WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

Al ’Ana*, Noorhamdani and Heri Kristianto

ABSTRACT

Head injury is the major cause of morbidity and mortality in individuals aged under 45 years. The focus of the management of head-injured patients is to prevent and limit the possibility of secondary brain injuries which strongly affect the outcome of patients. Patients with head injury are in emergency conditions and must be immediately and precisely treated to obtain better outcome. This research was conducted to analyze the factors that relate with the outcome of patents with head injury based on the approach namely the need for help theory proposed by wiedenbach in the emergency unit of public regional hospital (rsud) of bangil, pasuruan district. This research employed a quantitative approach using cross sectional method, involving 53 respondents who were selected using the purposive sampling method. The data obtained in this research were analyzed using spearmanyang correlation test, which result shows the p value of age factor =0.020 < ? = 0.05, respiratory rate factor obtained p value =0.013 < ? = 0.05, pulse factor obtained p value =0.031 < ? = 0.05, and iss factor obtained p value =0.013 < ? = 0.05. Based on those results, h0 was rejected as no correlation was found between age, rr, pulse, iss score and the outcome of patients with head injury. Those data were then analyzed using the mann-whitney test, which showed the gaps among gcs factors at p value = 0.000 < ? = 0.05, systole pressure at p value = 0.001 < ? = 0.05, transportation factor at p value = 0.017 < ? = 0.05 toward the outcome of head-injured patients. Therefore, h0 was rejected, implying the existence of meaningful gap between gcs score, systole pressure, transportation and the outcome of patients with head-injury. In addition, a linear regression test was also administered, which result showed gcs factor with p value = 0.000 < ? = 0.05 was the most dominant factor influencing the outcome of the patients with head injury as the correlational coefficient of this factor was obtained at - 0.520.

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