Effect of Head Elevation 30° on GCS Value, and Oxygen Saturation in Stroke Patients
Abstract
This study aims to determine the effect of applying 30° head elevation to increase oxygen saturation and GCS scores in stroke patients. The research method is a systematic review by searching for articles through Pubmed, Google Scholar, Proquest, Emerland, and Garuda. The results showed that the number of articles synthesized was eight, with the result that there were 4 GCS scores and SP02 scores of 2.48% after 30 head elevation. In conclusion, 30° head elevation affects the GCS value and oxygen saturation.
Keywords: Head Elevation 30°, Oxygen Saturation, Stroke
References
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Fitriyah, S. H. (2018). Analisis Posisi Head Up terhadap Nilai Saturasi Oksigen pada Pasien CVA (Cerebrovascular Accident) di Ruang ICU Rumah Sakit Islam Darus Syifa’ Surabaya. Universitas Muhammadiyah Surabaya. http://repository.um-surabaya.ac.id/3337/
G, A. C., Hartanto, O. S., & Risono, S. (2015). Hubungan Mean Arterial Pressure dengan Peristiwa Kematian pada Stroke Perdarahan Intraserebral. Universitas Sebelas Maret. https://digilib.uns.ac.id/dokumen/download/44638/MTU4ODU4.pdf
Gempitasari, F. K., & Betriana, F. (2019). Implementasi Evidence Based Nursing pada Pasien dengan Stroke Non-Hemoragik: Studi Kasus. Jurnal Endurance : Kajian Ilmiah Problema Kesehatan, 4(3), 601–607. https://doi.org/10.22216/jen.v4i3.4421
Gregori-Pla, C., Cotta, G., Blanco, I., Zirak, P., Giovannella, M., Mola, S., Fortuna, A.,Durduran, T., & Mayos, M. (2018). Cerebral Vasoreactivity in Response to A Head-of-Bed Position Change is Altered in Patients with Moderate and Severe Obstructive Sleep Apnea. Plos One. https://doi.org/10.1371/journal.pone.0194204
Hartati, J. H. (2020). Asuhan Keperawatan pada Tn. Y dengan Stroke Hemoragik dalam Pemberian Inovasi Intervensi Posisi Elevasi Kepala 30 Derajat Diruangan Neurologi RSUD Dr. Achmad Mochtar Bukittinggi Tahun 2020..Universitas Perintis Indonesia. http://repo.stikesperintis.ac.id/id/eprint/1182
Haryuni, S. (2017). Mean Arterial Pressure (MAP) Berhubungan dengan Kejadian Mortalitas pada Pasien Stroke Perdarahan Intraserebral. Care Jurnal Ilmiah Ilmu Kesehatan, 5(1), 123-129. https://doi.org/10.33366/cr.v5i1.397
Hasan, A. K. (2018). Study Kasus Gangguan Perfusi Jaringan Serebrall dengan Penurunan Kesadaran pada Klien Stroke Hemoragik Setelah Diberikan Posisi Kepala Elevasi 30o. Babul Ilmi: Jurnal Ilmiah Multi Science Kesehatan, 9(2). https://jurnal.stikes-aisyiyah-palembang.ac.id/index.php/Kep/article/view/135/115
Hermawati, H., & Muflihatin, S. K. (2017). Analisis Praktik Klinik Keperawatan pada Pasien Stroke dengan Intervensi Inovasi Pemberian Posisi Elevasi Kepala Untuk Meningkatkan Nilai Saturasi Oksigen di Ruang Unit Stroke RSUD Abdul Wahab Sjahranie Samarinda. Unversitas Muhammadiyah Kalimantan Timur. https://dspace.umkt.ac.id//handle/463.2017/351
Kiswanto, L., & Chayati, N. (2021). Efektivitas Penerapan Elevasi Kepala terhadap Peningkatan Perfusi Jaringan Otak pada Pasien Stroke. Journal of Telenursing (JOTING), 3(2), 519–525. https://doi.org/10.31539/joting.v3i2.2559
