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All Journal Media Keperawatan Indonesia JOURNAL EDUCATIONAL OF NURSING(JEN)
I made Kariasa
Fakultas Ilmu Keperawatan Universitas Indonesia
Health Professions Medicine & Pharmacology Nursing Public Health

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Efektivitas Perawatan Mulut Menggunakan Madu Terhadap Risiko Pneumonia Aspirasi Pada Pasien Stroke Yang Mengalami Penurunan Kesadaran Dan Disfagia Dyah Untari; I made Kariasa; Muhammad Adam
JOURNAL EDUCATIONAL OF NURSING(JEN) Vol 2, No 2 (2019): JOURNAL EDUCATIONAL OF NURSING(JEN)
Publisher : Akademi Keperawatan RSPAD Gatot Soebroto

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (475.501 KB) | DOI: 10.37430/jen.v2i2.40

Abstract

Aspiration pneumonia in patients with stroke can occur as a result of the gram-positive and gram-negative in the oral cavity that spreads to the respiratory tract of patients due to decreased ability to fight bacteria mouth. Selection of materials for oral care need to consider in terms of the material effectiveness, safety, convenience and cost efficiency. This quantitative study using a quasi-experimental design with pre and post test control group design. This research aims to study the effectiveness of oral care using honey to the risk of aspiration pneumonia in stroke patients who suffered loss of consciousness and dysphagia. In this design 46 respondents 23 respondents were divided into intervention group with oral treatments using honey and 23 respondents into a control group who received oral treatment with 0.2% chlorhexidine. Performed oral care performed by a nurse twice a day in the morning and evening for 30 minutes within 3 days sequentially. Results: There are significant relationships in oral care using honey to the risk of aspiration pneumonia in stroke patients who suffered loss of consciousness and dysphagia (p.0,000: α.0,05). The risk of aspiration pneumonia was lower by 2,522 with oral treatments using honey instead of using Clorhexidine 0.2%. Conclusion: Oral care using honey to effectively prevent the increased risk of aspiration pneumonia in pasein stroke decreased consciousness and dysphagia. Suggestion: Oral care with honey can be used as material for oral care, especially in the choice of antiseptic agent as proven in this study honey can maintain and even reduce the risk of aspiration pneumonia in stroke patients with loss of consciousness and dysphagia. This research can be a reference for subsequent research. Keywords: Chlorhexidine 0.2%, Honey, Oral Care, Stroke
Mechanical prophylaxis to prevent venous thromboembolism on stroke patient: a Literature Review Erna Fitriani; I Made Kariasa
Media Keperawatan Indonesia Vol 6, No 2 (2023)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.6.2.2023.134-141

Abstract

Prevention of Venous Thromboembolism (VTE) is important in the treatment of stroke, including pharmacological and mechanical thromboprophylaxis. One of the post-stroke complications is Deep vein thrombosis (DVT), DVT can lead to pulmonary embolism (PE), and Venous thromboembolism (VTE) is manifested as DVT and PE. Stroke patients are at increased risk of developing DVT. This review aims to assess the clinical efficacy of mechanical prophylaxis for preventing venous thromboembolism in stroke patients. The articles were searched through PubMed, ScienceDirect, Sage Journals and ProQuest database. Keywords: "Stroke", "Prevention", "Deep Vein Thrombosis", “Venous Thromboembolism”, “Intermittent Pneumatic Compression”, and “Stocking Compression” combined using the Boolean operators AND or OR. The articles were full text, written in English, published in the last 10 years, and provided information about mechanical prophylaxis for preventing VTE in stroke patients. This review provides important information on VTE prevention in stroke patients. The use of IPC significantly reduces the risk of DVT and the addition of IPC in pharmacological prophylaxis provides moderate benefits in VTE, whereas the use of graduated compression stocking is less clinically significant in the prevention of VTE. The use of IPC is an effective method to reduce the risk of VTE in post-stroke immobilized patients, with fewer skin side effects compared to stocking compression.
Co-Authors Dyah Untari Erna Fitriani Muhammad Adam