Hasil Pencarian  ::  Simpan CSV :: Kembali

Abstrak :
Penggunaan ventilator pada pasien yang sudah mengalami perbaikan harus segera dilakukan penyapihan. Salah satu indikator penyapihan ventilator adalah dengan menggunakan RSBI. Tujuan penelitian ini untuk mengetahui perbandingan nilai RSBI pada semi fowler 15°, 30° dan 45°. Rancangan penelitian ini pre-experimental designs dengan desain penelitian menggunakan one group pretest posttest design. Pemilihan sampel dengan consecutive sampling sebanyak 27 responden. Uji statistik dengan menggunakan uji repeated anova. Hasilnya terdapat perbedaan yang signifikan nilai RSBI pada semi Fowler 15°, 30° dan 45° p value 0.003, terdapat perbedaan yang signifikan nilai RSBI pada semi Fowler 15° dengan semi Fowler 30° p-value 0,013, tidak terdapat perbedaan yang signifikan nilai RSBI pada semi Fowler 15° dengan semi Fowler 45° p-value 0,629, dan terdapat perbedaan yang signifikan nilai RSBI pada semi Fowler 30° dengan semi Fowler 45° p-value 0,003. Rekomendasi dari penelitian ini semi Fowler pada 30° adalah posisi yang terbaik untuk mendapatkan nilai RSBI yang paling rendah. ......Patients with ventilator need to have weaning process gradually. RSBI is one of the indicators in giving weaning process patient with ventilator. The purpose of this study is to examine and compare the score of RSBI on patient with ventilator who is given semi fowler position 15°, 30° and 45°. This is pre-experimental designs study using one group pretest posttest design. Consecutive sampling had been used in recruiting 27 respondents. Repeated anova had been used to analyze the data. The result shows significant different amongst RSBI score on semi Fowler position 15°, 30° and 45° (p value 0.003). Significant different also shows on RSBI score between semi Fowler 15° and 30° (p-value 0,013), semi Fowler 30° and 45° (p-value 0,003), however there is no significant different on RSBI score between semi Fowler 15° and 45° (p-value 0,629). It is recommended that semi Fowler 30° is the best semi Fowler position with the lowest score of RSBI.

Abstrak :
Resistensi saluran nafas nonelastik merupakan resistensi terhadap aliran udara dalam saluran nafas pada pasien PPOK yang dlkarenakan adanya mukus yang berlebihan di saluran napas. Salah satu cara memperbaiki resistensi saluran nafas nonelastik pada pasien PPOK adalah fisioterapi dada. Tujuan penelitian ini adalah untuk mengidentifikasi adanya perbedaan penurunan resistensi saluran nafas nonelastik sebelum dan sesudah fisioterapi dada, adanya perbedaan penurunan resistensi saluran nafas nonelastik antara kelompok yang melakukan fisioterapi dada dan yang tidak melakukan fisioterapi dada, Serta variabel yang paling dominan mempengaruhi penurunan resistensi saluran nafas nonelastik sesudah fisioterapi dada. Penelitian ini merupakan penelitian kuasi eksperimen dengan pendekatan desain randomized control group pretest-postrest. Sampel penelitian adalah 42 responden dengan menggunakan teknik random sampling. Penelitian ini menyimpulkan bahwa resistensi salunan nafas nonelastik lebih baik sesudah diberikan fisiotempi dada pada kelompok intervensi (p=0.000, a=0,01), resistensi saluran nafas nonelastik lebih baik pada kelompok intervensi daripada kelompok kontrol (p=0.000, cz =0,01), Serta tidak ada variabel yang paling berpengaruh terhadap penurunan resistensi saluran nafas nonelastik sesudah fisioterapi dada (p=0.152, a=0,01). Kesimpulan penelitian ini adalah fisioterapi dada dapat menurunkan resistensi saluran nafas nonelastik. Penelitian ini merekomendasikan fisioterapi dada dapat menjadi salah satu intervensi dalam asuhan keperawatan pasien PPOK.

