Studi Explorasi Pengalaman Perawat dalam Pengkajian Delirium
DOI:
https://doi.org/10.32584/jpi.v3i3.413Keywords:
Delirium, pengkajian, ICUAbstract
Delirium di tandai dengan perubahan status mental, tingkat kesadaran serta perhatian yang akut dan fluktuatif yang sering di jumpai pada pasien di ruang intensive care unit (ICU). Delirium dapat menyebabkan meningkatnya length of stay (LOS), meningkatkan biaya perawatan,kematian, delirium menetap serta lamanya pemulihan. Tujuan dari penelitian  ini ialah untuk mengexplorasi pengalaman perawat rumah sakit dalam mengkaji pasien delirium di ruang ICU.Penelitian ini menggunakan metode diskriptif  kualitatif. Pengumpulan data dengan indepth interview dengan panduan semi terstruktur. Hasil wawancara pada informan di dapatkan informasi bahwa pengetahuan perawat tentang delirium ini masih kurang, sehingga perawat belum pernah melakukan pengkajian delirium, perawat sebatas mengkaji tingkat kesadaran menggunakan glascow coma scale ( GCS), dalam re evaluasi delirium sebatas mengikuti advis medis, dari rumah sakit belum ada kebijakan dalam pengkajian delirium. Dari informasi ini dapat dijadikan acuan bagi peneliti untuk di adakanya peningkatan pengetahuan perawat mengenai delirium serta di adakanya alat/tool pengkajian delirium yang tepat, mudah untuk ruang ICU. Kata kunci: Delirium, pengkajian, ICU AbstractExploration Study of Nursing Experience in Delirium Assessment. Delirium is characterized by changes in mental status, level of awareness and acute and fluctuating attention that is often encountered in patients in the intensive care unit (ICU). Delirium can cause increased length of stay (LOS), increase treatment costs, death, permanent delirium and the duration of recovery. The purpose of this study was to explore the experience of hospital nurses in studying delirium patients in the ICU. This study used a qualitative descriptive method. Data collection with in-depth interviews with semi-structured guidelines. The results of interviews with informants found that nurses' knowledge about delirium was still lacking, so nurses had never doing delirium assessments, nurses were limited to assessing the level of awareness using a glascow coma scale (GCS), in re-evaluation of delirium limited to following medical advice, the hospital had not yet there is a policy in the delirium assessment. From this information, it can be used as a reference for researchers to create an increase in nurses' knowledge about delirium as well as an appropriate delirium assessment tool for the ICU room. Keywords: Delirium, Assessments, ICUReferences
Hickin, S. L., White, S., & Knopp-Sihota, J. (2017). Nurses’ knowledge and perception of delirium screening and assessment in the intensive care unit: Long-term effectiveness of an education-based knowledge translation intervention. Intensive and Critical Care Nursing, 41, 43–49. https://doi.org/10.1016/j.iccn.2017.03.010
Luman, A. (2015). Sindrom Delirium. CDK-233, 42(10), 744–748.
Maskoen, R. A., Oktaliansyah, E., & Tinni, T. (2016). Angka Kejadian Delirium dan Faktor Risiko di Intensive Care Unit Rumah Sakit Dr. Hasan Sadikin Bandung. Jurnal Anastesi Perioperat, 4(4), 36–41.
Menkes. (2010). Keputusan Menteri Kesehatan Republik Indonesia Nomor 1778/MENKES/SK/XII/2010.
Nishimura, K., Yokoyama, K., Yamauchi, N., Koizumi, M., Harasawa, N., Yasuda, T., … Yamazaki, K. (2016). Sensitivity and specificity of the Confusion Assessment Method for the Intensive Care Unit ( CAM-ICU ) and the Intensive Care Delirium Screening Checklist ( ICDSC ) for detecting post-cardiac surgery delirium : A single-center study in Japan. HEART & LUNG, 45, 15–20. https://doi.org/10.1016/j.hrtlng.2015.11.001
Page, V., & Ely, W. (2011). Delirium in critical care core critical care. New York: United State of america by Cambridge University Press,New York.
Scott, P., McIlveney, F., & Mallice, M. (2013). Implementation of a validated delirium assessment tool in critically ill adults. Intensive and Critical Care Nursing, 29(2), 96–102. https://doi.org/10.1016/j.iccn.2012.09.001
Selim, A., Kandeel, N., Elokl, M., Shawky, M., Nabil, A., Bustami, R., & Ely, E. W. (2018). International Journal of Nursing Studies The validity and reliability of the Arabic version of the Confusion Assessment Method for the Intensive Care Unit ( CAM-ICU ): A prospective cohort study. International Journal of Nursing Studies, 80, 83–89. https://doi.org/10.1016/j.ijnurstu.2017.12.011
Steinseth, E. B., Høye, S., & Hov, R. (2018). Use of the CAM-ICU during daily sedation stops in mechanically ventilated patients as assessed and experienced by intensive care nurses – A mixed-methods study. Intensive and Critical Care Nursing, 47, 23–29. https://doi.org/10.1016/j.iccn.2018.04.005
Tomasi, C. D., Grandi, C., Salluh, J., Soares, M., Giombelli, V. R., Cascaes, S., … Dal Pizzol, F. (2012). Comparison of CAM-ICU and ICDSC for the detection of delirium in critically ill patients focusing on relevant clinical outcomes. Journal of Critical Care, 27(2), 212–217. https://doi.org/10.1016/j.jcrc.2011.05.015
Undang undang no 38 tentang keperawatan. (2014). 1–32.
Zamoscik, K., Godbold, R., & Freeman, P. (2017). Intensive and Critical Care Nursing Intensive care nurses ’ experiences and perceptions of delirium and delirium care. Intensive & Critical Care Nursing, 40, 94–100. https://doi.org/10.1016/j.iccn.2017.01.003
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