Analisis Pengaruh Pelatihan Resusitasi Jantung Paru RJP Dewasa terhadap Retensi Pengetahuan dan Ketrampilan RJP pada Mahasiswa Keperawatan di Yogyakarta

Linda Widyarani

Abstract


ABSTRACT

Cardiac arrest is a major public health problem affecting thousands of individuals each year in both out-of-hospital and in-hospital setting. High quality of cardiopulmonary resuscitation (CPR) provide return of spontaneous after cardiac arrest, but majority of nursing students feel unconfident to practice CPR. The aim of the study was to assess the effect of CPR training program on knowledge and practices of nursing students in Yogyakarta. The study design was quasi-experimental and one group pretest – posttest design. A questionnaire was applied to the students before CPR training, then the student were informed about adult CPR by the researchers and all of the students practice CPR on a Resusci-Anne manikin. One months after this training the same questionnaire and skills checklist of CPR were apllied. Sixty five students of nursing participated in this study. This study show CPR training significantly positive impact cognitive and skills performance in nursing students. While the average CPR knowledge score of these students was 44,43%, before CPR training, this average increased to 89,64% after CPR training and decreased to 77,54% after one month CPR training. Skill score of the students one month after the CPR skill training was 70,61%. Nursing students tend to forget theoretical and applied CPR training after one month. Hence there is a need for continuous CPR training and education and repeating the skills at regular intervals ever after they have graduated to ensure sustainability in the CPR skills.

Keywords : cardiopulmonary resuscitation, bystander CPR, training

 

ABSTRAK

Henti jantung merupakan penyebab kematian utama pada kasus kegawatdaruratan kardiovaskuler, baik pada setting prehospital (OHCA) maupun intrahospital. RJP yang berkualitas dapat mengoptimalkan return of spontaneous circulation pada OHCA, tetapi banyak mahasiswa keperawatan tidak percaya diri dalam melakukan prosedur ini sehingga mereka membutuhkan pelatihan RJP, agar dapat berespon cepat, tanggap dan akurat dalam memberikan pertolongan pada korban OHCA. Penelitian ini menguji pengaruh pelatihan RJP dewasa terhadap retensi pengetahuan dan ketrampilan RJP pada mahasiswa keperawatan di Yogyakarta. Jenis penelitian quasi experimental dengan design one group pretest – posttest. Posttest diberikan dua kali, yaitu sesaat sesudah pelatihan dan sebulan sesudah pelatihan. Jumlah sampel yaitu 65 orang. Analisa data menggunakan pair t-test. Hasilnya, pelatihan RJP berpengaruh positif terhadap pengetahuan dan ketrampilan bystander RJP dengan p-value 0,000 (<0,001). Rerata skor awal pengetahuan 44,43%, rerata skor sesaat sesudah pelatihan 89,64% dan rerata skor sebulan sesudah pelatihan adalah 77,54%. Rata-rata skor ketrampilan sebelum pelatihan adalah 35,55%, rerata skor sesaat setelah pelatihan 91,80% dan rerata skor sebulan setelah pelatihan 70,61%. Penurunan retensi pengetahuan dan ketrampilan mahasiswa sebulan sesudah pelatihan RJP kemungkinan disebabkan karena mahasiswa kurang terpapar kasus pasien dengan henti jantung yang membutuhkan tindakan RJP.

Kata Kunci: resusitasi jantung paru, pelatihan, bystander RJP

Keywords


cardiopulmonary resuscitation, bystander CPR, training,resusitasi jantung paru, pelatihan, bystander RJP

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References


Berg, R.A., Hemphill, R., Abella, B.S., Aufderheide, DM., Cave, D.M., Hazinski, M.F., Lerner, B., Rea, T.D., Sayre, M.R., Swor, R.A. 2010. Adult Basic Life Support : 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. 122. p : 685 – 705

Bobrow, B.J., Spaite, D.W., Berg, R.A., Stolz, U., Sanders, A.B., Kern, K.B. 2012. Chest Compression–Only CPR by Lay Rescuers and Survival From Out-of-Hospital Cardiac Arrest. The Journal of the American Medical Association. 304 (13). p : 1447 – 1454

