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Hubungan Jarak Persalinan dengan Perdarahan Postpartum di RSUD Abdoel Wahab Sjahranie Samarinda Bahar, Gita Wahyuni; Ngo, Novia Fransiska; Sulistiawati, Sulistiawati
Jurnal Kedokteran Mulawarman Vol 11, No 3 (2024): Jurnal Kedokteran Mulawarman
Publisher : Fakultas Kedokteran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30872/jkm.v11i3.9631

Abstract

Angka kematian ibu merupakan salah satu indikator yang dapat digunakan untuk menilai derajat kesehatan masyarakat di suatu negara. Penyebab paling umum kematian ibu adalah perdarahan obstetri, termasuk perdarahan postpartum. Terdapat banyak faktor risiko yang bisa menyebabkan perdarahan postpartum, salah satunya adalah jarak persalian. Perdarahan postpartum dideifinisikan sebagai adanya kehilangan darah ≥500 ml pada persalinan pervaginam atau ≥1000 ml pada persalinan sectio caesare. Penelitian ini bertujuan untuk mengetahui hubungan jarak persalinan dengan perdarahan postpartum di RSUD Abdoel Wahab Sjahranie Samarinda. Desain peneitian yang digunakan dalam penelitian ini adalah case-control studyatau studi kasus kontrol. Populasi pada penelitian ini adalah seluruh ibu bersalin yang menjalani rawat inap di RSUD Abdoel Wahab Sjahranie Samarinda periode 2019-2021. Data dikumpulkan melalui rekam medik ibu bersalin yang menjalani rawat inap di RSUD Abdoel Wahab Sjahranie Samarinda periode 2019-2021. Teknik pengambilan sampel menggunakan teknik purposive sampling. Terdapat 66 responden yang termasuk dalam penelitian ini. Ibu bersalin dengan perdarahan postpartum sebanyak 33 ibu (kasus) dan ibu bersalin yang tidak mengaami perdarahan postpartum sebanyak 33 ibu (kontrol). Hasil penelitian ini ditemukan nilai p-value yang didapatkan adalah 0,319 yang artinya tidak terdapat hubungan antara jarak persalinan dengan perdarahan postpartum. Dapat disimpulkan bahwa tidak terdapat hubungan jarak persalinan dengan perdarahan postpartum di RSUD Abdoel Wahab Sjahranie Samarinda.
Analysis of Nurse Competency in Implementing SDKI, SIKI, and SLKI - Based Nursing Care at Aji Muhammad Parikesit Regional General Hospital, Tenggarong,East Kalimantan Rahayu, Anik Puji; Rahmadhani, Siti; Fransiska, Novia; Riko, Riko
Jurnal Kesehatan Pasak Bumi Kalimantan Vol 7, No 2 (2024): JKPBK Desember 2024
Publisher : Fakultas Kedokteran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30872/j.kes.pasmi.kal.v7i2.16946

