Analisis Praktik Klinik Dengan Intervensi Inovasi Terapi Position Lateral Dan Suction Terhadap Hemodinamik Pasien Stroke Hemoragik Post Op Craniotomy Diruang Icu RSUD A.M Parikesit Tenggarong : Studi Kasus
DOI:
https://doi.org/10.30643/jiksht.v20i2.435Keywords:
Hemorrhagic Stroke, Craniotomy, Haemodynamics, Lateral Position, Suction, ICUAbstract
Introduction: Hemorrhagic stroke is a type of stroke that has a high mortality rate and disability, especially in patients who require craniotomy. Postoperatively, patients generally experience impaired consciousness and an inability to maintain the airway effectively, which can have an impact on hemodynamic instability. Therefore, innovative interventions such as Lateral Position and Suction (mucus suction) are important in supporting the stability of the patient's condition in the Intensive Care Unit (ICU). Objective: To analyze clinical practice with innovative interventions of Lateral Position and Suction therapy of hemodynamic status of hemorrhagic stroke patients after craniotomy surgery in the ICU of A.M. Parikesit Tenggarong Hospital. Methods: This study used a case study approach in post op craniotomy hemorrhagic stroke patients who were treated in the ICU, with nursing interventions in the form of Lateral Position and Suction according to the protocol. Evaluation was carried out by observing changes in hemodynamic parameters before and after the intervention, including blood pressure, pulse, respiratory rate, and oxygen saturation.Results: Lateral Position and Suction showed significant improvements in the patient's hemodynamic status, especially in increased oxygen saturation, blood pressure stability, and decreased accumulation of secretions in the airway. Conclusion: Lateral Position and Suction Therapy is effective in improving the hemodynamic stability of postcraniotomy hemorrhagic stroke patients. This intervention can be used as one of the independent nursing measures in the management of critical patients in the ICU room.
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Daìud, I., & Saìri, R. N. (2020). Peìngaìruh Teìraìpi Pijaìt Kaìki Teìrhaìdaìp Staìtus Heìmodinaìmik Paìdaì Paìsieìn Teìrpaìsaìng Veìntilaìtor Di Inteìnsiveì Caìreì Unit (Icu) Rsud Ulin Baìnjaìrmaìsin. Journaìl of Nursing Inveìntion E-ISSN 2828-481X, 1(1), 56–64. https://doi.org/10.33859/jni.v1i1.9
Deìwi, A. A., Fikriyaìnti, & Jufrizaìl. (2024). Asuhaìn Keìpeìraìwaìtaìn Post Craìniotomy Evaìkuaìsi Intraìceìreìbraìl Heìmorrhaìgeì (ICH) di Inteìnsiveì Caìreì Unit: Studi Kaìsus. Jurnaìl Gaìwaìt Daìruraìt, 6(1), 9–20.
Haìfifaìh, I., Raìhaìyu, F. R., & Haìkim, L. (2021). Studi Kaìsus : Evaìluaìsi Staìtus Heìmodinaìmik Paìsieìn Deìngaìn Veìntilaìtor Meìkaìnik Paìscaì Mobilisaìsi Haìriaìn ( Supinaìsi - Laìteìraìl ) di Ruaìng ICU RSUD Ulin Baìnjaìrmaìsin Caìseì Study : Theì Heìmodynaìmic Staìtus Evaìluaìtion of Paìtieìnts with Meìchaìnicaìl Veìntilaìtor aìfteìr Daìily. Faìleìteìhaìn Heìaìlth Journaìl, 8(1), 51–57. journaìl.lppm-stikeìsfaì.aìc.id/ojs/indeìx.php/FHJ
Iraìwaìti, Y., Maìulidiaì Seìptimaìr, Z., & Mukhaìiraì, I. (2024). Hubungaìn Tingkaìt Peìngeìtaìhuaìn Teìntaìng Peìraìwaìtaìn Inteìnsiveì Caìreì Unit (ICU) Deìngaìn Keìceìmaìsaìn Keìluaìrgaì Paìsieìn Yaìng Di Raìwaìt Di ICU RS Kaìnkeìr Dhaìrmaìis. Jurnaìl Ilmiaìh Ilmu Keìseìhaìtaìn Daìn Keìdokteìraìn, 2(1), 152–164. https://doi.org/10.55606/teìrmomeìteìr.v2i1.2821
Kitu, N. B., Rohaìnaì, N., & Saìkti, T. (2021). Peìngaìruh tindaìkaìn peìnghisaìpaìn leìndir eìndotraìkeìaìl tubeì (ETT) teìrhaìdaìp kaìdaìr saìturaìsi oksigeìn paìdaì paìsieìn yaìng diraìwaìt di ruaìng ICU RSUD Kotaì Saìlaìtigaì. 6(2), 1–10.
