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All Journal Jurnal Keperawatan Indonesia Jurnal Penelitian Kesehatan Qanun Medika - Medical Journal Faculty of Medicine Muhammadiyah Surabaya JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Belitung Nursing Journal Jurnal Keperawatan Silampari Nursing Current : Jurnal Keperawatan Jurnal Ilmiah Ilmu Keperawatan Indonesia (Indonesian Nursing Scientific Journal) The Indonesian Journal of Infectious Diseases Holistik Jurnal Kesehatan International Journal of Nursing and Health Services (IJNHS) INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Jurnal Keperawatan Terpadu (Integrated Nursing Journal) Jurnal Keperawatan (JKEP) Jurnal Riset Kesehatan Nasional Journal of Telenursing (JOTING) Indonesian Journal of Global Health research MAHESA : Malahayati Health Student Journal Jurnal Medika Usada JRKN Eduvest - Journal of Universal Studies Jurnal Keperawatan Jurnal Keperawatan Merdeka JOURNAL OF Qualitative Health Research & Case Studies Reports

Sri Yona

Fakultas Ilmu Keperawatan Universitas Indonesia

Author-ID : 385950

Aerospace Engineering Biochemistry, Genetics & Molecular Biology Computer Science & IT Dentistry Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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Aspek Caring Perawat dalam Perawatan Pasien ARDS COVID-19 Terpasang Extracorporeal Membrane Oxigenation (Ecmo): Studi Kasus dengan Pendekatan Teori Keperawatan Care, Core and Cure Lydia Hall Yudi Elyas; Sri Yona; Agung Waluyo
Jurnal Keperawatan Silampari Vol 5 No 2 (2022): Jurnal Keperawatan Silampari
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

This study aims to provide an overview of nurses' caring in carrying out critical nursing care for Covid-19 patients installed with Extracorporeal Membrane Oxygenation (ECMO) in the ICU using the Care, Core, Cure Lydia Hall nursing theory. This type of research is qualitative research with a case study approach. The results showed that nursing problems that occurred in patients after ECMO installation included airway disorders, gas exchange disorders, bleeding risks, and the risk of impaired skin integrity due to decreased tissue perfusion. In conclusion, Lydia Hall's nursing theory is dominated by the Cure aspect because the installation of ECMO is a very complex medical procedure and involves teams from various disciplines. Hence, the implementation of the Cure aspect is a collaborative act of nurses. Care and Core aspects also have an essential role in caring for nurses, namely by conducting therapeutic interactions and facilitating patients to get family support so that patients have the spirit to recover and do not experience stress that can affect hemodynamic conditions. Keywords: COVID-19, ECMO, ICU, Lydia Hall, Case Study

PHENOMENOLOGY STUDY : HIV PATIENT EXPERIENCE TRANSVESTITE TO FULFILL SPIRITUAL NEED chaterina Janes Pratiwi; Ika Ainur Rofi'ah; Arief Andriyanto; Enny Virda Yuniarti; Agung Waluyo; Sri Yona
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol 3 No 3 (2019): IJNMS Volume 3 Issue 3 December 2019
Publisher : Bina Sehat Press. Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

The prevalence of HIV cases increases significantly in the vulnerable population; it is Transvestite. The high prevalence of HIV in transgenders requires treatment and treatment services. However, until now the transgender community is a group that is often not served in various health facilities. Transvestite identity intersections produce unique life experiences, such as multiple identities and spiritual identities. The purpose of the study was to explore the experience of transgender HIV patients when hospitalized in fulfilling spiritual needs. Research method with qualitative design phenomenology study approach. This study involved 12 transvestite participants who had been hospitalized because of HIV positive. Retrieving data using in-depth interviews, data analysis using Colaizzi. The results of the study found four themes namely (1) Spiritual according to HIV patients transvestites means believing in the existence of God; (2) Be grateful for the conditions they have; (3) get closer to God by doing good things; (4) Poor nurse services for transgender HIV patients.

