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Gambaran tingkat depresi terhadap kejadian peningkatan interdialytic weight gain pada pasien penyakit ginjal kronik yang menjalani hemodialisis di Rumah Sakit Umum Dr. Zainal Abidin, Banda Aceh Safina Khairidina; Maryatun Hasan; Mirfandi Amirsyah; Maimun Syukri; Rina Hastuti Lubis
Jurnal Kedokteran Syiah Kuala Vol 20, No 2 (2020): Volume 20 Nomor 2 Agustus 2020
Publisher : Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jks.v20i2.18503

Abstrak. Penyakit ginjal kronis (PGK) merupakan penyakit yang dapat mengakibatkan penderitanya mengalami stress jangka panjang dan akhirnya bermanifestasi menjadi depresi. Depresi yang ditimbulkan dapat mempengaruhi perilaku pasien dalam hal pengaturan cairan sehingga dapat berakibat terhadap peningkatan Interdialytic Weight Gain (IDWG). Jika IDWG meningkat maka akan menimbulkan komplikasi yang dapat menghambat keberhasilan terapi hemodialisis. Penelitian ini bertujuan untuk mengetahui gambaran tingkat depresi terhadap terjadinya peningkatan Interdialytic Weight Gain pada pasien PGK yang menjalani hemodialisis di RSUDZA Banda Aceh. Jenis penelitian ini adalah deskriptif analitik dengan pendekatan cross sectional. Pengumpulan data dilakukan pada bulan Desember 2019 menggunakan teknik accidental sampling dengan responden adalah pasien di unit hemodialisis RSUDZA Banda Aceh. Pengumpulan data dilakukan dengan menggunakan kuesioner Hamilton Rating Scale for Depression kemudian dilakukan analisis univariat untuk mengatahui gambaran dari penelitian dan bivariat dengan menggunakan uji korelasi Spearman. Berdasarkan hasil analisis statistik dengan menggunakan uji Spearman, didapatkan p value sebesar 0,000 (p0,05) dengan koefisien korelasi Spearman sebesar 0,729. Hal ini menunjukkan adanya hubungan yang signifikan antara tingkat depresi dengan peningkatan IDWG pada pasien PGK yang menjalani hemodialisis di RSUDZA Banda Aceh.Kata Kunci: Penyakit Ginjal Kronis, Hemodialisis, Depresi, Interdialytic Weight GainAbstract. Chronic kidney diasease (CKD) might cause stress which generally leads to depression. Depression is correlated to significant impairment in a patient's daily life, such as excessive Interdialytic Weight Gain (IDWG) caused by an overload of fluids. Excessive Interdialytic Weight Gain might also cause other complications that are able to interfere the process of hemodialysis therapy. The objective of this research was to identify the overview of and the correlation between depression types and Interdialytic Weight Gain (IDWG) of the chronic kidney disease patients undergoing hemodialysis therapy in dr. Zainoel Abidin Regional Public Hospital of Banda Aceh. This descriptive analytical research was conducted by means of a cross-sectional study approach. The data were collected in December 2019 by using an accidental sampling technique. The data were collected by distributing the Hamilton Rating Scale for Depression. Those data were then analyzed by using a univariate data analysis and a bivariate data analysis, especially the Spearman Correlation Coefficient. Based on the statistical analysis with the Spearman test, p-value of 0.000 (p0.05) with a Spearmen Correlation Coefficient of 0.729 was found. Hence, a significant correlation between depression levels or types and IDWG in chronic kidney disease patients undergoing hemodialysis in dr. Zainoel Abidin Regional Public Hospital of Banda Aceh was indicated.Keywords: Chronic Kidney Disease, hemodialysis, Depression, Interdialytic Weight Gain

Profil Ketuban Pecah Dini pada Ibu Bersalin di RSUD Dr. Zainoel Abidin Banda Aceh Rima Novirianthy; Safarianti Safarianti; Maimun Syukri; Cut Meurah Yeni; Muhammad Ikhsan Arzda
Jurnal Kedokteran Syiah Kuala Vol 21, No 3 (2021): Volume 21 Nomor 3 Desember 2021
Publisher : Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jks.v21i3.21299

