Background: Oral infections can be a potential source of infection resulting in a variety of systemic diseases, especially in intubated patients in an Intensive Care Unit (ICU). Endotracheal tube (ETT) of the intubated patient’s mouth can be an entry point and place of bacteria colonization that causes ventilator-associated pneumonia which is one of the causes of the patient’s death in ICU. Nurses as caregivers have an important role in providing oral care intervention to maintain oral health and prevent the infection.Objective: This study aimed to analyze the effect of oral care intervention on oral health status of intubated patients in the ICU. Methods: This was a pre-experimental study with one group pre-test post-test design. A consecutive sampling was used to select 18 intubated patients in the ICU of Al Islam hospital in Bandung. Oral health status was evaluated by Beck Oral Assessment Scale (BOAS). Descriptive analysis was used for the univariate analysis and t-test was used for bivariate analysis. Results: The results showed that oral health scores before and after intervention were 11.94 and 13.28 (p=.004). The BOAS subscales had a significant worsening of the lips, gingiva, oral mucosa and saliva (p<.05), while there was an improvement in teeth subscale after oral care intervention (p<.001).Conclusion: The results suggested that the oral health status of intubated patients had worsened, despite routinely oral care intervention using chlorhexidine gluconate. Mucosa care may become an essential part of the oral care intervention for intubated patients. Therefore, additional topical agent is needed to maintain the moisture of the mucosal membrane, so that the oral health status of intubated patients will be better.
Background: Academic stress is one of the biggest health problems that have an impact on academic performance. Students become a group that is vulnerable to the stress that comes from academic life.Academic stress that is usually experienced by students is due to academic responsibility. The online learning system that has changed during the Covid-19 pandemic requires students to get more assignments and a busy lecture schedule. Method: This study used a cross-sectional study design. The respondents were 175 students using the accidental sampling technique. The instrument used was a questionnaire consisting of demographic data and a statement regarding the level of academic stress with the modified Depression Anxiey and Stress Scale 42. Result: From the results of statistical tests, it was found that most of the respondents had a moderate stress level (34.3%), the variable age value p-value = 0.001, college load p-value = 0.045, achievement index p-value = 0.302, and residence status p-value = 0.166. Conclusion: So that there is a relationship between age and study load with academic stress on students. Students who cannot adapt to environmental changes will result in impaired ability to adapt to stressors received from the academic process.
ABSTRAK Anak merupakan generasi penerus bangsa dimasa akan datang. Akan tetapi, banyak anak-anak yang menderita diare bahkan hingga mengalami kematian. Diare dapat dicegah dengan perilaku hidup bersih dan sehat salah satunya melaksanakan cuci tangan dengan benar menggunakan sabun. Perilaku hidup bersih dan sehat (PHBS) merupakan upaya dalam meningkatkan kesehatan, mencegah dan melindungi dari terjadinya risiko berbagai ancaman penyakit. PHBS perlu diterapkan pada anak sejak dini agar anak paham dan mampu mengaplikasikan dalam kehidupan sehari-hari. Promosi PHBS banyak dilakukan dengan berbagai media. Salah satu tujuan PHBS adalah memberikan penyadaran pada masyarakat sehingga tercapai kualitas kesehatan. Kegiatan ini bertujuan meningkatkan pengetahuan dan perilaku siswa sekolah dalam mengenal dan mencegah penularan diare. Hasil penyuluhan kesehatan menunjukkan bahwa terdapat peningkatan pengetahuan sebelum dan sesudah diberikan penyuluhan kesehatan pada anak usia sekolah Setelah kegiatan penyuluhan kesehatan dihasilkan bahwa anak dapat mempraktikkan dalam kehidupan sehari-hari. Pelaksanaan PHBS perlu pantauan orang tua ketika dirumah dan dari guru ketika di sekolah. Dukungan tersebut penting dilakukan supaya anak bisa mempraktekkan PHBS khususnya mencuci tangan dengan langkah yang benar dalam kehidupan sehari-hari. Kata kunci: PHBS, anak usia sekolah, cuci tangan ABSTRACT Children are the next generation of the