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HUBUNGAN TIM DINAMIS DENGAN KEMAMPUAN PERAWAT IGD MELAKUKAN CPR DI RUMAH SAKIT RUJUKAN PERTAMA NUSA TENGGARA BARAT Suharsono, Tony; Aries Fahrozi, Lalu; Sargowo, Djanggan
Jurnal Keperawatan Vol 6, No 2 (2015): Juli
Publisher : University of Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (35.065 KB) | DOI: 10.22219/jk.v6i2.2870

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Latar Belakang Peran penting perawat dalam penanganan cardiac arrest dan kemampuan kemampuan melakukan high quality CPR adalah kemampuan yang wajib dimiliki oleh perawat.Tujuan penelitian ini adalah untuk mengetahui hubungan antara tim dinamis dengan kemampuan perawat IGD dalam melakukan CPR. Metode observasional analitik dengan pendekatan cross sectional menggunakan purposive sampling. Jumlah sampel 52 perawat IGD dari tiga rumah sakit rujukan pertama di NTB. Alat ukur lembar observasi dan manequin GD/CPR180S, untuk mengetahui kemampuan CPR dan parameter tim dinamis. Hasil penelitian menunjukkan bahwa rata-rata responden hanya melakukan 4 hal dari indikator CPR yang berkualitas dan 5 dari 6 indikator tim dinamis dalam proses CPR. Hasil analisa bivariat dengan menggunakan korelasi pearson menunjukkan Pv 0,000 dan r 0,637. Tim dinamis mempunyai hubungan yang erat dengan kemampuan perawat melakukan CPR. Berdasar dari penelitian ini, sebaiknya pelatihan CPR dilakukan dengan pendekatan tim.
HUBUNGAN KEPATUHAN TERAPI TERHADAP KUALITAS HIDUP PASIEN DENGAN HIPERTENSI DERAJAT II Afiani, Nurma; Sargowo, Djanggan; Rini, Ika Setyo
Dunia Keperawatan Vol 2, No 1 (2014)
Publisher : Universitas Lambung Mangkurat

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ABSTRAK Latar Belakang: Kepatuhan terapi merupakan salah satu unsur penting dalam pengelolaan pasien hipertensi. Hipertensi tidak terkontrol berisiko menimbulkan kecacatan sehingga dapat mempengaruhi kualitas hiduppenderita. Di Indonesia belum ada literatur yang menyebutkan hubungan antara kepatuhan terapi dan faktor-faktor yang mempengaruhinya terhadap kualitas hidup penderita hipertensi.Tujuan: Mengetahui hubungan antara kepatuhan terapi dan faktor-faktor yang mempengaruhinya terhadapkualitas hidup pasien dengan hipertensi derajat II.Metode: Studi analitik observasional ini dilakukan pada pasien hipertensi rawatjalan diPoliklinik Jantung RSU Dr. Wahidin Sudiro Husodo Mojokerto selama bulan Mei sampai Juni 2013. Subjek dipilih sesuai dengen kriteria hipertensi derajat II dan telah mengisi informed consent. Data tentang kepatuhan terapi dan kualitashidup diperoleh dari hasil wawancara masing-masing dengan menggunakan kuisioner MMAS (MoriskyMedication Adherence Scale) dan SF-36 (Short Form-36). Hubungan antara kepatuhan terapi dan faktor-faktoryang mempengaruhinya terhadap kualitas hidup penderita hipertensi derajat II dianalisis dengan analisis jalur (Path Analysis).Hasil: Dari 853 pengunjung poliklinik, subjek yang memenuhi kriteria inklusi berjumlah 70 orang, terdiri dari 35 orang (50%) laki-laki dan 35 orang (50%) perempuan; 38 orang (54,3%) berusia 55-65 tahun dan 32 orang (45, 7%) berusia tahun. Berdasarkan hasil analisis jalur ditemukan bahwa faktor-faktor yang berpengaruh langsung terhadap kualitas hidup berturut-turut adalah kepatuhan terapi tingkat ekonomi dan jenis antihipertensi. Kepatuhan terapi sendiri juga dipengaruhi olehbeberapa faktor yaitu tingkat ekonomi dan tingkat pendidikan.Kesimpulan: Faktor ekonomi dan pendidikan merupakan faktor yang paling dominan dalam menentukankepatuhan terapi yang kemudian berdampak kepada kualitas hidup. Kata Kunci: Kepatuhan Terapi, Kualitas Hidup, Hipertensi Derajat IIABSTRACT Background: Compliance is an important factor in treatment of hypertension patient. Low compliance in treatment increases morbidity and will impact to quality of life. In Indonesia