Risk factor for phlebitis in a patient with peripheral intravenous catheters: a cohort study

Phlebitis is one of nosocomial infections that frequently occurred in hospitals. Phlebitis is mainly related with infusion and therapy. Many risk factors can cause phlebitis. The purpose of this study was to predict the prevalence of phlebitis in patients based on the causal factors in Banyumas Regional Hospital. The design of this study was an analytic survey of cohort approach, with a sample of 218 by using consecutive sampling. The study was conducted from November to December 2019 using checklist of observation sheets. The results demonstrates 5 phlebitis risk factors associated with the occurrence of phlebitis, namely the type of fluid (P = 0.011), nutritional status (P = 0.001), catheter size (P = 0.002), injection therapy (P = 0.027) and comorbidities (P = 0.003). The probability of 5 risk factors for the occurrence of phlebitis (88.28%) with nutritional status being the dominant factor (b = 3.928) with probability of (13.48%). To minimize the prevalence of phlebitis, the medical personnel may conduct initial phlebitis screening to determine accurate and appropriate preventive measures.

The correlation of gestation period and the weight gain in low-birthweight newborns: the cases in perinatology ward of Regional Public Hospital of Banyumas

The change of birth weight on low birthweight newborns reflects the nutrition condition or baby nutrition and related to the baby's immune system. Besides nutrition, the gestation period also affects weight gain on low birth weight newborns. This research to find out the correlation between the gestation period and weight gain on low birthweight newborns in the Perinatology ward of RSUD (Regional Public Hospital) Banyumas. This was quantitative research using an observational experimental design with the retrospective approach. There were 77 respondents as the samples of this research who were taken using a probability sampling technique of simple random sampling. The results showed that 47 (61%) respondents were male. Most of the mothers or 70 respondents (90.9%) were housewives. Most of them or 26 respondents (33.8%) were Primary School graduates. The results of the linear regression test showed that the significance value on the variable of the gestation period was 0007 (p0.05). There was a correlation between the gestation period and weight gain on low birth weight newborns in the Perinatology ward of RSUD Banyumas.

Factors associated with the occurence of hyperbilirubinemia in infants

Hyperbilirubinemia is a problem that often occurs in newborns characterized by icterus, yellowish pigmentation of the skin, sclera, and nails. Many factors cause hyperbilirubinemia in infants such as the type of labor, birth weight, gestational age, gender, and asphyxia.This research aimed to discover the factors associated with the occurrence of hyperbilirubinemia in infants.This was a quantitative research with a retrospective cohort design. There were 83 respondents as the research sample taken using a random sampling technique. The research data were analyzed using the chi-square test and multivariate logistic regression. The majority of respondents underwent labor with actions (59 respondents / 71.1%), delivered male babies (51 respondents / 61.4%), delivered babies with normal birth weight (56 respondents / 67.5%), had a full-term pregnancy (54 respondents / 65.1%), and did not experience asphyxia (65 respondents / 78.3%). In addition, most respondents gave birth to babies with hyperbilirubinemia (43 respondents / 51.8%). Chi-square test results indicated a correlation between the type of labor (p = 0.008), birth weight (p = 0.019), gestational age (p = 0.000), and asphyxia (p = 0.013) with the incidence of hyperbilirubinemia. While the variable of gender (p = 0.106) had no correlation. The most influential factor was gestational age (p = 0.027) with an odds ratio of 4.011. In conclusion: The types of labor, birth weight, gestational age, and asphyxia have a correlation with the occurrence of hyperbilirubinemia.

