Sarkum Sarkum, Sarkum
Nursing Department, Polytechnic Health Ministry of Semarang

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Critical-Care Pain Observation Tool (CPOT) and Wong-Baker Faces Pain Rating Scale in Measuring Pain Level of Patient With Mechanical Ventilation

Jurnal Riset Kesehatan Vol 3, No 1 (2014): Januari 2014
Publisher : UPPM Politeknik Kesehatan Kementrian Kesehatan Semarang

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Abstract

Assesing pain in mechanically ventilated patients is a great challenge. Mechanical ventilated patients are often unable to self-report the presence of pain. CPOT is a behavioral pain scale which has been developed and validated for measuring pain in nonverbal critically ill adults. Purpose: This study was to compare CPOT and Wong-Baker by examining psychometric properties including reliability, validity and responsiveness. Method : A repeated measures design was chosen for this quantitative study with 31 samples of mechanically ventilated patients. Result : The ICC values of inter-rater reliability were high at 0,965 for CPOT and low at 0,423 for Wong-Baker. Validity was demonstrated by the change in CPOT and Wong-Baker, which were significantly higher during painful procedures,with averages for CPOT 1,32 – 1,42 at rest and 2,39-4,26 during procedure (p <0,001) and for Wong-Baker 4,52 – 4,65 at rest and 5,29-5,74 during procedure. The CPOT exhibited excellent responsiveness, with an effect size ranging from 5,0 to 5,4 better then Wong-Baker with an effect size ranging from 0,8 to 2,2. Conclusion : This study demonstrated that the CPOT can be valid, reliabeland more responsiveness for measuring pain in mechanical ventilated patients.

Braden Scale and Norton in Predicting Risk of Pressure Sores in ICU Room

Jurnal Riset Kesehatan Vol 3, No 2 (2014): Mei 2014
Publisher : UPPM Politeknik Kesehatan Kementrian Kesehatan Semarang

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Abstract

This study aimed to compare the effectiveness of the Braden Scale and Norton Scale in predicting the risk of pressure sores in patients in ICU. This research was a prospective observational analytic study, with 42 respondents who met the inclusion criteria. Testing the predictive validity of the Braden scale and the Norton Scale was to calculate sensitivity, specificity, FN,FP, and area under the curve.Testing thereliability used Cronbach Alpha(α). The Braden scale has a good predictive validity by the cut of 15 point,  a valuable sensitivity at 86.67, specificity at 70.37, FP at 29.63, FN at 13.33, area under the curve at 0.808. The Norton Scale has predictive validity bythe cut of 14 point, a valueable sensitivity at 80, specificity at 66.67, FP at 33.33, FNat 20, area under thecurve at0.707.Braden Scale reliability test results of 0.818, 0.707 Norton scale. The Braden scale was more effective to predict the risk of pressure sores in critical patients.

InfluencetheManagement ofAsepticTechniqueWoundManagement OpenStageII-IIIGenesisAgainstInfection At theGeneral Hospital Daerah Sunan KalijagaDemak

Jurnal LINK Vol 9, No 1 (2013): Januari 2013
Publisher : UPPM Politeknik Kesehatan Kementrian Kesehatan Semarang

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Abstract

Infection is kolonalisasi conducted by foreign species of host organisms, and are Pilang harm the host (Brunner and Suddarth, 2002). Based on preliminary survey Kenanga room Sunan Kalijaga Demak Hospital in January - March 2010 there were 109 patients with open wounds stage I-III due to accidents, there were 9% (9 patients), wound infection characterized by pus out of wounds, sores and dirty looks wet. The purpose of the research was to determine the effect of the management of aseptic techniques in open wound treatment stage II-III on the incidence of infection in Kenanga room Hospitals Sunan Kalijaga Demak. Quasi-experimental research design, methods of correlation. The population of patients open wounds with stage II -III in hospitals Sunan Kalijaga Demak (15 September to 30 October 2010 and 14 - 24 January 2011), the sample is 25 patients. Research tool dalah observation sheet. To determine the influence of the management of aseptic technique in handling the open wound stage II-III on the incidence of infection in Kenanga room hospitals Sunan Kalijaga Demak. Respondents were male sex (88 %), surgery or an open wound for wound surgery hernia respondents (44%) and average treatment time 6 days. Type of clean wounds 24 (96 %) clean contaminated wounds 1 (4 %). Respondents were infected wound 4 (16 %). From the analysis wilcoxon nilai p value 0,048 < 0,05, so that there is effect the management of aseptic technique in handling the open wound stage II-III on the incidence of infection in Kenanga room hospitals Sunan Kalijaga Demak. The results can be used as a reference in improving and developing methods of prevention and treatment of infection is open sores, especially stage II-III in Kenanga room hospitals Sunan Kalijaga Demak.

THE COMPARISON OF THE EFFECT OF HONEY AND CHLORHEXIDINE IN PREVENTING VENTILATOR ASSOCIATED PNEUMONIA IN PATIENTS ON MECHANICAL VENTILATON

Belitung Nursing Journal Vol 4, No 2 (2018): March-April 2018
Publisher : Belitung Nursing Journal

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Abstract

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.

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

Belitung Nursing Journal Vol 3, No 6 (2017): November-December 2017
Publisher : Belitung Nursing Journal

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Abstract

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.