| dc.contributor.author | Harsini | |
| dc.date.accessioned | 2020-02-05T03:29:51Z | |
| dc.date.available | 2020-02-05T03:29:51Z | |
| dc.date.issued | 2019-11-01 | |
| dc.identifier.uri | http://repository.umy.ac.id/handle/123456789/31503 | |
| dc.description | Latar belakang: Pneumonia merupakan suatu peradangan pada paru yang dapat disebabkan oleh berbagai macam mikroorganisme seperti bakteri, virus, jamur, maupun parasit. Penatalaksanaan yang efisien di rumah sakit dapat di evaluasi dengan clinical pathway, dimana bukti data untuk bidang kesehatan secara internasional digunakan sejak tahun 1980 an. Kadar biomarker copeptin dapat diukur dan digunakan untuk evaluasi clinical pathway pasien pneumonia komunitas. Tujuan dari penelitian ini adalah untuk mengetahui penerapan biomarker copeptin pada clinical pathwat pneumonia komunitas di RSUD Dr Moewardi.
Subjek dan metode: Penelitian ini adalah penelitian kuantitatif dengan pendekatan cross sectional dengan populasi pasien pneumonia komunitas yang diperiksa kadar copeptinnya tahun 2018 yang diambil dari data rekam medis, diteruskan dengan action research dilakukan dengan dua siklus.
Hasil: Data didapatkan dari 25 pasien pneumonia komunitas dengan kadar copeptin kemudian dianalisis dan dihubungkan dengan lama rawat inap didapatkan hasil positif dan berhubungan dengan lama rawat inap dengan kekuatan hubungan ( r=0,600; p =0,001). Dari hasil tersebut didapatkan bahwa kadar biomarker copeptin dapat untuk memperkirakan lama rawat inap pasien pneumonia komunitas. Hasil dari action research adalah belum disetujuinya pemeriksaan biomarker copeptin pada clinical patway pasien pneumonia komunitas karena mahal tetapi ada perbaikan pelaksanaan evalusi clinical pathway di RSUD Dr Moewardi dengan melibatkan semua profesional pemberi asuhan (dokter, perawat, gizi dan farmasi) Kesimpulan: Ada hubungan antara biomarker copeptin dengan lama rawat inap pasien pneumonia komunitas dan penerapan biomarker copeptin pada clinical pathwy pneumonia komunitas belum disetujui manajemen tetapi ada perbaikan pelaksanaan evaluasi CP di RSUD Dr Moewardi. | en_US |
| dc.description.abstract | Introduction: Pneumonia is inflammation of lung parenchyma caused by virus, bacteria, fungus and parasite. Treatment efficiency at hospital can be evaluate by clinical pathway, that is evidence based tool for guiding health that is established internationally since 1980’s. Copeptin biomarker measurement can be used as tool for CAP clinical pathway evaluation. This study objective is to find out that implementation copeptin biomarker on clinical pathway of CAP. Methods: A mixture of correlative quantitative design between levels of copetine, length of stay and action research. Taking samples of pneumonia patients who were examined for copeptin levels in 2018 from medical record followed by the action research method. Results:It was obtained 25 CAP patients examined copeptin levels were then associated with length of stay which found a positive and significant relationship with length of stay with the strength of strong category relationships ( r=0,600; p =0,001). These results are used for evaluating clinical pathways by proposing that each pneumonia patient be admitted to inpatient care for copeptin levels and the results used to estimate treatment duration. The evaluation carried out 2 cycles of action research. The results of the action research that the levels of copeptin can be used for clinical pathway evaluations in research but cannot be routinely examined given the expensive examination. There is an improvement in the implementation of clinical pathway in Moewardi hospital that only medical who initially evaluated clinical pathway. Within this research, we was conducted training, creation and implementation of clinical pathways by involving other care professionals such as nurses, nutritionist and pharmacist. Conclusion: Correlation copeptin biomarker with length of stay CAP patient and the copeptin biomarker on clinical pathway community acquired pneumonia can not implementation excause expensive but there is an improvement in the implementation of clinical pathway evaluation at Moewardi hospital. | en_US |
| dc.language.iso | other | en_US |
| dc.publisher | MAGISTER ADMINISTRASI RUMAH SAKIT PROGRAM PASCASARJANA UNIVERSITAS MUHAMMADIYAH YOGYAKARTA | en_US |
| dc.subject | CAP | en_US |
| dc.subject | copeptine | en_US |
| dc.subject | clinical pathway | en_US |
| dc.title | PENERAPAN BIOMARKER COPEPTIN PADA CLINICAL PATHWAY PNEUMONIA KOMUNITAS (ACTION RESEARCH DI RSUD DR MOEWARDI) | en_US |
| dc.type | Thesis | en_US |
