is because a sudden stroke can result in death, physical and mental disability both at productive age and elderly (Junaidi, 2011). According to the WHO (World Health Organization) in 2012, deaths from stroke were 51%. The prevalence of stroke in South Kalimantan was the highest among other provinces on the island of Kalimantan, which was 9.2 per mile, while West Kalimantan was 5.8 per mile, Central Kalimantan 6.2 per mile, East Kalimantan 7.7 per mile.Purpose: To identify family health care seeking behavior and stroke patient outcomes using NIHSS. Methods: Analytic observational which is carried out by statistical data analysis using Chi-squareResults: There was a positive influence between family health seek behavior on the outcome of stroke patients by using the NIHSS value in the ER at RSUD Ulin Banjarmasin where the longer the patient referral time lag would worsen the physical condition of the stroke patient.Conclusion: Health care provider needs to give heath education to the family regarding the signs and symptoms of stroke. Also family must to understand about first actions should be taken immediately on this situationÂ Keywords: Family Health Seek Behavior, NIHSS

Pengaruh Perdarahan Intracerebral Terhadap Penurunan Nilai Revised Trauma Score (RTS) Pada Pasien Trauma Kepala Di RSUD Ulin Banjarmasin Bagus Rahmat Santoso; Eirene Eunike Meidiana Gaghauna
DINAMIKA KESEHATAN: JURNAL KEBIDANAN DAN KEPERAWATAN Vol 10, No 2 (2019): Dinamika Kesehatan Jurnal Kebidanan dan Keperawatan
Publisher : Universitas Sari Mulia

Background: Patient care with head trauma must be done quickly and accurately. One who is required to conduct as an assessment can use the Revised Trauma Score (RTS). However, the decline is the value of RTS also caused by several things, one of which is intracranial hemorrhage.Objective: This Research to determine the effect of intracerebral hemorrhage on decreasing of the Revised Trauma Score (RTS) in head trauma patients.Methods: The sample in this research are40 head trauma patients who entered the IGD Ulin public Hospital on April - August 2019 using accidental sampling technique. The analytical method in this study is using the chi-square test.Results: There were 13 patients (32.5%) who had bleeding with low RTS, so it can be said as be serious, but there were 6 patients (15%) who experienced bleeding with moderate RTS values and 1 patient (2.5%) had bleeding but with High RTS results. Otherwise patients who did not experience bleeding there are 15 patients with high RTS values, 4 patients (10%) with moderate RTS values, and 1 patient with low RTS values. Chi-Square analysis test results obtained a value of p = 0.000 a which statistically there is a difference in intracerebral hemorrhage with a decrease in RTS in head trauma patients at IGD Ulin Public Hospital.Conclusion: Intracerebral hemorrhage in head trauma patients can influence the decrease in blood pressure, respiratory status and level of patient consciousness, which indirectly influences to the decrease of RTS values.Â Keywords: Intracerebral Hemorrhage, Revised Trauma Score (RTS), Head TraumaÂ Latar Belakang: Perawatan pasien untuk trauma kepala harus dilakukan dengan cepat dan akurat. Salah satu yang diperlukan untuk melakukan scoring dapat menggunakan Revised Trauma Score (RTS). Namun penururan nilai RTS juga dipengaruhi beberapa hal salah satunya perdarahan intracranial.Tujuan: penelitian untuk mengetahui pengaruh perdarahan intracerebral terhadap penurunan nilai Revised Trauma Score (RTS) pada pasien trauma kepalaMetode Penelitian: Sampel pada penelitian ini berjumlah 40 orang pasien trauma kepala yang masuk ke IGD RSUD Ulin pada bulan April - Agustus 2019 dengan cara pengambilan sampel menggunakan teknik accidental sampling. Metode analisis yang digunakan pada penelitian ini yaitu menggunakan chi-square test.Hasil: Terdapat 13 pasien (32,5%) mengalami pendarahan dengan nilai RTS rendah sehingga dapat dikatakan serius, tetapi ada 6 pasien (15%) yang mengalami pendarahan dengan nilai RTS sedang dan 1 pasien (2,5%) mengalami pendarahan tetapi dengan hasil RTS Tinggi. Begitu sebaliknya pasien yang tidak mengalami pendarahan ada 15 pasien dengan nilai RTS tinggi, 4 pasien (10%) dengan nilai RTS sedang, dan 1 pasien dengan nilai RTS rendah. Hasil uji analisis Chi-Square didapatkan nilai p= 0.000 a yang secara statistik ada pengruh perdarahan intraserebral dengan penurunan nilai RTS pada pasien trauma kepala di RSUD Ulin Banjarmasin.Kesimpulan: Perdarahan intraserebral pada pasien trauma kepala dapat mempengaruhi terjadinya penurunan tekanan darah, status pernafasan dan tingkat kesadaran pasien, yang secara tidak langsung berpengaruh terhadap penurunan nilai RTS.Â Kata Kunci: Perdarahan Intraserebral, Revised Trauma Score (RTS), Trauma Kepala

