STEP 7 GOOD WASH HANDS & RIGHT

A. Definition
Washing hands with soap and water is rubbing together the entire skin surface with a strong arm and quick then rinsed under water flow (Larsan, 1995).

B. Handwashing destination
Washing hands is the most basic technique to avoid the entry of germs into the body. Where the action is done with the aim of: 1. So clean hands 2. Freeing the hands of germs and microorganisms 3. Avoid the entry of germs into the body 4.Mencegah cross infection / nosocomial infections in hospitals

C. Handwashing time
1. Before and after meals To avoid the entry of germs into the body when we eat 2. After defecation Fecal likely still stuck in the hand, so are required to wash their hands 3. After playing Habits of young children are playing in place that kotor.Seperti ground. Where we know that a lot of bacteria in the soil, so done playing should wash their hands so that the bacteria from the soil is lost and does not stick to hands. 4. Before and after the activity For the brothers hand washing can also be done before and after the study, before and after waking up and after doing other activities. 5. Before and after contact with patients in hospital

7 LANGKAH MENCUCI TANGAN YANG BAIK & BENAR

A. Pengertian Mencucitanganadalahmenggosok air dengansabunsecarabersamasamaseluruhkulitpermukaantangandengankuatdanringkaskemudiandibilasdibawahaliran air B. TujuanMencuciTangan Mencucitanganmerupakansatutehnik yang paling mendasaruntukmenghindarimasuknyakumankedalamtubuh. Dimanatindakaninidilakukandengantujuan: 1. Supayatanganbersih 2. Membebaskantangandarikumandanmikroorganisme 3. Menghindarimasuknyakumankedalamtubuh 4.Mencegahinfeksisilang/infeksinosokomial di RS

C. WaktuMencuciTangan 1. Sebelumdansesudahmakan Untukmenghindarimasuknyakumankedalamtubuhsaatkitamakan 2. Setelahbuang air besar Besarkemungkinantinjamasihtertempel di tangan, sehinggadiharuskanuntukmencucitangan 3. Setelahbermain Kebiasaananakkeciladalahbermainditempat yang kotor.Sepertitanah.Dimanakitatahubahwabanyaksekalikumandidalamtanah, jadiselesaibermainharusmencucitangansupayakumandaritanahhilangdantidakmenempelditangan. 4. Sebelumdansesudahmelakukankegiatan Bagiadik-adikmencucitanganinijugabisadilakukansebelumdansesudahbelajar, sebelumdansesudahbanguntidurdansesudahmelakukankegiatan yang lain. 5. Sebelum&sesudahkontakdenganpasien di RS THE HEALTH BENEFITS OF HAND WASHING INTRODUCTION Our hands are germ central, starting when shaking hands, holding the door of the small room, touching objects that contain germs, after you pee (urinate) or defecate (BAB) and touch everything that touched a lot of people a lot like holding money, etc. . Looks clean hands is not enough to prevent infectious diseases. Moreover, the hand in direct contact with human and animal feces, bodily fluids such as mucus, food or drink contaminated when not washed with soap to remove bacteria, viruses, and parasites to others. Therefore how important it is to free our hands of various types of germs is to wash your hands. Washing hands proven to prevent diarrheal diseases and ARI (Upper Respiratory Infection) is a major cause of death in children. Each year, as many as 3.5 million children worldwide die before reaching the age of 5 years because of the disease. Research published by the Cochrane Library Journal in October 2007 found that washing hands with water and soap is a simple and effective way to prevent viral respiratory infections, ranging from influenza virus everyday until the deadly pandemic virus. Research in Karachi, Pakistan showed that the number of patients with diarrhea halved by campaigning washing hands with soap properly. Another study showed that washing hands with soap can reduce the risk of diarrhea by 47% The UN has set October 15 as the Day of the World Hand Washing with Soap. There are 20 countries in the world who will participate actively in this regard, one of which is Indonesian. DEFINITIONS According to the Department of Health in 2007, hand washing is the process of mechanically remove dirt and debris from the skin of the hands with soap and water. Washing hands with soap is one of the measures of sanitation with clean hands and fingers with soap and water to be clean and able to break the chain of disease germs. Ideally you should wash your hands using clean water, running water and soap. Clean water is the water clear, odorless and colorless. While soap may help the process of releasing dirt and germs that stick on the outer surface of the skin of the hands and nails are chemically. By using the running water will shed dirt and water-borne germs.

