PENGARUH PENERAPAN VITAL SIGN DIRECT THERAPY TERHADAP TATA LAKSANA AKUT PASIEN DI ICU

Abstract

ABSTRACT Muhamad Ibnu Hasan Effects of the Application of Vital Sign DirectTherapy on the Acute Treatment of Patients in ICU xv + 88 Pages + 10 Table + 7 Figures+ 14Appendics The global mortality rate in ICU is increasing. Based on data in 2018, the mortality prevalence is 29% while in 2017, itis 25%. In Asia, mortality prevalence is 6% and in Indonesia the rate is 9%. There are many factors which can cause patient mortality in ICU, one of them is the application of monitoring without early detection and treatment capabilities. Vital sign direct therapy (VSDT) is a protocol for early detection and treatment patients in the ICU. The purpose of this study was to determine the effect of applying VSDT to the acute treatment for ICU patients in the first 24-hour period. This research was a quasi experimental study with post test only design. The total sample from this study was 74 respondents. Data were taken using acute treatment observation sheets and the result was analyzed by Chi Square Test. The results showed that the acute treatment in the post-implementation group was higher than the pre-implementation group (64.7% vs 51.39%; p: 0,000). The acute treatment was three times more treated in post-implementation (OR 2,043 (1,507-2,769). Patients with hypotension (52.94% vs 79.36; p: 0.003) and tachycardia or bradycardia (38.20 vs 85.75; p; 0,000) significantly more treated in post-implementation of VSDT. The most type acute treatment widely given were positioning, suction and the collaboration of oxygenation administration. The implementation of VSDT protocol has increased the patient acute treatment in the ICU. The VSDT protocol can be applied as an early detection and management effort in ICU. Keywords: Acute treatment, Track and trigger system, Vital sign direct therapy. Bibliography: 116 (1988 – 2018)