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Effectiveness Of Standard Oral Hygiene Standard Using Brush and Chlorhexcidine 0.12% To Decrease Associated Pneumonia In Intensive Care Unit: A Systematic Review
Background Ventilator-associated pneumonia ( VAP ) is a common health infection that causes death and morbidity. Colonization in the oropharynx is the most critical risk factor, but this can be avoided with Oral hygiene . Methods This systematic review focused on the effectiveness of oral hygiene interventions in patients with ventilation in ICU patients to decrease Ventilator Associated Pneumonia (VAP) to search
through the database of the journal "Scopus, pro Quest, Science Direct, SpringerLink". Result 17 articles that are considered relevant then conducted critical appraisal to review the contents, design and research methods . Research is divided into 4 things that is about toothbrush dose clorhexidine examination of bacterial cultures compliance nurses in performing oral hygiene action. Discussion There was a significant decrease in VAP in the group using a toothbrush. T here is no bacterial pathogens in patients undergoing oral hygiene with a toothbrush. Chlorhexidine 0.12 % more effective reduce events VAP , numbers events VAP too decreased from from 25% to 19 % . Conclusion Cooperation is required not only by peraw at but also Rumah S akit by providing toothbrush and clorhexidine as well as training and VAP bundle guide as
prevention effort
Family And Counsellor Experience For Schizophrenic A Research Based On Community Health Mental Policy
Background To describe family and counsellor experience for schizophrenic a research based on community health mental policy Methods A Qualitative study with 2 focus groups made up of 2 primary healthcare professionals from the public health center and 8 family of schizophrenic. The focus groups were audiorecorded and the results transcribed. The analysis involved: a) Reading of the data looking for meanings b) Coding of the data by themes and extracting categories c) Reviewing and refining codes and categories d) Reconstruction of the data providing an explanatory framework for the meanings e) Discussion about the interpretations of the findings and f) Discussed with relevant professionals. Data regarding thematic content
were analyzed. Results : Some families have abbility to identify patients’ problem, activity of patients, give
drug to patients, and go to public health care comunity. Counsellor had given support to family, given health colsultation and training program in order to make schizophrenic patients able to work independently. The patients’ family hope to get some helps and the patients can get better. The barriers in patients care are the distance of health care facilities location from patients’ house, economic problems of patients’ family, patients have no intention to get medication, low suppot from policy maker and comunity. Conclusions: family and counsellor experience several barriers which need goverment and community support job vacant especially for schizophrenic patients. In this case political will take important role
Neglect Elderly in Family: A Systematic Review
Neglect is a failure to provide services in providing well or failure in providing mental illness services such
as leaving the elderly, refusing to give food or preparing meals or health-related services. Where the elderly
suffers a physical setback that causes people to grow old, is actually a biological phenomenon, but the regulation of the system, status, role and social function of the elderly in families and communities is cultural construction. Methods literature searches are performed in major database such as Ebsco Host, proquest, sciencedirect, scopus, sagepub, medline, and google scholar with time limits used are journals from january
2007 to december 2017 Results from various research journals raised in this study, all have a similar goal
that is aware of the factors that cause neglect of the elderly in the family. From the obtained journals,
research chose random sampling technique. Conclusion The elderly neglect of the elderly so as not to
increase the physical condition of the elderly, the psychological state of the elderly should be healthy, the
elderly's daily activities are not dependent on the family, and social support of the elderly, and the family's economic level affects the occurrence of neglect of the elderly
PSYCHOEDUCATION FAMILY PATIENTS MENTAL DISORDERS (A SYSTEMATIC REVIEW)
WHO mentions the main problems of mental disorders in the world are schizophrenia, unipolar depression, alcohol use, bipolar disorder, obsessive compulsive disorder (Stuart & Laraia, 2005). Schizophrenia is a problem with the highest prevalence with some symptoms of psychotic disorder. Prevalence is around seven in a thousand adults. And the eight highest causes of mental disorders in adolescents and adults (WHO, 2013 in M-S. Ran, 2015). Schizophrenia is a group of psychotic reactions that affect the function of individuals, among others, the function of thinking and communicating, receiving and interpreting reality, feel and show emotions and behave (Stuart & Laraia, 2013). We reviewed 25 lieratures to identify family psychoeducation
interventions in family members of mental disorders. The literature used is published until 2017, with 7 qualitative research literature and 18 quantitative research literature. The smallest sample size was 3 focus
groups on qualitative studies, and the largest number of samples was 2060 in quantitative studies. The results
