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All Journal Homeostasis: Jurnal Mahasiswa Pendidikan Dokter
Hayati, Azka
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Biochemistry, Genetics & Molecular Biology Immunology & microbiology Medicine & Pharmacology Public Health

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PERBEDAAN GANGGUAN FUNGSI TANGAN DITINJAU BERDASARKAN KARAKTERISTIK PASIEN PASCA STROKE DI POLI REHABILITASI MEDIK RSUD ULIN BANJARMASIN Putri, Aulia Aurora Raflia; Siddik, Muhammad; Sanyoto, Didik Dwi; Hayati, Azka; Fakhrurrazy, Fakhrurrazy
Homeostasis Vol 7, No 2 (2024)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/ht.v7i2.13214

Abstract

Abstract: Impaired hand function in post-stroke patients due to brain lesions can result in weakness/paralysis. The research aims to determine whether there are differences in hand function disorders in post-stroke patients based on the characteristics of post-stroke patients. This research is an analytical observational study with a cross-sectional approach. Primary data collection took the form of observations of the FMA-UA questionnaire. The study population was post-stroke patients. The number of samples was taken in the period November-December 2023 using purposive sampling technique. The results of the study showed that there were differences in hand function disorders based on Brunstrom stage and dominant side of the hand, while there were no differences based on gender, age, onset, lesion location, history of attacks, comorbidities. and history of therapy in post-stroke patients. The conclusion of this study was that 2 of the 9 patient characteristics were associated with impaired hand function at the Medical Rehabilitation Polytechnic of Ulin Regional Hospital, Banjarmasin. Keywords: hand function disorder, post stroke, FMA-UE. Abstrak: Gangguan fungsi tangan pada pasien pasca stroke karena lesi pada otak bisa mengakibatkan kelemahan/kelumpuhan. Penelitian bertujuan mengetahui apakah terdapat perbedaan gangguan fungsi tangan pada pasien pasca stroke yang ditinjau berdasarkan karakteristik pasien pasca stroke. Metode penelitian yang digunakan adalah analisis observasional dan desain potong lintang. Data yang diambil adalah data primer melalui pengamatan kuesioner FMA-UE. Populasi penelitian adalah pasien pasca stroke. Jumlah sampel diambil periode November-Desember 2023 dengan teknik purposive sampling. Hasil penelitian ini didapatkan perbedaan gangguan fungsi tangan ditinjau berdasarkan stadium brunnstrom dan sisi dominan tangan sedangkan berdasarkan jenis kelamin, usia, onset, letak lesi, riwayat serangan, komorbid, dan riwayat terapi pada pasien pasca stroke tidak terdapat perbedaan. Kesimpulan penelitian ini didapatkan 2 dari 9 karakteristik pasien  yang memiliki hubungan dengan gangguan fungsi tangan di Poli Rehabilitasi Medik RSUD Ulin Banjarmasin. Kata-kata kunci: gangguan fungsi tangan, pasca stroke, FMA-UE
GAMBARAN NILAI KEKUATAN HANDGRIP DAN FATIGUE SEVERITY SCALE PADA PASIEN STROKE DI RSUD ULIN BANJARMASIN Simarmata, Imoia Silvia Y.; Hayati, Azka; Asnawati, Asnawati; Arsyiana, Fathia; Pambudi, Pagan
Homeostasis Vol 7, No 2 (2024)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/ht.v7i2.13220

