KEEFEKTIFAN PENINGKATAN KEMAMPUAN PERAWAT DALAM PENCEGAHAN INFEKSI NOSOKOMIAL PADA BAYI DI RUANG NEONATAL INTENSIVE CARE UNIT RUMAH SAKIT UMUM DAERAH WATES KULON PROGO


ABSTRACT: Background: World Health Organization estimates that the world's neonatal mortality rate has reached 298,000 or 49 per 1000 live births; Some causes of neonatal death are infections (36%), therefore, nurses’ knowledge and skills on the prevention of infection need to be improved in order to suppress the incidence of neonatal infection and deaths. Objective: Improving Nurses’ Ability in Preventing the Infection of ‘Nosokomial’ to Infants through Trainings of Preventing Infection in the NICU of Wates District Hospital, Kulon Progo. Methods: This was an applied study using an Pre experimental study design and One Group pre and post design. The study sites were in the NICU of Wates District Hospital, Kulon Progo, with study subjects as many as 15 nurses. Results: Of the Preintervensi, the subjects’ characteristics based on the education were 14 people (93.33) while the practice mean value was 15.40 and standard deviation was 4.37. After being given treatment in the form of training, the most common practice done was to wear gloves as many as 11 people (73.33%) and the least done was to wash hands as many as 9 people (60%). The highest improvement aspect was the aspect of processing used tools with a mean difference value of the Preintervensi and the second week Postintervensi as much as 4.46 and the lowest improvement aspect was the aspect of handwashing with a mean difference in Preintervensi and the second week Postintervensi as much as 0.73. The value of infection prevention practices according to the standard in general presented an increase from 0% in the Preintervensi to 53.33% (8 people) in the first week Postintervensi and 46.67% (7 people) in the second week Postintervensi. Conclusion: Training on the prevention of nosocomial infection effectively improved nurses’ practice skills in the prevention of nosocomial infections in accordance with the standard.


INTISARI: Latar belakang: Badan Organisasi Kesehatan dunia memperkirakan kematian neonatus sebanyak 298.000 atau 49 per 1000 kelahiran hidup. Penyebab kematian neonatal karena infeksi sebesar 36%, oleh karena itu ketrampilan pencegahan infeksi perawat perlu ditingkatkan agar dapat menekan kejadian infeksi dan jumlah kematian neonatal. Tujuan: Meningkatkan kemampuan perawat dalam pencegahan infeksi nosokomial pada bayi melalui pelatihan pencegahan infeksi di ruang NICU RSUD Wates Kulon Progo Metode: Jenis penelitian terapan (Applied research) menggunakan rancangan penelitian Pre eksperimental dengan One Group pre and post design. Lokasi penelitian di ruang NICU RSUD Wates Kulon Progo dengan subjek penelitian perawat sebanyak 15 orang. Hasil: Dari Preintervensi diperoleh karakteristik subyek penelitian berdasarkan pendidikan sebanyak 14 orang (93,33) sedangkan praktik nilai mean 15,40 dan standart deviasi 4,37, setelah diberikan perlakuan berupa pelatihan aspek praktik yang paling sering dilakukan adalah aspek memakai sarung tangan sebanyak 11 orang (73,33%) dan paling sedikit dilakukan adalah aspek melakukan cuci tangan sebanyak 9 orang (60%), aspek yang paling tinggi peningkatannya adalah aspek memproses alat bekas pakai nilai selisih rerata pada Preintervensi dan Postintervensi minggu ke 2 sebanyak 4,46 dan paling rendah adalah aspek melakukan cuci tangan selisih rerata pada Preintervensi dan Postintervensi minggu ke 2 sebanyak 0,73, hasil nilai praktik pencegahan infeksi secara umum terjadi peningkatan dari hasil Preintervensi perawat yang melakukan praktik pencegahan infeksi sesuai standart 0% menjadi hasil Postintervensi minggu ke 1 sebanyak 8 orang (53,33%) dan Postintervensi minggu ke 2 sebanyak 7 orang (46,67%) melakukan praktik pencegahan infeksi sesuai standart. Kesimpulan: Pelatihan pencegahan infeksi nosokomial efektif dapat meningkatkan kemampuan praktik pencegahan infeksi nosokomial sesuai standar
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