Tarigan, Amira Permatasari
Department Of Pulmonology And Respiratory Medicine, Faculty Of Medicine, Universitas Sumatera Utara/Universitas Sumatera Utara Hospital, Medan

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PROPORTION OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE IN CORONARY HEART DISEASE PATIENTS AT HAJI ADAM MALIK GENERAL HOSPITAL MEDAN Simanjuntak, Donal Anjar; Pandia, Pandiaman; Tarigan, Amira P
Medicina Biomedica Journal Vol 1, No 2 (2022)
Publisher : Medicina Biomedica Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30596/mbj.v1i2.9434

Abstract

Background: Chronic obstructive pulmonary disease and coronary heart disease are diseases that have several common risk factors, one of which is age and smoking habits. Research conducted by Enriguez et al. reported that CHD patients with COPD had a significantly increased risk of death after 1 year compared to patients with COPD. without COPD, meaning that finding the right diagnosis and appropriate treatment for CHD patients can improve the patient's quality of life and possibly reduce the mortality rate in CHD patients. outpatient treatment at the cardiology outpatient clinic, Haji Adam Malik Hospital, Medan. Results: After examining the history, questionnaire, and post-bronchodilator spirometry, the proportion of COPD patients in CHD patients was 27.50%. Conclusion: This study of the proportion of COPD in patients with coronary heart disease is quite high as much as 27.50%, so it is necessary for clinicians to carry out pulmonary function examinations in CHD patients, especially those who have risk factors for COPD so that clinicians can determine the appropriate management for the patient.
Factors that Affected the Mortality Rate of Chronic Obstructive Pulmonary Disease Patients with Respiratory Failure Nahrisyah, Putri; Syarani, Fajrinur; Tarigan, Amira P; Ashar, Taufik
Jurnal Respirologi Indonesia Vol 45 No 1 (2025)
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.v45i1.805

Abstract

Background: Chronic obstructive pulmonary disease (COPD) is a significant health issue with high morbidity and mortality rates. However, risk factors for COPD, particularly in cases with type II respiratory failure, are not fully understood. This study analyzes factors influencing the mortality rate of COPD patients with type II respiratory failure. Methods: This observational study used a cross-sectional design, analyzing medical records of COPD patients with type II respiratory failure treated at H. Adam Malik General Hospital, Medan, from November 2021 to September 2022. A total of 42 patients met the inclusion criteria. Data analysis included descriptive statistics and inferential tests using the Chi-Square test and multiple logistic regression to identify the most dominant factors. Results: Among the 42 patients, the mortality rate was 50%. Variables such as gender, age, number of comorbidities, smoking habits, and history of exacerbations were not significantly associated with mortality. Patients who did not regularly use inhalers had a 19-fold higher mortality risk than those who did (P=0.004; OR=19.79; 95% CI=2.67-146.99). Length of stay was inversely associated with mortality, with each additional day reducing the risk by 0.77 times (P=0.011; OR=0.77; 95% CI=0.63-0.94). Conclusion: Routine inhaler use and length of stay are significant factors influencing the mortality rate in COPD patients with type II respiratory failure.
TERAPI KOMPLEMENTER DALAM MENCEGAH EFEK SAMPING OBAT ANTI TB PADA PASIEN TB PARU : SYSTEMATIC REVIEW Ahsani, Afiatika; Dewi Elizadiani Suza; Tarigan, Amira Permatasari
Jurnal Mal el Hayat Vol. 3 No. 2 (2025): Jurnal Mal el Hayat : July
Publisher : STIKes Malahayati Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65187/gvrgrb52