there is no dada predicting factors influence compliance releated to quality of life in hypertension patients.Objective: This study was conducted in order to preclictfactors influence compliance that releated to quality of life in hypertension stage II.Methods: An analytic-observational study was conducted upon hypertension patients visited to out patienf departement in Dr. Wahidin Sudiro Husodo Hospital Mojolcertofrom Mei to June, 2013. Subjects representativesof the hypertension stage II patients who had given informed consent. Compliance was assessed using MMAS(Morisky Medication Adherence Scale) questionnaire and Quality of Life using SF-36 (Short Form-36)questionnaire. Data were analyzed using Path Analysis adjusted to predict factors influence compliance that releated to quality of life in hypertension stage II.Results: Of total of 853 patients visiting at Out Patients Departement (OPD), there were 70 subjects eligible inthis study. They were 35 male (50%) and 35 female (50%); 38 subjects (54,307%) were 55-65 years old and 32subjects (45, 7%) were 265 years old. Factorsdirectly influenced quality of life were: complianceeconomic level and antihypertensive Factorsinfluenced compliance to treatment were: economic level and educational level(r-0.237;p=0,000).Conclusion: It can concluded that economic and educational level were related to compliance thus impact tohigh quality of life in patients with hypertension stage II. Keywords: Compliance, Quality of Life, Hypertension Stage II.
Combination of Fibrinogen and High-sensitivity C-reactive Protein Measurements is Potential in Identification of Acute Coronary Syndrome Sargowo, Djanggan; Sandra, Ferry
The Indonesian Biomedical Journal Vol 7, No 1 (2015)
Publisher : The Prodia Education and Research Institute (PERI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18585/inabj.v7i1.19

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BACKGROUND: Acute myocardial infarction (AMI) is one of cardiovascular diseases with high morbidity and mortality rates. Novel biomarkers that can detect accurately acute coronary syndrome (ACS) at early stage, are necessary to improve current strategies and/or to identify subjects who are at risk. Fibrinogen and high-sensitivity C-reactive protein (hs-CRP) roles in inflammation process could be potential for ACS early detection. This study was conducted to evaluate measurements of fibrinogen and hs-CRP on ACS.METHODS: An analytic observational study with cross sectional approach was conducted on patients with Troponin I positive. After signing informed consent, anamnesis and complete blood count were conducted. Besides that, liver function, renal function, and blood glucose tests were conducted as well. Samples of selected subjects were quantified with enzyme-linked immunosorbent assay (ELISA) for Troponin I, fibrinogen and hs-CRP. Then statistical analyses were performed.RESULTS: There were 76 subjects in each ACS and non-ACS groups. ACS group showed significant higher levels of both fibrinogen and hs-CRP compared to Non-ACS group (p=0.000). Among evaluated risk factors, diabetes mellitus (DM) (p=0.003) and hypertension (p=0.000) were significantly higher in ACS group than in non-ACS group. Among evaluated clinical factors, blood glucose (p=0.001) and age (p=0.000) were significantly higher in ACS group than in non-ACS group. Combination of fibrinogen and hs-CRP measurements showed the highest sensitivity (75.00%), specificity (80.26%), accuracy (77.63%), positive predictive value (79.19%) and negative predictive value (76.25%).CONCLUSION: Since fibrinogen and hs-CRP were increased in ACS group and combination of fibrinogen and hs-CRP measurements showed the highest sensitivity, specificity, accuracy, positive predictive value and negative predictive value, we suggest that combination of fibrinogen and hs-CRP measurements could give added value to identify ACS.KEYWORDS: fibrinogen, hs-CRP, biomarker, ACS, acute coronary syndrome, atherosclerosis, inflammation
