The Correlation between Sputum Retention and Oxygen Saturation in Nasopharyngeal Cancer Patients with Tracheostomy at The Emergency Department of Dharmais Cancer Hospital in 2022

Authors

  • Repidawati Sinaga Universitas Yatsi Madani
  • Yuni Susilowati Universitas Yatsi Madani
  • Meynur Rohmah Universitas Yatsi Madani
  • Bernardo Oliber A. Arde Master of Arts in Nursing Philippines University of Northern Philippines

DOI:

https://doi.org/10.33086/jhs.v16i03.3993

Keywords:

Sputum retention, Oxygen saturation, Nasopharyngeal cancer, tracheostomy

Abstract

The Global Burden of Cancer Study (Globocan) stated that nasopharyngeal cancer is the fifth most common cancer in Indonesia, with an incidence of 19,943 cases. One of the therapies for patients with nasopharyngeal cancer is a tracheostomy. Post-tracheostomy care is critical because blockage in the cannula due to accumulation of secretions impact decreasing oxygen saturation and result in death. This study analyzes the correlation between sputum retention and oxygen saturation in nasopharyngeal cancer patients with tracheostomy at the Emergency Department of Dharmais Cancer Hospital in 2022. It was correlational quantitative research with a cross-sectional approach. The study population was all nasopharyngeal cancer patients with tracheostomy at the Emergency Department, Dharmais Cancer Hospital, from August to November 2022, totaling 65 respondents. There were 65 respondents with a total sampling technique. The data collection used secondary data, namely the level of sputum retention and oxygen saturation in nasopharyngeal cancer patients with tracheostomy. Data analysis was univariate analysis and bivariate analysis through chi-square test. The result showed that most respondents experienced poor sputum retention (61.5%) and moderate hypoxemia (63.1%). The chi-square test obtained a p=0.000 (p<0.05). Thus, there was a correlation between sputum retention and oxygen saturation in respondents. In conclusion, sputum retention correlates with oxygen saturation in nasopharyngeal cancer patients with tracheostomy at the Emergency Department of Dharmais Cancer Hospital. The hospital should continue improving the ability of nurses to manage airway blockage through regular training.

Downloads

Download data is not yet available.

References

Adham, M. et al. (2012) ‘Nasopharyngeal carcinoma in Indonesia: epidemiology, incidence, signs, and symptoms at presentation’, Chinese journal of cancer, 31(4), p. 185. DOI: https://doi.org/10.5732/cjc.011.10328

Andinata, B. et al. (2023) ‘A Comparison of Cancer Incidences Between Dharmais Cancer Hospital and Globocan 2020: A Descriptive Study of Top 10 Cancer Incidences’, Indonesian Journal of Cancer, 17(2), pp. 119–122. DOI: https://doi.org/10.33371/ijoc.v17i2.982

Chang, E.T. et al. (2021) ‘The evolving epidemiology of nasopharyngeal carcinoma’, Cancer Epidemiology, Biomarkers & Prevention, 30(6), pp. 1035–1047. DOI: https://doi.org/10.1158/1055-9965.EPI-20-1702

Dengo, M.R., Suwondo, A. and Suroto, S. (2018) ‘Hubungan paparan co terhadap saturasi oksigen dan kelelahan kerja pada petugas parkir’. DOI: https://doi.org/10.32662/gjph.v1i2.347

Hospital, D.C. (2022) Profile of Dharmais Cancer Hospital in 2022.

Jia, W.-H. and Qin, H.-D. (2012) ‘Non-viral environmental risk factors for nasopharyngeal carcinoma: a DOI: https://doi.org/10.1016/j.semcancer.2012.01.009

systematic review’, in Seminars in cancer biology. Elsevier, pp. 117–126.

Kitu, N.B., Rohana, N. and Widyaningsih, T.S.T.S. (2020) ‘Pengaruh tindakan penghisapan lendir endotrakeal tube (ett) terhadap kadar saturasi oksigen pada pasien yang dirawat di ruang icu’, Jurnal Ners Widya Husada, 6(2), pp. 57–64.

