scholarly journals PELATIHAN TERAPI OKSIGEN PADA TENAGA KESEHATAN DI RUMAH SAKIT UMUM UNIVERSITAS MATARAM

Abdi Insani ◽  
2021 ◽  
Vol 8 (3) ◽  
pp. 331-335
Author(s):  
Moulid Hidayat ◽  
Prima Belia Fathana ◽  
Devi Ramadhona ◽  
Wahyu Sulistya Affarah
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Post Test

Oksigen merupakan substrat penting bagi kehidupan manusia. Pengambilan oksigen dari lingkungan melalui kerja paru memberikan asupan substrat penting untuk proses produksi energi. Pada kondisi gawat napas, pemberian oksigen merupakan hal yang sangat esensial untuk menjaga homeostasis tubuh dan mencegah kerusakan organ lebih lanjut. Sehingga, pengetahuan akan indikasi pemberian oksigen, berapa dosis oksigen yang tepat, bagaimana cara memberikan oksigen yang benar, dan apa yang harus diperhatikan dalam pemberian oksigen sangat perlu dikuasai dengan baik. Pada era pandemi Covid-19 ini, penggunaan terapi oksigen sangat masif, sehingga perlunya dilakukan penyegaran kembali mengenai terapi oksigen terhadap tenaga kesehatan di lingkungan Rumah Sakit Universitas Mataram agar penggunaan oksigen dapat lebih tepat guna, dan optimal. Meningkatkan pengetahuan tenaga kesehatan di Rumah Sakit Universitas Mataram mengenai terapi oksigen. Kegiatan pelatihan ini dilakukan dengan menggunakan metode ceramah interaktif dan dilanjutkan dengan sesi tanya jawab dan diskusi. Pengetahuan peserta dinilai berdasarkan pre-test dan post-test. Kegiatan pelatihan dihadiri oleh 35 orang tenaga kesehatan yang khusus berasal dari instalasi rawat isolasi, instalasi gawat darurat, dan instalasi perawatan kritis (intensive care unit (ICU)) Rumah Sakit Universitas Mataram. Pada pelatihan ini, terdapat peningkatan pengetahuan yang bermakna, dengan selisih skor peningkatan pengetahuan sebesar 10.89 (p=0.0225 (<0.05), 95% KI 1.551-19.06). Peningkatan pengetahuan tenaga kesehatan melalui kegiatan pelatihan terapi oksigen dibutuhkan untuk pelayanan kesehatan sehari-hari pasien dengan kegawatan napas.

PENGARUH PSIKOEDUKASI TERHADAP PERILAKU ORANG TUA DALAM MERAWAT ANAK KRITIS DI PEDIATRIC INTENSIVE CARE UNIT RSUP Dr. SARDJITO YOGYAKARTA

1970 ◽  
Vol 4 (2) ◽  
Author(s):  
Ignasia Yunita Sari
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Pediatric Intensive Care ◽  
Rank Test ◽  
Wilcoxon Sign Rank Test ◽  
Post Test ◽  
Quasi Experimental ◽  
Wilcoxon Sign Rank ◽  
Sign Rank Test

Krisis situasi orang tua akibat kondisi anak yang dirawat di Pediatric Intensive Care Unit (PICU) menghambat peran serta orang tua dalam merawat anak. Psikoedukasi dapat menurunkan stress sehingga meningkatkan peran serta orang tua dalam mendukung perawatan anak. Tujuan penelitian ini adalah mengetahui pengaruh psikoedukasi terhadap perilaku orang tua dalam merawat anak kritis di PICU. Metode yang digunakan adalah quasi experimental dengan pre-test and post-test without control, pada bulan Maret-April 2015. Populasi adalah orang tua yang anaknya sedang dirawat di PICU RSUP Dr. Sardjito Yogyakarta. Teknik consecutive sampling menghasilkan 37 orang tua yang memenuhi kriteria. Variabel bebas adalah psikoedukasi, variabel terikatnya adalah perilaku orang tua dalam merawat anak kritis. Test dilakukan dengan cara observasi oleh observer yang telah dilakukan uji reliabilitas pengamatan menggunakan cohen cappa dengan hasil antara 0,60-0,73(baik). Analisis data menggunakan Wilcoxon Sign Rank Test dengan batas kemaknaan 95%. Psikoedukasi berpengaruh terhadap perilaku orang tua dalam merawat anak kritis di PICU. Kata kunci: psikoedukasi - perilaku orang tua - anak kritis

