CHAPTER IV

CHAPTER IV

CHAPTER 4

Rozy S.kep.Ns

RESULTS AND DISCUSSION

                        The results of this study are presented in two parts: general data and specific data. General data includes characteristics of the respondents including age, gender, education, and employment. While specific data consists of the results of the effect of treatment on the incidence of catheter spooling urinary tract infections diruang surgical inpatient hospital DR. H. Moh. Anwar   Sumenep.

4.1        RESEARCH RESULT

4.1.1     GENERAL DATA

4.1.1.1 RESEARCH OVERVIEW LOCATION

            This study is located in the Hospital D r. H. Moh. Anwar Sumenep   which at the center of health care. The hospital was located in JL.Dr.cipto Type C 42 City District Sumenep. Hospital D r. H. Moh. Anwar Has Many such services (Outpatient) emergency room, children poly, poly obstetrics and gynecology, internal medicine poly, poly surgical, dental and oral poly, poly eye, ENT poly, poly nerves, poly consulting health test, hemodialysis, poly fisiotrapi, dental consultation poly, poly orthopedics. (Inpatient) surgical treatment rooms, child care room, treatment room in internal medicine, obstetrics and gynecology ward, intensive care unit (ICU, PICU, NICU), housekeeping hospitalization (Griu), (installation support) central surgical, clinical pathology , nutrition, sanitation, pharmacy, radiology, pemulasrai bodies, ambulance, maintenance of facilities, customer care.

4.1.1.2   CHARACTERISTICS OF RESPONDENTS

1)       Distribution of Respondents by Age Patients

Table 4.1 Distribution of Patient Data catheterized urine At the age berdsarkan Graha Inpatient Hospital Room   Dr.H. Moh. Anwar   Sumenep, september 201 4.

No.	Age	The Amount	Percentage (%)
1	25-33	7	32%
2	34-42	7	32%
3	43-51	5	23%
4	52-60	2	9%
5	61-6 9	1	4%
The Amount		2 2	100%

            Based on Table 4.1 above shows that nearly half of respondents aged 25-51 years amounted to 19 respondents (86%), while a small proportion aged 52-69 years as many as three respondents (14%) of 2 2 respondents.

2)       Distribution of respondents by sex

Table 4. 2: Distribution of respondents by sex of patients catheterized urine in Graha inpatient hospital room Dr.H. Moh. Anwar   Sumenep, september 201 4.

No.	Gender	The Amount	Percentage (%)
1	Man	15	6 8%
2	woman	7	3 2%
The Amount		2 2	100%

           

                        Based on Table 4. 2 above shows that almost all respondents gender male - male as much as 1 5 people (6 8%), while the fraction   female of 7 people (22%) of 2 2 respondents.  

3)         Distribution of respondents by education in patients catheterized urine

Table 4.3: Distribution of respondents by education of patients catheterized urine in Graha inpatient hospital room Dr.H.Moh.Anwar   Sumenep, september 2014.

No.	Education	The Amount	Percentage (%)
1	SD	15	68%
2	MIDDLE SCHOOL	3	14%
3	High School	3	14%
4	BACHELOR'S DEGREE	1	4%
The Amount		22	100%

                        Based on Table 4.3 above shows that more than half of the respondents were primary school graduates as many as 15 people (68%), while a small proportion of respondents graduates by 1 person (4%) of the 22 respondents.

4)       Characteristics of respondents by occupation in patients catheterized urine

Table 4. 4 Characteristics of respondents by occupation on chalky en catheterized diruang Graha inpatient hospital Dr.H. Moh. Anwar   Sumenep, september 201 4.

No.	The Work	The Amount	Percentage
1	Farmer	11	50%
2	Entrepreneur	4	19%
3	Private	5	23%
4	Learner	1	4%
5	PNS	1	4%
The Amount		2 2	100%

                        Based on Table 4. 4 above shows that half of the respondents worked as Farmer as 1 1 (50%), while the fraction   respondents were civil servants and students as much as 1 (4%) of 2 2 respondents.

4.1.2         SPECIFIC DATA

4.1.2.1 Given the incidence of UTI Before Catheter Care Spooling Method

Table 4.5 Distribution of patients catheterized urine with UTI before spooling method given catheter care in inpatient hospital room Dr.H. Graha Moh. Anwar Sumenep, september 201 4.

Frequency	The incidence of urinary tract infections in patients catheterized urine in the inpatient hospital Graha Dr.H.Moh.Anwar Sumenep   (Pretest)
	N	%
1.    Infection occurs	5	22.7%
2. Not occur Infection	17	77.3%
The Amount	22	100%

                        Based on Table 4.5 above shows that the results of the study patients were catheterized urinary tract infections (UTI) before being given a catheter care spooling method by 5 people (22.7%).

4.1.2.2Kejadian UTI After Catheter Care Provided Spooling Method

Table 4.6 Distribution of patients catheterized urine with UTI after spooling method given catheter care in inpatient hospital room Dr.H. Graha Moh. Anwar Sumenep, september 201 4.

