Efektivitas Penerapan Elevasi Kepala terhadap Peningkatan Perfusi Jaringan Otak pada Pasien Stroke
Abstract
This study aims to determine the effect of applying head elevation to improve cerebral tissue perfusion in stroke patients. The method used is a single data, namely a literature review. The results showed that 30° head elevation was recommended in improving cerebral tissue perfusion, although the difference was not too high. In conclusion, there is an effect of the SPO2 value after the head elevation is 30°, and 15° in stroke patients.
Keywords: Head Elevation, Cerebral Perfusion, Stroke
References
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Anggraini, S., & Chanif, C. (2020). Efektifitas Pemberian Posisi Kepala Elevasi pada Pasien Hipertensi Emergensi. Ners Muda, 1(2), 78–87. https://doi.org/10.26714/nm.v1i2.5491
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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
Hasan, A. K. (2018). Study Kasus Gangguan Perfusi Jaringan Serebral dengan Penurunan Kesadaran pada Klien Stroke Hemoragik setelah Diberikan Posisi Kepala Elevasi 30o. Babul Ilmi Jurnal Ilmiah Multi Science Kesehatan, 9(2). https://doi.org/10.36729/bi.v9i2.135
Makowiec, D., Wejer, D., Graff, B., & Struzik, Z. (2018). Dynamical Pattern Representation of Cardiovascular Couplings Evoked by Head-up Tilt Test. Entropy, 20(4), 1-24. https://doi.org/10.3390/e20040235
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
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
Pertami, S. B., Sulastyawati, S., & Anami, P. (2017). Effect Of 30° Head-Up Position on Intracranial Pressure Change in Patients with Head Injury in Surgical Ward of General Hospital of Dr. R. Soedarsono Pasuruan. Public Health of Indonesia, 3(3), 89–95. https://doi.org/10.36685/phi.v3i3.131
Riberholt, C. G., Wagner, V., Lindschou, J., Gluud, C., Mehlsen, J., & Møller, K. (2020). Early Head-Up Mobilisation Versus Standard Care for Patients with Severe Acquired Brain Injury: A Systematic Review with Meta-Analysis and Trial Sequential Analysis. Plos One, 15(8), 1-33. https://doi.org/10.1371/journal.pone.0237136
Sands, E., Wong, L., Lam, M. Y., Panerai, R. B., Robinson, T. G., & Minhas, J. S. (2020). The Effects of Gradual Change in Head Positioning on the Relationship between Systemic and Cerebral Haemodynamic Parameters in Healthy Controls and Acute Ischaemic Stroke Patients. Brain Sciences, 10(9), 1-17. https://doi.org/10.3390/brainsci10090582
Wahidin, W., & Supraptini, N. (2020). Penerapan Teknik Head Up 30° terhadap Peningkatan Perfusi Jaringan Otak pada Pasien yang Mengalami Cedera Kepala Sedang. Nursing Science Journal (NSJ), 1(1), 7-13. https://doi.org/10.53510/nsj.v1i1.14
YaDeau, J. T., Kahn, R. L., Lin, Y., Goytizolo, E. A., Gordon, M. A., Gadulov, Y., Garvin, S., Fields, K., Goon, A., Armendi, I., Dines, D. M., & Craig, E. V. (2019). Cerebral Oxygenation in the Sitting Position is Not Compromised during Spontaneous or Positive-Pressure Ventilation. HSS Journal, 15(2), 167–175. https://doi.org/10.1007/s11420-018-9642-4
Anggraini, S., & Chanif, C. (2020). Efektifitas Pemberian Posisi Kepala Elevasi pada Pasien Hipertensi Emergensi. Ners Muda, 1(2), 78–87. https://doi.org/10.26714/nm.v1i2.5491
Bachus, E., Holm, H., Hamrefors, V., Melander, O., Sutton, R., Magnusson, M., & Fedorowski, A. (2018). Monitoring of Cerebral Oximetry during Head-Up Tilt Test in Adults with History of Syncope and Orthostatic Intolerance. EP Europace, 20(9), 1535–1542. https://doi.org/10.1093/europace/eux298
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
Hasan, A. K. (2018). Study Kasus Gangguan Perfusi Jaringan Serebral dengan Penurunan Kesadaran pada Klien Stroke Hemoragik setelah Diberikan Posisi Kepala Elevasi 30o. Babul Ilmi Jurnal Ilmiah Multi Science Kesehatan, 9(2). https://doi.org/10.36729/bi.v9i2.135
Makowiec, D., Wejer, D., Graff, B., & Struzik, Z. (2018). Dynamical Pattern Representation of Cardiovascular Couplings Evoked by Head-up Tilt Test. Entropy, 20(4), 1-24. https://doi.org/10.3390/e20040235
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
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
Pertami, S. B., Sulastyawati, S., & Anami, P. (2017). Effect Of 30° Head-Up Position on Intracranial Pressure Change in Patients with Head Injury in Surgical Ward of General Hospital of Dr. R. Soedarsono Pasuruan. Public Health of Indonesia, 3(3), 89–95. https://doi.org/10.36685/phi.v3i3.131
Riberholt, C. G., Wagner, V., Lindschou, J., Gluud, C., Mehlsen, J., & Møller, K. (2020). Early Head-Up Mobilisation Versus Standard Care for Patients with Severe Acquired Brain Injury: A Systematic Review with Meta-Analysis and Trial Sequential Analysis. Plos One, 15(8), 1-33. https://doi.org/10.1371/journal.pone.0237136
Sands, E., Wong, L., Lam, M. Y., Panerai, R. B., Robinson, T. G., & Minhas, J. S. (2020). The Effects of Gradual Change in Head Positioning on the Relationship between Systemic and Cerebral Haemodynamic Parameters in Healthy Controls and Acute Ischaemic Stroke Patients. Brain Sciences, 10(9), 1-17. https://doi.org/10.3390/brainsci10090582
Wahidin, W., & Supraptini, N. (2020). Penerapan Teknik Head Up 30° terhadap Peningkatan Perfusi Jaringan Otak pada Pasien yang Mengalami Cedera Kepala Sedang. Nursing Science Journal (NSJ), 1(1), 7-13. https://doi.org/10.53510/nsj.v1i1.14
YaDeau, J. T., Kahn, R. L., Lin, Y., Goytizolo, E. A., Gordon, M. A., Gadulov, Y., Garvin, S., Fields, K., Goon, A., Armendi, I., Dines, D. M., & Craig, E. V. (2019). Cerebral Oxygenation in the Sitting Position is Not Compromised during Spontaneous or Positive-Pressure Ventilation. HSS Journal, 15(2), 167–175. https://doi.org/10.1007/s11420-018-9642-4