Abstract

Abstract: Stroke is a disease characterized by focal brain functional problems and occurs for ≥ 24 hours. The symptom that sufferers often experience is hemiparesis of the fingers. The way to minimize hand muscle weakness after a stroke with handgrip rehabilitation. Stroke causes many stroke patients to feel tired. Assess the severity of fatigue using the fatigue severity scale (FSS). This study aims to describe the value of handgrip strength and fatigue severity scale in stroke patients at Ulin Hospital, Banjarmasin. The samples taken were post-stroke patients in the medical rehabilitation section of Ulin Banjarmasin Regional Hospital for the period October-November. This research uses descriptive methods and a cross-sectional design. The results obtained on the strength of the handgrip include the least category based on gender, namely women (right: 9.8 kg, left: 10.5 kg) and based on age, namely the right of early adulthood (0 kg) and the left of the elderly (7.7 kg). On the fatigue severity scale the worst category based on gender is women (44.4) and by age is the late elderly age (45). So this shows that the value of handgrip strength and fatigue severity scale in stroke patients are included in the category of less or worse. Keywords: stroke, handgrip, fatigue severity scale Abstrak: Stroke adalah penyakit yang ditandai adanya masalah fungsional otak fokal dan terjadi selama ≥ 24 jam. Gejala yang sering dirasakan penderitanya adalah hemiparesis jari tangan. Cara mengurangi kelemahan otot tangan setelah serangan stroke adalah dengan rehabilitasi handgrip. Stroke menyebabkan banyak penderita stroke yang merasa lelah. Menilai tingkat keparahan kelelahan menggunakan fatigue severity scale (FSS). Penelitian ini bertujuan untuk menggambarkan nilai kekuatan handgrip dan fatigue severity scale pada pasien stroke di RSUD Ulin Banjarmasin. Sampel yang diambil merupakan pasien pasca stroke di bagian rehabilitasi medik RSUD Ulin Banjarmasin periode Oktober-November. Penelitian ini menggunakan metode deskriptif dan desain cross-sectional. Hasil penelitian yang diperoleh pada kekuatan handgrip termasuk kategori sedikit lebih kurang berdasarkan jenis kelamin yaitu perempuan (sebelah kanan: 9,8 kg, sebelah kiri: 10,5 kg) dan berdasarkan usia yaitu sebelah kanan usia dewasa awal (0 kg) dan sebelah kiri usia manula (7,7 kg). Pada fatigue severity scale kategori sedikit lebih buruk berdasarkan jenis kelamin yaitu perempuan (44,4) dan berdasarkan usia yaitu usia lansia akhir (45). Sehingga hal ini menunjukkan bahwa nilai kekuatan handgrip dan fatigue severity scale pada pasien stroke termasuk dalam kategori kurang ataupun buruk. Kata-kata kunci: stroke, handgrip, fatigue severity scale
HUBUNGAN POSISI DAN LAMA DUDUK SELAMA PERKULIAHAN TERHADAP KELUHAN LOW BACK PAIN MEKANIK Tinjauan pada mahasiswa program studi kedokteran program sarjana FK ULM angkatan 2019-2021 Somantri, Nizam Al Fikri; Hayati, Azka; Asnawati, Asnawati; Noor, Zairin; Fakhrurrazy, Fakhrurrazy
Homeostasis Vol 6, No 3 (2023)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/ht.v6i3.11464

Abstract

Mechanical low back pain is lower back pain in normal anatomical structures that are overused or secondary to mechanical trauma that puts stress on muscles, tendons, and ligaments. This study aims to determine the association between position and long sitting during lectures to complaints mechanical LBP in PSKPS FK ULM students class of 2019-2021. This study used a descriptive analytic research design with a cross sectional approach to 45 students who met the criteria. The results of this study found that the sitting position was not ergonomic (64.4%), the sitting position was ergonomic (35.6%), sitting ≤4 hours/day (44.4%), and sitting >4 hours/day (55.6%). Analysis using the chi square test, the association between sitting position during lectures to complaints mechanical LBP was obtained p value=0.005; and the association between long sitting during lectures to complaints mechanical LBP obtained p value=0.027. The conclusion of this study is that there is a significant association between position and long sitting during lectures to complaints mechanical LBP in PSKPS FK ULM students class of 2019-2021. 
GAMBARAN FUNGSI KESEIMBANGAN PADA PASIEN SKOLIOSIS DENGAN TIMED UP AND GO TEST DI RSUD ULIN BANJARMASIN Iasya, Madina; Hayati, Azka; Asnawati, Asnawati
Homeostasis Vol 7, No 2 (2024)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/ht.v7i2.13234

