The Mobilisasi Dini terhadap Tekanan Darah, Denyut Nadi dan Saturasi Oksigen pada Pasien Congestive Heart Failure
Abstract
The study aims to analyze the effectiveness of early mobilization on blood pressure, pulse rate, and oxygen saturation of CHF patients. The research method uses a quasi-experiment, pretest-posttest with a control group design. The results of the paired t-test before and after early mobilization in the intervention group showed an increase in systolic blood pressure (t = 13.2 mmHg, p-value = 0.000), diastolic blood pressure (t = 12.6 mmHg, p-value = 0.000), pulse rate (t = 16.1 times/minute, p-value = 0.000), and oxygen saturation (t = 11.8%, p-value = 0.000), while in the control group there was an increase in systolic blood pressure (t = 5.75 mmHg, p-value = 0.000), diastolic blood pressure (t = 5.99 mmHg, p-value = 0.000), pulse rate (t = 5.51 times/minute, p-value = 0.000), and oxygen saturation (t = 5.59%, p-value = 0.000), The results of the Independent t-test after early mobilization showed an increase in systolic blood pressure (t = 6.49, p-value = 0.000), and oxygen saturation (t = 4.90, p-value = 0.000) in the intervention group compared to the control group, however, there was no significant difference between the two groups in diastolic blood pressure (t = 1.17, p-value = 0.24), and pulse rate (t = 0.24, p-value = 0.80), Conclusion, early mobilization in CHF patients is more effective in increasing systolic blood pressure and oxygen saturation compared to standard care, although it has no significant effect on diastolic blood pressure and pulse rate.
Keywords: CHF, Early Mobilization, Pulse, Oxygen Saturation, Blood Pressure
References
Agustin., R., Suparmanto, S., & Safitri, W. (2020). Pengaruh Mobilisasi Progressif terhadap Status Hemodinamik pada Pasien Kritis di Instensive Care Unit. Avicenna Journal of Health Research, 3(1)
Hayati, T., Harini, R., Amikarois, A., Jelatu, V. A., & Makualaina, F. N. (2023). Teknik Relaksasi Napas Dalam Dapat Meningkatkan Status Hemodinamik Pasien Hipertensi. Journal of Telenursing (JOTING), 5(2), 2705–2712. https://doi.org/10.31539/joting.v5i2.7534
Heidenreich, P. A., Bozkurt, B., Aguilar, D., Allen, L. A., Byun, J. J., Colvin, M. M., Deswal, A., Drazner, M. H., Dunlay, S. M., Evers, L. R., Fang, J. C., Fedson, S. E., Fonarow, G. C., Hayek, S. S., Hernandez, A. F., Khazanie, P., Kittleson, M. M., Lee, C. S., Link, M. S., & Yancy, C. W. (2022). 2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure: Executive Summary: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. In Circulation (Vol. 145, Issue 18, pp. E876–E894). Lippincott Williams and Wilkins. https://doi.org/10.1161/CIR.0000000000001062
Jain, C. C., & Borlaug, B. A. (2020). Hemodynamic Assessment in Heart Failure. Catheterization and Cardiovascular Interventions, 95(3), 420–428. https://doi.org/10.1002/ccd.28490
Kementerian Kesehatan RI. (2020). Penyakit Jantung Penyebab Kematian Terbanyak ke-2 di Indonesia. Retrieved from Rilis Berita Biro Komunikasi dan Pelayanan Masyarakat Kementerian Kesehatan RI website: www.kemkes.go.id/article/view/19093000001/penyakit-jantung-penyebab-kematian-terbanyak-ke-2-di-indonesia.html
Lippi, G., & Gomar, F. S. (2020). Global Epidemiology and Future Trends of Heart Failure. AME Medical Journal, 5(15), 1–6. https://doi.org/10.21037/amj.2020.03.03
Lind, L., Ingelsson, M., Sundstrom, J., & Ärnlöv, J. (2021). Impact of Risk Factors for Major Cardiovascular Diseases: A Comparison of Life-Time Observational and Mendelian Randomisation Findings. Open Heart, 8(2), 1–8. https://doi.org/10.1136/openhrt-2021-001735
Muti, R. T. (2020). Pengaruh Posisi Semi Fowler dengan Kombinasi Lateral Kanan terhadap Perubahan Haemodinamik pada Pasien Gagal Jantung di Ruang Iccu Rumah Sakit Umum Daerah Margono Soekarjo Purwokerto. VIiva Medika, 13(2), 50–63
Niman, S., Ziliwu, Y. S., & Susilowati, Y. A. (2021). Pengaruh Dukungan Edukasi Perawat terhadap Self Care Pasien Congestive Heart failure: Studi Literature. BIMIKI (Berkala Ilmiah Mahasiswa Ilmu Keperawatan Indonesia), 9(2), 64–73. https://doi.org/10.53345/bimiki.v9i2.192
Nurismayanti, A. (2022). Hal- Hal yang Ada Hubungan dengan Gagal Jantung Kongesitif Pada Penderita di Beberapa Lokasi di wilayah Asia dan Amerika pada Periode Tahun 2008 Sampai dengan Tahun 2021
Pollatu, D. V. (2022). Pengaruh Pemberian Mobilisasi Dini Rom Pasif terhadap Waktu Pulih Sadar Pada Pasien Pasca General Anestesi
Priandani, P. (2024). Faktor - Faktor yang Berhubungan dengan Kejadian Congestive Hearth failure (CHF) Pasien. Jurnal Penelitian Perawat Profesional, 6(1), 278–279
Purbianto, D. A. (2020). Analisis Faktor Risiko Gagal Jantung di Rsud Dr. H. Abdul Moeloek Provinsi Lampung. Jurnal Keperawatan, 11(2), 194–203
Sengeløv, M., & Biering-Sørensen, T. (2021). Noninvasive Hemodynamic Evaluation at Rest in Heart Failure with Preserved Ejection Fraction. Heart Failure Clinics, 17(3), 423–434. https://doi.org/10.1016/j.hfc.2021.02.006
Verbrugge, F. H., Guazzi, M., Testani, J. M., & Borlaug, B. A. (2020). Altered Hemodynamics and End-Organ Damage in Heart Failure. Circulation, 142(10), 998–1012. https://doi.org/10.1161/CIRCULATIONAHA.119.045409
World Health Organization. (2020). WHO reveals leading causes of death and disability worldwide: 2000-2019
Yulianti, Y., & Chanif, C. (2021). Penerapan Perubahan Posisi terhadap Perubahan Hemodinamik pada Asuhan Keperawatan Pasien Congestive Heart Failure. Ners Muda, 2(2), 82. https://doi.org/10.26714/nm.v2i2.6275
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