Abstrak :
[Tujuan. Tujuan pertama yaitu mengetahui kemudahan pemasangan Laryngeal Mask Airway(LMA) dengan teknik baku disertai penekanan lidah. Tujuan kedua yaitu mengetahui perbandingan kemudahan pemasangan LMA antara teknik baku disertai penekanan lidah dan teknik baku. Latar Belakang. Laryngeal Mask Airway merupakan alat bantu jalan nafas untuk mengatasi kesulitan jalan nafas. Teknik terbaru pemasangan Laryngeal Mask Airway berdasarkan penelitian Roodneshin dkk yang dipublikasikan pada Tanaffos 2011 yaitu teknik baku disertai penekanan lidah memberikan angka keberhasilan pemasangan 100%(tingkat keberhasilan paling tinggi pada penelitian LMA). Pemasangan LMA diharapkan mulus dan berhasil dalam pemasangan pertama tanpa menimbulkan trauma tetapi dalam prakteknya, pemasangan LMA bisa lebih dari satu kali. Penelitian ini dilakukan di RSUPN-Cipto Mangunkusumo sebagai penelitian perbandingan pertama dari penelitian Roodneshin dkk dengan beberapa penyesuaian. Metode. Penelitian ini dilakukan pada 80 pasien dewasa yang menjalani operasi elektif dengan anestesia umum menggunakan Laryngeal Mask Airway. Secara random, 40 pasien mengalami pemasangan LMA dengan teknik baku disertai penekanan lidah dan 40 pasien mengalami pemasangan LMA dengan teknik baku. Upaya pemasangan dan kemudahan pemasangan LMA dicatat dan dinilai. Pemasangan mudah bila kurang atau sama dengan 2 kali pemasangan LMA. Komplikasi pemasangan LMA berupa noda darah, nyeri menelan dan nyeri tenggorokan dicatat dan dinilai. Analisa statistik dilakukan dengan uji Chi-square dan Fisher Exact. Batas kemaknaan yang digunakan untuk semua uji adalah p<0,05. Hasil. Perbandingan proporsi keberhasilan upaya pemasangan pertama kali antara kelompok teknik baku disertai penekanan lidah dan teknik baku adalah 87,5% dibandingkan 65%. Perbandingan proporsi keberhasilan upaya pemasangan maksimal dua kali antara kelompok teknik baku disertai penekanan lidah dan teknik baku adalah 100% dibandingkan 97,5%. Secara statistik, perbandingan upaya pemasangan, kemudahan, komplikasi nyeri menelan, komplikasi nyeri tenggorokan antara teknik baku disertai penekanan lidah dan teknik baku, tidak berbeda bermakna.Kesimpulan. Pemasangan Laryngeal Mask Airway dengan teknik baku disertai penekanan lidah tidak lebih mudah dibandingkan teknik baku(100% dibandingkan 97,5%). Kekerapan komplikasi yang berbeda bermakna berupa noda darah (0% pada teknik baku disertai penekanan lidah dibandingkan 6,2% pada teknik baku). ......Purpose, The objective of this study is to know easiness of inserting Laryngeal Mask Airway(LMA) with the classic approached combined with tongue supression technique. Secondly, the study is to compare the success rate between classic approached combined with tongue supression technique and classic approached technique. Background, Laryngeal Mask Airway is a device to overcome the difficulty of the airway management. Novel technique of Laryngeal Mask Airway insertion based on Roodneshin et aI research, publicised in Tanaffos 2011 was the classic approached combined with tongue supression technique resulted in 100% succes rate of insertion(highest success rate based on LMA research or study). LMA insertion is expected to be smooth and successful in the first attempt without inflicting trauma but in daily practice, insertion LMA can be more than once. This research is done at Cipto Mangunkusumo Hosptal, as the first comparison of research Roodneshin et al with some adjustments. Methods, The study was done at 80 adult patients who underwent elective surgery with general anesthesia. A total of 80 adult patients was scheduled for elective operation with general anesthesia using Laryngeal Mask Airway. In random, 40 patients undergoing LMA insertion with classic approached combined with tongue supression technique and 40 patients undergoing LMA insertion with classic approached technique. The effort and success rate of LMA insertion was noted and evaluated. The easiness is if the insertion is attempted maximally twice. Complications of LMA insertion such as blood stains, sore throat, dysphagia was noted and evaluated. Statistical analysis conducted by test Chi-square and Fischer Exact. P<0,05 was considered significant. Result, Comparison proportion first attempt of Laryngeal Mask Airway insertion between classic approached combined with tongue supression technique and classic approached technique was 87,5% compared with 65%. The proportion maximally twice attempt of Laryngeal Mask Airway insertion between classic approached combined with tongue supression technique and classic approached technique was 100% compared with 97,5%. Statistically, comparison attempt, success rate, dysphagia, sore throat between classic approached combined with tongue supression technique and classic approached technique, not significantly different Conclusion, Laryngeal Mask Airway insertion with classic approached combined with tongue supression technique no more easy compared with classic approached technique(100% compared with 97,5%). Complication which statistically significant different was blood stains(0% with classic approached combined with tongue supression technique compared with 6,2% classic approached technique). ......Purpose, The objective of this study is to know easiness of inserting Laryngeal Mask Airway(LMA) with the classic approached combined