FAKTOR PENENTU KUALITAS KOMPRESI RESUSITASI JANTUNG PARU OLEH PERAWAT
Abstract
Latar belakang: Henti jantung sering terjadi di instalasi gawat darurat dan Return of spontaneus
circulation (ROSC) masih rendah. ROSC dipengaruhi oleh kualitas kompresi RJP oleh perawat.
Tujuan: Penelitian ini bertujuan mengidentifikasi faktor penentu kualitas kompresi RJP. Metode:
Penelitian ini menggunakan metode Crossectional yang melibatkan 72 responden dengan teknik
Stratified Sampling di ruang IGD, Kamar Bedah, ICU, HCU, HCU paru, dan CVCU. Variabel
independen usia, jenis kelamin, indeks massa tubuh (IMT), kelelahan, frekuensi pelatihan,
pengetahuan, dan kesadaran diri dianalisis hubungannya variabel dependent variabel dependent
kualitas kompresi RJP. Hasil: Hasil analisis uji chi-square dan uji regresi logistik menunjukkan
hubungan signifikan antara usia, jenis kelamin, IMT, kelelahan, frekuensi pelatihan, pengetahuan,
kesadaran diri dengan kualitas kompresi pada resusitasi jantung paru (p<0,05), serta faktor yang
paling dominan yaitu jenis kelamin (p<0,05;OR=0,01;CI=8,644-1144,269). Saran: Rekrutmen
perawat di unit kritis harus mempertimbangkan faktor usia, jenis kelamin, IMT, frekuensi pelatihan,
pengetahuan dan kesadaran diri yang berpeluang tinggi peningkatan angka harapan hidup pasien henti
jantung.
Kata Kunci: Kualitas, RJP, Faktor, dan Perawat
Full Text:
PDFReferences
Ann, M., Silver, A., & Ornato, J. P. (2009). Effect of caregiver gender , age , and feedback
prompts on chest compression rate and depth, 80, 1169–1174.
Avisar, L., Shiyovich, A., Aharonson-daniel, L., & Nesher, L. (2013). Cardiopulmonary
Resuscitation Skills Retention and Self- Confidence of Preclinical Medical Students,
(october), 1–6.
Barcala-furelos, R., Ph, C. A., Romo-perez, V., & Palacios-aguilar, J. (2013). American
Journal of Emergency Medicine Effect of physical fatigue on the quality CPR : a water
rescue study of lifeguards Physical fatigue and quality CPR in a water rescue. American
Journal of Emergency Medicine, 31(3), 473–477.
Benjamin, E. J., Virani, S. S., Callaway, C. W., Chamberlain, A. M., Chang, A. R., Cheng, S.,
et al. (2018). Heart disease and stroke statistics-2018 update. Circulation , 137, e67-
e492.
Chalkias, A., Vogiatzakis, N., Tampakis, K., Kalafati, M., Papadimitriou, L., & Xanthos, T.
(2013). American Journal of Emergency Medicine One-hand chest compression and
hands-off time in single-lay rescuer CPR — a manikin study. American Journal of
Emergency Medicine, 31(10), 1462–1465.
Volume 3, Nomor 2, Februari 2019 Fakrul Ardiansyah1, Elly Nurachmah2, Muhamad Adam3
Jurnal ‘Aisyiyah Medika | 135
Chick, S. (2011). Trained Nurse Location Model for In-Hospital Cardiac Arrest Survival
Trained Nurse Location Model for.
Curran, V., Fleet, L., & Greene, M. (2012). An exploratory of factors influencing resuscitation
skills retention and performance among health providers. Journal of Continuing
Education in The Health Professions , 32 (2), 126-133
Duval, T. S., Silvia, P. J., & Lalwani, N. (2001). Self-Awareness & Causal Attribution A Dual
Systems Theory. New York: Kluwer Academic Publisher
G, A. C., Niranjan, G. M., & Dinesh, B. (2013). Origi n a l A rt i c l e A cross-sectional study
on awareness and perception about basic life support / cardio-pulmonary resuscitation
among undergraduate medical students from coastal South India, 3(3), 146–150.
Gaieski, D. F., Agarwal, A. K., Abella, B. S., Neumar, R. W., Mechem, C., Wallace, S., …
Band, R. A. (2017). Adult out-of-hospital cardiac arrest in philadelphia from 2008–
: An epidemiological study. Resuscitation, 115, 17–22.