scholarly journals Percieved barriers to early progressive mobilization in the ICU: Multidisciplinary perspectives in an underserved population

2019 ◽  
Vol 9 (5) ◽  
pp. 102
Author(s):  
Jessica Grimm ◽  
Angela Elmore-Silvestri ◽  
Erik Grimm ◽  
Kelly Klinger ◽  
Scott Nye ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Educational Intervention ◽  
Positive Impact ◽  
Daily Practice ◽  
Valuable Insight ◽  
Educational Impact ◽  
Frequency Distributions ◽  
Post Test

Early progressive mobilization is the initiation of movement when a patient is hemodynamically stable, adequately oxygenated, and minimally able to participate. Early progressive mobilization has been linked to decreased morbidity and mortality as inactivity has a profound adverse effect on the brain, skin, skeletal muscle, pulmonary and cardiovascular systems. Literature supports early progressive mobilization and physical therapy as a safe and effective intervention that can have a positive impact on functional outcomes. While the benefits of early progressive mobilization in the intensive care unit have been well documented in recent years, many intensive care units are unable to effectively integrate early progressive mobilization into their daily practice. Therefore, the purpose of this project was to determine whether an educational intervention on the Early Progressive Mobilization Protocol at an urban intensive care unit in Las Vegas, Nevada affected knowledge of, skill in, and attitudes toward implementation of the protocol in practice, as well as to determine whether there was a difference in reported compliance scores among various disciplines. A pre-test survey designed to examine these variables and the reported compliance with the Early Progressive Mobilization protocol was administered. Educational sessions were provided to participants on the Early Progressive Mobilization Protocol after the pre-test. A post-test was administered after the educational session to determine the educational impact on the identified variables. Data analysis was completed using frequency distributions. Valuable insight was gained on the potential impact of targeted educational intervention. Further study is warranted to assess the effects of routine training in intensive care units with similar protocols.

scholarly journals STATUS HEMODINAMIK PASIEN YANG TERPASANG ENDOTRACHEAL TUBE DENGAN PEMBERIAN PRE OKSIGENASI SEBELUM TINDAKAN SUCTION DI RUANG INTENSIVE CARE UNIT

2019 ◽  
Vol 17 (1) ◽  
pp. 107
Author(s):  
Wahyu Rima Agustin ◽  
T. Triyono ◽  
S. Setiyawan ◽  
Wahyuningsih Safitri
Keyword(s):  
Intensive Care Unit ◽  
Heart Rate ◽  
Intensive Care ◽  
Endotracheal Tube ◽  
T Test ◽  
P Value ◽  
Consecutive Sampling ◽  
Post Test ◽  
Quasi Experiment

