Studi Deskriptif tentang Pengetahuan Tenaga Kesehatan mengenai Resusitasi Jantung Paru pada Kehamilan
Abstract
Latar Belakang: Kejadian henti jantung pada kehamilan adalah jarang, namun merupakan kondisi yang sangat menantang bagi semua tenaga kesehatan yang terlibat. Defisit pengetahuan dan keterampilan resusitasi jantung paru yang buruk dapat mempengaruhi outcome henti jantung pada kehamilan. Penelitian yang mengeksplorasi pengetahuan tenaga kesehatan tentang henti jantung pada kehamilan masih terbatas.
Tujuan: Penelitian ini bertujuan untuk mengevaluasi pengetahuan tenaga kesehatan mengenai resusitasi jantung paru pada ibu hamil.
Subjek dan Metode: Penelitian ini menggunakan desain deskripsi menggunakan kuesioner. Tenaga kesehatan yang kemungkinan terlibat dalam resusitasi jantung paru berpartisipasi menjawab kuesioner. Kuesioner berisi 7 pertanyaan didesain untuk mengetahui pengetahuan mengenai perubahan fisiologis pada kehamilan, peranan left uterine displacement, algoritma bantuan hidup lanjut, serta rekomendasi seksio sesarea perimortem.
Hasil: Total 287 responden terdiri dari 30% penata anestesi, 26,8% perawat, 23,3% dokter umum, 4,5% dokter muda, 3,8% dokter spesialis anestesi dan 1,7% bidan. Responden sebanyak 43 (14,9%) menjawab benar seluruh pertanyaan. Pengetahuan tenaga kesehatan tidak adekuat pada topik perubahan fisiologis kehamilan, perlunya left uterine displacement, algoritma bantuan hidup lanjut serta prosedur seksio sesarean perimortem. Hanya 58,8% tenaga kesehatan mengetahui benar mengenai seksio sesarea perimortem.
Simpulan:Pengetahuan tenaga medis dinilai kurang mengenai resusitasi jantung paru ibu hamil.
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References
Lipowicz AA, Cheskes S, Gray SH, Jeejeebhoy F, Lee J, Scales DC, et al. Incidence, outcomes and guideline compliance of out of hospital maternal cardiac arrest resuscitations: A population based cohort study. Resuscitation 2018;132:127-132. Doi: 10.1016/j.resuscitation.2018.09.003
Beckett VA, Knight M, Sharpe P. The CAPS study: incidence, management and outcomes of cardiac arrest in pregnancy in the UK: a prospective, descriptive study. BJOG. 2017;124(9):1374-381. Doi: 10.1111/1471-0528.14521.
Mhyre JM, Tsen LC, Einav S, Kuklina EV, Leffert LR, Bateman BT. Cardiac arrest during hospitalization for delivery in the United States, 1998 to 2011. Anesthesiology. 2014;120(4): 810-8. Doi: 10.1097/ALN.0000000000000159
Franco DM, Maya MV. Resuscitation of obstetric patient. Resuscitation Aspect. 2017, 29-41. Doi: 10.5772/INTECHOPEN.68420
Panchal AR, Bartos JA, Cabañas JG, Donnino MW, Drennan IR, Hirsch KG, et al. Part 3: Adult basic and advanced life support: 2020 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation 2020;142(16):366-468. Doi: 10.1161/CIR.0000000000000916
Tan EK, Tan EL. Alterations in physiology and anatomy during pregnancy. Best Pract Res Clin Obstet Gynaecol. 2013; 27(6):791-802. Doi: 10.1016/j.bpobgyn.2013.08.001
Zelop CM, Einav S, Mhyre JM, Martin S. Cardiac arrest during pregnancy: ongoing clinical conundrum. Am J Obstet Gynecol. 2018;219(1):52-61. Doi: 10.1016/j.ajog.2017.12.232
Eldridge AJ, Ford R. Perimortem caesarean deliveries. Int J Obstet Anesth. 2016; 27: 46-54.
Einav S, Kaufman N, Sela HY. Maternal cardiac arrest and perimortem caesarean delivery: Evidence or expert-based?. Resuscitation. 2012; 83(10):1191-200. Doi: 10.1016/j.resuscitation.2012.05.005
Alqarni A, Alabdulkarim N, Almajed NS, Alsaleem AK, Alandas RA, Alsaeed GK, et al. Knowledge and attitude toward cardiopulmonary resuscitation in pregnant women among anesthesia residents in Riyadh, Saudi Arabia. Int J Med Develop Countries. 2024;8(6):1456–462. Doi: 10.24911/IJMDC.51-171327234
Jeejeebhoy FM, Zelop CM, Lipman S, Carvalho B, Joglar J, Mhyre JM, et al. Cardiac arrest in pregnancy: A scientific statement from the American Heart Association. Circulation. 2015;132(18):1747-773. Doi: 10.1161/CIR.0000000000000300.
Einav S, Matot I, Berkenstadt H, Bromiker R, Weiniger C. A Survey of labour ward clinicians' knowledge of maternal cardiac arrest and resuscitation. Int J Obstet Anesth. 2008; 17:238-42. Doi: 10.1016/j.ijoa.2008.01.015
Cohen S, Andes L, Carvalho B. Assessment of knowledge regarding cardiopulmonary resuscitation of pregnant women. Int J Obstet Anesth. 2008;17(1):20-5. Doi: 10.1016/j.ijoa.2007.10.002
Bartolome' AA, Lorenzana AS, Herrero AD, Juarez CR, Rodriguez JAV, Martinez'Perez O. Competences in cardiopulmonary resuscitation matters in pregnancy. J Reprod Med Gynaecol Obstet. 2020; 5(5):065
Hardeland C, Svendsen EJ, Heitmann GB, Leonardsen AL. Healthcare personnel self-assessed competence and knowledge following implementation of a new guideline on maternal resuscitation in Norway. A repeated measure study. Health Sci Rep. 2023;6(1):e1035. Doi: 10.1002/hsr2.1035
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