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Pengaruh Mobilisasi Dini terhadap Berkemih Spontan Pasca Bedah Sesar dengan Anestesi Spinal di Rumah Sakit TK. IV IM 07.01 Lhokseumawe Afifah Nur; Anna Millizia; Teuku Yudhi Iqbal
COMSERVA : Jurnal Penelitian dan Pengabdian Masyarakat Vol. 1 No. 12 (2022): COMSERVA: Jurnal Penelitian dan Pengabdian Masyarakat
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/comserva.v1i12.178

Abstract

Cesarean section requires anesthetic efforts to relieve pain in the patient. The type of anesthesia commonly used is spinal anesthesia. Urinary retention is one of the side effect on using spinal anesthetic drugs caused by blockade of spinal cord conduction as high as the S2-S4 segment which innervates the urinary bladder which can lead to UTI. One of the actions that can accelerate spontaneous voiding is early mobilization step by step after cesarean section. This study aims to determine the effect of early mobilization on spontaneous voiding after cesarean section with spinal anesthesia at Level IV IM 07.01 Hospital Lhokseumawe. Method that used in this research is quasi-experimental design with one-group posttest-only design, a population of 53 mothers after cesarean section with spinal anesthesia at Level IV IM 07.01 Hospital Lhokseumawe in October - November 2021. Data analysis used univariate and bivariate with Fisher Exact Test with 95% confidence level, = 5%. The result showed there was an effect of early mobilization on spontaneous voiding after cesarean section with spinal anesthesia at Level IV IM 07.01 Hospital Lhokseumawe with p value = 0.037 and OR = 6.346 (95% CI = 1.091-36.921). The conclusion of the study that there is an effect of early mobilization on spontaneous voiding after cesarean section with spinal anesthesia at Level IV IM 07.01 Hospital Lhokseumawe in 2021 and early mobilization had an effect 6 times on the initial time of voiding.
HUBUNGAN ANEMIA PADA IBU HAMIL TERHADAP KEJADIAN BERAT BADAN LAHIR RENDAH DI 2 RUMAH SAKIT SWASTA KOTA LHOKSEUMAWE TAHUN 2020 Muhammad Iqbal Maulana; Mauliza Mauliza; Mardiati Mardiati; Noviana Zara; Teuku Yudhi Iqbal
AVERROUS: Jurnal Kedokteran dan Kesehatan Malikussaleh Averrous, Vol.8 : No.1 (Mei 2022)
Publisher : Fakultas Kedokteran Universitas Malikussaleh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29103/averrous.v8i1.7172

Abstract

Low birth weight (LBW) is a infant whose weight is less than 2500 grams. Internationally, LBW is still seen as a health problem that is quite prominent because it has a high enough risk to experience death in the neonatal period, which is 40 times greater than babies born with normal weight. Data from the WHO in 2018, the prevalence of babies with LBW in the world is 15.5% or about 20 million babies born every year, of which about 96.5% of them occur in developing countries. Based on the results of Riskesdas in 2018, one of the most common causes of infant mortality in Indonesia is LBW, which is 34%. The birth rate of babies with LBW in Indonesia reaches 350,000 every year where the prevalence of LBW in Indonesia is 6.2%. One of the causes of LBW is the poor nutritional status of the mother, one of which is anemia. The purpose of this study was to determine the relationship between anemia in pregnant women and the incidence of low birth weight (LBW) in 2 private hospitals in Lhokseumawe. This research is an analytic observational study with a cross sectional study approach. The sampling technique used is total sampling with a total of 154 respondents. The data used is secondary data derived from medical records. Data analysis was performed using Chi-square’s test. The results showed is no relationship between maternal anemia and the incidence of LBW.
Perbedaan Sensitivitas Spesifisitas Skor Apfel Dan Skor Koivuranta Sebagai Prediktor Kejadian PONV Dengan Anestesi Umum Anna Millizia; Teuku Yudhi Iqbal; Putra Futtaqi
COMSERVA : Jurnal Penelitian dan Pengabdian Masyarakat Vol. 2 No. 6 (2022): COMSERVA : Jurnal Penelitian dan Pengabdian Masyarakat
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/comserva.v2i6.417