Pre oksigenasi atau pemberian oksigen yang adekuat sebelum dilakukan tindakan suction atau hisap lendir merupakan satu bagian yang penting. Dalam hal ini yang perlu diperhatikan dan diobservasi adalah status hemodinamik pasien yang mencakup Mean Arteri Presure, heart rate, respiratori rate serta saturasi oksigen. Tujuan penelitian ini adalah untuk mengetahui pengaruh pre oksigenasi terhadap status hemodinamik pasien yang terpasang endotracheal tube yang dilakukan tindakan suction.Penelitian ini menggunakan desain quasi experiment dengan metode one group pre test – post test. Teknik sampling menggunakan consecutive sampling sebanyak 44 pasien yang terpasang endotracheal tube dan dilakukan tindakan suction di ruang ICU Rumah Sakit Islam Klaten. Alat ukur penelitian ini menggunakan metode observasi langsung. Data yang terkumpul di lakukan uji normalitas menggunakan uji Shapiro wilk. Didapatkan data terdistribusi normal dengan p value lebih dari 0,05.Hasil penelitian dengan menggunakan paired sampel t-test menunjukan bahwa nilai p value < 0,05 yaitu untuk MAP 0,006, heart rate 0,022, respiratori rate 0,023 dan saturasi oksigen 0,001 yang artinya ada pengaruh pre oksigenasi terhadap status hemodinamik pasien yang terpasang endotracheal tube dengan tindakan suction di ruang ICU Rumah Sakit Islam Klaten.

Simulation training to improve aseptic non-touch technique and success during intravenous cannulation—effect on hospital-acquired blood stream infection and knowledge retention after 6 months: The snowball effect theory

2020 ◽  
pp. 112972982093820
Author(s):  
Bharathi Balachander ◽  
Deepa Rajesh ◽  
Bonita Viona Pinto ◽  
Sofia Stevens ◽  
Suman Rao PN
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care ◽  
Blood Stream Infection ◽  
Knowledge Retention ◽  
Blood Stream ◽  
Simulation Based ◽  
Post Test ◽  
The Mean ◽  
Hospital Acquired

Background: Intravenous cannulation is a common procedure and a valuable skill in the neonatal intensive care unit. Standardized procedure and personnel training are needed in the unit to prevent hospital-acquired blood stream infections. Hence, we evaluated the effect of training using a low-fidelity simulation on the improvement of the aseptic non-touch technique during intravenous cannulation and knowledge retention after 6 months. Methods: The study was conducted in a tertiary care neonatal unit from June 2017 to July 2018. All the staff nurses and junior resident doctors posted in the neonatal intensive care were included in the study. A protocol and checklist score sheet was developed. The score sheet consisted of 23 items with a total score of 46. Participants were expected to obtain a minimum of 80%. A pre-test was conducted initially, followed by a formal training and then a post-test. The NITA newborn venous access mannequin was used to facilitate the training. A re-training for new nurses was conducted after 6 months. Data were analyzed using paired t-test. Results: A total of 29 doctors and nurses were enrolled in the training. The mean pre-test score was 29.93 compared to 42.66 in the post-test scores (mean difference 12.24(95% confidence interval: 9.39–16.05), p < 0.01. The mean scores were higher when the simulation was conducted after 6 months. There was a significant decline in blood stream infection rates from 5.5 to 1.65 per 1000 patient days (p = 0.05). Conclusion: Simulation-based training of health care personnel is a good modality to improve aseptic non-touch technique during intravenous cannulation in the neonatal intensive care unit. Simulation-based training also helps in knowledge retention and standardization of training procedures.

scholarly journals EFFECTIVENESS OF INSTRUMENTAL MUSIC ON LEVEL OF STRESS AMONG PARENTS OF THE NEONATES ADMITTED IN NEONATAL INTENSIVE CARE UNIT, TERTIARY CARE HOSPITAL, KARAD

2017 ◽  
Vol 10 (9) ◽  
pp. 138
Author(s):  
Dhanraj Prakash Kharat ◽  
Prabhuswami Hiremath ◽  
Samir K Choudhari
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Research Design ◽  
Instrumental Music ◽  
Neonatal Intensive Care ◽  
Post Test ◽  
The Mean ◽  
Stress Score ◽  
Test Stress

