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Functional Independence Measure Penderita Cedera Servikal Arifin, Muhammad Zafrullah; Henky, Jefri
Majalah Kedokteran Bandung Vol 45, No 3 (2013)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (802.757 KB)

Abstract

Cedera servikal merupakan salah satu cedera tulang belakang terbanyak pada penderita trauma. Di Amerika Serikat tahun 2008 dari 100.000 kasus cedera tulang belakang, 2/3 merupakan kasus cedera servikal. Penilaian awal dilakukan berdasarkan American Spinal Cord Injury Association (ASIA) Impairment Score, sedangkan hasil setelah penatalaksanaannya sering diabaikan untuk evaluasi keberhasilan ahli di rumah sakit. Tujuan penelitian untuk mengetahui nilai functional independence measure (FIM) penderita cedera servikal dengan manajemen konservatif dan korelasinya dengan usia, jenis kelamin, jenis trauma, onset trauma, abnormalitas tulang servikal, lesi cervical spine, dan ASIA Impairment Score. Dilakukan studi kohor prospektif pada semua pasien cedera servikal yang memenuhi kriteria inklusi di Departemen Bedah Saraf Rumah Sakit (RS) Dr. Hasan Sadikin Bandung. Subjek dikelompokkan berdasarkan usia, jenis kelamin, trauma tunggal/multipel, akut/kronik, abnormalitas tulang servikal, lesi komplet/inkomplet, ASIA Impairment Score, dan komplikasi awal cedera. Pada penderita dilakukan penilaian FIM di Poliklinik Bedah Saraf. Data dianalisis menggunakan uji-t dan uji chi-kuadrat dengan p<0,05. Terdapat 17 penderita cedera servikal yang dirawat di Departemen Bedah Saraf RS Dr. Hasan Sadikin Bandung periode April 2009–April 2010. Observasi kohor prospektif nilai FIM rata-rata penderita cedera servikal adalah 4+1,63. Analisis chi-kuadrat menyatakan bahwa tidak terdapat hubungan usia (p=0,064), jenis kelamin (p=0,144), jenis trauma penyerta (p=0,959), onset cedera (p=0,220), abnormalitas tulang servikal (p=0,869) dengan besarnya nilai FIM pasien cedera servikal. Terdapat hubungan jenis lesi cervical spine (p=0,037), ASIA Impairment Score (p<0,001) dengan besarnya nilai FIM penderita cedera servikal. Simpulan, jenis lesi cervical spine dan ASIA Impairment Score memiliki hubungan bermakna dengan besarnya nilai FIM penderita 3 bulan pascacedera servikal. [MKB. 2013;45(3):180–6]Functional Independence Measure in Patients with Cervical Spine InjuryCervical spine injury is one of the most common spinal cord injuries in trauma patients. From 100,000 spinal cord injury cases reported in the United States of America (2008), 2/3 involved cervical spine injury. American Spinal Cord Injury Association (ASIA) Impairment Score is used as an initial assessment but further prognostic outcome of these patients is often not paid enough attention. The objective of this study was to find the value of functional independence measure (FIM) cervical spine injury patients with conservative management and correlation with age, sex, type of trauma, onset of trauma, cervical bone abnormalities, type of spinal lesion and ASIA Impairment Score. A prospective cohort study was performed to all patients with cervical spine injury which fullfil the inclusion criteria treated in Neurosurgery Department of Dr. Hasan Sadikin Hospital Bandung. The subjects were classified based on age, sex, single/multiple trauma, acute/chronic, cervical bone abnormalities, complete/incomplete lesion, ASIA impairment score and initial complication. The patients were performed to FIM examination in Outpatient clinic of Neurosurgery. T-test and chi-square test with p<0.05 were done to analyze the data. There were 17 cervical spine injury patients treated in Neurosurgery Department of Dr. Hasan Sadikin Hospital Bandung during April 2009–April 2010. The average FIM value of cervical spine injury in those patients was 4+1.63 by cohort prospective study. There were no correlation between FIM value with age (p=0.064), sex (p=0.144), type of trauma (p=0.959), onset of trauma (p=0.220) and cervical bone abnormalities (p=0.869). We found a significant correlation between FIM value with type of cervical spine lesion (p=0.037) and ASIA Impairment Score (p<0.001) in cervical spine patients. In conclusion, type of cervical spine lesion and ASIA impairment score have significant correlation with FIM value of patients in 3 months after cervical injury.[MKB. 2013;45(3):180–6] DOI: http://dx.doi.org/10.15395/mkb.v45n3.15
The Relationship of Body Mass Index in Third Trimester of Pregnancy with Low Back Pain Incidence Henky, Jefri; Efriza; Aprillia
Scientific Journal Vol. 1 No. 3 (2022): SCIENA Volume I No 3, May 2022
Publisher : CV. AKBAR PUTRA MANDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (246.115 KB) | DOI: 10.56260/sciena.v1i3.47