Kusumaì, U., Suraìkaìrtaì, H., & Maìreìt, U. S. (2023). Peìngaìruh Peìmbeìriaìn Posisi Laìteìraìl Teìrhaìdaìp Staìtus Heìmodinaìmik Paìdaì Neìonaìtus Yaìng Teìrpaìsaìng Alaìt Baìntu Naìfaìs Meìkaìnik Di Ruaìng Insteìnsif Neìonaìtus Daìn Peìdiaìtrik Rumaìh Saìkit Univeìrsitaìs Seìbeìlaìs Maìreìt. 25.
Nonok Kaìrlinaì, Faìuziyaìtu Alfiyaìh, S., Nurcaìhyaìnaì, Y., Budihaìrtiningrum, F., & Prihaìtini, N. (2023). Tindaìkaìn Suction Teìrhaìdaìp Beìrsihaìn Jaìlaìn Naìfaìs Paìdaì Paìsieìn Intraìceìreìbraìl Heìmorrhaìgeì Post Op Craìniotomy. Jurnaìl Keìseìhaìtaìn Maìhaìrdikaì, 10(2), 60–65. https://doi.org/10.54867/jkm.v10i2.190
Primaìputraì Lubis, A., Irinaì, R. S., & Ginting, A. S. (2023). Chaìraìcteìristics of ICU aìnd Opeìraìting Room Paìtieìnts aìt Saìteìlliteì Hospitaìls Study Prograìm Aneìstheìsiology aìnd Inteìnsiveì Caìreì Faìculty of Meìdicineì Univeìrsitaìs Sumaìteìraì Utaìraì. ABDIMAS TALENTA: Jurnaìl Peìngaìbdiaìn Keìpaìdaì Maìsyaìraìkaìt, 8(1), 636–647. https://doi.org/10.32734/aìbdimaìstaìleìntaì.v8i1.13575
Rondonuwu, R. H. S., Waìrouw, H. J., Saìrimin, D. S., & Deìdeìn, M. (2023). Inteìrveìnsi Keìpeìraìwaìtaìn Laìteìraìl Position daìn Suction paìdaì paìsieìn Strokeì Heìmoraìgik deìngaìn Maìsaìlaìh Gaìgaìl Naìfaìs di ruaìng ICU RSUP Prof . Dr . R . D Kaìndou Maìnaìdo. Polteìkkeìs Keìmeìnkeìs Maìnaìdo, 69–75. filaìeì:///C:/Useìrs/useìr/OneìDriveì/Documeìnts/SEMINAR AMIIN/Inteìrveìnsi Keìpeìraìwaìtaìn Laìteìraìl Position daìn Suction paìdaì paìsieìn Strokeì.pdf
Saìni, A. J., Ariaìnto, A. T., & Husni Thaìmrin, M. (2020). Peìrbeìdaìaìn Reìspon Heìmodinaìmik deìngaìn Peìnaìmbaìhaìn Blok Scaìlp Leìvobupivaìkaìin paìdaì Opeìraìsi Kraìniotomi. Jurnaìl Neìuroaìneìsteìsi Indoneìsiaì, 9(1), 8–15. https://doi.org/10.24244/jni.v9i1.214
Tsaìo, C. W., Adaìy, A. W., Almaìrzooq, Z. I., Andeìrson, C. A. M., Aroraì, P., Aveìry, C. L., Baìkeìr-Smith, C. M., Beìaìton, A. Z., Boeìhmeì, A. K., Buxton, A. E., Commodoreì-Meìnsaìh, Y., Elkind, M. S. V., Eveìnson, K. R., Ezeì-Nliaìm, C., Fugaìr, S., Geìneìroso, G., Heìaìrd, D. G., Hireìmaìth, S., Ho, J. E., … Maìrtin, S. S. (2023). Heìaìrt Diseìaìseì aìnd Strokeì Staìtistics - 2023 Updaìteì: A Reìport from theì Ameìricaìn Heìaìrt Associaìtion. In Circulaìtion (Vol. 147, Issueì 8). https://doi.org/10.1161/CIR.0000000000001123
Yaìsin, M. Q., Seìptimaìr, Z. M., & Deìwi, E. (2024). Asuhaìn Keìpeìraìwaìtaìn Paìdaì Paìsieìn Strokeìheìmoraìgik Post Craìniotomy Deìngaìn Inteìrveìnsi Fisioteìraìpi Daìdaì Meìnggunaìkaìn Teìknik Claìpping Daìn Vibraìsi Teìrhaìdaìp Saìturaìsi Oksigeìn Di Ruaìng Icu Rs An-Nisaì Taìngeìraìng. 237–243.
Yuswaìndi, Waìrongaìn, A. W., & Raìyaìsaìri, F. (2020). Staìtus Heìmodinaìmik Paìsieìn Yaìng Teìrpaìsaìng Veìntilaìsi. Journaìl of Islaìmic Nursing, 5(2018), 146–155.
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