Proliferation of Peripheral Blood-derived Endothelial Progenitor Cells from Stable Angina Subjects Oktaviono, Yudi Her; Sargowo, Djanggan; Widodo, Mohammad Aris; Dirgantara, Yanni; Chouw, Angliana; Sandra, Ferry
The Indonesian Biomedical Journal Vol 6, No 2 (2014)
Publisher : The Prodia Education and Research Institute (PERI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18585/inabj.v6i2.34

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BACKGROUND: A population of circulating Endothelial Progenitor Cells (EPCs) has been reported to play important role in maintaining endothelial function and integrity. Since EPCs culture is crucial and an optimized medium is currently available. Therefore we conducted a study to investigate whether stable angina subjects peripheral blood-derived EPCs could be cultured in this medium. Here, we performed study to detect EPCs characteristics and extracellular signalregulated kinase (Erk)1/2 Mitogen-Activated Protein Kinase (MAPK) pathway as possible underlying pathway for EPCs proliferation.METHODS: Peripheral blood EPCs from 8 stable angina subjects were cultured in an optimized medium with/without addition of supplement for 1 or 3 days. Then, the membrane of cultured EPCs were detected with immunofluorescence method for CD34, Vascular Endothelial Growth Factor Receptor 2 (VEGFR-2) and CD133. Colony forming unit (CFU) enumeration was performed. XTT Cell proliferation assay was performed to assess EPCs growth after 1 and 3-days culture. The western blot analysis was performed to detect possible activation of Erk1/2 MAPK.RESULTS: Number of EPCs and CFU cultured for 3 days were significantly higher than the ones cultured for 1 day (p=0.012). EPCs membrane markers from stable angina subjects were detected as well as CFUs were formed. There were significant increase of EPCs number, CFUs number and phosphorylated-Erk2 amount when the groups with and without supplement were compared (p<0.05). Meanwhile U0126, a MAPK Erk1/2 (MEK1/2) inhibitor, significantly inhibited the supplement-induced EPCs number, CFUs number and phosphorylated-Erk2 amount (p<0.05).CONCLUSION: Our results showed that ERK2 MAPK signaling pathway might play an important role in supplement-induced peripheral blood EPCs proliferation in subjects with stable angina.KEYWORDS: endothelial progenitor cell, EPC, p42, Erk2, proliferation
Aloe Gel Enhances Angiogenesis in Healing of Diabetic Wound Sargowo, Djanggan; Handaya, Adeodatus Yuda; Widodo, Mohammad Aris; Lyrawati, Diana; Tjokroprawiro, Askandar
The Indonesian Biomedical Journal Vol 3, No 3 (2011)
Publisher : The Prodia Education and Research Institute (PERI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18585/inabj.v3i3.152

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BACKGROUND: Diabetic micro and macroangiophathy lead to the incident of diabetic foot ulcers characterized by an increased number of circulating endothelial cells (CECs) and decreased function of endothelial progenitor cells (EPCs). This fact is correlated with ischemia and diabetic wound healing failure. Aloe vera gel is known to be able to stimulate vascular endothelial growth factor (VEGF) expression and activity by enhancing nitric oxide (NO) production as a result of nitric oxide synthase (NOS) enzyme activity. Aloe vera is a potential target to enhancing angiogenesis in wound healing.OBJECTIVE: The objective of this study was to explore the major role of Aloe vera gel in wound healing of diabetic ulcers by increasing the level of EPCs, VEGF, and endothelial nitric oxide synthase (eNOS), as well as by reducing the level of CECs involved in angiogenesis process of diabetic ulcers