ASUHAN KEPERAWATAN PADA PASIEN DENGAN ATRIAL FIBRILASI DI RUANG ICCU RSD dr. SOEBANDI JEMBER

Introduction: Atrial fibrillation is the most common type of arrhythmia and its
prevalence is increasing. Atrial fibrillation increases the risk of stroke sixfold and
is associated with a twofold increase in mortality, which remains above 1.5-fold
after adjusting for comorbidities, largely due to cerebrovascular events, progressive
ventricular dysfunction, and increased coronary mortality. The adverse
hemodynamic effects of atrial fibrillation are well described and relate not only to
the loss of atrial contractions, but also to the rate and irregularity of accompanying
ventricular contractions. Management of atrial fibrillation can be carried out by
indicating anticoagulant therapy by considering all AF patients while still
implementing non-pharmacological treatment and controlling risk factors. Things
that need to be considered in managing the problem of atrial fibrillation include an
appropriate regimen, determining the appropriate dose of anticoagulant therapy,
monitoring the patient's condition, and providing counseling assistance to increase
the effectiveness of the drug's action. Based on the problems above, the author is
interested in compiling a more in-depth Final Scientific Work regarding "Nursing
Care for Atrial Fibrillation Patients in the ICCU Room at RSD dr. Soebandi Jember.
Method: This research design uses a case study that explores the problem of nursing
care for clients experiencing atrial fibrillation in the ICCU room at RSD dr.
Soebandi Jember. Results: Analysis of the intervention by providing a 45° semi-
Fowler position was proven to increase cardiac output in 2 patients. Conclusion:
after explaining the nursing process to 3 patients, the conclusion is that the patient
experienced an improvement in cardiac output as long as there was no second
attack or cardiac arrest given the intervention carried out by the researcher.