Observasi Penggunaan Posisi High Fowler Pada Pasien Efusi Pleura di Ruang Perawatan Penyakit Dalam Fresia 2 RSUP Dr. Hasan Sadikin Bandung : Studi Kasus

Authors

  • Alvian Pristy Windiramadhan Fakultas Keperawatan Universitas Padjadjaran
  • Asha Grace Sicilia Fakultas Keperawatan, Universitas Padjajaran, Bandung, Indonesia
  • Eka Afrima Sari Fakultas Keperawatan, Universitas Padjajaran, Bandung, Indonesia
  • Sri Hartati Pratiwi Fakultas Keperawatan, Universitas Padjajaran, Bandung, Indonesia
  • Hesti Platini Fakultas Keperawatan, Universitas Padjajaran, Bandung, Indonesia
  • Hamidah Hamidah RSUP Dr. Hasan Sadikin, Bandung, Indonesia

DOI:

https://doi.org/10.32584/jpi.v4i1.446

Keywords:

efusi pleura, posisi high fowler, sesak nafas, studi kasus,

Abstract

Efusi pleura merupkaan penimbunan cairan yang berlebihan pada rongga pleura sehingga menyebabkan seseorang mengalami sesak nafas. Tindakan yang dapat dilakukan untuk mengurangi sesak nafas dan meningkatkan oksigenasi agar tidak ketergantungan dengan pemberian oksigen dalam jangka panjang yaitu dengan posisi high fowler. Oleh karena itu peneliti tertarik untuk melakukan studi kasus tentang penggunaan posisi high fowler pada pasien efusi pleura di Ruang Fresia 2 RSUP Dr.Hasan Sadikin Bandung. Penelitian dilakukan dengan pendekatan studi kasus pada 3 orang pasien dengan krieria pasien yang di diagnosis efusi pleura pasien yang mengalami sesak nafas (RR > 24 x/menit), pasien dewasa atau lanjut, pasien dapat berkomunikasi dan bersedia diwawancara, terpasang CTT atau pigtail dan terpasang oksigen. Setelah dilakukan observasi selama tiga hari ada perbedaan nilai pernafasan dan saturasi oksigen sebelum dan sesudah posisi high fowler. Rentang nilai pernafasan sebelum posisi high fowler adalah 24 – 30 kali/menit dengan nilai saturasi oksigen 97 – 98%. Sedangkan rentang nilai pernafasan sesudah posisi high fowler adalah 22 – 27 kali/menit dengan nilai saturasi oksigen 98 – 99%. Posisi high fowler merupakan posisi pilihan untuk pasien yang mengalami sesak nafas khususnya pada pasien yang mengalami efusi pleura. 

Observation of Using High Fowler Position in Pleura Efficient Patients in The Medical Ward in Fresia 2 Dr. Hasan Sadikin Bandung Hospital: Case Study. Pleural effusion is an excessive accumulation of fluid in the pleural cavity and causing a person to experience shortness of breath. Actions that can be taken to reduce shortness of breath and increase oxygenation so as not to depend on the provision of oxygen in the long term is by positioning high fowler. Therefore researchers interested in conducting a case study of the use of high fowler positions in pleural effusion patients in Fresia Room 2 Dr.Hasan Sadikin Hospital Bandung. The study was conducted with a case study approach on 3 patients with patients who were diagnosed with pleural effusion of patients experiencing shortness of breath (RR> 24 x / min), adult or advanced patients, patients can communicate and be willing to be interviewed, CTT or pigtail attached and attached oxygen. After observing for three days there were differences in respiratory values and oxygen saturation before and after the high fowler position. The range of respiratory values before the high fowler position is 24-30 times / minute with an oxygen saturation value of 97-98%. While the range of respiratory values after the high fowler position is 22-27 times / minute with an oxygen saturation value of 98 - 99%. The high fowler position is the position of choice for patients who experience shortness of breath, especially in patients who experience pleural effusion.

 

References

Annisa, Utomo, & Utami. (2015). Pengaruh Perubahan Posisi Terhadap Pola Nafas Pada Pasien Gangguan Pernafasan. Program Studi Ilmu Keperawatan Universitas Riau. 292-303

Dean, E. (2014).Effect of Body Position on Pulmonary Function. Journal of American Physical Therapy

Kozier, B., Erb, G., Berman, Audrey., Snyder, S. J. (2011) Buku ajar Fundamental Keperawatan, Konsep, Proses dan Praktik. Ed. 7.Vol. 1. Jakarta:EGC

McGrath E, Anderson PB. (2011) Diagnosis of Pleural Effusion : a Systematic Approach. American Journal of Critical Care. Vol 20, No. 2.

Meilirianta, Tohri. T & Suhendra (2010). Posisi Semi-Fowler Dan Posisi High Fowler Terhadap Perubahan Saturasi Oksigen Pada Pasien Asma Bronkial Di Ruang Rawat Inap D3 Dan E3 Rumah Sakit Umum Daerah Cibabat Cimahi.

Moaty, A. M. A,Mokadem, N. M dan Elhy, A. H.A. (2017). Effect of Semifowler’s Positions on Oxygenation and Hemodynamic Status among Critically III Patients With Traumatic Brain Injur. International Journal of Novel Research in Healthcare and Nursing. Vol 4, Issu 2

Najafi, S., Dehkordi, S. M., & Basirimoghaddam, M. (2018). The Effect Of Position Change On Arterial Oxygen Saturation In Cardiac And Respiratory Patients : A Randomised Clinical Trial. 33–37.

Nanda. (2018). Diagnosis Keperawatan Definisi & Klasifikasi 2018-2020 Edisi 11 editor T Heather Herdman, Shigemi Kamitsuru. Jakarta: EGC.

Nasution & Widirahardjo. (2018). Perubahan Faal Paru pada Penderita Efusi Pleura setelah Tindakan Aspirasi Cairan Pleura. Majalah Kedokteran Nusantara. Vol 51 No 1 Maret 2018

Nursalam. (2014). Metodologi Penelitian Ilmu Keperawatan : Pendekatan Praktis, Edisi 3. Jakarta : Salemba Medika

Puspita, Soleha, & Berta, 2015. Penyebab Efusi Pleura di Kota Metro pada tahun 2015. Journal ArgoMedicine. Universitas Lampung.

Safitri, R. & Andriyani, A. (2011).Keefektifan Pemberian Posisi Semi Fowler Terhdap Penurunan Sesak Nafas Pada Pasien Asma Di Ruang Rawat Inap Kelas III RSUD Dr. Moewardi Surakarta.Prodi S1 keperawatan Sekolah Tinggi Ilmu Kesehatan Aisyiyah Surakarta. Vol. 8, No. 2 Agustus 2011.

WHO,(2017).Monitoring Health For The SDGs, Sustainable Development Goals. ISBN 978-92-4-156548-6

Widiyanto B, Yasmin LS. (2014). Terapi Oksigen terhadap Perubahan Saturasi Oksigen melalui Pemeriksaan Oksimetri pada Pasien Infark Miokard Akut (IM-A). Prosiding Konferensi Nasional II PPNI Jawa Tengah. 1(1): 138-43.

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Published

2020-05-30

Issue

Vol. 4 No. 1 (2020): May 2020

Section

Articles

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How to Cite

Observasi Penggunaan Posisi High Fowler Pada Pasien Efusi Pleura di Ruang Perawatan Penyakit Dalam Fresia 2 RSUP Dr. Hasan Sadikin Bandung : Studi Kasus. (2020). Jurnal Perawat Indonesia, 4(1), 329-338. https://doi.org/10.32584/jpi.v4i1.446

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