ANALISIS PRAKTIK KEPERAWATAN BERBASIS BUKTI PENGARUH FISIOTERAPI DADA TERHADAP HEMODINAMIK (RR DAN HR) DAN SATURASI OKSIGEN PADA ANAK DENGAN PNEUMONIA DI CIPUTRA HOSPITAL CITRA GARDEN CITY JAKARTA
DOI:
https://doi.org/10.31004/jkt.v6i1.31951Keywords:
balita, fisioterapi dada, hemodinamik, pneumonia, saturasi oksigenAbstract
Fisioterapi dada banyak digunakan sebagai pengobatan adjuvant untuk pneumonia. Fisioterapi dianggap membantu menghilangkan eksudat inflamasi, sekresi trakeo bronkial, mengurangi resistensi jalan napas. Tujuan asuhan keperawatan ini diharapkan dapat memahami, menjelaskan dan menerapkan praktik berbasis bukti dalam keperawatan professional, setelah dilakukan pengaruh fisioterapi dada terhadap Hemodinamik (RR Dan Hr) dan saturasi oksigen pada anak dengan pneumonia di Ciputra Hospital Citra Garden City Jakarta. Metode Desain evidence base nurse (EBN) yang digunakan adalah Quasy Experiment khususnya pretest-posttest design. Yaitu dengan melakukan observasi sebelum dan sesudah dilakukan intervensi kelompok kontrol. Terdapat dua kelompok intervensi, yaitu 2 kelompok yang diberikan diberikan Fisioterapi Dada selama 4 hari berturut-turut dan dilakukan 2 kali sehari. Hasil: Hasil statistic menunjukkan perbedaan nilai rata-rata atau nilai mean pada kelompok intervensi (1.00) dan kelompok control (1.25) dengan hasil nilai p (0.024 atau < 0.05) yang artinya ada pengaruh pemberian fisioterapi dada pada kelompok intervensi dan kelompok control dengan nilai p (0.024 Kesimpulan: Ada pengaruh pemberian fisioterapi dada pada anak dengan Pneumonia setelah dilakukan intervensi dibandingkan dengan kelompok control secara signifikan.References
Abdelbasset, W. K. M., & Elnegamy, T. E. H. (2015). Effect of chest physical therapy on pediatrics hospitalized with pneumonia. International journal of health and rehabilitation sciences, 4(4), 1–8.
Aldriana, N. (2015). Faktor-faktor yang berhubungan dengan pneumonia pada Balita di wilayah kerja Puskesmas Rambah Samo 1 Tahun 2014. Jurnal martenity and neonatal, 1(6), 262–266. http://e-journal.upp.ac.id/index.php/akbd/article/view/1094
Alligood, M. R. (2014). Nursing theorists and their work 8 edition. Elsvier. Mosby.
Amin, A. A., Kuswardani, & Setiawan, W. (2018). Pengaruh chest therapy dan infra red pada bronchopneumonia. Jurnal fisioterapi dan rehabilitasi (JFR), 2(1), 9–16.
Anwar, A., & Dharmayanti, I. (2014). Pneumonia pada Anak Balita di Indonesia. Jurnal kesehatan masyarakat nasional, 8(8), 956–961. https://doi.org/10.1016/S0090-4295(00)00847-5
Arif, M., Bashir, M. S., & Noor, R. (2014). Effectiveness of chest physiotherapy in the management of bronchiectasis. Annals, 20(3), 2015–2219.
Burns, C. E., Dunn, A. M., Brady, M. A., Starr, N. B., Blosser, C. G., & Garzon, D. L. (2017). Pediatric primary care sixth edition. Elsevier.
Caswell, J. L. (2014). Failure of respiratory defenses in the pathogenesis of bacterial pneumonia of cattle. Veterinary Pathology, 51(2), 393–409. https://doi.org/10.1177/0300985813502821
Chaves, G. S. S., Freitas, D. A., Santino, T. A., Nogueira, P. A. M. S., Fregonezi, G. A. F., & Mendonça, K. M. P. P. (2019). Chest physiotherapy for pneumonia in children. Cochrane database of systematic reviews, 2019(1). https://doi.org/10.1002/14651858.CD010277.pub3
Corten, L., Jelsma, J., & Morrow, B. M. (2015). Chest physiotherapy in children with acute bacterial pneumonia. South african journal of physiotherapy, 71(1), 1–10. https://doi.org/10.4102/sajp.v71i1.256
Creswell, J. (2016). Research design pendekatan kualitatif, kuantitatif dan mixed. Pustaka Pelajar.
