scholarly journals ANALISIS KEMAMPUAN PERAWAT DALAM MELAKUKAN BASIC LIFE SUPPORT PADA PASIEN GAWAT DARURAT DI RSU Dr. WAHIDIN SUDIRO HUSODO MOJOKERTO

2020 ◽  
Vol 8 (2) ◽  
pp. 153
Author(s):  
Lutfi Wahyuni ◽  
Agus Haryanto

Introduction: Basic Life Support is an effort that must be done immediately by someone if  finding  victims who experienced cardiac arrest, every health worker must obtained the skilfull ability to provide Basic Life Support (BLS) measures. According to Riskesdas in 2018 the prevalence of cardiovascular disease sufferers in Indonesia is 1.5%. Whereas in the East Java region showed  the prevalence of coronary heart disease sufferers at all ages is 1.7. The purpose of this study is to analyze the ability of nurses to implement Basic Life Support in Cardiac Arrest patients. Method: The design used is descriptive analysis. The population is all nurses in the emergency department as many as 45 nurses. The sampling technique used is total sampling. The variable is the ability of nurses in conducting Basic Life Support in Cardiac Arrest patients. The instrument used  an SPO Basic Life Support observation sheet. Result: The results showed, most of the respondents did the Basic Life Support action according to the SPO as many as 35 nurses (84.4%), while those who were not performingvaccording to the SPO were 10 nurses (15.6%). Discussion: Basic Life Support is performed on patients who have Cardiac Arrest. Nurses in the emergency room are authorized to conduct Basic Life Support which includes checking consciousness, free airway, cardiac massage,and ventilation.

2021 ◽  
Vol 4 (5) ◽  
pp. 1097-1102
Author(s):  
Mukhammad Toha ◽  
Ida Zuhroidah ◽  
Ida Zuhroidah ◽  
Mokh. Sujarwadi ◽  
Mokh. Sujarwadi ◽  
...  

ABSTRAK Penyakit kardiovasuler merupakan penyakit yang menjadi ancaman dunia saat ini, di Indonesia menjadi penyakit ke-2 yang menyebabkan kematian. Di Dunia 17 juta lebih orang meninggal akibat penyakit jantung. Cardiac arrest merupakan kegawatdaruratan dari penyakit jantung  yang akan menyebabkan kematian apabila pertolongan secara dini oleh orang awam tidak segera dilakukan. Tujuan dari resusitasi jantung paru yang dilakukan oleh orang awam adalah untuk mempertahankan fungsi vital. Apabila resusitasi jantung paru segera di lakukan, maka kelangsungan hidup mencapai 75%. Tujuan pemberdayaan santri ini adalah agar santri menjadi garda terdepan dalam memberikan pertolongan pada orang yang berada disekitarnya ketika mengalami serangan jantung sehingga komplikasi dapat di minimalkan serta harapan hidup korban meningkat serta mampu melakukan tindakan resusitasi jantung paru secara tepat, cepat dan akurat. Metode yang digunakan pada pelatihan ini adalah ceramah dan diskusi serta praktik resusitasi jantung paru pada manekin yang dilakukan pada hari ke-2. Hasil dari pelatihan ini adalah sebagian besar (85%) santri mengerti tentang konsep basic life support serta satu persatu santri mampu melakukan resusitasi jantung paru pada manekin. Kata Kunci : pemberdayaan, santri, basic life support  ABSTRACT Cardiovascular disease is a world threat today; in Indonesia, it is the second disease that causes death. In the world, more than 17 million people die from heart disease. Cardiac arrest is an emergency of heart disease that will cause death if ordinary people's early help is not immediately carried out. The goal of cardiac pulmonary resuscitation performed by the layman is to maintain vital functions. If cardiac pulmonary resuscitation is performed immediately, the survival rate is 75%. The aim of empowering these students is to make the students at the forefront of providing help to those around them when they experience a heart attack so that complications can be minimized and the life expectancy of the victim increases and is able to perform cardiac pulmonary resuscitation actions appropriately, quickly and accurately. The methods used in this training were lectures and discussions as well as the practice of cardiopulmonary resuscitation on the mannequin which was conducted on the 2nd day. The result of this training was that most of the students (85%) understand the basic concept of life support and one by one one student able to perform cardiopulmonary resuscitation on the mannequins.  Keyword : empowerment, student, basic life support


2020 ◽  
Vol 9 (2) ◽  
pp. 177-183
Author(s):  
Ida Rahmawati ◽  
Dwi Putri Sulistiya Ningsih

