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Identifikasi Pasien Sepsis Rumah Sakit Ibnu Sina Makassar Qarinah, Maryam; Mangarengi, Yusriani; Mulyadi, Farah Ekawati; Wiriansya, Edward Pandu; Abdi, Dian Amelia
Indonesian Journal of Health Vol 3 No 2 (2023): Vol.03 No.02 (Desember 2023)
Publisher : Yayasan Citra Cendekia Celebes

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33368/inajoh.v3i2.82

Abstract

Sepsis is one of the causes of considerable morbidity, mortality and health expenditure worldwide. Several factors that influence the high mortality rate in sepsis cases are identified from several bibliography usually in elder, pregnant women, infants, hospitalized patients, and immunosuppression. The research purpose to identifying sepsis patients in Ibnu Sina Makassar Hospital based on age, sex, type of infection and initial diagnosis. This research was an observational descriptive study conducted using secondary data through medical records of patients with sepsis in Ibnu Sina Hospital during October 2018-December 2020. There were 40 samples cases sepsis found. Most sepsis cases consist of 12 patients (30%) found in 58-67 years old patients, 8 patients (20%) in 48-57 years old patients, 7 patients (17.5%) in 38-47 years old patients, 6 patients (15%) in 68-77 years old patients, 3 patients (7.5%) in 18-27 years old, 2 patients (5%) in 28-37 years old patients, each 1 patients (2.5%) in 78-87 and 88-97 years old patients. There 21 patients (52.5%) sepsis patients were female. Infection type, 80% those happened by bacterial infection and 20% by virus infection. Most primary diagnosed of the patients were pneumonia.
Terapi Oksigen di Rumah Arifin, Fenty Nisa; Wiriansya, Edward Pandu
Wal'afiat Hospital Journal Vol 3 No 2 (2022): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1151.967 KB)

Abstract

Berdasarkan American Thoracic Society, di Amerika sebanyak 5 juta manusia dewasa terdiagnosis sebagai penyakit paru kronik, lebih dari 1 juta kasus dengan pemberian long term oxygen therapy (LTOT) selama 15 jam/hari. Sedangkan di China pemberian LTOT selama 12,8 jam-19,6 jam/hari. Pemberian long-term oxygen therapi (LTOT) dengan dasar memberikan manfaat untuk meningkatkan kualitas hidup pada penderita dengan Penyakit Paru Obstruksi Kronik (PPOK) dan hipoksia kronis yang berat. Dengan demikian, uji klinis dilakukan untuk meneliti peran terapi oksigen dirumah pada pasien PPOK dan hipoksemia pada kondisi istirahat derajat sedang atau hipoksemia saat beraktivitas.
Terapi Non Farmakologi dalam Pengendalian Tekanan Darah pada Pasien Hipertensi Putra, Mardhiyanto Azhary; Nurhikmawati, Nurhikmawati; Khalid, Nur Fadhillah; Wiriansya, Edward Pandu; Arifuddin, Abdul Mubdi Ardiansar
Wal'afiat Hospital Journal Vol 5 No 1 (2024): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/whj.v5i1.130

Abstract

Changes in the pattern of communicable diseases to non-communicable diseases are classified as non-communicable diseases that do not cause scanning effects on other people and are a major factor in disorders of the blood vessels and chronic kidney disease, namely hypertension. Consumption of antihypertensive drugs continuously for a long time is not controlled and can increase the occurrence of Drug Related Problems (DRP). DRP is an effect experienced by the patient due to the involvement of the choice of treatment therapy used by the patient and is actually able to have an impact on the patient's condition such as non-adherence to drug consumption, drug side effects, or allergies that arise due to the drug consumed. This is proof that other alternative therapies are needed that are able to reduce the risk of dependence on drugs in maintaining the quality of life of people with hypertension, so the authors made a Literature Review on "Non-Pharmacological Therapy in Controlling Blood Pressure in Hypertensive Patients". To find out non-pharmacological therapy in controlling blood pressure in hypertensive patients. This type of research uses Literature Review with a Narrative Review approach. Where the database used is Clinical Key, Google Scholar, NCBI, textbook, MedScape, WHO, and data from the Indonesian Ministry of Health. Based on a Literature Review of the 12 articles analyzed in the study, it was stated that non- pharmacological therapy for hypertension is proven to be an alternative to lowering blood pressure through various means such as lifestyle interventions, biofeedback techniques, foot reflexology, slow deep breathing exercises, consumption various herbal plants to reduce the side effects of consuming synthetic drugs. Non-pharmacological therapy for hypertensive patients can reduce blood pressure with various methods.
Hubungan Kebiasaan Merokok dengan Penyakit ISPA pada Pasien di Puskesmas Mandai Kabupaten Maros N.H, M. Tajussubky; Rijal, Syamsu; Wiriansya, Edward Pandu
Wal'afiat Hospital Journal Vol 5 No 1 (2024): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/whj.v5i1.133

