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KARAKTERISTIK PENDERITA STROKE ISKEMIK ≤ 60 TAHUN YANG RAWAT INAP DI RUMAH SAKIT UMUM DELI MEDAN TAHUN 2014-2016 Nurholijah Nasution; Sorimuda Sarumpaet; Sri Novita Lubis
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 2 (2017): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

ABSTRACT Stroke is non communicable disease leading to emergency and body disability. According to Riskesdas 2013, North Sumatera is in the top 20 regions of high prevalence that is 10.3 per 1000 population. Prevalence of ischemic stroke is around 80-85% of all stroke cases. This research is descriptive with case series design using secondary data. Population and sample are 128 patients. Univariate data was analyzed descriptively while bivariate was analyzed by using chi-square, mann whitney and kruskall wallis tests. The result shows the highest proportion are in 56-60 years old group (48.4%), men (73.4%), Buddhism (73.4%), Tionghoa (76.6%), married (91.4%), educational status not recorded (48.4%), entrepreuner (48.4%), Medan (61.7%), limb disruption (40.6%), hypertension (53.1%), hemiparesis sinistra (48.4%), average length of stay 5 days, general cost source (79.7%), home treatment (82.0%), and Case Fatality Rate (10.2%). There is no significant difference between age group based on sex (p = 0.540) age group based on risk factor (p = 0.371), sex based on risk factor (p = 0.419), average length of stay based on age group (p = 0.145), average length of stay based on risk factor (p = 0.276), average length of stay based on paralysis location (p = 0.766), and average length of stay based on cost source (p = 0.399). Recommended to pay attention on healthy lifestyle from early age to prevent risk factors of stroke. For patients with history of hypertension to perform regular blood pressure checks and healthy lifestyle to prevent subsequent stroke. Keywords: Patient Characteristics, Ischemic Stroke, Deli Medan Hospital
KARAKTERISTIKPENDERITA KANKER PAYUDARA YANG DIRAWAT INAP DI RUMAH SAKIT UMUM Dr. PIRNGADI MEDAN TAHUN 2016 Lastiar Christina Marpaung; Rahayu Lubis; Sri Novita Lubis
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 2 (2017): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

ABSTRACT Breast cancer is one of the women’s health problem in Indonesia. Based on esimation Globocan International Agency of research on Cancer in 2012 explain insidens rate breast cancer of 40 per 100.000 women. Based on medical record data from Dr. Pirngadi Hospital medan in 2011-2013 there was 775case of breast cancer which hospitalized. The purpose of this study is to know characteristic of breast cancer in Dr. Pirngadi Hospital Medan in 2016. The research is a descriptive research  with case series design. The population totaled to 775 peoples and the sample totaled to 106 people. Data obstained medical records, data analyzed by Chi-Square and Mann-Whitney. The result show the highest proportion of breast cancer patients at the age of 47-52 years (27,3%), women (100%), senior high school (76%), Islam (66,7%), Javanese (51,3%), housewife (62,0%), married (80,0%), residence outside Medan (75,3%), the main complainment of lumps in breast area (39,3%), stage IIIB (32,7%), BPJS (99,3%), chemoterahphy (76,7%), average length of stay 5 days, home ambulatory (58,0%). The result of statistical test show there was a difference average length of stay of breast cancer patients based on treatment. There was no difference betwen proportion of age by clinical stage, the medical management by the clinical stage, the average treatment duration by clinical stage, medical management by the circumtance when returning home, medical management by the source of cost, clinical stage by the circumtance when returning home. Women aged 25 years are advised to perform breast self-examination and checking her self to the hospital or a doctor if find a lump in breast area. Dr. Pirngadi general hospital Medan is suggested to complete the breast cancer patient status card include family history of disease sufferers. Keyword : Breast Cancer, Characteristics, DR Pirngadi Hospital
KARAKTERISTIK PENDERITA DIABETES MELLITUS TIPE 2 DENGAN KOMPLIKASI YANG DIRAWAT INAP DI RUMAH SAKIT UMUM PUSAT HAJI ADAM MALIK MEDAN TAHUN 2016 Swanry Yanti Nainggolan; Hiswani .; Sri Novita Lubis
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 2 (2017): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

