Setyarini, Anggun and Prof. Dr. dr. Respati S. Dradjat, Sp.OT. and Dr. Ns. Heni Dwi Windarwati, M.Kep., Sp.Kep.J (2019) Analisis Faktor Yang Berhubungan Dengan Total Waktu Prehospital (TWP) Pada Pasien Yang Ditangani Public Safety Center (PSC) 119 Kabupaten Purworejo. Magister thesis, Universitas Brawijaya.
Abstract
Kasus trauma dan medikal berpotensi menyebabkan munculnya kejadian gawat darurat prehospital. Trauma menyumbang 12% beban penyakit di dunia, dengan jumlah pasien hampir mencapai 5 juta Mayoritas kematian pasien trauma terjadi pada fase prehospital. Sekitar 1,25 juta jiwa meninggal karena trauma kecelakaan lalu lintas, 20 hingga 50 juta jiwa mengalami luka-luka dan disabilitas setiap tahunnya. Trauma merupakan salah satu penyebab utama kematian pada usia < 65 tahun di Amerika dan India. Tahun 2010, sekitar 3,9 juta orang terluka dalam 13,6 juta kecelakaan kendaraan bermotor di Amerika dengan korban fatal sebanyak 32.999 jiwa. Data kasus medikal pada survei Sustainable Development Goals (SDG‟s) tahun 2016 menunjukkan 41% kematian diakibatkan oleh Penyakit Tidak Menular (PTM) 44%nya karena penyakit kardiovaskuler. Lebih dari 356.000 Pasien yang mengalami serangan out-of–hospital cardiac arrest (OHCA) setiap tahunnya di Amerika. Penyakit jantung koroner dan stroke diperkirakan terus meningkat hingga angka 23,3 juta pada tahun 2030. Data nasional menunjukkan adanya potensi kegawatdaruratan akibat trauma ataupun penyakit yang serius. Potensi ini dapat meningkatkan kebutuhan masyarakat terhadap pelayanan prehospital yang membutuhkan suatu sistem terintegrasi yang disebut dengan Emergency Medical Services (EMS). Sistem EMS yang berlaku di Indonesia diimplementasikan dalam Sistem Penanggulangan Gawat Darurat Terpadu (SPGDT). SPGDT yang sudah diresmikan sejak 2016 di Jawa Tengah khususnya Kabupaten Purworejo, penting untuk dievaluasi sehingga dapat diketahui pencapaian TWP dan faktor-faktor yang mempengaruhinya. Pencatatan 3 komponen TWP (waktu respon ke lokasi kejadian, waktu di lokasi kejadian, dan waktu transport ke rumah sakit) terkadang tidak terdokumentasi dengan lengkap. Hal ini dapat menyebabkan penilaian terhadap TWP menjadi sulit dilakukan.Tujuan penelitian ini adalah mengidentifikasi faktor-faktor yang berhubungan dengan TWP PSC 119 di Kabupaten Purworejo. Metode Penelitian yang digunakan adalah Retrospective Chart Review (RCR). Variabel bebas pada penelitian ini yaitu faktor lingkungan, faktor klinis, dan faktor sistem. Faktor lingkungan yang dapat mempengaruhi TWP PSC 119 pada panggilan gawat darurat antara lain lokasi. Faktor klinis meliputi jenis kasus pasien dan level triase pasien. Faktor sistem meliputi, waktu pelayanan (pagi-siang-malam), jumlah intervensi yang diberikan, dan integrasi unit respons. Variabel terikat pada penelitian ini adalah TWP PSC yang merupakan total waktu yang diperlukan oleh tim PSC 119 untuk menerima panggilan, aktivasi tim, merespons panggilan gawat darurat, menolong di lokasi kejadian dan mentransport pasien ke rumah sakit. Penelitian dilaksanakan di PSC 119 Kabupaten Purworejo yang berlokasi di Kabupaten Purworejo, Provinsi Jawa Tengah. Pengambilan data dilakukan menggunakan lembar observasi. Analisa data dilakukan dengan uji univariat, uji bivariat menggunakan uji eta dan uji korelasi Spearman. Uji multivariat menggunakan uji linear berganda menggunakan perangkat SPSS 20. Hasil univariat menunjukkan rata-rata TWP yang dicapai PSC 119 Kabupaten Purworejo adalah 30.85 menit. Rata-rata interval waktu response time, scene time dan trasnport time adalah 7,33 menit, 12,58 dan 8,72 menit. Hasil analisis bivariat
English Abstract
