Pengaruh Mobilisasi Progresif Level I terhadap fungsi oksigenasi paru dan Kejadian Hospitaly Acquired Pneumonia (HAP) pada pasien stroke non haemoragik di RS. Dr. Adhyatma Semarang

Abstract

Master Program in Nursing Adult Nursing Concentration Department of Nursing Faculty of Medicine Diponegoro University December 2017 ABSTRACT Niken Setyaningrum Effect of Level I Progressive Mobilization on Pulmonary Ventilation Function and Occurrence of Hospital-Acquired Pneumonia (HAP) in Patients with Non-Haemorrhagic Stroke xvii + 157 pages + 8 tables + 7 figures + 13 appendixes The immobilization in patientswith non-hemorrhagic stroke can decrease the pulmonary expansion due to secretion buildup resulting in impaired pulmonary ventilation function, and thus facilitating the growth of bacteria causing pneumonia. Switching the patient’s position every two hours allows the lung areas to re-expand and increase the oxygen transport, improve the pulmonary ventilation function, and help the prevention of Hospital-Acquired Pneumonia (HAP)incidence. This study aimed to analyze the effects of level I progressive mobilization on the pulmonary ventilation function and HAPincidence in patients with non-hemorrhagic stroke. The present study used a quasi-experimental research design with 52 patients as the samples. Data were analyzed using the Wilcoxon and Man-Whitney tests. The results showedthat level I progressive mobilization interventionsignificantly increased the pulmonary ventilation function as tested using peakflowmeter. The results of statistic analysis in the intervention group showed an increased volume of air from 220±78.9 (before the intervention) to 263.65±61.6 (after the 5-day intervention) with a p-value of <0.001. The results also indicated thedecreasedincidence of HAP in the intervention group tested using the score of CURB65, as evident by a reduced score of CURB 65 from 1.50±1.02 (before the intervention) to 1.15±1.08 (after the intervention) with a p-value of 0.003.The level I progressive mobilization significantlyincreased the function of pulmonary ventilation and decreased the incidence of HAP. Progressive mobilization of level I is an effective and applicative independent nursing intervention which can be used to improve the pulmonary ventilation function and preventthe incidence of HAP. Keywords: Progressive mobilization of level I, pulmonary ventilation function, Hospital-Acquired Pneumonia, non-hemorrhagic stroke References: 92 (2007-2016)