Aspek Caring Perawat dalam Perawatan Pasien ARDS COVID-19 Terpasang Extracorporeal Membrane Oxigenation (Ecmo): Studi Kasus dengan Pendekatan Teori Keperawatan Care, Core and Cure Lydia Hall

  • Yudi Elyas Universitas Indonesia
  • Sri Yona Universitas Indonesia
  • Agung Waluyo Universitas Indonesia


This study aims to provide an overview of nurses' caring in carrying out critical nursing care for Covid-19 patients installed with Extracorporeal Membrane Oxygenation (ECMO) in the ICU using the Care, Core, Cure Lydia Hall nursing theory. This type of research is qualitative research with a case study approach. The results showed that nursing problems that occurred in patients after ECMO installation included airway disorders, gas exchange disorders, bleeding risks, and the risk of impaired skin integrity due to decreased tissue perfusion. In conclusion, Lydia Hall's nursing theory is dominated by the Cure aspect because the installation of ECMO is a very complex medical procedure and involves teams from various disciplines. Hence, the implementation of the Cure aspect is a collaborative act of nurses. Care and Core aspects also have an essential role in caring for nurses, namely by conducting therapeutic interactions and facilitating patients to get family support so that patients have the spirit to recover and do not experience stress that can affect hemodynamic conditions.


Keywords: COVID-19, ECMO, ICU, Lydia Hall, Case Study


Cho, H. J., Heinsar, S., Jeong, I. S., Shekar, K., Li Bassi, G., Jung, J. S., Suen, J. Y., & Fraser, J. F. (2020). ECMO Use in COVID-19: Lessons from Past Respiratory Virus Outbreaks - A Narrative Review. Critical Care, 24(1), 1–8.

De-Oliveira, T. F., De-Oliveira-Rocha, C. A., Dos-Santos, A. G. G., Silva-Junior, L. C. F., De-Aquino, S. H. S., Da-Cunha, E. J. O., Alcântara, R. C., Mesquita, R. D. R., Arnozo, G. M., Santana, F. M. S., Da-Silva Filho, E. R., & De-Souza, C. D. F. (2021). Extracorporeal Membrane Oxygenation in COVID-19 Treatment: A Systematic Literature Review. Brazilian Journal of Cardiovascular Surgery, 36(3), 388–396.

Dreier, E., Malfertheiner, M. V., Dienemann, T., Fisser, C., Foltan, M., Geismann, F., Graf, B., Lunz, D., Maier, L. S., Müller, T., Offner, R., Peterhoff, D., Philipp, A., Salzberger, B., Schmidt, B., Sinner, B., & Lubnow, M. (2021). ECMO in COVID19—Prolonged Therapy Needed? A Retrospective Analysis of Outcome and Prognostic Factors. Perfusion (United Kingdom), 36(6), 582–591.

Gulmez, D. D. (2020). Extracorporeal Membrane Oxygenation Experience in COVID-19 Pandemic: Report of Two Cases. Northern Clinics of Istanbul, 0–3.

Ihsanidar, Y., & Herawati, T. (2021). Veno-Venous Extracorporeal Membrane Oxygenation terhadap Pemulihan Pasien COVID-19 Disertai Acute Respiratory Distress Syndrome. Jurnal Kesmas Asclepius, 3(2), 70-79.

Kowalewski, M., Fina, D., Słomka, A., Raffa, G. M., Martucci, G., Lo-Coco, V., De-Piero, M. E., Ranucci, M., Suwalski, P., & Lorusso, R. (2020). COVID-19 and ECMO: The Interplay Between Coagulation and Inflammation - A Narrative Review. Critical Care, 24(1), 1–10.

Meyer, N. J., Gattinoni, L., & Calfee, C. S. (2021). Acute Respiratory Distress Syndrome. The Lancet, 398(10300), 622–637.

Priyadarshini, P. (2021). Lydia E. Hall - Nursing Theory Core, Care and Cure Model. IJRTI, 6(9), 10–14.

Ramanathan, K., Antognini, D., Combes, A., Paden, M., Zakhary, B., Ogino, M., MacLaren, G., Brodie, D., & Shekar, K. (2020). Planning and Provision of ECMO Services for Severe ARDS During the COVID-19 Pandemic and Other Outbreaks of Emerging Infectious Diseases. The Lancet Respiratory Medicine, 8(5), 518–526.

Ramanathan, K., Shekar, K., Ling, R. R., Barbaro, R. P., Wong, S. N., Tan, C. S., Rochwerg, B., Fernando, S. M., Takeda, S., MacLaren, G., Fan, E., & Brodie, D. (2021). Extracorporeal Membrane Oxygenation for COVID-19: A Systematic Review and Meta-Analysis. Critical Care, 25(1), 1–11.

Shankar, A., Saini, D., Roy, S., Jarrahi, A. M., Chakraborty, A., Bharati, S. J., & Taghizadeh-Hesary, F. (2020). Cancer Care Delivery Challenges Amidst Coronavirus Disease-19 (Covid-19) Outbreak: Specific Precautions for Cancer Patients and Cancer Care Providers to Prevent Spread. Asian Pacific Journal of Cancer Prevention, 21(3), 569–573.

Susilo, A., Rumende, C. M., Pitoyo, C. W., Santoso, W. D., Yulianti, M., Herikurniawan, H., Sinto, R., Singh, G., Nainggolan, L., Nelwan, E. J., Chen, L. K., Widhani, A., Wijaya, E., Wicaksana, B., Maksum, M., Annisa, F., Jasirwan, C. O. M., & Yunihastuti, E. (2020). Coronavirus Disease 2019: Tinjauan Literatur Terkini. Jurnal Penyakit Dalam Indonesia, 7(1), 45.

Tim Pokja SIKI DPP PPNI (2017). Standar Intervensi Keperawatan Indonesia Definisi dan Tindakan Keperawatan. Edisi 1 Cetakan 2. Jakarta: Dewan Pengurus PPNI

Vuylsteke, A. (2021). ECMO in COVID-19: Do Not Blame the Tool. Lancet (London, England), 398(10307),1197–1199.

White, A., Fan, E., Ventetuolo, C. E., Kulkarni, H., Carmona, M. S., & Sockrider, M. (2016). What is ECMO? American Journal of Respiratory and Critical Care Medicine, 193(6), P9–P10.

Zhu, Y., Zhang, M., Zhang, R., Ye, X., & Wei, J. (2021). Extracorporeal Membrane Oxygenation Versus Mechanical Ventilation Alone in Adults with Severe Acute Respiratory Distress Syndrome: A Systematic Review and Meta-Analysis. International Journal of Clinical Practice, 75(9), 1–12.
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