Abstract

Background: Low Back Pain is pain in the lower back which is a sign of disorder that causes a state of discomfort in performing daily activities and is felt in the anatomical area, especially in the fifth lumbal and sacral area. Low Back Pain will increase as gestational ages. This discomfort begins between the fifth and seventh months of pregnancy. Purpose: To find the relationship between body mass index in the third trimester of pregnancy with Low Back Pain incidence. Method: This research is an observational analytical research with cross-sectional approach. The population of this research is pregnant women in the third trimester who visited poly Obstetrics and Gynecology Hermina Padang Hospital with 77 samples by using consecutive sampling technique. Data analysis uses univariate and bivariate analysis with data processing using the computerized SPSS 23.0 version. Results: The most age were 26-35 years which is 44 people (57,1%), the most likely respondents were those who did not work which is 48 people (62,3%), and the most respondents gestational age is > 36 weeks that is 40 people (51,9 %). The average body weight of the respondent is 65.8277 kg with a minimum body weight 51.51 kg and maximum 80.40 kg. The average height of respondent is 157.99 cm with a minimum height 148 cm and maximum 170 cm. The majority of respondents with an overweight body mass index were 50 people (64,9%), the highest level of LBP pain is 2 (a little pain) which is 26 people (33,8%), with respondents experienced LBP of 61 people (79,2%). Based on the bivariate analysis, it is known that there is a relationship between body mass index in the third trimester of pregnancy with Low Back Pain incidence (p=0.022). Conclusion: The third trimester of pregnant women, the most age is early adulthood (26-35 yars), with the most work is not working, and the most gestational age >36 weeks. The average body weight of the respondent is 65.8277 kg and the average height of the respondent is 157.99cm, the most body mass index is overweight, the highest level of LBP pain is 2 (a little pain), and in the third trimester pregnant women experience the most LBP incidence is yes and there is a relationship between body mass index in the third trimester of pregnancy with low back pain incidence.
Hubungan Tingkat Stres dengan Karakteristik Peserta OSCE UKMPPD di Fakultas Kedokteran Universitas Baiturrahmah Akbar, Resti Rahmadika; Nasir, Ramadhani; Henky, Jefri
Scientific Journal Vol. 2 No. 4 (2023): SCIENA Volume II No 4, July 2023
Publisher : CV. AKBAR PUTRA MANDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56260/sciena.v2i4.101

Abstract

Latar belakang: Objective Structured Clinical Examination (OSCE) salah satu format uji untuk mengetahui kompetensi keterampilan mahasiswa dan OSCE menjadi faktor yang memicu adanya stres pada mahasiswa. Tujuan: Mengetahui hubungan tingkat stres dengan karakteristik peserta OSCE UKMPPD di Fakultas Kedokteran Universitas Baiturrahmah. Metode: Penelitian ini merupakan analitik korelatif dengan desain penelitian cross sectional. Pengambilan sampel dengan metode consecutive sampling, dengan jumlah sampel 51 orang. Penelitian ini dilakukan dengan populasi pada mahasiswa yang mengikuti OSCE UKMPPD di Fakultas Kedokteran Universitas Baiturrahmah pada periode bulan November 2019. Tingkat stres diukur dengan kuesioner Perceived Stress Scale (PSS). Pengolahan data menggunakan program SPSS 24.0. Analisis univariat jenis kelamin, usia, status pernikahan, tingkat stres, frekuensi mengikuti OSCE dalam bentuk tabel distribusi frekuensi dan analisis bivariat menggunakan uji Mann-Whitney. Hasil: Karakteristik mahasiswa berdasarkan jenis kelamin terbanyak perempuan yaitu 38 orang (74,5%), usia 17-25 tahun mahasiswa terbanyak yaitu 39 orang (76,5%), status pernikahan terbanyak yaitu belum menikah 33 orang (64,7%), frekuensi mahasiswa terbanyak pengambilan pertama yaitu 46 orang (90,2%). Hasil analisis bivariat terdapat hubungan antara tingkat stres dengan jenis kelamin, umur dan status pernikahan dan frekuensi mengikuti OSCE, dengan nilai p<0,05. Kesimpulan: Terdapat hubungan antara tingkat stres dengan jenis kelamin, usia, status pernikahan dan frekuensi mengikuti OSCE.
Mengenal Dan Mencegah Nyeri Tulang Belakang Edukasi Karyawan PT. Bukit Asam Sawahlunto Henky, Jefri
Jurnal Pengabdian Sosial Vol. 1 No. 10 (2024): Agustus
Publisher : PT. Amirul Bangun Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59837/z8n7tj15

