Metode Barbeau Test dalam Menilai Keutuhan Arteri Radialis Pascaintervensi Koroner Perkutan

Nurhusna N, F Sri Susilaningsih, Purwo Suwigjo

Abstract


Radial artery occlusion merupakan salah satu komplikasi vaskular postkateterisasi jantung trans radial.
Kompresi lokal menggunakan alat kompresi setelah tindakan kateterisasi jantung trans radial dapat menurunkan
angka kejadian komplikasi vaskular Radial Artery Occlusion(RAO). Penelitian ini bertujuan untuk mengetahui
perbandingan antara metode Barbeau test dan metode pengamatan klinik dalam menilai keutuhan arteri radialis
selama proses kompresi pada pasien postprosedur kateterisasi jantung trans radial. Penelitian ini merupakan
penelitian kuantitatif dengan desain studi komparatif. Subjek penelitian adalah 20 pasien yang menjalani prosedur
kateterisasi jantung dengan akses arteri radialis. Pengukuran dilakukan secara bertahap menit ke-15 dan setelah
tiga jam menggunakan alat kompresi stepty-p. Uji komparasi menggunakan uji McNemar. Data univariat dianalisis
menggunakan distribusi frekuensi. Hasil uji statistik menunjukkan ada perbedaan penilaian keutuhan arteri radialis
antara metode Barbeau testdengan metode pengamatan klinik pada menit ke-15 (p=0.035) dan ke-30 (p=0.035).
Namun secara keseluruhan hasil uji statistik menunjukkan tidak ada perbedaan yang bermakna dalam menilai
kepatenan arteri pada setiap waktu pengamatan dari kedua metode.

Kata kunci:Arteri radialis, Barbeau test, kateterisasi jantung, keutuhan, pengamatan klinik

 

Abstract
Radial artery occlusion is one of the trans radial vascular complications post cardiac catheterization. The local
compression using compression methods after cardiac catheterization can be reduced the vascular complication
such as radial artery occlusion (RAO). This research was conducted to determine the comparison between the
Barbeau test method and the clinical observation method carried out by the researcher in order to examine the
patency of radial artery during compression, post procedure cardiac catheterization at the Angiography Coroner
Unit and the Cardiac Intensive Care Unit, Hasan Sadikin Bandung General Hospital, Indonesia. This research
was a quantitative research using the comparative study design. The subjects were 20 patients who took cardiac
catheterization procedure using radial artery access and checked in pairs. The measurement divided into two
periods: the fifteenth minute and the third hour using the stepty-p compression tool. The statistical test used
the McNemar test to analyze the comparison, and the single variable data were analyzed using the distribution
frequency. There were a significant difference in radial artery evaluation during compression period between
two methods, in which at the first fifteen minutes (p=0.035) and the first thirty minutes (p=0.035), respectively.
Overall, the result shows that there were no significant difference in comparison of two methods.

Key words:Barbeau test, cardiac catheterization, clinical observation, patency, radial artery


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DOI: https://doi.org/10.24198/jkp.v2i1.82

DOI (PDF): https://doi.org/10.24198/jkp.v2i1.82.g78

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