Abstract

Post Operative Nausea and Vomiting (PONV) is a state of nausea and vomiting that occurs during the first 24 hours after surgery. The Apfel score and Koivuranta score are predictor scores used to predict PONV, currently there is no research that shows which score is more accurate in predicting PONV at RSU Cut Meutia Aceh Utara and to reduce the time of anamnese it is necessary to obtain one of the scores which has the higher accuracy between the two scores. This study aims to determine the difference between Apfel scores and Koivuranta scores as predictors of PONV at RSU Cut Meutia Aceh Utara and to find out which scores are more accurate in predicting PONV. This research is an analytic observational study through a cross sectional approach. The analysis in this study uses a diagnostic test. Sampling in this study used the accidental sampling method, as many as 54 patients who met the inclusion and exclusion requirements. The results of the diagnostic test, the sensitivity and specificity of the Apfel score were 84.6% and 78.0% with an ROC value of 0.829. The Koivuranta score has a sensitivity and specificity value of 76.9% and 78.0% with an ROC value of 0.811. The Apfel score is more accurate and has a simpler scoring variable than the Koivuranta score in predicting PONV.
Hubungan Paritas dengan Tingkat Pengetahuan tentang Anemia pada Ibu Hamil di Puskesmas Tanah Luas Kabupaten Aceh Utara Farhan, Muhammad; Iqbal, Teuku Yudhi; Ikhsan, Maulana
GALENICAL : Jurnal Kedokteran dan Kesehatan Mahasiswa Malikussaleh Vol. 3 No. 4 (2024): GALENICAL : Jurnal Kedokteran dan Kesehatan Mahasiswa Malikussaleh - Agustus 20
Publisher : Program Studi Kedokteran Fakultas Kedokteran Universitas Malikussaleh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29103/jkkmm.v3i4.12114

Abstract

Penelitian ini bertujuan untuk mengetahui hubungan paritas dengan tingkat pengetahuan tentang anemia pada ibu hamil di puskesmas Tanah Luas Kabupaten Aceh Utara.  Metode penelitian yang digunakan adalah analitik observasional yang menggunakan desain cross sectional dengan besar sampel sebanyak 97 orang. Hasil penelitian ini adalah terdapat hubungan antara paritas dengan tingkat pengetahuan tentang anemia pada ibu hamil di puskesmas Tanah Luas Kabupaten Aceh Utara. Kesimpulannya, tingkat paritas memegang peran penting dalam tingkat pengetahuan ibu hamil terhadap anemia pada kehamilan yang dapat menyebabkan risiko pada kehamilan. 
USE OF PROPHYLACTIC ANTIBIOTICS IN PATIENTS UNDERGOING CAESAREAN SECTION AT CUT MEUTIA GENERAL HOSPITAL, NORTH ACEH 2021-2022 Yuziani; Virna Amelia Putri; Teuku Yudhi Iqbal
Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Universitas Sriwijaya Vol. 11 No. 3 (2024): Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Univers
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/jkk.v11i3.429

Abstract

Caesarean section is a surgical procedure to remove the fetus through an incision in the lining of the abdomen and uterus. Cesarean delivery is performed by considering clinical signs of the mother and fetus, such as placenta previa, abnormal location of the fetus, as well as different signs that may endanger the existence of the mother or embryo. According to the World Health Organization (WHO), the number of cesarean deliveries has increased, which is directly relative to the increase in the contamination rate of surgical wound infection (ILO). Prophylactic antibiotics are one of the prevention of surgical wound infection. The research method used is retrospective descriptive. The sampling technique in this research uses non-probability sampling, namely total sampling. The aftereffects of this review show that the use of prophylactic antibiotics in caesarean section patients, namely ceftriaxone 51.2% and cefotaxime 48.8%, the use of prophylactic antibiotics at the Cut Meutia Aceh General Hospital based on ASHP, the use of antibiotics ceftriaxone, cefotaxime, and reponem is 100% inappropriate and based on PPRA RSU Cut Meutia which is 100% compliant. The aftereffects of this study presumed that the utilization of anti-toxins based on ASHP is not appropriate and based on PPRA Cut Meutia Hospital is appropriate.
The Relationship between Characteristics of Pregnant Women and Level of Anxiety before Caesarean Section Surgery In Spinal Anesthesia At RSIA Abby Lhokseumawe Millizia, Anna; Iqbal, Teuku Yudhi; Fajar, Ath Thahirah Annisa; Rizaldi, Muhammad Bayu
AVERROUS: Jurnal Kedokteran dan Kesehatan Malikussaleh Averrous, Vol.10 No.1 Mei 2024
Publisher : Fakultas Kedokteran Universitas Malikussaleh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29103/averrous.v10i1.15340

