Nursing Care For Patients with Congestive Heart Failure (Chf) By Giving 45 Head Up Position to Overcome The Problem Of Ineffective Breathing Patterns at RSUD General Ahmad Yani Metro City
DOI:
https://doi.org/10.56359/igj.v4i1.437Keywords:
45o Head Up Position, Congestive Heart Failure (CHF), Ineffective Breathing Pattern, Oxygen SaturationAbstract
Background & Objective: This study is to determine the nursing care of Congestive Heart Failure (CHF) patients with nursing problems of ineffective breathing patterns with nursing interventions for head up 45o at Jenderal Ahmad Yani Metro Hospital.
Method: Data collection using surgical nursing care assessment sheets and oxygen saturation observation sheets. The study used Congestive Heart Failure (CHF) patients.
Result: The results of nursing care obtained the results of evaluations that researchers conducted on clients based on the criteria that researchers compiled against 3 diagnoses, the resolved diagnoses were ineffective breathing patterns, decreased cardiac output and activity intolerance. Diagnoses of ineffective breathing patterns experienced an increase in oxygen saturation which was initially 89% after being given a 45o head up position to 99%.
Conclusion: Suggestions for patients and families can apply the 45o head up position when experiencing shortness of breath at home and remain compliant with taking medication.
Downloads
References
Agus. (2020). Increasing Blood Pressure Medications at Hospital Discharge May Pose Serious Risk 30-Day Outcome of Patients Who Received Intensified Antihypertensives and Those Who Did Not. 1–8.
Aisyah, P. I. (2020) Sistem Kardiovaskular At a Glance, (diterjemahkan oleh: Juwalita Surapsari), 3 ed, Penerbit Erlangga, Jakarta.
AHA. (2021). 2021 Heart Disease & Stroke Statistical Update Fact Sheet Global Burden of Disease. https://doi.org/10.1161/CIR.0000000000000950
Arif Ganda Nugroho, Adia Lobi, Emelia Mei Syarah, Fithria Ilma, Laila Eka Pratiwi S.N., Rahmaniah, R. W. (2021). Analisa Nilai Tanda-Tanda Vital Pasien Gagal Jantung. Health Care : Jurnal Kesehatan, 7(2), 62–68. https://doi.org/10.36763/healthcare.v7i2.26
Benjamin EJ, Blaha MJ, Chiuve SE, et al.Heart Disease and Stroke Statistics. 2021 Update: A Report from the American Heart Association. Circulation. 2021;135(10):146-603.
Budhiparama, N. C. (2020). Pendidikan Interprofesional Gangguan Sisten Kardiovaskuler (Nicolas DKK (ed.)). Airlangga University Press.
Cendradevi, & Febtian. (2021). Peningkatan Saturasi Oksigen Pada Pasien CHF melalui Pemberian Posisi Head Up. Ners Muda, Vol 1 No 2, Agustus 2020. E-ISSN: 2723-8067.
Devi dkk. (2021). Efektifitas Pemberian Posisi Head Up 30 Derajat Terhadap Peningkatan Saturasi Oksigen Pada Pasien CHF di IGD Rumah Sakit Pusat Jantung Nasional. Universitas Muhammadiyah. Jakarta
Dewan et.al. (2019). Sex-related differences in heart failure with preserved ejection fraction. Circulation: Heart Failure, 12, e006539.
Didit & Nety. (2017). The Effect Of Head Positioning On Cerebral Hemodynamics: Experiences In Mild CHF. Journal of the Neurological Sciences, 419(September), 117201. https://doi.org/10.1016/j.jns.2020.117201
dwi kartika rifianty, I. (2020). Posisi Head Up 300 Sebagai Upaya untuk Meningkatkan Saturasi Oksigen Pada Pasien CHF. Adi Husada Nursing Journal, 3(2).
Fahri, S. (2021). Patofisiologi Konsep Klinis Proses-Proses Penyakit. In Patofisiologi. https://doi.org/10.4049/jimmunol.172.4.2595.
Fera DKK. (2017). Saturasi Oksigen Dengen Pulse Oxymetri Dalam 24 jam Pada Pasien Dewasa Terpasang ventilator di Ruang ICU RS. Panti Wilasa Citarum Semarang. Saturasi Oksigen Dengan Pulse Oximetry Dalam 24 Jam Pada Pasien Dewasa Terpasang Ventilator Di Ruang ICU Rumah Sakit Panti Wilasa Citarum Semarang, 2(1), 257–263. https://media.neliti.com/media/publications/243373-saturasi-oksigen-denganpulse-oximetry-d-d46bdd55.pdf
Hendrawan, M. R. (2019). manajemen jalan napas. ub press.
ismail marzuki dkk. (2021). covid-19 seribu satu wajah ( janer simamarta abdul karim (ed.)). yayasan kita menulis.