Abstract

Abstract: Postural balance is one of the factors that determines a person's ability to perform and maintain movement. One disease that can cause balance disorders is scoliosis. Scoliosis is a lateral curvature of the spine greater than 10° as measured using the Cobb angle on postero-anterior (PA) radiography. This research is descriptive research with a cross sectional approach with the aim of getting an overview of balance function in scoliosis patients at Ulin Regional Hospital, Banjarmasin. In this research, sample selection used purposive sampling technique. The results of this study were assessed using a time up and go test which was obtained by 5 people aged 18-25 years, all of whom were female (100%) had normal TUG values (6.10 – 12.55), with 3 people (60%) of whom had high risk. Keywords: scoliosis, balance, TUG.Abstrak: Keseimbangan postural merupakan salah satu faktor yang menentukan kemampuan seseorang untuk melakukan dan mempertahankan gerakannya. Salah satu penyakit yang dapat menyebabkan gangguang keseimbangan yaitu skoliosis. Skoliosis merupakankelengkungan lateral tulang belakang yang lebih besar dari 10° yang diukur dengan menggunakan sudut Cobb pada radiogradi postero-anterior (PA). Penelitian ini bersifat penelitian deskriptif dengan pendekatan cross sectional dengan tujuan untuk mendapatkan gambaran fungsi keseimbangan pada pasien skoliosis di RSUD Ulin Banjarmasin. Pada penelitian ini pemilihan sampel menggunakan teknik purposive sampling. Hasil dari penelitian ini dinilai dengan time up dan go test yang didapatkan 5 orang dengan usia 18-25 tahun, seluruhnya berjenis kelamin perempuan (100%) memiliki nilai TUG yang normal (6.10 – 12.55), dengan 3 orang (60%) di antaranya memiliki risiko tinggi. Kata-kata kunci: skoliosis, keseimbangan, TUG
PERBANDINGAN EFEKTIVITAS WILLIAM’S FLEXION EXERCISE DAN MCKENZIE EXERCISE Terhadap Perubahan Nyeri dan Lingkup Gerak Sendi Lumbosakral pada Low Back Pain Mekanik Pasien Tinjauan di RSUD Ulin Banjarmasin Periode 2022 Pambudi, Zanuba Tarieq Ridho; Hayati, Azka; Noor, Zairin; Siddik, Muhammad; Fakhrurrazy, Fakhrurrazy
Homeostasis Vol 6, No 3 (2023)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/ht.v6i3.11474

Abstract

Low back pain is a pain that is felt in the lower back area, with various variations of the duration of the pain. This pain is localized below the angle of the last rib to the lumbar region, which can cause movement limitations in the lumbosacral joints. The causes of low back pain can be caused by musculoskeletal diseases, psychological disorders, and incorrect mobilization. This study aims to determine the differences in the effectiveness of the william’s flexion exercise and the mckenzie exercise on changes in pain and the range of motion of the lumbosacral joints in mechanical low back pain in review patients at Ulin General Hospital, Banjarmasin. This study used a quasi-experimental research design with a two group pretest-posttest design with an approach through direct observation and interviews with respondents at Ulin Hospital, Banjarmasin, on 23 samples that met the inclusion criteria. The results of this study indicated that there was a decrease in the pain scale (VAS) in group I (william flexion exercise) with a value of p = 0.03 and group II (mckenzie exercise) with p = 0.02, which means there is a significant difference. Whereas in ROM groups I and II the value of p = 0.317 which means there is no significant difference. For differences in the effectiveness of groups I and II, p = 0.795 on VAS and p = 0.606 on ROM, which means there is no significant difference between them.
NILAI RERATA SINGLE BREATH COUNT TEST DAN PEAK EXPIRATORY FLOW RATE PADA PASIEN SKOLIOSIS DI RSUD ULIN BANJARMASIN Hasna, Usratul; Hayati, Azka; Asnawati, Asnawati; Siddik, Muhammad; Marisa, Dona
Homeostasis Vol 7, No 3 (2024)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/ht.v7i3.14610

