Penekanan Bantal Pasir Efektif untuk Klien Paska Kateterisasi Jantung Dengan Komplikasi: Randomized Controlled Trial

Janno Sinaga, Elly Nurachmah, Dewi Gayatri


DOI: http://dx.doi.org/10.7454/jki.v15i3.24


Abstract


Abstrak


Penelitian ini bertujuan untuk mengetahui efektifitas penekanan mekanikal bantal pasir 2,3 kg antara 2, 4, 6 jam terhadap
komplikasi. Metode penelitian randomized controlled trial, dengan jumlah sampel sebanyak 90 orang. Kelompok intervensi I
menggunakan bantal pasir 2,3 kg 2 jam, intervensi II 4 jam, kelompok kontrol 6 jam, pengukuran dilakukan setiap 2 jam. Hasil
penelitian tidak ada mengalami perdarahan pada semua kelompok, tidak ada perbedaan insiden haematom diantara kelompok
(p= 0,866; α= 0,05). Ada perbedaan rasa nyaman diantara kelompok pada observasi 4 jam (p= 0,003; α= 0,05) dan observasi 6
jam (p= 0,0005; α= 0,05). Rekomendasi penelitian ini adalah perlunya modifikasi Standar Prosedur Operasional penggunaan
bantal pasir 2,3 kg sebagai penekan mekanikal dari 6 jam menjadi 2 jam, sebab tidak meningkatkan komplikasi, akan tetapi
meningkatkan rasa nyaman klien.

Kata kunci: Bantal pasir 2,3 kg, haematom, pasien katetrisasi jantung, perdarahan, rasa tidak nyaman

Abstract

This study was to determine the effectiveness of the mechanical suppression of sandbag 2.3 kg between the 2, 4, 6 hours
against complications. The research design was randomized controlled trial study, where 90 patients as sample. A 2.3 kg
sandbag was applied for two hours for the first group, four hours for the second groups, and six hours for the control groups,
measurements were taken every 2 hours. The results showed that no patient has any bleeding, not difference the incidence of
hematoma between groups (p= 0.866; α= 0.05). That the differences of discomfort between groups were found after 4 hours
(p= 0.003; α= 0.05), and after 6 hours (p= 0.0005; α=0.05). It is recommended that Standard Operational Procedure
modification required from six hours into two hours in using a 2.3 kg sandbag as a mechanical pressure, because there is no
increase of incidence of complications, on the otherhand an improvement of comfort level is detected.

Keywords: 2.3 kg sandbag, hematoma, patients having cardiac catheterization, bleeding, discomfort


Keywords


bantal pasir 2,3 kg, haematom, pasien katetrisasi jantung, perdarahan, rasa tidak nyaman

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