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Predictors of Ventilator Weaning Failure in Sepsis Patients in Intensive Care Unit Dwisusanti, Oktina; Rohman, Rohman; Yunitri, Ninik; Rayasari, Fitriyan; Anitha, Anitha; Maemun, Siti
Indonesian Journal of Global Health Research Vol 6 No S4 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS4.3956

Abstract

Sepsis is one of the most common infection complications in intensive care units (ICU). Sepsis causes organ dysfunction, including respiratory failure, that requires ventilator breath support. However, patients often experience ventilator weaning failure. We analyse the relation of predictor ventilator weaning failure in sepsis patients in ICU. This study was a cross-sectional study with study population consisting of sepsis patients who used ventilators in the ICU of Sulianti Saroso Hospital, and there were as many as 58 patients. We studied age, gender, body mass index (BMI), PCO2 value, prolonged ventilator use, pneumonia, malnutrition, vasopressor use and ventilator weaning with secondary data. The data collection instruments used were case report formulas. Descriptive statistical analysis in the form of frequency distribution (n) and proportion (%) and further analysis with binomial logistic regression (α<0.05). Three factors significantly influenced weaning failure were vasopressor use, malnutrition, and BMI (p<0.05). There is a significant influence of vasopressor use, malnutrition, and BMI with ventilator weaning failure.
Factors Related to the Implementation of Patient Safety Anitha, Anitha; Dwisusanti, Oktina; Nuraidah, Nuraidah; Wijiarti, Kunti; Pratiwi, Tiara Zakiyah; Maemun, Siti
Indonesian Journal of Global Health Research Vol 7 No 2 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i2.5293

Abstract

Patient safety is a critical global health issue. Despite solutions from JCI and WHO, 70% of medication errors still occur in many countries, including Indonesia. Objective: To identify factors influencing patient safety implementation by nurses at Sulianti Saroso Infectious Diseases Hospital (SSIDH). Methods: This cross-sectional observational study was conducted at SSIDH in October-November 2024. The population included 150 nurses, midwives, and heads of inpatient wards, selected using purposive sampling. Data were analysed using Kolmogorov-Smirnov, chi-square, and multiple logistic regression (p<0.05). Results: Most respondents were female and held a bachelor’s degree in nursing. Knowledge, attitude, and motivation were not significantly associated with patient safety implementation. Factors significantly influencing patient safety were age, duty room, and tenure (p<0.05). Nurses aged ≥40 years were four times less likely to implement patient safety standards compared to those <40 years (OR=4.04; 95%CI=1.68-9.72). Those working in non-intensive wards were 0.11 times less likely to implement standards (OR=0.11; 95%CI=0.05-0.27). Conclusion: Nurses/midwives should enhance patient safety implementation based on the six patient safety goals. Healthcare providers are encouraged to create programs to support quality improvement and reduce adverse events.