Lam, M. Y., Haunton, V. J., Nath, M., Panerai, R. B., & Robinson, T. G. (2020). The Effect of Head Positioning on Cerebral Hemodynamics: Experiences in Mild Ischemic Stroke. Journal of the Neurological Sciences, 419, 117201. https://doi.org/10.1016/j.jns.2020.117201
Lutokhin, G. M., Geraskina, L. A., Fonyakin, A. V., & Maksimova, M. Y. (2017). Optimization of Early Rehabilitation of Patients with Ischemic Stroke and Sleep-Disordered Breathing. Ðнналы клиничеÑкой и ÑкÑпериментальной неврологии, â„–11(2) (2017). https://doi.org/10.18454/ACEN.2017.2.1
Muñoz-Venturelli, P., Arima, H., Lavados, P., Brunser, A., Peng, B., Cui, L., Song, L., Billot, L., Boaden, E., Hackett, M. L., Heritier, S., Jan, S., Middleton, S., OlavarrÃa, V. V., Lim, J. Y., Lindley, R. I., Heeley, E., Robinson, T., Pontes-Neto, O., Natsagdorj, L., Lin, R., Watkins, C., & Anderson, C. S. (2015). Head Position in Stroke Trial (HeadPoST)–Sitting-Up VS Lying-Flat Positioning of Patients with Acute Stroke: Study Protocol for a Cluster Randomised Controlled Trial. Trials, 16(1), 256. https://doi.org/10.1186/s13063-015-0767-1
Mustikarani, A., & Mustofa, A. (2020). Peningkatan Saturasi Oksigen pada Pasien Stroke melalui Pemberian Posisi Head Up. Ners Muda, 1(2), 114–119. https://doi.org/10.26714/nm.v1i2.5750
Navalkele, D., & Martin-Schild, S. (2017). Cluster-Randomized, Crossover Trial of Head Positioning in Acute Stroke-Have We Lost Our Position on This? Journal of Emergency and Critical Care Medicine, 1, 21–21. https://doi.org/10.21037/jeccm.2017.08.07
Ouyang, M., Roffe, C., Billot, L., Song, L., Wang, X., Muñoz-Venturelli, P., Lavados, P. M., Robinson, T., Middleton, S., OlavarrÃa, V. V., Watkins, C. L., Lee, T. H., Brunser, A. M., Pontes-Neto, O. M., Hackett, M. L., & Anderson, C. S. (2021). Oxygen Desaturation and Adverse Outcomes in Acute Stroke: Secondary Analysis of the HeadPoST study. Clinical Neurology and Neurosurgery, 207, 106796. https://doi.org/10.1016/j.clineuro.2021.106796
Paradisma, G. (2019). Efektifitas Asuhan Keperawataan Penurunan Kapasitas Adaptif Intrakranial terhadap Tekanan Intrakranial Pasien Stroke Hemorragik Intrasereberal. Jurnal Keperawatan, 13(3). https://nersbaya.poltekkesdepkes-sby.ac.id/index.php/nersbaya/article/view/5
Parijan, N. P. P. (2020). Gambaran Pemenuhan Oksigenasi Otak dengan Posisi Elevasi Kepala 30° pada Pasien Stroke Hemoragik. Politeknik Kesehatan Kementerian Kesehatan Medan. http://ecampus.poltekkes-medan.ac.id/xmlui/handle/123456789/4366
Pertami, S. B., Munawaroh, S., & Rosmala, N. W. D. (2019). Pengaruh Elevasi Kepala 30 Derajat terhadap Saturasi Oksigen dan Kualitas Tidur Pasien Stroke. Health Information : Jurnal Penelitian, 11(2), 134–145. https://doi.org/10.36990/hijp.v11i2.133
Pongantung, H., Anita, F., Palango, C., & Manuel, C. (2020). Hubungan Self Efficacy dengan Quality of Life pada Pasien Sesudah Stroke. Journal of Islamic Nursing, 5(1), 21–31. https://doi.org/10.24252/join.v5i1.13894
Pratiwi, F. E., Setiyawan, S., & Sulistyawati, R. A. (2020). Saturasi Oksigen pada Pasien Kritis dalam Posisi Head Up: Studi Literatur. Universitas Kusuma Husada Surakarta. https://eprints.ukh.ac.id/id/eprint/424/1/Naskah%20Publikasi.pdf
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2022-09-04
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