Physiological Factors that Affect Mean Arterial Pressure in Post Trepanation Patiens

Erlina Kartika Sari

Abstract


MAP (Mean Arterial Pressure) is the average arterial pressure required for blood circulation to the brain. In trepanation post op patients, MAP is an indicator of postoperative prognosis. This MAP is influenced by several physiological factors, namely heart rate, hematocrit and age. This study aims to determine and explain the effect of these three factors on MAP (Mean Arterial Pressure) in post-op trepanation patients at the Intensive Care Installation of Mardi Waluyo General Hospital, Blitar City. The design of this study is Cross-Sectional. Source of data used is secondary data. Data collection is done by observation method. The research sample was all medical records of trepanation post-op patients at the Intensive Care Installation of Mardi Waluyo Hospital, Blitar City who were treated from January to  December 2022 who met the inclusion criteria, totaling 42 respondents. Data analysis using binary regression with a significance degree of p value less than 0,05 (p<0.05). The results showed that the Nagelkerke R Square (Model Summary) value was 0.314. This shows that the contribution or influence of physiological factors (heart rate, hematocrit, age) on MAP is 31.4%, while the remaining 68.6% is determined by other variables that are not taken into account in this research model. It is suggested to health service providers, especially nurses, to further improve their ability to analyze critical values of patients to prevent worsening of the prognosis.

 


Full Text:

PDF

References


Abidin Z, Putra Wibowo RA, Illiandri O, Steven S, Husair A, Marwan Sikumbang K. Mortalitas Pasien Cedera Kepala Berat Berdasarkan Nilai Mean Arterial Pressure di RSUD Ulin Banjarmasin Januari 2018 – Oktober 2021. J Neuroanestesi Indones. 2023;12(1):9–15. https://doi.org/10.24244/jni.v12i1.529

Putri ME, Rahardiantini I, Saputry E. Pemberian Asuhan Keperawatan Secara Holistik pada Pasien dengan Gangguan Sistem Neurologi : Stroke. J Keperawatan. 2022;12(1):8–16. https://doi.org/10.59870/jurkep.v12i1.125

Fitriana NF, Poeranto S, Nasution TH. Analisa Faktor yang Mempengaruhi Prognosis Pasien Cedera Kepala di RSUD Margono Soekarjo Purwokerto. J Penelit Keperawatan. 2017;88–95.

A’la MZ, Dewi DP, Siswoyo S. Analisis Masalah Keperawatan pada Pasien Post Kraniotomi di RSD Dr. Soebandi Jember (Studi Retrospektif Januari 2016 – Desember 2017). J Keperawatan Respati Yogyakarta. 2019;6(3):677. https://doi.org/10.35842/jkry.v6i3.371

Yoszaria A, Wardani R, Master N. Factors Relating To Ventilator-Associated Event (VAE) 1,2. Healthgate. 2024;2(3):216–22. https://doi.org/10.70111/hg2303

Hutomo, C. S., Priastomo Y, Koerniawan, D., Sihombing, K. P., Kristianto S, Bintarawati F, Sudra, R. I., Fitri, Y., Lazuana, T., & Askur A. Ilmu Biomedik Dasar. Medan: Yayasan Kita Menulis; 2021.

Sundari S, Sri Hartutik. Gambaran Tekanan Darah Sebelum dan Sesudah Senam Hipertensi pada Lansia Hipertensi di Desa Kaling Tasikmadu. SEHATMAS J Ilm Kesehat Masy. 2023;2(1):43–53. https://doi.org/10.55123/sehatmas.v2i1.990

Ikhsan M, Boy E. Literature Review Cardiovascular Changes Among Healthy Elderly. 70 Magna Medica. 2020;7(2). https://doi.org/10.26714/magnamed.7.2.2020.70-82

Hassan AF, Shlash J, Mohammed A, Moussa AF, Ibrahemy A, Abdulelah A, et al. A Study of Patients with Cerebral Vascular Accident (CVA) Regarding to Risk Factors in Iraq. Bahrain Med Bull [Internet]. 2022;44(3). Available from: https://openurl.ebsco.com/EPDB%3Agcd%3A7%3A19851655/detailv2?sid=ebsco%3Aplink%3Ascholar&id=ebsco%3Agcd%3A159606513&crl=c&link_origin=scholar.google.com

Setiyorini E, Ning arti W. Asuhan Keperawatan Lanjut Usia Dengan penyakit degeratif. Malang: MNC Publisher; 2017.

Aspiani RY. Buku ajar asuhan keperawatan gerontik: aplikasi NANDA, NIC dan NOC. Bul Penelit Sist Kesehat. 2014;42–5.

Soni.M S. Manajemen care bundle pada pasien cedera kepala. Pekalongan: NEM; 2021.

Abdul Rachman I, Rahardjo S, Chasnak Saleh S. Terapi Hiperosmolar pada Cedera Otak Traumatika. J Neuroanestesi Indones. 2015;4(2):119–33. https://doi.org/10.24244/jni.vol4i2.110

Salvagno M, Geraldini F, Coppalini G, Robba C. The Impact of Inotropes and Vasopressors on Cerebral Oxygenation in Patients with Traumatic Brain Injury and Subarachnoid Hemorrhage: A Narrative Review. Brain Sci. 2024;14(2). https://doi.org/10.3390/brainsci14020117

Vincent J-L, Joosten A, Saugel B. Hemodynamic Monitoring and Support. Crit Care Med [Internet]. 2021;49(10). Available from: https://journals.lww.com/ccmjournal/citation/2021/10000/hemodynamic_monitoring_and_support.4.aspx. https://doi.org/10.1097/CCM.0000000000005213

Safira V, Martani HR, Setyawan. Arrhythmia, Management of Hemorrhagic Stroke Patient with Study, in The Emergency Department: Case. J Keperawatan Klin dan Komunitas. 2024;8(November):144–60. https://doi.org/10.22146/jkkk.97586

Deschamps A, Hall R, Grocott H, Mazer CD, Choi PT, Turgeon AF. Cerebral Oximetry Monitoring to Maintain Normal Cerebral Oxygen Saturation during High-risk Cardiac Surgery. Anesthesiology [Internet]. 2016;124(4). Available from: https://www.ingentaconnect.com/content/wk/aln/2016/00000124/00000004/art00022. https://doi.org/10.1097/ALN.0000000000001029

Kholifah N, Haryuni S, Etika AN. Hubungan Antara Glasgow Coma Scale Dan Mean Arterial Presure ) Dengan Mortalitas Pada Pasien Cedera Kepala Di Rsud Mardi Waluyo Kota Blitar Tahun 2019 the Correlations Between Glasgow Coma Scale ( Gcs ) and Mean Arterial Pressure ( Map ) To Mortality in T. Nurs Degree Progr. 2019;(1):1–12.

Manalu N V, Munandar A, Susanti E, Fitrina, Lestari NKY. Keperawatan Peri Operatif Dan Medikal Bedah. Jakarta: Media Sains; 2022.




DOI: https://doi.org/10.70111/hg2403

Refbacks

  • There are currently no refbacks.


"Health Gate" 
ISSN 2986-1098

Indexing: 

  

 

Published by The Regional Leadership Council of the Indonesian National Nurses Association, Blitar City

Kalimantan Street, Kel.Karangtengah, Kec. Sananwetan, Blitar City, East Java, Indonesia

 Creative Commons Lisences