Abstract

Nyeri tulang belakang merupakan masalah kesehatan yang sangat umum yang dapat membatasi aktivitas. Rasa nyeri tersebut dalam konteks pekerjaan dan secara klinis mungkin disebabkan oleh pekerjaan atau dapat diperburuk oleh aktifitas pekerjaan. Tenaga kerja merupakan aset penting perusahaan, oleh karena itu tenaga kerja harus diberikan perlindungan karena terdapat ancaman dan potensi bahaya yang berhubungan dengan kerja. Aktivitas yang terlalu menggunakan gerak ke depan maupun membungkuk, mengangkat beban berat secara tidak tepat, maupun bekerja dengan posisi duduk dalam jangka waktu yang lama kemungkinan merupakan faktor yang dapat menyebabkan nyeri pada bagian anggota badan, punggung, lengan, bagian persendian, dan jaringan otot lainnya. Faktor risiko individu terkait dengan keluhan nyeri tulang belakang seperti usia, masa kerja berdasarkan tingkat adaptasi dan keluhan otot serta ergonomi postur kerja. Pengabdian kepada Masyarakat ini bertujuan untuk mengedukasi masyarakat, khususnya karyawan dan purnakarya beserta keluarga PT. Bukit Asam tentang nyeri tulang belakang, yang dihadiri oleh 296 orang peserta. Metode yang diguanakan meliputi presentasi, tanya jawab, diskusi interaktif pengalaman pasien nyeri dan demonstrasi senam dan peregangan tulang belakang. Hasil dari penyuluhan ini, peserta antusias bertanya dan bercerita tentang keluhan nyeri yang dirasakan disaat sesi tanya jawab. Semua peserta juga ikut serta mengikuti peragaan senam dan peregangan untuk mencegah nyeri tulang belakang. Beberapa hari kemudian, 4 peserta datang ke rumah sakit untuk konsultasi langsung dan dilakukan pemeriksaan lanjutan pada tulang belakang. Evaluasi lanjutan berupa peningkatan angka kunjungan pasien nyeri tulang belakang yang meningkat sekitar 60% ke Klinik Perusahaan PT. Bukit Asam. Penyuluhan ini diharapkan dapat meningkatkan pendidikan hidup sehat pada manyarakat sebagai bentuk pencegahan penyakit dan memperbaiki kualitas hidup serta menurunkan angka kesakitan pada penderita nyeri tulang belakang.
Menghadapi Masa Akil Baligh (Pubertas) Pada Siswa Kelas 6 SDIT Adzkia 2 Padang Henky, Jefri
Jurnal Pengabdian Sosial Vol. 2 No. 4 (2025): Februari
Publisher : PT. Amirul Bangun Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59837/b72p8082

Abstract

Pubertas merupakan suatu tahap perkembangan seorang anak menjadi dewasa secara seksual. Pada perempuan, pubertas terjadi pada rentang usia 10−14 tahun, ditandai dengan tumbuhnya rambut di bagian tubuh tertentu, produksi kelenjar minyak dan keringat yang menyebabkan jerawat, menstruasi, suara semakin nyaring, tumbuhnya payudara dan membulatnya pinggul. Pada laki-laki, pubertas terjadi pada kisaran usia 12−16 tahun, ditandai dengan tumbuhnya rambut di bagian tubuh tertentu, produksi kelenjar keringat yang menyebabkan bau badan, mimpi basah, tumbuh jakun, dan suara semakin berat. Masa pubertas merupakan periode transisi sehingga sangat penting untuk menjaga tubuh dengan baik dengan cara menerapkan pola hidup sehat dan bersih, olahraga secara rutin, tidur yang cukup, memperhatikan kesehatan mental dengan mengelola stress dan memiliki lingkungan pergaulan yang positif, serta berkomunikasi dengan orang tua atau orang dewasa yang dipercaya jika mengalami kesulitan dalam menghadapi perubahan selama pubertas. Pengabdian kepada masyarakat ini bertujuan untuk mengedukasi masyarakat secara umum, namun pada kegiatan ini khususnya pada pelajar kelas 6 SDIT Adzkia 2 Padang beserta majelis guru yang dihadiri oleh 62 orang peserta. Metode yang diguanakan meliputi presentasi, tanya jawab, diskusi interaktif cerita dan pengalaman pelajar kelas 6 SD selama masa pubertas. Hasil dari penyuluhan ini, peserta antusias bertanya dan bercerita tentang masalah yang pernah dihadapi selama masa pubertas. Evaluasi pelaksanaan kegiatan pengabdian kepada masyarakat yang telah dilaksanakan berupa diskusi dengan guru dan wali kelas pelajar kelas 6 SD tentang peningkatan pengetahuan pelajar setelah penyuluhan. Wawancara feedback langsung pada pelajar kelas 6 SD yang mengikuti penyuluhan tersebut yang mencerminkan sikap dan perilaku. Evaluasi selanjutnya adalah laporan pengamatan guru, wali kelas dan unit bimbingan konseling terhadap sikap dan perilaku pelajar kelas 6 SD. Penyuluhan ini diharapkan dapat meningkatkan pengetahuan, perubahan sikap dan perilaku pelajar kelas 6 SD kearah lebih baik sehingga remaja memiliki kualitas hidup yang baik.
ANALISIS FAKTOR RESIKO LOW BACK PAIN PADA SUPIR TRAVEL ANTAR KOTA ANTAR PROPINSI PADANG-KERINCI Henky, Jefri; Eka Oktacia, Nelisa
Nusantara Hasana Journal Vol. 5 No. 1 (2025): Nusantara Hasana Journal, June 2025
Publisher : Yayasan Nusantara Hasana Berdikari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59003/nhj.v5i1.1482

