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All Journal Jurnal Keperawatan Muhammadiyah MAHESA : Malahayati Health Student Journal
Taliki, Verawaty
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Dentistry Health Professions Nursing Public Health

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Pengaruh VAP Bundle Intervention Dalam Pencegahan VAP Pada Pasien Terpasang Ventilator Mekanik Di Ruangan ICU RSUD Prof. Dr. H. Aloei Saboe Kota Gorontalo Damasnyah, Haslinda; Yunus, Pipin; Monoarfa, Susanti; Taliki, Verawaty
Jurnal Keperawatan Muhammadiyah Vol 9 No 3 (2024): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v9i3.22696

Abstract

Objective: Patients who are on a mechanical ventilator can increase the risk of nosocomial infections because this is a potential complication that can occur, including patients experiencing Ventilator Associated Pneumonia (VAP). The aim of this study was to analyze the effect of VAP bundle intervention in preventing VAP in patients on mechanical ventilators in the ICU Room at Prof. Hospital. Dr. H. Aloei Saboe Gorontalo City. Methods: The research method used is pre-experimental research with one group pre-post test design to carry out CPIS (Clinical Pulmonary Infection Score) measurements to diagnose VAP. Results: The results of this study were obtained before the VAP bundle intervention in patients on mechanical ventilators in the ICU, the average CPIS score was 4.75. After the VAP bundle intervention, the patient was placed on a mechanical ventilator in the ICU Room at Prof. Hospital. Dr. H. Aloei Saboe, Gorontalo City, the average CPIS score is 3.42. The results of the Wilcoxon statistical test obtained a p-value of 0.001 (<α 0.05), meaning that there is an influence of VAP bundle intervention in preventing VAP in patients on mechanical ventilators in the ICU room at the Regional Hospital Prof. Dr. H. Aloei Saboe Gorontalo City. Conclusion: From this research data, the implementation of VAP prevention measures and the patient's disease condition is supported by the provision of pharmacological therapy according to the dose.Elevation of the head 30-45° can reduce the occurrence of oropharyngeal and gastrointestinal aspiration and increase the patient's lung volume and lung ventilation. Oral hygiene with antiseptic chlorhexidine 0.02% as an inhibitor of dental plaque formation and gingivitis.
Concept Analysis Patient Centred Care In Diabetes Mellitus With Heart Disease Complication Pranata, Satriya; Aisah, Siti; Vranada, Aric; Taliki, Verawaty; Adriani, Sri; Riyanto, Ujang; Fariqoini, Ayul; Harmoko, Tri
MAHESA : Malahayati Health Student Journal Vol 5, No 6 (2025): Volume 5 Nomor 6 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i6.18495

Abstract

ABSTRACT PCC of patients with diabetes mellitus with heart disease is a patient-focused service with a holistic approach (bio-psychosocial-spiritual) to provide respectful and individualized care, enabling negotiation of care and offering choice through a therapeutic relationship where patients with diabetes mellitus with heart disease complications are empowered to be involved in health decisions at whatever level is desired by the individual receiving care. However, the application of this concept in services has not been comprehensively clarified. The purpose of this analysis is to describe and explain the concept of PCC in patients with diabetes mellitus with heart disease complications. Walker and Avant's concept analysis process was used to analyze the PCC concept. Six main defining attributes were identified: “ autonomy support; shared decision making; cooperation and collaboration; communication and education; emotional support, involvement of family and others. The predecessor analysis included several options with different possible outcomes, substantial patient-focused care conflicts, the need to recognize the health situation of patients with diabetes mellitus complicated by heart disease, and the willingness to participate in care. All of these factors are directly associated with different patient outcames and indirectly associated with outcames through patient activation. Kata Kunci: Patient Centred Care, Diabetes Mellitus, Heart Disease
Pengaruh VAP Bundle Intervention Dalam Pencegahan VAP Pada Pasien Terpasang Ventilator Mekanik Di Ruangan ICU RSUD Prof. Dr. H. Aloei Saboe Kota Gorontalo Damasnyah, Haslinda; Yunus, Pipin; Monoarfa, Susanti; Taliki, Verawaty
Jurnal Keperawatan Muhammadiyah Vol 9 No 3 (2024): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v9i3.22696

Abstract

Objective: Patients who are on a mechanical ventilator can increase the risk of nosocomial infections because this is a potential complication that can occur, including patients experiencing Ventilator Associated Pneumonia (VAP). The aim of this study was to analyze the effect of VAP bundle intervention in preventing VAP in patients on mechanical ventilators in the ICU Room at Prof. Hospital. Dr. H. Aloei Saboe Gorontalo City. Methods: The research method used is pre-experimental research with one group pre-post test design to carry out CPIS (Clinical Pulmonary Infection Score) measurements to diagnose VAP. Results: The results of this study were obtained before the VAP bundle intervention in patients on mechanical ventilators in the ICU, the average CPIS score was 4.75. After the VAP bundle intervention, the patient was placed on a mechanical ventilator in the ICU Room at Prof. Hospital. Dr. H. Aloei Saboe, Gorontalo City, the average CPIS score is 3.42. The results of the Wilcoxon statistical test obtained a p-value of 0.001 (<α 0.05), meaning that there is an influence of VAP bundle intervention in preventing VAP in patients on mechanical ventilators in the ICU room at the Regional Hospital Prof. Dr. H. Aloei Saboe Gorontalo City. Conclusion: From this research data, the implementation of VAP prevention measures and the patient's disease condition is supported by the provision of pharmacological therapy according to the dose.Elevation of the head 30-45° can reduce the occurrence of oropharyngeal and gastrointestinal aspiration and increase the patient's lung volume and lung ventilation. Oral hygiene with antiseptic chlorhexidine 0.02% as an inhibitor of dental plaque formation and gingivitis.
Co-Authors Adriani, Sri Damasnyah, Haslinda Fariqoini, Ayul Harmoko, Tri Monoarfa, Susanti Pipin Yunus Riyanto, Ujang Satriya Pranata Siti Aisah Vranada, Aric