Abstrak. Angka Kematian Ibu (AKI) merupakan salah satu indikator keberhasilan suatu negara dalam bidang kesehatan. Salah satu penyebab kematian pada ibu adalah infeksi. Ketuban Pecah Dini (KPD) merupakan salah satu penyebab tersering infeksi. Tujuan dari penelitian ini yaitu untuk mengetahui profil KPD pada ibu bersalin di RSUDZA Banda Aceh tahun 2019-2020. Metode penelitian ini berupa penelitian deskriptif dengan menggunakan data retrospektif. Jumlah sampel yang digunakan dalam penelitian ini sebanyak 579 rekam medis pasien yang diambil dengan metode total sampling. Analisis data yang digunakan ialah analisis univariat untuk melihat profil pasien KPD. Hasil penelitian menunjukkan bahwa dari 579 sampel pasien KPD sebagian besar sampel berusia 20-35 tahun (79,3%), status pekerjaan sebagai IRT (81,3%), usia kehamilan aterm (77,2%), status nullipara (36,8%), mengalami leukosituria (52,9%), anemia (54,9%), kehamilan tunggal (98,4%), janin presentasi kepala (89,8%), lama KPD ≥ 12 jam (53,9%), dan metode persalinan sectio caesarea (66%). Kesimpulan penelitian ini menunjukkan bahwa KPD banyak terjadi pada ibu nullipara yang berusia 20-35 tahun dengan usia kehamilan aterm serta mengalami leukosituria dan anemia, oleh karena itu tenaga medis perlu memberikan edukasi terkait faktor risiko dan upaya pencegahan KPD. Kata Kunci : Ketuban Pecah Dini (KPD), Profil, RSUDZA Banda AcehAbstract. Maternal Mortality Rate (MMR) is acknowledge as one of the country’s health sector development. Infection is one of the cause of maternal mortality. Premature Rupture of Membranes (PROM) is the most cause of infection. The objective of this research is to identify the profile of premature rupture of membranes on mother who gave birth in RSUDZA Banda Aceh year of 2019-2020. The method of this research is descriptive using retrospective data. The number of samples used in research is 579 medical records taken using total sampling method. Data analysis used is univariate analysis to find the profile of premature rupture of membrane patient. The result showed that out of 579 samples of patient with premature rupture of membrane are mostly aged between 20-35 years old (79,3%), occuption status as housewife (81,3%), gestation age of aterm (77,2%), nulliparous status (36,8%), leukocyturia (52,9%), anemia (54,9%), single preganancy (98,4%), fetal head presentation (89,9%), PROM duration ≥ 12 hours (53,9%), and the method delivery by sectio caesarea (66%). The conclusion of thin study showed that PROM occurs mostly in nulliparous who are 20-35 years old with aterm gestational age and have leukocyturia and anemia; therefore, medical personnel need provide education related risk factor and efforts to prevent PROM.Keywords : Premature Rupture of Membranes (PROM), Profile, RSUDZA Banda Aceh

Hubungan Anemia dengan Kekuatan Otot Genggaman Tangan pada Pasien Hemodialisis Kronik di RSUDZA Banda Aceh Randy Yemigoe; Maimun Syukri; Sitti Hajar
Jurnal Ilmiah Mahasiswa Kedokteran Medisia Vol 2, No 1: Februari 2017
Publisher : Jurnal Ilmiah Mahasiswa Kedokteran Medisia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (339.36 KB)

Penyakit ginjal kronik/PGK merupakan keadaan dimana terjadi kerusakan fungsi ginjal secara progresif yang ditandai dengan penurunan laju filtrasi glomerulus yang berakhir pada gagal ginjal ireversibel. Terapi yang paling banyak diberikan kepada pasien PGK dengan stadium akhir adalah hemodialisis, namun ada beberapa masalah yang sering dikeluhkan oleh pasien hemodialisis tersebut yaitu kelelahan dan kelemahan otot. Kelelahan merupakan gejala dari anemia dan dapat menyebabkan penurunan kekuatan otot. Kekuatan otot genggaman tangan adalah metode yang umum digunakan sebagai tes fungsi otot rangka pada pasien rawat inap rumah sakit dan telah digunakan secara sukses untuk memperkirakan komplikasi dari suatu penyakit. Tujuan dari penelitian ini untuk mengetahui hubungan anemia dengan kekuatan otot genggaman tangan pada pasien hemodialisis kronik. Penelitian ini merupakan penelitian analytic observational dengan pendekatan cross sectional. Pemilihan sampel penelitian ini dilakukan dengan teknik total sampling dengan jumlah responden 66 pasien hemodialisis kronik yang memenuhi kriteria inklusi dan eksklusi. Pada penelitian ini didapatkan 56,1% responden memiliki anemia ringan dan 43,9% responden memiliki anemia sedang. Hasil analisis dengan uji kolerasi spearman menunjukkan terdapat hubungan yang signifikan antara anemia dengan kekuatan otot genggaman tangan (p=0,001, r=-0,748) pada pasien hemodialisis kronik di RSUDZA Banda Aceh. Kesimpulan penelitian ini responden dengan anemia sedang memiliki kekuatan otot genggaman tangan yang lebih lemah dibanding responden dengan anemia ringan.

