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Joice Mermy Laoh
Jurusan Keperawatan Politeknik Kesehatan Kemenkes Manado
Health Professions Nursing

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PERBEDAAN KEJADIAN VENTILATOR ASSOCIATE PNEUMONIA PADA ORAL HYGIENE MENGGUNAKAN CHLORHEXIDINE GLUCONATE 0,12% DAN LISTERINE Joice Mermy Laoh
Majalah Keperawatan Unpad Vol 12, No 2 (2011): Majalah Keperawatan Unpad
Publisher : Fakultas Keperawatan Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (128.363 KB)

Abstract

ABSTRAKVentilator Associated Pneumonia (VAP) adalah nosokomial pneumonia yang paling sering ditemui di unit perawatan intensif, khususnya pada pasien yang menggunakan ventilasi mekanik selama 48 jam. Kejadian VAP cukup tinggi, bervariasi antara 10–25% dan angka kematiannya berkisar  10-40%,  serta bisa mencapai 76% pada pasien yang menggunakan ventilasi mekanik yang disebabkan oleh kuman patogen dan penumpukan sekret di trakea. Memberikan oral hygiene, dapat mengurangi kejadian VAP. Tujuan penelitian untuk mengetahui perbedaan pengaruh oral hygiene yang menggunakan chlorhexidine gluconate 0,12% dengan listerine terhadap kejadian VAP di ruang perawatan intensif. Penelitian dilakukan di ruang perawatan intensif  RS Dr. Hasan Sadikin Bandung. Jenis penelitian uji klinis dengan disain Non randomized Concurrent Control Trial. Sampel adalah pasien kritis yang terpasang ventilasi mekanik (ventilator) dan terintubasi. Cara pengambilan sampel  menggunakan cara consecutive sampling, Jumlah sampel kelompok chlorhexidine gluconate 0,12%   dan listerine masing-masing 20 orang. Data kejadian VAP dikumpulkan setelah 48 jam (pada hari ketiga) perawatan melalui daftar checklist pemeriksaan yang menggunakan Clinical Pulmonary Infection Score (CPIS). Mengetahui perbedaan pengaruh oral hygiene yang menggunakan chlorhexidine gluconate 0,12% dengan listerine terhadap kejadian VAP digunakan Chi Square Test. Hasil; Kejadian Ventilator Associated Pneumonia (VAP) pada sampel yang menggunakan oral hygiene chlorhexidine glukonate 0,12% sebanyak 3 orang (15%). Sedangkan yang tidak mengalami VAP sebanyak 17 orang (85%). Kejadian Ventilator Associated Pneumonia (VAP) pada sampel yang menggunakan oral hygiene listerine sebanyak 13 orang (65%), sedangkan yang tidak mengalami VAP sebanyak 7 orang (35%). Kejadian VAP pada kelompok perlakuan yang menggunakan chlorhexidine gluconate 0,12% lebih rendah jika dibandingkan dengan kelompok listerine.   Kata Kunci : Chlorhexidine gluconate 0.12%,  Listerine, Oral hygiene, Ventilator Associated Pneumonia (VAP) ABSTRACT Ventilator Associated Pneumonia (VAP) is a nosocomial pneumonia is the most frequently encountered in intensive care units, particularly in patients using mechanical ventilation for 48 hours. VAP incidence is quite high, varying between 10-25% and mortality ranges from 10-40%, and can reach 76% in patients using mechanical ventilation caused by pathogenic bacteria and accumulation of secretions in trachea, Provide oral hygiene, can reduce the incidence of VAP. Research purposes to determine the difference effect of oral hygiene using a 0.12% chlorhexidine gluconate with listerine on the incidence of VAP in intensive care. The study was conducted in intensive care RS. Dr. Hasan Sadikin Bandung. This type of research design with a nonrandomized clinical trials Concurrent Control Trial. The sample is mounted in critically ill patients mechanically ventilated (ventilator). Method of sampling using consecutive sampling. The number of sample groups of chlorhexidine gluconate and 0.12% respectively listerine 20. VAP incidence data were collected after 48 hours (third day) treatment through the list of inspection checklist using the Clinical Pulmonary Infection Score (CPIS). Knowing the difference in the influence of oral hygiene using a 0.12% chlorhexidine gluconate with listerine on the incidence of VAP used Chi Square Test. Result. Incidence of Ventilator Associated Pneumonia (VAP) in the sample using the oral hygiene as much as 0.12% chlorhexidine glukonate 3 people (15.0%). While that does not have as many as 17 people VAP (85.0%). Incidence of Ventilator Associated Pneumonia (VAP) in the sample using listerine oral hygiene as much as 13 people (65.0%), while VAP who did not experience as many as 7 people (35.0%). Incidence of VAP in the group treated using chlorhexidine gluconate 0.12% lower when compared with the listerine group. Keywords : Chlorhexidine gluconate 0.12%, Listerine, Oral hygiene, Ventilator Associated Pneumonia (VAP)
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN DIARE PADA ANAK BALITA DI PUSKESMAS BINTAUNA KABUPATEN BOLAANG MONGONDOW UTARA Jon W. Tangka; Rizqa Alamri; Joice Mermy Laoh
Jurnal Ilmiah Perawat Manado (Juiperdo) Vol 3 No 2 (2014): JUIPERDO (Jurnal Ilmiah Perawat Manado)
Publisher : POLTEKKES KEMENKES MANADO

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (475.119 KB) | DOI: 10.47718/jpd.v3i2.149

