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Pengaruh Resusitasi Cairan terhadap Nilai Revised Trauma Score (RTS) pada Pasien Trauma di Instalasi Gawat Darurat RSUD dr. H. Moch. Ansari Saleh Kota Banjarmasin Durratun Nafisah; Hanura Aprilia; Mira Mira; Noor Khalilati
Takuana: Jurnal Pendidikan, Sains, dan Humaniora Vol. 5 No. 2 (2026): Takuana (July-September)
Publisher : MAN 4 Kota Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56113/takuana.v5i2.662

Abstract

Trauma is one of the leading causes of death and disability worldwide, accounting for approximately 50% of all deaths. Generally, trauma patients experience both external bleeding, which is visible, and internal bleeding, which is not visible; both result in the loss or reduction of blood volume. Fluid resuscitation is the primary treatment for trauma to maintain and restore oxygenation following blood loss. This study aims to analyze the effect of fluid resuscitation on the Revised Trauma Score (RTS) in trauma patients at the emergency department of Dr. H. Moch Ansari Saleh Regional General Hospital in Banjarmasin. The study employed a pre-experimental design with a one-group pretest-posttest design involving 14 participants selected via accidental sampling. Using the nonparametric Wilcoxon test, the results showed a change in the RTS score with a p-value (0.001) < α (0.005). This indicates that fluid resuscitation has an effect on increasing the RTS score in trauma patients. Rapid and appropriate fluid resuscitation plays a crucial role in supporting the initial stabilization process and improving the clinical condition of trauma patients.
Hubungan Obesitas dan Diabetes Melitus dengan Derajat Keparahan Stenosis Arteri Koroner pada Pasien Penyakit Jantung Koroner di RSUD Ulin Banjarmasin Fani Tatun Habibah; Hanura Aprilia; Mira Mira; Muthmainah Muthmainah
Takuana: Jurnal Pendidikan, Sains, dan Humaniora Vol. 5 No. 2 (2026): Takuana (July-September)
Publisher : MAN 4 Kota Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56113/takuana.v5i2.715

Abstract

Coronary heart disease (CHD) is caused by narrowing of the coronary arteries due to atherosclerosis. Obesity and diabetes mellitus are factors that may influence the progression of coronary artery stenosis. This study aimed to determine the relationship between obesity and diabetes mellitus and the severity of coronary artery stenosis in patients with CHD at Ulin Hospital Banjarmasin. This study used a correlational design with a cross-sectional approach and total sampling involving 123 patients. Data were obtained from medical records and analyzed using the Spearman correlation test. The results showed no significant relationship between obesity and the severity of coronary artery stenosis (r = 0.155; p = 0.088), while diabetes mellitus was significantly associated with the severity of coronary artery stenosis (r = 0.278; p = 0.002), with a weak positive correlation. In conclusion, diabetes mellitus is associated with the severity of coronary artery stenosis, whereas obesity was not significantly associated with stenosis severity.