Peran Komunitas Gereja terhadap Peningkatan Self Awareness untuk Mencegah Peningkatan HIV/ AIDS: Kajian Literatur [Role of the Church Community in Increasing Self Awareness to Prevent an Increase in HIV/AIDS: Literature Review] Elysabeth Sinulingga; Agung Waluyo; Sri Yona
Nursing Current: Jurnal Keperawatan Vol 9, No 2 (2021): December
Publisher : Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/nc.v9i2.4979

Background: People infected with HIV (PIWH) are increasing in number in Karo Regency every year. Therefore, all sub-districts or villages contribute the incidence of HIV / AIDS. While the HIV prevention program already exists at KPA GBKP (Commission on HIV /AIDS Prevention of Batak Karo Protestant Church) but has not seen its effect. Methods: Literature review are conducted using the PRISMA model. All studies reviewed were quantitative, with most studies using cross sectional studies (14.29%), using literature reviews (9.52%), using experiments (28.57), using quasi experiments (33.33%, and using Randomized Control Trial/RCT (14.29%). Sample sizes varied from 134 to 1444 participants. The dependent variable is HIV/AIDS prevention. Independent variables are church members, family support, and increased self-awareness. Of the 1173 articles, 21 that met the inclusion and exclusion criteria were selected for the study. The articles were collected from 4 database sources including Proquest, EBSCO-CINAHL, Springer Link and Google Scoler. Result: HIV/AIDS prevention was influenced by self awareness (18.1%), church members (9%), family support (54.5%), and interventions to prevent HIV/AIDS (27.2%). Although some countries had revealed that the promotion of HIV/AIDS health and prevention was improved and the concern of all communities to reduce the stigma of HIV/AIDS. Conclusion: Increased HIV/AIDS prevention was influenced by the role of church members, community, family support, and increased self awareness.BAHASA INDONESIA ABSTRAK: Latar Belakang: Orang yang terinfeksi dengan HIV (ODHA semakin meningkat jumlahnya di Kabupaten Karo setiap tahun. Oleh karena, semua wilayah kecamatan atau desa ikut menyumbangkan angka kejadian penyakit HIV/AIDS. Sementara program pencegahan HIV sudah ada dilakukan di KPA GBKP (Komisi Penangulangan HIV/AIDS Gereja Batak Karo Protestan) tetapi belum terlihat pengaruhnya. Metode: Kajian literatur dilakukan dengan menggunakan model PRISMA. Semua studi yang ditinjau adalah kuantitatif, dengan sebagian besar studi menggunakan studi cross sectional (14,29%), menggunakan tinjauan literatur (9,52%), menggunakan eksperimen (28,57), menggunakan quasi eksperimen (33,33%, dan menggunakan Randomized Control Trial/RCT (14,29%). Ukuran sampel bervariasi dari 134 hingga 1.444 peserta. Variabel dependen adalah pencegahan HIV/AIDS. Variabel yang tidak tergantung adalah anggota gereja, dukungan keluarga, dan peningkatan self awareness. Dari 1.173 artikel, 21 artikel yang memenuhi kriteria inklusi dan eksklusi yang dipilih untuk penelitian ini. Artikel-artikel tersebut dikumpulkan dari 4 sumber basis data meliputi Proquest, EBSCO-CINAHL, Springer Link dan Google Scoler. Hasil: Pencegahan HIV/ AIDS dipengaruhi oleh self awareness (18,1%), anggota gereja (9%), dukungan keluarga (54,5%), dan intervensi untuk mencegah HIV/AIDS (27,2%). Meskipun beberapa negara telah mengungkapkan bahwa promosi kesehatan dan pencegahan HIV/AIDS ditingkatkan dan kepedulian semua masyarakat untuk mengurangi stigma HIV/ AIDS. Kesimpulan: Peningkatan pencegahan HIV/ AIDS dipengaruhi oleh peran anggota gereja, komunitas, dukungan keluarga, dan peningkatan self awareness.

Potensi Pelaksanaan Self Monitoring Blood Glucose Pada Pasien Diabetes Dalam Meningkatkan Kualitas Hidup dan Kontrol Glikemik Pandan Enggarwati; Debie Dahlia; Sri Yona
Jurnal Ilmiah Ilmu Keperawatan Indonesia Vol 10 No 02 (2020): Jurnal Ilmiah Ilmu Keperawatan Indonesia Edisi Juni 2020
Publisher : STIKIM Press

Abstract Introduction: Diseases that are considered particularly dominant in Indonesia are now starting to shift toward chronic diseases and one of which is diabetes mellitus (DM). Ever since a patient is diagnosed with DM, DM management must be carried out continuously and it will bring changes to the patients’ lifestyle. Health-Related Quality of Life (HRQoL) is a health indicator which covers interrelated subjective and multidimensional concepts, including assessment of physical, functional, psychological, and religious aspects. Self Monitoring Blood Glucose (SMBG) is a part of DM disease management which allows control of the glycemic index and quality of life. However, potential benefits of SMBG implementation needs to be discovered further. Objective: The purpose of this article is to determine the potential of SMBG in DM management and its relation to the glycemic index and quality of life. Methods: Literature review of this article based on EBSCOhost, PubMed, ProQuest, Willey Library Online dan ScienceDirect from 2013 - 2019. Results: The result shows that SMBG had a significant impact on HRQoL and glycemic index control. Conclusion: The role of nurses in the provision of comprehensive education is essential to increase the knowledge of the use of SMBG and drive patient’s motivation to ensure they are able to properly report the results of SMBG that they conducted.

