Anazsthasya M.P., I. A. Louise and Dr. Ns. Dina Dewi Sartika Lestari Ismail, S.Kep, M.Kep and Ns. Ahmad Hasyim Wibisono, S.Kep, M.Kep, M.Ng (2023) Analisis Perbandingan Kejadian Hematoma antara Aff Sheath Akses Femoral dan Radial pada Pasien Pasca Kateterisasi Jantung di Rumah Sakit Umum Muhammadiyah Malang. Sarjana thesis, Universitas Brawijaya.
Abstract
sampel sebanyak 44 responden masing masing akses sesuai perhitungan Slovin dan menggunakan teknik purposive sampling. Pengukuran kejadian hematoma dibagi menjadi 2 waktu yaitu jam ke-0 pasca aff sheath dan 4-6 jam pasca aff sheath dengan pembebatan dan imobilisasi. Hematoma diidentifikasi dengan inspeksi adanya perubahan warna kulit yaitu merah, ungu, atau biru, dan palpasi adanya pembengkakan sekitar area tusukan. Berdasarkan hasil analisis data menggunakan uji chi square, pada jam ke-0 pasca aff sheath menunjukkan hasil p-value (0.367) > α (0.05) sehingga tidak ada perbedaan kejadian hematoma antara aff sheath femoral dan radial. Selanjutnya pada 4-6 jam pasca aff sheath, didapatkan hasil p-value (0.003) < 0.05), ada perbedaan kejadian hematoma antara aff sheath femoral dan radial. Perhitungan odds ratio juga menunjukkan bahwa aff sheath femoral memiliki peluang kejadian hematoma 4.7 kali lebih besar dibandingkan aff sheath radial. Dapat disimpulkan bahwa terdapat perbedaan kejadian hematoma antara aff sheath femoral dan radial dengan besar peluang risiko 4.7 kali hematoma pada aff sheath femoral pada waktu 4-6 jam pasca aff sheath.
English Abstract
Cardiac catheterization is an intervention for heart disease patients with the most widely used access using the femoral and radial arteries. Hematoma is a frequent complication after aff sheath procedure. This study aims to compare the incidence of hematoma between aff sheath femoral and radial access. This research uses a cross sectional method with 44 respondents each access according to calculations Slovin for sample, and use purposive sampling. Measurement of the incidence of hematoma was divided into 2 times, namely the 0th hour after aff sheath and 4-6 hours post aff sheath with splinting and immobilization. Hematoma is identified by inspection for changes discoloration like red, purple, or blue, and palpation for swelling around the puncture area. Based on the results of data analysis using chi square test, showed that there was no difference in the incidence of hematoma in post-0 hour aff sheath between the femoral and radial aff sheath with p-value (0.367) > α (0.05). Next at 4-6 hours post aff sheath, the results showed that there was a difference in the incidence of hematoma between femoral and radial aff sheath with p-value (0.003) < α (0.05). Odds ratio also shows that femoral aff sheath has a 4.7 times greater chance of hematoma than radial aff sheath. It can be concluded that there is a difference in the incidence of hematoma between femoral and radial aff sheath with a risk of 4.7 times hematoma in femoral aff sheath at 4-6 hours post aff sheath.
| Item Type: | Thesis (Sarjana) |
|---|---|
| Identification Number: | 0523160101 |
| Uncontrolled Keywords: | aff sheath, femoral, radial, hematoma |
| Divisions: | Fakultas Ilmu Kesehatan > Ilmu Keperawatan, Fakultas Ilmu Kesehatan |
| Depositing User: | soegeng sugeng |
| Date Deposited: | 05 Feb 2024 04:25 |
| Last Modified: | 05 Feb 2024 04:25 |
| URI: | http://repository.ub.ac.id/id/eprint/214206 |
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