showed that 5 studies of family psychoeducation can improve the quality of life of patients and families,
reduce patient limitations, improve cognitive abilities and psychomotor families and improve patient life
expectancy. 2 studies have found out that family psychoeducation can reduce the burden of families and
nurses in treating psychiatric patients. 3 studies have resulted in improved family coping, and 10 studies
resulted in improved quality of life for patients and families, prevention of recurrence, accelerated healing,
and there was an increase in family positive support for psychiatric patients. Psychoeducation to families of
mental disorders proved to increase independence and family ability in daily care, reducing dependence on
medication and hospital care. The study of family psychoeducation of mental disorders is highly
heterogeneous, both statistically, population, intervention methods, and outcomes. Therefore, meta-analysis can not be performed in most of the literature included. Further research is expected to develop more to
obtain results that can increase knowledge and can be applied in other settings. The results of these
interventions will vary depending on the factors influencing, for example, sex, education level, age,
socioeconomic status, and so on
The Comparison of Elderly Life Quality Index of Urban and Coastal Societies In Surabaya
Background: Aging is a state that happens in human life. The process of aging is not a disease, but the advanced stage of a life process that all individuals will undergo. The aging process in the elderly lead to physical changes, social changes and psychological changes. The weakness in physical condition, the less prosperous social economy, and the emergence of various degenerative diseases affect the productivity and physical performance as well as social relation can cause productivity to decrease affecting the social. Methods: Design of this study used cross sectional. the index of quality of life of elderly urban and coastal communities in Surabaya used second Confirmatory Factor Analysis (2 CFA) approach. Results: The results showed that the elderly life quality in Surabaya is a fit model based on Goodness of Fit (GoF) criteria. The highest elderly life quality index in some primary healthcare services (Puskesmas), eg. Siwalankerto, Jagir, and Sidosermo. The dimensions of physical health, psychological dimension, and environtmental dimension
are the dominant indicators in shaping life expectancy and quality of life for the elderly. Conclusions: The
implication of this research is there needs to emphasize on psychological dimension in order to increase
quality of life elderly both in urban and coastal society
The Effectiveness Of Cognitive Behavioral Therapy (CBT) For Chronic Schizophrenia Patiens: A Systematic Review
Introduction: Schizophrenia is a chronic and frequent recurrence that cauces a decrease in functional and
cognitive impairment and behavioral changes. Antipsychotic drugs are at the core of the treatment of schizophrenia, but the achievement of cognitive behavior is one of the psychosocial therapies for schizophrenic patients. This research has not been widely developed. The purpose of this paper is to investigate the effectiveness of cognitive behavioral therapy as adjunctive therapy in reducing signs and symptoms in schizophrenic patients Method: Systematic review included: 1)Science Direct, Google Scholar, Ebsco, Scopus Database 2)search on February-March 2018, publication 2013-2018 3) English language 4) focus on effectiveness of CBT for chronic schizophrenia 5) PICOS approach. Results: The results of this study indicate that CBT in the treatment group showed a significant and more significant clinical improvement compared to the control group. Conclusion: CBT as additional therapy in schizophrenic patients effectively lower signs and symptoms in patient with chronic schizophrenia
The Effect of Sleep Hygiene and Brain Gym on Increasing Elderly Comfort and Sleep Quality
Introduction: Quality of life is one of the important things to consider, with the increasing number of elderly people, the number of problems and the number of elderly people living in nursing homes also increased. The greatest need for the elderly is the level of health, so that one can live a prosperous life by applying a healthy sleep pattern and carrying out physical exercise. The purpose of this study was to determine the effect of sleep hygiene and brain gym on increasing comfort in the elderly. Method: This type of research is a pretest posttest with control group design quasy experiment. The sampling method used was purposive sampling as many as 50 people and had fulfilled the inclusion and exclusion criteria. Sleep hygiene intervention was applied every day for 30 days, and the brain gym was held as many as 16x meetings for 4 weeks. The statistical test used is the independent t-test to test the hypothesis. Result: The independent t-test hypothesis test results are 0,000. This study showed significant results on the treatment group, which means that there is an effect of sleep hygiene and brain gym on increasing comfort and sleep quality in the elderly. Conclusion: Intervention of sleep hygiene and brain gym can improve comfort and sleep quality in the elderly
Effect of Health Education Methods Against sorogan Intention In the Theory of Planned Behavior In Santri Nurul Jadid
Introduction: Handwashing is the first indicator in the fulfillment of a clean and healthy living behavior in
educational institutions. Nurul Jadid are educational institutions that require students to stay in the lodge.
