Pengalaman Perawat dalam Melakukan Resusitasi Jantung Paru pada Pasien Covid-19

https://doi.org/10.22146/jkesvo.76178

Yoany Maria Vianney B. Aty(1*), Gadur Blasius(2), Elisabeth Herwanti(3), Pius Selasa(4), Dominggos Gonsalves(5), Firdawsyi Nuzula(6), Muhtar Muhtar(7)

(1) Jurusan Keperawatan Poltekkes Kemenkes Kupang
(2) Jurusan keperawatan Politeknik Kesehatan Kemenkes Kupang
(3) Jurusan keperawatan Politeknik Kesehatan Kemenkes Kupang
(4) Jurusan keperawatan Politeknik Kesehatan Kemenkes Kupang
(5) Jurusan keperawatan Politeknik Kesehatan Kemenkes Kupang
(6) Nursing Diploma Program, Akademi Kesehatan Rustida, Banyuwangi
(7) Prodi Keperawatan Bima, Politeknik Kesehatan Kemenkes Mataram
(*) Corresponding Author

Abstract


Latar Belakang: Tantangan perawat pada masa pandemi Covid-19 saat memberikan bantuan pasien yang mengalami henti jantung adalah penularan virus Covid-19. Perawat yang melakukan Resusitasi Jantung Paru (RJP) dengan menggunakan APD lengkap masih mungkin mengalami penularan virus yang bisa melalui droplet atau aerosol dari pasien yang terdapat di udara yang masuk melalui celah yang terbentuk tanpa sengaja oleh perawat saat bekerja.

Tujuan: Mengeksplorasi pengalaman perawat dalam  melakukan RJP pada pasien Covid-19 di ruang IGD, ICU, dan ICCU RSUD Prof. W. Z Johannes Kupang.

Metode: Penelitian ini adalah kualitatif dengan jenis fenomenologi. Indeepth interview dilakukan untuk menggali pengalaman perawat dalam melakukan RJP pada pasien Covid-19 yang mengalami henti jantung dan napas. Jumlah partisipan sebanyak 4 orang.

Hasil: Penelitian menemukan 6 tema yakni keputusan melakukan RJP pasien, keterbatasan gerak dan mudah lelah, kesulitan memonitor kondisi pasien, cemas tertular Covid-19, rasa empati, dan kerja sama tim.

Kesimpulan: Tindakan RJP pasien terkonfirmasi Covid-19 memerlukan keputusan yang tepat. Selama tindakan ini perawat mengalami kelelahan, sulit mengecek kondisi pasien karena APD yang digunakan. Perawat juga merasa takut tertular. Namun, rasa empati kepada pasien membuat perawat melakukan tindakan RJP ini dengan baik yang didukung oleh kerja sama tim yang baik.


Keywords


Resusitasi Jantung Paru; Pasien Covid-19; Perawat

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References

Aty, Y.M.V.B. and Gadur Blasius (2021) ‘HUBUNGAN PENGALAMAN PERAWAT DAN KEBERHASILAN’, 4(2), pp. 111–120.

Craig, S. et al. (2020) ‘Management of adult cardiac arrest in the COVID-19 era: consensus statement from the Australasian College for Emergency Medicine’, Medical Journal of Australia, 213(3), pp. 126–133. Available at: https://doi.org/10.5694/mja2.50699.

Cunningham, L.M. et al. (2012) ‘Cardiopulmonary resuscitation for cardiac arrest: The importance of uninterrupted chest compressions in cardiac arrest resuscitation’, American Journal of Emergency Medicine, 30(8), pp. 1630–1638. Available at: https://doi.org/10.1016/j.ajem.2012.02.015.

Dwi, M. and Santoso, Y. (2021) ‘Studi Fenomenologi Pengalaman Perawat Dalam Merawat Pasien Suspect Covid-19’, Jurnal Ilmu Keperawatan Medikal Bedah, 4(1), pp. 54–68. Available at: https://doi.org/10.32584/jikmb.v4i1.617.

Elkholy, A.A. et al. (2020) ‘Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID- 19 . The COVID-19 resource centre is hosted on Elsevier Connect , the company ’ s public news and information ’, (January).

Fei Shaoa, b, S.X. (2020) ‘In-Hospital cardiac arrest Outcome among patient with Covid -19 Penumonia in Wuhan,China’, Advances in Virus Research, 105(January), pp. 93–116.

Guetterman, T.C. et al. (2019) ‘Nursing roles for in-hospital cardiac arrest response: Higher versus lower performing hospitals’, BMJ Quality and Safety, 28(11), pp. 916–924. Available at: https://doi.org/10.1136/bmjqs-2019-009487.