Kozier, B. et al. (2010) ‘Buku ajar fundamental keperawatan: konsep, proses, dan praktik’, jakarta: EGC [Preprint].

Law, C. (2003) ‘Recognition, prevention and management of sputum retention.’, Nursing Times, 99(23), pp. 49–51.

Maisyaroh, A. and Widianto, E.P. (2020) ‘Buku ajar keperawatan gawat darurat, manajemen bencana, dan keperawatan kritis’. Bondowoso: KHD Production, 2020.

Makkawaru, A.I. and Yunita, E. (2019) ‘TB Miliary Disease On Nasofaring Carsinoma Case’, Jurnal Medical Profession (Medpro), 1(1), pp. 1–6.

Muttaqin, A. (2008) Buku Ajar Asuhan Keperawatan Dgn Gangguan Sistem Pernapasan. Penerbit Salemba.

Novialdi, S.A. (2019) ‘Trakeostomi dan Krikotirotomi’.

Price, S.A. and Wilson, L.M. (1978) Pathophysiology: clinical concepts of disease processes. McGraw- Hill.

Rab, T. (2012) ‘Ilmu Penyakit Paru-paru’, Jakarta: CV Trans Info Media [Preprint].

Rahmi, U. and Kep, M. (2022) Dokumentasi keperawatan. Bumi Medika.

Rowshan, H.H. and Baur, D.A. (2010) ‘Surgical tracheotomy’, Atlas of the Oral and Maxillofacial Surgery Clinics of North America, 18(1), pp. 39–50. DOI: https://doi.org/10.1016/j.cxom.2009.11.003

Sari, R.P. and Ikbal, R.N. (2019) ‘Pengaruh Tindakan Suction Terhadap Perubahan Saturasi Oksigen Pada Pasien Penurunan Kesadaran Diruangan ICU Rumah Sakit Islam Siti Rahmah Padang TahuN 2019’, Prosiding SainsTeKes, 1, pp. 50–57. DOI: https://doi.org/10.33757/jik.v3i2.223

Septimar, Z.M. (2018) ‘Pengaruh Tindakan Penghisapan Lendir (Suction) terhadap Perubahan Kadar Saturasi Oksigen pada Pasien kritis di ICU’, Jurnal Ilmu Kesehatan Masyarakat, 7(01), pp. 10– 14. DOI: https://doi.org/10.33221/jikm.v7i01.47

Smeltzer, S. (2010) Buku Ajar Keperawatan Medikal Bedah. Jakarta: EGC.

https://doi.org/10.33086/jhs.v16.i03.3993 Repidawati Sinaga - The Correlation between Sputum Retention and Oxygen Saturation in Nasopharyngeal Cancer Patients with Tracheostomy at The Emergency

Department of Dharmais Cancer Hospital in 2022

Sudiono, J. and Hassan, I. (2013) ‘DNA Epstein-Barr virus (EBV) sebagai biomaker diagnosis karsinoma nasofaring’, Dental Journal (Majalah Kedokteran Gigi), 46(3), pp. 140–147. DOI: https://doi.org/10.20473/j.djmkg.v46.i3.p140-147

Widjaja, M.C. (2008) Mencegah & Mengatasi Alergi & Asma pada Balita. Kawan Pustaka.

Wulan, E.S. and Huda, N.N. (2022) ‘Pengaruh Tindakan Suction Terhadap Saturasi Oksigen Pada Pasien Yang di Rawat di Ruang ICU RSUD RAA Soewondo Pati’, Jurnal Profesi Keperawatan (JPK), 9(1), pp. 22–33.

Downloads

Published

2023-08-30

How to Cite

Repidawati Sinaga, Susilowati, Y. ., Rohmah, M., & Oliber A. Arde, B. . (2023). The Correlation between Sputum Retention and Oxygen Saturation in Nasopharyngeal Cancer Patients with Tracheostomy at The Emergency Department of Dharmais Cancer Hospital in 2022. Journal of Health Sciences, 16(03), 310–317. https://doi.org/10.33086/jhs.v16i03.3993