with tongue supression technique. Secondly, the study is to compare the success rate between classic approached combined with tongue supression technique and classic approached technique. Background, Laryngeal Mask Airway is a device to overcome the difficulty of the airway management. Novel technique of Laryngeal Mask Airway insertion based on Roodneshin et aI research, publicised in Tanaffos 2011 was the classic approached combined with tongue supression technique resulted in 100% succes rate of insertion(highest success rate based on LMA research or study). LMA insertion is expected to be smooth and successful in the first attempt without inflicting trauma but in daily practice, insertion LMA can be more than once. This research is done at Cipto Mangunkusumo Hosptal, as the first comparison of research Roodneshin et al with some adjustments. Methods, The study was done at 80 adult patients who underwent elective surgery with general anesthesia. A total of 80 adult patients was scheduled for elective operation with general anesthesia using Laryngeal Mask Airway. In random, 40 patients undergoing LMA insertion with classic approached combined with tongue supression technique and 40 patients undergoing LMA insertion with classic approached technique. The effort and success rate of LMA insertion was noted and evaluated. The easiness is if the insertion is attempted maximally twice. Complications of LMA insertion such as blood stains, sore throat, dysphagia was noted and evaluated. Statistical analysis conducted by test Chi-square and Fischer Exact. P<0,05 was considered significant. Result, Comparison proportion first attempt of Laryngeal Mask Airway insertion between classic approached combined with tongue supression technique and classic approached technique was 87,5% compared with 65%. The proportion maximally twice attempt of Laryngeal Mask Airway insertion between classic approached combined with tongue supression technique and classic approached technique was 100% compared with 97,5%. Statistically, comparison attempt, success rate, dysphagia, sore throat between classic approached combined with tongue supression technique and classic approached technique, not significantly different Conclusion, Laryngeal Mask Airway insertion with classic approached combined with tongue supression technique no more easy compared with classic approached technique(100% compared with 97,5%). Complication which statistically significant different was blood stains(0% with classic approached combined with tongue supression technique compared with 6,2% classic approached technique)., Purpose, The objective of this study is to know easiness of inserting Laryngeal Mask Airway(LMA) with the classic approached combined with tongue supression technique. Secondly, the study is to compare the success rate between classic approached combined with tongue supression technique and classic approached technique. Background, Laryngeal Mask Airway is a device to overcome the difficulty of the airway management. Novel technique of Laryngeal Mask Airway insertion based on Roodneshin et aI research, publicised in Tanaffos 2011 was the classic approached combined with tongue supression technique resulted in 100% succes rate of insertion(highest success rate based on LMA research or study). LMA insertion is expected to be smooth and successful in the first attempt without inflicting trauma but in daily practice, insertion LMA can be more than once. This research is done at Cipto Mangunkusumo Hosptal, as the first comparison of research Roodneshin et al with some adjustments. Methods, The study was done at 80 adult patients who underwent elective surgery with general anesthesia. A total of 80 adult patients was scheduled for elective operation with general anesthesia using Laryngeal Mask Airway. In random, 40 patients undergoing LMA insertion with classic approached combined with tongue supression technique and 40 patients undergoing LMA insertion with classic approached technique. The effort and success rate of LMA insertion was noted and evaluated. The easiness is if the insertion is attempted maximally twice. Complications of LMA insertion such as blood stains, sore throat, dysphagia was noted and evaluated. Statistical analysis conducted by test Chi-square and Fischer Exact. P<0,05 was considered significant. Result, Comparison proportion first attempt of Laryngeal Mask Airway insertion between classic approached combined with tongue supression technique and classic approached technique was 87,5% compared with 65%. The proportion maximally twice attempt of Laryngeal Mask Airway insertion between classic approached combined with tongue supression technique and classic approached technique was 100% compared with 97,5%. Statistically, comparison attempt, success rate, dysphagia, sore throat between classic approached combined with tongue supression technique and classic approached technique, not significantly different Conclusion, Laryngeal Mask Airway insertion with classic approached combined with tongue supression technique no more easy compared with classic approached technique(100% compared with 97,5%). Complication which statistically significant different was blood stains(0% with classic approached combined with tongue supression technique compared with 6,2% classic approached technique).]

