Electronic Theses and Dissertation

Penurunan curah jantung adalah diagnosis keperawatan utama pada pasien dengan cardiovaskular disease yang merupakan situasi yang mengancam jiwa yang memerlukan pertimbangan dan tindakan segera. Penelitian ini bertujuan untuk mengetahui determinan diagnosis penurunan curah jantung pada pasien cardiovascular disease di Rumah Sakit Umum Daerah dr. Zainoel Abidin Banda Aceh. Desain penelitian cross-sectional study dengan jumlah sampel 80 pasien dengan CVD yang dipilih dengan teknik convenience sampling. Teknik pengambilan data dilakukan melalui pemeriksaan fisik, wawancara pasien/keluarga dengan menggunakan kuesioner dan peninjauan informasi riwayat pasien pada rekam medik. Alat pengumpulan data terdiri dari kuesioner data sosiodemografi, Semi Quantitative Food Frequency Questionnaire (SQ-FFQ), International Physical Activity Questionnaire (IPAQ) dan kuesioner penurunan curah jantung yang disusun berdasarkan Standar Diagnosis Keperawatan Indonesia (SDKI). Data dianalisis menggunakan uji Chi-square dan regresi logistik berganda. Hasil penelitian menunjukkan terdapat hubungan status merokok, diet natrium, status gizi dan riwayat penyakit penyerta dengan penurunan curah jantung (p < 0,05), tidak ada hubungan kadar kolesterol dan aktivitas fisik dengan penurunan curah jantung (p > 0,05). Riwayat penyakit penyerta prediktor yang paling dominan berhubungan dengan diagnosis keperawatan penurunan curah jantung pada pasien cardiovascular disease dengan nilai OR 7,836 (95% CI: 1,605-38,261) yang berpotensi 8 kali mengalami diagnosis aktual penurunan curah jantung. Rumah sakit dan tenaga keperawatan direkomendasikan untuk memaksimalkan pemberian edukasi tentang pengaruh merokok, asupan diet natrium, status gizi dan riwayat penyakit penyerta terhadap penurunan curah jantung.

Decreased cardiac output is the main nursing diagnosis in patients with cardiovascular disease which is a life-threatening situation that requires immediate consideration and action. This study aims to determine the determinants of the diagnosis of decreased cardiac output in patients with cardiovascular disease at the Regional General Hospital Dr. Zainoel Abidin Banda Aceh. The research design was a cross-sectional study with a sample size of 80 patients with CVD selected by convenience sampling technique. Data collection techniques were carried out through physical examination, patient/family interviews using questionnaires and reviewing patient history information in medical records. Data collection tools consisted of a sociodemographic data questionnaire, Semi Quantitative Food Frequency Questionnaire (SQ-FFQ), International Physical Activity Questionnaire (IPAQ) and a cardiac output reduction questionnaire prepared based on Standar Diagnosis Keperawatan Indonesia (SDKI). Data were analyzed using Chi-square test and multiple logistic regression. The results showed that there was a relationship between smoking status, dietary sodium, nutritional status and history of comorbidities with decreased cardiac output (p < 0.05), there was no relationship between cholesterol levels and physical activity with decreased cardiac output (p> 0.05). History of comorbidities is the most dominant predictor associated with nursing diagnosis of decreased cardiac output in cardiovascular disease patients with an OR value of 7.836 (95% CI: 1.605-38.261) which has a potential of 8 times experiencing an actual diagnosis of decreased cardiac output. Hospitals and nursing staff are recommended to maximize the provision of education about the effect of smoking, dietary sodium intake, nutritional status and history of comorbidities on reducing cardiac output.