Abstract

Anxiety is a feeling of an uncomfortable that arises due to fear of something unspecified and unknown sources. The process of cesarean section surgery can induce anxiety, associated with fears of the surgical procedure, injections, the threat of death, and anesthesia. This can also encompass concerns about potential disabilities or death for both the mother and the baby. Factors such as age, level of education, and prior surgical experience in mothers can influence the level of anxiety before undergoing cesarean section surgery. This research aims to determine the relationship between the characteristics of pregnant women and the level of anxiety before cesarean section surgery with spinal anesthesia at RSIA Abby Lhokseumawe. The research method used is analytical with a cross-sectional approach. The research sample consists of patients who will undergo cesarean section surgery, with a total of 52 respondents. Sampling is done through purposive sampling. Data collection is carried out through interviews and questionnaires using the Amsterdam Preoperative Anxiety and Information Scale. The research results indicate that there is a relationship between the characteristics of pregnant women and the level of anxiety before cesarean section surgery with spinal anesthesia. The p-value for age data is 0.003, for education data is 0.001, and for surgical experience data is 0.000. This study found that the age, educational level, and prior surgical experience of pregnant women are associated with the level of anxiety before undergoing cesarean section surgery with spinal anesthesia.
Hubungan Tingkat Stres Akademik dengan Siklus Menstruasi pada Mahasiswi Program Studi Kedokteran Fakultas Kedokteran Universitas Malikussaleh Rinella Wihandi, Fadira; Nadira, Cut Sidrah; Yudhi Iqbal, Teuku
Jurnal Ilmiah Manusia Dan Kesehatan Vol. 6 No. 3 (2023): Jurnal Ilmiah MANUSIA DAN KESEHATAN
Publisher : FAKULTAS ILMU KESEHATAN UNIVERSITAS MUHAMMADIYAH PAREPARE

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31850/makes.v6i3.2188

Abstract

College students are a group that is prone to stress. Heavy lecture loads and quite a lot of exams are often the cause of high levels of stress in medical students. Stress can increase the release of Corticotropin Releasing Hormone (CRH) from the Hypothalamic-Pitutary-Adrenal (HPA) which in turn can affect an important hormone in reproductive function, namely Gonadotropin Releasing Hormone (GnRH). The purpose of this study was to determine the relationship between academic stress levels and the menstrual cycle of female students at the Malikussaleh University Medical Study Program. This type of research is an observational analytic study using a cross sectional design. In this study, probability sampling technique was used with stratified random sampling for the sampling technique. The study sample size was 168 respondents who met the inclusion and exclusion criteria. The data used in this study is primary data obtained by distributing questionnaires to respondents. The research data were analyzed using the Spearman rank test. The results of the study showed respondents with abnormal menstrual cycles, the majority were owned by respondents with severe and very heavy levels of academic stress. The conclusion of this study is that there is a significant relationship between academic stress levels and the menstrual cycle of female students of the Malikussaleh University Medical Study Program.
Gambaran Tingkat Pengetahuan dan Sikap Ibu Hamil Sebelum dan Sesudah Penyuluhan Asi Eksklusif di Wilayah Kerja Puskesmas Wewantara Aceh Utara Tahun 2022 nabila inong ramadhana, salsa; Mauliza, Mauliza; Yudhi Iqbal, Teuku
Jurnal Ilmiah Manusia Dan Kesehatan Vol. 7 No. 1 (2024): Jurnal Ilmiah MANUSIA DAN KESEHATAN
Publisher : FAKULTAS ILMU KESEHATAN UNIVERSITAS MUHAMMADIYAH PAREPARE

