Application of Head Elevation on Intracarnial Pressure in Stroke Patients

  • Logi Kiswanto University of Muhammadiyah Yogyakarta
  • M. Yamin Academy Nursing Kesdam II / Sriwijaya Palembang
  • Aris Teguh Hidayat Academy Nursing Kesdam II / Sriwijaya Palembang

Abstract

This study aims to determine the effectiveness of applying head elevation to intracranial pressure in stroke patients. This research method uses one data, namely a literature study. The results showed that head elevations of 0°, 15°, 30°, and 45° affected intracranial pressure in stroke patients. In conclusion, it shows that 30° more head elevation can improve the intracranial pressure problem, although the difference's value is not significant.

 

Keywords: Head Elevation, Intracranial Pressure, Stroke

References

Affandi, I. G., & Panggabean, R. (2016). Pengelolaan Tekanan Tinggi Intrakranial pada Stroke. CDK Cermin Dunia Kedokteran, 43(3), 180-184. http://dx.doi.org/10.55175/cdk.v43i3.30

Anderson, C. S., Arima, H., Lavados, P., Billot, L., Hackett, M. L., Olavarría, V. V., Muñoz Venturelli, P., Brunser, A., Peng, B., Cui, L., Song, L., Rogers, K., Middleton, S., Lim, J. Y., Forshaw, D., Lightbody, C. E., Woodward, M., Pontes-Neto, O., & De-Silva, H. A. (2017). Cluster-Randomized, Crossover Trial of Head Positioning in Acute Stroke. The New England Journal of Medicine, 376(25), 2437–2447. https://doi.org/10.1056/NEJMoa1615715

Burnol, L., Payen, J. F., Francony, G., Skaare, K., Manet, R., Morel, J., Bosson, J. L., & Gergele, L. (2021). Impact of Head-of-Bed Posture on Brain Oxygenation in Patients with Acute Brain Injury: A Prospective Cohort Study. Neurocritical Care, 35(3), 662–668. https://doi.org/10.1007/s12028-021-01240-1

Ekacahyaningtyas, M., Setyarini, D., Agustin, W. R., & Rizqiea, N. S. (2017). Posisi Head Up 30° Sebagai Upaya untuk Meningkatkan Saturasi Oksigen pada Pasien Stroke Hemoragik dan Non Hemoragik. Adi Husada Nursing Journal, 3(2), 55–59. https://adihusada.ac.id/jurnal/index.php/AHNJ/article/view/98

Ginting, L. R. B., Sitepu, K., & Ginting, R. A. (2020). Pengaruh Pemberian Oksigen dan Elevasi Kepalan 30o terhadap Tingkat Kesadaran pada Pasien Cedera Kepala. Jurnal Keperawatan dan Fisioterapi (JKF), 2(2). https://doi.org/https://doi.org/10.35451/jkf.v2i2.319

Hiola, H., Ilham, R., & Dungga, E. F. (2018). Pengaruh Posisi Elevasi Kepala 30° terhadap Perubahan Tekanan Intrakranial pada Pasien Stroke Non Hemoragik di Rungan Rawat Inap Neuro RSUD Toto Kabila Kabupaten Bone Bolango. Universitas Negeri Gorontalo, 1(841416169). https://repository.ung.ac.id/skripsi/show/841416169/pengaruh-posisi-elevasi-kepala-30194176-terhadap-perubahan-tekanan-intrakranial-pada-pasien-stroke-non-hemoragik-di-rungan-rawat-inap-neuro-rsud-toto-kabila-kabupaten-bone-bolango.html

Ibrahim, R., Lalenoh, D. C., & Laihad, M. L. (2021). Penanganan Pasien Perdarahan Intraserebral di Ruang Rawat Intensif. E-CliniC, 9(1), 1. https://doi.org/10.35790/ecl.v9i1.31705

Insani, R. N. (2021). Intervensi Head Up 30 terhadap Masalah Peningkatan Tekanan Intracranial pada Pasien Trauma Brain Injury Post Craniotomy di RSUD Labuang Baji Makassar. Universitas Islam Negeri Alauddin Makassar. http://repositori.uin-alauddin.ac.id/19544/

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'