Guyton, C. A. (2015). Textbook of medical physiology (13 ed.). Philadelphia: Elsevier.
Fikriana, R., & Al-Afik. (2016). Faktor yang berhubungan dengan tercapainya high quality
CPR pada peserta Basic Life Support Training. Ejournal Umm , 7, 118-125.
Hasegawa, T., Daikoku, R., Saito, S., & Saito, Y. (2014). Relationship between weight of
rescuer and quality of chest compression during cardiopulmonary resuscitation, 1–7.
Hazinski, M. F., Shuster. M., Donnino, M. W., Travers, A. H., Samson. R.A., Schexnayder,
S.M., Sinz, E. H., Woodin. J.A., Atkins, D.L., Bhanji, F., Brooks, S.C., Callaway, C.
W., Allan, R., Kleinman M. E., Kronick, S. L., Lavonas, E. J., Link M. S., Mancini,
M.E., Morrison, L. J., Neumar, R. W., O’Connor, R. E., Singletary, E.M., Wyckoff, M.
H. (2015). Highlights of the 2015 American Heart Association Guidelines Update for
CPR and ECC. Texas: American Heart Association.
Heng, K.W.J., Fong, M.K., Wee, C., Anantharaman, V. (2011). The role of nurses in the
resuscitation of in-hospital cardiac arrests. Singapore Med J, 52, 611-615.
Hergenhahn, B. R., & Olson, M. H. (2008). Theories of Learning (Teori Belajar) (Ketujuh
ed.). (T. B. S, Trans.) Jakarta: Kencana Prenada Media Grup
Hou, S., Chern, C., How, C., & Wang, L. (2007). Is Ward Experience in Resuscitation Effort
Related to the Prognosis of Unexpected Cardiac Arrest ?, 70(9), 385–391.
Jaafar, A., Abdulwahab, M., & Al-hashemi, E. (2015). Influence of Rescuers ’ Gender and
Body Mass Index on Cardiopulmonary Resuscitation according to the American Heart
Association 2010 Resuscitation Guidelines, 2015(Cc).
Jantti, H. (2010). Cardiopulmonary Resuscitation (CPR) Quality and Education. Finland:
Publications of the University of Eastern Finland Dissertations in Health Sciences.
Jentzer, J. C., Clements, C. M., Murphy, J. G., & Wright, R. S. (2017). Recent developments
in the management of patients resuscitated from cardiac arrest. Journal of Critical Care,
, 97–107. https://doi.org/10.1016/j.jcrc.2017.02.011
KEMENKES. (2017, Juli 29). Retrieved Pebruari 26, 2018, from www.depkes.go.id:
http://www.depkes.go.id/article/view/17073100005/penyakit-jantung-penyebabkematian-
tertinggi-kemenkes-ingatkan-cerdik-.html
Kenney, W. L., Wilmore, J. H., & Costill, D. L. (2015). Physiology sport and exercise (Sixth
ed.). United State: Human Kinetics.
Volume 3, Nomor 2, Februari 2019 Fakrul Ardiansyah1, Elly Nurachmah2, Muhamad Adam3
Jurnal ‘Aisyiyah Medika | 136
Kisorio, L. C., & Langley, G. C. (2016). End-of-life care in intensive care unit : Family
experiences. Intensive & Critical Care Nursing, 35, 57–65.
Kılıç, D., Göksu, E., Kılıç, T., & Buyurgan, C. S. (2017). PT NU SC.
Kwak, S., Kim, Y., Baek, H. J., Kim, S. H., & Yim, H. W. (2016). Chest compression quality
, exercise intensity , and energy expenditure during cardiopulmonary resuscitation using
compression-to-ventilation ratios of 15 : 1 or 30 : 2 or chest compression only : a
randomized , crossover manikin study, 3(3), 148–157.
Lee, I.S., Low, L.P. (2010). Nurses’ role in the early defibrillation of cardiac patients:
implications for nursing in Hong Kong. Contemp. Nurse, 35 (1), 88–94.
Lin, C., Kuo, C., Ng, C., Li, W., Weng, Y., & Chen, J. (2016). American Journal of
Emergency Medicine Rescuer factors predict high-quality CPR — a manikin-based
study of health care providers. American Journal of Emergency Medicine, 34(1), 20–24.