Interventions in reducing anxiety among patients undergoing percutaneous coronary intervention (PCI): an integrated literature review Effita Piscesiana; Tuti Herawati; Sri Yona
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 9, No 2 (2021)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2021.9(2).88-110

Background: The percutaneous coronary intervention procedure (PCI) is an action to restore reduced coronary artery blood flow due to occlusion or blockage. Complex actions using sophisticated tools with the patient's condition fully aware can cause clients to experience anxiety, both before, during, and after the action. Many patients undergoing PCI experience this symptom of anxiety. These symptoms can lead to activation of the sympathetic nerves, changes in hemodynamic status, to the risk of arrhythmias during or after the procedure. Intervention to reduce anxiety hopefully can stabilize haemodynamic, avoid unwanted effects during and after the procedure, further can also improve the patient's quality of life.Purpose: This integrated literature review aims to find complementary interventions that can be carried out independently to overcome the anxiety experienced among patients undergoing PPCI.Methods: The compiled database was taken from the EBSCO, Scopus, Clinical Key, ProQuest, Science Direct, PubMed, and Cochrane databases, and published in 2015 - 2020 which were then matched with certain specific keywords to get the appropriate articles. A total of 11 selected articles were reviewed and the results were presented in a table. The results of 6 types of intervention were found, almost all of them were significant in reducing anxiety. Next, appraisal of the quality of selected articles is done by using The Critical Appraisal Skills Programme (CASP).Results: There were 11 articles that discussed 6 different forms of intervention in reducing anxiety, including physical therapy (2 articles), relaxation therapy (2 articles), cognitive therapy (2 articles), psychological therapy (1 article), and psychological therapy programs (combined) (1 article) and information / support / counseling (3 articles).Conclusion: This intervention in addition to reducing anxiety can also reduce stress, hemodynamic balance / physiological indicators, reduce pain, improve quality of life and coping mechanisms.

A NURSING REHABILITATION PROGRAM TO IMPROVE THE QUALITY OF LIFE OF PATIENTS WITH MENINGIOMA: A NARRATIVE REVIEW Amelia Ganefianty; Sri Yona
Belitung Nursing Journal Vol. 5 No. 2 (2019): March - April
Publisher : Belitung Raya Foundation, Indonesia

Meningioma is the most common type of primary brain tumor, which affect several domains of life, such as physiological, psychological, and social life conditions. Although surgery has been performed on meningioma patients in Indonesia, some patients still experience sequelae such as headache, impaired mobilization, disruption of activity, and visual disturbances. This narrative review aims to describe nursing rehabilitation programs in patients with meningioma in Indonesia. As a result, the nursing rehabilitation program is considered as an integral part of multidisciplinary rehabilitation, which can be applied in the nursing rehabilitation center and in the form of telenursing. The roles of nurses include providing evidence-based direct care, psychosocial support, patient / family education, care coordination, and continuing health promotion starting from the period of patient care in the hospital to discharge. In conclusion, the nursing rehabilitation program has the potential to improve the quality of life in meningioma patients, especially in Indonesia.

EFFECT OF PROGRESSIVE MUSCLE RELAXATION ON SLEEP QUALITY AMONG PATIENTS WITH CHRONIC DISEASES: A LITERATURE REVIEW Syafa'atun Mirzanah; Sri Yona; Debie Dahlia
Belitung Nursing Journal Vol. 6 No. 2 (2020): March - April
Publisher : Belitung Raya Foundation, Indonesia