Dahlan, M. S. (2014). Statistik untuk kedokteran dan kesehatan. deskriptif, bivariat dan multivariat dilengkapi dengan menggunakan SPSS (6th ed.). Epidemiologi Indonesia.
Dharma, K. (2017). Metodologi penelitian keperawatan panduan melaksanakan dan menerapkan hasil penelitian. CV. Trans Info Media.
Dinkes Kota Palu. (2021). Profil kesehatan kota Palu Tahun 2020.
Dinkes Sulawesi Tengah. (2020). Profil kesehatan provinsi Sulawesi Tengah.
Fadhilah, S., Rahil, N, H., Lanni, F. Analisis faktor yang mempengaruhi tekanan darah dan saturasi oksigen perifer (SPO2). Jurnal Kesehatan Kusuma Husada Januari 2020. 1-10
Grief, S. N., & Loz, J. K. (2020). Guidelines for the evaluation and treatment of pneumonia. Prim Care Clin, 45(January), 485–503.
Hartati, S., Nurhaeni, N., & Gayatri, D. (2014). Faktor Risiko Terjadinya Pneumonia pada Anak Balita. Jurnal keperawatan indonesia, 15(1), 13–20. https://doi.org/10.7454/jki.v15i1.42
Hooven, T. A., & Polin, R. A. (2017). Pneumonia. Seminars in fetal and neonatal medicine, 22(4), 206–213. https://doi.org/10.1016/j.siny.2017.03.002
Incomnoi, S. (2020). Nursing care of patient with pneumonia and acute respiratory failure using roy adaptation nursing model: 2 case studies. Journal of sakon nakhon hospital, 23(2), 12. https://thaidj.org/index.php/jsnh/article/view/11148
Kemenkes RI. (2018). Riset Kesehatan Dasar.
Kemenkes RI. (2019). Buku bagan manajemen terpadu balita sakit (MTBS). Kementrian Kesehatan Republik Indonesia.
Kemenkes RI. (2021). Profil Kesehatan Indonesia Tahun 2020. In Kemenkes RI,.
Khan, M. A. U., & Akhtar, R. J. (2019). Review Article Community Acquired Pneumonia ( CAP ) in Children in Developing countries -A Review. Northern international medical college journal review, 11(1), 406–410.
Kyle, T., & Carman, S. (2014). Essential Of Pediatric Nursing. Wolters Kluwer Health | Lippincott Williams & Wilkins.
Lucas, A. (2018). The effect of a nurse-respiratory therapist weaning protocol on the duration of mechanical ventilation and the incidence of ventilator associated pneumonia. Marshall University.
Madhi, S. A., Wals, P. De, Grijalva, C. G., Grimwood, K., Grossman, R., Ishiwada, N., Lee, P. I., Nascimento-Carvalho, C., Nohynek, H., O’Brien, K. L., Vergison, A., & Wolter, J. (2016). The burden of childhood pneumonia in the developed world: A review of the literature. pediatric infectious disease journal, 32(3), e119–e127. https://doi.org/10.1097/INF.0b013e3182784b26
Majumdar, S. R., Eurich, D. T., Gamble, J.-M., Senthilselvan, A., & Marrie, T. J. (2013). Oxygen saturations less than 92 % are associated with major adverse events in outpatients with pneumonia : a population- based cohort study. Clinical infectious diseases, 52, 325–331. https://doi.org/10.1093/cid/ciq076
Marcdante, K. J., & Kliegman, R. M. (2015). Nelson Essential of Pediatric eight edition. Elsevier.
Melati, R., Nurhaeni, N., & Chodidjah, S. (2018). Dampak fisioterapi dada terhadap status pernapasan anak balita pneumonia di RSUD Koja dan RSUD Pasar Rebo Jakarta. Jurnal ilmiah keperawatan altruistik, 1(17), 41–51.
Morrow, B. M. (2015). Chest physiotherapy in the neonatal intensive care unit. Physiotherapy, 71(2), 63–65.
Nanda. (2021). Diagnosis keperawatan ; definisi dan klasifikasi. EGC.
Ningrum, F. S., Fibriansari, R. D., Maisyaroh, A., & Musviro. (2020). Chest physiotherapy in children with pneumonia: a literature review. The 4th International Agronursing Conference “Optimizing The Role of Nursing and Health Professionals to Enhance Health Care Quality in The New Normal Era.”