Diabetes Mellitus (DM) is a group of metabolic disease. According to International Diabetes Federation (2015), global prevalence of DM in adults aged 20-79 years reached 8,8%. Based on data from Riskesdas 2013, the prevalence of diabetes was 2,1% in Indonesia. The purpose of this study is to know the characteristics of patients of type 2 DM with complications who were hospitalized in RSUP Haji Adam Malik Medan in 2016. This research is descriptive with case series design. The population is the people of type 2 DM with complications who are hospitalized. Sample of 150 people, taken with simple random sampling. The data was collected by using secondary data and analyzed with Chi-Square and Kruskal Wallis. The result showed the proportion of patiens with complications of type 2 DM was highest in the age group >40 years (94,0%), female (51,3%), Bataknese (64,0%), Moslem (48,6%), Senior High School (52,0%), housewife (34,6%), married (77,3%), live outside Medan (62,0%), diabetic feet (38,0%), chronic complication (78,0%), insulin (54,7%), BPJS (91,3%), average length of stay 10 days, becoming outpatient (68,7%). The statictical test resulted, there was no difference in the proportion of age by sex (p=0,741), age based on category of complication (p=0,319), sex based on category of complication (p=0,173), category of complication based on medicine (p=0,908), avarage length of stay based on category of complication (p=0,051), there was difference category of complication based on condition by going home (p=0,003). It suggest to the hospital and medicine personnel can be an educator to prevent diabetes mellitus complication to increase patient of diabetes mellitus chronic. Patients of type 2 diabetes mellitus with complications diciplint to do the recommended diet and for age group ≤40 years to always keep a balanced life style and diet. Keywords: Chracteristics, Type 2 Diabetes Mellitus with Complications
GAMBARAN DISTRIBUSI DIABETES MELLITUS DENGAN KOMPLIKASI GAGAL GINJAL PADA LANSIA DI RUMAH SAKIT ST ELISABETH TAHUN 2012-2016 Serlin Halim; Hiswani .; Sri Novita Lubis
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 1 (2018): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

ABSTRACT Diabetes Mellitus (DM) is one of non communicable disease have prevalence and death increase in the world. One of DM complication is diabetic kidney disease or nefropathy diabetic. Proportion of  Nefropathy diabetic is 44% as kidney disease in the world (CDC,2014). The proportion nefropathy diabetic was 22% in Indonesia (PERNEFRI,2015). In St Elisabeth hospital Medan, proportion of nefropathy diabetic was 8,5% . This research is use case series design. The population and sample were all the patiens of DM with complication diabetic kidney disease in the elderly age, 111 cased. The data was collected by using secondary data and analyzed with chi-square and fisher. The result showed the proportion of patiens with complication diabetic kidney disease was highest in the age group 60-74 age (91%), female (52,3%), bataks (84,7%), Christian (60,4%), household (32,4%), live out of Medan (57,7%), married (91,9%), don’t have family history  (64%), Type II DM (89,2%), KGD ≥200 mg/dL (57,7%), without checkup HbA1c (64,9%), HbA1c ≥6,5% (82,1%), OHO (95,5%), Check-up albumin level (89,2%), Albumin ≥30mg/24jam (96,0%), Non-hemodialisys (58,6%), becoming outpatient (73,9%), dan own cost (70,3%). The statictical test result, there was no difference of age based on treatment therapy (p=0,149), no difference of type DM based on medicine (p=0,089), no difference of type DM based on treatment therapy (p= 0,546), and no difference of KGD based on medicine (p=0,394). In suggested for St Elisabeth hospital for should do the check up of HbA1c routine so that get the accurate check up and for patient will do the hemodialis accord to medical team. For patient nefropathy diabetic should do hemodialysis as recommended medic team.
KARAKTERISTIK PENDERITA DIABETES MELLITUS TIPE 2 DENGAN KOMPLIKASI ULKUS KAKI DIABETIK YANG DIRAWAT INAP DI RUMAH SAKIT VITA INSANI PEMATANGSIANTAR TAHUN 2013-2016 Isnawati Devega Sihaloho; Hiswani .; Sri Novita Lubis
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 1 (2018): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

ABSTRACT According to data from Health Research Association (2013), the prevalence of DM in Indonesia 2,1%. The prevalence of DM in 2013 in North Sumatera 2,3%. The prevalence of DM in 2013 in Pematangsiantar 2,2%. Approximately 15% of individuals with DM will experience of foot ulcer with risk of amputation by 14-24%. The purpose of this research is to find out the characteristics of patients type 2 DM with complications diabetic foot ulcer who were hospitalized at Vita Insani Pematangsiantar Hospital Year 2013-2016. This study is descriptive with case series design. The population and sample were 120 patients. Statistic analysis using Chi-Square and Kruskal Wallis. The highest proportion of patients with type 2 DM with complications of diabetic foot ulcer in ≥50 years old group (84,2%), female (52,5%), Batak Toba (41,7%), Christian Protestant (61,7%), Senior High School (52,5%), housewives (31,7%), Pematangsiantar (56,7%), degree 4 (38,3%), while blood glucose levels ≥200 mg/dL (68,3%), did not conduct bacteriological examination (78,3%), surgical treatment therapy (55,8%), not own cost (69,2%), average length of stay 5 days, becoming outpatient (91,7%). The statictical test   resulted, there is no significant difference between the proportion of distribution of age based on degree of diabetic foot ulcers (p=0,554), sex based on degree of diabetic foot ulcers (p=0,720), blood glucose levels based on degree of diabetic foot ulcers (p=0,477), duration of treatment on average based on degree of diabetic foot ulcers (p=0,051). There is a        difference between the proportion of distribution of therapeutic treatment based on degree of diabetic foot ulcers (p=0,036). It’s suggested for Vita Insani Pematangsiantar Hospital to improve information for foot care and proper handling when the sores. It’s suggested for patients of type 2 DM      perform the recommended diet, regular exercise, consume medicine of DM, checking blood glucose regularly. The patients of type 2 DM with complication diabetic foot ulcer should to implement the above suggestions, do foot care, health care visit immediately if found injury in foot. Keywords :      Diabetic Foot Ulcer, Characteristic, Vita Insani Pematangsiantar Hospital
KARAKTERISTIK PENDERITA RETINOPATI DIABETIK YANG DIRAWAT INAP DI RSUD DR. PIRNGADI KOTA MEDAN TAHUN 2013-2016 Ade Ayu Lanniari Harahap; Hiswani .; Sri Novita Lubis
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 1 (2018): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