Abstract

This study aims to analyze the relationship between smoking habits and the incidence of Acute Respiratory Tract Infection (ARI) in patients at Puskesmas Mandai, Maros Regency. Using quantitative methods with a correlation analytic approach and cross-sectional design, data were collected from 105 respondents from September to October 2022. The results showed that most ARI patients were children under 10 years old (51.4%), with a higher prevalence in males (58.1%). In terms of smoking status, all secondary smokers (50.5%) and the majority of tertiary smokers (37.1%) experienced ARI, while only 7.6% of primary smokers experienced ARI. Statistical analysis showed a significant association between smoking and ARI incidence (p-value less than 0.05). This finding confirms that smoking, especially in the family environment, contributes significantly to the increased incidence of ARI. It is recommended that Puskesmas Mandai conduct socialization about the dangers of smoking and further research with more respondents for more specific and comprehensive results.
Hubungan Efek Samping Obat Anti Tuberkulosis (OAT) dengan Kepatuhan Berobat Pada Pasien Tuberkulosis di Puskesmas Jongaya Makassar Andira, Besse Putri; Dahliah, Dahliah; Wiriansya, Edward Pandu; Irwan, Andi Alamanda; Hamzah, Pratiwi Nasir
Wal'afiat Hospital Journal Vol 5 No 1 (2024): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/whj.v5i1.134

Abstract

Tuberculosis is a direct infectious disease caused by Mycobacterium tuberculosis, which mainly affects the lungs and is transmitted through airborne droplets or sputum from TB patients with positive BTA. The morbidity and mortality of tuberculosis is a serious problem, mainly due to the side effects of Anti-Tuberculosis Drugs (OAT). This study aims to determine the relationship between OAT side effects and treatment compliance of pulmonary tuberculosis patients at the Jongaya Makassar Health Center. This study used a cross-sectional approach with quantitative methods, involving 49 respondents selected using the Slovin formula. The research instruments were OAT side effects questionnaire and treatment compliance questionnaire, with data analysis conducted univariately and bivariately using Chi Square test. The results showed that most respondents experienced low side effects and had a high level of treatment compliance. In conclusion, there is a significant relationship between OAT side effects and treatment compliance of tuberculosis patients at the Jongaya Makassar Health Center, where the lower the perceived side effects, the higher the level of treatment compliance.
Hubungan Penerapan Perilaku Hidup Bersih dan Sehat (PHBS) Keluarga terhadap Kejadian Infeksi Saluran Pernapasan Akut (ISPA) pada Balita di Puskesmas Mandai Kabupaten Maros Aprilia, Salsabila Tirta; Rijal, Syamsu; Wiriansya, Edward Pandu; Vitayani, Sri; Nasruddin, Hermiaty
Wal'afiat Hospital Journal Vol 5 No 1 (2024): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/whj.v5i1.135

Abstract

This study aims to explore the relationship between the implementation of clean and healthy living behaviors (PHBS) in the family with the incidence of Acute Respiratory Infections (ARI) in toddlers at Puskesmas Mandai, Maros Regency. Using a quantitative approach with a correlation analytic method, this study involved 58 toddlers aged 0-5 years who were diagnosed with ARI. The results showed that 58.6% of respondents were male, with the largest age group 0-12 months (25.9%). 74.1% of the toddlers were not exclusively breastfed, and 80.9% were underweight. In addition, 75.7% of respondents did not have the habit of washing hands with soap, and 94.8% lived in an environment with active smokers. Bivariate analysis showed a significant association between the PHBS variables and the incidence of ARI, with P values less than 0.05 for all variables. These results suggest that the implementation of exclusive breastfeeding, routine weighing of toddlers, hand washing with soap, and not smoking in the house play an important role in reducing the incidence of ARI. Therefore, health centers are advised to increase the socialization of PHBS and education about the dangers of smoking, as well as encourage the community to apply clean living behavior in everyday life. This study is expected to be the basis for improving health programs at Puskesmas Mandai and increasing public awareness about the importance of PHBS in preventing ARI.
Persistent Air Leak Anggita, Dwi; Wiriansya, Edward Pandu; Santoso, Arif; Putrawan, Harry Azka
Jurnal Respirologi Indonesia Vol 44, No 2 (2024)
Publisher : Perhimpunan Dokter Paru Indonesia (PDPI)/The Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/jri.v44i2.432

