Penerapan Evidence Based Practice Nursing (EBPN) Modifikasi Miring Kiri dan Miring Kanan Menurunkan Back Pain Post Percutaneous Coronary Intervention
Abstract
This study aims to apply the identification of left and right oblique modifications to reduce back pain after percutaneous coronary intervention based on the results of Evidence-Based Practice Nursing (EBPN) research. The research method used is a case study. The case study in this innovative design is a case study by applying research results in identifying left and right oblique modifications to reduce back pain post-percutaneous coronary intervention. The results showed that adjusting the correct oblique and left diagonal positions was carried out after two hours of cardiac catheterization, namely for 30 minutes (15 minutes in the correct oblique position and 15 minutes in the left oblique position). In conclusion, giving accurate diagonal left oblique work is carried out in patients who experience post PCI back pain at the time of the study, having a pain scale of 5. After being given intervention, the pain scale is reduced to 3.
Keywords: PCI, PJK, Right and Left Tilt Position
References
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Al-Momani, M. S., & AbuRuz, M. E. (2019). Incidence and Predictors of Groin Complications Early after Coronary Artery Intervention: A Prospective Observational Study. BMC Nursing, 18, 24. https://doi.org/10.1186/s12912-019-0349-8
Arafat, H., & Purwanti, D. (2020). Efektifitas Posisi dan Ambulasi Dini terhadap Nyeri Punggung pada Pasien Post Percutaneous Coronary Intervention. Medica Hospitalia : Journal of Clinical Medicine, 7(1), 91–96. https://doi.org/10.36408/mhjcm.v7i1.434
Atika, S. Y., Widiastuti, & Fitriyasti. (2021). Gambaran Faktor Risiko Kejadian Penyakit Jantung Koroner di Poliklinik Jantung RSI Siti Rahmah Padang Tahun 2017-2018. Health & Medical Journal, 3(1), 22–31. https://doi.org/10.1016/j.jenvman.2018.02.076
Boğa, S. M., & Öztekin, S. D. (2019). The Effect of Position Change on Vital Signs, Back Pain and Vascular Complications Following Percutaneous Coronary Intervention. Journal of Clinical Nursing, 28(7-8), 1135–1147. https://doi.org/10.1111/jocn.14704
Gowshall, M., & Taylor-Robinson, S. D. (2018). The Increasing Prevalence of Non-Communicable Diseases in Low-Middle Income Countries: The View from Malawi. International Journal of General Medicine, 11, 255–264. https://doi.org/10.2147/IJGM.S157987
Iskandar, I., Hadi, A., & Alfridsyah, A. (2017). Faktor Risiko Terjadinya Penyakit Jantung Koroner pada Pasien Rumah Sakit Umum Meuraxa Banda Aceh. AcTion: Aceh Nutrition Journal, 2(1), 32-42. doi:http://dx.doi.org/10.30867/action.v2i1.34
Johanis, I., Hinga, I. A. T., & Sir, A. B. (2020). Faktor Risiko Hipertensi, Merokok dan Usia terhadap Kejadian Penyakit Jantung Koroner pada Pasien di RSUD Prof. Dr. W. Z. Johannes Kupang. Media Kesehatan Masyarakat, 2(1), 33-40. https://doi.org/10.35508/mkm.v2i1.1954
Melyani, M., Tambunan, L. N., & Baringbing, E. P. (2023). Hubungan Usia dengan Kejadian Penyakit Jantung Koroner pada Pasien Rawat Jalan di RSUD dr. Doris Sylvanus Provinsi Kalimantan Tengah. Jurnal Surya Medika, 9(1), 119-125. https://journal.umpr.ac.id/index.php/jsm/article/view/5158/3215
Neishabouri, M., Haghighi, N., Gilvari, T., & Haghighat, S. (2020). Effect of Changing Position and Early Mobilization on Back Pain and Vascular Side Effects in Patients after Coronary angiOgraphy. Journal of Nursing and Midwifery Sciences |, 7(1), 1–6. https://doi.org/10.4103/JNMS.JNMS
Niveditha, A. S., & Premavathy, D. (2019). Prevalence of Heart Disease among Non-Vegetarian Individuals. , 12(6), 1250-1253. https://www.semanticscholar.org/paper/Prevalence-of-heart-disease-among-non-vegetarian-Niveditha-Premavathy/e6b44b5bb69e7b703804f6bc358b523d81277347
Rahayu, R. S., Hidayah, N., Muhith, A., & Salim, H. M. (2023). Pengaruh Head of Bed (Hob) terhadap Kenyamanan Pasien dengan Nyeri Punggung Post Percutaneous Coronary Intervention: A Systematic Review. Jurnal Keperawatan, 15(3), 1053-1070. http://journal2.stikeskendal.ac.id/index.php/keperawatan/article/view/1047/716
Sakitri, G., Makiyah, N., & Khoiriyati, A. (2017). Pengaruh Intradialytic Exercise terhadap Fatigue Pasien Hemodialisis di RSUP dr . Soeradji Tirtonegoro Klaten. Profesi: Media Publikasi Peelitian, 15(1), 58–64. https://ejournal.stikespku.ac.id/index.php/mpp/article/download/58/172
Sarabi, H. N., Farsi, Z., Butler, S., & Pishgooie, A. H. (2021). Comparison of the Effectiveness of Position Change for Patients with Pain and Vascular Complications after Transfemoral Coronary Angiography: A Randomized Clinical Trial. BMC Cardiovascular Disorders, 1– 11. https://doi.org/10.1186/s12872-021-01922-w
Syafrul, S. A., Ginting, D., & Sinaga, J. (2018). Analisis Faktor-Faktor yang Mempengaruhi terhadap Terjadinya Penyakit Jantung Koroner di Poli Jantung Rsud Pirngadi Medan Tahun 2017. Jurnal Riset Hesti Medan Akper Kesdam I/BB Medan, 3(1). https://garuda.kemdikbud.go.id/documents/detail/972149
Tampubolon, L. F. ., Ginting, A., & Turnip, F. E. S. (2023). Gambaran Faktor yang Mempengaruhi Kejadian Penyakit Jantung Koroner (PJK) di Pusat Jantung Terpadu (PJT). Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal, 13(3), 1043–1052. https://doi.org/10.32583/pskm.v13i3.1077
Utami, T. F. C. T., Fatmasari, D., Mardiyono, & Shobirun. (2018). Effect of Positioning on Bleeding Complication and Low Back Pain after Diagnostic Coronary Angiography in Patients with Coronary Heart Disease in an Integrated Heart Care Center in Indonesia. Belitung Nursing Journal, 4(2), 145–153. https://doi.org/10.33546/bnj.356
