Objective: To examine the effect of the combination of cold pack, water spray, and fan cooling on body temperature reduction and level of success to reach normal temperature in critically ill patients with hyperthermia.Methods: This was a randomized control trial (RCT) with pretest postest control group design and repeated measurement, conducted on December 2016 – January 2017. There were 32 respondents selected using total sampling, with 16 respondents randomly assigned in the experiment and control group. A digital thermometer was used to measure hyperthermia. Paired t-test, Repeated Anova with post hoc, and Mann Whitney were used for data analysis.Results: Findings showed that the mean of body temperature in the experiment group in pretest was 38.762oC and decreased to 37.3oC after given intervention for 60 minutes. The mean difference of body temperature was 1.4625, with p-value 0.000 (<0.05). In control group, the mean of body temperature in pretest was 38.669oC and decreased to 38.188oC given intervention for 60 minutes. The mean difference of body temperature was 0.4812, with p-value 0.000 (<0.05). Conclusion: There was a significant effect of the combination of cold pack, water spray, and fan cooling on body temperature reduction and level of success to reach normal temperature in critically ill patients with hyperthermia. This combination is more effective than water compress alone.
Background: Ventilator Associated Pneumonia (VAP) is one of the causes of infection in the hospital and the main cause of death due to nosocomial infection. The strategy to prevent VAP is by oral hygiene. Honey may be a good solution for oral hygiene.Objective: This study aims to compare the effect of the use of 20% honey solution and 0.2% chlorhexidine as oral hygiene on VAP prevention in patients on mechanical ventilation.Methods: This was a quasi-experimental study with posttest only control group design in an incentive care unit of a general hospital in Indonesia. Thirty respondents were selected using consecutive sampling, which 15 respondents assigned in a 20% honey group and 0.2% chlorhexidine group. Clinical Pulmonary Infection Score (CPIS) was used to measure Ventilator Associated Pneumonia. Data were analyzed using Independent t-test.Results: The mean of CPIS in the honey group was 3.33 and the chlorhexidine group was 3.53. Independent t-test showed p-value 0.618 (>0.05), which indicated that there was no significant difference of the effect of honey and chlorhexidine on VAP event.Conclusions: The 20% honey solution has the same effect with 0.2% chlorhexidine in preventing VAP events in patients on mechanical ventilation.
AbstrakInfeksi Oksigen merupakan kebutuhan dasar manusia yang tidak bisa ditunda pemenuhanya. Pada penderita yang mengalami hipoksia penatalaksanaan yang harus segera dilakukan adalah dengan terapi oksigen. Oksigen tabung cenderung bersifat kering sehingga dapat menyebabkan iritasi di sepanjang saluran pernapasan. Upaya guna meminimalkan permasalahan tersebut adalah dengan pemakain humidifier, namun penggunaan humidifier dapat sebagai tempat untuk pertumbuhan bakteri. Penelitian bertujuan mengetahui mana lebih efektif yang lebih efektif antara penggunaan reverse osmosis water dibandingkan dengan penggunaan aquabidest dalam meminimalkan pertumbuhan kuman di humidifier. Jenis penelitian adalah penelitian (true experiment) dengan rancangaan posttest control group design. Untuk mengetahui efektifitas pada kedua kelompok dilakukan dengan uji Mann-whitney. Terdapat perbedaan bermakna antara koloni kuman pada pengamatan jam ke 8, ke 16 dan jam ke, 24 pada kelompok aquabidest dengan p value sebesar 0,018 dan kelompok Reverse osmosis water dengan p value sebesar 0,007. Tidak ada perbedaan bermakna koloni kuman pada kelompok aquabidest dengan Reverse Osmosis pada pengamatan jam ke 8, ke 16 dan jam ke 24 dengan p value secara berturut turut 1.00, 1,00 dan 0,74. Tidak ada perbedaan efektifitas antara penggunaan aquabidest dibandingkan dengan penggunaan Reverse Osmosis Water. Aquabidest dan atau Reverse Osmosis Water bisa digunakan di humidifier dengan menggunakan aquabidest dan reverse osmosis Water di humidifier pada tindakan terapi Oksigen. AbstractOxygen is a basic human need that cannot be delayed. In patients who experience hypoxia management that must be done immediately is oxygen therapy. Oxygen tubes tend to be dry so they can cause irritation along the respiratory tract. Efforts to minimize these problems are by using a humidifier, but the use of a humidifier can be a place for bacterial growth. The study aimed to find out which is more effective more effective between the use of reverse osmosis water compared to the use of aquabidest in minimizing germ growth in the humidifier. This type of research is research (true experiment) with the design of posttest control group design. To find out the effectiveness of the two groups, the Mann-Whitney test was conducted. There was a significant difference between the bacteria colonies at the 8th, 16th and hourly observations, 24 in the aquabidest group with a p value of 0.018 and the Reverse osmosis water group with a p value of 0.007. There was no significant difference in bacterial colonies in the aquabidest group with Reverse Osmosis at the 8th, 16th and 24th Jaringan Laboratorium Medis
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