Yunita Maslim
Departemen Ilmu Penyakit Dalam, Fakultas Kedokteran Dan Ilmu Kesehatan Unika Atma Jaya

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KARAKTERISTIK PERSEPSI PENYAKIT DAN SKOR PHQ-9 PADA PASIEN PENYAKIT JANTUNG KORONER Valerie Michaela Wilhelmina; Eva Suryani; Yunita Maslim
Bahasa Indonesia Vol 20 No 1 (2021): Damianus Journal of Medicine
Publisher : Atma Jaya Catholic University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/djm.v20i1.1745

Abstract

Introduction: Coronary Heart Disease (CHD) accounts for the largest proportion of cardiovascular diseases. CHD patients may experience depressive symptoms or major depressive disorder. Patient Health Questionnaire (PHQ-9) Score has good sensitivity and specificity for patients with CHD. Negative illness perception is significantly associated with more severe levels of depression. The aim of this study is to understand the characteristics of the perception of illness and PHQ-9 scores in patients with CHD at Atma Jaya Hospital, Jakarta. Methods: A cross-sectional research was done on CHD patients in the clinic of Internal Medicine and Cardiac Sub-Specialist clinics, Cosmas outpatient unit in Atma Jaya Hospital over the course of September-October 2015. The Brief Illness Perception Questionnaire (BIPQ) and PHQ-9 were used to assess the characteristics of illness perception and determine the level of depression in patients with CHD. Univariate analysis were used to process the data. Results: 42 patients met the inclusion criteria. 62% of subjects had a positive perception of the disease and 38% had a negative perception. The highest average score of B-IPQ was the illness concern. Majority of the subjects 48.8% had minimal depression and none of the subject had severe depression. Conclusion: B-IPQ scores indicated positive illness perception and PHQ-9 shows minimal depression in most of CHD patients
Hubungan antara Kelas Fungsional Gagal Jantung Kronik dengan Tingkat Keparahan Anemia pada Pasien di Rumah Sakit Atma Jaya Bryan Nathaniel; Luse Luse; Febie Chriestya; Yunita Maslim
Majalah Kedokteran Indonesia Vol 70 No 10 (2020): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, V
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.70.10-2020-284

Abstract

Introduction: There are 40 million people predicted to suffer from heart failure (HF), in Indonesia it is around 13% of the population. The incidence of anaemia in heart failure patients is estimated to be between 17-50%. AnGagal emia is known to increase mortality risk and worsening prognosis in HF patients and a better understanding of the mechanism will lead to better treatment effectiveness.Methods: The study uses analytical observational method and a cross-sectional design. Data are taken from medical records admitted in 2016 to 2018 and grouped based on New York Heart Association Functional Class (NYHA-FC) and anemia severity (WHO anaemia cut-off point). Results: Eighty-one anemic HF patients analyzed and consists of 34,57% NYHA II, 24,69% NYHA III, and 40,7% NYHA IV. A total of 50,6% patients are mildy anemic and 49,4% are moderately anemic. No severe anemia was found. Multivariate analysis shows chronic HF functional class did not have a significant relationship with anaemia severity (p = 0,179). Conclusions: There is no significant relationship between Chronic HF NYHA-FC and anaemia severity. Severe anemia are rarely found in HF patients without severe kidney failure.
HUBUNGAN KADAR GDP DENGAN KADAR ASAM URAT SERUM PADA PASIEN DM TIPE 2 DI RS ATMA JAYA Arvin Praditya; Yunita Maslim
Bahasa Indonesia Vol 22 No 1 (2023): Damianus Journal of Medicine
Publisher : Atma Jaya Catholic University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/djm.v22i1.1843

Abstract

Pendahuluan: Penyakit kardiovaskular merupakan penyebab kematian utama (70%) pada pasien diabetes melitus tipe 2 (DMT2) sehingga kontrol glikemik yang akurat direkomendasikan untuk mencegah komplikasi kardiovaskular. Pemeriksaan Glukosa Darah Puasa (GDP) merupakan parameter kontrol glikemik sederhana dengan korelasi yang cukup kuat dengan HbA1C sebagai baku emas (r=0,61). Peningkatan asam urat serum (AUS) sebesar 1,8 mg/dL juga dapat meningkatkan risiko terhadap komplikasi makro dan mikrovaskular (28%) dan risiko mortalitas (9%) pada pasien DMT2. Tujuan dari penelitian ini adalah mengetahui hubungan antara kadar GDP sebagai parameter kontrol glikemik sederhana terhadap kadar AUS sebagai salah satu faktor risiko penyakit kardiovaskular pada pasien DMT2 di RS Atma Jaya. Metode: Penelitian ini menggunakan pendekatan potong-lintang. Data pasien diambil dari rekam medis pasien DMT2 yang berobat di Poliklinik Cosmas Rumah Sakit (RS) Atma Jaya. Pasien yang memiliki gangguan fungsi ginjal dan mengonsumsi obat-obatan yang dapat memengaruhi kadar asam urat (seperti allopurinol) dieks-klusi. Hasil: Jumlah pasien yang diikutkan dalam penelitian ini adalah 35 orang. Uji korelasi Pearson menemukan hubungan yang tidak signifikan antara GDP dan AUS (r=-0,101, p=0,563), namun terdapat hubungan yang signifikan antara IMT dan AUS (r=0,350, p=0,039). Uji Korelasi Spearman ditemukan hubungan yang tidak signifikan antara TD Sistolik dan AUS (r=0,145, p=0,407), TD Diastolik dan AUS (r=-0,026, p=0,884). Simpulan: GDP, TD Sistolik, dan TD Diastolik tidak memiliki hubungan yang signifikan dengan AUS, namun IMT memiliki hubungan yang signifikan terhadap AUS pada pasien DMT2 di Poliklinik Cosmas, RS Atma Jaya. Kata Kunci: asam urat serum, diabetes melitus, gula darah puasa, inflamasi, obesitas.