Abstract

Abstract: Scoliosis is a three-dimensional vertebral disorder in the form of an abnormal curvature laterally affecting one or more segments of the thoracolumbar vertebral column by forming the letter "S" or "C. Scoliosis can affect several factors, namely thoracic volume, diaphragm function, and airway resistance. This study aims to determine the mean value of single breath count test and peak expiratory flow rate in patients with scoliosis at Ulin Banjarmasin Hospital. This study is a descriptive study with a cross sectional design, the samples taken were patients diagnosed with scoliosis at Ulin Banjarmasin Hospital in the November-December 2023 period. The results of this study obtained the average mean results of SBCT in scoliosis patients of 37.6 and PEFR in scoliosis patients of 263.3 L/min. It can be concluded that the SBCT value in scoliosis patients at Ulin Banjarmasin Hospital is included in the normal category but the PEFR value in scoliosis patients is included in the abnormal category. Keywords: scoliosis, single breath count test, peak expiratory flow rate Abstrak: Skoliosis adalah suatu kelainan vertebra tiga dimensi berupa lengkungan abnormal ke arah lateral yang mempengaruhi satu atau lebih segmen kolom vertebra thorakolumbal dengan membentuk huruf “S” atau “C. Skoliosis dapat mempengaruhi beberapa faktor yaitu volume toraks , fungsi diafragma, dan resistensi saluran napas. Penelitian ini bertujuan untuk mengetahui nilai rerata single breath count test dan peak expiratory flow rate pada pasien skoliosis di RSUD Ulin Banjarmasin. Penelitian ini merupakan penelitian deskriptif  dengan desain cross sectional, Sampel yang diambil merupakan pasien yang didiagnosis skoliosis di RSUD Ulin Banjarmasin periode November-Desember 2023. Hasil dari penelitian ini diperoleh rerata hasil rerata dari SBCT pada pasien skoliosis sebesar 37,6 dan PEFR pada pasien skoliosis sebesar 263,3 L/menit Dapat disimpulkan bahwa nilai SBCT pada pasien skoliosis di RSUD Ulin Banjarmasin termasuk dalam kategori normal tetapi nilai PEFR pada pasien skoliosis termasuk dalam kategori tidak normal Kata-kata kunci: skoliosis, single breath count test, peak expiratory flow rate
PERBEDAAN GANGGUAN KESEIMBANGAN DITINJAU BERDASARKAN KARAKTERISTIK PASIEN PASCA STROKE DI POLI REHABILITASI MEDIK RSUD ULIN BANJARMASIN Sandaga, Putri Noor; Siddik, Muhammad; Sanyoto, Didik Dwi; Hayati, Azka; Fakhrurrazy, Fakhrurrazy
Homeostasis Vol 7, No 3 (2024)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/ht.v7i3.14568

