Pratiwi, Arista Tia (2018) Hubungan Antara Faktor-Faktor Non Pasien Terhadap Keterlambatan Pra Rumah Sakit Dari Keputusan Sampai Tiba Di RSUD Dr Saiful Anwar Malang Pada Pasien Infark Miokard Akut. Sarjana thesis, Universitas Brawijaya.
Abstract
Kecepatan dan keakuratan penanganan infark miokard akut (IMA) penting dalam menurunkan angka kematian akibat IMA. Keterlambatan Pra rumah sakit dipengaruhi oleh faktor pasien dan faktor non pasien. Penelitian ini dilakukan untuk melihat hubungan antara faktor-faktor non pasien terhadap keterlambatan pra rumah sakit dari keputusan sampai tiba di RSUD Dr. Saiful Anwar Malang pada pasien infark miokard akut. Pada penelitian ini diperoleh 88 responden dengan diagnosis IMA yang diambil secara konsekutif. Pasien yang datang >2 jam setelah pengambilan keputusan sampai tiba di RSSA dikategorikan sebagai sangat terlambat, sedangkan ≤2 jam dikategorikan sebagai terlambat. Pasien atau keluarga yang tidak ingat waktu terkait gejala awitan, waktu mengambil keputusan, waktu sampai, dan rujukan kontak medis pertama dikeluarkan dalam penelitian ini. Penelitian ini menunjukkan bahwa karakteristik sosiodemografi, riwayat klinis, faktor biaya, transportasi, dan tindakan EKG tidak berhubungan signifikan dengan keterlambatan pasien sampai tiba di rumah sakit (p>0.05). Sedangkan pada area residental, pemilihan fasilitas kesehatan primer sebagai kontak medis pertama, dan pertama kali mengalami serangan berhubungan signifikan dengan keterlambatan pasien sampai tiba di rumah sakit (p<0.05). Kesimpulan penelitian ini menunjukkan bahwa pasien yang sangat terlambat tiba di RSSA adalah pasien yang menuju fasilitas kesehatan primer sebagai kontak medis pertama, bertempat tinggal di luar kota Malang, dan pertama kali mengalami serangan gejala nyeri dada.
English Abstract
Immediate and accurate treatment of acute myocardial infarction is important in reducing its mortality. Prehospital delay is affected by patient factors and non patient factors. This research was conducted to investigate the effect of non patient factors on prehospital delay time from decision until RSUD Dr. Saiful Anwar Malang arrival in patients with acute myocardial infarction. Eighty eight samples were recruited in this study. Patients arrived more than 2 hours after decision time at RSSA were categorized as very late, while those who arrived less than 2 hours were categorized as late. Patients or families who forget the time onset, decision-making time, arrivel time at first medical contact, and referral from first medical contact were excluded from this study. This study suggested that sociodemographic characteristics, clinical history, insurance stats, transport, and electrocardiography recording at first medical contact were not significantly associated with patient delays to hospital arrival (p>0.05). On the other hand, reside outside Malang, choosing peripheral health care service as first medical contact and had first experience of chest pain symptoms were significantly associated with patient delays to hospital arrival (p<0.05). Conclusionly this study suggested that very late patients group were patient who went very late arriving at RSSA are patients who went peripheral health care service as first medical contact, reside outside Malang, and had first experience of chest pain symptoms.
| Item Type: | Thesis (Sarjana) |
|---|---|
| Identification Number: | SKR/FK/2018/136/051804494 |
| Uncontrolled Keywords: | infark miokard akut, area residental, fasilitas kesehatan pertama, transportasi, keterlambatan-acute myocardial infarction, residental area, first health facility, transportation, delay |
| Subjects: | 600 Technology (Applied sciences) > 616 Diseases > 616.1 Diseases of cardiovascular system > 616.12 Diseases of heart |
| Divisions: | Fakultas Kedokteran > Ilmu Keperawatan |
| Depositing User: | soegeng sugeng |
| Date Deposited: | 05 May 2020 16:47 |
| Last Modified: | 21 Oct 2021 08:36 |
| URI: | http://repository.ub.ac.id/id/eprint/167552 |
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