López-gonzález, A., Sánchez-lópez, M., Garcia-hermoso, A., López-tendero, J., Rabanalessotos,
J., & Martínez-vizcaíno, V. (2016). American Journal of Emergency Medicine
Muscular fi tness as a mediator of quality cardiopulmonary resuscitation. American
Journal of Emergency Medicine, 34(9), 1845–1849.
Manders S, Geijsel FE. (2009). Alternating providers during continuous chest compressions
for cardiac arrest: everyminute or every two minutes?. Resuscitation, 80, 1008-1015.
Martini, F., Nath, J., & Bartholomew, E. (2015). Fundamental of Anatomy & Physiology
(Tenth ed.). St. San Francisco: Pearson.
Mcdonald, C. H., Heggie, J., Jones, C. M., Thorne, C. J., & Hulme, J. (2012). Rescuer fatigue
under the 2010 ERC guidelines, and its effect on cardiopulmonary resuscitation ( CPR )
performance.
Oo, A., Di, M., & Desalu, I. (2013). Analgesia & Resuscitation : Current Research How much
do we Remember after CPR Training ? – Experience from a Sub-Saharan Teaching
Hospital, 1–4.
Ock, S.-M., Kim, Y.-M., Chung, J. h., & Kim, S. H. (2011). Influence of physical fitness on
the performance of 5-minutes continous chest compression. European Jpurnal of
Emergency Medicine , 18, 251-256.
Paal, P., Pircher, I., Baur, T., Gruber, E., Strasak, A.M., Herff, H., Brugger, H., Wenzel, V.,
Mitterlechner, T. (2012). Mobile phone-assisted basic life support augmented with a
metronome. J. Emerg. Med, 43 (3), 472–477.
Power, S. K., & Howley, E. T. (2012). Exercise Physiology Theory and Application to Fitness
and Performance (Eighth ed.). United States: McGraw-Hill International Edition.
Qazi, A. H., Kennedy, K., Bradley, S. M., & Chan, P. S. (2017). outcomes and subsequent
length of stay. Resuscitation, 121, 117–122.
Reddy, K., Murray, B., Rudy, S., Moyer, J., & Sinz, E. (2011). Effective Chest Compressions
Are Related to Gender and Body Mass Index. Circulation , 124, A224.
Santosa, W. R., Wihastuti, T. A., & Haedar, A. (2015). Analisis faktor yang berhubungan
dengan terjadinya return of spontaneous circulation pasien henti jantung di IGD RSUD
dr.Iskak Tulungagung. The Indonesian Journal of Health Science , 6, 8-18.
Sayee, N., & Mccluskey, D. (2012). Factors Influencing Performance of Cardiopulmonary
Resuscitation ( CPR ) by Foundation Year 1 Hospital Doctors, 81(1), 14–18.
Volume 3, Nomor 2, Februari 2019 Fakrul Ardiansyah1, Elly Nurachmah2, Muhamad Adam3
Jurnal ‘Aisyiyah Medika | 137
Shin, J., Hwang, S. Y., Lee, H. J., Park, C. J., Kim, Y. J., Son, Y. J., Hong, S. G. (2014).
Comparison of CPR quality and rescuer fatigue between standard 30 : 2 CPR and chest
compression-only CPR : a randomized crossover manikin trial, 1–9.
Smith, K. K., Gilcreast, D., & Pierce, K. (2008). Evaluation of staff ’ s retention of ACLS and
BLS skills.
Stiell IG, Brown SP, Nichol G, et al. (2014). Resuscitation Outcomes Consortium
Investigators. What is the optimal chest compression depth during out-of-hospital
cardiac arrest resuscitation of adult patients? Circulation, 130(22), 1962–1970.
Uray, T., Mayr, F. B., Fitzgibbon, J., Rittenberger, J. C., Callaway, C. W., Drabek, T.,
Dezfulian, C. (2015). Socioeconomic factors associated with outcome after cardiac
arrest in patients under the age of 65. Resuscitation, 93, 14-19.
Vural, M., Koşar, M. F., Kerimoğlu, O., Kızkapan, F., Kahyaoğlu, S., Tuğrul, S., & İşleyen,
H. B. (2017). Cardiopulmonary resuscitation knowledge among nursing students : a
questionnaire study, (8), 140–145.
DOI: https://doi.org/10.36729/jam.v3i2.167
Refbacks
- There are currently no refbacks.