ABSTRACTBackground: Cardiac arrest is a health problem that is increasing to be the leading cause of death in the world. The main action to save cardiac arrest aims to maintain optimal myocardial and cerebral oxygenation so that death does not occur. Providing Basic Life Support (BLS) is an effort to save and restore this function. Knowledge about cardiac arrest among health students is still a neglected problem due to a lack of awareness in seeking basic knowledge.Objective: This study aimed to determine the effect of basic life support-based simulation training on knowledge of nursing students in the city of Bengkulu.Methods: This study used a pre-experimental design with a pre-test post-test approach. The population in this study were all 61 students of the fourth semester of STIKES Tri Mandiri Sakti Bengkulu nursing students. Samples were taken using total sampling technique. Data were collected using a knowledge questionnaire containing 10 question items which were adopted from the questionnaire Yunanto et al., (2017). Data were analyzed using paired sample t-test.Result: Based on the results of the study, it was found that there was a significant effect of BLS training based on manikin simulation on nursing student knowledge with a value of t test = -15.169, p = value = 0.000 <α = 0.05.Conclusion: Nursing students need to provide knowledge about BLS from the start so that they are more confident and able to apply it in case of cardiac arrest outside the hospital. Higher education institutions should provide health education about BLS from the beginning of the academic year, so that in the following semester students are better able to improve the quality of the skills they have formed.Keywords: Basic Life Support, Knowledge, Simulation.  


2021 ◽  
Vol 2 (2) ◽  
pp. 49-61
Author(s):  
I Kadek Artawan ◽  
Yupin Aungsuroch ◽  
I Gede Juanamasta ◽  
I Made Sukma Wijaya ◽  
Komang Agus Jerry Widyanata

Introduction: Cardiac arrest is the most pre-hospital emergency cases. Approximately 30.000 people have cardiac arrest in pre-hospital and about 33% have treated with bystander. Basic life support (BLS) with cardiopulmonary resuscitation (CPR) is a first aid procedure that needs to be performed in this case. Death could occur within minutes if the first aid does not adequately performed. The study aimed to know the effect of BLS courses on the community knowledge level in the North Denpasar District. Methods: The study was a pre-experimental study with a pre-posttest design. Study participant selected by cluster random sampling technique  and 199 participants chosen as study participants. To collect the community knowledge data, a questionnaire employed in this study. American Heart Association (AHA) guideline for the public published in 2015 enrolled as a reference in organizing ten questions in the questionnaire with Guttman Scale. Results: The characteristics of respondents were 27% participants were aged between 30-39 years, 56% graduated from senior high school, 55% work as employees and 90% never attended BLS training program. There was a significant mean difference from the pre-test and post-test data. The mean difference before and after the BLS course were 8.38 and 9.74, respectively. There was a significant correlation between the BLS course and the level of knowledge (p = 0.000). Conclusion: The level of knowledge about BLS before the course was 63%. It classified into a good knowledge level. The level of knowledge about BLS after the course was significantly improved. It increased to 97.5%.


2020 ◽  
Vol 7 (3) ◽  
pp. 125-131
Author(s):  
Maulidah Maulidah ◽  
Dhelya Widasmara ◽  
Titin Andri Wihastuti

Cardiac arrest is a condition where the heart stopped abruptly, and this condition usually occurs in someone who has had heart disease or has never experienced it. In terms of clinical, someone who is experiencing a state of cardiac arrest found no signs of a palpable pulse and other signs of circulation. Efforts in terms of handling cases of the cardiac arrest itself need the role of nurse, one cardiac arrest treatment efforts by nurses are implementing Basic Life Support. The factors that affect the implementation of BHD itself is knowledge and education. The purpose of this research is analizing the correlation between knowledge and education on the implementation of BHD in cardiac arrest patients by nurses in the Emergency Installation and ICU of the General Hospital of Dr. Soedarso Pontianak. This study uses a cross-sectional approach with descriptive corelational type. The population in this study are 56 nurses. Sampling technique using total sampling. The result of this study, based on two variables: the knowledge and education have the same p-value that is p=0.000 or α <0.05. It means that there is a correlation between knowledge and education on the implementation of BHD in patients with cardiac arrest in General Hospital of Dr. Soedarso Pontianak.


