Pengaruh area pemasangan perangkat medik terhadap kejadian Medical Device Related Pressure Injuries (MDRPI)

Deliaty Bagenda, Saldy Yusuf, Rosyidah Arafat, Muhammad Darwis, Sintawati Majid

Abstract


Pendahuluan: Cedera tekanan akibat penggunaan perangkat medis merupakan masalah akhir-akhir ini di mana jenis perangkat medis banyak digunakan di fasilitas kesehatan yang berguna sebagai intervensi dan diagnostik dan banyak terjadi pada perawatan intensif. Sebagian besar lokasi di daerah telinga karena penggunaan oksigen tetapi sampai sekarang upaya pencegahan MDRPI masih sangat kurang, sehingga berdampak pada kualitas layanan dan biaya. Tujuan: Untuk mengetahui kejadian MDRPI di ruang intensive care. Metode:Desain penelitian prospektif dan observasional menggunakan analisis deskriptif dan bivariat pada 39 pasien yang memiliki peralatan medis. Hasil:Responden sejumlah 39 lebih banyak jenis kelamin laki-laki dengan usia rata-rata lebih dari 46 tahun. Sebanyak 8 responden mengalami MDRPI dengan jumlah hari pengobatan lebih dari 3 hari pada jenis perangkat intervensi p> 0,05, uji Chi-Squere pada jenis perangkat memengaruhi area ekstremitas atas, bawah dan leher (p <0,05). Simpulan: Penggunaan perangkat medis di fasilitas layanan berisiko mengalami cedera tekanan, secara signifikan mempengaruhi leher dan area ekstremitas. Oleh karena itu penilaian awal harus lebih 


Keywords


Cedera tekanan; perangkat medis; MDRPI

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References


Apold, J., & Rydrych, D. (2012). Preventing Device-Related Pressure Ulcers, 27(1), 28–34. https://doi.org/10.1097/NCQ.0b013e31822b1fd9

Black, J. M., Cuddigan, J. E., Walko, M. A., Didier, L. A., Lander, M. J., & Kelpe, M. R. (2010). Medical device related pressure ulcers in hospitalized patients, 7(5).

Black, J. M., & Kalowes, P. (2016). Medical device-related pressure ulcers. Chronic Wound Care Management and Research, 3, 91–99. Retrieved from www.dovepress.com

Coyer, F. M., Stotts, N. A., & Blackman, V. S. (2013). A prospective window into medical device-related pressure ulcers in intensive care. https://doi.org/10.1111/iwj.12026

Edsberg, L. E., Black, J. M., Goldberg, M., McNichol, L., Moore, L., & Sieggreen, M. (2016). Revised National Pressure Ulcer Advisory Panel Pressure Injury Staging System. Journal of Wound, Ostomy and Continence Nursing, 43(6), 585–597. https://doi.org/10.1097/WON.0000000000000281

Ham, W. H. W., Schoonhoven, L., Schuurmans, M. J., & Leenen, L. P. H. (2017). Pressure ulcers in trauma patients with suspected spine injury: a prospective cohort study with emphasis on device-related pressure ulcers. International Wound Journal, 14(1), 104–111. https://doi.org/10.1111/iwj.12568

Hanonu, S., & Karadag, A. (2018). A Prospective , Descriptive Study to Determine the Rate and Characteristics of and Risk Factors for the Development of Medical Device-related Pressure Ulcers in Intensive Care Units, 1–13.

Karadag, A., Hanönü, S. C., & Eyikara, E. (2017). A Prospective, Descriptive Study to Assess Nursing Staff Perceptions of and Interventions to Prevent Medical Device-related Pressure Injury. Ostomy/wound Management, 63(10), 34–41. https://doi.org/10.25270/owm.2017.10.3441

Kayser, S. A., Vangilder, C. A., Ayello, E. A., & Lachenbruch, C. (2018). Prevalence and Analysis of Medical Device-Related Pressure Injuries : Results from the International Pressure Ulcer Prevalence Survey, 31(6), 276–285.

Kim, J. S., Lee, S. J., & Yu, J. H. (2017). Factors Predicting the Interface Pressure Related to Pressure Injury in Intensive Care Unit Patients, 47(6), 794–805.

Mehta, C., Ali, M., Mehta, Y., George, J. V, & Kumar, M. (2018). MDRPU -an uncommonly recognized common problem in ICU : A point prevalence study. Journal of Tissue Viability, (December), 0–1. https://doi.org/10.1016/j.jtv.2018.12.002

Monarca, M. C., Marteka, P., & Breda, K. (2018). Decreasing Incidence of Medical Device-Related Pressure Injuries in a Small Community Hospital: A Quality Improvement Project. Journal of Wound, Ostomy and Continence Nursing, 45(2), 137–140. https://doi.org/10.1097/WON.0000000000000419

Widiati, E., Nurhaeni, N., & Gayatri, D. (2017). Medical-Device Related Pressure Injuries to Children in the Intensive Care Unit. Comprehensive Child and Adolescent Nursing, 40(1), 69–77. https://doi.org/10.1080/24694193.2017.1386973

Yamaguti, W. P., Moderno, E. V, Yamashita, S. Y., Gomes, T. G. M. C., Maida, A. L. V, Kondo, C. S., … Brito, C. M. M. De. (2014). Treatment-Related Risk Factors for Development of Skin Breakdown in Subjects With Acute Respiratory Failure Undergoing Noninvasive Ventilation or CPAP, 1530–1536. https://doi.org/10.4187/respcare.02942




DOI: http://dx.doi.org/10.30659/nurscope.6.1.1-8

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