Ulansari, FitriAyuning (2014) Faktor-Faktor yang Berhubungan dengan Pengambilan Keputusan Cara Pengobatan Pada Pasien Infark Miokard Akut di RSUD Dr. Saiful Anwar Malang. Sarjana thesis, Universitas Brawijaya.
Abstract
Infark miokard diketahui sebagai penyebab utama morbiditas dan mortalitas di negara berkembang maupun negara maju. Pengambilan keputusan cara pengobatan dapat mengurangi angka morbiditas dan mortalitas karena interval waktu kedatangan pasien sampai di pelayanan kesehatan lebih singkat untuk segera mendapatkan terapi reperfusi. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan pengambilan keputusan cara pengobatan pada pasien infark miokard akut di RSUD Dr. Saiful Anwar Malang. Penelitian ini menggunakan consecutive sampling sebanyak 60 pasien (53,97+10,75 tahun) selama 2 bulan di ruang IRNA I. Setelah dilakukan uji Chi-square, didapatkan hasil bahwa hubungan yang signifikan ditunjukkan dari awitan nyeri dan tingkat keparahan nyeri (p<0.05). Bila gejala terjadi mendadak dan skala nyeri >6 maka pasien akan segera pergi ke pelayanan kesehatan sebagai cara pengobatan yang ia pilih. Tidak ditemukan hubungan yang signifikan antara faktor demografi, keluhan utama, kualitas nyeri, frekuensi nyeri, penjalaran nyeri, interpretasi gejala, dan tingkat awareness dengan pengambilan keputusan cara pengobatan. Dari hasil studi ini dapat disimpulkan bahwa faktor penyakit berupa gejala mempengaruhi pengambilan keputusan cara pengobatan pasien infark miokard akut. Sehingga disarankan untuk health education tentang gejala serangan jantung agar pasien infark miokard akut segera pergi ke pelayanan kesehatan sebagai cara mendapatkan pengobatan yang cepat dan tepat. Penelitian lebih lanjut dibutuhkan untuk mengetahui faktor-faktor lain yang berhubungan signifikan dengan pengambilan keputusan cara pengobatan pada pasien infark miokard akut dengan menambahkan jumlah sampel.
English Abstract
Acute myocardial infarction is known as a major cause of morbidity and mortality in developing countries and developed countries. Treatment decision making can reduce morbidity and mortality by shorter the time interval of patient’s arrival to health care service so the reperfusion therapy can give immediately. This study aimed to determine factors associated with treatment decision making in acute myocardial infarction patients at dr. Saiful Anwar General Hospital Malang. Sixty patients (53.97+10.75 years old) were included consecutively in this study during 2 months in IRNA I. The result of Chi-square test showed that significant relationships were shown just between pain onset and severity of pain with treatment decision making (P<0.05). When symptoms occur suddenly and/or the pain scale >6, patient would immediately go to the health care service as a method of treatment. There were no significant associations between demographic factors, main complaint, pain quality, pain frequency, pain radiation, symptom interpretation, level of awareness of heart attack signs and symptoms with treatment decision making. This study concludes that disease factors such as symptoms characteristic influence treatment decision making in acute myocardial infarction patients. We suggest health education about characteristic of heart attack symptoms so that patients with acute myocardial infarction will go to health care services immediately as a way to get a quick and proper treatment. Further study also need to determine the association of many other factors in treatment decision making of acute myocardial infarction patients with greater number of sample.
| Item Type: | Thesis (Sarjana) |
|---|---|
| Identification Number: | SKR/FK/2014/310/051402966 |
| Subjects: | 600 Technology (Applied sciences) > 610 Medicine and health > 610.7 Education, research, nursing, services of allied health personnel > 610.73 Nursing and services of allied health personnel |
| Divisions: | Fakultas Kedokteran > Ilmu Keperawatan |
| Depositing User: | Budi Wahyono Wahyono |
| Date Deposited: | 30 May 2014 10:43 |
| Last Modified: | 21 Oct 2021 09:28 |
| URI: | http://repository.ub.ac.id/id/eprint/124293 |
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