Abstract

Based on global estimates around 1.8 million people died from diarrheal disease and 90% of them are children under five years and many occur in developing countries. Diarrhea is a collection of symptoms resulting from several factors, such factors as water supply, personal hygiene, and the knowledge factor, but how large proportions and do not clearly known. The purpose of this study was to identify factors associated with the incidence of diarrhea in Public health centers North Bolaang Mongondow Bintauna. The method used is descriptive analytical cross-sectional study design. In 50 samples with data collection conducted by questionnaire. Furthermore, the data that has been collected is processed and presented in the form of a frequency distribution table. Bivariate statistical analysis by chi-square test with a significance level of alfa 0.05. Results, there is a significant relationship between knowledge factors with the incidence of diarrhea ( p = 0.000 ) , water supply factors with the incidence of diarrhea (p= 0.001), and hygiene factors with the incidence of diarrhea (p=0.003). Conclusion: factor knowledge, provision of clean water and personal hygiene significantly associated with the incidence of diarrhea. Suggestion: Increase the frequency of health education to parents/ community, held training on diarrheal disease in the nurses and health volunteers
GAMBARAN PENGETAHUAN PERAWAT PELAKSANA DALAM PENANGANAN PASIEN GAWAT DARURAT DI RUANGAN IGDM BLU RSUP. Prof. Dr. R. D KANDOU MANADO Joice Mermy Laoh; Konny Rako
Jurnal Ilmiah Perawat Manado (Juiperdo) Vol 3 No 2 (2014): JUIPERDO (Jurnal Ilmiah Perawat Manado)
Publisher : POLTEKKES KEMENKES MANADO

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (466.308 KB) | DOI: 10.47718/jpd.v3i2.153

Abstract

Services / emergency care includes nursing services aimed suddenly be in distress or likely to become critical and threatened his life or / limbs (will become disabled) when not get help quickly and precisely. The results observed in 61.2% of nurses Prof Dr IGDM BLU. Dr R. D Kandou Manado not perform emergency patient handling in accordance with standard procedures, in which sometimes the patient has been in the ER room more than 8 hours, the primary assessment conducted after nursing actions performed and also when nurses perform cardiopulmonary resuscitation, compressing the depth and position of nurses who do not comply with existing procedures and do not use the board when compressing resuscitation, airway exemption is not done (head tilt, chin lift, jaw thrust) and collaborative drug delivery is sometimes too late. The research objective of this scientific paper is to determine the knowledge of nurses in the management of emergency patients in the hospital room IGDM BLU Prof. Dr R.D. Kandou Manado. The benefits of this research is a scientific paper can be used as input for nursing personnel in the room IGDM BLU Dr Prof. Dr. RD Kandou Manado in handling emergency patients for improved patient care emergency. This research is a descriptive study. Sampling techniques using total sampling amounted to 31 respondents, the research instruments using a questionnaire of 20 statements and to use it ananlisa Data P = f / nx 100. The results of the description of the knowledge nurses in the management of emergency patients in the hospital room IGDM BLU Prof. Dr. RD Kandou Manado shows that of the 31 respondents surveyed respondents obtained knowledge in handling emergency patients in enough categories that as many as 19 respondents (61.3%), well as much as 9 respondents (29%), and less by 3 respondents (9.7 %). Based on these studies it can be concluded that the level of knowledge of nurses in the management of emergency patients is quite. It is recommended to nurses who served in the room to further improve the education and knowledge in handling emergency patients
PENGARUH 5 PESAN KELUARGA SADAR GIZI (KADARZI) TERHADAP PENGETAHUAN SIKAP DAN PRAKTEK KADARZI DI KECAMATAN MAESAAN KABUPATEN MINAHASA SELATAN Joice Mermy Laoh
Jurnal GIZIDO Vol 4 No 1 (2012): Jurnal GIZIDO Edisi Mei 2012
Publisher : POLTEKKES KEMENKES MANADO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47718/gizi.v4i1.15

Abstract

In general, families have a basic knowledge of nutrition. However, attitudes and skills, andwillingness to act in improving family nutrition is low. Health Research Association(Riskesdas) 2007 national prevalence toddler malnutrition in 5.4% and 13.0% less nutrition.National prevalence nutrition more In toddlers 4.3%. Prevalence of Childhood Education Fat(Women) in North Sulawesi (8%) above the national prevalence (6.4%). Obesity prevalenceIn General Population Age ≥ 15 Years in North Sulawesi in Indonesia notch anotherprevalence (33.2%). The mean energy consumption per capita per day of North Sulawesi isbelow the national average of 1381.3 kcal (1735.5 kcal). Currently, only about 45.4% ofchildren under five were taken to the IHC for the last 6 months interval weighed as earlydetection of growth disorders. Health services that include preventive and promotive servicesindispensable in realizing KADARZI. This study aimed to determine the effect of 5 messagesnutrition-conscious families (KADARZI) for the creation of self-conscious family nutrition.This research method is a quasi-experiment Non-Equivalent Control Group Design With PreTest and Post Test, Samples is the mother of a toddler, were aged ≥ 20 years. Research sitein the District Maesaan of South Minahasa regency. Measuring tool is a questionnaire todetermine their knowledge, attitudes and practice behaviors KADARZI data analysis usingstatistical test t-test at α 0.05. Other research results are the effect of nutrition consciousfamily 5 messages on knowledge, attitudes and practices KADARZI. Through the medium ofthe book KADARZI can improve knowledge, attitude and practice of family self-consciousnutrition. Suggestion that the local government distribute 5 messages KADARZI behavior tothe public by using the book to be easily understood and practiced.
Co-Authors Jon W. Tangka Konny Rako Rizqa Alamri