Factors Associated with The Incidence of Infection in Tracheostomy Stoma at Mohammad Hoesin Hospital

2021 ◽  
Vol 5 (9) ◽  
pp. 842-850
Author(s):  
Lisa Apri Yanti ◽  
Nelly Oktriyani ◽  
Erial Bahar

Introduction: Tracheostomy is a surgery to open the trachea to allow air to enter the airway. Tracheostomy cannot be separated from possible complications. Tracheostomy stoma infection is one of the complications of post-tracheostomy that occurs due to the activity of several bacteria. Many factros can cause the incidence of tracheostomy stoma infection. Objective: The aim of this study is to determine the factors associated with the incidence of tracheostomy stoma infection. Methods: Observational study with cross-sectional design. Data collection was carried out using medical record data on 71 subjects who underwent tracheostomy tube replacement from july 2019 to November 2020. Results: From 71 subjects, it was found that the subjects who had tracheostomy stoma infection were 54.9%. The results of bivariate analysis showed that age (p=0.031), comorbidities (p=0.009), the type of tracheostomy tube (p=0.015), the use of antiseptic in tracheostomy dressing (p=0.020), tracheostomy tube care (p=0.013), and the interval of changing the tracheostomy tube (p=0.041) are the significant factors. The results of multivariate analysis showed that tracheostomy tube care and the interval of changing the tracheostomy tube had a significant effect on tracheostomy stoma infection. Tracheostomy tube care has a risk of 9.362 times to experience infection with CI95%(1.535-57.086) and the interval of changing the tracheostomy tube has a risk of 10.669 with CI95% (1.074-105.985). Conclusion: There is a significant relationship between age, comorbidities, type of tracheostomy tube, the use of antiseptic in tracheosotmy dressing, tracheosotmy tube care, and interval of changing the tracheostomy tube with the incidence of tracheostomy stoma infection.

2021 ◽  
Vol 5 (3) ◽  
pp. 814-822
Author(s):  
Lisa Apri Yanti ◽  
Nelly Oktriyani ◽  
Erial Bahar

Introduction: Tracheostomy is a surgery to open the trachea to allow air to enter the airway. Tracheostomy cannot be separated from possible complications. Tracheostomy stoma infection is one of the complications of post-tracheostomy that occurs due to the activity of several bacteria. Many factros can cause the incidence of tracheostomy stoma infection. Objective: The aim of this study is to determine the factors associated with the incidence of tracheostomy stoma infection. Methods: Observational study with cross-sectional design. Data collection was carried out using medical record data on 71 subjects who underwent tracheostomy tube replacement from july 2019 to November 2020. Results: From 71 subjects, it was found that the subjects who had tracheostomy stoma infection were 54.9%. The results of bivariate analysis showed that age (p=0.031), comorbidities (p=0.009), the type of tracheostomy tube (p=0.015), the use of antiseptic in tracheostomy dressing (p=0.020), tracheostomy tube care (p=0.013), and the interval of changing the tracheostomy tube (p=0.041) are the significant factors. The results of multivariate analysis showed that tracheostomy tube care and the interval of changing the tracheostomy tube had a significant effect on tracheostomy stoma infection. Tracheostomy tube care has a risk of 9.362 times to experience infection with CI95%(1.535-57.086) and the interval of changing the tracheostomy tube has a risk of 10.669 with CI95% (1.074-105.985). Conclusion: There is a significant relationship between age, comorbidities, type of tracheostomy tube, the use of antiseptic in tracheosotmy dressing, tracheosotmy tube care, and interval of changing the tracheostomy tube with the incidence of tracheostomy stoma infection.


