Phisical Function (Motor Activity) Pada Pasien Kritis Dengan Sedation Di Intensive Care Unit
Abstract
Introduction: Critical patients are patients who potentially get reversible dysfunction in one or more life-threatening organs and require they require care in the Intensive Care Unit (ICU). Method: The objective of this research is to analyze the physical function-tardive dyskinesia on critical patients with sedation in ICU. The design of this research is crossectional. The population is all critical patients in ICU Baptist Hospital Kediri. The sample is 41 respondents based on the inclusion and exclusion criteria in the total sampling. The independent variable is giving the sedation and the dependent variable is physical function-tardive dyskinesia. The data was collected using observation sheets. Result: The result shows that giving a sedation can decrease the physical function in the form of motor activity; response of noxious stimuli (7.3%), response to touch or calling name (19,5%) and the incresing score of agitation and co-operative (4.9%). Symptoms of tardive dyskinesia increased after sedation in the form of tongue prostrusion (4.9%), lip smacking puckering and pursing (2.4%), and rapid movements of the arms and legs. Administration of sedation in the first 24-hour ICU patient affects the physical function of the critical patients (p = 0.005). Conclusion: Giving sedation affects the change of patiens’ physical funcion. Therefore, prevention on the effects of sedation and treatment during ICU is needed in order to avoid a decrease in the physical function of critical patients.
Keyword: physical function, tardive dyskinesia, sedation, critical patient, ICU
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References
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Nadesul, Hendrawan. (2009). Cerdas Menaklukkan Semua Penyakit Orang Sekarang. Jakarta: Kompas Media Nusantara
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Pudiastuti, Ratna, Dewi. (2013). Penyakit-Penyakit Mematikan. Yogyakarta: Nuha Medika
Pusfitasari, Intan. (2013). Hubungan Dukungan Sosial Keluarga dengan Tingkat Kecemasan Pasien Penyakit Jantung Koroner. STIKES RS. BAPTIS Kediri. Hal: 37
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Setiadi. (2007). Konsep & Penulisan Riset Keperawatan. Yogyakarta: Graha Ilmu
Silvia, A. Prince, Lorraine, M. Wilson. (2005). Patofisiologis Klinis Proses-Proses Penyakit. Edisi 6. Vol 1. Jakarta: ECG
Sottile, Peter, Amy Nordon-Craft, Daniel Malone, Darcie M. Luby, Margaret Schenkman, M. M. (2015) ‘Physical therapis treatment of patients in the neurogical intensive care unit: description of practice’, Physical Therapy, 95(7), pp. 1006–1014.
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Sugiyono. (2009). Metode Penelitian Kuantitatif, Kualitatif dan R&D, Bandung: Alfabeta
Supriono, Mamat. (2008). Faktor-Faktor Resiko yang Berpengaruh Terhadap Kejadian Penyakit jantung Koroner pada Kelompok Usia ≤ 45 Tahun. Tesis, Study Kasus di RSUP Dr. Kariadi dan RS Telogorejo, Semarang. Hal: 53-58
Suwardianto, H. (2016) ‘Tardive dyskenesia, motor activity, sedation scale, and cardiac workload in baptis kediri hospital’, Tardive Dyskenesia, Motor Activity, Sedation Scale, Dan Cardiac Workload, 4(1), p. 1.
Suwardianto, Heru. (2013). Deep Breathing Relaxation As Therapy To Decrease Blood Preassure On Hypertension Patients. In Proceedings Faculty Of Nursing Of Airlangga The fourd Internasional Nursing Conference Improving Quality Of Nursing Care Though Nursing Research and Innovations.
Suwardianto, Heru. (2015). Tantangan Profesi Keperawatan Dalam Efektifitas Tata Kelola Ketenagaan Di Rumah Sakit. Jakarta. Jawa Pos Indonesia. 27 Desember 2015.
