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Management of Surgical Wound Care Using the Bundles Principle as an Infection Control Strategy in Post-operative Patients

Mon, 01 Jan 2024 00:00:00 GMT

Title: Management of Surgical Wound Care Using the Bundles Principle as an Infection Control Strategy in Post-operative Patients Authors: Lestari, Sri; Pratiwi, Arum; Alis Setiyadi, Noor Abstract: Background: Infection prevention strategies, such as applying the bundle's principle, play a vital role in surgical wound care. However, limited studies assess nurse compliance with these standards. Investigating compliance is crucial to understanding its impact on post-operative wound infection. This study examines how nurse adherence to the bundle's principle influences wound infection during the healing process. Methods: A before-and-after study was conducted at a second-level hospital in Indonesia over three months. Using total sampling, 100 nurses meeting inclusion criteria (adults with over one year of experience and training in bundle strategies) participated. Patients were selected through accidental sampling and included adults with non-infectious surgical wounds and no complications. The bundle's principle was implemented from the third to the sixth postoperative day, with infection signs assessed afterward. Instruments included demographic data, compliance checklists, and wound infection assessments. Data were analyzed using logistic regression. Results: Gender did not significantly affect wound infection occurrence (OR 0.39, *P* = 0.092). Nurse compliance and work length showed a significant association with infection prevention (OR 4.47, *P* = 0.006). Educational background was not significantly associated with compliance (OR 2.11, *P* = 0.409). Conclusion: Nurses' compliance with the bundle's principle significantly reduces post-operative wound infections, promoting effective healing. Factors like gender, work length, and educational background contribute equally to post-operative wound care outcomes.

Determinant Factors of Patient Satisfaction in the Orthopedic Surgery Ward

Mon, 01 Jan 2024 00:00:00 GMT

Title: Determinant Factors of Patient Satisfaction in the Orthopedic Surgery Ward Authors: Hastara Dewi, Kenwi; Pratiwi, Arum; Alis Setiyadi, Noor Abstract: Background: Patient satisfaction is a crucial measure of health service performance. The fluctuations in this level of accomplishment can serve as empirical evidence for develop-ing quality and patient safety programs. This study seeks to assess and analyse demographic characteristics, the degree of patient satisfaction, and the relationship between respondent characteristics and satisfaction at three orthopedic surgery wards over a span of three time periods: 2021 to 2023. Methods: This study employs a quantitative research method-ology adopting a descriptive comparative technique. The inde-pendent variables of this study were time period, quality di-mensions, and patient characteristics. The dependent variable of this study was patient satisfaction. The data were examined using Kruskal-Wallis’s analysis, the central tendency, and mul-tiple regression analysis. Results: The study showed that the level of patient satisfaction has increased every year (p-value = 0.005), with no significant difference between the three wards (p-value = 0.893). Also, there is no significant correlation with patient satisfaction for each year (p-value > 0.05). Nevertheless, the findings of this study indicate that age significantly influences patient satisfac-tion in 2021 (p-value = 0.021) and 2023 (p-value = 0.007). Conclusion: It is recommended this research be expanded by exploring other patient characteristic variables and exploring the key elements that significantly influence patient satisfaction in many patient care settings.

Development of Local Wisdom in Preventing Stunting in Village Communities

Mon, 01 Jan 2024 00:00:00 GMT

Title: Development of Local Wisdom in Preventing Stunting in Village Communities Authors: Sumardino, Sumardino; Lestari, Siti; Widodo, Widodo Abstract: Background: Child stunting refers to a child who is too short for his or her age and is the result of chronic or recurrent malnutrition, based on the height-for-age index (HAZ). The results of weighing and measurements at the Posyandu, or community health post, show an increase in the prevalence of stunting from 7% in 2019 to 10.41% in 2020. A preliminary survey at the Ceper Community Health Centre in Klaten Regency showed that out of 1,922 children under five, 187 were stunted. Local wisdom is considered highly valuable and has its own benefits for the lives of the community. Thanks to local wisdom, they can sustain their lives and even develop sustainably. The role of midwives in developing local wisdom for stunting prevention is crucial, as they are the frontline health workers in the prevention of stunting. Methods: The research design is an analytical observational study with a cross-sectional approach. Data analysis was conducted using regression. The research sample was taken using cluster random sampling techniques involving 60 respondents. Results: The data analysis results showed a relationship between the role of educators and motivators in the intervention of developing local wisdom for stunting prevention. Conclusion: The role of village midwives in providing information, encouragement, facilities, and empowering health cadres is crucial in developing local wisdom for stunting prevention.

The Relationship Between Adults, Elderly, and Smoking History With The Incidence Of Adhesive Capsulitis Shoulder

Mon, 01 Jan 2024 00:00:00 GMT

Title: The Relationship Between Adults, Elderly, and Smoking History With The Incidence Of Adhesive Capsulitis Shoulder Authors: Asdayanti Malik, Fika; Susanty, Sri; Rustam, Muhammad Abstract: Background: The pathological condition known as Adhesive Capsulitis Shoulder (ACS) is characterised by the excessive production of fibrotic tissue, resulting in the rigidity of the capsule of the glenohumeral joint. These factors encompass age, gender, extended immobilisation of the shoulder region, tobacco use, and more variables. The primary objective of this study is to investigate the correlation between adults, older people, and smoking history in relation to the prevalence of adhesive capsulitis shoulder at the Orthopaedic Poly of Indonesia. Methods: The present investigation employs an observational analytical design, utilising a case-control methodology. The study examined the relationship between two independent variables: age (specifically adults and older people) and smoking history. The dependent variable under investigation was adhesive capsulitis in the shoulder. The purposive selection technique was employed to choose a sample consisting of 94 cases of ACS events and 94 controls who did not experience any ACS events. A statistical test known as the Odds Ratio (OR) was conducted to analyse the data. Results: The test results indicate that age (OR <1; OR = 0.178, 90% CI 0.092–0.346) and smoking history have a significant impact on the incidence of adhesive capsulitis shoulder at the Orthopaedic Poly of Indonesia. Additionally, both variables have a value (OR <1; OR = 0.501, 90% CI 0.294–0.793). Conclusion: The findings of this study indicate a correlation between age (adults and older adults), smoking history, and the occurrence of adhesive capsulitis in the shoulder at Orthopaedic Poly Indonesia.