Pengaruh self directed video terhadap retensi tingkat pengetahuan dan keterampilan dalam melakukan tindakan resusitasi jantung paru (RJP) pada komunitas relawan PPMR di Kota Malang.

Apriyani, - and Dr. dr. Retty Ratnawati,, M.Sc and Ns. Ika Setyo Rini,, S.Kep., M.Kep (2019) Pengaruh self directed video terhadap retensi tingkat pengetahuan dan keterampilan dalam melakukan tindakan resusitasi jantung paru (RJP) pada komunitas relawan PPMR di Kota Malang. Magister thesis, Universitas Brawijaya.

Abstract

Tujuan penelitian ini yaitu Menganalisis pengaruh self-directed video terhadap retensi tingkat pengetahuan dan keterampilan dalam melakukan tindakan resusitasi jantung paru (RJP) pada komunitas relawan PPMR di Kota Malang. Penelitian ini menggunakan desain quasy experiment dengan pendekatan pretest-posttest. Responden penelitian sebanyak 15 orang relawan. Self-Directed video yang digunakan oleh peneliti sudah sesuai dengan panduan AHA 2015. Video diberikan kepada responden memiliki berdurasi sekitar 7 menit. Instrumen penelitian berupa kuesioner dan lembar observasi. Analisis bivariat menggunakan uji friedman post hoc wilcoxon untuk melihat pengaruh self-directed video terhadap pengetahuan dan keterampilan sebelum, sesaat setelah intervensi, 1 minggu setelah intervensi dan 2 minggu setelah intervensi. Hasil penelitian didapatkan bahwa pengetahuan dan keterampilan sesaat setelah intervensi, 1 minggu setelah intervensi, dan 2 minggu setelah intervensi terdapat kenaikan yang signifikan dibanding dengan sebelum intervensi. Penelitian ini sejalan dengan penelitian yang dilakukan oleh Hernández-Padilla et al., (2015) menyatakan bahwa terdapat peningkatan pengetahuan pada kelompok student-directed group yang menggunakan media teknologi pembelajaran dibandingkan dengan pembelajaran yang berfokus pada instruktur. Penelitian ini juga sejalan dengan penelitian yang dilakukan oleh Benoit et al., (2017) yang menyatakan bahwa terdapat peningkatan keterampilan pada kelompok yang diberikan video pendek terkait cara melakukan resusitasi jantung paru dengan benar. Responden dapat melakukan simulasi secara mandiri dengan melihat video yang diberikan. Kesimpulannya adalah pengetahuan dan keterampilan sesaat setelah intervensi (P2 dan K2), 1 minggu setelah intervensi (P3 dan K3), dan 2 minggu setelah intervensi (P4 dan K4) terdapat kenaikan secara signifikan dibanding dengan sebelum intervensi (P1 dan K1). Akan tetapi tidak terdapat perbedaan pada pengukuran sesaat setelah intervensi, 1 minggu setelah intervensi dan 2 minggu setelah intervensi pada komunitas relawan di kota Malang. Self-directed video mampu meningkatkan pengetahuan dan keterampilan yang menetap selama 2 minggu. Saran untuk penelitian selanjutnya diharapkan dapat melakukan penelitian dengan retensi pengetahuan, keterampilan maupun variabel lainnya dalam jangka waktu yang lama untuk mengukur kemampuan mengingat responden.

English Abstract

Emergency can occur anywhere and anytime. Efforts to overcome emergencies when saving lives by considering the time and life of the victim which is the challenge. Cardiac arrest and life-threatening emergency cases are very important global health problems, where rapid initial assessments and correct and fast responses can prevent death or permanent disability. Cardiac arrest can occur in all locations, either those that can be anticipated (during intensive care) or that cannot be anticipated (outside the hospital). Out-of-Hospital Cardiac Arrest (OHCA) is one of the focuses of world health problems because the incidence rate is quite high. Based on the number of high incidence of OHCAs that get Cardiopulmonary Resuscitation (CPR) action by people around the victim as much as 40.1% and obtained survival rates of victims who were given CPR actions in the location of approximately 9.5%. This data showed that people who are around the victim at the time of the incident have an important role to play in increasing the survival of the victim with cardiac arrest. One of the ways that can be done to improve survival in cases of cardiac arrest is to strengthen the first two chains of survival, namely increasing the number of helpers in patients with cardiac arrest outside the hospital through providing education about CPR actions in the bystander. The education was carried out to increase the number of OHCA patients helpers, that is using learning methods with media self-directed videos. The advantages of self-directed media videos is that videos can be played repeatedly wherever and whenever because the video is shared to participants who take part in the training and in terms of material delivery is more consistent. Self-directed video is one of the ways that can improve ability in helping victims with cardiac arrest. However, there are studies that state that media self-directed videos are less effective than ordinary methods of increasing knowledge. The increase in knowledge is generally accompanied by an increase in psychomotor abilities to do CPR. Increased knowledge and skills in the handling of victims of cardiac arrest can have a significant impact to increase the success of life in cases of cardiac arrest. However, CPR training in reality is not always followed by retention of abilities in each individual. Some other studies also state that the ability to carry out CPR actions will continue to decline over time. With the existence of contradictory research results and the lack of research that states that self-directed videos are able to increase the retention of knowledge and skills so research needs to be done by using self-directed videos. The purpose of this study was to analyze the effect of self-directed video on the retention of the level of knowledge and skills in performing cardiac resuscitation measures (CPR) in the PPMR volunteer community in Malang City. This study uses a quasy experiment design with the pretest-posttest approach. The research respondents were 15 volunteers. Self-Directed videos used by researchers are in accordance with the 2015 AHA guidelines. Videos given to respondents have a duration of about 7 minutes. The research instrument was a questionnaire and observation sheet. Bivariate analysis using post hoc Wilcoxon friedman test to see the effect of self-directed video on knowledge and skills before, shortly after intervention, 1 week after intervention and 2 weeks after intervention. The results showed that knowledge and skills shortly after the intervention, 1 week after the intervention, and 2 weeks after the intervention there was a significant increase compared to before the intervention. This research is in line with research conducted by Hernández-Padilla et al., (2015) stating that there is an increase in knowledge in a group of student-directed groups that use media learning technology compared to instructor-focused learning. This study was also in line with research conducted by Benoit et al., (2017) which states that there is an increase in skills in the group given a short video related to how to properly perform pulmonary heart resuscitation. Respondents can do the simulation independently by watching the video provided.

Item Type: Thesis (Magister)
Identification Number: TES/616.102 5/APR/p/2019/041904242
Subjects: 600 Technology (Applied sciences) > 616 Diseases > 616.1 Diseases of cardiovascular system > 616.102 5 CPR (First aid)
Divisions: S2/S3 > Magister Keperawatan, Fakultas Kedokteran
Depositing User: soegeng sugeng
Date Deposited: 16 Aug 2022 01:32
Last Modified: 16 Aug 2022 01:32
URI: http://repository.ub.ac.id/id/eprint/193245
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