PENERAPAN EVIDENCE-BASED NURSING PROTECTIVE RESTRAINT UNTUK MENGURANGI ANGKA KEJADIAN SELF-EXTUBATION DAN SKIN INJURY PADA PASIEN DI INTENSIVE CARE UNIT (ICU)

Yanuarti Khoirunnisa, . (2025) PENERAPAN EVIDENCE-BASED NURSING PROTECTIVE RESTRAINT UNTUK MENGURANGI ANGKA KEJADIAN SELF-EXTUBATION DAN SKIN INJURY PADA PASIEN DI INTENSIVE CARE UNIT (ICU). Karya Ilmiah Akhir thesis, Universitas Pembangunan Nasional Veteran Jakarta.

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Abstract

Self-extubation or unplanned extubation is a high-risk event in the Intensive Care Unit (ICU) that may lead to hypoxia, aspiration, airway compromise, and death. This condition is commonly triggered by agitation, delirium, pain, or discomfort related to invasive devices. This study aimed to evaluate the application of protective restraint in preventing self-extubation and minimizing the risk of skin injury in ICU patients. A case study method was conducted on two patients at risk of self-extubation, consisting of one primary managed patient and one case resume. The intervention involved the application of a protective restraint made of soft fabric with a wide cuff, allowing for rapid and efficient application in accordance with patient safety standards. Agitation levels were assessed using the Richmond Agitation Sedation Scale (RASS), along with regular monitoring of skin integrity. The results showed that during the 3×24-hour application period, no self-extubation or attempts to remove invasive devices occurred. RASS scores indicated a reduction in agitation levels, and no signs of skin injury such as erythema, abrasions were observed. These findings indicate that appropriately applied protective restraint that can be implemented quickly and efficiently is effective in preventing self-extubation while minimizing the risk of skin injury, thereby supporting patient safety principles in the ICU.

Item Type: Thesis (Karya Ilmiah Akhir)
Additional Information: [No.Panggil: 2420721183] [Pembimbing: Gamya Tri Utami] [Penguji 1: Rycco Darmareja] [Penguji 2: Arief Wahyudi Jadmiko]
Uncontrolled Keywords: ICU Care, Patient Safety, Protective Restraint, Self-Extubation, Skin Injury
Subjects: R Medicine > RT Nursing
Divisions: Fakultas Ilmu Kesehatan > Program Studi Pendidikan Profesi Ners
Depositing User: YANUARTI KHOIRUNNISA
Date Deposited: 10 Apr 2026 06:32
Last Modified: 10 Apr 2026 06:32
URI: http://repository.upnvj.ac.id/id/eprint/49421

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