Background: Sleep disturbance is prevalent among patients with chronic diseases. Thus, the use of non-pharmacological interventions is needed. Progressive muscle relaxation is considered effective to improve sleep quality, but its discussion is still limited. Objective: To investigate the effect of progressive muscle relaxation on sleep quality among chronic disease patients. Design: Literature review. Data Sources: Search was performed through the CINAHL, Science Direct, and ProQuest database from 2014 to 2019 for English-based, full-text research articles. Review Methods: Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methods was used to select articles. Critical Appraisal Skills Programme was used for quality assessment. Results: From the 644 articles yielded, six articles were included. Progressive muscle relaxation could be given alone or in combination with cognitive behavioural therapy. It also has been proven to improve sleep quality among patients with chronic diseases regardless their ages. Procedures in progressive muscle relaxation vary, but all studies reported significant improvements on sleep quality. Most of studies used audio as a medium for progressive muscle relaxation training. Conclusion: Progressive muscle relaxation significantly improves the sleep quality among patients with chronic diseases. It is recommended for future studies to compare the effectivity between 4 or 7 muscle groups and 16 muscle groups on sleep quality.

Penerapan Tindakan Keperawatan Berbasis Penelitian Akupresur P6 Dan Edukasi Perawat Terhadap Kejadian Mual Dan Muntah Pasien Kanker Yang Menjalani Kemoterapi I Gd. Nym Ardi Supartha; Agung Waluyo; Sri Yona
JURNAL MEDIKA USADA Vol 1 No 1 (2018): JURNAL MEDIKA USADA
Publisher : STIKES ADVAITA MEDIKA TABANAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54107/medikausada.v1i1.19

Latar belakang: Penatalaksanaan medis kanker dapat dibedakan menjadi dua antara lain kuratif dan perawatan paliatif. Penatalaksanaan medis kuratif erat kaitannya dengan pemberian chemotherapy, radiasi, dan obat hormonal. Sedangkan perawatan paliatif cenderung diartikan sebagai tindakan yang dilaksanakan untuk meningkatkan kualitas hidup pasien kanker. Akupresur adalah tidakan penekatan pada titik-titik strategis tubuh dengan menggunakan atau tanpa alat bantu. Salah satu titik akupresur yang dipercaya dapat mengatasi mual muntah pasca kemoterapi adalah titik Pericardium 6 (P6), yaitu titik yang terletak pada pangkal pergelangan tangan bagian dalam. Tujuan: mengatasi mual muntah akibat kemoterapi. Metode: penerapan akupresur P6 dan edukasi perawat. Hasil: Penerapan EBN penggunaan gelang akupresur P6 (Sea-BandÒ) dan edukasi perawat untuk mencegah mual muntah akibat kemoterapi dilakukan selama 5 (lima) hari terhadap 12 (dua belas) pasien kanker di lantai 4 dan 8 gedung A, RSCM. penerapan EBN gelang akupresur P6 dan edukasi perawat mengalami puncak mual muntah pada hari ke-2 dan ke-3 post kemoterapi. Pada evaluasi hari ke-5 terdapat 5 (lima) pasien yang mengalami mual muntah ringan. Kesimpulan: Penerapan EBN akupresur titik P6 dengan menggunakan gelang akupresur Sea-BandÒ mudah diterapkan, aman dan efektif dalam menurunkan keluhan mual muntah pasien kanker yang menjalani kemoterapi.

DEPRESI DAN STIGMA TB DENGAN KUALITAS HIDUP PASIEN TUBERKULOSIS PARU Vika Endria; sri yona
Jurnal Riset Kesehatan Nasional Vol. 3 No. 1 (2019)
Publisher : Institute Teknologi dan Kesehatan (ITEKES) Bali

Penyakit tuberkulosis paru dapat menimbulkan penurunan terhadap kualitas hidup pasien TB Paru. Beberapa faktor yang mempengaruhi hal tersebut adanya depresi yang dialami pasien TB Paru akibat proses penyakit dan stigma negatif terhadap penyakit tersebut. Tujuan penelitian ini untuk mengetahui hubungan depresi dan stigma dengan kualitas hidup pasien tuberkulosis paru yang menjalani pengobatan OAT. Penelitian ini merupakan penelitian kuantitatif dengan metode analitik korelatif yang menggunakan pendekatan desain cross sectional. Populasi target dalam penelitian ini adalah pasien tuberkulosis paru yang menjalani pengobatan OAT di poli paru RSUP Persahabatan. Teknik pengambilan sampling yang digunakan teknik concecutive sampling, dengan jumlah sampel sebanyak 96 responden. Data dianalisis dengan uji analisa univariat dan bivariat, hasil uji bivariat menggunakan pearson menunjukan hasil p = 0,000 (p < 0,05) Berdasarkan hasil tersebut terdapat adanya hubungan adepresi dan kualitas hidup serta stigma dan kualitas hidup pasien tuberkulosis paru. Hasil penelitian tersebut direkomendasikan untuk melakukan deteksi dini depresi dan stigma pada pasien poliklinik oleh perawat.