Factors influencing the effectiveness of colonoscopy

Colonoscopy is one of the most widely-used procedures for diagnostic examination and treatment of colorectal diseases, either benign or malignant. Colonoscopy results are influenced by several factors such as current medical history, history of drug use, history of accompanying illnesses, and procedures performed. To analyze the factors which affectiverness the results of colonoscopy among the undergoing patients in Regional Public Hospital of Banyumas. The method used was observational analytic with a cross sectional approach. From the consecutive sample selection, it gave 76 respondents. The analysis was done using Univariate analysis with frequency distribution test, bivariate with chi square test and multivariate with multiple logistic regression test. Most of the respondents (51 respondents, 67.1%) aged 46-65 years and most of them were female (41 or 53.1%), they were dominated by high school graduates (56 or 73.7%), and the dominant occupation status was undemployed (31 or 40.8%). The results of the chi square test showed that there was an effect of current disease history, namely complaints / indications for colonoscopy examinations (p 0.011), drug use (p 0.021),accompanying disease history (p 0.003), and implementation procedures (p 0.000) on colonoscopy results. The results of multiple logistic regression showed that the factor that mostly influences the colonoscopy results was the length of preparation time (1-2 days of preparation).In conclusion current medical history, drug use history, accompanying medical history, and procedure administration significantly influence the colonoscopy outcome. And the most influencing factor is the length of preparation time (1-2 days of preparation).

The relationship between visit time management and patient's family satisfaction in the intensive care unit

The Intensive Care Unit is an independent hospital part (an installation under the service director) with special staff and equipment for the observation, treatment and therapy of patients who suffer from life-threatening diseases, injuries or complications. Or potentially life-threatening. The policy of Intensive Care Unit by limiting the visiting times aims to maximize the care for patients with critical conditions. The satisfaction of the patient family is at the center point recognized as a measure of the quality of care services in the Intensive Care Unit. The purpose of this study was to determine the relationship between visiting time management and the satisfcation of the patient family It used a descriptive quantitative method, a correlation study with a cross sectional design. The sampling technique was total sampling with the respondents of the families, 40 respondents. They were then analyzed using Spearman Rank correlation statistical technique. The results of the Spearman rank analysis gave a p value of 0.044 <0.05, meaning there is a significant relationship between visiting-time management and the satisfaction of family patients.In conclusion he management of visiting-time can be an influential factor in determining the satisfaction of the patient family over the hospital services.

Analysis of the implementation of patient safety management at the PKU Muhammadiyah Pekajangan Islamic Hospital

The Hospital applies patient safety management through seven steps toward hospital patient safety. Muhammadiyah Pekajangan Islamic Hospital already has special management that handles patient safety. The patient safety management has gone through the planning stage to evaluation. In its development, until now, there has not been an analysis of the application of patient safety management. Analysis of the application of patient safety management is important to determine whether the application of patient safety management is already running according to the established Ministry of Health standards. This study aims to analyze the application of patient safety management at the PKU Muhammadiyah Pekajangan Islamic Hospital. This study was used as a qualitative research design. The subjects in this study who conducted in-depth interviews were the PKU Muhammadiyah Pekajangan Islamic Hospital patient safety team, which consists of the head of the KPRS, who had the authority to carried outpatient safety activities, members of nursing, and members of medical support. The results showed that the application of patient safety management is performing admirably. Includes seven-step implementation of patient safety management has been actualized. The process application of patient safety management shows that the indicators were in line with the standards. It is recommended for policymakers at the PKU Muhammadiyah Pekajangan Islamic Hospital to increase efforts to implement patient safety by facilitating training for the patient safety team regarding patient safety.

A feasibility study af a blended learning dementia care: elective course for nursing students

As there is a limited long-term care options in Indonesia, people with dementia are cared for by their family. They often hospitalized as the condition progresses. Nurses are the profession with most contact. Therefore, preparing nursing students to care for people living with dementia is needed. Blended learning as e new learning strategy in dementia care for nursing student need to be evaluated to comprehend its feasibility in the future dementia care course. This study aimed to evaluate the feasibility of a blended learning course for nursing students about dementia. A blended learning course was developed as a three-credits elective course that voluntarily joined by 42 fourth year nursing students. This course integrates the schedule, modules, and assignments in a learning management system called eLOK (Moodle based). One group pre-post test was conducted to evaluate this course using DKAS (Dementia Knowledge Assessment Scale) and DAS (Dementia Attitude Scale) as instruments. Google form was integrated to evaluate the course and the use of eLOK. Data were analysed using a paired t-test. 37 students (88.1%) completed the questionnaires. There is a significant improvement in knowledge towards dementia (t = 5.96, p value < .00) but not the attitude (t = 2.50, p value = .17) right after completing the course. Students also well appreciated the quizzes and project as the evaluation of learning outcomes of the course. Moreover, the audio-visual material in eLOK made them feel helpful in learning new topics and made new constructive experience of learning. In conclusion, this blended learning is feasible to be used as a learning method for delivering dementia care course.