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31850/makes.v7i1.2712

Abstract

Breast milk (ASI) is a specially produced liquid that comes out directly from a mother's breast for baby consumption. Factors related to exclusive breastfeeding are education, work, knowledge, the role of birth attendants and the age of the mother. The percentage of babies who receive exclusive breastfeeding in Aceh Province is 55.4%. North Aceh is still one of the districts that receives low exclusive breastfeeding at 33%. Knowledge and attitudes can be improved through several methods, one of which is the counseling method. The purpose of this study is to determine the picture of the level of knowledge and attitudes of pregnant women before and after exclusive breastfeeding counseling in the Dewantara Health Center area. This research is a quantitative quasi-experimental research with a type of one group pretest-posttest design with 88 respondents, and a simple random sampling technique. The results showed that the majority of respondents' age was 26-35 years old (56.8%), the majority of respondents' education was high school (56.8%), the majority of respondents' pregnancies were multigravida (78.4%), the majority of respondents' knowledge before counseling was sufficient (62.5%) and after counseling in the good category (100%), and the majority of respondents' attitudes before counseling in the sufficient category (48.9%) and after counseling in the good category (100%). The conclusion of this study is that there are differences in knowledge and attitudes of pregnant women before and after exclusive breastfeeding counseling in the Dewantara Health Center area. Counseling has an influence on the knowledge and attitudes of pregnant women in the Dewantara Health Center area. Keyword : breast milk, Knowledge, Attitude, Education.
Gambaran Faktor Risiko Kematian Ibu di Kabupaten Aceh Utara Tahun 2019-2023 Yudhi Iqbal, Teuku; Maulina, Nora; Nabilla, Ghaitsa; Natasha, Cut Alia; Nazaruddin, Nazaruddin
Jurnal Ilmiah Manusia Dan Kesehatan Vol. 8 No. 2 (2025): Jurnal Ilmiah MANUSIA DAN KESEHATAN
Publisher : FAKULTAS ILMU KESEHATAN UNIVERSITAS MUHAMMADIYAH PAREPARE

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31850/makes.v8i2.3595

Abstract

Maternal Mortality Rate (MMR) is one of the indicators to see the health status of women and also a strategic indicator of health development that reflects the health status and quality of the population. North Aceh District is one of the districts in Aceh province that has the highest maternal mortality cases. The purpose of this study was to determine the description of risk factors for maternal mortality in North Aceh District in 2019-2023. This research method is descriptive quantitative with a cross-sectional approach. The sampling method in this study used a total sampling technique totaling 64 cases during 2019-2023. The data collected were secondary data obtained from archived maternal mortality data at the North Aceh District Health Office. The results of this study indicate an overview of the risk factors for maternal mortality in North Aceh Regency. The results of this study obtained a maternal mortality rate (MMR) of 157 per 100,000 live births in 2019, 112 per 100,000 live births in 2020, 154 per 100,000 live births in 2021, and 125 per 100,000 live births in 2023 with the characteristics of the most parity, namely multipara (59,3%), the most age is the age group 20-30 years (76,6%). Based on risk factors, the most common cause of death was bleeding (57,8%), and the most common place to die was in the hospital (95,3%).
Gambaran Kadar Hemoglobin pada Pasien dengan Mioma Uteri di Rumah Sakit Umum Cut Meutia Aceh Utara 2022-2024 Zulfikar, Maulana Habieb; Zubir, Zubir; Iqbal, Teuku Yudhi
Jurnal Ilmiah Manusia Dan Kesehatan Vol. 8 No. 2 (2025): Jurnal Ilmiah MANUSIA DAN KESEHATAN
Publisher : FAKULTAS ILMU KESEHATAN UNIVERSITAS MUHAMMADIYAH PAREPARE

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31850/makes.v8i2.3611

Abstract

Bleeding due to uterine myoma is a frequent occurrence in uterine myoma patients, and is the main indication for hysterectomy. The prevalence of uterine myomas in the world is quite large, namely 20-35% of women in the world suffer from uterine myomas. Every year, in Indonesia there are at least 49,598 women who experience uterine myoma. This study aimed to describe hemoglobin levels in patients with uterine myoma at the Cut Meutia General Hospital, North Aceh during the 2022-2024 period. This study uses a descriptive design with a cross-sectional approach. Data was taken from patient medical records and variables analyzed included patient characteristics and hemoglobin levels. The results showed that the majority of patients with uterine myoma were aged 41-50 years (52.8%), married (92.5%), had blood transfusions (66.0%), had surgical procedures (81.1%), and severe anemia (22.6%). This study concluded that the majority of patients experience severe to life-threatening anemia, which is often caused by heavy menstrual bleeding (HMB), and require blood transfusions and surgery as definitive therapy.