HUBUNGAN LAMA TERAPI HEMODIALISIS TERHADAP PASIEN USIA LANJUT YANG MENJALANI HEMODIALISIS DI RSUDZA BANDA ACEH Putri Chairunnisa; Maimun Syukri; Muhsin Muhsin
Jurnal Ilmiah Mahasiswa Kedokteran Medisia Vol 2, No 4: November 2017
Publisher : Jurnal Ilmiah Mahasiswa Kedokteran Medisia

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Hemodialisis (HD) merupakan terapi untuk menggantikan sebagian dari fungsi ginjal. Tindakan ini rutin dilakukan pada penderita penyakit ginjal kronik (PGK) atau chronic kidney disease (CKD) stadium lima. Komplikasi yang umumnya timbul pada pasien yang menjalani hemodialisis adalah gangguan tidur yang menyebabkan penurunan kualitas tidur. Faktor usia dapat menyebabkan kualitas tidur menurun terutama pada usia lanjut karena suatu proses yang fisiologis. Penelitian dilakukan dengan wawancara kuisioner PSQI untuk menilai kualitas tidur. Penelitian ini bertujuan untuk melihat hubungan lama terapi hemodialisis terhadap kualitas tidur pada pasien usia lanjut yang menjalani hemodialisis Rumah Sakit Umum Daerah Zainoel Abidin Banda Aceh. Penelitian ini menggunakan observasional analitic dengan desain cross-sectional survey. Pengambilan sampel dilakukan secara non-probability sampling, dengan menggunakan metode total sampling. Dari sampel yang memenuhi kriteria inklusi dan ekslusi didapatkan berjumlah 42 orang. Rerata skor PSQI pada responden penelitian ini lama terapi hemodialisis adalah 26,5 bulan dengan standar deviasi/SD sebesar 34,4. Rerata skor PSQI adalah 8,0 dengan standar deviasi/SD sebesar 4,2. Hasil analisis dengan menggunakan uji korelasi pearson menunjukkan terdapat hubungan yang signifikan r= -0,385, p=0,12 antara lama terapi hemodialisis terhadap kualitas tidur pada pasien yang menjalani hemodialisis di RSUDZA Banda Aceh. Kata kunci: Hemodialisis, kualitas tidur, usia lanjut

HUBUNGAN HIPERTENSI DAN DIABETES MELLITUS DENGAN HIPERTROFI VENTRIKEL KIRI PADA PASIEN YANG MENJALANI HEMODIALISIS KRONIK DI RSUDZA BANDA ACEH Lilis Fazriah; Azhari Gani; Maimun Syukri
Jurnal Ilmiah Mahasiswa Kedokteran Medisia Vol 2, No 4: November 2017
Publisher : Jurnal Ilmiah Mahasiswa Kedokteran Medisia

