ISMAN, WENDY (2019) PENGARUH PENERAPAN HEALTHCARE INFECTION CONTROL PRACTICES ADVISORY COMMITTEE TERHADAP KEJADIAN INFEKSI SALURAN KEMIH TERKAIT PENGGUNAAN KATETER DI RUMAH SAKIT DELIA LANGKAT TAHUN 2018. Master thesis, Insitut Kesehatan Helvetia.
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Abstract
The incidence of Catheter Associated Urinary Tract Infections (CAUTI) is estimated at around 0.2-4.8 per 1,000 catheter-days. The CAUTI incident not only affects patients but also becomes a burden on hospitals. Therefore, various prevention guidelines/strategies have been developed, one of which is issued by the Healthcare Infection Control Practices Advisory Committee (HICPAC).
This study aims to evaluate the success of applying the HICPAC guidelines to reduce the incidence of CAUTI. This study used a quasi-experimental design with a two group pretest-posttest approach for patients who used the catheter before and after the application of the HICPAC guideline of 150 samples. Before the implementation, socialization and training of the guidelines were carried out for all medical personnel. Knowledge, attitudes, and actions of medical personnel are assessed before and after application. The data analysis was performed by chi-square and Wilcoxon Test.
Based the 300 samples, there were 13 CAUTI incident, with details of 11 cases (84.6%) occurring before the application of 2 cases (15.4%) occurred after application (p-value: 0.02). Knowledge, attitudes, and actions of medical personnel increased after implementation of 5.6 points, 2.4 points, and 10.4 points (p-value <0.05). The results show that the application of the HICPAC guideline has a significant effect on reducing CAUTI incidence. In addition, the dissemination and application of the HICPAC guidelines significantly increased the knowledge, attitudes, and actions of medical personnel.
The HICPAC guidline can be used integrated with medical records so that it is easily implemented by all medical personnel. Commitments in implementing all these guidelines are also needed to reduce the incidence of CAUTI.
Insidensi infeksi saluran kemih terkait penggunaan kateter (Catheter associated Urinary Tract Infection/CAUTI) diestimasikan sekitar 0,2-4,8 per 1.000 kateter-hari. Kejadian CAUTI tidak hanya berdampak kepada pasien namun juga menjadi beban bagi rumah sakit. Oleh karena itu, berbagai macam panduan/strategi pencegahan telah banyak dikembangkan salah satunya dikeluarkan oleh Healthcare Infection Control Practices Advisory Committee (HICPAC).
Studi ini bertujuan mengevaluasi keberhasilan penerapan panduan HICPAC untuk menurunkan angka kejadian CAUTI. Studi ini menggunakan desain kuasi eksperimental dengan pendekatan two group pretest-posttest pasien yang menggunakan kateter sebelum dan sesudah penerapan panduan HICPAC masing-masing 150 sampel. Sebelum dilakukan penerapan, dilaksanakan sosialisasi dan pelatihan tentang panduan tersebut kepada seluruh tenaga medis. Pengetahuan, sikap dan tindakan tenaga medis dinilai sebelum dan sesudah penerapan. Analisis data dilakukan dengan uji chi-square dan Wilcoxon Test.
Dari 300 sampel, terdapat 13 kejadian CAUTI, dengan rincian 11 kasus (84,6%) terjadi sebelum penerapan 2 kasus (15,4%) terjadi setelah penerapan (p-value: 0,02). Pengetahuan, sikap, dan tindakan tenaga medis meningkat setelah penerapan masing-masing sebesar 5,6 poin, 2,4 poin, dan 10,4 poin (p-value < 0,05). Dari hasil tersebut menunjukan penerapan panduan HICPAC berpengaruh terhadap penurunan kejadian CAUTI secara signifikan. Selain itu, sosialisasi dan penerapan panduan HICPAC meningkatkan secara signifikan pengetahuan, sikap, dan tindakan tenaga medis.
Panduan HICPAC dapat digunakan terintegrasi dengan rekam medis sehingga dengan mudah dilaksanakan oleh seluruh tenaga medis. Komitmen dalam melaksanakan seluruh panduan tersebut juga diperlukan untuk menurunkan kejadian CAUTI.
Item Type: | Doktoral (Master) |
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Subjects: | Fakultas Kesehatan Masyarakat > Manajemen Rumah Sakit |
Divisions: | Fakultas Kesehatan Masyarakat > S2 Ilmu Kesehatan Masyarakat |
Depositing User: | Wendy Isman Sitepu |
Date Deposited: | 06 Mar 2020 02:44 |
Last Modified: | 06 Mar 2020 02:44 |
URI: | http://repository.helvetia.ac.id/id/eprint/1743 |
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