Abstract

Abstract: Stroke causes weakness and results in balance disorders and can affect functional activities. The research aims to determine whether there are differences in balance disorders in post-stroke patients based on patient characteristics. The research was conducted using observational analysis methods and a cross-sectional design. The primary data used is the results of observations of the Berg Balance Scale questionnaire assessment. The research population was post-stroke patients at the Medical Rehabilitation Polytechnic. Number of samples in the period November-December 2023 using purposive sampling technique. The results of the study did not show a relationship between balance disorders in terms of gender, age, stroke onset, lesion location, Brunstrom stage, history of attacks, comorbidities and history of therapy in post-stroke patients. From the results of the study, no relationship was found between mobility impairments based on the characteristics of post-stroke patients at the medical rehabilitation clinic at Ulin District Hospital, Banjarmasin. Keywords: Balance disorders, post-stroke, Berg Balance Scale. Abstrak: Stroke menyebabkan kelemahan dan mengakibatkan gangguan keseimbangan serta dapat mempengaruhi aktivitas fungsional. Penelitian bertujuan mengetahui apakah terdapat perbedaan gangguan keseimbangan pada pasien pasca stroke yang ditinjau berdasarkan karakteristik pasien. Penelitian dilakukan dengan metode analisis observasional dan desain potong lintang. Data primer yang digunakan adalah hasil pengamatan penilaian kuesioner Berg Balance Scale. Populasi penelitian adalah pasien pasca stroke di Poli Rehabilitasi Medik. Jumlah sampel pada periode November-Desember 2023 dengan teknik purposive sampling.  Hasil penelitian tidak di dapatkan hubungan antara gangguan keseimbangan ditinjau dengan jenis kelamin,usia,onset stroke,letak lesi,stadium brunnstrom,riwayat serangan,komorbid dan riwayat terapi pada pasien pasca stroke. Dari hasil penelitian tidak didapatkan hubungan antara gangguan mobilitas ditinjau berdasarkan karakteristik pasien pasca stroke di poli rehabilitasi medik RSUD ulin Banjarmasin. Kata-kata kunci: Gangguan keseimbangan, pasca stroke, Berg Balance Scale.
PERBEDAAN GANGGUAN MOBILITAS DITINJAU BERDASARKAN KARAKTERISTIK PASIEN PASCA STROKE DI POLI REHABILITASI MEDIK RSUD ULIN BANJARMASIN Luthfiyyah, Rifaa; Siddik, Muhammad; Sanyoto, Didik Dwi; Hayati, Azka; Fakhrurrazy, Fakhrurrazy
Homeostasis Vol 7, No 3 (2024)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/ht.v7i3.14569

Abstract

Abstract: Stroke results in limited mobility. Mobility impairment due to stroke affects functional activities. The research aims to determine whether there are differences in mobility impairment in post-stroke patients based on patient characteristics. The method used is observational analysis with a cross-sectional design. The data used is primary data from examination observations using the Functional Ambulation Category questionnaire. This research targets the population of post-stroke patients at the Medical Rehabilitation Clinic. Number of samples in the period November-December 2023 using purposive sampling technique. The results of the study did not show a relationship between mobility impairment in terms of gender, age, stroke onset, lesion location, Brunstrom stage, history of attacks, comorbidities and history of therapy in post-stroke patients. From the results of the study, no relationship was found between mobility impairments based on the characteristics of post-stroke patients in the medical rehabilitation clinic at Ulin District Hospital, Banjarmasin. Keywords: Mobility disorders, post-stroke patients, Functional Ambulation Category Abstrak: Stroke mengakibatkan keterbatasan mobilitas. Gangguan mobilitas akibat stroke mempengaruhi aktivitas fungsional. Penelitian bertujuan mengetahui apakah terdapat perbedaan gangguan mobilitas pada pasien pasca stroke yang ditinjau berdasarkan karakteristik pasien. Metode yang digunakan adalah analisis observasional dengan desain potong lintang. Data yang digunakan adalah data primer pengamatan pemeriksaan menggunakan kuesioner Functional Ambulation Category. Penelitian ini menargetkan populasi pasien post stroke Poli Rehabilitasi Medik. Jumlah sampel pada periode November-Desember 2023 dengan teknik purposive sampling.  Hasil penelitian tidak di dapatkan hubungan antara gangguan mobilitas ditinjau dengan jenis kelamin,usia,onset stroke,letak lesi,stadium brunnstrom,riwayat serangan,komorbid dan riwayat terapi pada pasien pasca stroke. Dari hasil penelitian tidak didapatkan hubungan antara gangguan mobilitas ditinjau berdasarkan karakteristik pasien pasca stroke di poli rehabilitasi medik RSUD Ulin Banjarmasin. Kata-kata kunci: Gangguan mobilitas, pasien pasca stroke, Functional Ambulation Category.
PENGARUH LATIHAN AEROBIK INTENSITAS SEDANG TERHADAP KEBUGARAN JANTUNG PARU PADA PASIEN SKOLIOSIS DI RSUD ULIN BANJARMASIN Ramadan, Yoga Aditya Noor; Hayati, Azka; Asnawati, Asnawati; Siddik, Muhammad; Marisa, Dona
Homeostasis Vol 7, No 3 (2024)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/ht.v7i3.14612