Lalu, D. &. (2021). Pengaruh Pemberian Oksigen Dan Elevasi Kepala 30o Terhadap Tingkat Kesadaran Pada Pasien CHF. Jurnal Keperawatan Dan Fisioterapi (Jkf), 2(2), 102–112.
Mundaki. (2016). Mengenal Penyakit Jantung. Kesehatan, 1 no 1, 12–15.
Muslich Anshori, S. I. (2019). metode penelitian kuantitatif. Airlangga University Press.
Muthahhari, M. (2019). Jaga jantungmu dari sekarang. sadra press.
Nasrudin, J. (2019). metodologi penelitian pendidikan (M. Taufik (ed.)). pt. panca tera firma.
Notoatmodjo, S. 2016, Metodologi Penelitian Kesehatan, Jakarta: Rineka Cipta.
Nurjanah, F. (2021). Hubungan peran petugas kesehatan dengan kekambuhan CHF di puskesmas Margangsa Yogyakarta. Jurnal Keperawatan, Volume 1, , 56–64.
Nurliana &, maelia zulianti. (2019). pengembangan alat ukur pengetahuan, sikap dan praktek masyarakat. Ilmiah, 2, 65–69.
Nurul anishah, dkk. (2021). Mengenal Penyakit Jantung. CV sains Indonesia.
Padilah, N. S., Nugraha, Y., & Fitriani, A. (2022). Intervensi kompres hangat untuk menurunkan intensitas nyeri pada pasien gastritis: sebuah studi kasus. INDOGENIUS, 1(1), 23-33.
Rayanu & Nur. (2020). Peningkatan Saturasi Oksigen Pada Pasien CHF melalui Pemberian Posisi Head Up. Ners Muda, 1(2), 114.
Riset Kesehatan Dasar (Riskesdas). (2022). Badan Penelitian dan Pengembangan Kesehatan Kementerian RI tahun 2022. Diakses: 19 Oktober 2022, dari http://www.depkes.go.id/resources/download/general/Hasil%20Riskesdas%20
Shinta & Tri. (2017). HAsuhan Keperawatan pada Klien dengan gangguan Sistem Persarafan. Jakarta : Salemba Medika
Sugiyono. 2018. Metode Penelitian Kuantitatif, Kualitatig, dan R&D, penerbit Alfabeta,Bandung
Supriadi, D., Nurapandi, A., Marliany, H., Lismayanti, L., & Sukmawati, I. (2023). Peningkatan Kemandirian Lansia dengan Senam Lansia di Panti Werdha Welas Asih Singaparna Tasikmalaya. BERNAS: Jurnal Pengabdian Kepada Masyarakat, 4(1), 160-164.
Tim Komisi Etika Penelitian Unika Atma Jaya. (2017). Pedoman Etika Penelitian Unika Atma Jaya (A. S. L. L. Hidajat (ed.); 2nd ed.). Lembaga Penelitian dan Pengabdian kepada Masyarakat Universitas Katolik Indonesia Atma Jaya.
Tim Pokja SDKI DPP PPNI. (2017). Standar Diagnosis Keperawatan Indonesia. PPNI.
Tim Pokja SIKI DPP PPNI. (2018). Standar Intervensi Keperawatan Indonesia. PPNI.
Tim Pokja SLKI DPP PPNI. (2019). Standar Luaran Keperawatan Indonesia. PPNI.
Virani, S. S., Alonso, A., Aparicio, H. J., Benjamin, E. J., Bittencourt, M. S., Callaway, C. W., … Tsao, C. W. (2021). Heart Disease and Stroke Statistics - 2021 Update: A Report From the American Heart Association. In Circulation (Vol. 143). https://doi.org/10.1161/CIR.0000000000000950
World Health Organization. (2020). WHO reveals leading causes of death and disability worldwide: 2000-2019
Wijayakusuma, H. (2019). Cegah dan Atasi Penyakit Jantung (3 (ed.); dede). wisma hijau.
Zendrato, W. (2020). Gerekan mencegah daripada mengobati Penyakit Jantung. Education, 8, 242–248.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Yulistiarini, Sugiarto, Eko Wardoyo

This work is licensed under a Creative Commons Attribution 4.0 International License.