Author(s):  
Trifa Murad Mohammed ◽  
Hanaw Hasan Mohammedhkan ◽  
Delan Jamal Qader ◽  
Fatah Hama Rahim

Objective: Like Iraq and neighboring countries, the Kurdistan region was affected by the epidemic which gradually led to a lockdown in March and April and a wide-spread disruption of people’s life and activates. In this study, the researcher investigated the psychological hardiness and its relation to health awareness among citizens of the Kurdistan region during the Corona epidemic. Methods: This study followed a cross-sectional design quantitative survey that was conducted online from 1 to 18 April 2020. After two months of lockdown due to coronavirus pandemic in the Kurdistan Region. A questionnaire of 25 questioners to measure psychological hardiness, later the researchers got the psychometric qualities. Results: The researcher observed high psychological hardiness levels in the study, because of the Covid-19 pandemic. It has shown the non-significant association between psychological hardiness and health awareness and identified several significant factors associated with this psychological hardiness and health awareness. Conclusion: Using contractive tools, the study showed that the psychological hardiness of the citizens of the Kurdistan region is at a low level during the COVID-19 pandemic. The results could serve as a framework for future research to examine the influence of the pandemic on the population's association of psychological hardiness with health awareness.          


2018 ◽  
Vol 13 (1) ◽  
pp. 55-61
Author(s):  
Elika Puspitasari ◽  
Mochammad Hakimi ◽  
Evi Nurhidayati

Abstact: The purpose of this study was to investigate the association ofsociodemographic factors with antenatal care visits. Types of analyticsurvey research with cross sectional design. Sampling with quota samplingwas obtained 100 trimester pregnant women 3. Bivariate analysis usingchi-square test. Multivariate analysis with logistic regression test. Theresults showed that the factors unrelated to ANC were Age (p-value =0.46), occupation (p-value = 0,55), knowledge (p-value = 0.88), andincome -value = 0.22). While the factors of education and distance ofpregnancy is related to antenatal care visit (p-value <0,02). ConclusionsAge, occupation, knowledge and income are unrelated to antenatal visitswhereas education and pregnancy distances are related to antenatal carevisits.


Aquichan ◽  
2021 ◽  
Vol 21 (2) ◽  
pp. 1-13
Author(s):  
Daianne Teixeira ◽  
Telmara Menezes Couto ◽  
Ridalva Dias Martins ◽  
Jules Ramon Brito Teixeira ◽  
Jaqueline Alves Pires ◽  
...  

Objective: Checking the sociodemographic and clinical factors associated with the prevalence of postpartum hemorrhage (PPH) in a maternity school. Materials and methods: A quantitative cross-sectional study in a maternity hospital in Salvador, Bahia, Brazil. In data collection, we used a standardized form that contained sociodemographic and clinical data from the medical records of 83 women for the period of 2018. Stata version 14 software was used in the analyses. Bivariate analysis was conducted using Pearson’s or Fisher’s exact tests. Poisson regression was performed with robust variation in multivariate analysis. Prevalence ratios (PR) and respective 95 % confidence intervals were estimated. The significance level of the tests was 5 %. Results: The prevalence of PPH was 38.6 % and 25.6 % for atony as the cause. In the bivariate analysis, there was an association between PPH and non-breastfeeding in the first hour of life (p = 0.039). In the multivariate analysis, it was identified that multiparous women had an increase in the prevalence of PPH by almost twice (PR = 1.97). Not breastfeeding in the first hour of life increased this prevalence more than four times (PR = 4.16). Conclusions: Monitoring multiparous women during birth care and encouraging breastfeeding in the first hour of life may decrease the prevalence of PPH.


2019 ◽  
Vol 8 (1) ◽  
pp. 93
Author(s):  
Rica Frastia Prahardani ◽  
Lutfi Agus Salim

Gestation is the growth of an embryo which starts from conception and ends at the beginning of labor. The most common direct causes of complications in pregnancy respectively are preeclampsia (28.7%), bleeding (22.42%), and infection (3.45%). The most common infection that is experienced by mothers due to complications of pregnancy is due to premature ruptured membranes (65%). The purpose of this study was to determine the characteristics of pregnant women who experienced premature ruptured membranes at Assalam Hospital, Gemolong. This is a descriptive study with a cross-sectional design. The population is all pregnant women with premature ruptured membranes (KPD) at Assalam Hospital, Gemolong, in April–May 2015, totalling 36 women. The sample was all pregnant women with premature ruptured membranes (KPD) at Assalam Hospital, Gemolong, throughout April–May 2015 and the sampling technique used was non probability sampling. The secondary data were obtained from medical record data at Assalam Hospital, Gemolong, from April to May 2015. The results showed that the characteristics of pregnant women with KPD were that they were mostly 20–35 years of age (91.7%), had primiparous parity (63.9%), were mostly working mothers (72.2%), and had secondary education (80.6%).


