The improvement of infants exclusive breastfeeding through the intervention of DC motor vibratory (DMV) to postpartum mother in USU Medan hospital

OBJECTIVE: To determine the effect of DMV on the success of exclusive breastfeeding. METHOD: This research is a quasi-experimental with control group design. The sample of this study was 76 postpartum mothers each in the intervention 38 and control groups 38. The instruments used were demographic data and exclusive breastfeeding. The intervention was DMV which was carried out for postpartum mothers for 6 months. Data analysis uses independent t-test. RESULTS: The results showed that an increase in exclusive breastfeeding for postpartum mothers through the DMV program in Medan City, p = 0.03 (p < 0.05) with a mean intervention of 5.55, SD 0.82 and a mean control of 5.13, SD 0.83. CONCLUSIONS: The intervention of exclusive breastfeeding is very important to increase the amount of breastfeeding in postpartum mothers. This intervention is expected to be carried out regularly in the community

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Risk Factors Analysis for Catheter-Associated Urinary Tract Infection in Medan, Indonesia.

BACKGROUND: Catheter-associated urinary tract infection (CAUTI) is one of the most common infections in health care caused by several risk factors. AIM: This study aims at analysing the risky factors triggering CAUTI. METHODS: This research was designed by applying prospective study. It was conducted from July to November 2018 by involving 82 patients attached to the catheter and treated in the General Hospital of Medan as the sample. The study instrument used observational sheets by measuring the occurrence of urinary tract infection using urine culture analysis ≥ 105 CFU/ml. RESULTS: The results showed that there was a relationship (p < 0.05) amongs age (p = 0.01; RR = 0.51), diabetes mellitus (p = 0.00; RR = 7.61), duration of catheterization (p = 0.00; RR = 0.01), indications for catheter use (p = 0.00; RR = 0.34) with CAUTI, and there were not significant relationship (p > 0.05) amongs genre (p = 0.06; RR = 1.72), drainage system (p = 0.43; RR = 0.43) and catheter care (p = 0.08; RR = 0.50) with CAUTI. Diabetes mellitus (p = 0.00; OR = 8.92 95% CI = 1.02-11.83) and duration of catheterization (p = 0, 00; OR = 32.84 95% CI = 3.81-322.74) were the most significant factor related to CAUTI. CONCLUSION: CAUTI is influenced by various factors, and it can be controlled by understanding those factors so that the right interventions to prevent the infections can be taken and the quality of nursing care can be increased as well.