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Journal : Jurnal Kedokteran: Media Informasi Ilmu Kedokteran dan Kesehatan

HUBUNGAN KEPATUHAN KONSUMSI OBAT ANTIDIABETIK TERHADAP KADAR HBA1C PADA PASIEN DM TIPE 2 DI RUMAH SAKIT UMUM DAERAH PROVINSI NUSA TENGGARA BARAT TAHUN 2019 Lintang Usnaini; Musyarrafah Musyarrafah; Halia Wanadiatri; IGP Winangun
JURNAL KEDOKTERAN Vol 5 No 2 (2020)
Publisher : Fakultas Kedokteran Universitas Islam Al-Azhar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36679/kedokteran.v5i2.224

Abstract

Prevalensi penyakit DM di NTB berada pada urutan ke-23 dari 35 provinsi yaitu sekitar 1,5%-2,0%. Kegagalan pengontrolan glukosa darah pasien DM tipe 2 karena ketidakpatuhan pasien terhadap pengobatan yang dilihat dari kesesuaian diri pasien terhadap anjuran medikasi yang telah diresepkan baik waktu, dosis, maupun frekuensi. Salah satu parameter yang digunakan dalam menilai pengendalian penyakit DM adalah kadar HbA1c. Tujuan penelitian adalah mengetahui hubungan kepatuhan konsumsi obat antidiabetik dengan kadar HbA1c pada pasien DM tipe 2 di Rumah Sakit Umum Daerah (RSUD) Provinsi NTB Tahun 2019. Penelitian ini merupakan penelitian analitik observasional dengan desain cross sectional. Teknik pengambilan sampel menggunakan purposive sampling. Subjek penelitian terdiri dari 83 orang pasien DM tipe 2 yang diwawancara menggunakan kuesioner MMAS-8 untuk menilai tingkat kepatuhan responden dalam mengonsumsi obat antidiabetik dan kadar HbA1c diperoleh dari rekam medik. Data dianalisis menggunakan uji Chi Square dengan nilai signifikasi (p) adalah p ≤ 0.05. Hasil penelitian diperoleh nilai signifikansi (p) 0.000 yang menunjukkan adanya hubungan bermakna antara kepatuhan mengonsumsi obat antidiabetik dengan kadar HbA1c. Simpulan penelitian ini terdapat hubungan antara kepatuhan mengonsumsi obat antidiabetik dengan kadar HbA1c pada pasien diabetes melitus tipe 2 di RSUD Provinsi NTB Tahun 2019.
HUBUNGAN INDEKS MASSA TUBUH DAN RIWAYAT KELUARGA DENGAN KEJADIAN DIABETES MELLITUS TIPE 2 DI DAERAH PESISIR KOTA KENDARI Ti en; Musyarrafah Musyarrafah; Andi Noor Kholidha; Pranita Aritrina; Ikhlasul Amal Abdal; Arimas wati
JURNAL KEDOKTERAN Vol 4 No 2 (2019)
Publisher : Fakultas Kedokteran Universitas Islam Al-Azhar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (165.195 KB) | DOI: 10.36679/kedokteran.v4i2.100

Abstract

Background: Diabetes Mellitus is a metabolic disease characterized by chronic hiperglikemia and caused by the impairment of insulin secretion or insulin resistance or both. There are some risk factors in the process. They are obesity, lack of activity, nutritional deficiency, family history of diabetes, history of gestational diabetes, old age, and genetic. Research Purpose: This research purpose is to understand the relationship between risk factors including obesity and family history with the incident of type-2 DM in coastal area of Kendari. Research Methods: This research used analytical-observational study with case control approach. The independent variables used in this research are Body Mass Index (BMI) and family history while the the dependent variables are the incident of type-2 DM. The location of this research is working area of Puskesmas Mata, Puskesmas Benu-benua, Puskesmas Kandai, Puskesmas Abeli and Puskesmas Poasia located in the coastal area. There are 75 people choosen to be our samples by include and exclude criteria with cluster sampling method. Data are obtained by using questionnaire and laboratory analysis. The results are processed by applying Chi-Square test with p<0,050 and the Odd Ratio score. Research Result: This research showed that between BMI with the incident of type-2 DM has p=0,000 (OR=7,875), between family history with the incident of type-2 DM has p=0,030 (OR=2,800), between BMI and family history with the incident of type-2 DM has p=0,000 (OR=14,571). Conclusion: The conclusion of this research was that the relationship between BMI with the incident of type-2 DM in the coastal area of Kendari exists. The relationship between family history with the incident of type-2 DM in the coastal area of Kendari exists. The relationship between BMI and family history with the incident of type-2 DM in the coastal area of Kendari exists.
HUBUNGAN PAPARAN SINAR-X DENGAN JUMLAH LIMFOSIT PADA RADIOGRAFER DI RUMAH SAKIT UMUM DAERAH PROVINSI NUSA TENGGARA BARAT Komang Kartika Yanti; Fauzy Ma'ruf; Musyarrafah Musyarrafah; Ety Retno Setyowati
JURNAL KEDOKTERAN Vol 6 No 2 (2021): Juni 2021
Publisher : Fakultas Kedokteran Universitas Islam Al-Azhar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36679/kedokteran.v6i2.330

