Esteria Marhayuni
Universitas Malahayati

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Hubungan Nilai Hematokrit Dan Nilai Trombosit Pada Pasien Demam Berdarah Dengue Di RSUD Dr. H. Abdul Moeloek Provinsi Lampung Syuhada Syuhada; Esteria Marhayuni; Reza Anggraeni
MAHESA : Malahayati Health Student Journal Vol 2, No 2 (2022): Volume 2 Nomor 2 (2022)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (241.893 KB) | DOI: 10.33024/mahesa.v2i2.4499

Abstract

ABSTRACT Dengue hemorrhagic fever (DHF) is a disease transmitted through mosquito bites of the genus Aedes, especially Aedes aegypti.  This disease is caused by the dengue virus which belongs to the Arthropod-Borne Virus, the genus Flavivirus, and the family Flaviviridae.  One of the laboratory parameters for diagnosing DHF is an increase in hematocrit and thrombocytopenia.  So that blood tests are very useful in the patient's condition and in determining the prognosis. To determine the relationship between hematocrit and platelet values in patients with dengue hemorrhagic fever at Dr. H. Abdul Moeloek Hospital, Lampung Province in 2020. This type of research is an analytic observational method (retrospective). This research was conducted at the Medical Records section of the Abdul Moeloek Hospital in Bandar Lampung from March 2021 to completion.  The number of samples was 67 people using the main Whitney statistical test. In this study, there were as many as 67 research samples who were studied, stating that most of the DHF patients had thrombocytopenia, there were 64 respondents (95.5%) and those who had normal platelets were 3 respondents (4.5%). And of the 67 studies, it was stated that most DHF patients had normal hematocrit values, there were 47 respondents (77.6%), 13 respondents (19.4%) had high hematocrit values and 7 respondents had low hematocrit (10.4). %). The results of the Mann Whitney test showed that the value of p = 0.000 because the value of p = 0.000 <0.05 so that it can be stated that Ha is accepted and Ho is declared rejected or there is a significant relationship between the hematocrit and platelet values in dengue hemorrhagic fever patients. This study concludes there is a significant relationship between the hematocrit and platelet values in dengue hemorrhagic fever patients with a p-value = 0.000. Keywords: Chronic renal failure, Creatinine, Hemoglobin ABSTRAK  Demam Berdarah Dengue (DBD) adalah penyakit yang ditularkan melalui gigitan nyamuk dari genus Aedes, terutama Aedes Aegypti. Penyakit ini  disebabkan oleh virus dengue yang tergolong Arthropod-Borne Virus, genus Flavivirus, dan family Flaviviridae. Salah satu parameter laboratorium untuk menegakan diagnosis DBD adalah peningkatan hematokrit dan trombositopenia. Sehingga pemeriksaan darah sangat bermanfaat dalam pemantauan kondisi penderita dan penentuan prognosis. Tujuan penelitian ini untuk mengetahui hubungan nilai hematokrit dan nilai trombosit pada penderita Demam Berdarah Dengue di RSUD Dr. H.Abdul Moeloek Provinsi Lampung tahun 2020. Jenis penelitian ini dengan metode observasional analitik. Penelitian ini dilakukan di bagian Rekam Medik Rumah Sakit Abdul Moeloek Provinsi Lampung pada bulan Maret 2021 hingga selesai. Jumlah sampel sebanyak 67 orang menggunakan uji statistic mann whitney. Didapatkan sampel penelitian sebanyak 67 yang diteliti, menyatakan bahwa sebagian besar pasien DBD mengalami trombositopenia terdapat 64 responden (95.5%) dan yang memiliki trombosit normal terdapat 3 responden (4.5%). Dan dari 67 yang diteliti, menyatakan bahwa sebagian besar pasien DBD memiliki nilai hematokrit normal terdapat 47 responden (77,6%), yang memiliki nilai hematokrit tinggi 13 responden (19,4%) dan yang memiliki hematokrit rendah terdapat 7 responden (10.4%). Hasil Uji Mann Whitney  didapatkan nilai p=0.000, karena nilai p=0.000 <0.05 sehingga dapat dinyatakan Ha diterima dan Ho dinyatakan ditolak atau terdapat hubungan yang bermakna, antara nilai hematokrit dan nilai trombosit pada pasien demam berdarah dengue. Terdapat hubungan yang bermakna, antara nilai hematokrit dan nilai trombosit pada pasien demam berdarah dengue dengan p-value = 0.000 Kata Kunci : Demam Berdarah Dengue, Nilai Hematokrit, Nilai Trombosit
Survival Life Penderita Kanker Payudara Berdasarkan Stadium Di Rumah Sakit Umum Daerah Dr. H. Abdul Moeloek Provinsi Yuniastini Yuniastini; Esteria Marhayuni; Wien Wiratmoko; Enzen Arif Februase
MAHESA : Malahayati Health Student Journal Vol 2, No 2 (2022): Volume 2 Nomor 2 (2022)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (238.829 KB) | DOI: 10.33024/mahesa.v2i2.4557