  Objectives: The aim of this study was (1) to assess the level of stress among the parents of neonate admitted in neonatal intensive care unit (NICU), (2) to determine the effectiveness of instrumental music on the level of stress among parents of the neonates admitted in NICU, and (3) to find out association between level of stress and sociodemographic variables.Methods: The research approach adopted for this study was an evaluative approach, and research design was a one-group pre- and post-test research design. The study was conducted in NICU, Krishna Hospital, Karad, Maharashtra, India. The sample consists of 60 parents of neonates admitted in NICU. A convenient sampling technique was used to select the sample. Parents were allowed to listen instrumental music two times a day for 5 days, and each session lasted for 30 minutes. The data were collected by structured questionnaire. The data were analyzed using descriptive and inferential statistics.Results: The mean pretest stress score was 22.68, the mean post-test stress score was 12.86, and the mean difference of pretest and post-test stress score was 9.82. The reduction in the stress score was found statistically significant at the level of p<0.001.Conclusion: The findings reveal that the instrumental music is effective in reducing level of stress among parents of neonates admitted in NICU. 

scholarly journals PERUBAHAN INTENSITAS NYERI MELALUI PEMBERIAN TERAPI MUSIK GAMELAN PADA PASIEN DI INTENSIVE CARE UNIT (ICU) RSUD dr. LOEKMONOHADI KUDUS

2020 ◽  
Vol 9 (1) ◽  
pp. 1
Author(s):  
Emma Setiyo Wulan ◽  
Renny Wulan Apriliyasari
Keyword(s):  
Intensive Care Unit ◽  
Critical Care ◽  
Intensive Care ◽  
Purposive Sampling ◽  
Observational Tool ◽  
Post Test ◽  
Quasi Experiment

Selama periode perawatan di ruang intensif, pasien memerlukan pemantauan dan terapi yang intensif, oleh sebab itu pasien menjalani banyak prosedur rutin dan perawatan, yang sering menimbulkan rasa tidak nyaman dan nyeri. Manajemen nyeri dilakukan dengan penatalaksanaan terapi farmakologi dan non farmakologi. Terapi non farmakologi diantaranya adalah dengan menggunakan terapi musik, dimana penelitian ini menggunakan terapi musik gamelan. Tujuan penelitian ini adalah untuk mengetahui perubahan intensitas nyeri pada pasien yang diberikan terapi music gamelan. Metode penelitian yang digunakan adalah quasi experiment. Teknik pengambilan sampel menggunakan purposive sampling dengan jumlah 25  responden pada kelompok yang diberikan terapi musik gamelan. Instrumen yang digunakan adalah Verbal Discriptor Scale (VDS) dan Critical-Care Pain Observational Tool (CPOT).Pengumpulan data dilakukan dengan cara melakukan pengukuran intensitas nyeri sebelum dan sesudah pemberian terapi musik gamelan. Analisis data yang digunakan untuk mengetahui perubahan intensitas nyeri adalah uji Wilcoxon. Hasil penelitian menunjukkan dengan terapi musik gamelan terjadi perubahan intensitas nyeri baik menggunakan VDS maupun CPOT dengan nilai p= 0,001 dan p=0,002. sehingga dapat diinterpretasikan bahwa terdapat perbedaan rata-rata skor pre test dan post test intensitas nyeri pada kelompok tersebut. Hasil penelitian dapat menjadi bahan masukan bagi perawat dalam manajemen nyeri non farmakologi bagi pasien. Untuk peneliti selanjutnya dapat melakukan penelitian dengan kelompok budaya lain, atau membandingkan terapi musik gamelan jawa dengan musik klasik yang lain. Kata Kunci : Nyeri, Musik Gamelan

scholarly journals Pengaruh Stimulasi Al-Qur'an Terhadap Glasgow Coma Scale Pasien Dengan Penurunan Kesadaran di Ruang ICU

2019 ◽  
Vol 1 (1) ◽  
pp. 44-47
Author(s):  
Zuhriana K Yusuf ◽  
Asriyanto Rahman
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Glasgow Coma Scale ◽  
P Value ◽  
Test Design ◽  
Probability Sampling ◽  
Coma Scale ◽  
Post Test

