Seftiliani Putri Ayu
Universitas Malahayati

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Hubungan Sikap Perawat Terhadap Upaya Pencegahan Healthcare Associated Infection (HAIS) Pada Masa Pandemi Covid 19 Di Rumah Sakit Pertamina Bintang Amin Kota Bandar Lampung Wahid Tri Wahyudi; Triyoso Triyoso; Seftiliani Putri Ayu
Malahayati Nursing Journal Vol 4, No 5 (2022): Volume 4 Nomor 5 2022
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (225.075 KB) | DOI: 10.33024/mnj.v4i5.4931

Abstract

ABSTRACT Infections that occur in health facilities or are currently known as Healthcare-Associated Infections (HAIs) are a serious problem that must be addressed. This is due to the large number of infections that occur after coming to health care facilities. According to WHO data around 3-21% or an average of 9% incidence of infection. The incidence of HAIs in Lampung Province in 2017 reached 37%, and in 2018 it increased to 42%, RSPBA as one of the private hospitals in Bandar Lampung in 2020 it was known that the incidence of phlebitis reached 0.18, urinary tract infections (UTI) reached 1.14 and Ventilator-associated pneumonia (VAP) reached 2.18. Internal Medicine Room 3.65% and Surgery Room 5.38%. The purpose of this study was to determine the relationship between nurses' attitudes towards prevention efforts of Healthcare-Associated Infection (Hais) during the Covid 19 pandemic at Pertamina Bintang Amin Hospital, Bandar Lampung City. This type of research is quantitative with a cross-sectional design. The study population was all nurses at Pertamina Bintang Amin Hospital, Bandar Lampung City, with a total of 47 people (nurses for inpatient surgery, Internal Medicine, OK, and ICU). Sample of 47 respondents. The data collection tool used in this study was a questionnaire where the questionnaire sheet had been tested for validity by Wicaksono's research (2015). The attitude variable consists of 20 questions. And for HAIs prevention efforts variable consists of 20 questions. The statistical test used was the chi-square test with the help of a computer. The frequency distribution of respondents who had a positive attitude was 27 respondents (57.4%), and respondents with prevention efforts of Healthcare-Associated Infection (Hais) during the Covid 19 pandemic were in good categories as many as 31 respondents (66.0%). There is a relationship between nurses' attitudes towards efforts to prevent Healthcare-Associated Infection (Hais) during the Covid 19 pandemic at Pertamina Bintang Amin Hospital, Bandar Lampung City. Keywords: Attitude, Prevention of Healthcare Associated Infection (Hais) ABSTRAK Infeksi yang terjadi di fasilitas kesehatan atau yang saat ini lebih dikenal dengan Healthcare Associated Infections (HAIs) adalah masalah serius yang harus ditangani. Hal ini dikarenakan banyaknya angka kejadian infeksi yang terjadi setelah datang ke fasilitas layanan kesehatan. Menurut data WHO sekitar 3-21% atau rata-rata 9% kejadian infeksi. Angka kejadian HAIs di Provinsi Lampung Tahun 2017 mencapai 37%, dan pada tahun 2018 mengalami peningkatan hingga mencapai 42%, RSPBA sebagai salah satu RS Swasta di Bandar Lampung pada tahun 2020 diketahui angka kejadian Plebitis mencapai 0,18, Infeksi saluran kemih (ISK) mencapai 1,14 dan Ventilator-associated pneumonia (VAP) mencapai 2,18.  Ruang Penyakit Dalam 3,65% dan Ruang Bedah 5,38%. Tujuan penelitian adalah untuk mengetahui hubungan sikap perawat terhadap upaya pencegahan Healthcare Associated Infection (Hais) pada masa pandemi Covid 19 di Rumah Sakit Pertamina Bintang Amin Kota Bandar Lampung. Jenis penelitian ini adalah kuantitatif dengan rancangan cross sectional. Populasi penelitian adalah seluruh perawat di Rumah Sakit Pertamina Bintang Amin Kota Bandar Lampung sejumlah 47 orang (Perawat Ruang rawat Inap Bedah, Penyakit Dalam, OK dan ICU). Sampel 47 responden. Alat pengumpulan data yang digunakan dalam penelitian ini berupa kuesioner dimana lembar kuesioner ini sudah teruji validitas oleh penelitian Wicaksono (2015). Untuk variable sikap terdiri dari 20 pertanyaan. Dan untuk variable upaya pencegahan HAIs terdiri dari 20 pertanyaan. Uji statistik yang digunakan adalah uji chi square dengan bantuan komputer. Distribusi frekuensi responden yang memiliki sikap positif sebanyak 27 responden (57,4%), dan responden dengan upaya pencegahan Healthcare Associated Infection (Hais) pada masa pandemi Covid 19 dalam kategori baik sebanyak 31 responden (66,0%). Ada hubungan sikap perawat terhadap upaya pencegahan Healthcare Associated Infection (Hais) pada masa pandemi Covid 19 di Rumah Sakit Pertamina Bintang Amin Kota Bandar Lampung (p value 0,022) Kata Kunci : Sikap, Pencegahan Healthcare Associated Infection (Hais)
Asuhan Keperawatan pada Asma dengan Masalah Ketidakefektifan Bersihan Jalan Nafas Menggunakan Posisi Semifowler di Desa Kaliawi Kabupaten Way Kanan Rilyani Rilyani; Usastiawaty C.A.S. Isnainy; Seftiliani Putri Ayu
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 6, No 6 (2023): Volume 6 No 6 Juni 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v6i6.9643