Trauma and medical cases have the potential to cause the emergence of prehospital emergency events. Trauma accounts for 12% of the disease burden in the world, with the number of patients almost reaching 5 million. The majority of trauma patient deaths occur in the prehospital phase. Around 1.25 million people die due to trauma from traffic accidents, 20 to 50 million people suffer injuries and disabilities every year. Trauma is one of the main causes of death at the age of <65 years in America and India. In 2010, around 3.9 million people were injured in 13.6 million motor vehicle accidents in the United States with 32,999 fatal fatalities. Medical case data in the 2016 Sustainable Development Goals (SDGs) survey showed 41% of deaths were caused by 44% of Non-Communicable Diseases (NCD) due to cardiovascular disease. More than 356,000 patients experience an out-of-hospital cardiac arrest (OHCA) every year in America. Coronary heart disease and stroke are expected to continue to increase to 23.3 million in 2030. National data shows the potential for emergencies due to trauma or serious illness. This potential can increase the community's need for pre-hospital services that require an integrated system called Emergency Medical Services (EMS). The EMS system that is implemented in Indonesia called “Sistem Penanggulangan Gawat Darurat Terpadu (SPGDT)”. The SPGDT which has been inaugurated since 2016 in Central Java, especially Purworejo Regency, is important to evaluate so that it can be seen the achievement of TPT and the factors that influence it. Recording of 3 components of TPT (response time to the location of the incident, time at the scene of the incident, and time of transport to the hospital) is sometimes not fully documented. It cause the assessment of TPT to be difficult. The purpose of this study was to identify factors associated with TPT on patients treated by PSC 119 in Purworejo Regency. This research used the Retrospective Chart Review (RCR) method. The independent variables in this study are environmental factors, clinical factors, and system factors. Environmental factors that can affect the TPT in PSC 119 include location. Clinical factors include the type of patient's case and the patient's triage level. System factors include, service time (morning and night), number of interventions given, and integration of response units. The dependent variable in this study is the TPT, that is the total time required by the PSC 119 team to receive calls, activate the team, respond to emergency calls, help at the scene and transport patients to the hospital. The study was conducted at 119 PSC Purworejo Regency, Central Java Province. Data retrieval is done using observation sheets. Data analysis was performed by univariate test, bivariate test using the eta test and Spearman correlation test. Multivariate test used multiple linear regression with SPSS 20 software. The univariate results showed that the average TPT achieved by PSC 119 in Purworejo Regency was 30.85 minutes. The average response time, scene time and transport time are 7.33 minutes, 12.58 and 8.72 minutes. The results of bivariate analysis showed that environmental factors, namely location, had a significant relationship with TPT (p = 0.000; r = 0.446). Clinical factors consisting of types of cases (p = 0.979; r = 0.000) and triage levels (p = 0.455; r = -0.075) were not related to TWP. System factors which include service time (p = 0.020; r = 0.074) and integration of response units (p = 0.000; r = 0.387) have a relationship with TPT, while the number of interventions (p = 0.090; r = 0.045) is not related to TPT in patients treated by 119 PSC Purworejo Regency. The results of multivariate analysis showed that location was the factor most associated with TPT in patients treated after being controlled by variable number of
Other obstract
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| Item Type: | Thesis (Magister) |
|---|---|
| Identification Number: | TES/616.025/SET/a/2019/041903374 |
| Uncontrolled Keywords: | - |
| Subjects: | 600 Technology (Applied sciences) > 616 Diseases > 616.02 Special topics of disease > 616.025 Medical emergencies / Emergency medicine / Emergency nursing / Triage (Medicine) |
| Divisions: | S2/S3 > Magister Keperawatan, Fakultas Kedokteran |
| Depositing User: | yulia Chasanah |
| Date Deposited: | 01 Sep 2022 07:30 |
| Last Modified: | 01 Sep 2022 07:31 |
| URI: | http://repository.ub.ac.id/id/eprint/193909 |
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