OLEH :
NUR ASMANIAH
NIM : 201010300511095
2014
i
ANALISIS INTERVENSI PERAWATAN KATETER
UNTUK MENCEGAH INFEKSI NOSOKOMIAL PADA PASIEN STROKE
(Studi Kasus Pada Ny.S dan Ny.N dengan Stroke di RS Wava Husada Kepanjen)
Di ajukan kepada
Program Diploma III Keperawatan
Fakultas Ilmu Kesehatan
Universitas Muhammadiyah Malang
Untuk Memenuhi Salah Satu Persyaratan
Dalam Menyelesaikan Program Ahli Madya Keperawatan
Oleh:
Nur Asmaniah
201010300511095
2014
ii
UNIVERSITAS MUHAMMADIYAH MALANG
SURAT PERNYATAAN
Demikian surat pernyataan ini saya buat sebenar-benarnya dan apabila pernyataan
ini tidak benar, maka saya mendapat sanksi sesuai dengan undang-undang yang
berlaku.
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LEMBAR PERSETUJUAN KARYA TULIS ILMIAH
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LEMBAR PENGESAHAN KARYA TULIS ILMIAH
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Motto
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PERSEMBAHAN
Terimakasih ya Allah,..
kedua orang tua saya yang setiap langkah ku selalu diiringi dengan
do’a dan harapannya
bersama-sama
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ABSTRAK
Kata Kunci: Perawatan kateter, untuk Mencegah Infeksi Nosokomial Saluran Kemih
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ABSTRACT
Catheter care is a nursing care to clean catheter area and catheter tube using
antiseptic, also it maintains patency of the catheter position (Smeltzer & Bare, 2001).
Catheter care needs to be done to prevent Nosocomial infection especially in urinary
tract on stroke patients. Nosocomial infections occur after 3x24 hours hospitalization.
One of Nosocomial infections that happen frequently is urinary tract infection.
Nosocomial urinary tract infection (NUTI) is most often happening due to inserting
catheter which is up to 40 %. However, other factors that can cause NUTI are agents
that entering the body have strong virulence, a weak host and low immune system. In
addition, inserting catheter that is not using aseptic technique, catheter stays longer,
and poor hygiene are affecting to NUTI too (Ardiyanto, 2005). This study aims to
maintain percentage of Nosocomial urinary tract infection (0 %) with catheter care.
This study uses case studies with qualitative approach. The sample are Mrs. S and
Mrs. N with stroke. Samples are taken using non probality sampling with purposive
sampling approach. This research uses data analysis base on time during three days
by observing uretra area condition. The result of this study is catheter care can
prevent risk infection of NUTI.
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KATA PENGATAR
Dengan mengucap puji syukur kepada Allah SWT, yang telah melimpahkan
Taufiq, Rahmat serta Hidayah-Nya kepada penulis sehingga dapat menyelesaikan
Studi Kasus dengan judul ”Analisis Intervensi Perawatan Kateter Untuk Mencegah
Infeksi Nosokomial pada Pasien Stroke ( Studi Kasus pada Ny. S dan Ny. N dengan
Stroke di RS Wava Husada Kepanjen)“. Tugas akhir ini dibuat sebagai salah satu
syarat untuk memperoleh Gelar Ahli Madya Keperawatan (Amd.Kep) pada Program
Diploma III Keperawatan Fakultas Ilmu Kesehatan Universitas Muhammadiyah
Malang.
(Nur Asmaniah )
NIM.201010300511095
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DAFTAR ISI
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2.3.4 Kontraindikasi .........................................................................23
2.3.5 Hal-hal yang Perlu diperhatikan ..............................................23
2.3.6 Perawat kateter ........................................................................24
2.3.7 Tujuan......................................................................................25
2.3.8 Indikasi ....................................................................................25
2.3.9 Hal-hal yang Perlu diperhatikan ..............................................25
2.3.10 Pengkajian .............................................................................25
2.3.11 Standar Operasional Perawatan Kateter ................................26
2.4 Konsep Infeksi Nosokomial .............................................................30
2.4.1 Pengertian Infeksi Nosokomial ...............................................30
2.4.2 penyebab Infeksi Nosokomial .................................................30
2.4.3 Jenis Infeksi Nosokomial ........................................................31
2.4.4 Tanda dan Gejala Infeksi Nosokomial ....................................31
2.4.5 Cara Penularan Infeksi Nosokomial ........................................32
2.4.6 Dampak Infeksi Nosokomial ...................................................33
2.4.7 Pengendalian dan Pencegahan Jenis Infeksi Nosokomial .......33
2.4.8 Infeksi Saluran Kemih .............................................................38
2.4.8.1 Pengertian infeksi saluran kemih ...............................38
2.4.8.2 Penyebab Infeksi Saluran Kemih ...............................41
2.4.8.3 Gejala Infeksi Saluran Kemih ....................................41
2.4.8.4 Faktor Resiko Infeksi Saluran Kemih ........................41
2.4.8.5 pencegahan Infeksi Saluran Kemih ............................41
BAB III METODE PENELITIAN
3.1 Pendekatan/Strategi Penelitian .........................................................43
3.2 Tempat dan Waktu Penelitian ..........................................................44
3.3 Setting Penelitian..............................................................................44
3.3.1 Tempat .....................................................................................44
3.3.2 Sarana dan Prasarana ...............................................................44
3.3.3 Jumlah Pasien ..........................................................................45
3.3.4 Jumlah Perawat .......................................................................45
3.3.5 Penelitian Sebelumnya ............................................................45
3.4 Objek Penelitian ...............................................................................46
3.4.1 Tehnik yang digunakan oleh peneliti ......................................46
3.4.2 Sampel peneliti ........................................................................46
3.5 Metode Pengumpulan Data ..............................................................47
3.5.1 Metode Observasi Partisipatif .................................................47
3.5.2 Metode Wawancara Takterstruktur .........................................47
3.5.3 Studi Pustaka ..........................................................................48
3.5.4 Studi Dokumentasi .................................................................48
3.6 Metode Uji Keabsahan Data ............................................................48
3.7 Metode Analisa Data ........................................................................49
3.7.1 Content Analisis .....................................................................49
3.7.2 Teknik Pencocokan pola Analisis...........................................49
3.7.1 Teknik Analisis .......................................................................49
3.8 Etical Clereance ................................................................................50
3.8.1 Informed Consent ...................................................................50
3.8.2 Anomity ..................................................................................50
3.8. Kerahasiaan ..............................................................................51
BAB IV HASIL dan PEMBAHASAN
4.1 Hasil Karya Ilmiah ...........................................................................52
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4.1.1 Tabel kondisi area uretra sebelum dilakukan perawatan kateter
...................................................................................................52
4.1.2 Tabel kondisi area uretra seteleh dilakukan perawatan kateter
hari I..........................................................................................53
4.1.3 Tabel kondisi area uretra seteleh dilakukan perawatan kateter
hari II.........................................................................................54
4.1.3 Tabel kondisi area uretra seteleh dilakukan perawatan kateter
hari III......................................................................................55
4.2 Pembahasan ......................................................................................55
BAB V KESIMPULAN dan SARAN
5.1 Kesimpulan.......................................................................................58
5.2 Saran .................................................................................................59
DAFTAR PUSTAKA ....................................................................................60
LAMPIRAN...................................................................................................62
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DAFTAR LAMPIRAN
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DAFTAR PUSTAKA
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