Author(s):  
MUHAMMAD ALDILA SATRIA ◽  
SUDIBYO SUPARDI

Objective: This study aims to identify inpatient medication problems and analyze the association between patient characteristics and the incidence of the drug-related problem (DRP) experienced by patients. Methods: The cross-sectional study was conducted at Haji Regional General Hospital, Makassar, using medical record data for inpatients from January to February 2020. Data were collected from September to October 2020. A total of 247 inpatients were identified using the Indonesian version of the Pharmaceutical Care Network Europe. Results: The most common DRP problem found is the effect of drug treatment not optimal (P1.2) by 35.76% and the most common cause found is no or incomplete drug treatment despite existing indication (C1.6) by 20.16%. Bivariate analysis shows that age, length of stay, and the number of drugs received are significant different with the incidence of DRP in patients (p < 0,01) respectively. Multivariate analysis using logistic regression shows that age, sex, and the number of drugs could significantly affect the incidence of DRP (p<0.05) with the r-square (R2) of 21.6%. According to this model, the largest odds ratio number and the most likely to experience DRP in a patient are age, the number of drugs, then gender (5,2; 4,6; and 2,3). Conclusion: Age, length of stay, and the number of drugs received affect the DRP incidence in a patient, while gender together with age and the number of drugs affecting the incidence of DRP in a patient.


2019 ◽  
Vol 3 (3S) ◽  
pp. 67-71
Author(s):  
Wahyu Hidayat ◽  
Resty Ryadinency ◽  
Jumraini Jumraini

Posyandu cadres are community members who are willing, able and have time to organize Posyandu activities in a voluntary way. Factors associated with the liveliness of Posyandu are cadre's knowledge, skills and supervision. These factors can determine the activeness of community helath center cadres (Posyandu) to family nutrition support. This study was observational with cross-sectional design, the population in this study were all cadres in 9 units Posyandu in the work area of Puskesmas Barana North Belopa Luwu Regency. Sampling was total sampling, which were 45 respondents. Data collection used questionnaires. The data collected were then processed and analyzed using univariate and bivariate analysis chi-squre test using statistic program (SPSS) 20. The table was presented in a 2x2. An univariate analysis was to find frequency distribution, in which bivariate analysis showed a correlation between knowledge and cadre's liveliness in supporting family nutrition improvement (p = ,000). There is a relationship between skill and cadre's liveliness in family nutrition support (p =,000), there is a relationship between cadre's guidance and cadre's activeness in family nutrition support (p = ,014). There is a relationship of knowledge, skills, and cadre's guidance with the cadre's activeness in family nutrition support at Puskesmas Barana North Belopa in 2017


e-CliniC ◽  
2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Pamela M. Poluan ◽  
Ventje Kawengian ◽  
Cerelia Sugeng