EFEKTIFITAS MANDI CHLORHEXIDINE GLUCONATE TERHADAP PENURUNAN ANGKA KEJADIAN HAIs: LITERATURE REVIEW Tia Atnawanty; Sri Yona; Riri Maria
Jurnal Riset Kesehatan Nasional Vol. 4 No. 2 (2020)
Publisher : Institute Teknologi dan Kesehatan (ITEKES) Bali

INTISARI : Latar Belakang: Insiden Health-care Associated Infections (HAIs) atau infeksi yang berhubungan dengan pelayanan kesehatan di dunia semakin meningkat sehingga menyebabkan morbiditas, mortalitas, dan biaya tinggi bagi rumah sakit. Klorheksidin glukonat sebagai antiseptik dengan aktivitas antimikroba spektrum luas telah ditunjukkan dalam beberapa penelitian sebagaiABSTRAKLatar belakang: Penyakit infeksi di fasilitas kesehatan atau disebut juga Healthcare Associated Infections (HAIs) menjadi masalah besar yang masuk ke rumah sakit karena dapat meningkatkan angka morbiditas (kesakitan), angka mortalitas (kematian) dan menambah biaya perawatan yang besar bagi rumah sakit. Chlorhexidine gluconate sebagai antiseptik dengan aktivitas antimikroba spektrum luas merupakan komponen penting dalam pencegahan infeksi. Rutinitas mandi harian di perawatan kritis dan intensif dan mandi sebelum operasi dengan sabun Chlorhexidine gluconatetelah menurunkan infeksi aliran darah, infeksi daerah operasi dan akuisi organisme patogen berbahaya dan resisten yang terdapat di rumah sakit. Namun karena belum konsistennya hasil penelitian terkait hal ini, akibatnya mandi Chlorhexidine belum dilakukan secara universal sebagai prosedur tetap dan masih menyisakan sampai sekarang. Kajian literatur ini bertujuan untuk menilai efektifitas mandi Chlorhexidine gluconate terhadap penurunan kejadian infeksi yang berkaitan dengan kesehatan dan mikroorganisme penyebabnya.Metode: Penulis melakukan pencarian literatur dengan mengumpulkan beberapa artikel terindeks yang berhubungan dengan topik yang diangkat menggunakan database seperti Clinical key, Elsevier, ProQuest , dan ScienceDirect dengan kata kunci chlorhexidine gluconate, chlorhexidine bathing, health care related infeksi .Hasil: Dari 3871 artikel umum, dilakukan penyaringan menjadi 269 artikel yang terkait, dikumpulkan sebanyak 16 artikel yang sesuai dengan topik dan 8 artikel yang sesuai kriteria sebagai bahan kajian literatur.Kesimpulan: Penulis menyimpulkan bahwa mandi dengan Chlorhexidine gluconate secara rutin penerapan “ bundles ” pencegahan dapat menurunkan prevalensi mikroorganisme berbahaya termasuk kuman patogen yang resisten terhadap antimikroba, namun efektifitas biaya, integritas kulit dan resistensi tetap harus. Kata kunci: chlorhexidine gluconate, mandi chlorhexidine, infeksi terkait perawatan kesehatan ABSTRAKLatar Belakang: Infectious diseases in health facilities also known as Healthcare Associated Infections (HAIs) are major problem facing hospitals because they can increase morbidity rates (pain), mortality rates (deaths) and increase the cost of care for hospitals. Chlorhexidine gluconate as an antiseptic with broad spectrum antimicrobial activity is an important component in infection prevention. Daily bathing routine in critical or intensive care and pre-surgery showers with Chlorhexidine soap have reduced bloodstream infections, surgical area infections and the acquisition of harmful and resistant pathogenic organisms found in hospitals. However, due to the inconsistency of research results related to this matter, as a result chlorhexidine bathing has not been done universally as a permanent procedure and still leaves debate until now. This literature review aims to assess the effectiveness of chlorhexidine gluconate baths in reducing the incidence of infections related to health services and their causative microorganisms. Metode: Penulis melakukan pencarian dengan mengumpulkan beberapa artikel terindeks yang berhubungan dengan topik yang diangkat dari beberapa database seperti Clinical keys, Elsevier, ProQuest dan ScienceDirect dengan kata kunci chlorhexidine gluconate, chlorhexidine bathing, perawatan kesehatan terkait infeksi .Hasil: Dari 3871 artikel umum yang disaring menjadi 269 artikel terkait, didapatkan sebanyak 16 artikel yang sesuai dengan topik dan 8 artikel yang memenuhi kriteria sebagai bahan studi literatur.Kesimpulan: Penulis menyimpulkan bahwa mandi dengan klorheksidin glukonat secara rutin dengan aplikasi “bundel” pencegahan infeksi dapat menurunkan prevalensi mikroorganisme berbahaya termasuk patogen resisten antimikroba, namun pertimbangan efektivitas biaya, integritas kulit, dan resistensi tetap harus diperhatikan. Kata kunci: klorheksidin glukonat, mandi klorheksidin, infeksi terkait perawatan kesehatankomponen tant dalam pencegahan infeksi di unit perawatan pasien. Salah satunya dengan rutinitas mandi sehari-hari di ruang perawatan kritis / intensif dan mandi sebelum operasi dengan sabun klorheksidin telah mengurangi infeksi aliran darah, infeksi area operasi dan didapatnya organisme patogen berbahaya dan resisten yang terdapat di rumah sakit. Namun karena ketidakkonsistenan hasil penelitian terkait hal tersebut, akibatnya mandi klorheksidin belum dilakukan secara universal sebagai prosedur permanen dan masih menyisakan perdebatan hingga saat ini. Tinjauan pustaka ini bertujuan untuk menilai keefektifan mandi klorheksidin glukonat dalam mengurangi kejadian infeksi yang berkaitan dengan layanan kesehatan dan mikroorganisme penyebabnya.Metode: Metode yang digunakan adalah penelusuran literatur baik nasional maupun internasional yang dilakukan dengan menggunakan database Clinical keys, Elsevier, ProQuest, dan lain-lain.Hasil: Dari hasil pencarian diperoleh sebanyak 22 artikel terkait yang dijadikan studi literatur.Kesimpulan: Penulis menyimpulkan bahwa mandi dengan klorheksidin glukonat secara rutin dengan aplikasi “bundel” pencegahan infeksi dapat menurunkan prevalensi mikroorganisme berbahaya termasuk patogen resisten antimikroba, namun pertimbangan efektivitas biaya, integritas kulit, dan resistensi tetap harus diperhatikan.

