vi DAFTAR ISI HALAMAN JUDUL ..............................................................................................i LEMBAR PENGESAHAN .................................................................................. ii PERNYATAAN .................................................................................................... iii KATA PENGANTAR .......................................................................................... iv DAFTAR ISI ......................................................................................................... vi DAFTAR TABEL............................................................................................... viii DAFTAR GAMBAR ............................................................................................ ix DAFTAR LAMPIRAN ......................................................................................... x DAFTAR SINGKATAN ...................................................................................... xi INTISARI............................................................................................................. xii ABSTRACT ......................................................................................................... xiii BAB I PENDAHULUAN ...................................................................................... 1 1. Latar belakang .....................................................................................................1 2. Rumusan Masalah................................................................................................7 3. Pertanyaan penelitian .......................................................................................... 7 4. Tujuan Penelitian .................................................................................................8 5. Manfaat penelitian ...............................................................................................8 6. Keaslian Penelitian ...............................................................................................9 BAB II TINJAUAN PUSTAKA......................................................................... 10 1. Delirium ..............................................................................................................10 2. Faktor-faktor risiko ........................................................................................... 13 3. Diagnosis .............................................................................................................16 4. Patofisiologi.........................................................................................................21 5. Pencegahan .........................................................................................................27 6. Terapi dan Prognosis ......................................................................................... 28 Kematian.................................................................................................................29 Morbiditas ..............................................................................................................30 Lama tinggal ...........................................................................................................30 Biaya........................................................................................................................ 31 7. Kerangka Teori ..................................................................................................32 8. Kerangka Konsep ...............................................................................................33 DELIRIUM DI INTENSIVE CARE UNIT (ICU) RSUP DR SARDJITO DENGAN INTENSIVE CARE DELIRIUM SCREENING CHECKLIST (ICDSC) RESYANA WIDYAYANI, Dr.Med.dr.Untung Widodo, Sp.An., KIC. ; dr. Akhmad Yun Jufan, Sp.An., M.Sc., KIC., Universitas Gadjah Mada, 2021 | Diunduh dari http://etd.repository.ugm.ac.id/
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7. Kerangka Teori .................................................................................................. 32
8. Kerangka Konsep ............................................................................................... 33
DELIRIUM DI INTENSIVE CARE UNIT (ICU) RSUP DR SARDJITO DENGAN INTENSIVE CAREDELIRIUM SCREENINGCHECKLIST (ICDSC)RESYANA WIDYAYANI, Dr.Med.dr.Untung Widodo, Sp.An., KIC. ; dr. Akhmad Yun Jufan, Sp.An., M.Sc., KIC.,Universitas Gadjah Mada, 2021 | Diunduh dari http://etd.repository.ugm.ac.id/
vii
BAB III METODE PENELITIAN .................................................................... 34
