Putrono, Putrono
Belitung Nursing Journal

Published : 2 Documents
Articles

Found 2 Documents
Search

COMPARISON OF THE EFFECTIVENESS OF TWO LEVELS OF SUCTION PRESSURE ON OXYGEN SATURATION IN PATIENTS WITH ENDOTRACHEAL TUBE Muhaji, Muhaji; Santoso, Bedjo; Putrono, Putrono
Belitung Nursing Journal Vol 3, No 6 (2017): November-December 2017
Publisher : Belitung Nursing Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (175.639 KB) | DOI: 10.33546/bnj.300

Abstract

Background: Endotracheal suctioning is one of the common supportive measures in intensive care units (ICU), which may be related to complications such as hypoxia. However, a questionable efficacy is still identified to choose suctioning pressure between 130 mmHg and 140 mmHg that is effective for patients with endotracheal tube.Objective: To compare the effectiveness of 130 mmHg and 140 mmHg suctioning pressure on oxygen saturation in patients with endotracheal tube.Methods: This research used a quasy experimental design with pretest and posttest group. The study was conducted from 31 January to 1 March 2017 in the Hospital of Panti Wilasa Citarum and Hospital of Roemani Muhammadiyah Semarang. There were 30 samples recruited using consecutive sampling, with 15 assigned in the 130 mmHg and 140 mmHg suctioning pressure group. Pulse oximetry was used to measure oxygen saturation. Paired t-test and Independent t-test were used for data analysis.Results: Findings showed that there was a statistically significant effect of 130 and 140 mmHg suctioning pressure on oxygen saturation in patients with ETT with p-value <0.05. There was a significant mean difference of oxygen saturation between 130 mmHg and 140 mmHg suctioning pressure group with p-value 0.004 (<0.05). The mean difference of oxygen saturation between both groups was 13.157.Conclusion: The 140 mmHg suctioning pressure is more effective compared with 130 mmHg suctioning pressure in increasing oxygen saturation in patients with ETT.
Pengaruh Posisi Tidur Semi Fowler 450 Terhadap Kenaikan Nilai Saturasi Oksigen Pada Pasien Gagal Jantung Kongestif Di RSUD Loekmono Hadi Kudus Wijayati, Sugih; Ningrum, Dian Hardiyanti; Putrono, Putrono
Medica Hospitalia : Journal of Clinical Medicine Vol 6 No 1 (2019): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (305.861 KB) | DOI: 10.36408/mhjcm.v6i1.372

Abstract

&nbsp;Background : Congestive Heart Failure (CHF) is a physiological condition where the heart is unable to pump enough blood to fullfill the metabolic needs of the body that cause some clinical symptoms felt by clients such as dyspnea, orthopnea, paroxysmal nocturnal dyspnea (PND) shortness of breath at night day. The most effective position for clients with congestive heart failure disease is 450 degree slope semi Fowler position, using gravity to aid lung compliance and reduce the pressure of the abdominal diaphragm. &nbsp;Aim:&nbsp;This study is to determine the effect of 450 semi Fowler bed position to increase the value of oxygen saturation in patients with congestive heart failure in dr. Loekmono Hadi Kudus General Hospital. The type of this research is to draft Experimental Pre-Pre and Post Test One Group Design. Conducted on 16 respondents with total sampling technique that met the inclusion criteria. Methods: The research data were analyzed using dependent t-test. &nbsp; Result : The result showed the difference in median 2 L / s average 2%, which use oxygen 3 L / s average 1%, and that does not use oxygen to experience average increase of 1%. 450 semi Fowler bed position has an effect&nbsp; to increase the value of oxygen saturation in patients with congestive heart failure. Conclution : The study recommends to give 450 semi Fowler bed position to patients with congestive heart failure with decreased oxygen saturation. Keywords: 450 semi Fowler bed position; CHF; SpO2&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Latar Belakang : Congestive Heart Failure (CHF) merupakan suatu kondisi fisiologis ketika jantung tidak mampu memompa darah yang cukup untuk memenuhi kebutuhan metabolik tubuh yang menimbulkan beberapa gejala klinis yang dirasakan klien beberapa diantaranya dispnea, ortopnea, paroxysmal nocturnal dispnea (PND) sesak nafas pada malam hari. Posisi yang paling efektif bagi klien dengan penyakit gagal jantung kongestif adalah posisi semi Fowler dengan derajat kemiringan 450, yaitu dengan menggunakan gaya gravitasi untuk membantu pengembangan paru dan mengurangi tekanan dari abdomen pada diafragma. Tujuan : Penelitian ini untuk mengetahui pengaruh posisi tidur semi Fowler 450 terhadap kenaikan nilai saturasi oksigen pada pasien gagal jantung kongestif di RSUD dr. Loekmono Hadi Kudus Metode : Jenis penelitian ini adalah Pra – Experimental dengan rancangan Pre&nbsp; and Post Test One Group Design. Dilakukan pada 16 responden dengan tehnik total sampling yang memenuhi kriteria inklusi. Data penelitian di analisa menggunakan uji dependent t – test. Hasil : Hasil penelitian didapatkan selisih median2 L/m rata – rata mengalami kenaikan 2%, yang menggunakan oksigen 3 L/m rata – rata mengalami kenaikan 1% dan yang tidak menggunakan oksigen mengalami rata – rata kenaikan 1%. Kesimpulan : Ada pengaruh posisi tidur semi Fowler 450 terhadap kenaikan nilai saturasi oksigen pada pasien gagal jantung kongestif. Penelitian ini merekomendasikan agar pasien gagal jantung kongestif dengan penurunan saturasi oksigen diberikan posisi tidur semi Fowler 450. Kata kunci : CHF; posisi semi Fowler 450; SpO2 &nbsp;