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Zubaidi Zubaidi
Universitas Nahdlatul Ulama
Health Professions Medicine & Pharmacology Nursing

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Faktor Risiko Dan Pencegahan Infeksi Multi-Drugs Resistant Organism Di Ruang Intensive Care Unit Eppy Setiyowati; Feby Ayu Miladiya; Rudi Hartono; Zubaidi Zubaidi
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.53671

Abstract

Background: MDRO is a significant problem in healthcare, particularly in the ICU. MDRO infections have a poorer prognosis and even death in ICU patients. The aimed of this study was to identify risk factors and prevention of MDRO in ICU patients. Methods: Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines through the following databases: Pubmed, Sciencedirect, and Scopus for studies published from 2021-2025 that report risk factors and prevention of MDRO in ICU patients. Results: Data from 1,357 articles resulted in 10 articles identified according to the inclusion criteria. The sample obtained was 10,969 ICU patients. Identified risk factors for MDRO infection were length of stay, antibiotic use, and patient clinical condition. Meanwhile, prevention measures include screening, antibiotic control, prevention of healthcare infections, and strengthening environmental hygiene practices and hand hygiene. Conclusion: Risk factors for MDRO infection can be prevented by early patient screening as well as standard precautions and contact precautions in all treatment rooms, especially in the ICU. Keywords: Multidrugs-resistant organisms (MDRO), Intensive Care Unit (ICU), Risk factor, prevention
Penerapan Evidence-Based Nursing Dalam Pencegahan Luka Tekan Pada Pasien CVA Melalui Mobilisasi dan Skin Barrier Hidrokoloid Eppy Setiyowati; Febi Ariska Putri; Zubaidi Zubaidi; Samsudi Samsudi
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.60359

Abstract

CVA patients experience bed rest which is quite long and continuous, which can cause the protrusion area to experience decreased blood circulation, circulation and absorption of nutrients and sufficient leukocytes. This will lead to tissue ischemia and subsequent infection, damage to the integrity of the skin tissue, namely, pressure injury or pressure sores. The purpose of this study was to analyze the description of nursing care in CVA patients with the application of mobilization support and care for skin integrity using a hydrocolloid skin barrier to overcome the risk of pressure ulcers in CVA patients in Room 7 RSPAL Dr Ramelan Surabaya. The research design of this final scientific work used the case method, with the subject being 1 patient with pressure ulcer risk nursing problems with a medical diagnosis of CVA. The research was conducted in Room 7, RSPAL Dr. Ramelan Surabaya, for 3 days, using data collection methods including comprehensive assessment, diagnosis determination, intervention determination, action implementation, and evaluation. The results of a case study on CVA with nursing problems at risk of pressure sores showed that after being given support for mobilization and skin integrity care (SIKI) therapy with bed transfer mobilization and administration of hydrocolloid skin barrier, pressure injury could be prevented, and the risk of pressure sores was reduced, and skin and tissue integrity increased. Nurses are expected to be able to implement and recommend the application of bed rest, mobilization, and administration of hydrocolloid skin barrier related to modification of care in addressing the risk of pressure sores.
Co-Authors Eppy Setiyowati Febi Ariska Putri Feby Ayu Miladiya Rudi Hartono Samsudi Samsudi