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All Journal Majalah Obat Tradisional Jurnal Keperawatan Priority Budapest International Research in Exact Sciences (BirEx Journal) Britain International of Exact Sciences Journal (BIoEx Journal) TRILOGI: Jurnal Ilmu Teknologi, Kesehatan, dan Humaniora JOURNAL OF Qualitative Health Research & Case Studies Reports
Liena Liena
Departement Of Medicine, Faculty Of Medicine, Universitas Prima Indonesia
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Chemistry Civil Engineering, Building, Construction & Architecture Computer Science & IT Dentistry Engineering Health Professions Mathematics Medicine & Pharmacology Nursing Physics Public Health Transportation Other

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Influence Before and After Early Mobilization of Changes in Pain Levels in Sectio Cesarea Postoperative Clients at Royal Prima Hospital in 2020 Ma Hongjun; Florenly Florenly; Liena Liena; Fioni Fioni
Budapest International Research in Exact Sciences (BirEx) Journal Vol 3, No 4 (2021): Budapest International Research in Exact Sciences, October
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birex.v3i4.3052

Abstract

Sectio Caesarea is artificial labor in which the fetus is born through an incision in the front wall of the abdomen and the uterine wall. The number of Sectio Caesarea patients in Indonesia has exceeded the recommended threshold of the Department of Health > 20%. Surgery can cause postoperative pain in the client, this pain is usually felt 12 to 36 hours after surgery. One of the management of non-famakological treatment of post-section caesarean section pain treatment is early mobilization. Early mobilization aims to accelerate wound healing, improve circulation, and prevent venous static. The purpose of this study was to determine the influence before and after early mobilization of changes in pain levels in postoperative clients of sectio cesarea. This type of research is descriptively correlational, One Group Pretest-Postest, conducted at RSU Royal Prima Medan Petisah, North Sumatra from September to November 2020. The study population ± 43 people. The number of samples using the formula Slovin, so 36 samples were obtained. The selection of samples with non-probability sampling is consecutive sampling. Analysis of data, with a univariate, bivariate, meaningful limit of 0.05 with t-dependent test (paired t-test).The results, the change in pain level score of the pre-test test results of the mean value 3.22, at the time of the post-test test the mean value is 2.17. So the result of the value Z = -6,128 then p-value as much as 0.000 < 0.05 so that it was concluded Ho was rejected and Ha received. Concluded there is an influence of early mobilization of pain changes in postoperative clients sectio caesarea in the room of RSU Royal Prima in 2020.
Faktor klinis dan demografis yang memengaruhi outcome pascaoperasi pada pasien bedah Xiong Cai; Wienaldi Wienaldi; Liena Liena
JOURNAL OF Qualitative Health Research & Case Studies Reports Vol 6 No 5 (2026): May Edition 2026
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/quilt.v6i5.3100