Abstract

Background: Competence of Indonesian nurses as caregivers using the 3S Nursing Care Standard (PPNI, 2013). Method: This study is a quantitative study with a Cross-sectional research design. Bivariate analysis using the Chi-Square Test and Multivariate Analysis using the Logistic Regression Test to analyze the most influential factors on nurse competence in implementing the 3S nursing care. Results: the majority of nurses are 20-30 years old, 77 respondents (67%). Age 31-40 years 33 respondents (28.7%) and Age 41-50 years 5 respondents (4.3%). Education level D3 as many as 63 respondents (54.8%), Nurses as many as 52 respondents (45.2%). A total of 85 respondents (71.3%) were at level PK 1, 27 respondents (23.5%) were at level PK 2, and 6 respondents (5.2%) were at level PK 3. Length of work of nurses 78 people with a work period of 1-5 years (67.8%), a work period of 6-10 years 30 respondents (26.1%) and 10-15 years there were 7 respondents (6.1%). Moderate knowledge 83 respondents (72.1%), 18 respondents had good knowledge (15.8%) and 14 people had poor knowledge (12.1%). Good motivation as many as 64 respondents (56%), moderate motivation 50 respondents (43.3%) and poor motivation 1 respondent (0.7%). Heavy workload as many as 64 respondents (55.7%), 41 respondents (36.7%) moderate workload and 10 respondents (7.6%) said light workload. Rewards and punishments were good as many as 102 respondents (88.7%), 13 respondents (11.3%) rewards and punishments were lacking. 6 rooms obtained data from Enggang 1 room which had the highest value with a percentage of 91%. The relationship between nurses' knowledge. Motivation and workload were related to the implementation of 3S nursing care (P-Value 0.000), while rewards and punishments (P-value 0.35>α=0.05) had no relationship with the implementation of 3S nursing care. The most influential factors in the implementation of nursing care were knowledge, motivation and workload based on the logistic regression test (P-value 0.000). Based on the results of this study, it is necessary to increase knowledge of 3S nursing care, increase work motivation and review the effective and efficient workload of nurses and broader research related to the implementation of nursing care.
SKRINING THALASEMIA-BETA MINOR PADA MAHASISWA FAKULTAS KEDOKTERAN Fransiska Anggreni Sihotang; Loly Rotua Dharmanita Siagian; Novia Fransiska Ngo; Lily Pertiwi Kalalo
Jurnal Ilmiah Manuntung Vol 5 No 1 (2019): Jurnal Ilmiah Manuntung
Publisher : jurnal ilmiah manuntung sekolah tinggi ilmu kesehatan samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51352/jim.v5i1.214

Abstract

Thalassemia is a group of congenital hemoglobinopathy characterized by deficiency or absence of one (or more) of the globin chains that constitute hemoglobin. Thalassemia major is inherited through autosomal recessive pattern by marriage between carriers of the thalassemia gene known as thalassemia minor. Beta-thalassemia is the most common type of thalassemia. It is estimated that 10% of Indonesia's population carries the beta-thalassemia gene. However, there has been no routine screening for thalassemia gene carriers. Several recognized methods of thalassemia screening are available. One of them is screening of prospective brides using several hematology parameters such as Mentzer index and red blood cells fragility; both are relatively straightforward and inexpensive compared to hemoglobin analysis or genetic testing. This study aimed to determine the frequency of beta-thalassemia minor suspects among students in the Medical Faculty of Mulawarman University. This study was a descriptive quantitative study with cross sectional approach that involved 160 participants. Participant's blood sample was collected for complete blood count and one tube osmotic fragility test (OTOFT). Mentzer index is calculated by dividing MCV values ​​with erythrocyte count. Participants were determined as beta-thalassemia minor suspects if they met following criterias: (1) MCV < 80 fL; (2) Mentzer index < 13; and (3) positive OTOFT result. This study demonstrated that 1.25% (n=2) of 160 participants were beta-thalassemia minor suspect. Further examination of hemoglobin electrophoresis or genetic testing is needed to further confirm this finding.
Stadium dan Tipe Histopatologi Kanker Serviks pada Pasien Kanker Serviks dengan Kemoradiasi di RSUD Abdoel Wahab Sjahranie Samarinda Periode 2021-2022: Stage and Histopathology Type of Cervical Cancer in Cervical Cancer Patients with Chemoradiation at Abdoel Wahab Sjahranie Hospital Samarinda 2021-2022 Periods Maharani, Anggita; Hasanah, Nurul; Achmad, Andika Adi Saputra; Ngo, Novia Fransiska; Sawitri, Endang
Jurnal Sains dan Kesehatan Vol. 7 No. 3 (2025): J. Sains Kes.
Publisher : Fakultas Farmasi, Universitas Mulawarman, Samarinda, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25026/jsk.v7i3.2447

