scholarly journals ANALISIS PENGARUH PENGGANTIAN RUTIN PENUSUKAN KATETER INTRAVENA DAN PENGGANTIAN SET INFUSE TERHADAP TERJADINYA PLEBITIS DI RS SINT CAROLUS JAKARTA

Author(s):  
Niluh Widani

ABSTRAKPemasangan infus adalah prosedur  umum  pada pasien di rumah sakit dimana komplikasi yang umum terjadi adalah plebitis. Tujuan penelitian untuk menganalisa pengaruh penggantian rutin penusukan dan penggantian set infuse terhadap kejadian phlebitis. Metoda  penelitian   kuntitatif, desain Kohort, sample pasien dewasa diambil secara purposif sebanyak 247 sample, dilakukan pengamatan  tusukan infuse sejak pemasangan sampai   pencabutan. Data dikumpulkan menggunakan lebar observasi dan VIP score (Visual infusion phlebitis score). Hasil analisa mayoritas responden perempuan 140 (56.7%), rata-rata berusia 48.9 tahun, penyakit noninfeksi 151 (61.1%), nomor kateter iv 22: 193 (78.1%), lokasi penusukan di tangan 173 (70%), pemberian cairan isotonik 181 (73.3%), pemberian terapi bolus satu jenis 89 (36%), mendapat terapi drip 142 (57.5%), lama pemasangan 4 hari 63 (25.5%), tidak ada penggantian tusukan iv 169 (68.4%), set infuse drip diganti setiap pemberian 91 (36.8%) dan skala plebitis satu 12,6%. Analisa bivariateKendal’s tau C ada hubungan  pemberian terapi iv bolus (p=0.03), lama pemasangan kateter iv (p=0.00) terhadap terjadinya plebitis (p<0.05). Uji   Regresi logistik  didapatkan variabel independen  memberikan kontribusi kejadian plebitis sebesar 24.5%. Uji probabilitas disimpulkan responden yang tidak diganti tusukan infuse  rutin dan set drip secara rutin berisiko plebitis sebesar 100%. Diskusi: Hasil penelitian ini menyimpulkan pentingnya penggantian kateter intravena perifer  dan penggantian set infuse untuk pemberian terapi drip secara rutin untuk mencegah terjadinya plebitis. Kesimpulan: penelitian lebih lanjut menganalisa faktor risiko plebitis diluar faktor yang telah diteliti seperti faktor tetesan dan ketrampilan perawat dalam pemasangan infuse. Kata kunci :Penggantian Kateter Intravena, Set Infus, Plebitis ABSTRACTThe insertion of peripheral intravenous catheters  is a common practice in hospitals, where Phlebitis is the main local complication. This study attempts to analyze relationship of routine replacement Intravenous catheter insertion and routine replacement Intravenous infusion set to phlebitis. A quantitative-cohort design was used in this study.  Purposive sampling was utilized involving 247 adult patients.  The observation was conducted from insertion until intravenous catheters was retracted and the data was assessed using observation tool and VIP score (Visual infusion phlebitis score). The results found that the majority respondents were female (56.7%),  average age of 48.9 years old, diagnosed with noninfectious diseases (61.1%), utilized intravenous catheter number 22 (78.1%), hand insertion location  (70%), received isotones fluid (73.3%) with single bolus therapy (36%), received drip infusion (57.5%), duration of intravenous catheter of 4 days (25.5%), no intravenous replacement (68.4%), infusion drip replaced after therapy  (36.8%) and a  phlebitis scale of 12.6%. Kendal’s tau C statistical analysis revealed that there issignificant relationship between phlebitis  and intravenous therapy (p = 0.03), duration of intravenous catheter  (p = 0.00).  Logistic regression test showed that independent variable contributed 24.5% to phlebitis. The probability test concluded that respondents who were not replacing Intravenous catheter insertion and Intravenous infusion setregularly may develop phlebitis risk of 100%. It is implied the importance of replacement intravenous catheter and Intravenous infusion setroutinely to prevent phlebitis. For further research, it is suggested to analyze the risk factors of phlebitis such as nurse skills for intravenous catheter insertion.Keyword:  replacement Intravenous catheter insertion,  infusion set, Phlebitis

