The The Correlation of Hemodynamic Status and Oxygen Saturation with The Level of Consciousness in Head Injury Patients
Article Sidebar
Main Article Content
Abstract
Introduction: Head injury is a traumatic disorder caused by the mechanical strength of a blunt object or penetration that can cause temporary or permanent changes in tissue function and structure. The latest developing concept on poor prognosis among head injury patients was occur related to the secondary injuries, where there was an increase in intracranial, cerebral ischemia, and decreased consciousness. The important thing in the management of head injuries is to maintain hemodynamic stability and to prevent hypoxia by maintaining oxygen saturation >95%. The purpose of this study was to analyze the correlation of hemodynamic status and oxygen saturation with the level of consciousness in head injury patients at RSUD Mardi Waluyo, Blitar.
Methods: The research used correlational analytical with a cross-sectional design. The sampling technique used consecutive sampling within a total sample of 30 respondents. Spearman's test was used for data analysis.
Results: The results showed a correlation between mean arterial pressure (p-value = .004), respiratory rate (p-value = .000), body temperature (p-value = .017), and oxygen saturation (p-value = .000) with level of consciousness (GCS) respectively.
Conclusion: It can be concluded that mean arterial pressure, respiratory rate, body temperature, and oxygen saturation can affect the level of consciousness (GCS). There was a need to improve hemodynamic and oxygen saturation monitoring to prevent the bad prognosis in head injury patients at RSUD Mardi Waluyo, Blitar.
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with Babali Nursing Research (BNR) agree to the following terms:
-
Authors retain copyright and grant BNR the right of first publication with the work simultaneously licensed under a Creative Commons Attribution 4.0 International License that allows others to remix, adapt and build upon the work with an acknowledgment of the work's authorship and of the initial publication in BNR.
-
Authors are permitted to copy and redistribute the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in BNR.
References
[2] Centers for Disease Control and Prevention (CDC), “Traumatic Brain Injury and Concussion. TBI: Get the Facts,” 2019. [Online]. Available: https://www.cdc.gov/traumaticbraininjury/get_the_facts.html.
[3] World Health Organization, Helm : Manual Keselamatan Jalan Untuk Pengambil Keputusan dan Praktisi. Jakarta: Global Road Safety Partnership – Indonesia, 2014.
[4] T. Rihiantoro, E. Nurachmah, and R. T. S. Hariyati, “Pengaruh terapi Musik Terhadap Status Hemodinamika Pada Pasien Koma di Ruang ICU Sebuah Rumah Sakit di Lampung,” J. Keperawatan Indones., vol. 12, no. 2, pp. 115–120, Jul. 2008, doi: 10.7454/jki.v12i2.209.
[5] Martono, Sudiro, and Satino, “Deteksi Dini Derajat Kesadaran Menggunakan Pengukuran Nilai Kritis Mean Artery Pressure,” J. Ners, vol. 11, no. 1, pp. 73–78, 2016, doi: http://dx.doi.org/10.20473/jn.v11i1.1370.
[6] R. Ristanto and A. Zakaria, “Hubungan Respiratory Rate (RR) dan Oxygen Saturation (SpO2) Pada Klien Cedera Kepala,” J. Kesehat. Hesti Wira Sakti, vol. 5, no. 2, pp. 85–90, 2017.
[7] R. Dharmajaya, Trauma Kepala. Medan: Universitas Sumatera Utara Press, 2018.
[8] A. F. Pitfield, A. B. Carroll, and N. Kissoon, “Emergency Management of Increased Intracranial Pressure,” Pediatr. Emerg. Care, vol. 28, no. 2, pp. 200–204, Feb. 2012, doi: 10.1097/PEC.0b013e318243fb72.
[9] M. Bahrudin, Pemeriksaan Klinis di Bidang Penyakit Syaraf. Malang: Universitas Muhammadiyah Malang Press, 2011.
[10] P. Potter, A. Perry, P. Stockert, A. Hall, and V. Peterson, Fundamentals of Nursing, 9th ed. St. Louis, Missouri: Mosby, Elsevier, 2016.
[11] P. A. W. Suwaryo, T. A. Wihastuti, and M. Fathoni, “Analisis Faktor-Faktor yang Berhubungan dengan Outcome Pasien Cedera Kepala di IGD Prof. Dr. Margono Soekardjo Purwokerto,” J. Ilm. Kesehat. Keperawatan, vol. 12, no. 3, Oct. 2016, doi: 10.26753/jikk.v12i3.164.
[12] A. Reisner, X. Chen, K. Kumar, and J. Reifman, “Prehospital Heart Rate and Blood Pressure Increase the Positive Predictive Value of the Glasgow Coma Scale for High-Mortality Traumatic Brain Injury,” J. Neurotrauma, vol. 31, no. 10, pp. 906–913, May 2014, doi: 10.1089/neu.2013.3128.
[13] R. Ristanto, M. R. Indra, S. Poeranto, and I. S. Rini, “Akurasi Revised Trauma Score Sebagai Prediktor Mortality Pasien Cedera Kepala,” J. Kesehat. Hesti Wira Sakti, vol. 4, no. 2, pp. 76–90, 2017.
[14] Safrizal, H. S. Saanin, and H. H. Bachtiar, “Hubungan Oxygen Delivery Dengan Outcome Rawatan Pasien Cedera Kepala Sedang,” 2012. [Online]. Available: http://www.angelfire.com/nc/neurosurgery/Safrizal.pdf.
[15] R. T. Arifiannoor, A. Wahid, and I. Hafifah, “Frekuensi Pernapasan Cepat Sebagai Prediktor Outcome Pasien Cedera Kepala,” Din. Kesehat. J. Kebidanan dan Keperawatan, vol. 9, no. 1, pp. 681–689, 2018.
[16] Tarwoto and Wartonah, Kebutuhan Dasar Manusia dan Proses Keperawatan, 4th ed. Jakarta: Salemba Medika, 2011.
[17] I. Rahmawati, M. Hidayat, and Y. W. Utami, “Analisis Faktor-faktor yang Berhubungan dengan Nilai Revised Truma Score dalam Memprediksi Mortality Pasien Cedera Kepala Berat di RSD Mardi Waluyo Kota Blitar,” Dunia Keperawatan, vol. 1, no. 2, pp. 18–26, 2013.
[18] M. Polapa, E. Prasetyo, and M. C. Oley, “Hubungan antara dinamika suhu tubuh dan leukosit perifer dengan skala skor FOUR penderita cedera otak risiko tinggi,” J. Biomedik JBM, vol. 8, no. 3, Nov. 2016, doi: 10.35790/jbm.8.3.2016.14154.
[19] L. Soertidewi, “Penatalaksanaan Kedaruratan Cedera Kranioserebral,” Cermin Dunia Kedokt., vol. 39, no. 5, pp. 327–331, 2012.
[20] R. Ristanto and A. Zakaria, “Akurasi Oxygen Saturation (SpO2) Sebagai Prediktor Mortality Pada Pasien Cedera Kepala,” J. Kesehat. Mesencephalon, vol. 4, no. 2, pp. 94–98, 2018.