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Journal : Jurnal%20Kesehatan%20Prima

ANALISIS FAKTOR – FAKTOR PENYEBAB MASALAH PUTUS OBAT PADA PROGRAM KONTROL TUBERKULOSIS DI WILAYAH KERJA PUSKESMAS GERUNG LOMBOK BARAT Zulkifi Zulkifi; Hadi Kusuma Atmaja; Awan Dramawan
Jurnal Kesehatan Prima Vol 8, No 2 (2014): Jurnal Kesehatan Prima
Publisher : poltekkes kemenkes mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (0.272 KB) | DOI: 10.32807/jkp.v8i2.56

Abstract

Abstract: Health development as part of the national development implemented gradually and continuously, and is intended to improve the welfare of the people as a whole. One part of health development is the implementation of infectious disease eradication program. Pulmonary Tuberculosis in the world situation gets worse by the number of cases continues to rise and many are not successfully treated, especially countries that are grouped in 22 countries with Pulmonary Tuberculosis big problem (high-burden countries), so that in 1993 the WHO declared as one of Pulmonary Tuberculosis emergency one of the world (global emergency). The purpose of this study was to determine the factors that cause medication discontinuation problems in tuberculosis control programs. Design used in this study is to approach Retrospective Cross Sectional Study. The population in this study were all patients with TB who enter the working area of  Public Health Center Registration Gerung West Lombok. The research sample consists of 10 respondents. The independent variables are factors that cause the problem of drug withdrawal and the dependent variable is the TB patients who drop out of medicine. Data obtained using quisioner. The results of this study indicate that the psychological burden on the majority of TB patients who drop out of medicine and the treatment of TB patients showed a majority of respondents felt unable to reduce the disease during consumption of drugs, and most respondents felt forced to discontinue treatment because of resistance in drug consumption, but they feel no difficulty in the treatment and feel they have support from family and health workers.  
KOMPARASI PEMBERIAN HEXADOL DAN CHLORHEXIDINE SEBAGAI ORAL HYGIENE TERHADAP PENCEGAHAN VENTILATOR ASSOCIATED PNEUMONIA (VAP) Hadi Kusuma Atmaja
Jurnal Kesehatan Prima Vol 8, No 1 (2014): Jurnal Kesehatan Prima
Publisher : poltekkes kemenkes mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (0.272 KB) | DOI: 10.32807/jkp.v8i1.39

Abstract

Abstract: Patients in critical care unit inserted by ventilators could potentially develop complications as known by Ventilator Associated Pneumonia (VAP). The preventions of VAP include non-pharmacological and pharmacological intervention. Pharmacological prevention of  VAP is the use of antiseptic drug in oral hygiene procedure. Kinds of anticeptic drugs are hexadol (hexetidine) and chlorhexidine. The purpose of this study was to evaluate the effects of oral hygiene with hexadol and chlorhexidine in patients with mechanical ventilator in ICU. The study was a quasi-experiemntal two group design. There were 30 subjects recruited by purposive sampling in the ICU at Pantiwilasa hospitals on street Dr. Cipto and Citarum Semarang. The subjects were divided randomly into 2 groups: 15 subjects given by hexadol 0,1% and 15 subjects given by chlorhexidine 0,2% for twice a day. VAP was assessed by Clinical Pulmonary Infection Score(CPIS).                    The results show that CPIS ≤ 5 was no VAP at 96,67% and ≥ 6 was VAP at 3,33%. There was no significant difference between oral hygiene with hexadol and chlorhexidine (U=78; p<0,14). Oral hygine with hexadol twice a day was as effective as oral hygiene with chlorhexidine to prevent VAP.