BENEFITS Hand washing for health benefits is unquestionable. Washing hands can eradicate diseasecausing germs thus preventing transmission of infectious disease. Because disease transmission can occur when infected people do not wash their hands properly and then he directly touch or handle food and the food in the consumption. WHEN SHOULD A PERSON MUST WASH HANDS? Make it a habit to wash hands before eating, after using the washroom, after urinating or defecating and, after blowing your nose, coughing, sneezing, after changing diapers, after touching garbage, before and after treating wounds, after holding an animal or animal waste , before inserting or removing contact lenses, after playing, before holding the baby, after touching a sick or injured person, and before setting up food. -DISEASE THAT CAN PREVENT DISEASE WITH HAND WASHING: 1. Diarrhea. Approximately 30 related research finding that washing hands with soap can reduce diarrhea rates by half. The level of effectiveness of hand washing with soap in a decrease in the number of diarrhea patients was 44% 2. ISPA. Evidence has been found that by washing hands before and after eating, defecation, urination may reduce the rate of infection by 25%. Study in Pakistan found that hand washing with soap reduces respiratory tract infections associated with pneumonia (pneumonia) in children under five by more than 50%. 3. Worm infections, eye infections and skin diseases. Research shows that the use of soap in hand washing reduces the incidence of skin diseases, eye infections such as trachoma, and intestinal worms especially for ascariasis and trichuriasis. 4. Singapore Flu or Hand Foot and Mouth Disease (HFMD), a disease transmitted through food or water contaminated with the virus while not washing hands properly 5. Hepatitis A, infection occurs when a person infected with this virus do not wash their hands properly after using the bathroom and then it works up the food consumed by others. 6. Shigellosis, the disease is easily spread from one person to another by eating food contaminated by infected people who do not wash their hands properly after of the bathroom. 7. Giardiasis, the disease is easily spread through contact with hands that are not washed properly after a bowel movement. STEP RIGHT HAND WASHING: WHO in 2005 issued 7 steps. And in practice there are developing into 10 steps as follows: 1. Wash your hands with clean running water 2. Flatten with the palms of the hand soap 3. Rub the back of the hand and between - between fingers left hand and right hand, and vice versa. 4. Rub the palms and between - between your fingers 5. Finger - the finger in both hands interlocked. 6. Rub your thumb left spinning in the right hands and do the opposite. 7. Rub with fingertips turning right hand in left palm and vice versa 8. Rub the left wrist with the right hand and do the opposite. 9. Rinse hands with water flowing 10. Wipe dry with a dry and clean hand or using a tissue

Note: When no sink or faucet water, can use to pour water in the dipper. Ideally use a liquid soap, but can also use bar soap. ADVICE Make a habit of washing hands with soap and clean water. Germs on the hands are not visible by naked eye. Without us knowing it, the objects that we touch every day can be a breeding germs. For example, the door handles, remote controls, keyboards, and more. Do not wash your hands with moderation. Hands are not washed properly can be spreading germs. Perform washing hands properly from now on.

MANFAAT MENCUCI TANGAN BAGI KESEHATAN

PENDAHULUAN
Tangankitamerupakanpusatkumanpenyakit, mulaisaatbersalaman, memegangpintukamarkecil, menyentuhbenda yang mengandungkuman, sehabisbuang air kecil (BAK) atau buang air besar (BAB) sertamenyentuhsegalasesuatu yang banyakdisentuhbanyak orang seperti memeganguang, dll. Tangan yang kelihatanbersihbelumcukupuntukmencegahdaripenyakitinfeksi.Apalagitangan yang bersentuhanlangsungdengankotoranmanusiadanbinatang, cairantubuhsepertiingus, makananatauminuman yang terkontaminasisaattidakdicucidengansabundapatmemindahkanbakteri, virus, danparasitkepada orang lain. Olehkarenaitubetapapentingnyauntukmembebaskantangankitadariberbagaijeniskumanpenyakitter sebut denganmencucitangan. Mencucitanganterbukti dapatmencegah penyakitdiaredanISPA (InfeksiSaluranPernafasanAtas) yang menjadipenyebabutamakematianpadaanak-anak. Setiaptahun, sebanyak 3,5jutaanakanakdiseluruhduniameninggalsebelummencapaiumur 5 tahunkarenapenyakittersebut. Penelitian yang dipublikasikanoleh Cochrane Library Journal Oktober 2007 menemukanbahwamencucitangandengan air dansabunadalahcara yang sederhanadanefektifuntukmencegah virus ISPA, mulaidari virus flu sehari-harihingga virus pandemik yang mematikan. Penelitian diKarachi, Pakistanmenunjukkanbahwajumlahpenderitadiareberkurangseparuhnyadenganmelakukankampan yemencucitangandengansabunsecarabenar. Sebuahpenelitian lain menunjukkanbahwamencucitangandengansabundapatmengurangirisikodiarehingga 47% PBBtelahmenetapkantanggal15 OktobersebagaiHariMencuciTangandenganSabunSedunia. Ada 20 negara di dunia yang akanberpartisipasiaktifdalamhalini, salahsatu di antaranyaadalah Indonesia.

PENGERTIAN
Menurut DEPKES 2007, mencucitanganadalah proses yang secaramekanismelepaskankotorandan debris darikulittangandenganmenggunakansabundan air.