The effect of quartet play on knowledge, attitude, and hand washing practices in school-aged children

Hand washing compliance is still relatively low. Efforts are needed to improve the quality of health and welfare, one of which is through education on the habit of hand washing with soap (HWWS). The objective of the study was to investigate the effect of play therapy using quartet media on knowledge, attitudes and practices of hand washing in school-aged children aged 9-12 years. This study employed a quasi-experimental one group pre-test-post-test method conducted at Banyumas Hospital. The sampling technique used was simple random sampling with a sample of 55 respondents. The research instruments occupied were a knowledge questionnaire, an attitude questionnaire, and an observation sheet for the practice of washing hands with soap. Data were analysed using the Wilcoxon test. The results revealed that knowledge, attitudes, and practices of washing hands with soap increased after being given play therapy using a quartet. The Wilcoxon test result obtained was a significance value (p) on the effect of playing therapy using quartet media, namely knowledge p = 0.000, attitude p = 0.000, and practice p = 0.000. Play therapy using quartet media has a significant influence on knowledge, attitudes, and practices of washing hands with soap.

The relationship between knowledge and hypothermia first aid attitudes in mountain climbers

Mountain climbing is an interesting and challenging activity, but it has high risks. There is a risk of harm that threat the body and safety during mountain climbing. One of the risks that can occur in mountain climbing is hypothermia which should be treated quickly and appropriately otherwise it can be life-threatening. From the results of preliminary studies that have been conducted by researchers at the Mount Prau Basecamp. According to the Gunung Prau Basecamp guard in 2017 there were 4 cases of hypothermia per week, even in 2014 there was 1 case of a climber who died due to hypothermia. This case occurred because of the climber's lack of knowledge of doing first aid to victims who had hypothermia. In this case, the climber's knowledge and attitude about prevention and first aid when experiencing hypothermia are the most important factors.The aim of this study was to determine the correlation between climber's knowledge and hypothermia first aid attitudes on the mountain.The type of this research was quantitative research with the correlation study method and a cross-section approach. The population in this study were all climbers of Mount Prau Wonosobo with a sample of 333 respondents. The sampling technique used in this study was consecutive sampling. The data in this study were analyzed using the chi square statistical test.The results of this study were obtained from 333 respondents, 301 respondents (90.4%) had good knowledge and 297 respondents (89.2%) had good attitudes. Statistical analysis showed significant results with a p-value (0.0001) less than 0.05, thus H0 was rejected and H1 was accepted, which indicated that there was a relationship between the climber's knowledge and hypothermia first aid attitudes on the mountain. In conclusion Knowledge affects a person's attitude towards handling hypothermia. On condition that the knowledge is good, ensuingly the attitude in handling hypothermia will be good.

The correlation between response time and waiting time on patients’ satisfaction at the emergency departement

Fast and accurate services are essential in the Emergency Departement (ED). Services in the emergency room will be hampered if it is are full of patients. If this is not managed well, the right services cannot be implemented. In turn, it will have a bad effect on patient satisfaction. To analyze the correlation between response time and waiting time with patient satisfaction during service at the Emergency Department of the Banyumas Regional General Hospital.This research is quantitative research. The sampling technique in this study used purposive sampling of 96 respondents. The statistical test used is the chi square test.Most respondents percieved the responding time in ER is fast; most of them also rated that the waiting time in ER is short. Most of them are also satisfied with ER services. The chi square test results in p value of <0.05 for each variable. It means there is a relationship between response time and waiting time with patient satisfaction during service at the Emergency Department of Banyumas Regional General Hospital.Response time and waiting time are related to patient satisfaction during service at the Emergency Department of Banyumas Regional General Hospital.