APPLICATION OF HEAD POSITION UP30° TO DISTURBANCES GAS EXCHANGE IN STROKE PATIENTS

Abstract

Stroke is the second leading cause of disability and death in the world with a high prevalence in Indonesia. Disruption of blood flow and oxygen in stroke patients can reduce oxygen saturation, requiring proper monitoring and nursing intervention. One effective non-pharmacological intervention is a 30° upward head position, which is the position of the patient's head raised about 30° from the bed with the body in parallel. The application of this intervention uses an Evidence-Based Nursing Practice (EBN) approach with a descriptive case study method in two ischemic stroke patients with oxygen saturation of <95% in the krisan Room of Arifin Achmad Hospital. The intervention was carried out for three days by measuring oxygen saturation before and after the action using a pulse oximeter. The results showed an increase in oxygen saturation after the application of the 30° head up position with an average increase of 4% from each patient. In the first patient, oxygen saturation increased from 92% to 97% within three days, while in the second patient it increased from 95% to 98%. Although the improvement is not always consistent every day, this intervention has a positive effect on increased oxygenation. The implementation of the 30° Head up position has been proven to be effective, easy to perform, and includes safe self-nursing measures to help improve oxygenation and prevent further complications in stroke patients. For further research, it is expected with a long duration of application and also a larger number of patients.