healing.METHODS: The experimental groups was divided into five subgroups consisting of non diabetic wistar rats, diabetic rats without oral administration of aloe gel, and treatment subgroup (diabetic rats) with 30, 60 and 120 mg/day of aloe gel doses for 14 days. All subgroups were wounded and daily observation was done on the wounds areas. Measurement of the number of EPCs (CD34), and CECs (CD45 and CD146) was done by flowcytometry, followed by measurement of VEGF and eNOS expression on dermal tissue by immunohistochemical method on day 0 and day 14 after treatment. The quantitative data were analyzed by One-Way ANOVA and Linear Regression, with a cofidence interval 5% and significance level (p<0.05) using SPSS 16 software to compare the difference and correlation between wound diameters, number of EPCs and CECs as well as the levels of VEGF and eNOS.RESULTS: The results of this study showed that aloe gel oral treatment in diabetic wistar rats was able to accelerate the wound healing process. It was shown by significant reduction of wound diameter (0.27±0.02); the increased number of CECs (0.42±0.57), respectively (p<0.05). On the other hand, the wound diameter and eNOS indicators showed significant differences at the dose of 60 mg, while the number of EPCs and CECs and the level of VEGF showed significantly different results at a dose of 120 mg. Aloe gel oral therapy showed a positive indication of wound healing acceleration at the optimum dose range 60-120 mg a day.CONCLUSIONS: Aloe gel is potential to be a herbal therapy candidate for diabetic wound healing through enhancing EPCs homing, decreasing the CECs number, and stimulating the increase of VEGF and eNOS levels,hence proving to be a dominant factor in the angiogenesis process.KEYWORDS: aloe gel, diabetes, wound healing, angiogenesis
Extract of mangosteen increases high density lipoprotein levels in rats fed high lipid Adiputro, Dwi Laksono; Widodo, M. Aris; Romdoni, Rochmad; Sargowo, Djanggan
Universa Medicina Vol 32, No 1 (2013)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2013.v32.37 - 43

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BACKGROUND In cardiovascular medicine, Garcinia mangostana has been used as an antioxidant to inhibit oxidation of low density lipoproteins and as an antiobesity agent. The effect of Garcinia mangostana on hyperlipidemia is unknown. The aim of this study was to evaluate the effect of an ethanolic extract of Garcinia mangostana pericarp on lipid profile in rats fed a high lipid diet. METHODS A total of 40 rats were divided into five groups control, high lipid diet, and high lipid diet + ethanolic extract of Garcinia mangostana pericarp at dosages of 200, 400, and 800 mg/kg body weight. The control group received a standard diet for 60 days. The high lipid diet group received standard diet plus egg yolk, goat fat, cholic acid, and pig fat for 60 days with or without ethanolic extract of Garcinia mangostana pericarp by the oral route. After 60 days, rats were anesthesized with ether for collection of blood by cardiac puncture. Analysis of blood lipid profile comprised colorimetric determination of cholesterol, triglyceride, low density lipoprotein (LDL), and high density lipoprotein (HDL). RESULTS From the results of one-way ANOVA it was concluded that there were significant between-group differences in cholesterol, trygliceride, LDL, and HDL levels (p=0.000). Ethanolic extract of Garcinia mangostana pericarp significantly decreased cholesterol, trygliceride, and LDL levels, starting at 400 mg/kg body weight (p=0.000). Ethanolic extract of Garcinia mangostana pericarp significantly increased HDL level starting at 200 mg/kg body weight (p=0.000). CONCLUSION Ethanolic extract of Garcinia mangostana pericarp has a beneficial effect on lipid profile in rats on a high lipid diet.
