Pengaruh Mobilisasi Progresif Level II terhadap Tekanan Darah dan Saturasi Oksigen pada Pasien Kritis di Ruang ICU

Atikah Khairiyah, Mardiyono Mardiyono, M. Syamsul Arif Setiyo Negoro

Abstract


Background: Critical patients are admitted to the ICU, undergoing bed rest and immobilization. Not only do they develop pressure ulcers, but also their hemodynamics and saturation may decline gradually. Passive ROM is usually administered to prevent joint shifts and to maintain blood pressure and saturation. Progressive mobilization is initiated to maintain blood pressure and saturation. Objective: To evaluate progressive mobilisation to maintain blood pressure, systolic and diastolic pressure, and increase saturation. Method: Penelitian adalah pre-post test control group design. Samples were recruited by consecutive sampling for 18 subjects. The intervention group was administered progressive mobilization level II for 30 minutes for 3 days, and the control group was administered passive ROM for 3 days. Data were analysed by paired t-test and independent t-test. Results: Passive progressive mobilization level II effectively decreases systolic blood pressure (p=0.022) and diastolic blood pressure (p=0.000), and significantly increases saturation (p=0.000). Conclusion: Passive progressive mobilization level II is more effective in decreasing blood pressure and increasing saturation than passive ROM.


Keywords


Passive mobilization, ROM, blood pressure, saturation.

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References


Amalia, Y. D., Sulastyawati, & Mustayah (2019). Mobilisasi progresif level I untuk mengatasi hipotensi ortostatik pada stroke non hemoragik. Prosiding Seminar Nasional Hasil Penelitian Dan Pengabdian Masyarakat, 3, 40–52.

American Association of Critical Care Nurses (AACN). (2010). Progressive mobility continuum. Dallas

Angelina, R., Nurmainah, N., & Robiyanto, R. (2018). Profil mean arterial pressure dan tekanan darah pada pasien hipertensi krisis dengan kombinasi amlodipin. Indonesian Journal of Clinical Pharmacy, 7(3), 172. https://doi.org/10.15416/ijcp.2018.7.3.172

Fadlilah, S., Hamdani Rahil, N., & Lanni, F. (2020). Analisis faktor yang mempengaruhi tekanan darah dan saturasi oksigen perifer (SpO2). Jurnal Kesehatan Kusuma Husada, 21–30. https://doi.org/10.34035/jk.v11i1.408

Hartoyo, M., & Rachmilia, R. (2017). Pengaruh mobilisasi progresif level 1 terhadap tekanan darah dan saturasi oksigen pada pasien kritis dengan penurunan kesadaran di Ruang ICU. Jurnal Perawat Indonesia, 1–10.

Hickmann, C. E., Castanares-Zapatero, D., Bialais, E., Dugernier, J., Tordeur, A., Colmant, L., Wittebole, X., Tirone, G., Roeseler, J., & Laterre, P. F. (2016). Teamwork enables high level of early mobilization in critically ill patients. Annals of Intensive Care, 6 (1). https://doi.org/10.1186/s13613-016-0184-y

Hudak & Carolyn M., A. (2010). Keperawatan kritis pendekatan holistik.Vol. 2. 6th ed. Jakarta: EGC.

Nopitasari, N., & Sulistyowati, E. C. (2017). Pengaruh ROM pasif terhadap laju pernapasan dan SpO2 pada pasien Post Craniotomy Di ICU RSUD Dr. Moewardi Surakarta Tahun 2015. (JKG) Jurnal Keperawatan Global, 2(2), 105–111. https://doi.org/10.37341/jkg.v2i2.40

Nurkhalis. (2015). Penanganan krisis hipertensi. Idea Nursing Journal, 6(3), 61–67.

Nursalam. (2017). Metodologi penelitian ilmu keperawatan: pendekatan praktis. In Metodologi penelitian ilmu keperawatan: pendekatan praktis (4th ed.). Jakarta.

Potter, P.A. & Perry, A.G. (2010) Basic nursing. 7th ed. Myers TO. Canada: Mosby Elsevier.

Ningtyas, N. W. R, Pujiastuti, R. S. E., & Indriyawati, N. (2017). Effectiveness of progressive mobilization level I and II on hemodynamic status and decubitus ulcer risk in critically ill patients. Belitung Nursing Journal, 3(6), 662–669. https://doi.org/10.33546/bnj.289

Rahmanti, A., & Kartika Putri, D. (2016). Mobilisasi progresif terhadap perubahan tekanan darah pasien di Intensive Care Unit (Icu). Jurnal Ilmiah Kesehatan Keperawatan, 12(1), 20–25. https://doi.org/10.26753/jikk.v12i1.136

Setiyawan., & Rakmawati, N. (2020). Studi literatur: faktor yang mempengaruhi saturasi oksigen pada pasien kritis. Vol 41.

Setiyawan. (2016). Mean arterial pressure non invasive blood pressure (MAP-NIBP ) pada lateral position dalam perawatan intensif : Studi literatur. The 3 Rd University Research Colloquium 2016, 565–569.

Sirait, S., Hadisaputro, S., & Endang Pujiastuti, S. (2020). Comparison the effectiveness of the head of bed to 45 and 30 degrees with hyperoxygenation against oxygen saturation during the open suction in patients that installed mechanical ventilation in ICU room. Int. J. of Allied Med. Sci. and Clin. Research, 8(2), 359–367. www.ijamscr.com

Suyanti, S., Iswari, M. F., & Ginanjar, M. R. (2019). Pengaruh mobilisasi progresif level 1 terhadap tekanan darah dan saturasi oksigen pasien dengan penurunan kesadaran. Indonesian Journal for Health Sciences, 3(2), 57. https://doi.org/10.24269/ijhs.v3i2.1837

Sugiyono. (2015). Metodologi penelitian pendidikan kuantitatif, kualitatif dan R&D. Bandung: Alfabeta

Vollman KM. (2013). Understanding critically ill patients’ hemodynamic response to mobilization: Using the evidence to make it safe and feasible.Critical Care Nursing Quarterly. 36(1), 17-27.

Wijayati, S., Ningrum, D. H., & Putrono, P. (2019). Pengaruh posisi tidur semi fowler 450 terhadap kenaikan nilai saturasi oksigen pada pasien gagal jantung kongestif Di RSUD Loekmono Hadi Kudus. Medica Hospitalia : Journal of Clinical Medicine, 6(1), 13–19. https://doi.org/10.36408/mhjcm.v6i1.372




DOI: https://doi.org/10.31983/jkm.v14i1.12827

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