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All Journal AVERROUS: Jurnal Kedokteran dan Kesehatan Malikussaleh Narra J Cermin Dunia Kedokteran Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI) Journal of Medical Science; Jurnal Ilmu Medis Rumah Sakit Umum Daerah dr. Zainoel Abidin, Banda Aceh The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy Narra X
Hendra Zufry, Hendra
Unknown Affiliation
Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Health Professions Immunology & microbiology Materials Science & Nanotechnology Medicine & Pharmacology Nursing Physics Public Health

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Journal : Journal of Medical Science

 1 
Model Matematika Sebagai Kecerdasan Buatan dalam Memprediksi Lama Rawatan Pasien Diabetes Melitus dengan Hipoglikemia Zufry, Hendra; Sucipto, Krishna Wardhana; ekadamayanti, agustia sukri
Journal of Medical Science Vol 2 No 2 (2021): Journal of Medical Science
Publisher : LITBANG RSUDZA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (352.345 KB) | DOI: 10.55572/jms.v2i2.48

Abstract

Background: Diabetes Mellitus (DM), a burden disease that has contributed to the health burden globally. The most common acute complication is hypoglycemia. Hypoglycemia in hospitalized diabetic patients is associated with increased length of stay (LOS), mortality, and costs. Patients with co-morbidities are often not in accordance with the clinical pathway, so a mathematical model is needed which estimates length of stay and the required resources can be estimated. Aim: To formulate a mathematical model predicting the LOS of hypoglycemic patients treated with various conditions Methode: This study is a retrospective cohort study using secondary data of DM patients who experienced hypoglycemia from January 1, 2011 to December 2020 which obtained from the medical records of Zainoel Abidin Hospital Banda Aceh, Indonesia. Data collected from May to November 2021. The data were analyzed using multivariate analysis with logistic regression test. using R software to obtain a mathematical modeling of length of stay. The variables that affect the length of stay using logistic regression test with p value <0.05. Result: There were 573 hypoglycemic patients, most of the patients who experienced hypoglycemia were male (51.3 %), the average age was 59.6 years. Most of the patients who experienced hypoglycemia were type 2 DM patients (96.4%), Infection was the main comorbid (46.6 %), Mild hypoglycemia was the highest (47.2%) and the average length of stay was 8.06 days. Based on mathematical modeling, it was found that for every additional unit of age, the length of treatment increased by 6.99 7 days. Then a logistic regression test was carried out to see the influential variables. Conclusion: Based on the mathematical modeling obtained, it is known that for each additional unit of age, the length of stay will increase by about 6.9≈7 days. Furthermore, the formulation of this mathematical model is expected to be able to predict the length of stay for various comorbidities, predict the number of consumable materials and as a basis for making artificial intelligence applications that is beneficial to efficiency.
Knowledge Enhancement: Peran Edukasi Perawat Tentang Terapi Insulin Terhadap Kepatuhan Menggunakan Insulin pada Pasien Diabetes Melitus Rawat Inap Firdausa, Sarah; Zufry, Hendra; Sukri Ekadamayanti, Agustia; Suhanda, Rachmad; Wardhana Sucipto, Krishna
Journal of Medical Science Vol 4 No 2 (2023): Journal of Medical Science
Publisher : LITBANG RSUDZA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55572/jms.v4i2.76

Abstract

Penanganan diabetes di ruang rawat inap lebih kompleks dan intensif dibanding rawat jalan. Kebanyakan pasien rawat inap menggunakan terapi insulin. Perawat ruangan adalah tenaga kesehatan garda depan yang intensif berhadapan dengan pasien sehingga sangat potensial menjadi edukator dalam maintenance terapi insulin. Penelitian ini bertujuan meningkatkan kapasitas pengetahuan dan keterampilan perawat serta mengevaluasi kepatuhan pasien diabetes menggunakan insulin setelah keluar dari rawat inap. Pengetahuan perawat dievaluasi melalui kuesioner sebelum intervensi knowledge enhancement berupa workshop insulin. Pengumpulan sampel penelitian cross sectional ini secara total sampling yaitu seluruh perawat ruang rawat inap non akut di RSUDZA selama Agustus−September 2022. Objek penelitian adalah pasien diabetes yang menggunakan insulin selama perawatan di rumah sakit.  Data karakteristik responden, pengetahuan, asuhan keperawatan dan kepatuhan pasien ditampilkan secara deskriptif, untuk menilai kepatuhan pasien sebelum dan sesudah intervensi digunakan analisis independent t-test. Jumlah responden yang berpartisipasi 354 orang, 50,8% memiliki tingkat pengetahuan baik, namun hanya 29,7% berketerampilan baik dalam hal injeksi insulin. Berdasaran hasil asesmen tersebut, dilakukan workshop insulin untuk menjawab gap pengetahuan dan keterampilan. Kepatuhan pasien diukur sebelum dan sesudah workshop. Pasien dengan kepatuhan tinggi sebanyak 44,4% sebelum intervesi dan 40% sesudah intervensi, sedangkan pasien dengan tingkat kepatuhan rendah berkisar di atas 20% baik sebelum maupun sesudah intervensi. Studi ini menyimpulkan bahwa knowledge enhancement terhadap perawat ruang inap tidak berpengaruh terhadap kepatuhan pasien menggunakan insulin. Hal ini mungkin disebabkan peningkatan kapasitas perawat tentang injeksi insulin tidak menjamin terjadinya peningkatan edukasi perawat terhadap pasien, dan belum membudayanya edukasi terapi insulin yang komprehensif terhadap pasien yang dirawat inap.
Co-Authors -, Jamhur Azzaki Abubakar, Azzaki Benalcazar, Andrés MMB. Beočanin, Anđelija Burhan, Henry W. Carstoiu, Maria I. Edward, Meutia Nailan Ekadamayanti, Agustia S. Ekadamayanti, Agustia Sukri Faisal, Ibraheem M. Fajar, Jonny Karunia Fauzi Yusuf, Fauzi FIRDAUSA, SARAH Gunawan, Andrie Hidayah, Cut Intan Ho, Khek Yu Iqhrammullah, Muhammad Kamarlis, Reno K. Lia Meuthia Zaini, Lia Meuthia Louca, Nicolas Maghfirah, Desi Maulina Debbyousha N. Nazaruddin Pratama, Sergio Rachmad Suhanda Rahman, Faris I. Sari , Julia Sucipto, Krishna W. Sucipto, Krishna Wardhana Sukri Ekadamayanti, Agustia Wardhana Sucipto, Krishna Zulfa, Putri O.