1. Rancangan Penelitian ........................................................................................ 34
2. Tempat dan waktu penelitian ............................................................................ 34
DAFTAR PUSTAKA .......................................................................................... 84
DELIRIUM DI INTENSIVE CARE UNIT (ICU) RSUP DR SARDJITO DENGAN INTENSIVE CAREDELIRIUM SCREENINGCHECKLIST (ICDSC)RESYANA WIDYAYANI, Dr.Med.dr.Untung Widodo, Sp.An., KIC. ; dr. Akhmad Yun Jufan, Sp.An., M.Sc., KIC.,Universitas Gadjah Mada, 2021 | Diunduh dari http://etd.repository.ugm.ac.id/
viii
DAFTAR TABEL
Tabel 1. Penelitian serupa yang pernah dilakukan .................................................. 9
Tabel 2. Status nutrisi berdasarkan WHO (WHO, 2019)...................................... 49
Tabel 6. Skor RASS pasien di ICU RSUP Dr Sardjito ......................................... 61
Tabel 7. Skor ICDSC pasien di ICU RSUP Dr Sardjito ....................................... 62
Tabel 8. Karakteristik Umum dari masing-masing kelompok subjek penelitian .. 63
Tabel 9. Analisis Bivariat dari faktor-faktor risiko dikaitkan dengan delirium
subsindromal (skor ICDSC = 1-3) dan tidak delirium (skor ICDSC =0) ............. 66
Tabel 10. Hasil analisis multivariat faktor-faktor risiko delirium subsindromal
(skor ICDSC = 1-3) di ICU RSUP Dr. Sardjito .................................................... 69
DELIRIUM DI INTENSIVE CARE UNIT (ICU) RSUP DR SARDJITO DENGAN INTENSIVE CAREDELIRIUM SCREENINGCHECKLIST (ICDSC)RESYANA WIDYAYANI, Dr.Med.dr.Untung Widodo, Sp.An., KIC. ; dr. Akhmad Yun Jufan, Sp.An., M.Sc., KIC.,Universitas Gadjah Mada, 2021 | Diunduh dari http://etd.repository.ugm.ac.id/
ix
DAFTAR GAMBAR
Gambar 1. Domain faktor-faktor risiko ................................................................ 15
Gambar 2. Kerangka Teori .................................................................................... 32
Gambar 3. Kerangka Konsep ................................................................................ 33
Gambar 4. Hasil Perhitungan Sampel ................................................................... 38
Gambar 5. Bagan Prosedur Penelitian .................................................................. 43
DELIRIUM DI INTENSIVE CARE UNIT (ICU) RSUP DR SARDJITO DENGAN INTENSIVE CAREDELIRIUM SCREENINGCHECKLIST (ICDSC)RESYANA WIDYAYANI, Dr.Med.dr.Untung Widodo, Sp.An., KIC. ; dr. Akhmad Yun Jufan, Sp.An., M.Sc., KIC.,Universitas Gadjah Mada, 2021 | Diunduh dari http://etd.repository.ugm.ac.id/
x
DAFTAR LAMPIRAN
Lampiran 1 Lembar Penjelasan Kepada Pasien ................................................... 88
Lampiran 2 Persetujuan Keikutsertaan dalam Penelitian ..................................... 93
Lampiran 3 Formulir Pengumpulan Data Penelitian ............................................ 94
Lampiran 6. Form Pencatatan Harian Penilaian Delirium. (*dapat diperbanyak
sesuai durasi perawatan pasien) .......................................................................... 101
Lampiran 7. Surat Izin Etik dari FKKMK-UGM............................................... 102
Lampiran 8. Surat Izin Etik dari RSUP Dr. Sardjito .......................................... 103
DELIRIUM DI INTENSIVE CARE UNIT (ICU) RSUP DR SARDJITO DENGAN INTENSIVE CAREDELIRIUM SCREENINGCHECKLIST (ICDSC)RESYANA WIDYAYANI, Dr.Med.dr.Untung Widodo, Sp.An., KIC. ; dr. Akhmad Yun Jufan, Sp.An., M.Sc., KIC.,Universitas Gadjah Mada, 2021 | Diunduh dari http://etd.repository.ugm.ac.id/
xi
DAFTAR SINGKATAN
ICU : Intensive Care Unit
RSUP : Rumah Sakit Umum Pusat
Dr. : Dokter
APACHE : Acute Physiology and Chronic Health Evaluation
LOS : length of stay
GCS : Glasgow Coma Scale (Score)
CAM-ICU : Confusion Assessment Method-Intensive Care Unit
DRS-R-98 : Delirium Rating Scale-revised-98
RASS : Richmond agitation-sedation scale
LAT1 : Large type aminoacid transporter-1
EEG : electroencephalogram
ICDSC : Intensive Care Delirium Screening Checklist
DSM-IV : Diagnostic and Statistical Manual of Mental Disorders
MDAS : Memorial Delirium Assesment Scale
ASA : American Society of Anesthesiologist
NuDESC : Nurse Delirium Screening Scale
DDS : Delirium Detection Scale
ATP : Adenosine Tri-Phosphate
DELIRIUM DI INTENSIVE CARE UNIT (ICU) RSUP DR SARDJITO DENGAN INTENSIVE CAREDELIRIUM SCREENINGCHECKLIST (ICDSC)RESYANA WIDYAYANI, Dr.Med.dr.Untung Widodo, Sp.An., KIC. ; dr. Akhmad Yun Jufan, Sp.An., M.Sc., KIC.,Universitas Gadjah Mada, 2021 | Diunduh dari http://etd.repository.ugm.ac.id/