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All Journal Jurnal Abdi Insani Jurnal Abdi Masyarakat Indonesia Folia Medica Indonesiana
Rahman, Mahrus Abdur
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Pengabdian Masyarakat Deteksi Dini Penyakit Jantung Bawaan pada Anak di RSUD dr. Soedono Madiun Hidayat, Taufiq; Rahman, Mahrus Abdur; Utamayasa, I Ketut Alit; Wicaksono, Henry; Nastiti, Prima Hari
Jurnal Abdi Masyarakat Indonesia Vol 4 No 6 (2024): JAMSI - November 2024
Publisher : CV Firmos

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54082/jamsi.1361

Abstract

Penyakit jantung bawaan (PJB) mempengaruhi sekitar 0,8% hingga 1,2% dengan angka kematian 81 kasus per 100.000 kelahiran hidup. Umumnya, PJB merupakan kelainan struktur jantung dan (atau) pembuluh darah besar yang muncul saat lahir. Kurangnya pengetahuan terkait PJB pada tenaga kesehatan mengakibatkan tatalaksana PJB terlambat. Tujuan dari kegiatan ini adalah melakukan seminar kepada tenaga medis tentang deteksi dini penyakit jantung bawaan yang dilanjutkan dengan pemeriksaan saturasi oksigen menggunakan pulse oxymetri dan ekokardiografi di Madiun Jawa Timur. Hal baru dalam kegiatan pengabdian masyarakat ini karena memberikan pelatihan deteksi dini penyakit jantung bawaan. Metode pelatihan dilakukan melalui seminar dengan peserta tenaga kesehatan di Madiun. Materi yang diberikan meliputi metode deteksi dini, diagnosis dan terapi, serta simulasi kasus PJB. Pre dan Post-test digunakan untuk mengevaluasi tingkat pengetahuan. Kunjungan pemeriksaan ekokardiografi dan pulse oximetri oleh dokter spesialis jantung. Hasil dari kegiatan tersebut, terdapat 75 peserta yang mengikuti pelatihan seminar. Nilai rata-rata pre-test adalah 60,2/100 dengan hanya 3 peserta yang mendapatkan nilai sempurna. Di akhir seminar, rata-rata nilai post-test adalah 72,06/100 dengan 10 peserta yang akhirnya mendapatkan nilai sempurna. Sebanyak 17 anak diperiksa dengan pemeriksaan ekokardiografi. 12 anak didiagnosis PJB asianotik, 2 anak didiagnosis PJB sianotik, dan 3 anak normal. Pada pemeriksaan pulse oxymetri, seluruh bayi mempunyai saturasi oksigen 95% atau lebih dan tidak terdapat perbedaan lebih dari 3% antara lokasi pra dan post ductal. Kesimpulan Pelatihan seminar dapat meningkatkan pengetahuan tenaga kesehatan tentang deteksi dini penyakit jantung bawaan. Pasien yang terdeteksi PJB dilakukan perujukan di RSUD Dr. Soetomo untuk direncanakan tindakan selanjutnya.
SOSIALISASI DETEKSI DINI PENYAKIT JANTUNG BAWAAN PADA ANAK DI RSUD KABUPATEN KEDIRI Rahman, Mahrus Abdur; Hidayat, Taufiq; Utamayasa, I Ketut Alit; Wicaksono, Henry; Nastiti, Prima Hari
Jurnal Abdi Insani Vol 11 No 3 (2024): Jurnal Abdi Insani
Publisher : Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/abdiinsani.v11i3.1964

Abstract

Congenital Heart Disease (CHD) occurs in 6 to 8 out of every 1,000 live births. CHD is one of the most common congenital anomalies, with a mortality rate of up to 25% in the first year of life. CHD is a structural and functional abnormalities that develop during embryogenesis. Delayed diagnosis of CHD leads to increased morbidity and mortality. A community service activity was conducted in Kediri, East Java, to raise awareness among medical personnel about early detection of CHD, followed by examinations using pulse oximetry and echocardiography. The education method included seminars and training sessions covering early detection, diagnosis, and management of CHD. The examinations were performed by pediatric cardiology consultants. Pre-test and post-test evaluations were conducted to assess the knowledge level of medical personnel. The activity involved 100 participants, including specialists, general practitioners, midwives, and nurses. The average pre-test score was 58.57/100, with 7 participants achieving a perfect score. By the end of the training, the average post-test score increased to 72.06/100, with 25 participants obtaining perfect scores. A total of 27 children underwent echocardiography; 20 were diagnosed with acyanotic CHD, 2 with cyanotic CHD, and 5 were normal. In the pulse oximetry examinations, all infants had oxygen saturation levels of 95% or higher, with no difference greater than 3% between pre- and post-ductal locations. The conclusion is that education through seminars and training can improve medical personnel's knowledge of early detection of CHD in children.
Mortality Risk Factors in Tetralogy of Fallot Patients Undergoing Total Correction Juliana, Juliana; Sembiring, Yan Efrata; Rahman, Mahrus Abdur; Soebroto, Heroe
Folia Medica Indonesiana Vol. 57, No. 2
Publisher : Folia Medica Indonesiana

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Abstract

A total correction is a preferred treatment for Tetralogy of Fallot patients in every part of the world. However, the mortality in developing countries was as high as 6.9% to 15.3%. This was a retrospective analytic study that analyzed pre and post-operative risk factors that affected mortality on TOF patients that were performed total correction in Indonesia. A total of 47 TOF patients that were performed total correction from January 2016 to September 2019 were enrolled in this study based on the inclusion criteria. Preoperative and post-operative data were obtained from medical records. In this research, the majority of mortality was found in male patients (39.3%), while the female's rate was lower (36.8%). Overall mortality was 38.3% and one operative death was found. The average age of patients was 84.12 months (12-210 months), whereas the average height (85.56 ± 36.17cm vs. 112.93 ± 21.73) and weight (17.22kg vs. 28.21kg) were lower for mortality patients. Some significant preoperative variables were identified as mortality risk factors such as: age below 60 months (p=0.047), smaller weight and height (p=0.008; p=0.002), abnormal hematocrit (p=0.002), and oxygen saturation below 75% (p=0.018). Significant post-operative risk factors included: temperature above 38.5⁰C (p=0.000), and ventilator time of more than 48 hours (p=0.033). In conclusion, the mortality of TOF patients undergoing a total correction in developing countries was quite high. It was associated with some risk factors, such as younger age, lower weight and height, low oxygen saturation, post-operative fever, and prolonged ventilator time.
Co-Authors Fachry Abda El Rahman Henry Wicaksono, Henry Juliana Juliana Nastiti, Prima Hari Sembiring, Yan Efrata Soebroto, Heroe Taufiq Hidayat Utamayasa, I Ketut Alit