AbstrakPasien dengan penurunan kesadaran masih tinggi angka kejadiannya. Salah satu terapi untuk menangani pasien dengan penurunan kesadaran adalah dengan pemberian stimulasi Al-Quran. Tujuan penelitian mengetahui pengaruh stimulasi Al-Quran terhadap Glasgow Coma Scale pasien dengan penurunan kesadaran diruang Intensive Care Unit (ICU). Jenis penelitian Pre Experiment dengan one grup pre-post test design. Populasi adalah pasien dengan penurunan kesadaran sebanyak 14 pasien. Sampel berjumlah 10 pasien dengan teknik non probability sampling jenis accidental sampling. Data dikumpul melalui observasi, pengukuran Glasgow Coma Scale sebelum dan sesudah intervensi. Dianalisis dengan uji T berpasangan. Hasil penelitian menunjukkan terdapat peningkatan nilai Glasgow Coma Scale antara sebelum dan setelah pemberian stimulasi Al-Quran dengan hasil uji komputerisasi T Berpasangan didapatkan nilai P value = 0,003 yang lebih kecil dari ? = 0,05. Kesimpulan dari penelitian ini terdapat pengaruh stimulasi Al-Quran terhadap Glasgow Coma Scale pasien dengan penurunan kesadaran di ruang Intensive Care Unit (ICU).

scholarly journals Effectiveness of Instruction Program on Nurses' Knowledgeabout Clinical Devices Alarm in Intensive Care Unit

2021 ◽  
Vol 15 (5) ◽  
pp. 1424-1427
Author(s):  
A. S. Obeid ◽  
MS CN ◽  
Hudabaker hassan
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Care Provider ◽  
Correct Answer ◽  
Control Group ◽  
Level Of Education ◽  
Post Test ◽  
And Control ◽  
Experimental Group ◽  
Nurses Knowledge

The clinical alarms are used to enhance safety by alerting care provider to any deviations from normal status. The alarms alert care provider when there is deterioration in patient’s condition and there is a need for intervention, or when a device is not working as it should (1). Objectives:The aims of present study is to find out the effectiveness of instruction program on nurses knowledge about the clinical devices alarm, and to find out the relationship between the effectiveness of program and nurses level of education, year of experiences in nursing, and year of experiences in intensive care units. Methodology: a quasi-experimental study wascarried out on 80 nurses is divided to two groups (Experimental group who exposed on program, and control group to compare with experimental group) two group of nurse is workingin Al-Imam Al-Hussein Medical City, in holy Kerbala’a City, Iraq. The study started at 3rd of May, 2020 to 25th of May, 2021.The instrument consist of two part; part one deals the characteristics of the sample which of age, gender, level of education, year of experiences in nursing, year of experiences in intensive care units, and specific training course. Part two deals the nurses knowledge related to clinical devices alarm which of 30 items, the validity of instrument and program was obtained from 12 expert in specialty, the reliability was =1.81, the data analysis was done by uses SPSS program version 23, the statistical methods which used in present study is descriptive and inferential statistics. Results: the findings of present study revealed that the correct answer for experimental group at pretest was 42.44% then at post test was 99.87%, and correct answer for control group was 31.71 at pretest and 35.69% at post test., and there were statistical differences between experimental and control group at post test at P≤0.05 Conclusions:the study concluded that the instruction program on nurses knowledge was effective on experimental group through improving their knowledge Recommendations:The researchers recommend that the current program should be applied to all nurses in critical units because of its utmost importance in monitoring and patient safety. Keywords:Effectiveness, InstructionsProgram,Nurses, Knowledge, Clinical, Monitoring, Devices, Alarms, Intensive Care Unit

scholarly journals PENGARUH MOBILISASI PROGRESIF LEVEL I TERHADAP TEKANAN DARAH DAN SATURASI OKSIGEN PASIEN KRITIS DENGAN PENURUNAN KESADARAN