Abstract

Tuberculosis (TB) adalah suatu penyakit infeksi menular yang disebabkan bakteri Mycrobacterium Tuberculosis, yang dapat menyerang berbagai organ, terutama paru-paru. Tujuan: Systematic review ini bertujuan untuk mengidentifikasi dan mengevaluasi intervensi terapi komplementer dalam mencegah efek samping Obat Anti TB pada pasien TB paru yang mengkonsumsi Obat Anti TB. Database yang digunakan dalam penelusuran artikel terdiri dari EBSCO, PUBMED, ProQuest, dan CNKI dengan menggunakan kata kunci yang relevan berdasarkan topik dan judul penelitian. Seleksi artikel menggunakan metode diagram PRISMA (Preferred Reporting Items for Systematic Reviews and Meta- Analyses), dengan didapatkan jumlah artikel 2.957. 4 artikel didapatkan sesuai dengan kriteria inklusi dan dianalisa secara deskriptif narasi serta telah memenuhi kajian kualitas dengan menggunakan pedoman JBI (Joanna Briggs Critical Appraising Methodology). 4 artikel penelitian dengan intervensi terapi komplementer yang terdiri dari acupressure, auricular pressure, terapi herbal jahe 500 mg, ekstrak teh hijau, dan terapi herbal Sylimarin menunjukkan hasil yang signifikan terhadap pencegahan gejala yang muncul dari efek samping Obat Anti TB pada pasien TB mulai dari hasil follow-up 2 minggu sampai 6 bulan setelah pelaksanaan intervensi. Temuan dari systematic review ini menunjukkan bahwa intervensi acupressure, auricular pressure, terapi herbal jahe 500 mg, dan ekstrak katekin teh hijau yang diberikan pada pasien TB yang mengkonsumsi Obat Anti TB dapat membantu mencegah efek samping Obat Anti TB. Pemberian terapi komplementer dilakukan sebagai pendukung pengobatan medis.
Factors influencing general practitioners' knowledge of asthma management in primary health facilities in Medan City Vinda Sari Ermiza Nasution; Amira Permatasari Tarigan; Andika Pradana; Rina Amelia
Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI) Vol. 7 No. 4 (2025): Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI)
Publisher : TALENTA Publisher, Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/jetromi.v7i4.20831

Abstract

Asthma is a chronic respiratory disease caused by inflammation, making the airways hypersensitive to triggers and leading to recurrent symptoms. Adequate knowledge of asthma management among general practitioners is essential to improve patient care, reduce disease severity, and prevent mortality. This study aimed to identify factors influencing general practitioners’ knowledge of asthma management in primary health facilities in Medan City. A cross-sectional study was conducted involving 90 general practitioners selected through consecutive sampling. Data collected included respondent characteristics such as age, length of service, number of asthma patients treated monthly, source of knowledge, history of asthma management training, and level of knowledge. A validated and reliable questionnaire was used (Guttman scale r = 0.489; Cronbach’s alpha = 0.93). Statistical analysis using SPSS included chi-square and Fisher’s exact tests to assess relationships between variables. Results showed that most general practitioners had enough knowledge (54.4%) about asthma management. Significant associations were found between age (p = 0.034) and source of knowledge (p = 0.048) with the level of knowledge. Other variables showed no significant relationship. In conclusion, age and source of knowledge significantly influence general practitioners' knowledge of asthma management in primary health facilities, highlighting the need for targeted educational interventions.
Overview of Functional Capacity and Quality of Life of Chronic Obstructive Pulmonary Disease (COPD) Patients Rizki Rahmadani Dalimunthe; Pandiaman Pandia; Amira Permatasari Tarigan; Putri Eyanoer
Jurnal Multidisiplin Indonesia Vol. 5 No. 6 (2026): Jurnal Multidisiplin Indonesia
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/jmi.v5i6.2767