Abstrak :
ABSTRAK
Terapi inhalasi merupakan salah satu strategi penatalaksanaan gangguan bersihan jalan napas pada anak balita dengan pneumonia meskipun beberapa penelitian tidak merekomendasikan tindakan tersebut dalam pengobatan rutin. Penelitian ini bertujuan untuk mengetahui hubungan pemberian terapi inhalasi dengan lama hari rawat anak balita penderita pneumonia. Desain penelitian menggunakan cross-sectional. Seratus dua pasien penderita pneumonia dalam data rekam medis diambil secara consecutive sampling. Hasil penelitian menunjukkan terdapat hubungan yang bermakna antara pemberian terapi inhalasi dengan lama hari rawat. Pemberian terapi inhalasi dengan menggunakan bronkodilator kombinasi ?-agonis dan antikolinergik NaCl 0,9 dan bronkodilator ?-agonis NaCl 0,9 lebih efektif mengurangi lama hari rawat.

---

ABSTRACT
Inhalation therapy is one of optional management of impaired airway clearance in children under age of five with pneumonia. This study aimed to examine correlation of inhalation therapy and hospital length of stay in children under age of five with pneumonia. This cross sectional study included 102 consecutive patients with pneumonia in medical record. The study result showed a significant correlation between the use of inhalation therapy and hospital length of stay. Inhalation therapy with combination of bronchodilator agonist and anticholinergic NaCl 0.9 and bronchodilator agonist NaCl 0.9 are more effective to reduce hospital length of stay in children under age of five with pneumonia.

