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Sarkum Sarkum
Nursing Department, Polytechnic Health Ministry of Semarang
Health Professions

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Critical-Care Pain Observation Tool (CPOT) and Wong-Baker Faces Pain Rating Scale in Measuring Pain Level of Patient With Mechanical Ventilation Arsyawina Arsyawina; Mardiyono Mardiyono; Sarkum Sarkum
Jurnal Riset Kesehatan Vol 3, No 1 (2014): Januari 2014
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (118.293 KB) | DOI: 10.31983/jrk.v3i1.240

Abstract

Assesing pain in mechanically ventilated patients is a great challenge. Mechanical ventilated patients are often unable to self-report the presence of pain. CPOT is a behavioral pain scale which has been developed and validated for measuring pain in nonverbal critically ill adults. Purpose: This study was to compare CPOT and Wong-Baker by examining psychometric properties including reliability, validity and responsiveness. Method : A repeated measures design was chosen for this quantitative study with 31 samples of mechanically ventilated patients. Result : The ICC values of inter-rater reliability were high at 0,965 for CPOT and low at 0,423 for Wong-Baker. Validity was demonstrated by the change in CPOT and Wong-Baker, which were significantly higher during painful procedures,with averages for CPOT 1,32 – 1,42 at rest and 2,39-4,26 during procedure (p less than 0,001) and for Wong-Baker 4,52 – 4,65 at rest and 5,29-5,74 during procedure. The CPOT exhibited excellent responsiveness, with an effect size ranging from 5,0 to 5,4 better then Wong-Baker with an effect size ranging from 0,8 to 2,2. Conclusion : This study demonstrated that the CPOT can be valid, reliabeland more responsiveness for measuring pain in mechanical ventilated patients.
Braden Scale and Norton in Predicting Risk of Pressure Sores in ICU Room Maria Walburga Bhoki; Mardiyono Mardiyono; Sarkum Sarkum
Jurnal Riset Kesehatan Vol 3, No 2 (2014): Mei 2014
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (435.093 KB) | DOI: 10.31983/jrk.v3i2.226

Abstract

This study aimed to compare the effectiveness of the Braden Scale and Norton Scale in predicting the risk of pressure sores in patients in ICU. This research was a prospective observational analytic study, with 42 respondents who met the inclusion criteria. Testing the predictive validity of the Braden scale and the Norton Scale was to calculate sensitivity, specificity, FN,FP, and area under the curve.Testing thereliability used Cronbach Alpha(α). The Braden scale has a good predictive validity by the cut of 15 point,  a valuable sensitivity at 86.67, specificity at 70.37, FP at 29.63, FN at 13.33, area under the curve at 0.808. The Norton Scale has predictive validity bythe cut of 14 point, a valueable sensitivity at 80, specificity at 66.67, FP at 33.33, FNat 20, area under thecurve at0.707.Braden Scale reliability test results of 0.818, 0.707 Norton scale. The Braden scale was more effective to predict the risk of pressure sores in critical patients.
InfluencetheManagement ofAsepticTechniqueWoundManagement OpenStageII-IIIGenesisAgainstInfection At theGeneral Hospital Daerah Sunan KalijagaDemak Sarkum Sarkum; Mugi Hartoyo; Tri Arum Utomo
Jurnal LINK Vol 9, No 1 (2013): Januari 2013
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (7061.719 KB) | DOI: 10.31983/link.v9i1.167

Abstract

Infection is kolonalisasi conducted by foreign species of host organisms, and are Pilang harm the host (Brunner and Suddarth, 2002). Based on preliminary survey Kenanga room Sunan Kalijaga Demak Hospital in January - March 2010 there were 109 patients with open wounds stage I-III due to accidents, there were 9% (9 patients), wound infection characterized by pus out of wounds, sores and dirty looks wet. The purpose of the research was to determine the effect of the management of aseptic techniques in open wound treatment stage II-III on the incidence of infection in Kenanga room Hospitals Sunan Kalijaga Demak. Quasi-experimental research design, methods of correlation. The population of patients open wounds with stage II -III in hospitals Sunan Kalijaga Demak (15 September to 30 October 2010 and 14 - 24 January 2011), the sample is 25 patients. Research tool dalah observation sheet. To determine the influence of the management of aseptic technique in handling the open wound stage II-III on the incidence of infection in Kenanga room hospitals Sunan Kalijaga Demak. Respondents were male sex (88 %), surgery or an open wound for wound surgery hernia respondents (44%) and average treatment time 6 days. Type of clean wounds 24 (96 %) clean contaminated wounds 1 (4 %). Respondents were infected wound 4 (16 %). From the analysis wilcoxon nilai p value 0,048 0,05, so that there is effect the management of aseptic technique in handling the open wound stage II-III on the incidence of infection in Kenanga room hospitals Sunan Kalijaga Demak. The results can be used as a reference in improving and developing methods of prevention and treatment of infection is open sores, especially stage II-III in Kenanga room hospitals Sunan Kalijaga Demak.
Co-Authors Arsyawina Arsyawina Mardiyono, Mardiyono Maria Walburga Bhoki Mugi Hartoyo Tri Arum Utomo