Abstract

Chronic Obstructive Pulmonary Disease (COPD) is one of the leading causes of morbidity and mortality worldwide, with a significant impact on patients’ functional capacity and quality of life. This study aims to describe the functional capacity and quality of life of COPD patients at Prof. Dr. Chairuddin P. Lubis Hospital. This study is a descriptive observational study with a serial case design. The research subjects were stable COPD patients who met the inclusion and exclusion criteria, using a convenience sampling technique. Data collected included demographic characteristics, inhaled bronchodilator therapy, functional capacity measured using spirometry and the six-minute walking distance (6MWD) test, and quality of life assessed using mMRC and CAT scores. Statistical analysis was performed using descriptive methods. A total of 110 patients participated in the study; the majority were aged 60–69 years (69.6%) and male (78%). Mean FEV?/FVC, FEV?, FVC, and 6MWD scores were higher in the tiotropium group compared with the indacaterol/glycopyrronium group. The mean CAT score indicated slightly worse quality of life in the indacaterol/glycopyrronium group (10.9 vs. 9.9). The majority of patients had cardiovascular-related comorbidities (20.9%). Tiotropium therapy showed better results in functional capacity compared with indacaterol/glycopyrronium, while quality of life was influenced by COPD severity and comorbidities. A holistic management approach that includes comorbidity management and patient education is needed to improve prognosis and quality of life. Further research is needed to explore the relationship between therapy and clinical outcomes.
Co-Authors Afiatika Ahsani Afniwati Agus Dwi Susanto Andika Pradana Andika Pradana Andika Pradana Andika Pradana Andriani, Rizki Apriani, Fitri Ardinata, Dedi - Armi Mawaddah Aznan Lelo Bayani, Sri Caecilia Marliana Chandra F Zendrato Christine, Tamara Dalimunthe, Muhammad Bayhaqi Damayanti, Siti Darmawan, Nengah Deneuve, Olivia Monica Dewi Elizadiani Suza ELMAN BOY Elmeida Effendy Endang Susilawati Endang Susilawati Endy Todo Sirait Erna Mutiara Erna, Mutiara Evi Karota Fajrinur Syarani Febrina Susanti Firdaus, Ruby Fotarisman Zaluchu, Fotarisman Ghamal Arif Hanafiah Girsang, Isah Masdiana Harahap, Juliandi Helyanna Helyanna Hisham Farouk Hutabarat, Eva Susanti Debora Jefri, Budi Jubilette Windy Hutabarat Juliandi Juliandi Kawati, Salma Merda Lestari Rahmah Listyoko, Aditya Sri Lucia Aktalina M. Sinaga, Bintang Yinke Marini Puspita Sari Martina Evelyn R.H Maryaningsih Maryaningsih Miranda, Melly Monica, Nanda Soraya Muhammad Amin Nahrisyah, Putri Nainggolan, Nuryunita Nani Andriani Nasution, Syafiah Amalina Noni Novisari Soeroso Nurromsyah Nasution Nurul Citta Banu Putri Nuryunita Nainggolan Orita Satria Ozar Sanuddin Pandia, Pandiaman Pandiaman Pandia Pandiaman Pandia Pandiaman, Pandia Pendiaman Pandia Pohan, Indah Triana Sari Putra, M Yusuf Adira Putri C Eyanoer Putri Chairani Eyanoer, Putri Chairani Putri Eyanoer Raffael, Frans Ramadhani, Adini Arifah Ratna Akbari Ganie, Ratna Akbari Resti, Riska Rhinsilva, Ella Rianti Tarigan Rifda Hayati Rika Endah Nurhidayah Rina Amelia Rizki Rahmadani Dalimunthe Rocky Malindo Sidabutar S*, Erfiyani Salma Merda Kawati Samoedro, Erlang Santi Syafril, Santi Saragih, M. Khairul Aswin Sembiring, Rosita Juwita Septiani Waruwu Shilvanna Litania Sihombing, Benny Simanjuntak, Donal Anjar Sinaga, Sudirman Parningotan Sri Sumartiningsih Susanthy Djajalaksana Syahrani, Fajrinur Syarani, Fajrinur Tambunan, Adrian Nurrachman Tari Mediyanti Taufik Ashar Tri Setia Negara Sinulingga Ulfa hasanah Vera, Yeni Vinda Sari Ermiza Nasution Wahyuni, Arlinda Sari Wilson Arthur Zein Wina Elizabeth Octaria Saragih Wiwien Heru Wiyono Yahwardiah Siregar Yessi Andriani Zainal Yetty Machrina Yusni Yusni Zulkarnain Zulkarnain Zulkarnain Zulkarnain