Pengaruh Penerapan Universal Precaution (Hand Higiene dan APD) dalam Mencegah Insiden Hepatitis C pada Pasien Hemodialisa di RSU PKU Muhammadiyah Yogyakarta
Journal Title: IJNP (Indonesian Journal of Nursing Practices) - Year 2015, Vol 1, Issue 2
Abstract
ABSTRACT Background: Hepatitis C is caused by hepatitis C virus (HCV); a small RNA virus which is wrapped by fat, its diameter is around 30 to 60 nm. An acute HCV infection is generally asymptomatic or minimally symptomatic. There are fi ve basic guidelines according to the KDIGO (Kidney Disease Improving Global Outcomes) for the prevention, diagnosis, evaluation, and treatment of hepatitis C in chronic kidney disease (Chronic Kidney Disease). Methods: The design of this research was descriptive analytic design with cross sectional approach. The population was 18 haemodyalisis patients with HCV rapid test negative on assessment in March 2012 and the sampling technique was total sampling. This study consisted of 5 independent variable application of universal precautions (hand hygiene, the use of handscoen, the use of masks, the use goggle and the use of dress/ apron), and one dependent variable: the incident of hepatitis C. The instruments were: observation sheets (checklist) for universal precautions implementation and the results of EIA (=ELISA/ Enzyme Linked Immuno Assay) laboratory tests for hepatitis C incidents. Data analysis was uniariat and multivariate analysis (nominal regression test). Results: hand hygiene signifi cantly aff ected the incidence of hepatitis C with probability value 0.012, as well as the use of handscoen signifi cantly aff ected the incidence of hepatitis C with probability value 0.002, while the use of masks had no signifi cant eff ect on the incidence of hepatitis C due to probability value 1.000, while the statistical value of the use of goggle glasses and dress/apron weren’t found because none of the nurses wore goggle glasses and apron when caring hemodyalisis patient for both with isolation (positive hepatitis B) and without isolation (hepatitis C positive/negative). In general, the application of universal precautions had signifi cant eff ect in preventing the incident of hepatitis C with a probability value of 0.000.Conclusion: There was signifi cant eff ect of implementation of universal precautions (hand hygiene and PPE) in preventing the incident of hepatitis, especially for hand hygiene (hand wash) and the use of gloves (handscoen).
Authors and Affiliations
Mashuri Mashuri, Elsye Maria Rosa, Yuni Permatasai Istanti
Keywords
Related Articles
- EP ID EP607388
- DOI -
- Views 66
- Downloads 0
Perspektif Perawat Tentang Manejemen Terpadu Balita Sakit di Puskesmas Wilayah Kabupaten Bantul Yogyakarta
ABSTRACT Integrated Management of Childhood Illness (IMCI) is an integrated approach to the treatment of sick children in primary helath care services which include promotive, preventive and curative programs. The role o...
Analysis Factors That Influence Associate Nurses Toward Decubitus Prevention On Bed Rest Patient In Intensive Care Unit At Ulin Banjarmasin Hospital
Abstract Background: Hospital put patient safety as priority such as decubitus prevention to provides excellent service. The incidence of decubitus commonly occurs, such as in Western Europe generally occurs about 49%, 2...
Perbedaan Tingkat Ketergantungan Merokok Antara Perokok Remaja Dengan Perokok Lansia
Abstrak Latar Belakang: Ketergantungan merokok yang tinggi akan menyebabkan semakin sulitnya berhenti merokok. Ketergantungan merokok rendah akan semakin mudah berhenti merokok. Remaja dan perokok lansia mempunyai riwaya...
Sandplay Mempengaruhi Perkembangan Motorik Halus Anak Usia Prasekolah
Abstrak Latar Belakang: Menurut WHO, 5-25% anak usia prasekolah mengalami gangguan perkembangan motorik halus. Perkembangan motorik halus anak salah satunya dipengaruhi oleh penggunaan alat permainan edukatif. Terdapat j...
Efektifi tas Huknah Tinggi dalam Menurunkan Kadar Ureum Darah pada Pasien dengan Gagal Ginjal Kronik di RSUD. Prof. Dr. Margono Soekarjo Purwokerto
Background: Chronic renal failure is a disorder function of renal with increase of ureum level in the blood. the therapy of this disease today is by used dialisa ( hemodialisys and peritoneal dialisys) which needed expen...