2018 ◽  
Vol 3 (1) ◽  
pp. 13
Author(s):  
Ni luh Widani

ABSTRAKPemasangan infus adalah prosedur umum pada pasien di rumah sakit dimana komplikasi yang umum terjadi adalah phlebitis. Tujuan penelitian: menganalisis pengaruh penggantian kateter intravena (iv) dan set infus terhadap kejadian phlebitis. Metode: penelitian kuantitatif, desain Kohort, sampel sebanyak 247 diambil secara purposif, pasien dewasa yang terpasang infus perifer dirawat di RS Sint Carolus Jakarta pada Bulan November 2016.. Dilakukan pengamatan tusukan infus sejak pemasangan sampai pencabutan oleh peneliti dan dua orang asisten. Data dikumpulkan dengan melihat rekam medis untuk melihat karakteristik pasien dan lembar observasi dan VIP score (Visual infusion phlebitis score). Uji statistik yang digunakan adalah kendall-tau-C dan kendall-tau-B dengan tingkat kemaknaan p<0,05. Hasil: Kejadian phelebitis 5,3%. Analisis bivariate Kendal’s tau C menunjukkanada hubungan pemberian terapi iv bolus (p=0,03), lama pemasangan kateter iv (p=0,00) terhadap terjadinya phlebitis (p<0,05). Uji regresi logistik didapatkan variabel independen memberikan kontribusi kejadian phlebitis sebesar 24,5%. Uji probabilitas disimpulkan responden yang tidak diganti tusukan infus rutin dan set drip secara rutin berisiko phlebitis sebesar 100%. Diskusi: Hasil penelitian ini menyimpulkan pentingnya penggantian kateter intravena perifer dan penggantian set infus untuk pemberian terapi drip secara rutin untuk mencegah terjadinya phlebitis. Kesimpulan: penelitian lebih lanjut menganalisis faktor risiko phlebitis di luar faktor yang telah diteliti seperti faktor tetesan dan ketrampilan perawat dalam pemasangan infus.Kata kunci: Kateter Intravena, phlebitis, set infusEFFECT OF REPLACEMENT OF INTRAVENOUS CATHETER AND INFUSION SET ON PHLEBITIS ABSTRACTInfusion is a common procedure in patients in hospitals in which the most common complication is phlebitis. Objective: To analyze the effect of the replacement of intravenous catheter (iv) and infusion set on the incidence ofphlebitis. Methods: This research is quantitative with cohort design. 247 samples were takenpurposively, consisting of adult patients receiving peripheral infusions treated at Saint Carolus Hospital of Jakarta in November 2016. The researcher and two assistants observed infusion punctures from insertion until extraction. Data were collected by reading medical records to see patient characteristics and observation sheets and VIP (Visual infusion phlebitis) score. The statistical test used Kendall’ tau-C and Kendall’s tau-B with a significance level of p <0.05. Results: the incidence of phlebitis was 5.3%. The results of bivariate analysis using Kendal’s tau-C showed that there was a correlation between iv bolus therapy (p=0.03), iv catheter insertion time (p=0.00) to incidence of phlebitis (p<0.05). The logistic regression test found that the independent variables contributed to the incidence of phlebitis by 24.5%. the probability test concluded that respondents whose infusion puncture and set drip were not regularly replaced had a risk of phlebitis by 100%. Discussion: The results of this research concluded the importance of replacing peripheral intravenous catheter and replacing infusion sets for drip therapy regularly in order to prevent phlebitis. Conclusion: Further research is recommended to analyze the risk factors for phlebitis beyond the factors that have been investigated such as droplet factors and nurses’ skills in infusion insertion.Keywords: Intravenous catheter, phlebitis, infusion set


2021 ◽  
pp. 112972982110052
Author(s):  
Maria Elizabeth Gómez-Neva ◽  
Martin Alonso Rondon Sepulveda ◽  
Adriana Buitrago-Lopez

Objective: To estimate the recommended lifespan of 223 peripheral intravenous accesses in pediatric services. Method: In this cohort study, we monitored the time of intravenous catheter between insertion and removal in children aged up to 15 years old in a Hospital from Bogotá-Colombia. The routine catheter observations was registered in questionnaires during nursing shifts. Survival analyses were performed to analyze the lifespan of the catheter free of complications. Results: The median lifespan of peripheral intravenous catheters without complications was 129 h (IQR 73.6–393.4 h). This median time free from complications was much lower for children ⩽1 year 98.3 h (IQR 63–141 h), than for participants aged >1 year 207.4 h (IQR 100–393 h). Catheters of 24 G (gauge) caliber had a median complication free time of 128 h (IQR 69–207 h) and 22 G calibers 144 h (IQR 103–393 h). Conclusions: In this study, 75% of peripheral indwell catheters remained free from complications for 74 h, the other extreme 25% of these patients could remain up to 393 h.


