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All Journal INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Nursing Sciences Journal
Mayta Sari Dwianggimawati
Universitas STRADA Indonesia
Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health Other

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THE EFFECT OF ORAL HYGIENE WITH CHLORHEXIDINE ON THE INCIDENCE OF VENTILATOR-ASSOCIATED PNEUMONIA (VAP) IN PATIENTS ON VENTILATION IN THE INTENSIVE CARE UNIT Sutrisno; Deny Eko Saputro; Mayta Sari Dwianggimawati
International Journal of Nursing and Midwifery Science (IJNMS) Vol. 10 No. 2 (2026): VOLUME 10 ISSUE 2 AUGUST 2026
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2026/Vol10/Iss2/865

Abstract

Ventilator Associated Pneumonia (VAP) is a nosocomial infection that often occurs in patients with mechanical ventilation and can increase the risk of complications and mortality. This study aims to analyze the effect of oral hygiene with chlorhexidine on the incidence of VAP in patients with ventilators. The study design used a pre-experimental approach with a one-group pretest–posttest approach. A sample of 15 patients was selected using purposive sampling. Oral hygiene intervention with chlorhexidine was given twice a day for 3 days. The incidence of VAP was measured using the Clinical Pulmonary Infection Score (CPIS). Data analysis used the Wilcoxon Test. The results showed that the average body temperature decreased from 37.69°C to 37.21°C (p=0.028). Leukocyte values ​​showed a tendency for improvement after the intervention. Tracheal secretions did not show significant changes (p=1.00). The mean PaO₂/FiO₂ ratio changed from 241.6 to 236.1 (p=0.048). Chest X-ray evaluation results showed an improvement in pulmonary infiltrates in some respondents after the intervention. Overall, CPIS scores showed a downward trend after oral hygiene with chlorhexidine. Routine and standardized implementation of this measure has the potential to improve the quality of nursing care and reduce the risk of complications in patients on mechanical ventilation.  
PENGARUH PEMBERIAN KOMBINASI JUS TOMAT DAN VIRGIN COCONUT OIL TERHADAP KADAR LDL Sutrisno Sutrisno; Velinda Fitria Rahayu; Mayta Sari Dwianggimawati; Erik Irham Lutfi
Nursing Sciences Journal Vol 8 No 2 (2024): Oktober 2024
Publisher : Universitas Kadiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30737/nsj.v8i2.7959

Abstract

Low Density Lipoprotein (LDL) berperan membawa kolestrol ke sel dan jaringan tubuh, bila jumlahnya berlebihan, kolestrol dapat menumpuk dan mengendap pada dinding pembuluh darah dan mengeras menjadi plak. Penelitian ini dilakukan untuk mengetahui pengaruh pemberian kombinasi jus tomat dan virgin coconut oil terhadap kadar LDL. Desain penelitian ini adalah preeksperimental dengan pendekatan pre-post test. Metode sampling menggunakan Random Sampling, Subjek penelitian yaitu 20 responden yang mengalami hiperkolesterol yang tidak mengkonsumsi obat selama proses pemberian intervensi. Hasil penelitian didapatkan Sebagian besar responden mengalami penurunan yang cukup banyak dengan dosis yang telah ditentukan yaitu 230 ml dengan waktu pemberian 2 x 1 hari, penurunan tersebut juga didukung dengan kegiatan yang sering dilakukan oleh reponden serta dibantu dengan memakan makanan yang bergizi dan mengurangi makanan bersantan. Terdapat juga responden yang mengalami penurunan yang sedikit, setelah ditelaah lebih lanjut didapatkan hasil bahwa beberapa responden tersebut terlalu banyak memakan sayur yang bersantan dan jeroan dan kurang melakukan kegiatan yang dapat mengurangi lemak-lemak dalam tubuh. Pemberian kombinasi jus tomat dan Virgin coconut oil selama 2 minggu mampu menurunkan kadar LDL secara signifikan  dengan nilai α=0,000 ( α < 0,05 ) berarti ada pengaruh dari pemberian kombinasi jus tomat dan virgin coconut oil, dengan besar penurunan sekitar 20-30 mg/dl. 
Co-Authors Deny Eko Saputro Erik Irham Lutfi Sutrisno Sutrisno Sutrisno Sutrisno Velinda Fitria Rahayu