PERAN PERAWAT DALAM MELAKUKAN WEANING VENTILASI MEKANIK: LITERATURE REVIEW
The Role of Nurses in Weaning Mechanical Ventilation: Literature Review
DOI:
https://doi.org/10.33023/jikep.v9i5.1520Keywords:
Nursing role, Mechanical Ventilation, WeaningAbstract
Pendahuluan : Perawat sebagai tenaga kesehatan yang paling banyak menghabiskan waktu bersama pasien memiliki peran penting untuk proses weaning pasien dari ventilasi mekanik. Perawat harus mengidentifikasi dengan cepat dan akurat tentang kemampuan pasien untuk dilakukan proses weaning, hal ini tentunya membutuhkan pengetahuan dan pengalaman perawat, sehingga perawat kritis membutuhkan pengetahuan dan pengalaman substansial untuk menangani pasien berventilasi. Tujuan: meningkatkan pengetahuan peneliti tentang peran perawat dalam melakukan weaning ventilasi mekanis. Metode: Tahapan yang dilakukan adalah identifikasi, skrining dan kriteria inklusi. PRISMA flowchart digunakan untuk menampilkan alur pencarian evidence. Hasil: terdapat 7 artikel yang didapatkan dari proses pencarian. Studi literature ini menunjukkan adanya peran yang sangat besar dari perawat kritis dalam hal proses weaning ventilasi mekanik, mulai dari menginisiasi proses weaning ventilasi mekanik dengan melakukan kolaboratif interdisiplin terutama dengan dokter, persiapan pasien dan keluarga (patient centered care) sampai dengan mengobservasi periode pelepasan ventilasi mekanik. Simpulan: Peran perawat dalam melakukan weaning ventilasi mekanik sangat besar. Peran utama perawat saat weaning adalah mengobservasi periode pelepasan awal berdasarkan kondisi pasien atau menganjurkan untuk menginisiasi program weaning. Karena pasien merupakan factor yang paling berpengaruh dalam keberhasilan weaning ventilasi mekanis sebanyak 85%.
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References
Cavallone, L., & Vannucci, A. (2013). Extubation of the difficult airway and extubation failure. International Anesthesia Research Society, 116(2), 368
Cederwall, C. J., Olausson, S., Rose, L., Naredi, S., & Ringdal, M. (2018). Person-centred care during prolonged weaning from mechanical ventilation, nurses’ views: an interview study. Intensive and Critical Care Nursing, 46, 32-37.
Cederwall, C. J., Plos, K., Rose, L., Dübeck, A., & Ringdal, M. (2014). Critical care nurses management of prolonged weaning: an interview study. Nursing in critical care, 19(5), 236-242.
Gray, S., Ross, J., & Green, J. (2013). How to safety extubate patients in the emergency department: a user guide critical care. Canadian Journal Emergency Medicine, 15(5), 303
Grossbach, Irene, Linda Chlan, Mary Fran Tracy. (2011). Overview of Mechanical Ventilatory Support and Management of Patient-and Ventilator-Related Responses. American Association of Critical Care Nurses 31 (3): 39-44
Henneman E, Dracup K, Ganz T, Molayeme O, Cooper CB. (2002). Menggunakan rencana penyapihan kolaboratif untuk mengurangi durasi ventilasi mekanis dan lama tinggal di unit perawatan intensif untuk pasien yang menerima ventilasi jangka panjang. Jurnal Perawatan Kritis Amerika; 11: 132–140.
Kydonaki, K., Huby, G., Tocher, J. (20016). Understanding nurses' decision making when managing weaning from mechanical ventilation : a study of novice and experienced critical care nurses in scotland and greece. Journal of clinical nursing, volume 25, issue 3-4, pages 434-444
Nickson C. (2019). Weaning from mechanical ventilation. Life in the fast lane [diunduh 20 Maret 2019]. Tersedia dari: https:// lifeinthefastlane.com/ccc/weaning-frommechanical-ventilation/
Purnawan, Iwan, & Saryono ( 2010 ). Mengelola Pasien Dengan Ventilator Mekanik. Jakarta : Rekatama
Rose, L., Nonoyama, M., Rezaie, S., Fraser, I., (2014). Psychological wellbeing, health related quality of life and memories of intensive care and a specialised weaning centre reported by survivors of prolonged mechanical ventilation. Intensive Crit. Care Nurs. 30, 145–151.
Alsharari, A. F., Aroury, A. M., Dhiabat, M. H., Alotaibi, J. S., Alshammari, F. F., Alshmemri, M. S., & Alnawwar, M. A. (2020). Critical care nurses’ perception of care coordination competency for management of mechanically ventilated patients. Journal of Clinical Nursing, 29(7–8), 1341–1351. https://doi.org/10.1111/jocn.15191
Ghanbari, A., Mohammad Ebrahimzadeh, A., Paryad, E., Atrkar Roshan, Z., Kazem Mohammadi, M., & Mokhtari Lakeh, N. (2020). Comparison between a nurse-led weaning protocol and a weaning protocol based on physician’s clinical judgment in ICU patients. Heart and Lung, 49(3), 296–300. https://doi.org/10.1016/j.hrtlng.2020.01.003
Yeung, J., Couper, K., Ryan, E. G., Gates, S., Hart, N., & Perkins, G. D. (2018). Non-invasive ventilation as a strategy for weaning from invasive mechanical ventilation: a systematic review and Bayesian meta-analysis. Intensive Care Medicine, 44(12), 2192–2204. https://doi.org/10.1007/s00134-018-5434-z
Hirzallah, F. M., Alkaissi, A., & do Céu Barbieri-Figueiredo, M. (2019). A systematic review of nurse-led weaning protocol for mechanically ventilated adult patients. Nurs Crit Care, 24(2), 89-96. doi:10.1111/nicc.12404
Suzanne, M., Amaddeo, A., Pin, I., Milési, C., & Mortamet, G. (2020). Weaning from noninvasive ventilation and high flow nasal cannula in bronchiolitis: A survey of practice. Pediatr Pulmonol, 55(11), 3104-3109. doi:10.1002/ppul.24890
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