Hubungan Pengkajian Nyeri Menggunakan CPOT Terhadap Perubahan Status Hemodinamik pada pasien di ICU Eirene Eunike Meidiana Gaghauna; Bagus Rahmat Santoso
DINAMIKA KESEHATAN: JURNAL KEBIDANAN DAN KEPERAWATAN Vol 12, No 2 (2021): Dinamika Kesehatan Jurnal Kebidanan dan Keperawatan
Publisher : Universitas Sari Mulia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33859/dksm.v12i2.777

Masalah Nyeri merupakan suatu respon alami yang bersifat langsung terhadap suatu peristiwa atau kejadian yang tidak mengenakkan karena kerusakan jaringan, seperti proses penyakit atau tindakan pengobatan dan pembedahan ( Hayati, 2014 dalam Apriani et al, 2018). Munculnya nyeri pada pasien penurunan kesadaran disebabkan oleh penyakit akut dan banyaknya intervensi dan tindakan yang dilakukan di ICU seperti: operasi, trauma, tindakan invasif, perawatan luka dan perubahan posisi pada pasien (Sutari, 2014 dalam Apriani et al, 2018).Tujuan: penelitian ini untuk menganalisis hubungan pengkajian nyeri menggunakan CPOT terhadap perubahan status hemodinamik pada pasien.Metode: Desain penelitian ini adalah penelitian korelasi yang dilakukan analisis data statistik menggunakan Mann-Whitney. Lembar penilaian skala nyeri CPOT dan Lembar Observasi Status hemodinamik.Hasil: pengukuran tingkat nyeri menggunakan CPOT berhubungan dengan perubahan status hemodinamik dengan kenaikan yang beragam tergantung tingkatan nyeri yang dirasakan oleh pasien.Kesimpulan: perlunya monitoring tingkat nyeri khususnya pada pasien yang menggunakan ventilator diruang Intensive care sebagai salah satu upaya monitoring status hemodinamik yang berpengaruh dalam perbaikan kondisi pasien di ICU. Kata Kunci: CPOT, Nyeri, Status Hemodinamik The Effect of Family Health Seek Behavior to the Outcome of Stroke Patient using National Institute of Health Stroke Scale (NIHSS) in Emergency Department Introduction: Pain is a natural response that is direct to an unpleasant event or event due to tissue damage, such as a disease process or treatment and surgery (Hayati, 2014 in Apriani et al, 2018). The emergence of pain in patients with decreased consciousness is caused by acute illness and the many interventions and actions carried out in the ICU such as: surgery, trauma, invasive procedures, wound care and position changes in patients (Sutari, 2014 in Apriani et al, 2018).Purpose: To analyze the relationship of pain assessment using CPOT to changes in hemodynamic status in patients.Results: The design of this research is correlation research which is analyzed statistical data using Mann-Whitney. CPOT pain scale assessment sheet and Hemodynamic Status Observation Sheet.Conclusion: the need for monitoring the level of pain, especially in patients who use a ventilator in the intensive care room as an effort to monitor hemodynamic status that affects the improvement of the patient's condition in the ICU Keywords: CPOT, Hemodynamic Status, Pain

Literatur Review: Pengaruh Terapi Rendaman Air Jahe Hangat terhadap Penurunan Derajat Edema Kaki Ibu Hamil: Literature Review: Effect of Warm Ginger Immersion Therapy on Decreasing Degree of Foot Edema in Pregnant Women Mardiyah Mardiyah; Nita Hestiyana; Bagus Rahmat Santoso
Jurnal Surya Medika (JSM) Vol. 8 No. 2 (2022): Jurnal Surya Medika (JSM)
Publisher : Institute for Research and Community Services Universitas Muhammadiyah Palangkaraya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33084/jsm.v8i2.3887