Many health problems suffered by Nurul Jadid boarding school students peyakit transmitted mainly caused by hand hygiene were not as good as diarrhea, respiratory tract infections, typhoid and recorded in 2015, there were 85 students Nurul Jadid suffering from hepatitis A. This study will examine the effect health promotion using the classic learning method pesantren (sorogan) about handwashing with soap on the intention in the
theory of planned behavior on jadid nurul boarding school students to wash their hands with soap. Methods and analysis: Research conducted on adolescent boarding students Nurul jadid 8th grade junior high school living in a dorm. Obtained 54 students and was taken by total sampling. Health education be carried out using manual methods sorogan. The results of the research will be processed using the t test. Discussion: After
doing research, obtained the degree of significance is 0.00 or less than 0.05, then there is the effect of health promotion sorogan method of hand washing with soap to the intentions in the theory of planned behavior in students Nurul Jadi
Job Satisfaction on Nursing Staff at Hospital: A Systematic Review
Objective: summarizes the empirical research on job satisfaction on the nurse with the aim of improving the
quality of health services. Method: review the article with a systematic review method that uses PICO method-based article search from four international databases reporting on nurses' job satisfaction. Result: from the search got 15 articles covering about nurse, job satisfaction, and quality of health service. Discussion: nursing work satisfaction can be influenced by work environment, organizational support, working conditions, work engagement, empowerment and commitment. Conclusions: this study provides a broad overview of job satisfaction on nurses focused on nurses working in hospitals
(THE CORRELATION OF FAMILY SUPPORT WITH SELF EFFICACY OF TUBERCULOSIS MULTIDRUG RESISTANT (TB-MDR) PATIENT AT TB-MDR POLY IBNU SINA HOSPITAL GRESIK)
TB-MDR terjadi karena kegagalan pengobatan, putus pengobatan, atau pengobatan yang tidak
benar sehingga terjadinya resistensi primer. Penelitian ini bertujuan untuk menganalisis
hubungan antara dukungan keluarga dengan Efikasi Diri penderita Tuberkulosis resisten obat
di Poli TB-MDR RSUD Ibnu Sina Gresik. Metode : Desain penelitian deskriptif korelasional
melibatkan 15 responden Penderita TB-MDR yang sedang menjalani pengobatan di poli TBMDR RSUD Ibnu Sina Gresik pada 28 Maret – 28 Juni 2018 yang di pilih menggunakan
consecutive sampling. Variabel bebas adalah dukungan keluarga. Variabel terikat adalah
Efikasi Diri. Data diperoleh menggunakan kuesioner yang kemudian dianalisis menggunakan
Spearman rho dengan derajat kemaknaan α ≤ 0,05. Hasil dan Analisis : Dukungan keluarga
tidak berhubungan secara signifikan terhadap Efikasi Diri dengan p-value = 0,120 atau (p ≥
0,05). Kesimpulan : semua responden penderita TB-MDR di Poli TB-MDR RSUD Ibnu Sina
Gresik memiliki dukungan keluarga yang positif dan Efikasi Diri tinggi. Saran bagi peneliti
selanjutnya agar meneliti tentang hubungan antara dukungan keluarga dengan Efikasi Diri
yang dapat meningkatkan partisipasi dukungan keluarg