FAKTOR YANG BERPERAN DALAM TERJADINYA KESENJANGAN PERSEPSI TINGKAT KEGAWATAN KASUS KECELAKAAN LALU LINTAS (KLL) ANTARA PERAWAT DENGAN KELUARGA PASIEN DI IGD RSUD DR. SAFUL ANWAR MALANG Afiani, Nurma; Sargowo, Djanggan; Rini, Ika Setyo
Dunia Keperawatan Vol 2, No 1 (2014)
Publisher : Universitas Lambung Mangkurat

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ABSTRAK Perbedaan persepsi tentang tingkat kegawatan antara perawat yang menangani pasien dengan keluarga pasienyang mengantarkan pasien ke IGD dapat mencetuskan konflik antara kedua belah pihak. Penelitian inibertujuan untuk mengetahui faktor apakah yang berperan dalam teradinya kesenjangan persepsi tingkatkegawatan kasus kecelakaan lalu lintas (KLL) antara perawat dengan keluarga pasien di IGD RSUD dr.Saiful Anwar Malang. Penelitian ini adalah penelitian analitik dengan pendekatan cross sectional. Teknik sampling menggunakan quota sampling. Jumlah subyek penelitian terdiri dari 13 orang perawat Triage dan100 orang keluarga pasien Kecelakaan Lalu Lintas (KLL). Pengumpulan data menggunakan kuesioner dan rekam medic yang dicatat pada lembar observasi. Hasil analisis menggunakan regresi logistic menunjukkanbahwa variabel yang paling berpengaruh terhadap persepsi perawat adalah pengetahuan (OR 3,19), pelatihan (OR 1,58), dan pengalaman (OR 0,92). Sedangkan variabel yang paling berpengaruh terhadap persepsi keluarga pasien adalah pengetahuan (OR 2,617) dan pengalaman mengantar ke IGD (OR 1,88). Dengan demikian perlu adanyapendidikan berkelanjutan bagi perawat untuk meningkatkan pengetahuan sertapendidikan kepada masyarakat awam tentang tingkat kegawatan. Dan untuk perbaikan hasil penelitian,perludilakukan penelitian secara prospektif dengan mengobservasi kondisi pasien mulai masuk Ruang Triagesampai pasien pulang. Kata kunci: persepsi, triage, perawat, keluarga pasien, kecelakaan lalu lintas ABSTRACT The difference between the perception of the gravity of the nurses who treat patients with families of patients who deliver patients to the ER can trigger a conflict between the two sides. This study aims to determine whether the factors that play a role in the perception of the gravity of the gaps traffic accidents (RTA) among family caregivers of patients in the ER dr. Saiful Anwar Malang This study is a cross sectional analyticapprocch. Sampling using a quota sampling technique. The number of study subjects consisted of 13 nursesand 100 relatives Triage patients Traffic Accidents (RTA). Data collection and recording using medicquestionnaire that recorded on the observation sheet. The results of the analysis using logistic regressionshowed that the variables that most affect the perception of nurses is howledge (OR 3.19), training (OR1.58), and experience (OR 0.92). While the variables that most affect the perception of the patients family is knowledge (OR 2.617) and drove to the emergency room experience (OR 1.88). Thus the need for continuing education for nurses to enhance their knowledge and education to the general public about the gravity. And for improved outcomes research, prospective studies need to be done by observing the patients condition began. to enter the room until the patients home Triage.  Keywords: perception, triage, nurse, patient families, traffic accident.
FAKTOR RISIKO PENDERITA SINDROM KORONER AKUT TERHADAP LAMA PERAWATAN KRITIS DAN ANGKA KEMATIAN Barangkau, Barangkau; Sargowo, Djanggan; Suharsono, Tony
Dunia Keperawatan Vol 1, No 2 (2013)
Publisher : Universitas Lambung Mangkurat

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ABSTRAK Sindrom koroner akut (SKA) merupakan kondisi kegawatdaruratan kardiovaskuler yang menjadi penyebab utama morbiditas dan mortalitas pada setiap negara di seluruh dunia. Tingginya morbiditas dan mortalitas SKA dipengaruhi oleh faktor risiko yang memberikan dampak terhadap lama perawatan kritis. Namun tidak ada data yang menjelaskan lama perawatan kritis dan angka kematian berdasarkan faktor risiko. Tujuan penelitian untuk mengetahui prediksi lama perawatan kritis dan angka kematian penderita SKA berdasarkan faktor risiko. Rancangan penelitian ini adalah analitik observasional dengan pendekatan retrospektif yang dilaksanakan dengan cara mengumpulkan data dari rekam medik RSUP. dr. Wahidin Sudirohusodo Makassar dari periode januari 2012 sampai April 2013. Jumlah sampel yang memenuhi kriteria inklusi sebanyak 152 data rekam medik penderita SKA (laki-laki = 107, perempuan = 45). Faktor risiko merokok, hipertensi, diabetes mellitus, dan dislipidemia memiliki hubungan bermakna terhadap lama perawatan kritis dan angka kematian penderita SKA.Kata-kata kunci: perawatan kritis, sindrom koroner akut. ABSTRACT Acute Coronary Syndromes (ACS) are common cause for morbidity and mortality in cardiovascular emergency in every country around the world. The high morbidity and mortality SKA influenced by risk factors that have an impact on length of acute care. However, no data describing the length of acute care and mortality based on risk factors. The aim of this research was to identify the length of acute care based on risk factors of ACS. The design was an analytic observational with retrospective study that was conducted by collecting data from medical records of patients with ACS in dr. Wahidin Sudirohusodo. Hospital in Makassar from January 2012 until April 2013. The number of samples consisted of 152 medical record from ACS patient (male 107, female = 45) who had fulfilled the criteria of inclusion. Conclusion from study was smoking, hypertension, diabetes mellitus, and dyslipidemia are risk factors have significant relationship with length ofacute care and mortality in ACS patient. Keywords: acute coronary syndrome, acute care.