Diabetic retinopathy (DR) is chronic complication of Diabetes Mellitus (DM) which the main causes of decreased vision and blindness in diabetes patients. World Health Organization (2016) reported that prevalence of retinopathy in person with DM in 2012 is 35% while proliferative retinopathy is 7%. In Indonesia, the prevalence of diabetic retinopathy and blindness in Indonesian adult with type 2 diabetes in 2017 is 42%. The proportion of diabetic retinopathy patients in RSUP H Adam Malik Medan in 2012-2015 is 36,7%. The purpose of this study was to determine the characteristics of diabetic retinopathy are hospitalized in RSUD dr. Pirngadi Medan city in 2013-2016, Thus research is descriptive with case series design. The population of this research is 105 data of diabetic retinopathy patients are hospitalized in RSUP H Adam Malik Medan in 2013-2016, the sample is the same as the population. The kind of data was secondary and analize by Chi-Square test and Fisher’s Exact test. The result showed the higest proportion of diabetic retinopathy patients at ages 46-65 years (67,6%), women (54,3%), Moslem (74,2%), secondary education ((68,6%), housewife ((48,6%), origin from Medan city (69,5%), type 2 diabetes (94,3%), HbA1c level ≥6,5% (78,1%), RDNP degree (71,4%), other complication ulcus diabetic (20%), askes/BPJS (58,1%), average length of stay 8,68 hari. There was a difference between HbA1c level by the degree of diabetic retinopathy (p=0,004). To the Government and the hospital to do the efforts of prevention, promotion and screening for diabetic patients. The diabetic patients should do routine blood glucose levels control and to diabetic retinopathy patients check the eyes at least once a year. Need to do further research about diabetic retinopathy to be a reference for review the characteristics of diabetic retinopathy in Indonesia and early detection to reduces diabetic retinopathy.
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN INFEKSI SALURAN PERNAPASAN AKUT (ISPA) PADA BAYI DI WILAYAH KERJA PUSKESMAS KAMPUNG BARU KECAMATAN MEDAN MAIMUN TAHUN 2017 Leli Fatimah Nasution; Hiswani .; Sri Novita Lubis
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 1 (2018): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

ABSTRACT Acute Respiratory Infection (ARI) is the major cause of morbidity and mortality of infectious diseases in the world, it is one of the main cause of consultation or inpatient in the health service, especially in the child care section. PMR of ARI in toddlers in the world were 26,7%. The prevalence of ARI in Indonesia at 2013 was 25,0%. The aim of this research is to determine factors related with ARI in infants in the Puskesmas Kampung Baru Medan Maimun districk at 2017. This research was an analytic using cross sectional design. The population of this research were all infant that is in the working area Health Center of Kampung Baru and the sampling tehnique is purpossive sampling for 103 person. Data were analyzed by chi square test with 95% CI. The result of research indicates that prevalence rate of ARI is 59,2%, the highest frequency distribution on the 11 month old 16,5%, female 51,5%, good nutrition status 79,6%, exclusive breastfeeding status 53,4%, not yet received DPT/Hib and measles, for immunization status 63,1%. For the characteristics of the mother, the highest proportion were senior high school 68,0% and housewife job 78,6%. For the characteristics of the environment, the highest proportion were occupation density 55,3%, used burnt mosquito coils 93,2%, used lpj 82,5%, and existence of smoker 81,6%. The result of statistic analysis indicates there is a significant relationship of age (p=0,022), nutrition status (p=0,034), exclusive breastfeeding status (p=0,025), occupation density (p=0,034), and existence of smoker (p=0,028) with incident of ARI. It is suggested to the mothers for giving exclusive breastfeeding, that was a human right of the infants, for giving of good nutrition for the growth and development of infants, and then for the family members to not smoke when at the home. Keywords : ARI, Infants, Puskesmas Kampung Baru  
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN PREHIPERTENSI PADA USIA DEWASA DI WILAYAH KERJA PUSKESMAS PELABUHAN SAMBAS KOTA SIBOLGA TAHUN 2017 Lisandy Yunita Nababan; Rasmaliah .; Sri Novita Lubis
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 1 (2018): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