Suwardianto. (2014). The Effectiveness of Deep Breathing and Slow Stroke Back Massage to Decrease the Blood Pressure on A Patient with Hypertension. Journal “Moving Forward Improving Nursing Education” Indonesian Nursing Journal of Education and Clinic (INJEC). Volume 1, Nomor 1, April 2014
Syamsudin. (2011). Buku Ajar Farmakoterapi Kardiovaskuler dan Renal. Jakarta: Salemba medika
Thomas L, Schwenk. (2003). New Hypertension Guidelines: JNC 7. http://www.jwatch.org/. NEJM Journal Watch. Diakses 20 Februari 2016, Jam 22.30 WIB
Udjianti, Wajan Juni. (2010). Keperawatan Kardiovaskular. Jakarta: Salemba Medika, hal: 107-114
Utami, Prapti. (2009). Solusi Sehat Mengatasi Penyakit Jantung Koroner. Jakarta: Agromedia Pustaka
Yatim, Faisal. (2005). Waspadai Jantung Koroner, Stoke, Meninggal Mendadak Atasi dengan Pola Hidup Sehat. Jakarta: Pustaka Populer Obor
Abelha, F. J., Santos, C. C., Maia, P. C., Castro, M. A. and Barros, H. (2007) ‘Quality of life after stay in surgical intensive care unit’, BMC Anesthesiology, 7(8), pp. 1–12. doi: 10.1186/1471-2253/7/8.
Alan. (2014). Heart Disease and Stroke Statistics. http://circ.ahajournals.org/content. American Heart Associaton. Diakses 4 Februari 2014, jam 18.00 WIB
Bangun. (2005). Terapi Jus Dan Ramuan Tradisional Untuk Kolesterol. Depok: Agromedia Pustaka
Boestan, Iwan N, Rurus Suryawan. (2003). Ilmu Penyakit Jantung. Surabaya: Airlangga University Press
Bonita A, G. (2009) ‘Home cardiac rehabilitation for congestive heart failure: a nursing case management approach’, Rehabilitation Nursing, 24(4), pp. 143–147.
Cartwright, M. M. (2012) The high incidence of post intensive care unit (ICU) anxiety and depression, Psychology Today. Available at: https://www.psychologytoday.com/blog/food-thought/201202/the-high-incidence-post-intensive-care-unit-icu-anxiety-and-depression (Accessed: 9 September 2016).
Davidson, Christopher. (2003). Penyakit Jantung Koroner. Jakarta: Dian Rakyat
Davidson, J. E., Hopkins, R. O., Louis, D. and Iwarshyna, T. (2013) ‘Post-intensive care syndrome’, Society of Critical Care Medicine, 1(1), pp. 1–4.
Gardner, Samuel. (2007). Smart Treatment For High Blood Pre Panduan Sehat Mengatasi Tekanan Darah Tinggi. Jakarta: Prestasi Pustakaraya
Garland, K, O., CD, R., M, Y. and R, F. (2013) ‘Epidemiology of critically ill patients in intensive care units: a population-base observational study’, Critical Care, 17(5), p. 212. doi: 10.1186/cc13026.
Glance. (2015). Heart Disease and Stroke Statistics. American Heart Association-BBB
Hidayat, Alimul, Aziz. (2012). Riset Keperawatan dan Teknik Penulisan Ilmiah. Jakarta: Salemba Medika
Hoffman, L. A. and Guttendorf, J. (2015) Post Intensive care syndrome: risk factors and prevention strategies, AHC media. Available at: https://www.ahcmedia.com/articles/134820-post-intensive-care-syndrome-risk-factors-and-prevention-strategies (Accessed: 1 January 2016).
Hopkins, R. O. (2013) ‘Strategies to ensure long-term quality of life in ICU survivors’, Society of Critical Care Medicine, 1(1), p. 1.
Ireland (2011) National standards for adult critical care services. Ireland: Joint Faculty of Intensive Care Medicine of Ireland (JFCMI) in association with The Intensive Care Society of Ireland (ICSI).
Irmalia, (2015). Pedoman Tatalaksana Sindrom Koroner Akut Edisi ketiga. Jakarta. Perhimpunan dokter spesialis kardiovaskuler Indonesia (PP PERKI).
Iwang, Prasetya W, Ismail. (2006). Antitrombolik dan Trombolitik pada penyakit Jantung Koroner. Jakarta: Fakultas Kedokteran Universitas Indonesia
Iwashyna, T. (2014) ‘What you need to know about post-intensive care syndrome (PICS)’, Health System-University of Michigan, 1(1), pp. 1–3.
