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Journal : Jurnal NERS

Kejadian Ventilator Associated Pneumonia (VAP) pada Klien dengan Ventilasi Mekanik Menggunakan Indikator Clinical Pulmonary Infection Score (CPIS) Dally Rahman; Emil Huriani; Ema Julita
Jurnal Ners Vol. 6 No. 2 (2011): Oktober 2011
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (236.77 KB) | DOI: 10.20473/jn.v6i2.3975

Abstract

Introduction: Ventilator Associated Pneumonia (VAP) is defined as nosocomial pneumonia that occurs 48 hours after using mechanical ventilation. The incident of VAP in Dr. M. Djamil Padang Hospital was still high when compared to other hospitals that reached only 9%. Nursing intervention that can be used to avoid VAP is endotracheal secretions suctioning. However, the results of the intervention has not been evaluated by using standardized measuring tool. The purpose of this study was to determine the description of signs differences of VAP on first and third day to clients with mechanical ventilation who were performed endotracheal secretions suctioning in ICU Dr. M. Djamil Hospital Padang 2011. Method: The type of this study was a descriptive analytic. The samples were 15 who had a mechanical ventilation during minimal 3 days. Respondents were derived by Accidental Sampling by using Simplified Version of CPIS as a measuring tool. The statistic test is paired t-test. Result: The result of this study showed that there was a significant difference of the signs of VAP on the first and the third day with p=0,048 (< 0.05). Discussion: There were significant difference on symptom of VAP in mechanically ventilated patient in day 1 and day 3. Simplified version of CPIS was sensitive in early determining VAP. Simplified Version of CPIS are expected to be included in standard procedures of patient management and assessment intervention of endotracheal secretions suctioning.
Good health literacy leads to better quality of life and medication adherence among hemodialysis patients Mailani, Fitri; Febriyana, Indah; Rahman, Dally; Sarfika, Rika; Muliantino, Mulyanti Roberto
Jurnal Ners Vol. 19 No. 1 (2024): FEBRUARY 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v19i1.49247

Abstract

Introduction: The research aimed to investigate the correlation between health literacy levels, medication adherence, and quality of life among hemodialysis patients with chronic kidney disease. Methods: The research employed a cross-sectional design. A random sample of 164 hemodialysis patients from two hemodialysis facilities in Padang, Indonesia, was collected between May and June 2023. Inclusion criteria were patients undergoing hemodialysis twice a week and aged over 18 years. Patients who experienced a decrease in consciousness and memory disorders such as dementia were excluded from this study. The questionnaires used to measure variables in this study were the demographic data questionnaire, the HLS-EU-Q16 health literacy questionnaire, the MMAS-8 medication adherence questionnaire, and the KDQOL-36 quality of life questionnaire for chronic kidney disease patients. Results: The high health literacy group (N = 73) exhibited a markedly superior quality of life compared to those in the mid-level (N = 48) and low-level (N = 43) health literacy groups. Multiple regression analysis revealed that, of the three components of health literacy, health promotion has the greatest influence on patients' quality of life, contributing 25.1%, while the aspect of healthcare has the greatest influence on medication adherence, contributing 43.3%. Conclusions: Health literacy is essential in improving medication adherence and the patient's quality of life in a more optimal direction. Healthcare professionals should create plans for tailored and customized health information with the goal of providing patients with the knowledge about critical components they need to manage chronic kidney disease.
Co-Authors Agesti, Nireza agus, apri Amin, Dwi Isniarti Apriady, Hilmy Apsyati, Suci Pratita Ardo, Okilanda Aree Sanee Arsil Arsil Arsil, Arsil Asep Sujana Wahyuri Avit Suchitra Bafirman Bafirman HB Bahtra, Ridho Bobby Febri Krisdianto Budiwanto, Adri Cahyani, Firunika Intan Chaeroni, Ahmad Contesa, Alex Damrah Damrah Damrah, Damrah Darma, Hamda Putra Darmawidyawati Darmawidyawati Defriman Djafri Delvi Sri Hayati Dewi, Bunga Permata Dian Agusti Tanjung Donie, Donie Dwi Noviyani Edmizal, Eval Ema Julita Emil Huriani Eri Barlian Esi Afriyanti Fahmil Haris Febriyana, Indah Fiky Zarya Fitrayeni Fitrayeni Fitri Mailani Freska, Windy Gusfiani, Amelia Gusni, Farida Gusril Hanny Hafiar Harahap, Asriandi Harinal Afri Resta Hema Malini, Hema Hendri Neldi Heni Pujiastuti Ilfa Khairina Imron Rosyadi Imron Rosyadi Ismardi Ismardi Jeki Haryanto Kamal Firdaus Khairuddin - Khatijah Lim Abdullah Komaini, Anton Lenggogeni, Devia Putri Likardo, Riki Mahathir, Mahathir Maisa, Esthika Ariany Mucci, Schillaci Valley Muda, Fair Muliantino, Mulyanti Roberto Munandar, Weski Murhayeni Murhayeni Mustika Fitri Naluri Denay Nelwati Nelwati Nelwati Nelwati Nelwati, Nelwati Nireza Agesti Nur, Nurlinda Nuridin Widya Pranoto Ockta, Yovhandra Oktarina, Elvi Padli Padli Putra, Genta Dwi Putra, Gian Dwi Putra, Raffiandy Alsyifa Putra, Reno Yuzar Eka Putri Suhaini Rahmi Muthia Rahmi Muthia Ramadaniaty, Riri Reni Prima Gusty Rika Sabri Rika Sarfika Rini Ariani Rini Wahyuni Rizanda Machmud Roma Irawan Sabilah, Muhamad Ichsan Sandi, Samrian Sayuti Syahara Sazeli Rifki, Muhamad Sepdanius, Endang Sonya Nelson Susmiati Susmiati Syafrianto, Syafrianto Syamsuar Syamsuar, Syamsuar Tika, Deby Yuliandra Tiurmaida Simandalahi Tjung Hauw Sin, Tjung Hauw Vebby Fitri Nur&#039;arita Wilda Welis Willadi Rasyid Willadi Rasyid Williyanto, Septian Windo Wiria Dinata, Windo Yendrizal Yovhandra Ockta Zarya, Fiky Zulbahri, Zulbahri