GAMBARAN PELAKSANAAN FISIOTERAPI DADA TERHADAP PENCEGAHAN PNEUMONIA PASIEN TERPASANG VENTILATOR DI RUANGAN INTENSIF RUMAH SAKIT SANTA ELISABETH MEDAN.
Abstract
.Associated Ventilator Pneumonia (VAP) is a pneumonia that occurs > 48 -72 hours, and the second cause of Health Associated Infection (HAI). The study revealed10% - 20% of patients attached to the ventilator developed into pneumonia. Surveillance shows HAI pneumonia causing death by about 10%. Currently, there is no definite research on the number of VAP incidents in Indonesia. However, research at Dr. Rumkital. The prediction of the number of patients in the Intensive Care Unit (ICU) installed is 148 people and 100 people died with pneumonia. One of the management of nursing patients is ventilator and pneumonia is to do chest physiotherapy. This case study was conducted especially in patients attached to intensive ventilator (ICU). Goals: The Objective of this case study is to determine the description of the implementation of chest physiotherapy on prevention of pneumonia patients by using ventilator in intensive room at Santa Elisabeth Hospital Medan. Method : This case study is in descriptive design by using 20 respondents ie nurses in the ICU room using evaluation sheets and using informed consent sheets as a form of approval. The results of the case study is to illustrate that the implementation of chest physiotherapy performed in the ICU room with good category of 65%, enough 25%, and less 10%. Result : The results of this case study, not much different from the results of previous research by Hendra that was VAP occurred 70% according to the procedure and 40% of custom room SOP. Conclusion : Chest physiotherapy is one of the nursing interventions to prevent the occurrence of VAP.
References
Brunner, Lilian Sholts, Smeltzer, and Suzanne C.O’Connell. 2010. Texbook of Medical Surgical Nursing. Philadelphia : Lippincott Williams & Wilkins 1:551-1113. 2013. Keperawatan Medikal Bedah Edisi 12. Jakarta : EGC. Francis,
Caia. 2008. Perawatan Respirasi. Jakarta : Penerbit Erlangga.
Hariadi, Slamet. Winariani. M. Jusuf Wibisono. 2010. Buku Ajar Ilmu Penyakit Paru. Surabaya : Departemen Imu Penyakit Paru Fk Unair – RSUD Dr.Soetomo. Hendra, dan Emil Huriani. 2011. Pengaruh Mobilisasi Dan Fisioterapi Dada Terhadap Kejadian Ventilator Associated Pneumonia Di Unit Perawatan Intensif. Ners Jurnal Keperawatan 7(2): 121-129.
Hidayat, A. Aziz Alimul. 2009. Metode Penelitian Keperawatan dan Teknik Analisis Data. Jakarta : Salemba Medika. Jeremy, 2007. The Respiratory System At A Glance. Jakarta : Penerbit Erlangga.
Lardo, Soroy., Bebet Prasetyo dan Dis Bima Purwaamidjaja. 2016. Infection Control Risk Assessment. CDK 3(43): 238
M. Suh., Margaret Heitkemper., And Choi-Kwon Smi. 2011. Chest Phsyiotherapy On The Respiratory Mechanics And Elimination Of Sputum In Paralyzed And Mechanically Ventilated Patients With Acute Lung Injury : A Pilot Study. Journal Of Asian Nursing Research 5(1): 60-69.67
Musliha. 2010. Keperawatan Gawat Darurat : Plus Contoh Askep Dengan Pendekatan NANDA NIC NOC. Yogyakarta : Nuha Medika.
Muttaqin, Arif . 2012. Buku Ajar Asuhan Keperawatan Klien Dengan Gangguan Sistem Pernapasan. Jakarta : Salemba Medika.
Nayduch, Donna. 2014. Nurse to Nurse : Perawatan Trauma. Jakarta : Salemba Medika Nurhidayah,
Rika Endah. 2016. Kebutuhan Dasar Oksigenisasi. Medan : USU Press.
Nursalam. 2014. Metodologi Penelitian Ilmu Keperawatan : Pendekatan Praktis Edisi 3. Jakarta : salemba medika . 2011. Konsep dan Penerapan Metodologi Penelitian Ilmu Keperawatan 9 Pedoman Skripsi, Tesis, dan I nstrumen Penelitian Keperawatan. Jakarta: Salemba Medika.
Notoadmodjo. 2012. Metodologi Penelitian Kesehatan. Jakarta : Rineka Cipta. Ntoumenopoulos,
George. 2015. Rehabilitation During Mechanical Ventilation: Review Of The Recent Literature. Journal Of Intensive And Critical Care Nursing 31: 125- 132. Patman, S and Associates at the Lung Institute of Western Australia In Perth. 2009. Physiotherapy Does Not Prevent, or Hasten Recovery From, Ventilator- Associated Pneumonia In Patients With Acqureid Brain Injury. Intensive Care Medical 35:258-265.
Papadopoulou, A. Hristara., Tsanakas J, Djomou G, and Papadopoulou O. 2008. Current Devices of Respiratory Phsiotherapy. HIPPOKRATIA 12(4): 211- 220. Rab, Tabrani. 2007. Agenda Gawat Darurat (Critical Care) Jilid 1 Pasien Kritis. Bandung : PT. Alumni.
Rahmiati, dan Titis Kurniawan. 2013. Ventilator-Associated Pneumonia Dan Pencegahannya. Jurnal Husada Mahakam 3(6): 263-318.
Saputra, Lyndon. 2014. Organ System : Visual Nursing, Respiratorik. Tanggerang : Binarupa Aksara. Setiadi. 2007. Konsep dan Penulisan Riset Keperawatan Edisi Pertama. Yogyakarta : Graha Ilmu. Somantri, Irman. 2009. Asuhan Keperawatan Pada Klien Dengan Gangguan Sistem Pernapasan, Edisi 2. Jakarta : Salemba Medika. Stillwell, Susan B. 2011. Pedoman Keperawatan Kritis Edisi 3. Jakarta : EGC.
Susmiarti, Diah., Harmayetty., dan Yulis Setiya Dewi. 2015. Intervensi VAP Bundle dalam Pencegahan Ventilator Associated Pneumonia (VAP) Pada Pasien Dengan Ventilasi Mekanis. Jurnal Ners 10(1) : 138-146.
Tamsuri, Anas. 2008. Klien Gangguan Pernapasan : Seri Asuhan Keperawatan. Jakarta : EGC.
Tarwoto, dan Wartonah. 2015. Kebutuhan Dasar Manusia dan Proses Keperawatan. Jakarta : Salemba Medika. Wasis. 2008. Pedoman Riset Praktis Untuk Profesi Perawat. Jakarta : EGC Widyaningsih, Retno. 2012. Pola Kuman Penyebab Ventilator Associated Pneumonia (VAP_ dan Sensvitas Terhadap Antibiotik di RSAB Harapan Kita. Sari Pediatri 13(6) : 384-90.