Abstract

In cases of pneumothorax in the chest tube, the presence of air in the pleural cavity that lasts more than 5 to 7 days can be suspected as a persistent air leak (PAL), especially if an increased amount of air is obtained accompanied by the appearance of bubbles in the water seal drainage (WSD) system. This is the most common complication after surgery (8–26%), although it can be primary spontaneous pneumothorax (PSP) (26%) or secondary spontaneous pneumothorax (SSP) (39%). One condition that often causes difficulties in PAL therapy is infection due to direct contact with the fistula. The presence of PAL is associated with higher morbidity and mortality, prolonged chest tube inserted, and longer hospitalization. Observations of air production in PAL are expected to occur spontaneously within 4 days, if the leak persists, pleurodesis is recommended. If it was possible, surgery is needed to close the leak. Bronchoscopy treatment is only recommended in special circumstances where surgery is contraindicated or the patient refuses the surgical procedure.
KARAKTERISTIK DEMOGRAFI PENDERITA MENINGITIS TUBERCULOSIS DI RUMAH SAKIT WAHIDIN SUDIROHUSODO TAHUN 2020-2022 Isra Yustika, Aulia; Wiriansya, Edward Pandu; Wardani, Emy; Arief, Erwin; Muchsin, Achmad Harun
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 8 No. 3 (2024): DESEMBER 2024
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v8i3.34110

Abstract

Tuberkulosis (TB) merupakan infeksi global dengan prevalensi tinggi yang disebabkan oleh bakteri Mycobacterium tuberculosis. Sepertiga dari populasi dunia terinfeksi dengan tuberkulosis laten, dengan risiko 10% mengalami bentuk aktif dari tuberkulosis sepanjang hidupnya. Meningitis tuberkulosis (MTB) merupakan bentuk tuberkulosis sistem saraf pusat yang paling umum. Infeksi Mycobacterium tuberculosis pada sistem saraf pusat (SSP) dapat bermanifestasi sebagai meningitis, tuberkuloma dan arachnoiditis tulang belakang. Meningitis tuberculosis dikaitkan dengan frekuensi gejala sisa neurologis yang tinggi dan kematian jika tidak segera diobati. Penelitian ini bertujuan untuk mengetahui karakteristik demografi penderita meningitis tuberkulosa di Rumah Sakit Wahidin Sudirohusodo tahun 2020-2022. Metode yang digunakan pada penelirian ini yaitu penelitian deskriptif menggunakan data sekunder berupa rekam medik. Hasil penelitian yang didapatkan yaitu dengan total sampel 18 orang distribusi pasien meningitis berdasarkan usia paling banyak didapatkan pada  kelompok usia < 10 tahun yaitu sebanyak 8 orang (44%), Berdasarkan jenis kelamin didapatkan frekuensi antara laki-laki dan perempuan sama yaitu 9 orang (50%). Berdasarkan status gizi paling banyak didapatkan yaitu underweight dengan frekuensi sebanyak 6 orang (50%). Berdasarkan jumlah komorbid yang menyertai didapatkan rerata jumlah komorbid yang paling banyak yaitu 1 komorbid sebanyak 11 orang (61) %.  Berdasarkan ada tidaknya kaku kuduk, distribusi paling banyak didapatkan yaitu terdapat kaku kuduk dengan frekuensi 12 orang (67%) Berdasarkan gejala yang dialami pasien, gejala yang paling banyak dijumpai pada pasien adalah penurunan kesadaran dan nyeri kepala yaitu masing-masing sebanyak 9 orang
Pengaruh Kebiasaan Merokok dengan Kejadian Tuberkulosis Ekstra Paru Pada Pasien Tuberkulosis Di Rumah Sakit Ibnu Sina Makassar Tahun 2021-2023 Hidayat, Lujna Adharani; Sommeng, Faisal; Abdullah, Rezky Putri Indarwati; Wiriansya, Edward Pandu; Yanti, Andi Kartini Eka
Innovative: Journal Of Social Science Research Vol. 3 No. 6 (2023): Innovative: Journal Of Social Science Research
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Latar Belakang: Tuberkulosis ekstra paru adalah penyakit yang disebabkan oleh infeksi kuman mycobacterium tuberculosis yang menyerang organ tubuh selain paru. Penyakit ini biasanya terjadi karena kuman menyebar dari bagian paru ke bagian oran tubuh lain melalui aliran darah. Tuberkulosis ekstra paru dapat menginfeksi organ di luar paru seperti kelenjar limpa, selaput otak, sendi, ginjal, tulang, kulit, dan alat kelamin. Tujuan: Untuk mengetahui pengaruh kebiasaan merokok dengan kejadian tuberkulosis ekstra paru pada pasien tuberkulosis di Rumah Sakit Ibnu Sina Makassar tahun 2021-2023. Metode: Penelitian rancangan deskriptif melalui pendekatan cross sectional. Data yang digunakan data sekunder. Data sekunder diambil dari data rekam medik pasien TB Eksta Paru di Rumah Sakit Ibnu Sina Makassar. Hasil: Jenis tuberkulosis ekstra paru yang terdapat di Rumah Sakit Ibnu Sina Makassar tahun 2021-2023 adalah tuberkulosis limfadenitis (36,7%), efusi pleura (33,4%), abdomen (10,0%), ISK (10,0%), tulang (3,3%), faringitis (3,3%), dan artritis (3,3%). Kebiasaan merokok pada pasien tuberkulosis ekstra paru di Rumah Sakit Ibnu Sina Makassar tahun 2021-2023 adalah pasien yang tidak merokok sebanyak 20 orang. Kebiasaan merokok pada pasien tuberkulosis paru di Rumah Sakit Ibnu Sina Makassar tahun 2021-2023 adalah perokok aktif berat sebanyak 113 orang. Uji chi square tuberkulosis ekstra paru dengan kebiasaan merokok didapatkan p = 0,957 (p < 0,05) dan tuberkulosis paru dengan kebiasaan merokok p = 0,037 (p < 0,05). Kesimpulan: Terdapat pengaruh kebiasaan merokok dengan kejadian tubekulosis paru sedangkan tuberkulosis ekstra paru tidak terdapat pengaruh terhadap kebiasaan merokok.
NARRATIVE REVIEW : KARAKTERISTIK PENDERITA SINDROM PASCA COVID-19 (LONG COVID-19) Haring, Andi Muh. Batara Sakti; Wiriansya, Edward Pandu; Nurmadilla, Nesyana; Kartika, Irna Diyana; Hamzah, Pratiwi Nasir
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 8 No. 3 (2024): DESEMBER 2024
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v8i3.37083