nation in the future. However, many children suffer from diarrhea and even die. Diarrhea can be prevented by a clean and healthy lifestyle, one of which is washing hands properly with soap. Clean and healthy living behavior (PHBS) is an effort to improve health, prevent and protect from the risk of various disease threats. PHBS needs to be applied to children from an early age to understand and apply it in everyday life. PHBS promotions have been widely carried out, both through print and electronic media. The main goal of the PHBS movement is to improve the quality of health through awareness processes in everyday life. This community service program activity aims to increase the knowledge and behavior of school students in recognizing and preventing the transmission of diarrhea. The results of health counseling conducted on school-age children showed an increase in children's knowledge before and after being given health counseling. After health education activities are produced that children can practice in everyday life. The implementation of PHBS needs parental monitoring when at home and from the teacher when at school. This support is important so that children can practice PHBS, especially washing hands in the right way in everyday life. Keywords: PHBS, school-age children, washing hands
ABSTRAK Sampai saat ini, stunting masih menjadi tantangan besar di Indonesia. Indonesia merupakan Negara dengan double burden atau dikenal dengan masalah gizi ganda, yaitu stunting dan anemia pada ibu hamil. Stunting adalah salah satu masalah kesehatan dengan prevalensi yang cukup tinggi, sesuai dengan data JME, UNICEF World Bank di tahun 2020, angka stunting di Indonesia berada di tingkat ke 115 dari 151 negara di dunia. Data stunting menurut Riset kesehatan Dasar tahun 2018 yaitu sebesar 30,8%, berdasarkan data tersebut Indonesia masuk kedalam kategori dengan angka stunting yang tinggi. Upaya pemberdayaan kepada masyarakat bisa menjadi solusi untuk mengatasi permasalahan stunting. Dengan Promosi kesehatan merupakan suatu strategi pemberdayaan kepada masyarakat dalam hal preventif dan promotif. kegiatan pengabdian masyarakat ini dilaksanakan dengan beberapa tahapa, meliputi perencanaan, pengisian pre-test, penyampaian materi terkait stunting, diskusi atau tanya jawab, pengisian post-test, dan penutupan. Hasil pemberdayaan masyarakat yang dilakukan menunjukkan hasil perbedaan pengetahuan sebelum dan sesudah dilakukannya penyuluhan, yaitu sebesar 90% dengan total responden 57 orang ibu hamil dan balita dapat memahami materi yang telah disampaikan oleh pembicara. Program pencegahan Stunting ini efektif terhadap perubahan pola kehidupan yang lebih sehat dan baik lagi bagi para warga Sawangan Baru dan sekitarnya. Dengan adanya program ini diharapkan dapat membantu Indonesia dalam menurunkan angka Stunting. Kata Kunci: Balita, Cegah, Ibu hamil, Stunting ABSTRACT Until now, stunting is still a big challenge in Indonesia. Indonesia is a country with a double burden or known as a double nutritional problem, namely stunting and anemia in pregnant women. Stunting is a health problem with a fairly high prevalence, according to data from JME, UNICEF World Bank in 2020, the stunting rate in Indonesia is at level 115 out of 151 countries in the world. Stunting data according to Basic Health Research in 2018 is 30.8%, based on this data Indonesia is in the category with a high stunting rate. Community empowerment efforts can be a solution to overcome the stunting problem. Health promotion is an empowerment strategy for the community in terms of prevention and promotion. This community service activity wass carried out in several stages, including planning, filling out the pre-test, delivering material related to stunting, discussion or question and answer, filling out the post-test, and closing. The results of community empowerment carried out showed that there was a difference in knowledge before and after counseling, which was 90% with a total of 57 pregnant women and toddlers as respondents being able to understand the material presented by the speaker. This Stunting prevention program’s effective in changing the pattern of life that is healthier and better for the residents of Sawangan Baru and it’s surroundings. This program’s expected to help Indonesia in reducing the Stunting rate. Keywords:Prevent, Pregnant women, Stunting, Toddlers
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