Abstrak :
Latar Belakang: Dokter anestesiologi dituntut untuk memiliki kompetensi sesuai dengan perkembangan keilmuan. Pengetahuan akan gas anestetik inhalasi merupakan pengetahuan dasar yang wajib dikuasai oleh dokter spesialis anestesiologi. Kurangnya kompetensi tersebut dapat mengakibatkan peningkatan jumlah morbiditas dan mortalitas dalam praktik anestesiologi. Metode pemelajaran yang selama ini dilakukan antara lain diskusi dan pemberian kuliah. Di era pesatnya perkembangan teknologi dan informasi saat ini, sudah memungkinkan digunakannya screen based simulation (SBS) dalam bentuk aplikasi untuk pemelajaran anestetik inhalasi bagi residen Anestesiologi, seperti aplikasi Gas Man®. Aplikasi Gas Man® bertujuan untuk membantu peserta didik memahami fisiologi dan patofisiologi obat anestetik inhalasi. Metode: Penelitian ini merupakan Randomized Controlled Trial. Subjek penelitian merupakan residen Anestesiologi dan Terapi Intensif FK UI tahun akademik 2022–2023 dengan status aktif Tahap Pembekalan dan Tahap Magang yang memenuhi kriteria inklusi dan tidak termasuk dalam kriteria eksklusi. Sampel dilakukan randomisasi menggunakan halaman web www.randomizer.org, dibagi menjadi dua kelompok yaitu kelompok simulasi dan diskusi. Sampel diberikan pre test dan post test, serta mengisi survei kepuasan di akhir kegiatan. Hasil: Kelompok simulasi mendapat nilai median (IQR) post test 80 (76,67-83,33) sedangkan kelompok diskusi 50 (40-66,67) dengan nilai P=0,000<0,05. Masing-masing kelompok memiliki tingkat kepuasan "Puas" 63,2% dan 68,4% (secara berurutan). Kesimpulan: Metode pemelajaran berbasis simulasi dengan menggunakan aplikasi Gas Man® lebih baik jika dibandingkan berbasis diskusi dalam peningkatan pengetahuan ambilan dan distribusi anestetik inhalasi residen Anestesi.

Abstrak :
ABSTRAK
Pneumonia merupakan peradangan pada parenkim paru yang sering terjadi pada masa anak-anak dan masa bayi. Peradangan tersebut menyebabkan sputum terkumpul di paru, yang membuat sulit untuk bernafas. Salah satu cara untuk mengeluarkan sputum adalah CPT. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh chest physiotherapy (CPT) terhadap status pernafasan anak balita pnemonia. Desain penilitan ini menggunakan quasi eksperiment post test only dengan grup kontrol. Hasil penelitian menunjukkan bahwa ada pengaruh CPT terhadap suara nafas (p value= 0,008), retraksi dada (p value= 0,008), frekuensi pernafasan (p value= 0,001) dan saturasi oksigen (p value= 0,01) pada balita. Penelitian ini merekomendasikan CPT sebagai intervensi keperawatan untuk memperbaiki status pernafasan anak.

---

ABSTRACT
Pneumonia is an inflammantory condition of the lung. Child and infant included a group that have risk to get pneumoni. The inflammantion causes pulmonary sputum collection and this make difficult to breath. One of the ways to take out the sputum is by doing chest physiotherapy (CPT). The purpose of this research was to find out the effect of chest physiotherapy (CPT) toward respiratory status of children pnemonia. Design of this study used quasi eksperiment post test only non equivalent group. The result of the study showed there was significant effect of CPT againts breath sounds (p value= 0,008), chest retraction (p value= 0,008), respiratory rate (p value= 0,001) and oxygen saturation (p value= 0,010) on children. This research recommend CPT as a nursing intervention to recover children respiratory status.