Iwashyna, T. J. (2014) ‘Post-intensive care syndrome: improving the future of icu patients’, 24nd Critical Care Congress Review, 1(1), pp. 13–16.
Iwashyna, T. J., Cooke, C. R., Wunsch, H. and Kahm, J. M. (2012) ‘Population burden of long-term survivorship after severe sepsis in older americans’, Journal compilation © 2012, The American Geriatrics Society, 60(6), pp. 1070–1077.
JC, J., PP, P., TD, G., NE, B. and JL, T. (2014) ‘Depression, post-traumatic stress disorder, and functional disability in survivors of critical illness in the brain-icu study: a longitudinal cohort study’, The Lancet Respiratory Medicine, 2(5), pp. 369–379.
Kabo, Peter, (2008). Mengungkap Pengobatan Penyakit Jantung koroner. Jakarta: PT Gramedia Pustaka Utama
Kasron, 2012. Pencegahan serta Pengobatan. Yogyakarta: Nuha Medika
Kementrian Kesehatan RI. (2013). Riset Kesehatah Dasar Riskesdas 2013. Badan Penelitian dan Pengembangan Kesehatan, Jakarta; 2013. Hal 90-93
Kowalak, Jeninifer P. (2011), Buku Ajar Patofisiologi. Jakarta: EGC
Kurniadi, Helmanu. (2013). Stop Gejala Penyakit Jantung Koroner. Yogyakarta: Familia
Mansjoer, Arif. (2008). Kapita Selekta Kedokteran Edisi Ketiga. Jakarta: Media Aesculapius, hal: 518-519
Mawi, Martiem. (2003). Indeks Masa Tubuh Sebagai Determinan Penyakit Jantung Koroner pada Orang Dewasa Berusia di Atas 35 tahun. Jurnal Kedokteran Trisakti. Vol 23. No 3
Muchtar, Zahra. (2010). Gambaran Epidemiologi Penyakit Jantung Koroner pada Pasien Wanita di Rumah Sakit Harapan Kita Jakarta Tahun 2009. Skripsi, Universitas Indonesia
Muttaqin, Arif. (2009). Buku Ajar Asuhan Keperawatan dengan Gangguan Sistem Kardiovaskuler dan Hematologi. Jakarta: Salemba Medika
Nadesul, Hendrawan. (2009). Cerdas Menaklukkan Semua Penyakit Orang Sekarang. Jakarta: Kompas Media Nusantara
Nastiti, Amadea K. (2012). Klasifikasi Kadar Gula Dalam Darah. http://amadeanastiti-fst09.web.unair.ac.id/. Diakses 27 Pebruari 2014, jam 22.00 WIB
Nathan E, Brummel, James C. Jackson, T. D. G. (2013) ‘A combined early cognititive and physical rehabilitation program for people who are critically Iil: The activity and cognitive therapy in the intensive care unit (ACT-ICU) trial’, Physical Therapy Critical Illness, 92(12), pp. 1580–1592.
Needham, D. M. (2012) ‘Improving long-term outcomes after discharge from intensive care unit: Report from a stakeholders’ conference’, Critical Care Medicine, 40(2), pp. 502–509.
Needham, D. M., Davidson, J., Cohan, H., PharmD and Hopkins, R. (2012) ‘Improving long-term outcomes after discharge from intensive care unit: report from a stakeholders’ conference’, the Society of Critical Care Medicine and Lippincott Williams & Wilkins, 40(2), pp. 502–509.
Pandharipande, P., Girard, T., Morandi, A. and Thompsom, J. (2013) ‘Long-term cognitive impairment after critical illness’, The New England Journal Medicine, 369(14), pp. 1306–1316. doi: 10.1056/NEJMoa1301373.