Abstract

Cervical cancer is a malignancy resulting from the uncontrolled development of cells in the cervix, making it the second most prevalent form of cancer in Indonesia. Currently, cancer treatments comprise surgical intervention, chemotherapy, and radiotherapy, or in conjunction, depending on the stage of the disease. This study aims to identify the stage and histopathological type of cervical cancer in cervical cancer patients with chemoradiation as well as urea levels and creatinine levels before patients underwent chemoradiation at Abdoel Wahab Sjahranie Regional Public Hospital Samarinda between 2021 and 2022. A cross-sectional study design was employed, encompassing 116 medical record data. Overall, the majority of cervical cancer patients who receive chemoradiation were in the histophatological type of squamous cell carcinoma (75%), predominantly at Stage II (64,3%), have anemia in their hemoglobin  levels (57,8%), and normal levels of urea and creatinine were (75%) and (91,4%) respectively. Keywords:          cervical cancer, chemoradiation, histopathological type, stage, creatinine   Abstrak Kanker serviks merupakan keganasan yang disebabkan oleh pertumbuhan sel yang tidak terkendali pada leher rahim, menduduki urutan kedua kanker terbanyak di Indonesia. Pengobatan kanker meliputi terapi pembedahan, kemoterapi, dan radioterapi, atau kombinasi sesuai dengan stadium. Tujuan penelitian ini adalah untuk mengetahui stadium dan tipe histopatologi kanker serviks pada pasien kanker serviks dengan kemoradiasi serta kadar ureum dan kadar kreatinin sebelum pasien menjalani kemoradiasi di RSUD Abdoel Wahab Sjahranie Samarinda periode 2021-2022. Desain penelitian cross-sectional menggunakan 116 data rekam medis. Hasil penelitian menunjukkan bahwa pasien kanker serviks terbanyak pada kelompok tipe histopatologi karsinoma sel skuamosa (75%), stadium pasien kanker serviks terbanyak adalah stadium II (64,3%), dan kadar hemoglobin terbanyak pada kelompok anemia (57,8%), serta kadar ureum dan kreatinin masing-masing pada kelompok normal sebesar (75%) dan (91,4%). Kata Kunci:         kanker serviks, kemoradiasi, tipe histopatologi, stadium, kreatinin  
Hubungan Pola Makan Dan Aktivitas Fisik Dengan Derajat Keparahan Dismenorea Primer Pada Mahasiswi Program Studi Kedokteran Universitas Mulawarman Putri, Zahratur'Riana Dewi; Zubaidah, Mona; Ngo, Novia Fransiska
Jurnal Ilmu Kedokteran dan Kesehatan Vol 12, No 9 (2025): Volume 12 Nomor 9
Publisher : Prodi Kedokteran Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jikk.v12i9.19111

Abstract

Dismenorea primer merupakan nyeri kram yang berasal dari uterus yang terjadi selama menstruasi tanpa adanya kondisi patologik pelvis yang mendasari. Menurut pada data World Health Organization (WHO) di tahun 2020, 90% wanita mengidap dismenorea, dengan 10-16% mengidap dismenorea berat. Banyak faktor yang dapat memengaruhi dismenorea, salah satunya merupakan gaya hidup yang buruk seperti pola makan tidak sehat serta kegiatan fisik rendah. Studi ini bertujuan dalam mengidentifikasi korelasi pola makan dengan kegiatan fisik yang mempunyai derajat keparahan dismenorea primer terhdap mahasiswi Program Studi Kedokteran Universitas Mulawarman memperlibatkan 143 mahasiswi. Jenis penelitian yang dilaksanakan yakni analitik observasional mempergunakan pendekatan cross sectional. Pengumpulan data dilaksanakan melalui pengisian kuesioner WaLIDD score, food recall 24 jam, serta International Physical Activity Questionnaire Short Form (IPAQ-SF). Data dilakukan pengolahan mempergunakan analisis univariat serta uji bivariate mempergunakan uji chi-square. Kesimpulan dari studi ini yaitu ditemukan korelasi pada asupan protein (p=0,028) serta aktivitas fisik (p=0,031) pada derajat keparahan dismenorea primer, serta tidak ditemukan korelasi asupan karbohidrat (p=1,000) dengan lemak (p=0,201) terhadap derajat keparahan dismenorea primer.