2017 ◽  
Vol 1 (1) ◽  
pp. 1
Author(s):  
Mugi Hartoyo ◽  
Shobirun Shobirun ◽  
Budiyati Budiyati ◽  
Rizqi Rachmilia
Keyword(s):  
Blood Pressure ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Oxygen Saturation ◽  
T Test ◽  
Increase Blood Pressure ◽  
Group Design ◽  
Post Test ◽  
Level I ◽  
Critical Patients

AbstrakPasien yang dirawat di ruang Intensive Care Unit (ICU) merupakan pasien kritis yang dalam keadaan terancam jiwanya karena kegagalan atau disfungsi pada satu atau multipel organ yang disertai gangguan hemodinamik. Pasien kritis dalam keadaan penurunan kesadaran memiliki keterbatasan dalam mobilisasi, yang berdampak terhadap tekanan darah dan saturasi oksigen yang tidak stabil. Salah satu intervensi yang dapat dilakukan untuk menangani hal tersebut dengan mobilisasi progresif level I berupa head of bed, ROM, dan rotasi lateral. Penelitian ini bertujuan untuk mengetahui pengaruh mobilisasi progresif level I terhadap tekanan darah dan saturasi oksigen pada pasien kritis dengan penurunan kesadaran di ruang ICU. Metode penelitian ini menggunakan pra eksperimental dengan rancangan pre-test and post-test one group design. Responden penelitian ditetapkan dengan non probability sampling dengan metode total sampling. Penelitian dilaksanakan di ruang ICU pada 15 responden yang terdiri dari 10 responden perempuan dan 5 responden laki-laki dan memenuhi kriteria inklusi. Uji dependent t-test menunjukkan ada pengaruh mobilisasi progresif level I terhadap tekanan darah sistolik (p = 0,024), tekanan diastolik (p = 0,002), dan saturasi oksigen (p = 0,000). Mobilisasi Progresif Level I dapat meningkatkan tekanan darah dan saturasi oksigen pada pasien kritis dengan penurunan kesadaran. Mobilisasi Progresif Level I dapat dijadikan salah satu intervensi keperawatan untuk meningkatkan tekanan darah dan saturasi oksigen pasien kritis dengan penurunan kesadaran dengan tekanan darah di bawah normal. Kata kunci: Mobilisasi progresif level I, tekanan darah, saturasi oksigen, pasien kritis. AbstractThe effect of progressive level I mobilization on blood pressure and oxygen saturation in critical patients with decreased awareness. Patients who are treated in the Intensive Care Unit (ICU) are critical patients who are in danger of failure or dysfunction in one or multiple organs accompanied by hemodynamic disturbances. Critical patients in a state of reduced consciousness have limitations in mobilization, which have an impact on blood pressure and unstable oxygen saturation. One intervention that can be done to deal with this is with progressive level I mobilization in the form of head of bed, ROM, and lateral rotation. This study aims to determine the effect of progressive level I mobilization on blood pressure and oxygen saturation in critical patients with decreased awareness in the ICU. This research method uses pre-experimental design with pre-test and post-test one group design. Research respondents were determined by non-probability sampling with total sampling method. The study was conducted in the ICU room in 15 respondents consisting of 10 female respondents and 5 male respondents and met the inclusion criteria. The dependent t-test showed that there was an effect of progressive level I mobilization on systolic blood pressure (p= 0.024), diastolic pressure (p= 0.002), and oxygen saturation (p= 0.000). Level I Progressive Mobilization can increase blood pressure and oxygen saturation in critical patients with decreased consciousness. Level I Progressive Mobilization can be used as one of the nursing interventions to increase blood pressure and oxygen saturation of critical patients with decreased consciousness with below normal blood pressure. Keywords: Progressive level I mobilization, blood pressure, oxygen saturation, critical patients

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