Faktor-faktor yang mempengaruhi angka kejadian infeksi pada pasien dengan pemasangan catheter double lumen di ruang hemodialisis siloam hospitals labuan bajo = factors that affect the number of occurrence of infections in patients with the installation of a double lumen catheter in hemodialysis siloam hospitals labuan bajo.

Lesnussa, Vivianti Fraliana (2018) Faktor-faktor yang mempengaruhi angka kejadian infeksi pada pasien dengan pemasangan catheter double lumen di ruang hemodialisis siloam hospitals labuan bajo = factors that affect the number of occurrence of infections in patients with the installation of a double lumen catheter in hemodialysis siloam hospitals labuan bajo. Bachelor thesis, Universitas Pelita Harapan.

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Abstract

Double lumen catheter (CDL) is one of the access that is often used in patients undergoing hemodialysis therapy. One of the complications the use of CDL is the onset of infection. There are factors that affect the occurrence of infections include bacterial virulence, immunity of the patient and the procedure of hemodialysis. This research aims to analyze the factors that influence the number of occurrence of infections in patients with the installation of a CDL in the hemodialysis siloam hospitals labuan bajo. This research is a retrospective study of the documentation using a descriptive quantitative research designs that highlight the objective phenomena. The population of patients undergoing hemodialysis therapy with the installation of a CDL from January to June 2017 by as much as 33 patients. Research on sample file medical record of patients with diagnosis of CKD stage V undergoing therapy for HD with installation of the CDL from January to June 2017 with a total sample of 33 patients medical record file. Research from derived factors that affect the occurrence of infection in patients with the installation of a double lumen catheter with results: susceptible age 56-65 years (27%), gender; men (58%), patient's immune factors; the status of uremia (100%), the physiological and microbial (76%), bacterial virulence; leukocyte dysfunction (97%), hemodialysis procedure factors; the location of catheter insertion hemodialysis (73%). So, it can be concluded that the factor of bacterial virulence, immunity, and the procedure of hemodialysis means against the incidence of infection in patients with the installation of a double lumen catheter in hemodialysis Siloam Hospitals Labuan Bajo / Catheter double lumen (CDL) merupakan salah satu akses yang sering digunakan pada pasien yang menjalani terapi hemodialisis. Salah satu komplikasi penggunaan CDL adalah terjadinya infeksi. Terdapat faktor - faktor yang mempengaruhi terjadinya infeksi meliputi imunitas pasien, virulensi bakteri dan prosedur hemodialisis. Penelitian ini bertujuan untuk menganalisis faktor - faktor yang mempengaruhi angka kejadian infeksi pada pasien dengan pemasangan CDL di ruang hemodialisis siloam hospitals labuan bajo. Penelitian ini merupakan penelitian retrospective study dengan menggunakan desain penelitian kuantitatif deskriptif yang menekankan pada fenomena-fenomena objektif. Jumlah populasi pasien yang menjalani terapi hemodialisis dengan pemasangan CDL dari bulan Januari - juni 2017 sebanyak 33 pasien. Sampel pada penelitian ini yaitu berkas rekam medik pasien dengan diagnosa CKD stage V yang menjalani terapi HD dengan pemasangan CDL dari bulan januari- juni 2017 dengan jumlah sampel 33 berkas rekam medis pasien. Penelitian yang diperoleh, faktor - faktor yang mempengaruhi terjadinya infeksi pada pasien dengan pemasangan catheter double lumen dengan hasil : rentan usia 56 - 65 tahun (27 %), jenis kelamin ; laki-laki (58 %), faktor imunitas pasien ; status uremia (100%), fisiologik dan mikroba (76%), virulensi bakteri ; disfungsi leukosit (97 %), faktor prosedur hemodialisis ; lokasi insersi kateter hemodialisis (73 %) . Jadi, dapat disimpulkan bahwa faktor imunitas, virulensi bakteri, dan prosedur hemodialisis bermakna terhadap kejadian infeksi pada pasien dengan pemasangan catheter double lumen di ruang hemodialisis Siloam Hospitals Labuan Bajo.

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