2017 ◽  
Vol 2 (1) ◽  
pp. 6-20
Author(s):  
Lilis Novitarum ◽  
Siti Meilan Simbolon

Knowledge and attitudes are the result of out through a specific sensing of objects and social interaction so that the formation of a person's actions. Basic Life Support was given an early intervention in the treatment of patients in cardiac arrest (cardiac arrest). Goal : This study aimed to analyze the relationship between knowledge with attitude of health workers on basic life support in Puskemas Pancur Stone Deli Serdang. Methods: The method used is descriptive analytic research with cross sectional approach. Samples numbered 32 with a sampling technique is total sampling. Measuring instrument used in this study a questionnaire. Result : The results of statistical tests chi-square test, p value = 0.014 was obtained. P value <0.05, it indicates there is a relationship of knowledge with the attitude of health workers in health centers BLS Pancur Stone. Conclusion : Expected to health workers in health centers Pancur stone to further improve and understand basic life support and can take action BLS in the treatment of patients who suffered sudden cardiac arrest, so handled quickly and accurately, as well as a training / seminar on basic life support on a regular basis.


Circulation ◽  
2020 ◽  
Vol 142 (Suppl_4) ◽  
Author(s):  
Akira Funada ◽  
Yoshikazu Goto ◽  
Masayuki Takamura

Introduction: In Japan, emergency medical service (EMS) providers are prohibited from cardiopulmonary resuscitation (CPR) termination in the field and must transport all out-of-hospital cardiac arrest (OHCA) patients to a hospital, regardless of the return of spontaneous circulation (ROSC). We previously developed a termination of resuscitation (TOR) rule for emergency department physicians (ED-TOR) treating OHCA patients using data from the All-Japan Utstein Registry between 2005 and 2009, when CPR was performed according to the 2005 guidelines. The ED-TOR rule recommends CPR termination when patients in the emergency department meet all of the following criteria: initial unshockable rhythm, arrest unwitnessed by bystanders and no prehospital ROSC. Hypothesis: We aimed to validate the ED-TOR rule using more recent data, where CPR was performed according to the 2010 and 2015 guidelines, comparing the relevance of the ED-TOR rule with the universal basic life support TOR (BLS-TOR) rule, which consists of the following criteria: no prehospital ROSC, unwitnessed arrest by EMS providers and no shock received. Methods: We analysed 552,554 OHCA patients (age ≥ 18 years) treated by EMS providers. OHCA patients witnessed by EMS providers were excluded. Data were obtained from a prospectively recorded All-Japan Utstein Registry from 2013 to 2017. The study endpoints were specificity and a positive predictive value (PPV) for predicting 1-month mortality after OHCA with the ED-TOR and BLS-TOR rules. Results: The overall 1-month survival rate was 4.3% (23,733/552,554). The proportions of OHCA patients who fulfilled the ED-TOR and BLS-TOR criteria were 59.6% and 83.8%, respectively. The specificity and PPV of the ED-TOR and BLS-TOR rules for predicting 1-month mortality were 93.2% (95% confidence interval [CI], 92.8%-93.5%) and 99.5% (95% CI, 99.5%-99.5%) and 82.6% (95% CI, 82.1%-83.1%) and 99.1% (95% CI, 99.1%-99.1%), respectively. Conclusions: The ED-TOR rule was successfully validated using more recent data from a Japanese registry where CPR was performed according to the 2010 and 2015 guidelines. The ED-TOR rule was slightly superior to the BLS-TOR rule in Japanese EMS systems showing high specificity and PPV for predicting 1-month mortality.


2017 ◽  
Vol 02 (02) ◽  
pp. 052-059
Author(s):  
Ashima Sharma ◽  
Mohammed Nizami

The guidelines for cardio-pulmonary resuscitation are updated every five years. Basic life support is the foundation for saving lives after cardiac arrest. BLS encompasses three major aspects: airway control, artificial respiration and cardiac massage.The 5 links in the adult Chain of Survival areA strong Chain of Survival can improve chances of survival and recovery for victims of heart attack, stroke and other emergencies. In this article, we reviewed the recent advances in the updated CPR guidelines.


