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All Journal Jurnal Sehat Mandiri NURSING UPDATE JURNAL ILMIAH ILMU KEPERAWATAN
Eka P.U, Julvainda
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Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Penerapan Range Of Motion (ROM) Pasif Dalam Gangguan Mobilitas Fisik Pada Pasien Stroke Non Hemoragik Puspitasari, Dian Ayu; Eka P.U, Julvainda
NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871 Vol 15 No 2 (2024): JUNI
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/nu.v15i2.2138

Abstract

Latar belakang: Stroke merupakan salah satu penyakit yang mengenai sistem persyarafan. Stroke terjadi ketika pasokan darah ke otak mengalami gangguan, akibat sebagian sel-sel otak mengalami kematian karena sumbatan atau pecahnya pembuluh darah menuju otak (Andriani et al. 2022). Stroke Non Hemoragik disebabkan oleh adanya penyumbatan dalam pembuluh darah yang menyebabkan berkurangnya suplai darah ke otak.Tujuan: melakukan Asuhan Keperawatan Pada pasien stroke dengan pemberian terapi ROM (Range Of Motion) Pasif Dalam Gangguan Mobilitas Fisik di RSUP Dr. Kariadi Semarang. Metode: Peneliti menerapkan metode pengumpulan data yaitu melakukan studi pendahuluan, melaksanakan kontrak waktu dengan perawat, pasien dan keluarga, menjelaskan tentang teknik ROM pasif. Subyek dalam studi kasus ini yaitu dua pasien yang memiliki kasus stroke Hasil: Pada studi kasus ini pelaksanaan keperawatan hanya berfokus pada satu masalah keperawatan yaitu masalah hambatan mobilitas fisik dan berfokus pada tindakan ROM pasif. Kesimpulan: Penerapan teknik ROM pasif pada pasien Tn.H dilakukan diekstermitas bagian kanan, penerapan teknik ROM pasif pada pasien Tn.S dilakukan diekstermitas bagian kiri yang hasilnya terdapat peningkatan kekuatan otot pasien Tn.H dan Tn.S.
Efektifitas Oral Hygiene terhadap Jumlah Koloni Mikroba sebagai Risiko Ventilator Associated Pneumonia (VAP) Syarif, Ahmad; Winarto, Eko; Eka P.U, Julvainda; Agusman, Fery; Widiati, Amrih
Jurnal Sehat Mandiri Vol 19 No 2 (2024): Jurnal Sehat Mandiri, Volume 19 Nomor 2 Desember 2024
Publisher : Poltekkes Kemenkes Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33761/jsm.v19i2.1516

Abstract

Ventilator Associated Pneumonia (VAP) is inflammation of the lung parenchyma when a patient receives mechanical ventilation for more than 48 hours, caused by the bacteria Pseudomonas aeruginosa, Klebsiella pneumoniae, Acinetobacter baumannii, Staphylococcus aureus, and Escherichia coli. The aim of the research was to determine the effectiveness of oral hygiene between chlorhexidine gluconate 0.2% and Povidone Iodine 1% on the number of microbial colonies as a risk of VAP. The research design is True Experiment Design in the form of Pretest-Posttest Control Group Design. The population is patients on mechanical ventilation from February to March 2024. The number of samples was 15 in each experimental and control group determined randomly. The research variable is counting the number of microbial colonies through swab culture and carrying out the paired sample t-test and dependent sample t-test. The research showed that there was a significant difference (P=0.000) in the pre-test with the number of microbial colonies being greater than the post-test in each chlorhexidine gluconate 0.2% group (difference in mean value 63.13) and the povidone iodine 1% group (difference in average value 71,922) for all microbes. Chlorhexsidine Gluconate 0.2% is more effective than Povidone Iodine 1% with a significant difference in the number of microbial colonies (average p-value > 0.05) both in the pre-test (difference in average value 25,198) and post-test (difference in average value average 16.46) on all microbes. Oral hygiene using chlorhexidine gluconate 0.2% is more effective than povidone iodine 1% on the number of microbial colonies as a risk of VAP. Recommended to optimize the use of 0.2% chlorhexidine gluconate in the cleaning of medical instruments such as ventilators.
Co-Authors Ahmad Syarif Amrih Widiati Eko Winarto Fery Agusman Puspitasari, Dian Ayu