Chronic disease in total care patients can lead the damage of skin integrity. The skin integrity damage can be affected by various patient’s conditions, including physical immobilization, treatment, changes in skin turgor, immune decline, age, environmental changes and the effects of the diseases. Its can make the complications of patient condition such as infection so that can causes the longer length of stay and higher of hospitalization costs. The aim of this paper is to identified use of olive oil and warm water in bathing intervention in preventing risk of skin integrity damage in total care patients with chronic disease. This is a case study in one total care patient with chronic disease. Skin integrity assesed by Braden score and patient condition assesed by reseacher observations. Bathing the patient using olive oil and warm water has a calming effect on the patient and preventing damage to the integrity of the skin. Use of olive oil and warm water in bathing intervention can preventing risk of skin integrity damage in total care patients with chronic disease.ABSTRAKPenyakit kronis pada pasien dengan perawatan total dapat menyebabkan kerusakan integritas kulit. Kerusakan integritas kulit dapat dipengaruhi oleh berbagai kondisi pasien, termasuk imobilisasi fisik, perawatan, perubahan turgor kulit, penurunan kekebalan, usia, perubahan lingkungan dan efek penyakit. Hal ini dapat menyebabkan komplikasi pada kondisi pasien seperti infeksi sehingga dapat menyebabkan lama hari rawat lebih lama dan biaya rawat inap yang lebih tinggi. Tujuan dari tulisan ini adalah untuk mengidentifikasi penggunaan minyak zaitun dan air hangat dalam intervensi memandkani dalam mencegah risiko kerusakan integritas kulit pada pasien perawatan total dengan penyakit kronis. Ini adalah studi kasus pada satu pasien perawatan total dengan penyakit kronis. Integritas kulit dinilai oleh Braden score dan kondisi pasien dinilai dengan pengamatan peneliti. Memandikan pasien dengan minyak zaitun dan air hangat memiliki efek menenangkan pada pasien dan mencegah kerusakan integritas kulit. Penggunaan minyak zaitun dan air hangat dalam intervensi mandi dapat mencegah risiko kerusakan integritas kulit pada pasien perawatan total dengan penyakit kronis.
Background: Eating “sirih/Betel” (Ngeu Nata) as a culture in Ngada society can become one of the primary sources of tuberculosis transmission due to sharing leaves and betel liquid reservoirs together with other people. If one of the people who share leaves is tuberculosis (TB) patient, it can transmit TB to other people. The purpose of this study was to identify the factors that influence tuberculosis transmission in “Ngeu Nata” culture using the health belief model approach.Design and Methods: This study used cross-sectional, involving 110 respondents, selected by consecutive sampling. The respondents were Bajawa ethnicity, age 36-67, at least consume Betel once a day together with other people in Ngada district, East Nusa Tenggara.Results: The results showed that most respondents had high transmission behavior in betel-eating culture (51.8%). Factors related to TB transmission behavior: medical history of TB (p=0.028), knowledge about TB (p=0.038), the perception of TB severity (p=0.037); the perception of benefits (p=0.039) and the perception of barrier (p=0.038). The dominant factor was knowledge, (OR 2.36 (95% CI) 1.01-5.51).Conclusion: Implication: nurses should include aspects of the “Ngeu Nata" culture in designing TB education for Bajawa ethnicity in order to prevent TB transmission in Ngada district, East Nusa Tenggara.
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