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Hipertrofi ventrikel kiri (HVK) merupakan salah satu komplikasi gagal ginjal kronik (GGK) terbanyak, lebih dari 50% kematian penderita gagal ginjal kronik disebabkan oleh hipertrofi ventrikel kiri. Dengan adanya hipertensi dan DM yang merupakan penyebab terbanyak pada GGK akan mempercepat terjadinya komplikasi ke sistem kardiovaskular. Penelitian ini bertujuan untuk mengetahui hubungan hipertensi dan DM dengan hipertrofi ventrikel kiri pada pasien yang menjalani hemodialisis kronik. Penelitian ini merupakan penelitian analitik observasional dengan pendekatan Cross Sectional, HVK di deteksi dengan menggunakan alat elektrokardiography, GGK yang disebabakan oleh hipertensi dan DM dilihat dari diagnosis dokter dan lama hemodialisis dilihat dari buku registrasi. Pengambilan data dilakukan pada tanggal 06 juni 2016 - 04 juli 2016. Teknik pengambilan sampel dengan cara Accidental Sampling dengan jumlah sampel 38 orang. Data yang diperoleh dianalisis dengan uji Chi-Squere dan uji alternatif uji Kruskal Wallis test. Dari 38 responden penelitian sebanyak 15 responden yang mengalami hipertrofi ventrikel kiri dan 23 tidak mengalami hipertrofi ventrikel kiri. Hasil uji Kruskal Wallis test menunjukkan bahwa nilai p value = 0,433 (0,05). Kesimpulannya tidak terdapat hubungan antara hipertensi dan DM dengan hipertrofi ventrikel kiri pada pasien yang menjalani hemodialisis kronik.Kaca kunci: Hipertensi dan DM, Hipertrofi ventrikel kiri, Hemodialisis kronis.Left ventricular hypertrophy (LVK) is one of the most complications of chronic renal failure (CRF), more than 50% of deaths in patients with chronic renal failure caused by left ventricular hypertrophy. With the presence of hypertension and diabetes mellitus which is the most common cause in the CRF will increase the occurrence of complications to the cardiovascular system. This study aim to find out the correlation of hypertension and diabetes mellitus with left ventricular hypertrophy in chronic hemodialysis undergo patients. This study is an observational analytic research with cross sectional approach, HVK in detection by using the electrocardiography, GGK which are caused by hypertension and DM is observed from doctor's diagnosis and the length of hemodialysis is seen from the registration book. Data were collected on 06 June 2016-04 July 2016. The sampling technique is accidental sampling method with a sample of 38 people. The data was analyzed by Chi-Squere and alternative test Kruskal Wallis-test. There are 15 of 38 respondents who endure of left ventricular hypertrophy and the rest 23 participants are negative from the issue. Kruskal Wallis test results showed that the p value = 0.433 ( 0.05). In conclusion, there is no significant correlation between hypertension and diabetes mellitus with left ventricular hypertrophy in chronic hemodialysis undergo patients.Keywords: hypertension and diabetes, left ventricular hypertrophy, chronic hemodialysis.

Hubungan Diabetes Mellitus dan Non-Diabetes Mellitus Dengan Survival Rate Pasien Gagal Ginjal Kronik Yang Manjalani Hemodialisis di RSUDZA Banda Aceh Periode 2011-2015 Nurul Fitria; Maimun Syukri; Juwita Saragih
Jurnal Ilmiah Mahasiswa Kedokteran Medisia Vol 2, No 1: Februari 2017
Publisher : Jurnal Ilmiah Mahasiswa Kedokteran Medisia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (334.612 KB)

Chronic renal failure is a global health problem that is important to be noted because its prevalence continues to increase rapidly. Patient with chronic renal failure require renal replacement therapy in order to maintain their life (survival rate), one of the renal replacement therapies is hemodialysis. The Causes of chronic renal failure such as diabetes mellitus and non-diabetes mellitus are important factory associated with survival rate of patients undergo hemodialysis therapy. The aims of this study is to determine the relationship between diabetes mellitus and non-diabetes mellitus with the survival rate of chronic renal failure patients who undergo hemodialysis therapy. This study was an analytical observational study with cross sectional design approach. Data were obtained from medical records of patient who undergo hemodialysis therapy in Banda Aceh RSUDZA period 2011-2015. The samples were taken by using total sampling with total of respondents are 92 people. Data were analyzed using chi-square or if not fulfilled the requirements, then it will be tested with Fisher’s Exact Test. Statistically the result of chi-square test with alternative test Fisher’s Ecaxt Test showed that the p value=0,000 (0,05).

The Relationship between Demographic Status and Comorbid Disease with the Risk of Chronic Kidney Disease in the Cut Meutia Hospital, Aceh Utara Regency Anita Marlina; Said Usman; Yusni Yusni; Maimun Syukri; Hanifa Yusuf
Budapest International Research and Critics Institute (BIRCI-Journal): Humanities and Social Sciences Vol 3, No 3 (2020): Budapest International Research and Critics Institute August
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birci.v3i3.1140

This research aims to analyze the risk factors associated of Chronic Kidney Disease (CKD). This research was conducted in Rumah Sakit Umum Cut Meutia (RSUCM) North Aceh. Based on the Law of the Republic of Indonesia No. 39 Year 2009 regarding the prevention and control of disease not contagious is an attempt to improve the health of the community through activities promotive and preventive. This research is a cross sectional analytic research with a retrospective approach, this research is by searching the previous data. The data used in this study are secondary data at Rumah Sakit Umum Cut Meutia (RSUCM), North Aceh Regency in 2019, which aims to analyze risk factors associated with Chronic Kidney Disease (CKD). This research was conducted at Rumah Sakit Umum Cut Meutia (RSUCM), North Aceh District from 8 to 9 June 2020. The population included in this study were all patients with chronic kidney disease who received treatment at the Cut Meutia General Hospital in North Aceh Regency for the period January - December 2019 as many as 640 people.There is a relationship between the status of the demographics on the gender with risk the occurrence of disease chronic kidney where p value 0,452. There is relationship between disease comorbid in hypertension with the risk of the occurrence of disease chronic kidney where p value by 0,000. The relationship between disease comorbid in diabetes risk the occurrence of disease chronic kidney where p value by 0,000.