Abstrak :
Di tengah wabah Tuberkulosis TB, penelitian tentang obat tuberkulosis baru yang dapat memberikan resolusi penyembuhan lebih cepat sangatlah penting. Penemuan baru tersebut berperan penting dalam menurunankan jumlah pasien yang terjangkit wabah TB di seluruh dunia. Efektivitas rifapentin telah dinilai dan telah terbukti menjadi antibiotik yang paling efektif untuk menyembuhkan TB. Penggunaan rifapentin yang sering dengan dosis yang tinggi dapat menghasilkan resolusi penyembuhan yang lebih cepat. Namun, berdasarkan penelitian terdahulu, tingkat penggunaan yang sering tidak dapat dicapai secara oral melainkan dalam bentuk aerosol sehingga langsung menuju ke paru-paru yang terinfeksi. Oleh karena itu, dengan meningkatnya minat terhadap efektivitas rifapentin, penelitian ini mengintegrasikan bentuk hirup dari kristal rifapentin yang diperoleh dengan menggunakan metode kristalisasi dengan penambahan anti-pelarut dalam sistem batch dengan menggunakan aseton sebagai pelarut dan air suling sebagai anti-pelarut. Selain itu, penelitian ini menyelidiki mengenai pengaruh jumlah benih seed , rasio supersaturasi, dan waktu pengkristalan terhadap karakterisasi produk kristal yang dihasilkan agar dapat diperoleh ukuran yang sesuai. Berdasarkan penelitian terhadap masing-masing pengaruh, diperoleh hasil optimal pada penelitian tanpa menggunakan benih unseeded dengan rasio supersaturasi = 1.26. ......In the midst of Tuberculosis pandemic, a research about new tuberculosis drug that results in more rapid resolution of tubercular infection is important. It will play a crucial role in accelerating the reductions in tuberculosis incidence that is occurring worldwide. The effectiveness of rifapentine has been assessed and it has been proven to be the most effective antibiotics for Tuberculosis. A frequent administration and dose of rifapentine resulted in more rapid resolution of tubercular infection. However, based on former research, high exposure levels for treatment shortening may be unachievable with oral administration and might instead be achieved by direct aerosol delivery of rifapentine to the pulmonary site of infection. Therefore, with the growing interest toward the effectiveness of rifapentine in frequent administration and dose, this research integrates an inhalable form of crystalline rifapentine prepared using anti solvent batch crystallization method with acetone as a solvent and distilled water as an anti solvent. Moreover, this research investigates the effect of seed loading, supersaturation ratio, and residence time on the characterization of crystalline rifapentine in order to form a crystalline rifapentine in an inhalable size. Based on the assessment of each effect, optimum result was obtained at unseeded experiment with supersaturation ratio 1.26.

Abstrak :
Ventilator associated-pneumonia VAP adalah pneumonia yang terjadi pada pasien yang terpasang ventilator melalui trakeostomi atau intubasi endotrakeal selama lebih dari 2 hari perawatan. VAP merupakan infeksi yang paling sering terjadi pada ICU dan menjadi penyebab morbiditas mayor, mortalitas, serta peningkatan biaya perawatan. Penelitian retrospective dengan pendekatan cross sectional bertujuan untuk mendapatkan gambaran kejadian VAP pada pasien di ICU RSUD dr. Soedono Madiun bulan Mei 2016 ndash; April 2017. Hasil penelitian menunjukkan sebagian besar pasien yang mengalami VAP adalah berusia dewasa madya 45,2 dengan jenis kelamin laki-laki 52,4 pada late onset 66,7 . Skor komorbiditas rendah 81,0 dan terbesar adalah cedera serebrovaskuler 35,7 . Sering di jumpai bakteri gram negatif 88,1 . Kejadian VAP tinggi disebabkan lama perawatan, kepatuhan klinisi pada pelaksanaan hand hygiene, SOP VAP bundle masih dalam pengembangan, serta mutasi perawat. Penting dilaksanakan penyusunan SOP intervensi VAP bundle yang efektif dan pendokumentasian kejadian VAP sesuai dengan standar CPIS sehingga kejadian VAP dilaporkan tepat. ......Ventilator associated pneumonia VAP is defined as pneumonia that occured in patient with mechanical ventilation used tracheostomy or endotracheal intubation more than 2 days treatment. VAP is the most common infection in intensive care units ICUs and cause of mortality, major morbidity, and increased finansial burden. This retrospective study with cross sectional approach aimed to explain the VAP incidence of patient in ICU RSUD dr. Soedono Madiun in periode May 2016 until April 2017. The result of this study indicated that the most of patients that developed VAP was median age adult 45,2 male 52,4 late onset VAP 66,7 . The comorbidity score was low 81,0 and the most common was cerebrovascular injury 35,7 . The negative gram bacteria. was the most common microorganism 88,1 . The VAP incidence was high, because of the patient rsquo s length of stay, clinician rsquo s submission of hand hygiene, standard operational procedure of VAP bundle care still unfixed, and staff mutation. So important to arranged effective standard operational procedure of VAP bundle care and appropriate documentation of VAP incidence used CPIS until VAP incidence report was right.