Introduction: Physiological leg edema can cause discomfort, a feeling of heaviness, and cramps at night. Pathological edema can show signs of danger in pregnancy if edema in the face or in the fingers, severe headaches, and blurred vision resulting from pre-eclampsia. The degree of edema can be reduced by improving blood circulation by soaking the feet in combination with ginger. Aims: To conduct a journal review by identifying the effect of warm ginger water immersion therapy on reducing the degree of leg edema of pregnant women from various literature studies. Methods: The research method was a literature review using several selected sources based on the criteria set by the researcher. Results: From 21 types of literature, it was found that soaking feet using warm ginger water can reduce leg edema in third-trimester pregnant women. Reducing the degree of leg edema by utilizing the content of essential oils and oleoresin (gingerol) compounds which provide a warm feeling and a spicy aroma. Conclusions: Based on the analysis that has been done, it was concluded that the application of warm ginger water immersion therapy to reduce the degree of leg edema in pregnant women has an effect on reducing leg edema in pregnant women, and it was recommended to apply foot soaking therapy as a cheaper and easier non-pharmacological alternative, can also avoid complications from pharmacological therapy (diuretic).

Trigliserida dan Kolesterol Total sebagai prediktor mortalitas pasien stroke: literatur review Bagus Rahmat Santoso; Eirene E.M. Gaghauna; Raihana Raihana
Journal of Health (JoH) Vol 10 No 1 (2023): Journal of Health (JoH) - January
Publisher : LPPM STIKES Guna Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30590/joh.v10n1.459

Stroke is the leading cause of morbidity and mortality worldwide, who rank in 3rd after heart disease and cancer. Data based on the results of Riskesdas 2018 the prevalence of stroke is 10.9% and 15.4% of stroke case caused Indonesia. The province with the 3rd highest incidence is South Kalimantan at 12.7% per mil. Hypertriglyceridemia and hypercholesterolemia are risk factors for ischemic stroke. Low triglyceride and total cholesterol levels contribute to intracerebral haemorrhage. This study to analyse the relationship of laboratory results triglycerides and total cholesterol to mortality in stroke patients. Method: Study are used literature review, searching online journals and sources from databases. Using keywords, namely stroke mortality, total cholesterol, and triglycerides. Results of the literature review, it was found that there were 18 journals were analysed that triglycerides and total cholesterol predictors of prognosis and mortality in stroke patients. Range of values affect is high triglyceride levels > 200 mg/dL and high total cholesterol levels >160-240 mg/dL affect the formation of atherosclerosis effect on blood vessel blockage occurs in ischemic stroke patients. Low triglyceride levels <150 mg/dL and low cholesterol <120-180 mg/dL causes malnutrition which can worse in stroke patients. Low levels of triglycerides and cholesterol effect on the integrity of cell membranes and resistance to rupture, resulting in prolonged bleeding. From this analysis it can be concluded that high or low levels of triglycerides and total cholesterol had effect on prognosis and mortality in stroke patients based on the pathophysiology that occurs.

PERBEDAAN PROJECTED MOTION DAN PROJECTED STILL MEDIA TERHADAP KETERAMPILAN MAHASISWA NON-KESEHATAN DALAM MELAKUKAN CARDIOPULMONARY RESUSCITATION Uswatun Hasanah; Bagus Rahmat Santoso; Eirene E.M Gaghauna
JURNAL KEPERAWATAN SUAKA INSAN (JKSI) Vol 8 No 2 (2023): Jurnal Keperawatan Suaka Insan (JKSI)
Publisher : STIKES Suaka Insan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51143/jksi.v8i2.474

Cardiac arrest can lead to brain damage and permanent disability. Many factors can cause cardiac arrest, one of which is due to age. The high mortality rate due to cardiac arrest can be reduced by assisting in the form of Basic Life Support (BLS), namely Cardiopulmonary resuscitation (CPR). People need knowledge in providing CPR. This study aims to determine whether there is a difference between projected motion learning media and projected still media on the skills of non-health students in performing CPR. This study uses a pre-experimental design with a cross-sectional study approach. The population in this study were non-health students of Sari Mulia University, with a sample size of 30 respondents with a quota sampling technique. The instrument in this study used an SOP sheet to perform CPR. Data analysis of this study used a univariate and bivariate analysis, namely the Mann-Whitney test, which showed that the p-value <0.05 (p=0.006), which means there is a difference in the average value of the intervention and control groups. Both groups used the same learning media, which is very suitable to complement the learning experience because it presents realistic learning objects. It was found that projected motion media can increase attention, interaction, and learning motivation to improve students' skills in performing CPR. Keywords: CPR, Skill, Projected motion media, Projected still media

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