Frequency	The incidence of urinary tract infections in patients catheterized urine in the inpatient hospital Graha Dr.H.Moh.Anwar Sumenep   (Post Test)
	N	%
1.     Infection occurs	3	13.6%
2.     Not occur Infection	19	86.4%
The Amount	22	100%

            Based on Table 4.6 above shows that the results of the study patients were catheterized urinary tract infections (UTI) after treatment spooling method decreased as many as three people (13.6%).

4.1.2.3 Comparison of the incidence of urinary tract infection before and after a given spooling method catheter care in hospitals. Dr H. Moh. Anwar Sumenep.

Table 4.7   the effect of treatment on the incidence of catheter spooling method of urinary tract infections in hospitals Dr. H. Moh. Anwar Sumenep

Frequency	Takes Place		Not occur
	N	Persent (%)	N	Present (%)
Pre-test	5	22.7%	17	77.3%
Post-test	3	13.6%	19	86.4%
ρ = 0. 001 <α   = 0.05 Chi-Square Test

4.2               Discussion

4.2.1         Identifying the incidence of UTI prior to catheter care in hospitals Dr.H.Moh.Anwar spooling method Sumenep

            Based on Table 4.7 above shows that the results of the study patients were catheterized urinary tract infections (UTI) before being given a catheter care spooling method by 5 people (22.7%).

            The presence of a catheter into the urinary tract can cause infection. Colonization of bacteria (bacteriuria) will occur within 4 to 5 days in half of the patients who use a catheter urine, and in more than 2 weeks after catheter placement occurs in almost all patients (Brunner & Suddarth, 2000).

            Based on the above results indicate that the majority of respondents did not experience a urinary tract infection (UTI) as many as 17 people (77.3%) and urinary tract infections (UTI) by 5 0rang (22.7%). This is evident from the results of laboratory tests and is supported by a recent study respondents urinary catheter for 5 days. This is consistent with the theory proposed by Brunner and Suddart which states that the colonization of bacteria in the urinary tract occurs within 4-5 days catheter urine. In addition, one factor is the occurrence of the symptoms of urinary tract infections in some patients may be caused by the use of a catheter that is not according to standard such as the use of a urine bag. Most of the patients there who use urine bag comprising a closed bottle of mineral black plastic bag. this is likely to lead to the colonization of microorganisms that cause infections of the urinary tract.

4.2.2         Identifying the incidence of UTI after catheter care with spooling method on the incidence of UTI in hospitals dr.h.Moh.Anwar Sumenep

            Based on Table 4.7 above shows that the results of the study patients catheterized after given treatment catheter spooling method that did not experience a urinary tract infection (UTI) as many as 19 people (86.4%).

                        Irrigation (spooling) is flushing or cleaning with a specific solution in order to cleanse the bladder and sometimes to give kedinding bladder drug solution consisting of antiseptics and antibiotics to clear the infection of the bladder or local. This action apply sterile aseptic (Kozier et al, 2010 Page 887).

            Based on the above results indicate that the majority of respondents did not experience a urinary tract infection (UTI) as many as 19 people (86.4%) and urinary tract infections (UTI) of 3 people (13.6%). This is evident from the results of laboratory tests and is supported by a complete urine urinary catheter care in the form of spooling method. The results showed the absence of previously negative patients became positive UTI UTI after receiving treatment catheter spooling method. This shows that the treatment catheter spooling method can reduce the incidence of urinary tract infection (UTI) by removing the segments and micro-organisms that are located along the hose line catheter urine using liquid NaCl.

4.2.3         Analyzing the effect of catheter care with spooling method on the incidence of UTI in hospitals Dr.H.Moh.Anwar Sumenep.

            Based on Table 4.7 after the Chi-Square statistical test to determine the effect of treatment of urinary catheter with spooling method on the incidence of urinary tract infection (UTI) shows the results with significance value α = 0.001 so that Ho is rejected and H1 is accepted, meaning that there is the influence of catheter care spooling method on the incidence of urinary tract infections.

            Urinary tract infections are caused by a blockage in the hose segment of the catheter in the form of inflammation of the upper urinary tract, inflammation of the lower urinary tract and inflammation of the bladder (Perry & Potter, 2006 Page 1724). Urinary tract infections in catheterized patients may be caused by a urinary catheter is not hyginis, blockage of segments (such as pus, blood and mucus), lack of care and length of urinary catheter urinary catheter (Perry & Potter, 2006 Page 1724). According kozier et al, blockage of urine catheter segment of the channel can be overcome with urinary catheter care spooling method.

            The above results indicate the absence of the respondents who had not previously infected become infected. This is because spooling own urine catheter is used to cleanse segments such as pus, blood, mucus and even microorganisms from channel catheter. Catheter care program with spooling method is done every day in the morning so that the microorganisms that cause urinary tract infections can not colonize. Thus catheter care spooling method can reduce the incidence of urinary tract infections in patients with urinary catheter users in the hospital.