ABSTRAKHealthcare Associated Infections (HAIs) merupakan masalah besar yang dihadapi rumah sakit. Program pencegahan dan pengendalian infeksi (PPI) sangat penting dilaksanakan dirumah sakit sebagai tolok ukur mutu pelayanan juga untuk melindungi pasien, petugas, pengunjung dan keluarga dari resiko tertularnya infeksi karena dirawat, bertugas dan berkunjung ke suatu rumah sakit. Penelitian ini bertujuan memahami lebih dalam tentang pelaksanaan manajemen pencegahan dan pengendalian Healthcare Associated Infections (HAIs) di Rumah Sakit Islam Ibnu Sina Padang. Penelitian ini bersifat deskriptif dengan pendekatan kualitatif dengan jumlah partisipan sebanyak 7 partisipan yang diambil secara purposive sampling. Pengumpulan data dengan wawancara mendalam (Indepth Interview). Analisis data menggunakan metode Collaizi. Hasil penelitian ini teridentifikasi 4 tema yaitu pelaksanaan program HAIs belum optimal, penerapan manajemen pelaksanaan HAIs belum optimal, hasil penerapan pelaksanaan HAIs belum optimal dan hambatan dalam pelaksanaan HAIs. Perlunya meningkatkan kualitas tenaga dengan mengadakan pelatihan bagi seluruh perawat supaya terlatih dalam pelaksanaan pencegahan dan pengendalian Healthcare Associated Infections (HAIs). Kata Kunci: Pelaksanaan, Manajemen, Healthcare Associated Infections (HAIs) ABSTRACT Healthcare Associated Infections (HAIs) is a major problem facing hospitals. Infection prevention and control programs (PPI) are very important in hospitals as a measure of the quality of care as well as to protect patients, officers, visitors and families from the risk of contracting the infection due to being treated, on duty and visiting a hospital. This study purpose was to understand deeply about the implementation of preventive and control of Healthcare Associated Infections (HAIs) management at
Introduction: Hypertension self-care practice is essential for blood pressure control and reduction of hypertension complications. An Assessment of an individual hypertension self-care behavior may provide clinicians and practitioners with important information regarding how to control hypertension. Objective: The purpose of this study was to assess Hypertension self-care practice and associated factors among patients in public health facilities in Padang. Method: In this cross-sectional study design with proportional random sampling. 260 hypertensive patients. Self-care activities were measured using hypertension self-care activity level effects (H-Scale). Results: The mean age was 60 years old, women (65.8%), unemployed (88.1%), senior high school (47.7%), duration had hypertension for 5-10 years (49.6%). 67.3% normal body mass index, 83.5% nonsmoking, 72.3% had’ not central obesity. There were four components of self-care that had a low level. They were physical activity adherence, using a low salt diet, weight management, and medication adherence. 100% abstinence from alcohol, 73.8% nonsmoking. The results of Chi-square indicated that BMI (p=0.002), central obesity (p = 0,000) were significantly associated with treatment adherence; there were also a significant association between education (p=0.005), BMI (p=0.002) and central obesity (p=0,000) with diet adherence; the age (p = 0.008), education (p = 0.014) and central obesity (p = 0,000) with adherence to physical activity; sex (p = 0,000), work (p=0,000) and education (p=0.025) with nonsmoking. Discussion: It is crucial to implement a well- designed program to improve hypertension self-care behaviors.
BACKGROUND: Hypertension contributes significantly to the increase in cardiovascular disease cases, especially in the elderly. Knowledge and self-care compliance are needed, but in reality, awareness and regularity of control are still lacking in hypertensive patients in urban communities. AIM: The aim of the study was to determine the relationship of knowledge with self-care and get an overview of existing knowledge and self-care in the elderly with hypertension. METHODS: This is a quantitative and cross-sectional design recruited 383 hypertensive patients in three community health centers. Sampling with proportional random sampling from three health centers that have the highest cases of hypertension in the city of Padang. Knowledge instrument using hypertension knowledge-level scale. Moreover, hypertension self-care adherence using hypertension self-care activity level effects. Analysis using Chi-square test RESULTS: The sample of this study was 383 respondents. About 66.3% are women, 88.3% have low education, and 86.9% do not work. 51.2% had duration of hypertension 0–5 years and the average age was 60.89 ± 8.072 years. About 94.8% of respondents have poor knowledge. Self-care practice showed 64% non-adherence to medication, 88.5% non-adherence to the DASH diet, and 82.5% non-adherence to weight management. However, 78.6% indicated non-smoking adherence and 100% alcohol avoidance adherence. There was a relationship between knowledge and adherence to weight management (p=0.000; odds ratio [OR] 6.7 (95% confidence interval [CI] for Exp B; 2.65–16.91)) and physical activity (p=0.000; OR 14.99 (95% CI for Exp B; 5.65–39.79)). CONCLUSION: Providing comprehensive and repeated health education for the elderly with hypertension can increase their knowledge. The involvement of patients and families is needed to improve self-care behavior.
Progressive Muscle Relaxation (PMR) merupakan teknik yang berfokus pada pertahanan keadaan relaksasi otot, yang melibatkan kontraksi dan relaksasi berbagai kelompok otot dari kepala hingga ekstremitas bawah. Penelitian ini berjuan untuk mengetahui efektivitas PMR dalam mengurangi nyeri pada pasien kanker paru yang mendapatkan kemoterapi. Desain penelitian yang digunakan adalah penelitian kuantitatif dengan pendekatan Quasy Experimen with Control Group Pre-Test-Post-Test Design dengan teknik purposive sampling sehingga didapatkan jumlah responden sebanyak 34 orang. Teknik pengumpulan data skala nyeri menggunakan numeric rating scale. Hasil penelitian didapatkan bahwa Ada perbedaan skala nyeri sebelum dan sesudah pemberian PMR pada pasien kanker di kelompok intervensi dengan p=0.000 (p<0.05). artinya ada pengaruh setelah diberikan PMR dengan penurunan skala nyeri pasien kanker paru. Diharapkan pelayanan kesehatan khususnya perawat dapat menjadikan PMR sebagai intervensi mandiri dan salah satu pembentukan program telenursing dalam hal pemantauan skala nyeri pada pasien kanker paru yang mendapatkan pengobatan kemoterapi.
The city of Padang has a topography that is prone to flooding or inundation and other natural disasters such as earthquakes and tsunamis. The city of Padang, which is located on the collision of the Indian Ocean Plate and the Australian Plate, which infiltrates under the Eurasian Plate, forms the Benioff Zone, an earthquake zone with seismicity of magnitude greater than five on the Richter scale. With the condition of the city of Padang, which is prone to disasters, community participation is very much needed, especially at the pre-disaster stage (disaster mitigation), during emergency response, and post-disaster because the community is directly dealing with disasters. Schools play an essential role and have several functions in disaster risk reduction including facilitating and collaborating with the surrounding environment, improving community skills, refugee shelter centres when a disaster occurs. Therefore, it was necessary to carry out activities that can increase the understanding and expertise of the young school community, especially students in disaster mitigation and disaster response. On November 12, 2021, this activity was held at SMA Adabiah Padang with 21 students. The methods used in the activity were disaster counselling, triage concept, vital sign monitoring and splinting. The activity results found an increase in student's knowledge after being given health education and increased students' abilities in triage and splinting.
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