Kartikasari, A., Agustin, W.R. and Azali, L.M.P. (2021) ‘Gambaran Perilaku Caring Perawat Pada Pasien Covid-19 Di Ruang Isolasi Rsud Dr. Soediran Mangun Sumarso Wonogiri’, 41, pp. 1–8.

Kementerian Kesehatan RI (2019) ‘Laporan Nasioanl Riskesdas 2018’, Kemenkes RI [Preprint]. Available at: https://doi.org/10.12688/f1000research.46544.1.

Kombong, R. and Hatala, T.N. (2021) ‘NURSE READINESS TO PERFORM CARDIOPULMONARY RESUSCITATION DURING COVID 19 PANDEMIC’, 4(2), pp. 48–56.

Kulkarni, A.P. et al. (2020) ‘Cardiopulmonary resuscitation during covid-19 pandemic: Outcomes, risks, and protective strategies for the healthcare workers and ethical considerations’, Indian Journal of Critical Care Medicine, 24(9), pp. 868–872. Available at: https://doi.org/10.5005/jp-journals-10071-23544.

Latsios, G. et al. (2021) ‘CardioPulmonary Resuscitation in patients with suspected or confirmed Covid-19. A consensus of the Working group on CardioPulmonary Resuscitation of the Hellenic Society of Cardiology’, Hellenic Journal of Cardiology, 62(1), pp. 24–28. Available at: https://doi.org/10.1016/j.hjc.2020.09.010.

Mulyadi, R.I. and Kiling, M. (2018) ‘PENGALAMAN PERAWAT DALAM PENANGANAN CARDIAC ARREST DI INSTALASI GAWAT DARURAT RSUP’, 6(November).

Parush, A. et al. (2020) ‘Human factor considerations in using personal protective equipment in the COVID-19 pandemic context: Binational survey study’, Journal of Medical Internet Research, 22(6), pp. 1–12. Available at: https://doi.org/10.2196/19947.

Perki (2020) ‘Pedoman Bantuan Hidup Dasar dan Bantuan Hidup Jantung Lanjut pada Dewasa, Anak, dan Neonatus Terduga/ Positif COVID-19’, Indonesian Heart Association, (62), pp. 1–13.

Ridlo, M. et al. (2021) ‘Respon Psikologis Perawat Selama Pandemik Covid-19: Scoping Review’, Jurnal Ners Indonesia, 11(2), p. 154. Available at: https://doi.org/10.31258/jni.11.2.154-170.

Song, W. et al. (2020) ‘Recommendations on cardiopulmonary resuscitation strategy and procedure for novel coronavirus pneumonia’, Resuscitation, 152(March), pp. 52–55. Available at: https://doi.org/10.1016/j.resuscitation.2020.03.023.

Sukiman, O., Waluyo, A. and Irawati, D. (2021) ‘Studi Fenomenologi: Pengalaman Perawat Dalam Menangani Pasien Dengan Covid-19 di Rumah Sakit di Jakarta Tahun 2020’, Jurnal Penelitian Kesehatan Suara Forikes, 12(2), pp. 141–147.

Timerman, S. et al. (2020) ‘WITHDRAWN: Recommendations for Cardiopulmonary Resuscitation (CPR) of patients with suspected or confirmed COVID-19’, Brazilian Journal of Anesthesiology (English Edition) [Preprint], (xx). Available at: https://doi.org/10.1016/j.bjane.2020.06.007.

Tran, K. et al. (2012) ‘Aerosol generating procedures and risk of transmission of acute respiratory infections to healthcare workers: A systematic review’, PLoS ONE, 7(4). Available at: https://doi.org/10.1371/journal.pone.0035797.

Tri Atmojo, J. et al. (2020) ‘Resusitasi Jantung Paru Di Era Pandemi Covid-19’, Journal.Stikeskendal.Ac.Id, 12(3), pp. 355–362.

Verbeek, J.H. et al. (2021) ‘Personal protective equipment for preventing highly infectious diseases due to exposure to contaminated body fluids in healthcare staff’, Emergencias, 33(1), pp. 59–61. Available at: https://doi.org/10.1136/oemed-2018-icohabstracts.500.

Yustisia, N., Utama, T.A. and Aprilatutini, T. (2020) ‘Adaptasi Perilaku Caring Perawat pada Pasien Covid-19 di Ruang Isolasi’, Jurnal Keperawatan Muhammadiyah Bengkulu, 8(2), pp. 117–127. Available at: https://doi.org/10.36085/jkmu.v8i2.1059.



DOI: https://doi.org/10.22146/jkesvo.76178

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