Pengalaman Psikologis Pasien Infark Miokard Akut Selama Dirawat Di Ruang Intensif

Abstract

ABSTRAKInfark Miokard merupakan salah satu penyakit terminal yang memerlukan perawatan intensif. Perawataan intensif yang diperlukan harus holistik, mencakup bio psiko sosial dan spiritual. Psikologis infark miokard harus selalu diperhatikan, karena salah satu penyebab infark miokard adalah dari psikologis atau dikenal dengan stress. Tujuan dari penelitian ini untuk mengetahui pengalaman pasien infark miokard akut yang menjalani perawatan di ruang intensif. Jenis penelitian adalah deskriptif kualitatif dengan pendekatan phenomenology yang dilakukan di salah satu rumah sakit di Bandung periode Juni-Juli 2013. Jumlah informan 10 orang pasien infrak miokard akut yang pada saat dilakukan wawancara sudah dalam perbaikan killip I dan II yang diambil secara purposive sampling, dirawat di ruang intensif dan kondisinya telah stabil. Pengumpulan data dilakukan dengan wawancara mendalam kemudian dianalisa menggunakan content analysis dari Hancoch. Hasil penelitian didapatkan 3 tema penelitan yaitu seluruh responden merasa tidak berdaya, 9 responden mengalami ketidakpastian menghadapi masa depan dan 10 responden menyatakan ketakutannya akan kematian. Seluruh pasien infrak miokard mengalami masalah psikologis, oleh karena itu hasil penelitian ini dapat menjadi rekomendasi dalam memberikan layanan kesehatan bagi pasien kondisi terminal; infark miokard akut yang sedang menjalani perawatan intensif. Penting kiranya untuk dapat mengelola dan mengintegrasikan pelayanan perawatan pada pasien infark miokard akut yang sedang dirawat di unit intensif secara holistik meliputi fisik psikologis sosial dan spiritual. Kata kunci: infark miokard akut, pengalaman psikologis, ruang intensif ABSTRACT Communication is a very important process in human relationship. In providing nursing care, nurses should have a good knowledge and communication skill as the beginning of a good relationship between nurses, patients, and their families. Nurses with good communication skill had an easier opportunity to make a good relationship with the patient and their families. This study aimed to identify effective communication barriers among nurses in developing communication with patients' family according to nurses' perspective in Intensive Care

Death Anxiety Level among Patients with Chronic Renal Failure Undergoing Hemodialysis

“…Considering the low survival rates and the declining the functional status, patients with terminal conditions will feel helplessness, uncertain in facing the future, and express fear of death (Emaliyawati, Sutini, Ibrahim, Trisyani, & Prawesti, 2017). So it is necessary to take an approach to express feeling where patients with chronic diseases and terminals admitted happiness and gratitude if they get the opportunity to communicate with each other and exchange express feelings about the topic of death (Susan, 2000).…”

Nurses’ Reflections on Challenges and Barriers of Communication in the Intensive Care Unit: A Phenomenology Study

“…. Patients treated in intensive care feel hopeless, helpless, hopeless, feeling of wanting to give up, uncertainty about the future and feel on the verge of death ( Bastian, Suryani, and Emaliyawati (2016); Emaliyawati, Sutini, Ibrahim, Trisyani, and Prawesti (2017) this creates its own anxiety for patients and can affect hemodynamic status, hypermetabolism that occurs in critically ill patients, and can reduce oxygen supply and perfusion to tissues (Shari, Suryani, & Emaliyawati, 2014). Compassion is needed to provide support to patients in critical condition.…”

Description of the Process of Grieving and Depression in Patient with Coronary Hearth Disease in the Intensive Room

“…In addition to the experience of pain, respondents also experienced fear of a repeat attack. They were afraid if the pain was not handled, it could lead to death, according to Emaliyawati et al (2017), who stated that pain in CAD could lead to death if not treated immediately. The inadequate management of pain could be dealing with depression, isolation of social relationships and disability, and could also ISSN 2715 -6060 cause cavaliery sleep disturbances (Aisyah, 2017).…”

“…Sudden heart attacks or acute attacks can occur at any time, which results in no blood flowing to the brain so that the patient loses consciousness within a few seconds followed by seizures, one-on-one breath and even death (Sitorus, 2004). This blockage in the coronoria artery can cause severe pain and death quickly if not treated immediately (Emaliyawati, Sutini, Ibrahim, Trisyani, & Prawesti, 2017). Therefore, patients need an intensive care as the initial phase to start treatment.…”