Abstract

Background: Postoperative success is an important indicator of postoperative outcomes used to assess the quality of surgical care in hospitals. Factors related to the surgical procedure also play a role in determining postoperative outcomes. The type of surgery, the complexity of the procedure, and the duration of the surgery can influence the patient's physiological condition during and after surgery. Purpose: To analyze factors influencing postoperative outcomes in hospitalized patients. Method: This study used a quantitative observational approach with an analytical approach. The study was conducted on inpatients at Royal Prima Medan Hospital in 2025. Bivariate and multivariate analyses were applied to assess the relationship between variables. Results: Age, type of surgery, duration of surgery, and comorbidity status were significantly associated with postoperative outcomes (p < 0.05), while gender had no significant effect (p = 0.542). Patients aged ≤45 years and without comorbidities mostly experienced optimal recovery, while patients >45 years with comorbidities or undergoing emergency surgery tended to require further monitoring. Multivariate analysis confirmed comorbidity as the dominant factor increasing the risk of requiring further monitoring (OR = 3.78; 95% CI: 1.59–9.11; p = 0.003). Conclusion: The role of physiological reserve, surgical complexity, and comorbidities influence the postoperative recovery process.   Keywords: Age; Clinical Risk; Comorbid Status; Duration of Surgery; Postoperative Outcomes; Type Of Surgery.   Pendahuluan: Keberhasilan pascaoperasi merupakan salah satu indikator penting dari outcome pascaoperasi yang digunakan untuk menilai mutu pelayanan bedah di rumah sakit. Faktor yang berkaitan dengan tindakan pembedahan juga berperan dalam menentukan outcome pascaoperasi. Jenis operasi, tingkat kompleksitas tindakan, serta lama operasi dapat memengaruhi kondisi fisiologis pasien selama dan setelah pembedahan. Tujuan: Untuk menganalisis faktor-faktor yang memengaruhi outcome pascaoperasi pada pasien rawat inap. Metode: Jenis penelitian yang digunakan adalah observasional kuantitatif dengan pendekatan analitik yang dilakukan kepada pasien rawat inap di RSU Royal Prima Medan tahun 2025. Analisis bivariat dan multivariat diterapkan untuk menilai hubungan antarvariabel. Hasil: Usia, jenis operasi, lama operasi, dan status komorbid berhubungan signifikan dengan outcome pascaoperasi (p < 0.05), sedangkan jenis kelamin tidak berpengaruh signifikan (p = 0.542). Pasien usia ≤45 tahun dan tanpa komorbid mayoritas mengalami pemulihan optimal, sementara pasien >45 tahun dengan komorbid, atau menjalani operasi emergensi cenderung memerlukan pemantauan lanjutan. Analisis multivariat menegaskan status komorbid sebagai faktor dominan yang meningkatkan risiko perlunya pemantauan lanjutan (OR = 3.78; 95% CI: 1.59–9.11; p = 0.003). Simpulan: Peran cadangan fisiologis, kompleksitas operasi, dan kondisi medis penyerta memengaruhi proses pemulihan pascaoperasi.   Kata Kunci: Jenis Operasi; Lama Operasi; Outcome Pascaoperasi; Risiko Klinis; Status Komorbid; Usia.
Faktor Risiko Kejadian Psoriasis pada Pasien Rawat Jalan di RS Royal Prima Medan: Studi Case-Control Guo Xinyuan; Tri Suci; Liena Liena; Fioni Fioni
TRILOGI: Jurnal Ilmu Teknologi, Kesehatan, dan Humaniora Vol 7, No 1 (2026)
Publisher : Universitas Nurul Jadid

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/trilogi.v7i1.14812

Abstract

Psoriasis is a chronic immune-mediated inflammatory disease characterized by keratinocyte hyperproliferation and persistent systemic inflammation, and is associated with genetic predisposition and metabolic comorbidities. Identifying its determinants is important to improve prevention and clinical management. This study aimed to analyze the association between age, body mass index (BMI), smoking history, family history of psoriasis, diabetes mellitus, and hypertension with the occurrence of psoriasis in outpatients at the Dermatology and Venereology Clinic of Royal Prima Hospital, Medan, from 2024 to 2025. This study used an analytical observational design with a retrospective case-control approach. A total of 210 respondents were included, consisting of 105 cases (patients diagnosed with psoriasis) and 105 controls (patients without psoriasis). Controls were selected from patients attending the same clinic during the same period without a diagnosis of psoriasis to ensure comparability and minimize selection bias. Data were obtained from medical records and analyzed using the Chi-square test and binary logistic regression. Bivariate analysis showed that age ≥45 years, BMI ≥25 kg/m², smoking history, family history of psoriasis, diabetes mellitus, and hypertension were significantly associated with psoriasis (p < 0.05). Multivariate analysis revealed that age ≥45 years (Adjusted OR = 1.85; 95% CI: 1.02–3.35; p = 0.042), BMI ≥25 kg/m² (Adjusted OR = 1.98; 95% CI: 1.09–3.61; p = 0.024), family history of psoriasis (Adjusted OR = 6.45; 95% CI: 2.82–14.75; p < 0.001), and diabetes mellitus (Adjusted OR = 2.41; 95% CI: 1.05–5.54; p = 0.037) remained significant predictors. Family history of psoriasis was identified as the most dominant determinant. These findings highlight the importance of early screening in high-risk individuals, particularly those with a family history of psoriasis and metabolic comorbidities, to support timely detection and improve clinical management. In conclusion, genetic and metabolic factors, along with age, are key determinants of psoriasis occurrence.
Co-Authors Annisa Amalia Buter Samin Dewi Riastawaty Dong Qian Edy Fachrial Fioni, Fioni Florenly Florenly Florenly Florenly Florenly Florenly Florenly Florenly Guo Xinyuan I Nyoman Ehrich Lister Jiang Fan Johannes Bastira Ginting Li Wei Ma Hongjun Tandiah Asan Tri Suci Wahyu Widowati Wang Chunxiang Wang Lei Wang Xiqin Wienaldi Wienaldi Xiong Cai Zhang Yu Zheng Yuebin