Retos ◽  
2015 ◽  
pp. 59-62
Author(s):  
J. Arturo Abraldes Valeiras

Anualmente en España mueren un gran número de personas por enfermedades relacionadas con el corazón. El paro cardíaco es la causa principal en este tipo de muertes. Conocer y dominar las técnicas de Reanimación Cardiopulmonar Básica (RCPB) son fundamentales para auxiliar a un accidentado de estas características. En este estudio se analizó 1) la importancia de conocer estas técnicas en la población en general, y 2) la percepción de la dificultad de comprensión y ejecución de las técnicas. Se utilizó un cuestionario diseñado “ad hoc” como instrumento para la recogida de información. El instrumento se sometió a procesos de validación y fiabilidad para el estudio. Se administró el cuestionario a 235 personas voluntarias de edades comprendidas entre los 10 y los 65 años. Se realizó un análisis estadístico descriptivo, en función del género y de las variables importancia de conocimiento y aprendizaje / ejecución de las técnicas. Entre los resultados más relevantes, podemos destacar un interés de la sociedad a aumentar la formación en este tipo de conocimientos. Formación que sería ideal en la mayoría de los grupos de edad de la población (adolescentes a ancianos). Así mismo, las técnicas de RCPB son fáciles de comprender y, en menor medida de ejecutar, percepción más relevante entre de la gente que manifiesta conocer y dominar dichas técnicas. Palabra clave: Soporte vital básico, enfermedad cardiovascular, primeros auxilios, educación.Abstract: Annually in Spain many people die from diseases related to heart. Heart attack is the main cause of such deaths. Know and control the basic techniques of basic Cardiopulmonary resuscitation (CPR) are essential to help a person away from these features. This study examined 1) the importance of knowing these techniques in the general population, and 2) the perception of the difficulty of understanding and application of techniques. We used a questionnaire designed "ad hoc" as a tool for collecting information. The instrument was subjected to validation and reliability for the study. The questionnaire was completed by 235 volunteers aged between 10 and 65. We performed a descriptive analysis, based on gender and the variables importance of knowledge and learning / apply techniques. Among the most relevant results, we emphasize an interest of society to improve training in this type of knowledge. Training would be ideal in most age groups of people (teens to seniors). Likewise, CPR techniques are easy to understand and execute a lesser extent, relevant perception among people who acknowledge and application these techniques.Key words: Basic Life Support, cardiovascular disease, first aids, education.


2018 ◽  
Vol 1 (2) ◽  
pp. 99
Author(s):  
Laila Kamila ◽  
Maulidiyah Salim

Abstract: Coronary heart is a disease that offense to blood vessels and heart attack due to constriction of blood vessels. A high level of cholesterol in blood or exceeds the normal limit can form sediment in wall of blodd vessels which cause blood vessels constriction or blockage. This research object to determine whether there is a correlation between cholesterol level total and hypertension with coronary heart disease in patients who hospitalized in Regional Public Hospital of dr. Soedarso Pontianak. This study was used cross sectional design, purposive sampling technique, it gained 50 people as samples. The measurement of blood pressure was done in heart poly and cholesterol total level in clinic laboratory of Regional Public Hospital of dr. Soedarso by using enzymatic CHOD-PAP method. It can be obtained that 10 people had hypertension and 40 people did not.the average of total cholesterol was 224 mg/dl. Maximum value of total cholesterol was 224 mg/dl and 152 mg/dl as minimum value. Data has been analyzed by using statistical test, Chi-Square, to determine the correlation of total cholesterol wit coronary heart disease, obtained p value=0,024 (less than α=0,05). Correlation of hypertension and coronary heart disease gained p value=0,923 (more than α=0,05), it can be concluded that total cholesterol correlated with coronary heart disease, and there was not a correlation between hypertension and coronary heart disease.Abstrak: Jantung koroner adalah penyakit yang  menyerang pembuluh darah dan serangan jantung, karena penyempitan pada pembuluh darah. Kadar kolesterol yang tinggi dalam darah melebihi normal dapat membentuk endapan pada dinding pembuluh darah sehingga menyebabkan penyempitan dan tersumbatnya pembuluh darah. Penelitian ini bertujuan untuk mengetahui hubungan kadar kolesterol total dan hipertensi dengan penyakit jantung koroner pada pasien di RSUD dr. Soedarso Pontianak. Disain penelitian  ini menggunakan cross sectional, teknik pengambilan sampel yaitu purposive sampling, didapat jumlah sampel 50 orang. Pengukuran Tensi Darah dilakukan di poli Jantung dan pemeriksaan kadar kolesterol total di laboratorium klinik RSUD dr. Soedarso Pontianak dengan metode enzimatik CHOD-PAP. Hasil penelitian didapatkan 10 orang mengalami hipertensi dan 40 orang non hipertensi. Rata-rata kadar kolesterol total 224 mg/ dl. Nilai maksimum kadar kolesterol total yaitu 224 mg/dl dan nilai minimum yaitu 152 mg/dl. Analisa data dengan uji statistik Chi-square untuk mengetahui hubungan kolesterol total dengan penyakit jantung koroner didapatkan nilai p = 0,024 (lebih kecil dari  α 0,05). Uji hubungan hipertensi dengan penyakit jantung koroner didapat nilai p = 0,923 (lebih besar dari α 0,05), dapat disimpulkan terdapat hubungan kadar kolesterol total dengan penyakit jantung koroner dan tidak ada hubungan hipertensi dengan penyakit jantung koroner.


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