Kirana, Dwi Mega and Ns. Bintari Ratih Kusumaningrum, S.Kep, M.Kep (2024) Hubungan Hasil Penerapan EHMRG (Emergency Heart Failure Mortality Risk Grade) sebagai Stratifikasi Risiko Pasien Gagal Jantung dengan Keputusan Klinis Terkait Disposisi Pasien Di Instalasi Gawat Darurat RSUD Bangil. Sarjana thesis, Universitas Brawijaya.
Abstract
Gagal jantung merupakan tahap akhir dari seluruh penyakit jantung. Instalasi gawat darurat adalah jalur umum terakhir di mana pasien dengan gagal jantung datang. Keputusan disposisi pasien sangatlah penting. Karena itu, stratifikasi risiko diperlukan untuk mengoptimalkan manajemen pasien, salah satunya EHMRG (Emergency Heart Failure Mortality Risk Grade). Penelitian ini bertujuan untuk mengetahui hubungan penerapan EHMRG (Emergency Heart Failure Mortality Risk Grade) sebagai stratifikasi risiko pada pasien gagal jantung dengan keputusan klinis disposisi pasien di Instalasi Gawat Darurat RSUD Bangil. Penelitian dilakukan secara Cross-Sectional dengan teknik sampling Accidental Sampling, jumlah sampel sebanyak 9 pasien. Peneliti menghitung skor stratifikasi risiko menggunakan instrument EHMRG. Kemudian, dihubungkan dengan keputusan klinis disposisi pasien yang dilihat dari rekam medis pasien. Setelah itu, dilakukan uji statistik menggunakan Spearman Rank. Didapatkan hasil, pasien yang datang ke IGD RSUD Bangil dengan gagal jantung 45% berada pada stratifikasi risiko kelas 1 (skor -146,5 hingga -63,2), 11% kelas 4 (skor 18,9), 22% kelas 5a (skor 63,5, hingga 75,6), dan 22% kelas 5b (skor 118,9 hingga 246,3). Dengan penempatan pasien di ruang perawatan regular, HCU, dan ICCU berturut-turun 56% 22%, dan 22%. Hasil uji korelasi didapatkan nilai probabilitas Sig=0,002 atau ≤0,05 dan nilai koefisien korelasi positif 0,875. Sehingga disimpulkan bahwa, terdapat hubungan antara hasil stratifikasi risiko menggunakan EHMRG dengan keputusan klinis disposisi pasien di IGD RSUD Bangil. Hubungan searah dan sangat kuat. Jadi, semakin tinggi skor stratifikasi risiko menggunakan EHMRG maka, pasien akan dirawat di unit perawatan yang lebih intensif.
English Abstract
Heart failure is the final stage of all heart diseases. The emergency unit serves as the ultimate pathway frequently utilized by patients with heart failure. Decisions about patient disposition are critical. Hence, there is a necessity for risk stratification to enhance patient care, such as EHMRG (Emergency Heart Failure Mortality Risk Grade). This study aims to establish the correlation between the implementation of EHMRG for risk stratification in heart failure patients and clinical judgment regarding patient disposition in the Emergency Unit of the Bangil Regional Public Hospital. The study was conducted using a crosssectional approach and the Accidental Sampling technique, with a total sample size of 9 patients. Risk stratification scores were measured through the implementation of the EHMRG instrument. Subsequently, a correlation is established with clinical judgments regarding the disposition of patients, as apperent in the patient's Electronic Medical Record (EMR). Following this, an analytical assessment was performed using the Spearman Rank. The findings indicated that 45% of patients fell into risk stratification class 1 (with a score range of -146.5 to -63.2), 11% class 4 (scoring 18.9), 22% class 5a (scoring from 63.5 to 75.6), and 22% class 5b (scoring from 118.9 to 246.3). The dispositon of patients to General Practice Unit 56%, HCU 22%, and ICCU 22%. Statistical analysis demonstrated a significant correlation with a probability value of Sig=0.002 or ≤0.05 and a positive correlation coefficient of 0.875. It was inferred that a correlation existed between risk stratification outcomes through EHMRG and clinical judgments regarding patient disposition at the emergency unit in Bangil Regional Public Hospital. This correlation is unidirectional and notably robust. Thus, a higher EHMRG risk stratification score suggests a more intensive level of care for the patient
| Item Type: | Thesis (Sarjana) |
|---|---|
| Identification Number: | 0524160094 |
| Uncontrolled Keywords: | Gagal jantung, EHMRG, Stratifikasi Risiko, Instalasi Gawat Darurat, Disposisi Pasien-Heart Failure, EHMRG, Risk Stratification, Emergency Department, Patient Disposition. |
| Divisions: | Fakultas Ilmu Kesehatan > Profesi Keperawatan |
| Depositing User: | Sugeng Moelyono |
| Date Deposited: | 05 Nov 2024 07:57 |
| Last Modified: | 05 Nov 2024 07:57 |
| URI: | http://repository.ub.ac.id/id/eprint/228104 |
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