Co-Authors Agung Waluyo Agung Waluyo Allenidekania Allenidekania Amelia Ganefianty Arief Andriyanto Aries Sulaiman Arisdiani, Triiana Arisdiani, Triiana Astuti Yuni Nursasi Atnawanty, Tia Chaterina Janes Pratiwi Debbie Dahlia Debie Dahlia Dewiyanti Toding Dikha Ayu Kurnia Edianto Edianto Edianto Edianto Edis Mari Eko Effita Piscesiana Elly Nurachmah Elysabeth Sinulingga Elysabeth Sinulingga Endria, Vika Enny Virda Yuniarti Etty Rekawati Eusabius Separera Niron Firman Firman Fransiska Kurniati Natul Gde Yasa Antarika Hesti Rahayu Himmatul Khaira I Gd. Nym Ardi Supartha I Made Kariasa I Made Kariasa I Putu Adi Suryawan Ika Ainur Rofi'ah Ina Martiana Isnaeni Nur Khayati Iswanto Iswanto Juita Juita Khumaidi Khumaidi Komang Noviantari Maria Devi Novarita Maria Syelvrida Tumina Maria, Riri Maria, Riri Masfuri - Meta Agil Ciptaan Mulida Arifiati Mulida Arifiati Neniek Kurnianingsih Nia Khusniyati Nirwanto K. Rahim Nurdahlia Nurdahlia Pandan Enggarwati Prasetyanto, Deny - Rahmat Kurniawan Ratna Sitorus Regina Situmorang Rita Ismail Santa Manurung Senja Paramita Sitti Shoimatul A Sri Endah Handayani Sri Wirayuni Ni Luh Putu Syafa'atun Mirzanah Syafdewiyani Syafdewiyani Tia Atnawanty Titi Sulastri Tris Eryando Tris Yonado Tumina, Maria Syelvrida Tuti Herawati Vika Endria Vika Endria Wanto Juli Silalahi Yudi Elyas Yuliasih Yuliasih Yunisar Gultom

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