HUBUNGAN MEKANISME CEDERA DENGAN STATUS FISIOLOGIS (REVISED TRAUMA SCORE) PADA PASIEN TRAUMA DI RSUD ULIN BANJARMASIN

Rini Rini, Hanura Aprilia

Abstract


Abstrak

 

LATAR BELAKANG Ketepatan pengkajian mekanisme cedera akan mempengaruhi prognosis tingkat keparahan trauma yang dinilai pada status fisiologis pasien trauma dengan menggunakan penilaian revised trauma score.

TUJUAN Untuk mengetahui hubungan mekanisme cedera dengan status fisiologis (revised trauma score) pada pasien trauma di RSUD Ulin Banjarmasin.

METODE: Penelitian ini menggunakan metode korelasional, dengan desain Cross Sectional dan teknik pengambilan sampel dengan accidental sampling. Sampel penelitian ini berjumlah 58 orang. Teknik pengumpulan data menggunakan lembar observasi mekanisme cedera dan lembar observasi revised trauma score dengan analisis uji statistik spearman rho.

HASIL: Menunjukkan ada hubungan mekanisme cedera dengan status fisiologis (revised trauma score) dengan hasil uji statistik diperoleh Ï Value 0,027.

KESIMPULAN: Sebagian besar responden didapatkan mekanisme cedera kriteria tumpul dengan keadaan status fisiologis yang bervariasi, namun lebih dominan pada pasien trauma dengan tingkat keparahan kriteria ringan.

 

Kata Kunci: Mekanisme Cedera, Revised Trauma Score, Status Fisiologis, Trauma

 

Abstract

 

BACKGROUND The accuracy of the assessment mechanism of injury will affect the prognosis of the severity of the trauma being assessed on the physiological status of trauma patients by using ratings revised trauma score.

OBJECTIVE To determine the relationship of the mechanism of injury with physiological status (revised trauma score) in trauma patients in hospitals Ulin Banjarmasin.

METHODS This study uses correlational with cross sectional design and technique of sampling with accidental sampling. Sample this study amounted to 58 people. The data collection technique using observation sheets observation mechanism of injury and revised trauma score sheet with a statistical test analysis Spearman rho.

RESULT Indicates there is a connection mechanism of injury with physiological status (revised trauma score) with statistical test results obtained Ï Value 0.027.

Conclusion: Most respondents obtained blunt criteria injury mechanism with varying physiological status, but were more dominant in trauma patients with mild criteria severity

 

Keywords: Mechanism of Injury, Revised Trauma Score, Physiological Status, Trauma

References


Amanda, Gita dan Marbun, Julkifli. (2014). Indonesia Urutan Pertama Peningkatan Kecelakaan Lalu Lintas. http//republika.co.id. Diakses tanggal 8 Juli 2019

American College of Surgeon Committee on Trauma. (2014). Cedera Kepala dalam Advanced Trauma Life Support for Doctor. Ikatan Ahli Bedah Indonesia. Komisi Trauma IKABI

Aston. J.N, (2006). Patofisiologi. Jakarta: EGC.

Celcilia. (2015). Gambaran Skor Trauma Pada Pasien Di Ugd Rsud Dr Soedarso Pontianak Menggunakan Revised Trauma Score (RTS) Periode Tahun 2012, Naskah Publikasi, Fakultas Kedokteran Universitas Tanjungpura, Pontianak

Coronado, VG, Xu, L, Basavaraju, SV, McGuire, LC, Wald, MM, Faul, MD, Guzman, BR & Hemphill, JD. (2011), Surveilance for Traumatic Brain InjuryRelated Death-United States 1997-2007, Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report, vol. 60, no. 5, pp. 1-34.