Abstract

ABSTRACT In the United States, 40,920 women died in 2018 from breast cancer. In Indonesia In 2010 more than 80% were found to be at an advanced stage. At the Regional General Hospital Dr. H. Abdul Moeloek, Lampung Province, as one of the types A class referral hospitals in 2018, there were 204 breast cancer sufferers. This study aims to analyze the life of breast cancer sufferers in 2015-2020 based on the stage at the Regional General Hospital Dr. H. Abdul Moeloek, Lampung Province. Population and research sample of breast cancer patients diagnosed and recorded in the medical records of the Regional General Hospital Dr. H. Abdul Moeloek, Lampung Province who met the inclusion and exclusion criteria and selected by purposive sampling a number of 48 events, with an analytic observational design and the type of survival analysis. Most of the sufferers who suffered at the Regional General Hospital Dr. H. Abdul Moeloek, Lampung Province have a stage 1 of 20%, followed by patients with stage 2 by 20% and patients with stage 3 by 30%, and patients with stage 4 by 30%. In breast cancer patients who have stage 4, no one survived until year 5. In the second year, 100% died (survived only until year 2). The results of survival studies in patients with stage 4 breast cancer survived only until the second year. (fifth years survival 0%). Therefore, providing education about breast self-examination in order to prevent the potential for cancer and provide support to sufferers and their families so that they can continue to undergo routine treatment. Keywords: Breast cancer, Stage, Fifth years survival life. ABSTRAK Amerika Serikat mencatat ada 40.920 wanita meninggal pada 2018 akibat kanker payudara. Di Indonesia Tahun 2010 lebih dari 80% ditemukan berada pada stadium lanjut. Di Rumah Sakit Umum Daerah Dr. H. Abdul Moeloek Provinsi Lampung, sebagai salah satu rumah sakit rujukan berkelas tipe A pada tahun 2018 didapat 204 penderita kanker payudara. Penelitian ini bertujuan untuk menganalisis survival life penderita kanker payudara tahun 2015-2020 berdasarkan Stadium di Rumah Sakit Umum Daerah Dr. H. Abdul Moeloek Provinsi Lampung. Populasi dan sampel penelitian merupakan penderita kanker payudara yang terdiagnosa dan terdaftar pada rekam medik Rumah Sakit Umum Daerah Dr. H. Abdul Moeloek Provinsi Lampung yang memenuhi kriteria inklusi dan eksklusi serta dipilih secara purposive sampling sejumlah 48 penderita kejadian, dengan desain observasional analitik serta jenis analisis survival. Sebagian besar penderita yang ditangani di Rumah Sakit Umum Daerah Dr. H. Abdul Moeloek Provinsi Lampung memiliki stadium 1 sebesar 20%, diikuti pada penderita dengan stadium 2 sebesar 20% dan penderita dengan stadium 3 sebesar 30%, serta penderita dengan stadium 4 sebesar 30%. Pada penderita kanker payudara yang memiliki stadium 4, tidak ada yang bertahan hidup sampai tahun ke 5. Pada tahun kedua 100% meninggal (bertahan hidup hanya sampai tahun ke 2). Hasil penelitian ketahanan hidup pada penderita kanker payudara stadium 4 bertahan hidup hanya sampai tahun kedua. (survival life tahun kelima 0%). Oleh karena itu, pemberian edukasi mengenai pemerikasaan payudara sendiri (sadari) agar dapat tercegahnya potensi kanker dan memberikan dukungan terhadap penderita serta keluarganya sehingga dapat terus menjalani pengobatan rutin. Kata kunci: Kanker payudara, Stadium, Ketahanan hidup 5 tahun (survival life).
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KINERJA PERAWAT DI RUMAH SAKIT PERTAMINA BINTANG AMIN KOTA BANDAR LAMPUNG TAHUN 2018 Esteria Marhayuni
PSIKOLOGI KONSELING Vol 12, No 2 (2021): Jurnal Psikologi Konseling
Publisher : Universitas Negeri Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24114/konseling.v19i2.32791

Abstract

Nurses as one of the health workers in hospitals play an important role in efforts to achieve health development goals. Based on data from the Public Relations department of Pertamina Bintang Amin Hospital, it was found that inpatient satisfaction was 75%. below the minimum service standard (SPM) indicator for inpatient care, which is 90%. Based on the results of Human Resources (HR) monitoring there are several complaints submitted by patients regarding nurse's performance so that it decreases patient satisfaction, the complaints submitted are: nurses who are not responsive to patient complaints by (56.7%). This study aimed to is known factors - factors related to the performance of nurses at Pertamina Bintang Amin Hospital in 2018. A quantitative research, with Cross Sectional approach, conducted among 118 nurses at Pertamina Bintang Amin Hospital taken by Proportional random sampling. Data collection using questionnaires, data analysis in univariate, bivariate (Chi Square) and multivariate (Logistic Regression). The results of the study showed good performance 67.8%, strong motivation 64.4%, job satisfaction satisfied 69.5%, compensation 66.9%, good leadership 62.7% and good organizational culture 83.1%. There is a relationship of motivation (p-value = 0,000; OR 21,250), job satisfaction (p-value= 0,000; OR 15,167), compensation (p-value = 0,000; OR 6,133), leadership (p-value= 0.000; OR 7,463), organizational culture (p-value 0.001; OR 5.423) with performance. The dominant factor in the performance of nursing staff was motivation (p = 0.001; OR 6.358). Giving awards in the form of incentives so that they are expected to be a motivator for nurses to improve their performance. Provide opportunities for nurses to attend training and seminars in nurse self-development.