Penulis : Jajuk Retnowati Fakultas : Keperawatan Program Studi : Ilmu Keperawatan IPK : 3.07 Pembimbing I : Dr. Nursalam, M.

Nurs (Hons) Pembimbing II : Bambang Subagjo, S.Kep.,Ns

Pengaruh Posisi Head Up 300 terhadap Perubahan Tanda-Tanda Vital dan Tingkat Kesadaran pada Pasien COB (Cedera Otak Berat) Post Trepanasi
Abstrak : ABSTRACTSTHE EFFECT OF 30 HEAD UP POSITIONING ON CHANGES OF VITAL SIGNS AND LEVEL OF CONSCIOUSNESS FOR PATIENTS WITH SEVERE BRAIN INJURY POST TREPANATION Quasy Eksperimet Study In Ruang Observasi Intensif (ROI)3rd Floor of Emergency Care Installation (IRD)Dr. Soetomo General Hospital of Surabaya CityBy:JAJUK RETNOWATISevere brain injury often bring death in every patients who suffer of it. Prolonged time before patients achieve medical treatment will cause temporary or permanently physical defect. Proper medical treatment and quick response will decrease risk of having both bad effect. This case can be conservatively treat with surgery indeed. This brain injury patients must receive certain nursing care such haemodynamic monitoring, vital signs observations and position arrangement beside conservative treatment and certain medicine therapy. This study was aimed to analyze the effect of 30 head up positioning on changes of vital signs and level of consciousness in severe brain injury patients post trepanation surgery and used quasy experimental study, in which the population consisted of all severe cerebral trauma patients in ROI. Total sample was 12 respondents, divided into two groups, intervention and control. Intervention group received 30 head up position and control group was 15. The independent variable was 30 head up position and dependent variable was 4 variable of vital signs (blood pressure, pulse, body temperature, respiratory rate), Mean Arterial Blood Pressure (MABP) and level of consciousness. Data were collected by using observation sheet and analyzed with paired and independent t Test with level of significance=0.05.In paired t Test calculation, result showed that 30 head up positioning had significant effect in major of vital signs, include blood pressure both systole and diastole, pulse, MABP (p0.05. Yet, 30 head up positioning has a high average (mean) and more closed to the normal value, compared with 15 head up positioning. It means 30 positioning gave better effect than 15.Lifting patients head in range 30 will optimalize oxygen supply to the brain and help decrease or normalize intra cranial pressure (ICP). Furthermore, this development in patients haemodinamic and conciousness status, will bring patients into recovering condition and avoid death.Keywords: 30 head up positioning, severe brain injury, vital signs, haemodynamic, level of consciousness.

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