Depkes. RI. (2013). Riset Kesehatan Dasar. Jakarta: Badan Penelitian dan Pengembangan Kesehatan Kementrian Kesehatan RI

Goldsmith, Norman, S.B., Meyers, U.S., Wilkins, K.C., Goldsmith, A.A., Hristova, V., Huang, Z., et al. (2010). Review of biological mechanisms and pharmacological treatments of comorbid PTSD and substance use disorder. Neuropharmacology 62 (2012) 542e551

Hanley dan Belfus. (2008). Emergency Nursing Secrets. EGC: Jakarta

Irawan, H., Setiawan, F., Dewi, Dewanto G. (2010). Perbandingan glasgow coma scaledan revised trauma score dalam memprediksi disabilitas pasien trauma kepala di RS. Atma Jaya. Majalah Kedokteran Indonesia.Vol. 60. No. 10. Komisi Trauma

Jin J, Shao J, He X and Yao M. (2008). Application of revised trauma program in emergency treatment of multiple injury. Chinese Med J, 119(5),426-429

Kondo, Y., Abe, T., Kohshi, K., Tokuda, Y., Cook, E.F. and Kukita, I. (2011). Revised trauma scoring system to predict In hospital mortality in the emergency department: Glasgow Coma Scale, Age, and systolic blood pressure score. CriticalCare, 15: R191.

Laytin, Adam D., Kumar, Vineet, Juillard, Catherine J., Sarang, Bhakti, Lashoher, Angela, Roy, Nobhojit, & Dicker, Rochelle A. (2015). Choice of injury scoring system in low- and middle-income countries: Lessons from Mumbai. Injury, 46 (12), 2491-2497. doi: http://dx.doi.org/10.1016/j.injury.2015.06. 029

Lumbantoruan, P., TRE. Nazmudin. (2015). BTCLS & Disaster Management. Tangerang: Medhatama Restyan

Maas, A.I.R., Stocchetti, N., Bullock, R. (2008). Moderate and severe traumatic brain injury in adults. Lancet Neurol7:728-41

Moore, L. Lavoie, A. Abdous, B. (2006). Unification of the Revised Trauma Score. J Trauma, 61, 718-722.

Nurfaise. (2012). Hubungan derajat cedera kepala dan gambaran CT-scan pada penderita cederakepala di RSU Dr. Soedarso. periode Mei – Juli 2012.

Pro Emergency. (2008). Basic Trauma Life Support for Nurse. Jawa Barat

Pro Emergency. (2011). Basic Trauma Life Support for Nurse. Jawa Barat

Ristanto, Riki. (2017). Deskripsi Klien Cedera Kepala Yang Mengalami Trauma Mayor. Malang: Jurnal Kesehatan Hesti Wira Sakti. Volume 5. No. 1

Salim, Carolina. (2015). Sistem Penilaian Trauma Score. J Trauma, 61, 718-722: Jurnal Http://ejournl. Unsrat.ac.id.

Sherwood, L. (2012). Fisiologi Manusia dari Sel ke Sistem. Edisi 6. Jakarta: EGC. h. 708-710

Direktotal Jenderal Perhubungan Darat. (2014). Perhubungan Darat. Jakarta: Kementrian Perhubungan Darat Republik Indonesia 2014

Tjahjadi, M., Arifin, M. Z., Gill, A. S., & Faried, A. (2013). Early mortality predictor of severe traumatic brain injury: A singlecenter study of prognostic variables basedon admission characteristics. The IndianJournal of Neurotrauma, 10(1), 3-8. doi:http://dx.doi.org/10.1016/j.ijnt.2013.04.007.

Tsao, L, Cheng, H., Xu, L., Basavaraju, S. (2010). Functional outcome after head injury comparison of 12-45year old male and female. International Journal Care Injury. 43; 603-607.

Ulya, I., Bintari Ratih K., Dewi Kartika N., Respati Suryanto Drajat. (2017). Buku Ajar Keperawatan Gawat Darurat pada Kasus Trauma. Jakarta: Salemba Medika

Wenya, Yu., Cheng, H., Xu, L., Basavaraju, S., Tsao, L. (2010). Functional outcome after head injury comparison of 12-45year old male and female. International Journal Care Injury. 43; 603-607.




DOI: https://doi.org/10.33859/dksm.v12i2.728

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