Mencucitangandengansabunmerupakansalahsatutindakansanitasidenganmembersihkantangandan jarijemarimenggunakan air dansabunsehinggamenjadibersihdandapatmemutuskanmatarantaikumanpenyakit. Idealnyamencucitangansebaiknyamenggunakan air bersih, air mengalirdansabun.Air bersihadalah air yang jernih, tidakberbaudantidakberwarna.Sedangkansabundapatmembantu proses pelepasankotorandankuman yang menempel di permukaanluarkulittangandan kuku secarakimiawi. Denganmenggunakan air yang mengalirmakakotorandankumanakanluruhterbawa air.
MANFAAT

Manfaatmencucitanganbagikesehatantidakusahdiragukanlagi.Mencucitangandapat membasmikumanpenyebabpenyakitsehinggamencegahpenularanpenyakitinfeksi. Karenapenularanpenyakitdapatterjadiketika orang yang terinfeksitidakmencucitangandenganbenarkemudianialangsungmenyentuhataumengolahmakanan danmakanantersebut di konsumsi orang.

KAPAN SEBAIKNYA SESEORANG HARUS MENCUCI TANGAN ?

Biasakanuntukmencucitangansebelummakan, setelahmenggunakankamarkecil, setelahbuang air kecildanataubuang air besar, setelahmembuangingus, batuk, bersin, setelahmenggantipopok, setelahmenyentuhsampah, sebelumdansetelahmengobatiluka, setelahmemeganghewanataukotoranhewan, sebelummemasukkanataumelepaslensakontak, setelahbermain, sebelummemegangbayi, setelahmenyentuh orang sakitatauterlukasertasebelummeyiapkanmakanan.
PENYAKIT- PENYAKIT YANG DAPAT DI CEGAH DENGAN MENCUCI TANGAN : 1. Diare. Sekitar 30 penelitianterkaitmenemukanbahwacucitangandengansabundapatmenurunkanangkapenderitadi arehinggaseparuhnya. Tingkat kefektifanmencucitangandengansabundalampenurunanangkapenderitadiareadalah 44% 2. ISPA. Bukti-buktitelahditemukanbahwadenganmencucitangansebelumdansesudahmakan, buang air besar, buang air kecildapatmengurangitingkatinfeksihingga 25 %. Penelitian di Pakistanmenemukanbahwamencucitangandengansabunmengurangiinfeksisaluranpernapasan yang berkaitandenganpnemonia (radangparu-paru) padaanak-anakbalitahinggalebihdari 50 %.

3. Infeksicacing, infeksimatadanpenyakitkulit. Penelitianmembuktikanbahwapenggunaansabundalammencucitanganmengurangikejadianpeny akitkulit, infeksimatasepertitrakoma, dancacingankhususnyauntukascariasisdantrichuriasis. 4. Flu Singapuraatau Hand Foot and Mouth Disease (HFMD), penyakitditularkanmelaluimakananatauminuman yang terkontaminasi virus inisaattidakmencucitangandenganbenar 5. Hepatitis A, penularanterjadiketikaseseorang yang terinfeksi virus initidakmencucitangandenganbenarsetelahmenggunakankamarmandikemudianiamengolahmak anan yang dikonsumsioleh orang lain. 6. Shigellosis, penyakitinimudahmenyebardarisatu orang ke orang lain denganmemakanmakanan yang terkontaminasioleh orang yang terinfeksi yangtidakmencucitangandenganbenarsetelahdarikamarmandi. 7. Giardiasis, penyakitmudahmenyebarmelaluikontaktangan yang tidakdicucidenganbenarsetelahbuang air besar. LANGKAH MENCUCI TANGAN YANG BENAR :

WHO padatahun 2005 mengeluarkan 7 langkah. Dan dalampelaksanaannyaada yang mengembangkanmenjadi 10 langkah yaitusebagaiberikut :
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Basuhtangandengan air bersih yang mengalir Ratakansabundengankeduatelapaktangan Gosokpunggungtangandansela - selajaritangankiridantangankanan, begitu pula sebaliknya. Gosokkeduatelapakdansela - selajaritangan Jari - jarisisidalamkeduatangansalingmengunci. Gosokibujarikiriberputardalamgenggamantangankanandanlakukansebaliknya. Gosokkandenganmemutarujungjari-jaritangankanan di telapaktangankiridansebaliknya Gosokpergelangantangankiridenganmenggunakantangankanandanlakukansebaliknya. Bilaskeduatangandengan air yang mengalir Keringkandengan lap tangan yang keringdanbersihataumenggunakan tissue

Catatan :Bilatidakadawastafelataukran air, dapatmenggunakan air yang di tuangkandengangayung. Idealnyamemangmenggunakansabuncair, tetapibisajugamenggunakansabunbatangan.

SARAN

Biasakanmencucitangandenganmenggunakan air bersihdansabun.Kumanpadatanganmemangtidakterlihatsecarakasatmata.Tanpakitasadari, bendabenda yang kitasentuhsetiapharibisamenjaditempatbersarangnyakuman.Misalnyasajapeganganpintu, remote kontrol, keyboard, danlainnya.Janganmencucitangandengansekedarnya.Tangan yang tidakdicucidenganbaikdapatmenjadipenyebarkumanpenyakit.Lakukankebiasaanmencucitangande nganbenarmulaidarisekarang.