Abstract: Liver cirrhosis is often associated with impaired renal function. This can be due to disturbances of hemodynamic and neurohormonal systems and increased activity of the sympathetic nervous system. This will lead to a decrease in glomerular filtration rate (GFR). This study aimed to find out the connection of the liver cirrhosis degree and GFR values in liver cirrhosis subjects. This study was a cross-sectional design. Samples were 30 liver cirrhosis cases’ medical records at BLU Prof. Dr R.D Kandou Hospital Manado in the period of October 2013 to October 2014.The medical record data included age, gender, values of albumin, bilirubin, and creatinine, Child’s score, and the GFR values by using CKD-EPI formula. The corrrelation of the liver cirrhosis degrees and GFR values was tested by using the Spearman correlation test. The results showed that there was a negative, not significant correlation between class B Child’s score and GFR (r = -0.231, p = 0.618); a positive, not significant correlation between class C Child’s score and GFR (r = 0.188, p = 0.428), and btween Child’s score and GFR (r = 0.118, p = 0.533)Conclusion: There was no significant correlation between the liver cirrhosis degree (Child’s score) and GFR values.Keywords: liver cirhhosis, Child’s score, GFRAbstrak: Sirosis hati sering disertai gangguan fungsi ginjal. Hal tersebut dapat disebabkan adanya gangguan sistem hemodinamik dan neurohormonal, serta peningkatan aktivitas sistem saraf simpatis. Gangguan ini akan memicu penurunan laju filtrasi glomerulus (LFG). Penelitian ini bertujuan untuk melihat hubungan derajat keparahan sirosis hati dengan nilai laju filtrasi glomerulus pada subyek sirosis hati. Penelitian ini menggunakan desain potong lintang. Sampel peneltian ini berjumlah 30 rekam medik subyek sirosis hati yang tercatat di BLU RSUP Prof. Dr. R.D. Kandou Manado periode Oktober 2013 sampai Oktober 2014. Data rekam medik tersebut mencakup umur, jenis kelamin, nilai albumin, bilirubin, kreatinin, skor Child, dan nilai LFG menggunakan formula CKD-EPI. Hubungan derajat keparahan Child dengan LFGdiuji dengan uji korelasi Spearman. Hasil uji korelasi Spearman menunjukkan bahwa terdapat hubungan negatif dan tidak signifikan antara skor Child kelas B dengan LFG (r = -0,231, p = 0,618), hubungan positif dan tidak signifikan antara skor Child kelas Cdengan LFG (r = 0,188, p = 0,428), serta skor Child dengan LFG (r = 0,118, p = 0,533). Simpulan: Tidak terdapat hubungan signifikan antara derajat keparahan sirosis hati (Skor Child) dengan nilai LFG.Kata kunci: sirosis hati, skor Child, LFG


2021 ◽  
pp. 107484072110423
Author(s):  
Lisa A. Cranley ◽  
Simon Ching Lam ◽  
Sarah Brennenstuhl ◽  
Zarina Nahar Kabir ◽  
Anne-Marie Boström ◽  
...  

The aim of this study was to examine nurses’ attitudes about the importance of family in nursing care from an international perspective. We used a cross-sectional design. Data were collected online using the Families’ Importance in Nursing Care—Nurses’ Attitudes (FINC-NA) questionnaire from a convenience sample of 740 registered nurses across health care sectors from Sweden, Ontario, Canada, and Hong Kong, China. Mean levels of attitudes were compared across countries using analysis of variance (ANOVA). Multiple regression was used to identify factors associated with nurses’ attitudes and to test for interactions by country. Factors associated with nurse attitudes included country, age, gender, and several practice areas. On average, nurses working in Hong Kong had less positive attitudes compared with Canada and Sweden. The effects of predictors on nurses’ attitudes did not vary by country. Knowledge of nurses’ attitudes could lead to the development of tailored interventions that facilitate nurse-family partnerships in care.


2019 ◽  
Vol 8 (1) ◽  
pp. 93
Author(s):  
Rica Frastia Prahardani ◽  
Lutfi Agus Salim

Gestation is the growth of an embryo which starts from conception and ends at the beginning of labor. The most common direct causes of complications in pregnancy respectively are preeclampsia (28.7%), bleeding (22.42%), and infection (3.45%). The most common infection that is experienced by mothers due to complications of pregnancy is due to premature ruptured membranes (65%). The purpose of this study was to determine the characteristics of pregnant women who experienced premature ruptured membranes at Assalam Hospital, Gemolong. This is a descriptive study with a cross-sectional design. The population is all pregnant women with premature ruptured membranes (KPD) at Assalam Hospital, Gemolong, in April–May 2015, totalling 36 women. The sample was all pregnant women with premature ruptured membranes (KPD) at Assalam Hospital, Gemolong, throughout April–May 2015 and the sampling technique used was non probability sampling. The secondary data were obtained from medical record data at Assalam Hospital, Gemolong, from April to May 2015. The results showed that the characteristics of pregnant women with KPD were that they were mostly 20–35 years of age (91.7%), had primiparous parity (63.9%), were mostly working mothers (72.2%), and had secondary education (80.6%).


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