Abstract

Low Back Pain (LBP) is a result of incorrect ergonomics, the main symptom of LBP is pain in the spinal region of the back. The duration of sitting in a static condition will cause fatigue and the emergence of sore aches. The travel distance from the city of Padang to Kerinci is around 211 km and can be reached in about 7-8 hours with the turns and narrow road conditions. The aims of this study to analyze of the risk factors for LBP of travel drivers in inter-city and inter-provincial in Padang-Kerinci. This study was conducted at the travel counter located in the city of Padang. The design of this study used a cross-sectional with analytical study. The population in the study were all inter-city inter-provincial travel drivers of Padang-Kerinci with 37 samples using total sampling techniques. Data analysis with univariate and bivariate is presented in the form of frequency distribution tables and percentages. Most of the respondents had complaints against LBP with 29 persons (78.4%) with a minimum level of disability is 18 persons (62.1%), respondents aged ≥ 35 years is 30 persons (81.1%), the BMI of respondents was mostly normal is 28 persons (75.7%), all respondents were smokers with the category of heavy smokers is 31 persons (83.8%), most of the respondents had a duration of work > 4 years is 23 persons (62.2%) and most of respondents had a duration of driving > 5 hours is 33 persons (89.2%). Based on the bivariate analysis, there is no relationship between age with LBP p ≥ 0.05, there is a relationship between BMI with LBP p < 0.05, there is no relationship between smoking status with LBP p ≥ 0.05, there is a relationship between length of work with LBP p < 0.05 and there was no relationship between duration of driving with LBP p ≥ 0.05. From this study, it was concluded that there was no relationship between age with LBP, there was a relationship between BMI with LBP, there was no relationship between smoking status with LBP, there was a relationship between length of work with LBP and there was no relationship between driving duration with LBP.
OUTCOME ANALYSIS OF POSTOPERATIVE DECOMPRESSION AND STABILIZATION PATIENTS WITH DEGENERATIVE THORACO-LUMBAR VERTEBRAL FRACTURE Henky, Jefri
Jurnal EduHealth Vol. 12 No. 02 (2022): Edition March, Jurnal EduHealth
Publisher : Sean Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (751.161 KB) | DOI: 10.54209/jurnaleduhealth.v12i02.153

Abstract

Degenerative thoraco-lumbar fractures are structural and functional changes that occur in the thoracal and lumbar vertebrae regions. The degenerative process that occurs as a result of the aging process in each individual is different, as well as in the spinal region. The type of data used in this study is secondary data obtained through medical records conducted by researchers at the Semen Padang Hospital Medical Record Unit, the data includes variables of age, gender, occupation, smoking status, BMI, level of thoraco-lumbar fracture, mean VAS postoperative decompression and stabilization at Semen Padang Hospital. The research was conducted in December 2021 until completion which includes the preparation and reporting stages. This research is a form of analytical study with a cross sectional design. The affordable population was postoperative decompression and stabilization surgery patients in 2019 as many as 30 patients with a total sampling technique. Univariate data analysis is presented in the form of frequency distribution and percentage and data processing using computerized SPSS version 24.0 program. And the results of this study explain that based on the characteristics of the patient's risk factors, the most age is the early elderly 46-55 years, namely 10 people (33.3%), the most gender is female, namely 16 people (53.3%), occupation, which most people are not lifting weights, namely 22 people (73.3%), smoking status is not smoking, namely 24 people (80.0%) and the highest BMI is normal (≥18.5 - <24.9) which is 19 people (63.3%). The highest number of damage levels were 1 and 2 damage levels, respectively, which were 14 people (46.7%). The most pain based on VAS was mild pain, namely 12 people (40.0%). There was a significant effect of the number of levels of damage on the pain scale in postoperative decompression and stabilization patients at Semen Padang Hospital (p= 0.021), and there was a significant effect of the number of levels of damage on the level of post operative decompression and stabilization pain in degenerative thoraco-lumbar fracture patients in Semen Padang Hospital