Lembaga Penelitian
Dibuat: 2009-05-06 , dengan 1 file(s).
Keywords: RUMAH SAKIT ABDOEL MULIK, INFEKSI,Universal Precaution, Perawat
Subject: RUMAH SAKIT
Call Number: 362.11 Yus k c.1
ABSTRAK
Prinsip pencegahan universal (Universal Precautions/UP) merupakan instrumen yang efektif
untuk melindungi dan mengurangi angka kejadian infeksi di rumah sakit (infeksi nosokomial)
pada tenaga kesehatan, pasien dan masyarakat. Kepatuhan terhadap penerapan UP yang
suboptimal menjadi faktor utama terjadinya peningkatan infeksi nosokomial di pusat pelayanan
kesehatan. Penelitian ini bertujuan untuk mencari faktor-faktor yang berperan terhadap
pelaksanaan UP yang suboptimal pada tenaga perawat di Bandar Lampung. Penelitian cross
sectional dilaksanakan di Rumah Sakit Umum Daerah Abdoel Muluk, Bandar Lampung. Dari
220 kuisoner yang disebar kepada perawat, 191 kuisoner dikembalikan dengan lengkap. Faktor
demografi (jenis kelamin, usia, lama bekerja, and pendidikan), tingkat pengetahuan, keselamatan
lingkungan kerja di rumah sakit, dan sikap perawat terhadap pasien dengan infeksi HIV dinilai
sebagai penentu tingkat kepatuhan. Hasil analisis menggunakan regresi logistik multipel
menunjukkan bahwa perawat yang menganggap lingkungan kerja yang aman enam kali lebih
patuh terhadap pelaksanaan UP (p<.001). Intervensi terhadap keselamatan lingkungan rumah
sakit dapat meningkatkan tingkat kepatuhan perawat untuk melaksanakan UP.
Translation:
ABSTRACTUniversal Precaution (UP) guidelines are considered as an effective means of protecting health care workers, patients and the public and reducing the rate of hospital acquired infections.
Suboptimal compliance with UP guidelines is identified as the major factor that increased
nosocomial infection in health care facilities. This study was looking for the contributing factors to suboptimal compliance with Universal Precaution guidelines among nurses in Bandar
Lampung. A cross sectional study design was conducted at Abdoel Muluk province hospital of
Bandar Lampung. Of 220 questionnaires distributed to health care workers, 191 were completed.
Demographic factors (sex, age, working time, and education), knowledge, hospital safety climate
and attitude towards HIV patients were assessed as the determinants of the compliance. Multiple
logistics regression results showed that the nurses who perceived a strong safety climate at their unit were sixt times more likely to be compliant than health care workers who did not perceive a strong safety climate (p<.001). An intervention on hospital safety climates may enhance the probability of health care workers to comply with Universal Precaution guidelines.
detail ; http://digilib.unila.ac.id/go.php?id=laptunilapp-gdl-res-2009-drmyusran-1607
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