Pengaruh Perubahan Posisi terhadap Hasil Ukur Tekanan Vena Sentral pada Pasien Critical Care di Gedung A RSUPN Dr. Cipto Mangunkusumo

Julham  Mubarak; Erika Lubis; Nani Asna  Dewi

doi:10.56667/jikdi.v1i1.210

Authors

Julham Mubarak Universitas Binawan
Erika Lubis Universitas Binawan
Nani Asna Dewi Universitas Binawan

DOI:

https://doi.org/10.56667/jikdi.v1i1.210

Keywords:

CVP measurement position, CVP measurement results

Abstract

Many factors would affect the accuracy of Central Venous Pressure (CVP) measurement such as patient’s position during the measuring. Any fault that occurs while measuring could bring a fatal impact such as death. This study aimed to determine the effect of the CVP measuring position towards the results CVP measurement of critical care patients. This study is a quasi-experimental study with Pre and Post Test design without control by measuring the CVP of 45 respondents with supine and semi-fowler positions. Statistical test using paired samples T-test. The results showed a significant difference in the results of measuring CVP in critical care patients between before and after changing positions with p-value = 0.003. In conclusion, this study indicates that there are differences in the results of the CVP measurement position and it is hoped that nurses can take measurements correctly to avoid any intervention error throughout providing patient care.

References

Burghardt, j. C. (2012). Critical Care Nursing :Made Incredibly Easy ! Hongkong: Lippincot Williams & Wilkins.

Dahlan, Sopiyudin M. (2012). Statistik untuk Kedokteran dan Kesehatan Edisi kelima. Jakrta : Salemba Medika.

Dharma, K. K. (2011). Metodologi Penelitian Keperwawatan: Panduan Melaksanakan dan Menerapkan Penelitian. Depok: CV Trans Info Media.

El Moaty, A. M., El Mokadem, N. M., & Abd Elhy, A. H. (2017). Effect of SEmi Fowler Position on Oxygenation and Hemodynamic Staqtus Among Critically Ill Patients with Traumatic Brain Injury. International Journal of Novel Research in Helathcare and Nursing, 227-236.

Elliott, D., Aitken, L., & Chaboyer, W. (2012). Australian College of Critical Care Nurses (ACCN'S) Critical Care Nursing. Sydney: Mosby Elsevier.

Frisianto, R. T., sudadi, & Sari, D. (2015). Korelasi Nilai Central Venous Pressure (CVP) dengan Inferior Vena cava Distensibility Index (IVC-DI). Perpustakaan Universitas Gadjah Mada.

Guyton, A. C., & Hall, J. E. (2011). Textbook of Medical Physiology. Philadelpia: Saunders Elsevier.

Jevon, P., & Ewens, B. (2009). Pemantauan Pasien Kritis . Jakarta: Erlangga Medikal Series.

Keputusan Menteri Kesehatan Nomor 1778/SK/XII/2010 tentang Pedoman Penyelenggaraan Pelayanan Intensive Care Unit (ICU) di Rumah Sakit

Kluwer, W. (2016). Hemodynamic Monitoring made Incredibly Visual. Philadelpia: Lippincott Williams and wilkims.

Knapp, R. (2016). Hemodynamic Monitoring : Made Incredibly Visual. Philadelpia: Wolters Kluwer.

Lesmana , H., Ose, M. I., Zulfia, R., & Tobing, K. I. (2019). The EEfect of Change in Postural Position Angle Degree on Central Venous Pressure Measurement. Indonesian Journal of Medicine, 192-200.

Lesmana, H. (2018). Akurasi Pengukuran Vena Sentral. Journal of Borneo Holistic Health, 1-13.

Mallet, J., Albarran, J. W., & Richardson, A. (2013). Critical Care manual of Clinical Procedures and Competencies. Lowa: Wiley Blackwell.

Morton , P. G., & Fontaine, D. K. (2013). Essentials of Critical Care Nursing : A Holistic Approach. Philadelpia: Wolters Kluwer.

Mulyati, T. (2011). Pengaruh PEEP ( Positive End Expiratory Pressure) Terhadap Nilai CVP (Central Venous Pressure) Pada Pasien Dengan Penggunaan Ventilator di Ruang GICU RSUP Dr. hasan Sadikin Bandung. Pustaka Ilmiah UNPAD.

Notoatmodjo, S. (2018). Metodelogi Penelitian Keshatan. Jakarta: PT. Riineka Cipta .

Nugent, P. M., & Vitale, B. A. (2014). Fundamentals of Nursing : Content Review Plus Practice Question. Philadelphia: F.A. Davis Company.

Nursalam. (2017). Metode Penelitian Ilmu Keperawatan Ed. 4. Jakarta: Salemba Medika

Pasion, E., Good, L., Tizon, J., Krieger, S., O'Kier, C., Taylor, N., et al. (2010). Evaluation of The Monitor Cursor-Line Methodfor Measuring Pulmonary Artery and Central Venous Pressures. American Journal of Critical Care, 511=521.

Platt, A. T., Connolly, S., & Round, J. (2013). Monitoring of the Cardiovascularsystem: Insertion and Assessment. In J. Mallet, J. W. Albarran, & A. Richardson, Critical Care Manual of Clinical Prosedures and Competencies (p. 187). Chichester: Willey BlackWell.

Polit, D., & Beck, C. (2012). Nursing Research: Generating and Assessing Evidence for Nursing Practice. 9th Edition. USA: Lippincott.

Siegenthaler, N., Giraud, R., Saxer, T., Courvoisier, D. S., Romand, J. A., & Bendjelid, K. (2014). Haemodynamic Monitoring in the Intensive Care Unit : Result from a Web-based Swiss Survey. Biomed Research International, 1-4.

Sole, M. L., Klein, D. G., & Moseley, M. J. (2013). Introduction to Critical Care Nursing : Sixth Edition. St. Louis: Elsevier Saunders.

Sugiyono (2015), Metode Penelitian Pendidikan (Pendekatan Kuantitatif, Kualitatif dan R&D). Bandung: CV Alfabeta.

Widiastuti, E. S., & Wahjuprajitno, B. (2014). Angak Kejadian dan Faktor yang Mempengaruhi Infeksi Paska Pemasangan Kateter Vena Sentral di Rumah Sakit Dr. Soetomo. Jurnal Anestiologi Indonesia, 22-25.

Woodrow, P. (2019). Intensive Care Nursing: A Framework for Practice . New York: Routledge