Abstract

Abstract: Patients with scoliosis experience changes in the shape of the spine and ribs that can affect cardiorespiratory fitness (VO2 max). Cardiorespiratory fitness is related to a person's ability to perform moderate to heavy intensity exercise continuously for a long time. One of the exercises to increase VO2 max is aerobic exercise. The purpose of this study was to determine the effect of moderate intensity aerobic exercise on cardiorespiratory fitness in scoliosis patients. This research is quasi-experimental with a one group pretest and posttest research design with no control group. The research subjects were scoliosis patients who met the inclusion criteria totaling 4 people who were taken at the medical rehabilitation section of Ulin Banjarmasin Hospital in the October-November 2023 period. Subjects were treated with moderate intensity aerobic exercise by walking 20 minutes/exercise, 3 times a week, for 4 weeks; then cardiorespiratory fitness test was applied using the 6-minute walk test method. The mean VO2 max value before aerobic exercise was 16.84±1.887 and after exercise was 23.60±5.168. The results of data analysis using paired t test from the mean VO2 max before and after training obtained p=0.047. It can be concluded that there is a significant effect of moderate intensity aerobic exercise on cardiorespiratory fitness in scoliosis patients at Ulin Hospital Banjarmasin. Keywords: scoliosis, cardiopulmonary fitness, VO2 max, aerobic exercise. Abstrak: Penderita skoliosis mengalami perubahan bentuk tulang belakang dan tulang rusuk yang dapat mempengaruhi fungsi kebugaran jantung paru (VO2 maks). Kebugaran jantung paru berhubungan dengan kemampuan seseorang untuk melakukan latihan dengan intensitas sedang hingga berat secara terus-menerus dalam waktu yang lama. Salah satu latihan untuk meningkatkan VO2 maks adalah latihan aerobik. Tujuan dari penelitian ini adalah untuk mengatahui pengaruh dari latihan aerobik intensitas sedang terhadap kebugaran jantung paru pada pasien skoliosis. Penelitian ini bersifat quasi eksperimental dengan desain penelitian one group pretest and posttest with no control group. Subjek penelitian merupakan penderita skoliosis yang memenuhi kriteria inklusi yang berjumlah 4 orang yang diambil di bagian rehabilitasi medik RSUD Ulin Banjarmasin periode Oktober-November 2023. Subjek diberi perlakuan latihan aerobik intrensitas sedang dengan berjalan kaki 20 menit/latihan, 3 kali seminggu, selama 4 minggu; kemudian dilakukan uji kebugaran jantung paru menggunakan metode uji jalan 6 menit. Didapatkan rerata nilai VO2 maks sebelum latihan aerobik 16,84±1,887 dan setelah latihan 23,60±5,168. Hasil analisis data menggunakan uji t berpasangan dari rerata VO2 maks sebelum dan setelah latihan didapatkan nilai p=0,047. Dapat disimpulkan bahwa terdapat pengaruh yang signifikan latihan aerobik intensitas sedang terhadap kebugaran jantung paru pada pasien skoliosis di RSUD Ulin Banjarmasin. Kata-kata kunci: skoliosis, kebugaran jantung paru, VO2 maks, latihan aerobik.
Co-Authors Arsyiana, Fathia Asnawati Asnawati Dona Marisa, Dona Fakhrurrazy Fakhrurrazy Hasna, Usratul Iasya, Madina Luthfiyyah, Rifaa Pagan Pambudi Pambudi, Zanuba Tarieq Ridho Putri, Aulia Aurora Raflia Ramadan, Yoga Aditya Noor Sandaga, Putri Noor Sanyoto, Didik Dwi Siddik, Muhammad Simarmata, Imoia Silvia Y. Somantri, Nizam Al Fikri Zairin Noor