Limaretha, A. L. (2020). Studi Kasus: Pemberian Posisi Head Up 30o terhadap Intracranial Pressure (ICP) pada Pasien Stroke Haemoragic di Ruang Yudistira RSUD K.R.M.T. Wongsonegoro Semarang. Politeknik Kesehatan Kemenkes Semarang. //repository.poltekkes-smg.ac.id/index.php?p=show_detail&id=21455&keywords=

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

Oktaviani, E. T, & Fitri Y, E. Y. (2021). Asuhan Keperawatan pada Pasien Stroke Hemoragik Sriwijaya University. https://doi.org/10/RAMA_14901_04064822124004_0001078402_01_Front_Ref.pdf

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

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

Priagung, B. (2021). Literatur Review: Pengaruh Pemberian Posisi Elevasi Kepala 30° terhadap Peningkatan Saturasi Oksigen pada Pasien Stroke. Akademi Keperawatan Pemkab Purworejo. https://doi.org/10.31219/osf.io/yrg3w

Purwanto, H. (2016). Pengaruh Head Up 15 terhadap Tekanan Arteri Rata-Rata (Map) pada Pasien Stroke di Rsud Dr. Soedono Madiun. Universitas Pesantren Tinggi Darul Ulum. http://eprints.unipdu.ac.id/471/

Sanjaya, G. (2015). Tekanan Arteri Rerata dengan Tingkat Kesadaran pada Pasien Stroke Perdarahan di RSUD Wahidin Sudiro Husodo Mojokerto. https://adoc.pub/tekanan-arteri-rerata-dengan-tingkat-kesadaran-pada-pasien-s.html

Sari, M., & Ismahmuhdi, R. (2017). Analisa Praktik Keperawatan dengan Intervensi Inovasi Elevasi Kepala 30° terhadap Tanda-Tanda Peningkatan Tekanan Intrakranial dan Nilai Saturasi Oksigen pada Pasien Stroke di Ruang High Care Unit RSUD A.M Parikesit Tenggarong Tahun 2017. https://dspace.umkt.ac.id//handle/463.2017/387

Sari, R. A. (2019). Pengelolaan Pasien Stroke Hemoragic dengan Pemberian Oksigen dan Posisi Head Up 30° terhadap Perubahan Hemodinamik Tubuh di Ruang Igd Rsud Tugurejo Semarang. Politeknik Kesehatan Kemenkes Semarang. https://repository.poltekkes-smg.ac.id/index.php?p=show_detail&id=18064&keywords=

Siswanti, H., Sukarmin, S., & Maghfiroh, L. (2021). Hubungan Posisi Elevasi dengan Tekanan Intra Kranial pada Pasien Cidera Kepala Sedang di RSUD Raa Soewondo Pati. Jurnal Ilmu Keperawatan dan Kebidanan, 12(1), 28–34. https://doi.org/10.26751/jikk.v12i1.902

Ugras, G., Yüksel, S., Temiz, Z., Eroglu, S., Sirin, K., & Turan, Y. (2018). Effects of Different Head-of-Bed Elevations and Body Positions on Intracranial Pressure and Cerebral Perfusion Pressure in Neurosurgical Patients. Journal of Neuroscience Nursing, 50(4), 247–251. https://doi.org/10.1097/JNN.0000000000000386

WHO. (2022). WHO EMRO | Stroke, Cerebrovascular Accident | Health Topics. World Health Organization - Regional Office for the Eastern Mediterranean. http://www.emro.who.int/health-topics/stroke-cerebrovascular-accident/index.html

Wulandari, S. A. (2019). Asuhan Keperawatan Pada Tn. S dengan Space Occupying Lesion (SOL) Post Op Craniotomy melalui Elevasi Kepala 300 terhadap Peningkatan Perfusi Jaringan Serebral di Ruangan Intensive Care Unit (ICU) RSUD Dr. Achmad Mochtar Bukittinggi Tahun 2019. Stikes Perintis Padang. http://repo.stikesperintis.ac.id/922/1/21%20SRI%20AYU%20WULANDARI.pdf
Published
2022-09-25
How to Cite
Kiswanto, L., Yamin, M., & Hidayat, A. (2022). Application of Head Elevation on Intracarnial Pressure in Stroke Patients. JOSING: Journal of Nursing and Health, 3(1), `104-111. https://doi.org/https://doi.org/10.31539/josing.v3i1.4092
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