HUBUNGAN ANTARA PERILAKU HAND HYGIENE DENGAN KOLONISASI PSEUDOMONAS AERUGINOSA PADA TELEPON SELULER PERAWAT DI INSTALASI RAWAT INTENSIF RUMAH SAKIT AKADEMIK UGM

YOHANA IKA PRASTIWI, Prof. dr. Tri Wibawa, PhD.,Sp.MK(K); Khudazi Aulawi, S.Kp., M.Kes., MN.Sc., Ph.D

2020 | Tesis | MAGISTER KEPERAWATAN

Latar Belakang: Telepon seluler merupakan alat komunikasi yang sering digunakan perawat pada waktu bekerja. Kolonisasi bakteri pada telepon seluler perawat perlu mendapat perhatian dari perawat dan rumah sakit karena telepon seluler merupakan sarana transmisi patogen antara pasien, petugas kesehatan dan lingkungan. Pada ruang perawatan intensif, P. aeruginosa masih merupakan mikroorganisme penyebab HAIs yang mengakibatkan kerugian bagi pasien dan rumah sakit. Transmisi P. aeruginosa pada telepon seluler dapat dikurangi dengan melakukan hand hygiene, pembersihan secara teratur dan tindakan pencegahan infeksi. Tujuan: Menganalisis hubungan antara perilaku hand hygiene dengan kolonisasi P. aeruginosa pada telepon seluler perawat di Instalasi Rawat Intensif Rumah Sakit Akademik UGM. Metode: Penelitian ini merupakan penelitian cross sectional. Dalam penelitian ini dilakukan tiga kali observasi hand hygiene masing-masing perawat pada waktu yang berbeda dengan lembar observasi yang direkomendasikan WHO. Pengambilan data kolonisasi P. aeruginosa pada telepon seluler perawat dilakukan setelah observasi selesai. Proses penanaman, penghitungan, single colony dan identifikasi bakteri dilakukan di Laboratorium Mikrobiologi FKKMK UGM. Pengambilan data perlakuan perawat terhadap telepon seluler terkait kontrol infeksi dilakukan dengan kuesioner yang telah teruji validitas dan reliabilitasnya. Hasil: Rata-rata perilaku hand hygiene perawat yaitu 46,06%. Kurang tepatnya indikasi pemakaian sarung tangan mencapai 34.13% sehingga perilaku hand hygiene rendah. Kolonisasi bakteri terdapat pada 97,3% telepon seluler. Kolonisasi P.aeruginosa didapatkan pada salah satu telepon seluler perawat. Kesimpulan: Tidak terdapat hubungan antara perilaku hand hygiene dengan kolonisasi P. aeruginosa. Namun, terdapat hubungan antara hari terakhir membersihkan telepon seluler dengan jumlah bakteri yang tumbuh pada telepon seluler. Kata kunci : Perilaku hand hygiene; P.aeruginosa; telepon seluler

Background: Cell phones are communication tools that nurses often use at work. Bacterial colonization of nurses' cellphones needs attention from nurses and hospitals because cell phones are a means of transmitting pathogens between patients, health workers, and the environment. Pseudomonas aeruginosa is a microorganism that causes Hospital Acquired Infections (HAIs) in intensive care rooms which results in losses for patients and hospitals. P. aeruginosa transmission on cell phones can be reduced by doing hand hygiene, regular cleaning, and infection prevention measures. Objective: To analyze the relationship between hand hygiene behavior and colonization of P. aeruginosa on nurses' cellphones at the Intensive Care Installation of UGM Academic Hospital, Yogyakarta, Indonesia. Methods: This research was a cross-sectional study. In this study three observations of hand hygiene according to the World Health Organization guidelines were done on each nurse at different times. Data collection on P. aeruginosa colonization on nurses' cellphones was conducted after observation was completed. The next steps were the process of planting, counting, growing single colony, and identification in the Microbiology Laboratory of FKKMK UGM. Data were collected on nurses' treatment of cell phones related to infection control with a questionnaire that was tested for validity and reliability. Results: The average nurse's hand hygiene behavior was 46.06%. Inaccurate indication of the use of gloves reached 34.13% so that the behavior of hand hygiene was low. Bacterial colonization was found in 97.3% of cellular phones. P. aeruginosa colonization was obtained on one of the nursesâ cellphones. Conclusions: There was no relationship between hand hygiene behavior with P. aeruginosa colonization. But there was a relationship between the last day cleaning of the cell phones with the number of bacteria.

Kata Kunci : Perilaku hand hygiene, P.aeruginosa, telepon seluler