LESTARININGSIH, Indri (2024) Pengaruh Assesment Revised Trauma Score Berbasis Smartphone Terhadap Manajemen Tekanan Intrakranial dan Kategori Mortalitas Pada Pasien Cedera Kepala di Instalasi Gawat Darurat RSUD Prof. Dr. Margono Soekarjo. Masters thesis, Universitas Jenderal Soedirman.

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Abstract

Background: The increasing incidence of head injuries causes high disability and mortality. Apart from the role of nurses and doctors, technology applications are needed to carry out head injury assessments, which can support fast and appropriate management of head injuries. Objective: To determine the influence of the smartphone-based Revised Trauma Score Assessment on the effectiveness of Intracranial Pressure management and mortality categories in head injury patients in the Emergency Department. Method: Research design for stage I Research and Development (R&D), stage II quasy experiment. The sample size was 40 respondents, divided into 20 intervention groups and 20 control groups using consecutive sampling technique. The intervention group used the smartphone-based Revised Trauma Score assessment application, the control group used hospital standards. This study measured RTS scores, signs of increased ICP, and mortality categories. The research instruments used the smartphone-based Revised Trauma Score assessment application, manual RTS application, USE questionnaire, material expert and media expert questionnaires. Analysis to determine differences between groups used the Mc Nemar test and the Wilcoxon test. Test the influence between groups using the Mann-Whitney test. Results: The results showed an increase in RTS scores, a decrease in signs of increased ICP and mortality categories in the intervention group and control group using the McNemar test (p < 0.05) and the Wilcoxon test (p < 0.05). There was no difference in the effect of the smartphone-based Revised Trauma Score assessment application on signs of increased ICP and mortality categories in the intervention group and the control group (p > 0.05). Conclusion: The smartphone-based Revised Trauma Score assessment application does not show a statistical difference in effect on signs of increased ICP and mortality categories but is clinically significant.

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