Nurnajiah, M., Rusdi, R., & Desmawati, D. (2016). Hubungan status gizi dengan derajat pneumonia pada balita di RS. Dr. M. Djamil Padang. Jurnal kesehatan andalas, 5(250), 5.
Nursalam. (2016). Metodologi penelitian ilmu keperawatan pendekatan praktis. Salemba Medika.
Paludo, C., Zhang, L., Lincho, C. S., Lemos, D. V, Real, G. G., & Bergamin, J. A. (2012). Chest physical therapy for children hospitalised with acute pneumonia : a randomised controlled trial. Paediatrics, 6(3), 791–794. https://doi.org/10.1136/thx.2007.088195
Postiaux, G., Zwaenepoel, B., & Louis, J. (2013). Chest Physical Therapy in Acute Viral Bronchiolitis: an updated review. Respiratory Care, Januari.
Purnamiasih, D. P. K. (2020). Pengaruh fisioterapi dada terhadap perbaikan klinis pada anak dengan pneumonia. Syntax Literate: Jurnal Ilmiah Indonesia, 2507(February), 1–9.
Purwati, N. H., Rustina, Y., & Supriyatno, B. (2021). Knowledge and healthcare-seeking behavior of family caregivers of children with pneumonia: A qualitative study in an urban community in Indonesia. Belitung nursing journal, 7(2), 107–112.
Purwati, N. H., Rustina, Y., & Supriyatno, B. (2022). The unmet needs of family caregivers in the management of childhood community-acquired pneumonia in Indonesia: a qualitative study. Paediatrica indonesiana P-ISSN, 51(4), 207–212. https://doi.org/10.14238/pi
Quinton, L. J., Walkey, A. J., & Mizgerd, J. P. (2018). Integrative physiology of pneumonia. American physiological social, 98(3), 1417–1464. https://doi.org/https://dx.doi.org/10.1152%2Fphysrev.00032.2017
Ramezani, M., Aemmi, S. Z., & Moghadam, Z. E. (2015). Factors affecting the rate of pediatric pneumonia in developing countries: A review and literature study. International journal of pediatrics, 3(6.2), 1173–1181.
Riadi, M. (2020, November). Populasi dan sampel penelitian (pengertian, proses, teknik pengambilan dan rumus). Www.Kajianpustaka.Com, 1–4.
Rigustia, R., Zeffira, L., & Vani, A. (2019). Faktor Risiko yang Berhubungan dengan Kejadian Pneumonia pada Balita Di Puskesmas Ikur Koto Kota Padang. Health and medical journal, 1(1), 22–29.
Rochat, I., Leis, P., Bouchardy, M., Oberli, C., Sourial, H., Friedli-Burri, M., Perneger, T., & Argiroffo, C. B. (2012). Chest physiotherapy using passive expiratory techniques does not reduce bronchiolitis severity: A randomised controlled trial. European journal of pediatrics, 171(3), 457–462. https://doi.org/10.1007/s00431-011-1562-y
Sherwood, L. (2014). Fisiologi manusia dari sel ke sistem. 6th ed. Jakarta: EGC;
Sutriana, V. N., Sitaresmi, M. N., & Wahab, A. (2021). Risk factors for childhood pneumonia : a case-control study in a high prevalence area in Indonesia. 64(11), 588–595.
Swarjana, I. K. (2015). Metodologi Penelitian Kesehatan. ANDI OFFSET.
Sweringen, P. L. (2016). All in one nursing care planning resource medical-surgical, pediatric, maternity, and psychiatric-mental health. Elsevier.
Unicef. (2020). Situasi Anak Indonesia. Unicef https://www.unicef.org/indonesia/sites/unicef.org.indonesia/files/2020-07/Situasi-Anak-di-Indonesia-2020.pdf
WHO. (2015). Revised WHO classification and treatment of childhood pneumonia at health facilities. World Health Organization.
WHO. (2020). WHO new pneumonia kit 2020 information note. https://cdn.who.int/media/docs/default-source/documents/emergencies/pneumonia-kit-17june2020e707033d-5492-4867-913a-61e1f1a20d91.pdf?sfvrsn=acb56ad7_1
Widiasih, R., & Douren, E. (2020). Analisis Situasi Pneumonia Pada Anak. Yayasan sayangi tunas cilik.
Yuliastati, & Arnis, A. (2016). Bahan ajar keperawatan anak. Kemenkes RI Pusat Pendidikan Sumber Daya Manusia Kesehatan.
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