Efektifitas Posisi Dan Ambulasi Dini Terhadap Nyeri Punggung Pada Pasien Post Percutaneous Coronary Intervention
DOI:
https://doi.org/10.36408/mhjcm.v7i1.434Keywords:
posisi, ambulasi dini, nyeri punggung, post PCI, posisi, ambulansi dini, nyeri punggung, post PCIAbstract
Latar Belakang : Percutaneous Coronary Intervention (PCI) adalah prosedur intervensi non bedah dengan menggunakan kateter untuk melebarkan atau membuka pembuluh koroner yang menyempit dengan balon atau stent. Tirah baring yang lama pada pasien PCI menimbulkan komplikasi yaitu nyeri punggung. Mengurangi nyeri punggung dapat menggunakan perubahan posisi dan ambulasi dini setelah tindakan pelepasan femoral sheath. Tujuan dari penelitian ini untuk mengetahui efektifitas posisi dan mobilisasi dini terhadap nyeri punggung pasien post PCI.
Metode : Desain penelitian yang digunakan adalah kuasi eksperimen pre dan post test kontrol grup. Intensitas nyeri punggung dalam penelitian ini diukur menggunakan visual analog scale (VAS). Sampel pada penelitian ini masing-masing 30 responden untuk kelompok kontrol dan kelompok perlakuan pasien post PCI di Instalasi Elang RSUP dr. Kariadi Semarang, dengan teknik pengambilan sampel purposive sampling.
Hasil : Hasil uji didapatkan nilai p value 0,000 sehingga dapat disimpulkan pemberian posisi dan ambulasi dini efektif untuk menurunkan nyeri punggung pasien post PCI.
Simpulan : Pemberian posisi dan ambulasi dini bisa diaplikasikan sebagai salah satu intervensi keperawatan pada pasien post PCI.
Kata kunci : posisi, ambulasi dini, nyeri punggung, post PCI
Background : Percutaneous coronary intervention (PCI) is a non-surgical procedure by uses coronary catheterizationto treat narrowing (stenosis) of the coronary arteries of the heart found, using a balloon or stents.The impact of prolong bedrest in patient post PCI,can caused complication such as back pain. Positioning and early ambulation can be used to reduce back pain after removal of sheath. The aim of the study is to determine the effectiveness of positioning and early ambulation to reduce back pain of patient post PCI.
Methods : The research methodology used in this study is quasy experimental with one group pre test and post test with control.The number of samples in the study was thirty respondents in each groupby the used purposive sampling techniques.
Result : The statistical test result was p value 0.000, it means that the positioning and early ambulation effected in reducing back pain of patient after PCI.
Conclusion : Positioning and early ambulation can be applied as one of nursing intervention for the post PCI patients.
Keywords : positioning, early ambulation, back pain, post PCI
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References
2. Chair SY, Yu M, Choi KC, Wong EML, Sit JWH, & Ip WY.Effect of early ambulation after transfemoral cardiac catheterization in Hong Kong. Anadolu Kardiyol Derg. 2012. 12: 222-230.
3. Chen, Hui, Li, Fang,Chiung., & Huey. The Effect of Body Positioning in Patients after Femoral Artery Cardiac Catheterization. J Caring Sci. 2015 Jun. 4 (2) : 125-134.
4. Younessi Heravi MA, Yaghubi M,& Joharinia S. Effect of change in patient’s bed angles on pain after coronary angiography according to vital signals. J Res Med Sci 2015;20:937-43.
5. Roper. Prinsip-Prinsip Keperawatan. Edisi 2. Jakarta: Yayasan Essentia Medica. 2002.
6. Smeltzer, Suzane and Brenda G. Bare. Buku Ajar Keperawatan Medikal Bedah. Edisi 8. Volume 2. Jakarta: EGC. 2001.
7. Notoatmodjo, S.Metodologi Penelitian Kesehatan. Jakarta : Rineka Cipta. 2005.
8. Mahgoub, Asmaa et al. Impact of Early Ambulation on Patients' Outcome Post Transfemoral Coronary Procedures, at Assiut University Hospital.Journal of Education and Practice. 2013. 4 (28) : 22-32
9. Thompson, Peter L. Coronary Care Manual Second Edition. Australia: Elsevier. 2011. 576 p.
10. Nam Hyun Cha, RN, PhD & Sohyune Sok, RN, PhD2. Effects of position change on lumbar pain and discomfort of Korean patients after invasive percutaneous coronary intervention: a RCT study J. Phys. Ther. Sci. 2016. 28(10) : 2742–2747.
11. Satyanegara et al. Ilmu Bedah Saraf Satyanegara Edisi V. Jakarta: PT Gramedia Pustaka Utama. 2014.
12. Harmayetty et al. Modifikasi Miring Kiri dan Elevasi Kepala Menurunkan Back Pain Post Percutaneous Coronary Intervention. Jurnal Ners Universitas Airlangga. 2007. 2 (2) 67-71.
13. Akbar Abdollahi, Ali et al. Effect of Positioning and Early Ambulation on Coronary Angiography Complications: a Randomized Clinical Trial. Journal of Caring Sciences, Jun 2015. 4 (2):125-134.
14. Mert Bo?a, Selda dan Seher Deniz Öztekin. The Effect of Position Change on Vital Signs, Back Pain and Vascular Complications Following Percutaneous Coronary Intervention. Journal of Clinical Nursing. 2018;1–13.
15. Rezaei, M., Ahmady, F., Mohamadi, E., & Jafarabady, M. The effect of three positioning methods on patient outcomes after cardiac catheterization: Journal of advanced Nursing.2009. 65 (2): 423-424.
16. Boland, John Edward and Muller, David. Interventional Cardiology and Cardiac Catheterization: The Essential Guide Second Edition. US: CPC Press Taylor and Francis Group. 2019.
17. Parisha et al. A Randomized Controlled Trial on Position Change followed by early Ambulation after Trans-Femoral Coronary Angiography.Asian Journal of Nursing Education and Research. July-September, 2019. 9(3): 373-378
18. Leigh Burn, Kelly.Early Mobilisation after Coronary Angiography to Reduce Back Pain.Thesis at Eastern Institute of Technology Taradale New Zealand. 2012. 27p.
19. Perry & Potter. Fundamental of Nursing; Fundamental Keperawatan. Buku 2 Edisi 7. Jakarta: Salemba Medica. 2009.
20. Sukmawati et al. Pengaruh Ambulasi Dini Terhadap Peningkatan Activity of Daily Living pada Pasien Post Kateterisasi Jantung di RS Telogorejo Semarang. Jurnal Ilmu Keperawatan dan Kebidanan. 2015.5:1-15.
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