2014 ◽  
Vol 4 (3) ◽  
pp. 368 ◽  
Author(s):  
Roshana Gul

Though a lot of studies have been done to conclude customer loyalty as dependent variable but still there is a vast margin of researches to be conducted in future in different spheres of this construct. On the other hand the truth of the importance of customer loyalty as an enduring asset cannot be falsified. It is fundamental for organizations to build up long term and mutual beneficial associations with the customers. The purpose of this research paper is to show the inter relationship of reputation, customer satisfaction and trust on customer loyalty. According to the observations reputation is the major independent variable that has significant relationship with customer satisfaction, customer loyalty, and trust. Data for this research study was taken from the Islamia University, Quaid-e-Azam Medical College, and different banks located at various geographic locations of Bahawalpur region of Pakistan. Data was collected through self administered questionnaire and analyzed by using regression through SPSS. The results have been drawn from 150 users of NISHAT LINEN and it was found that there is positive and significant relationship among reputation, customer satisfaction, trust and customer loyalty. Hence the studies give the positive sign that with the increment of reputation, customer satisfaction and trust the customer loyalty enhances.  


2016 ◽  
Vol 3 (2) ◽  
Author(s):  
Eloise D. Austin ◽  
Sean B. Sullivan ◽  
Susan Whittier ◽  
Franklin D. Lowy ◽  
Anne-Catrin Uhlemann

Abstract Few studies have focused on the risks of peripheral intravenous catheters (PIVs) as sources for Staphylococcus aureus bacteremia (SAB), a life-threatening complication. We identified 34 PIV-related infections (7.6%) in a cohort of 445 patients with SAB. Peripheral intravenous catheter-related SAB was associated with significantly longer bacteremia duration and thrombophlebitis at old PIV sites rather than current PIVs.


2020 ◽  
Vol 5 (3) ◽  
pp. 123-128
Author(s):  
Riko Cahyo Pribadi ◽  
Abdul Rivai ◽  
Suharto

This study aims to determine the effect of emotional marketing and marketing strategies on purchasing decisions through customer satisfaction. This study uses an explanatory analysis approach, meaning that each variable presented in the hypothesis will be observed by testing the causal relationship of the independent variable to the dependent variable. The population in this study were customers of PT. Nureka Bintang Abadi. While the sample used includes 60 company customers who make purchases. The results showed that emotional marketing had a significant effect on purchasing decisions. Marketing strategy has a significant impact on purchasing decisions. Consumer satisfaction has a significant effect on purchasing decisions. Emotional marketing has a significant effect on customer satisfaction. Marketing strategy has a significant effect on customer satisfaction. The effect of emotional marketing and marketing strategies on direct purchasing decisions is smaller than through customer satisfaction. In this case, it can be said that customer satisfaction is an intervening variable.


2018 ◽  
Vol 15 (01) ◽  
pp. 51
Author(s):  
Endang Rachmawati

INTISARI    Penelitian ini bertujuan untuk mengidentifikasi hubungan Gaya Kepemimpinan terhadap Produktivitas Karyawan PT. ITRASAL yang dimediasi oleh Motivasi Kerja. Penelitian ini menggunakan rancangan penelitian metode asosiatif dengan jenis penelitian  survey  yang akan mengungkapkan hubungan dua variabel, yaitu Gaya Kepemimpinan sebagai variabel bebas dan Produktivitas sebagai variabel terikat. Data primer berasal dari kuesioner yang disebarkan kepada karyawan bagian Liquid Departemen Produksi PT ITRASAL, dan hasil diskusi dengan karyawan bagian tersebut. Selanjutnya data yang diperoleh dianalisis menggunakan metode korelasi dan regresi linear. Dari penelitian ini diperoleh hasil bahwa nilai r untuk variabel Gaya Kepemimpinan terhadap Produktivitas adalah 0,557 dan nilai t adalah 8.951. Nilai r untuk variabel Gaya Kepemimpinan terhadap Motivasi adalah 0,278 dan nilai t adalah 5,022. Terdapat hubungan positif antara Gaya Kepemimpinan terhadap Produktivitas dan Gaya Kepemimpinan berpengaruh positif terhadap Motivasi. Nilai r untuk variabel Motivasi terhadap Produktivitas adalah 0,377 dan nilai t adalah 6,251. Terdapat hubungan positif antara Motivasi terhadap Produktivitas. Kata kunci : Gaya kepemimpinan, Motivasi kerja, Produktivitas karyawan  ABSTRACT  This study aims to identify the relationship of leadership style to employee productivity PT. ITRASAL is mediated by work motivation. This research uses the research design of associative method with the type of survey research that will reveal the relationship of two variables, namely Leadership Style as independent variable and productivity as dependent variable. Primary data comes from a questionnaire distributed to employees of the Liquid Department of Production Department of PT ITRASAL, and the results of discussions with employees of that section. Further data obtained were analyzed using correlation and linear regression method. From this research, the result that r value for leadership style variable to productivity is 0,557 and t value is 8,951. The r value for the leadership style variable for motivation is 0.278 and the t value is 5.022. There is a positive relationship between leadership style on productivity and leadership style have a positive effect on motivation. The r value for the Motivation variable on productivity is 0.377 and the t value is 6.251. There is a positive relationship between motivation to productivity. Keywords: Leadership style, Motivation work, Employee productivity


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