Behrend T, Heineman J, Wu L, Burk C, Duong N, Munoz M, Pruett M, Seropian M, Dillman D. (2011) Retention of Cardiopulmonary Resuscitation Skills in Medical Students Utilizing a High-Fidelity Patient Simulator. Medical Student Research Journal;1(Winter):1-4

Capucci, A., Aschieri, D., Piepoli, M.F., Bardy G.H., Iconomu, E., Arvedi, M. 2002. Tripling Survival from Sudden Cardiac Arrest via Early Defibrillation without Traditional Education in Cardiopulmonary Resuscitation. Circulation. 106 . p : 1065 – 1070

Chew, KS., Idzwan, ZM., Hisamuddin, NAR., Aasim, WAW. 2008. Outcomes of Cardiopulmonary Resuscitation Performed in Emergency Department, Hospital Universiti Sains Malaysia. Medical Journal Malaysia. 63(1): 4 – 8

Chew, KS., Idzwan, M., Hishamuddin, NAR., Wan, WA., Kamaruddin, J. 2008. How frequent is bystander cardiopulmonary resuscitation performed in the community of Kota Bharu, Malaysia. Singapore Medical Journal. 49(8):636 – 646

Chung, CH., Wong, PCY. 2005. A six – year prospective study of out - of – hospital cardiac arrest managed by a voluntary ambulance organization. Hongkong Journal of Emergency Medicine. 12(3):140 – 147

Deo, R., Albert, C.M. 2012. Epidemiology and Genetics of Sudden Cardiac Death. Circulation. 125. p: 620-637

Fishman, G.I., Chugh, S.S., DiMarco, J.P., Albert, C.M., Anderson, M.E. 2010. Sudden Cardiac Death Prediction and Prevention. Report from a National Heart, Lung, and Blood Institute and heart Rhythm Society Workshop. Circulation. 122. p : 2335 – 2348

Harian Kompas. 5 Februari 2011. Adjie Massaid dan Kematian Mendadak. Harian Kompas [Online]. Dikutip dari : http://health.kompas.com/index.php/read/2011/02/05/10302115/Adjie.Massaid.dan.Kematian.Mendadak

Harian Kompas. 23 Maret 2013. Hikmah di Balik Kepergian Ricky Jo. Harian Kompas [Online]. Dikutip dari : http://health.kompas.com/read/2013/03/23/09542054/hikmah.di.balik.kepergian.ricky.jo

Lim, GH., Seow, E. 2002. Resuscitation for Patients with out – of – hospital cardiac arrest : Singapore. Prehospital Disaster Medical. 17(2):96 – 101

Leong, BSH. 2011. Bystander CPR and Survival. Singapore Medical Journal. 52(8). p : 573 575

McNally, B., Robb, R., Mehta, M., Vellano, K., Valderrama, A.L., Yoon, P.W., Sasson, C. 2011. Out-of-Hospital Cardiac Arrest Surveillance — Cardiac Arrest Registry to Enhance Survival (CARES), United States, October 1, 2005 - December 31, 2010. Centers for Disease Control and Prevention. Morbidity and Mortality Weekly Report. 60 (8). 1 – 6

Nori, JM., Saghafinia, M., Motamedi, MH., Hosseini, MK. 2012. CPR training for Nurses : How often is it necessary?. Iran Red Crescent Medical Journal. 14(2): 104 – 107

Puspita, I.,D. 2015. Retensi Pengetahuam, Sikap, dan Perilaku Pasca Pelatihan Gizi Seimbang pada Siswa Kelas 5 dan 6 di 10 Sekolah Dasar Terpilih Kota Depok Tahun 2012. Bina Widya. Vol. 26 Nomor 1. p: 18-27

Sasson, C., Meischke, H., Abella, B.S., Berg, R.A., Bobrow, B.J., Chan, P.S., Root, E.D., Heisler, M., Levy, J.H., Link, M., Masoudi, F., Ong, M., Sayre, M.R. 2013. Increasing Cardiopulmonary Resuscitation Provision in Communities With Low Bystander Cardiopulmonary Resuscitation Rates A Science Advisory From the American Heart Association for Healthcare Providers, Policymakers, Public Health Departments, and Community Leaders. Circulation. 127. p : 1 – 9

Wasis. 2006. Pedoman Riset Praktis untuk Profesi Perawat. Jakarta: EGC




DOI: http://dx.doi.org/10.20884/1.jks.2017.12.3.718

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