Comparison Analysis of Real Costs with Ina-CBG Rate's Ischemic Stroke Disease in Installations in Regional Public Hospitals X in Banda Aceh 2019 Mulyanti Mulyanti; Irwan Saputra; Maimun Syukri; Nurjannah Nurjannah; Nova Dian Lestari
Budapest International Research and Critics Institute (BIRCI-Journal): Humanities and Social Sciences Vol 3, No 3 (2020): Budapest International Research and Critics Institute August
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birci.v3i3.1203

The government health financing system paid for hospital using the INA-CBG’s method. Stroke is the third most common cause of death after heart disease and cancer and stroke rank first as a cause of disability. Thus, the treatment of strokes due to disability and recurrent strokes requires a fairly high maintenance cost. Results: The total cost of ischemic stroke in 345 hospitalized cases with a total real cost was IDR 2.800.210.362 and a total cost of INA-CBG's of IDR 2.830.254.600.This has a significant difference, as well as severity levels and comorbidities. There is a difference between the real hospital rates and INA-CBG’s rates with a value of P = 0,000. The cost of caring for ischemic stroke patients the most cost was accommodation (22%). Conclusion: There is a difference between the real hospital costs and the INA-CBG’s rates for ischemic stroke patients at X Hospital, this is because there is still a negative difference associated with severity level, type of comorbid, length of stay and class of care.

Perioperative Safety and Outcomes of SGLT2 Inhibitors in Diabetic Kidney Disease Patients Undergoing Non-Cardiac Surgery: A Meta-Analysis of Euglycemic Ketoacidosis and Acute Kidney Injury Risks Rizki Jaya Amal; Abdullah; Maimun Syukri; Desi Salwani
Archives of The Medicine and Case Reports Vol. 7 No. 1 (2026): Archives of The Medicine and Case Reports
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/amcr.v7i1.861

Sodium-glucose cotransporter-2 inhibitors (SGLT2i) have revolutionized the management of diabetic kidney disease (DKD), offering profound renoprotection through the restoration of tubuloglomerular feedback and reduction of intraglomerular pressure. However, their perioperative safety profile remains a subject of intense debate. While the pharmacological mechanisms of SGLT2 inhibitors may theoretically ameliorate ischemia-reperfusion injury and prevent acute kidney injury (AKI), the metabolic shift towards ketogenesis raises concerns regarding perioperative Euglycemic Diabetic Ketoacidosis (euDKA). This meta-analysis aimed to quantify the risks of AKI and euDKA in DKD patients continuing or withholding SGLT2i prior to non-cardiac surgery. A systematic review and meta-analysis were conducted following PRISMA 2020 guidelines. We analyzed data from seven high-quality studies, including large-scale propensity-matched cohorts and randomized controlled trials published through 2026, involving patients with type 2 diabetes mellitus (T2DM) and DKD undergoing non-cardiac surgery. The primary outcomes were the incidence of postoperative AKI (KDIGO criteria) and euDKA. Secondary outcomes included 30-day mortality and urinary tract infections. Pooled Odds Ratios (OR) with 95% Confidence Intervals (CI) were calculated using a random-effects model (DerSimonian-Laird). The pooled analysis included a total of 142,530 patients. The use of SGLT2 inhibitors was associated with a robust and statistically significant reduction in postoperative AKI compared to non-users (Pooled OR 0.69; 95% CI 0.62–0.78; p < 0.001). This renoprotective signal was consistent across various surgical subtypes. Conversely, SGLT2i use was associated with an increased risk of euDKA (Pooled OR 2.34; 95% CI 1.45–3.78; p = 0.001), although the absolute event rate remained low (<1%). Subgroup analysis revealed that preoperative withdrawal of <24 hours significantly exacerbated DKA risk compared to a withdrawal period of 3–4 days, without providing additional protection against AKI. In conclusion, in patients with DKD undergoing non-cardiac surgery, preoperative SGLT2 inhibitor use presents a distinct renoprotective paradox: it significantly reduces the risk of AKI, likely through attenuation of oxidative stress and preservation of renal oxygenation, but increases the risk of euDKA. The benefits of AKI prevention outweigh the rare risk of DKA, provided a structured preoperative withdrawal protocol of 3 days is strictly implemented.

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