Abstract

Coronavirus disease 19 (Covid-19) saat ini menjadi masalah serius dunia dan jumlah kasusnya terus meningkat setiap harinya. Tanda dan gejala umum infeksi Covid-19 termasuk gejala gangguan pernapasan akut seperti demam, batuk, dan sesak napas. Beberapa gejala bertahan atau kambuh selama bermingguminggu atau bahkan berbulan-bulan setelah pemulihan awal. Kajian gejala Covid-19 oleh King's College London menemukan bahwa 4 juta orang yang sudah memiliki gejala Covid-19 dan hasil PCR positif lebih rentan terkena infeksi di usia lanjut, disusul fase akut, terutama yang disertai suara serak, Indek massa tubuh yang lebih, sesak napas dan jenis kelamin perempuan sering terjadi masa gejala berkepanjangan. Secara umum penelitian ini bertujuan untuk mengetahui  karakteristik penderita sindrom pasca covid-19 (long covid-19). Sedangkan secara khusus, penelitian ini bertujuan untuk untuk mengetahui  karakteristik penderita sindrom pasca covid-19 (long covid-19) berdasarkan manifestasi klinis, usia, dan jenis kelamin.  Penelitian ini menggunakan Literature Review dengan pendekatan Narrative Review. Jenis penelitian ini dipilih karena peneliti ingin mencari tahu mengenai karakteristik penderita sindrom pasca covid19 (long covid-19).  Data yang digunakan dalam literatur ini merupakan data sekunder. Data diperoleh dengan cara menelaah artikel dan jurnal ilmiah berupa penelitian terkait karakteristik penderita sindrom pasca Covid-19. Berdasakan penelitian ini disimpulkan bahwa COVID-19 dapat menyebabkan gejala persisten yang dikenal sebagai Long-Covid, yang dapat berdampak pada fungsi fisik, kognitif, dan kualitas hidup pasien.