Efektifitas Kombinasi Posisi Semi Fowler Dengan Lateral Kanan Terhadap Hemodinamik Pasien Penyakit Jantung Koroner
Abstract
Background: Coronary heart disease (CHD) is the leading cause of global death. CHD can trigger changes in hemodynamic status. Patient position plays an important role in maintaining optimal hemodynamics and the provision of semi-Fowler and right lateral positions can affect hemodynamic parameters. Objective: The purpose of this study was to determine the effectiveness of the combination of semi-Fowler and right lateral positions on the hemodynamics of CHD patients. Method: This study used a quasi-experimental design with a pretest-posttest control group approach. The sample was divided into two groups: the group that received treatment and the group that did not. The study was conducted in the ICCU room of Panembahan Senopati Bantul Hospital, Yogyakarta, with a population consisting of CHD patients treated in the ICCU. Inclusion criteria included patients with a diagnosis of CHD, stable hemodynamics, and good consciousness, while exclusion criteria included patients with abnormal ECG and conditions such as heart failure. The number of samples was 12 respondents, with a non-probability consecutive sampling method. Results: Paired t-test showed a significant difference in hemodynamic parameters of the intervention group after treatment (p < 0.05), and in the control group, there was no significant difference, and there was no significant difference between the two groups (p > 0.05). Conclusion: There was a significant difference in hemodynamics in CHD patients before and after treatment in the intervention group, and there was no difference in the control group and between the groups that received treatment and those that did not. Suggestion: The combination of fixed positions is recommended as a nursing intervention for CHD patients and further research with a larger sample and longer observation duration and considering other factors that affect hemodynamic responses.
Keywords: Coronary heart disease, hemodynamics, right lateral, semi fowler
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