<p><strong>Objective</strong>: The purpose of this case study was to analyze the oral hygiene intervention performed by nurse in stroke hemorrhagic patient in neurological ward</p><p> </p><p><strong>Methods:</strong> .Oral hygiene interventions were performed by using 0.2% chlorhexidine twice daily for seven days. This case study used oral health assessment tool (OHAT) which the measurements were taken before and after the intervention every day</p><p> </p><p><strong>Results</strong>: There was a decrease in oral hygiene assessment score from 9 to 1 which implied an improvement in oral hygiene condition. This study also showed that family of stroke patient was able to perform oral hygiene practice to the patient after simulation performed firstly by nurses</p><p> </p><p><strong>Conclusion</strong>: The study recommends that oral hygiene by using 0.2% chlorhexidine needs to be delivered routinely by nurses and continues by the family at home care.</p><p> </p><p><strong>Keywords</strong>: chlorhexidine 0.2%, oral hygiene, stroke.</p>
Ventilator associated pneumonia (VAP) adalah yang sering terjadi di rumah sakit terutaman di ruang intensif. VAP merupakah infeksi saluran pernapasan bawah yang mengenai parenkim paru setelah pemakaian ventilasi mekanik lebih dari 48 jam. Kejadian VAP dapat ditekan dengan pelaksanaan bundle VAP. Tujuan penelitian ini untuk mengetahui tingkat kepatuhan dan faktor-faktor yang mempengaruhinya. Metode penelitian adalah deskriptif analitik dengan desain crosssectional dengan sampel sebanyak 45 perawat ICU. Alat ukur yang digunakan adalah VAP Bundle Checklist dari Institute for healthcare improvement (IHI) 2012 dan adaptasi PRECEDE model. Hasil penelitian ini menunjukkan bahwa tingkat kepatuhan perawat terhadap bundle VAP adalah tinggi (75,9%). Analisa dengan Chi square menunjukkan bahwa tidak ada hubungan antara faktor predisposisi, pemungkin dan penguat terhadap kepatuhan (nilai p 0,473). Rekomendasi dari penelitian ini adalah perawat harus meningkatkan pengetahuan dan motivasi terkait dengan implementasi bundle VAP.Kata kunci: Faktor kepatuhan, Kepatuhan perawat, Bundle VAP, Ventilator associated pneumonia
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