Abstract

ABSTRAK Prevalensi asma terus mengalami peningkatan terutama di negara- negara berkembang akibat perubahan gaya hidup dan peningkatan polusi udara. Prevalensi asma di Indonesia adalah 4,5% dari populasi. Asma merupakan suatu penyakit obstruksi saluran nafas yang memberikan gejal- gejala batuk, mengi, dan sesak nafas. Masalah utama pada pasien asma yang sering dikeluhkan adalah sesak nafas. Untuk mengurangi sesak nafas yaitu antara lain dengan pengaturan posisi pada saat istrirahat, posisi semifowler, yaitu dengan gaya gravitasi untuk membantu pengembangan paru dan mengurangi tekanan dari abdomen pada diafragma. Melakukan analisa jurnal, penerapan intervensi jurnal, Penerapan posisi semifowler terhadap bersihan jalan napas dilakukan 1-30x/ menit, dilaksanakan pada malam hari selama 3 hari. Pemberian posisi semifowler setinggi 45’.  Dalam asuhan keperawatan ini ada 3 pasien yaitu An.L, An.A dan An.N mengalami penurunan sesak nafas yang ditandai dengan penurunan frekuensi nafas setelah melaksanakan pemberian posisi semi fowler. Asuhan keperawatan yang dilakukan terhadap An.L, An.A dan An.N yaitu memberikan posisi semi fowler untuk menurunkan sesak nafas. Kata Kunci: Asma, Posisi Semi Fowler, Sesak Nafas  ABSTRACT The prevalence of asthma continues to increase, especially in developing countries due to lifestyle changes and increased air pollution. The prevalence of asthma in Indonesia is 4.5% of the population. Asthma is a disease of airway obstruction that gives symptoms of coughing, wheezing, and shortness of breath. The main problem in asthma patients who often complain is shortness of breath. To reduce shortness of breath, among others, by adjusting the position at rest, semi-Fowler's position, namely by using gravity to help expand the lungs and reduce pressure from the abdomen on the diaphragm. Conduct journal analysis, apply journal interventions, The application of the semi-Fowler's position for airway clearance is carried out 1-30x/minute, carried out at night for 3 days. Giving a semi-fowler's position at 45'. The unit that became the case was further analyzed and given a therapeutic action.  In this nursing care, there were 3 patients, namely An.L, An.A and An.N who experienced a decrease in shortness of breath which was marked by a decrease in the frequency of breath after giving the semi-Fowler position. nursing care carried out on An.L, An.A and An.N is to provide a semi-Fowler position to reduce shortness of breath Keywords: Asthma, Semi Fowler's Position, Shortness of Breath