HUBUNGAN ANTARA FAKTOR RISIKO DENGAN LAMA PERAWATAN PADA PASIEN GAGAL JANTUNG DI RSUD ULIN BANJARMASIN DENGAN PENDEKATAN TEORI SELF-CARE OREMS Santoso, Bagus Rahmat; Sargowo, Djanggan; Kristianto, Heri
Dunia Keperawatan Vol 2, No 2 (2014): Dunia Keperawatan Volume 2 Nomor 2 Tahun 2014
Publisher : Universitas Lambung Mangkurat

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 ABSTRAKGagal jantung masih merupakan masalah kesehatan masyarakat global yang ditandai dengan angka kematian yang tinggi yang mencapai 10-50% pertahun. Tingginya angka kejadian gagal jantung sangat dipengaruhi oleh faktor risiko yang mempengaruhi terhadap lama perawatan dirumah sakit dan self-care pasien. Penelitian ini bertujuan untuk menganalisa hubungan faktor risiko terhadap self-care dan lama perawatan pasien .gagal jantung. Rancangan penelitian ini adalah obervasional analitik dengan pendekatan prospektif dengan cara mengumpulkan data rekam medis dan obervasi self-care pasien di IGD RSUD Ulin Banjarmasin dari bulan agustus sampai oktober 2013. Jumlah populasi adalah 118 pasien dan sampel yang memenuhi kriteria inklusi sebanyak 88 responden (laki-laki 46, perempuan 42). Faktor risiko gagal jantung yang gunakan pada penelitian ini usia, jenis kelamin, riwayat keluarga, hipertensi, diabetes melitus, dyslipidemia, obesitas, dan riwayat merokok, Dari hasil analisa dengan menggunakan uji path menunjukkan bahwa signifikan t hitung: 1,362 > (t tabel: 0,67732) yang bermakna faktor risiko mempengaruhi lama perawatan gagal jantung dengan faktor risiko yang paling berpengaruh berturut-turut yaitu hipertensi (p: 1,980), jenis kelamin (p: 1,950), riwayat.merokok (p: 1,931), diabetes melitus.(p: 1,802), obesitas (p: 1,762) dan dyslipidemia (p: 1,687). Faktor risiko juga mempengaruhi self-care pasien dengan hasil t hitung: 1,362 (t tabel: 0,67732). Disamping itu, self-care juga mempengaruhi  lama perawatan pasien gagal jantung dengan nilai t hitung: 6,946 (t tabel: 0,67732). Faktor risiko hipertensi, jenis kelamin, riwayat merokok, diabetes melitus, obesitas, dan dyslipidemia beserta self-care pasien memiliki hubungan bermakna terhadap lama perawatan pasien gagal jantung.Kata-kata kunci: Faktor risiko, self-care, lama perawatan dan gagal jantung.  ABSTRACTHeart failure remains a global public health problem that is characterized by high mortality rates reaching 10-50% at one year. The high incidence of heart failure is influenced by risk factors that affect the long hospitalization and patient self-care.The aims of this research was to analyze the relationship risk factors with self-care and length of stay of heart failure patients.The design of this research was observational analytic with a prospective approach by collecting medical records and observation of self-care patients in IGD RSUD Ulin Banjarmasin from August to October 2013. Total population was 118 and sample consist in the inclusion criteria were 98 respondents (male 46, female 42).The risk factors of heart failure used in this research were age, gender, family history, hypertension, diabetes mellitus, dyslipidemia, obesity, and history of smoking. The results from path analysis showed that significant t value: 1.362 > (t table: 0.67732) were significant risk factors that affect the length of stay. Heart failure with most influential risk factors were hypertension (p: l. 980), gender (p: 1.950), history of smoking (p: 1.931), diabetes mellitus (p: 1.802), obesity (p: l.762) and dyslipidemia (p: 1.687). Respectively risk factors also affected self-care of patients with t value of 1,362 > (t table: 0.67732). In addition, self-care also affected the length of stay of heart failure patients with t value of 6.946 > (t table: 0.67732). Risk factors of heart failure such as hypertension, gender, smoking history, diabetes mellitus, obesity, and dyslipidemia along with self-care patients have related with length of stay of heart failure patients.Keywords: Risk factor, self-care, length of stay, and heart failure.