Abstract

Latar Belakang: Radiografer Rumah Sakit berisiko terpapar dengan radiasi sinar-X yang dihasilkan oleh alat penunjang diagnostik dan terapi di Instalasi Radiologi. Paparan radiasi sinar-X yang diterima radiografer secara terus-menerus dapat meningkatkan risiko paparan radiasi kumulatif selama bekerja sehingga mempengaruhi kesehatan jangka panjang. Efek paparan radiasi pada tubuh bervariasi tergantung pada tingkat radiosensitivitas sel. Sel yang paling sensitif adalah sel limfosit. Tujuan: Mengetahui hubungan paparan sinar-X dengan jumlah limfosit pada radiografer di Rumah Sakit Umum Daerah Provinsi Nusa Tenggara Barat (RSUD Provinsi NTB). Metode: Penelitian ini menggunakan desain observasional analitik cross sectional. Populasi penelitian yaitu radiografer di Instalasi Radiologi RSUD Provinsi NTB tahun 2020 sebanyak 12 orang. Sampel ditentukan dengan teknik total sampling dan diperoleh 9 responden sesuai kriteria yang ditentukan. Paparan radiasi sinar-X didapat melalui hasil pemantauan dosis radiasi radiografer tahun 2018-2020 dan jumlah limfosit didapat melalui pemeriksaan laboratorium. Data yang terkumpul dianalisis menggunakan uji korelasi Pearson melalui SPSS 23.0. Hasil: Rerata dosis radiasi yang diterima radiografer tahun 2018-2020 sebesar 0,076 mSv, rerata jumlah limfosit sebesar 29,489%. Hasil uji korelasi Pearson menunjukkan paparan sinar-X tidak berhubungan dengan jumlah limfosit pada radiografer di RSUD Provinsi NTB dengan hubungan sangat lemah dan berpola negatif (p-value 0,704; r −0,148). Kesimpulan: Paparan sinar-X tidak berhubungan dengan jumlah limfosit pada radiografer di RSUD Provinsi NTB.Kata kunci: Paparan sinar-X, jumlah limfosit, radiografer. ABSTRACTBackground: Radiographers are at risk of being exposed to X-ray radiation produced by diagnostic and therapeutic support devices in radiology installations. Continuous exposure of X-ray radiation that received by radiographers can increase the risk of cumulative radiation exposure during work that can affect long-term health. The effects of radiation exposure on the body vary depending on the level of radiosensitivity of the cells. The most sensitive cells are lymphocytes. Objective: To analyze X-ray exposure with lymphocyte count in radiographers at the Regional Public Hospital of West Nusa Tenggara Province (RSUD Provinsi NTB). Methods: This research use observational cross sectional analytic study. Population in this research was 12 radiographers who worked in Radiology Installation of the Regional Public Hospital of West Nusa Tenggara Province. The sample was determined by total sampling and obtained 9 respondents according to the specified criteria. X-ray radiation exposure was obtained from the results of monitoring doses from 2018-2020 and the lympgocyte count obtained through laboratory tests. The collected data were analyzed using Pearson correlation test through Statistic Product and Service Solution version 23.0. Results: The results showed that the average radiation dose received by radiographers in 2018-2020 was 0.076 mSv and the average lymphocytes count was 29.489%. The results of the Pearson correlation test showed that there was no correlation between X-ray exposure and lymphocyte count in radiographers at RSUD Provinsi NTB with a very weak correlation and a negative pattern (p-value 0.704; r −0.148). Conclusion: There was no correlation between X-ray exposure and lymphocyte count in radiographers at RSUD Provinsi NTB.Key words: X-ray exposure, lymphocyte count, radiographer.