Skip to main content Skip to main navigation menu Skip to site footer
Jurnal Keperawatan Indonesia
Articles
VIEWS: 1882
10.7454/jki.v15i3.24
Submitted: 2014-05-07
Published: 2012-11-24

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

STIKES Mutiara Indonesia, Medan 20123, Indonesia; Program Studi Magister Fakultas Ilmu Keperawatan Universitas Indonesia, Depok 16424, Indonesia
##plugins.generic.jatsParser.article.authorBio##
×

Janno Sinaga



Fakultas Ilmu Keperawatan Universitas Indonesia, Depok 16424, Indonesia
Fakultas Ilmu Keperawatan Universitas Indonesia, Depok 16424, Indonesia
bantal pasir 2 3 kg haematom pasien katetrisasi jantung perdarahan rasa tidak nyaman

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

References

  1. Armendaris, M.K., Azzolin, K.D.O., Fabiane. Alves, J.M.S., Ritter, S.G., Antonieta, M., & Moraes, P.D. (2008). Incidence of vascular complications in patients submitted to percutaneous transluminal coronary angioplasty by transradial and transfemoral arterial approach. Acta Paul Enferm, 21 (1), 18–20.
  2. Black, J.M., & Hawks, J.H. (2005). Medical-surgical nursing: Clinical management for positive outcomes (7th Ed.). St Louis: Elsevier Saunders.
  3. Doyle, B.J., Konz, B.A., Lennon, R.J., John, F. Bresnahan., Rihal, H.S., & Ting, H.H. (2006). Ambulation 1 hour after diagnostic cardiac catheterization. Mayo Clinic Proceedings, 81 (12), 1537–1540.
  4. Farouque, H.M., Tremmel, J.A., Shabari, F.R., Aggarwal, M., Fearon, W.F., Yeung, A.C., et al. (2005). Risk factors for the development of retroperitoneal hematoma after percutaneous coronary intervention in the era of glycoprotein IIb/IIIa inhibitors and vascular closure. Journal of the American College of Cardiology, 45 (3), 363–368.
  5. Hsueh, S.K., Hsieh,Y.K., Wu, C.J., Fang, C.Y., Youssef, A.A., Chen, C.J., et al. (2007). Immediate results of percutaneous coronary intervention for unprotected left main coronary artery stenoses: Transradial versus transfemoral approach. Chang Gung Med Journal, 31 (2), 7–10.
  6. Kern, M.J. (2003). The cardiac catheterization handbook (5th Ed.). St Louis Misouri: Mosby.
  7. Koch, K.T., Piek, J.J., Winter, R.J., Mulder, K., Schotborgh, C.E., & Kilie, T. (1999). Two hour ambulation after coronary aangioplasty and stenting with 6f guiding catheters. Heart Journal, 81 (5), 53–56.
  8. Kuntoro. (2006). Teknik sampling & penghitungan besar sampling: Teknik sampling. Surabaya: Lembaga Penelitian dan Pengabdian Kepada Masyarakat, Universitas Airlangga.
  9. Leary, A., King, N.A., & Philpott, S.J. (2008). A randomized controlled trial assessing the use of compression versus vasoconstriction in the treatment of femoral hematoma occurring after percutaneous coronary intervention. Heart Lung Journal, 37 (3), 20–24.
  10. PA-PSRS Patient Safety Advisory. (2007). Strategies to minimize vascular complications following a cardiac catheterization. Article PA-PSRS Patient Safety Advisory, 45 (4), 20–24.
  11. Price, S.A., & Wilson, L.M. (2006). Patofisiologi: Konsep klinis proses-proses penyakit (6th Ed.). Jakarta: EGC.
  12. Sastroasmoro, S., & Ismael, S. (2002). Dasar-dasar metodologi penelitian klinis (Edisi 2). Jakarta: Binarupa Aksara.
  13. Schickel, S.I., Sharon, I., Adkisson, P., Miracle, V., & Cronin, S.N. (1999). Critical care investigation achieving femoral after cardiac chateterization: A comparison of methods. American Journal of Critical Care, 76 (8), 406–409.
  14. Wagner, N.A. (2007). Comparison of patient perceived post-procedure access site pain in patients undergoing transradial versus transfemoral coronary angiography/angioplasty (Thesis Master, The Florida State University College of Nursing). Florida State University, Florida–United States.
  15. Wijpkema, J.S., Vleuten, P.A., Jessurun, G.A.J., Jasper, S., & Tio, R.A. (2005). Long-term safety of intracoronary haemodynamic assessment for deferral of angioplasty in intermediate coronary stenosis: A 5-year follow-up. Acta Cardiol, 60 (5), 207–211.
  16. Woods, S.L., Froelicher, E.S., Motzer, S.A., & Bridges, E.J. (2005). Cardiac nursing (5th Ed.). Philladelphia: Lippincott Williams & Wilkins.
  17. Yilmaz, E., Gurgun, C., & Dramali, A. (2007). Minimizing short-term complications in patients who have undergone cardiac invasive procedure: A randomized controlled trial involving position change and sandbag. Anadolu Kardiyol Derg, 27 (7), 390–396.
  18. Yang, C.H., Fang, G.B., Hsueh-Wen., Cheng-Hsu, Y., Hsueh-Wen, C., Ang, I.P.S., et al. (2002). The safety and feasibility of transradial cutting balloon angioplasty. Jpn Heart Journal, 44 (1), 32–36.

How to Cite

Sinaga, J., Nurachmah, E., & Gayatri, D. (2012). Penekanan Bantal Pasir Efektif untuk Klien Paska Kateterisasi Jantung Dengan Komplikasi: Randomized Controlled Trial. Jurnal Keperawatan Indonesia, 15(3), 171–178. https://doi.org/10.7454/jki.v15i3.24