PERBEDAAN KEBERHASILAN TERAPI FIBRINOLITIK PADA PENDERITA ST-ELEVATION MYOCARDIAL INFARCTION (STEMI) DENGAN DIABETES DAN TIDAK DIABETES BERDASARKAN PENURUNAN ST-ELEVASI Wahyunadi, Ni Made Dewi; Sargowo, Djanggan; Suharsono, Tony
Jurnal Ilmu Keperawatan Vol 5, No 1 (2017)
Publisher : Jurusan Keperawatan Fakultas Kedokteran Universitas Brawijaya

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ST-elevation myocardial infarction (STEMI) adalah kondisi yang terjadi akibat rupturnya plak aterosklerosis yang menyebabkan oklusi total pada arteri koroner. Salah satu tindakan reperfusi yang dapat dilakukan pada pasien STEMI adalah pmberian fibrinolitik yang sebaiknya diberikan dalam waktu &lt;12 jam setelah munculnya nyeri dada. Keberhasilan terapi fibrinolitik dapat dipengaruhi oleh beberapa hal salah satunya adalah pasien menderita diabetes atau tidak. Tujuan penelitian ini adalah membedakan keberhasilan terapi fibrinolitik pada penderita STEMI dengan diabetes dan tidak diabetes berdasarkan penurunan ST-elevasi. Metode dalam penelitian ini analitik observasional dengan pendekatan cross sectional prospective. Jumlah sampel 34 responden diambil dengan pendekatan consecutive sampling. Pengukuran dilakukan dengan cara observasi langsung ke pasien dan mengobservasi catatan rekam medis pasien STEMI dengan diabetes dan tidak diabetes diemergensi jantung PJT RSUP Sanglah Denpasar, ICCU RSUD Badung dan ICU BRSU Tabanan. Uji analisis yang digunakan untuk membedakan keberhasilan terapi fibrinolitik pada penderita STEMI dengan diabetes dan tidak diabetes adalah uji Fisher. Hasil analisis uji Fisher menunjukkan bahwa terdapat perbedaan keberhasilan terapi fibrinolitik yang signifikan pada pasien diabetes dan tidak diabetes (p&lt;0.000), dimana keberhasilan terapi fibrinolitik pada pasien diabetes (10%) lebih sedikit dibandingkan pada pasien yang tidak diabetes (79%). Dapat disimpulkan bahwa terdapat perbedaan keberhasilan terapi fibrinolitik yang signifikan pada pasien diabetes dan tidak diabetes, dimana dalam penelitian ini keberhasilan terapi fibrinolitik ini kemungkinan juga dipengaruhi oleh waktu pemberian fibrinolitik dan faktor resiko STEMI lain yang dialami oleh pasien seperti hipertensi, obesitas, hiperlipidemia dan merokok.Kata kunci: STEMI, terapi fibrinolitik, diabetes dan tidak diabetes, penurunan ST-elevasi