Pradana, Wisnu, Mahardika. (2011). Peran Enhanced External Counterplussation pada Penyakit Jantung Koroner. Artikel Khusus, Universitas Katolik Atma jaya, Jakarta. Vol 61 No10. Oktober 2011. Hal: 2
Pudiastuti, Ratna, Dewi. (2013). Penyakit-Penyakit Mematikan. Yogyakarta: Nuha Medika
Pusfitasari, Intan. (2013). Hubungan Dukungan Sosial Keluarga dengan Tingkat Kecemasan Pasien Penyakit Jantung Koroner. STIKES RS. BAPTIS Kediri. Hal: 37
Rocmayanti. (2011). Analisis Faktor yang Mempengaruhi Kualitas Hidup Pasien Penyakit Jantung Koroner di Rumah Sakit Pelni Jakarta. Tesis Univesitas Indonesia Fakultas Ilmu Keperawatan. Hal 70
Setiadi. (2007). Konsep & Penulisan Riset Keperawatan. Yogyakarta: Graha Ilmu
Silvia, A. Prince, Lorraine, M. Wilson. (2005). Patofisiologis Klinis Proses-Proses Penyakit. Edisi 6. Vol 1. Jakarta: ECG
Sottile, Peter, Amy Nordon-Craft, Daniel Malone, Darcie M. Luby, Margaret Schenkman, M. M. (2015) ‘Physical therapis treatment of patients in the neurogical intensive care unit: description of practice’, Physical Therapy, 95(7), pp. 1006–1014.
Strahan, E. H. . and Brown, R. J. (2005) ‘A quantitative study of the experiences of patients following transfer from intensive care’, Intensive and Critical Nursing-ICCN, 21(21), pp. 160–171.
Sugiyono. (2009). Metode Penelitian Kuantitatif, Kualitatif dan R&D, Bandung: Alfabeta
Supriono, Mamat. (2008). Faktor-Faktor Resiko yang Berpengaruh Terhadap Kejadian Penyakit jantung Koroner pada Kelompok Usia ≤ 45 Tahun. Tesis, Study Kasus di RSUP Dr. Kariadi dan RS Telogorejo, Semarang. Hal: 53-58
Suwardianto, H. (2016) ‘Tardive dyskenesia, motor activity, sedation scale, and cardiac workload in baptis kediri hospital’, Tardive Dyskenesia, Motor Activity, Sedation Scale, Dan Cardiac Workload, 4(1), p. 1.
Suwardianto, Heru. (2013). Deep Breathing Relaxation As Therapy To Decrease Blood Preassure On Hypertension Patients. In Proceedings Faculty Of Nursing Of Airlangga The fourd Internasional Nursing Conference Improving Quality Of Nursing Care Though Nursing Research and Innovations.
Suwardianto, Heru. (2015). Tantangan Profesi Keperawatan Dalam Efektifitas Tata Kelola Ketenagaan Di Rumah Sakit. Jakarta. Jawa Pos Indonesia. 27 Desember 2015.
Suwardianto. (2014). The Effectiveness of Deep Breathing and Slow Stroke Back Massage to Decrease the Blood Pressure on A Patient with Hypertension. Journal “Moving Forward Improving Nursing Education” Indonesian Nursing Journal of Education and Clinic (INJEC). Volume 1, Nomor 1, April 2014
Syamsudin. (2011). Buku Ajar Farmakoterapi Kardiovaskuler dan Renal. Jakarta: Salemba medika
Thomas L, Schwenk. (2003). New Hypertension Guidelines: JNC 7. http://www.jwatch.org/. NEJM Journal Watch. Diakses 20 Februari 2016, Jam 22.30 WIB
Udjianti, Wajan Juni. (2010). Keperawatan Kardiovaskular. Jakarta: Salemba Medika, hal: 107-114
Utami, Prapti. (2009). Solusi Sehat Mengatasi Penyakit Jantung Koroner. Jakarta: Agromedia Pustaka
Yatim, Faisal. (2005). Waspadai Jantung Koroner, Stoke, Meninggal Mendadak Atasi dengan Pola Hidup Sehat. Jakarta: Pustaka Populer Obor
How to Cite
SUWARDIANTO, Heru; PRASETYO, Awal; UTAMI, Reni Sulung.
Phisical Function (Motor Activity) Pada Pasien Kritis Dengan Sedation Di Intensive Care Unit.
Jurnal Ilmu Kesehatan, [S.l.], v. 5, n. 2, p. 91 - 102, july 2017.
ISSN 2579-7301.
Available at: <https://ejurnaladhkdr.com/index.php/jik/article/view/139>. Date accessed: 30 oct. 2024.
doi: https://doi.org/10.32831/jik.v5i2.139.
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