Prehypertension is blood pressure at intervals of 120-139 mmHg for systolic pressure or 80-89 mmHg for diastolic pressure. Prehypertension is considered as a starting point in the sustainability of hypertension or other cardiovascular diseases. Prehypertension and hypertension are diseases unit caused by various risk factors. The purpose of this research is to determine the factors associated with the incidence of prehypertension in adulthood in the working area of Sibolga Pelabuhan Sambas Health Center in 2017. This research was analytic study using cross-sectional design. The number of sample was 109 person without hypertension in age of 18-40 years old, that took by purposive sampling. The research instrument was questionnaire, tensionmeter, weight and height measurer, and direct observation. The univarian data was analyzed by descriptive test, bivarian data was analyzed by Chi-square test with 95% CI, and multivarian data was analyzed by Binary Logistic Regression test. The result of this research shows that the proportion of prehypertension prevalence in adulthood in the working area of Sibolga Pelabuhan Sambas Health Center in 2017 was 49,5%. There was significant correlation between age (p=0,011), family history (p = 0.0001), obesity (p = 0.0001), and salt intake (p = 0.010) with prehypertension, and family history (Exp.B = 8,669) as the most dominant risk factor of prehypertension in adulthood in the working area of Sibolga Pelabuhan Sambas Health Center in 2017. To the public is expected to maintain the diet, to increase a healthy lifestyle, and to avoid risk factors that can lead to prehypertension or hypertension. To the Health Center is expected to increase counseling about the importance of maintaining a healthy lifestyle and avoid risk factors that can lead to prehypertension or hypertension. Key words: prehypertension, risk factor, family history, obesity, age, salt intake
KARAKTERISTIK PENDERITA LEUKEMIA YANG DIRAWAT INAP DI RSUP H. ADAM MALIK TAHUN 2014-2016 Meilita V Sinaga; Fazidah A Siregar; Sri Novita Lubis
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 1 (2018): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

ABSTRACT Leukemia is a disease problem especially for children. In Indonesia (2006) the proportion of leukemia was ranked 5th (5.93%) of all cancer patients admitted to the hospital. The purpose of this study was to determine the characteristics of Leukemia patients treated in RSUP. H. Adam Malik Medan in 2014-2016. This is descriptive study with case series design. Population is all data of leukemia patient that is 176 patient data. The sample of this study is the total population. Data was analyzed by Chi-Square and Mann Whitney Test. The result shows that largest proportion of respondens with leukemia was by age 5-14 years old (25.6%), males (56.8%), Islamic (72.2%), High School / Equal (39.2%), students (31, 8%),  outside Medan (83%), pale complaints (70.5%), specific symptoms of anemia (88.1%), LLA type of leukemia (38.1%), medical management with supportive therapy (43,8%), average length of stay 9.77 days, go home treatment (73.39%). There are differences age of leukemia patients by leukemia type and medical management of leukemia patients by leukemia type. There was no difference sex of leukemia patients by leukemia type, average length of stay by leukemia type, and leukemia type by circumstances when returning home.               It was suggested that patients who seek treatment with complaints leukemia immediately and should checked to the doctor so that if proven leukemia can be done early treatment then take medication regularly.  Keywords: Leukemia, Characteristics of Patients
KARAKTERISTIK PENDERITA KANKER PAYUDARA RAWAT INAP DI RUMAH SAKIT SANTA ELISABETH MEDAN TAHUN 2014-2016 Susi Nurianti Sitinjak; Fazidah A Lubis; Sri Novita Lubis
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 1 (2018): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

ABSTRACT Breast cancer is the second ranked cancer in the world. Based on The National Cancer Institute (2017), the proportion of breast cancer by 15% of all new cases of cancer and breast cancer mortality proportion amounted to 6,8% of all cancer deaths. Data were 160 patients of breast cancer who hospitalized at Santa Elisabeth Hospital Medan in 2014-2016. The purpose of this study was to determine the characteristics patients of breast cancer who hospitalized at Santa Elisabeth Hospital Medan in 2014-2016. This is descriptive study with case series design. Population is all data of patients breast cancer which are 160 and sample as well as the total population. Data was analyzed by Chi- square, Mann-Whitney, Kolmogorov-Smirnov and Kruskal-Wallis. The result show the highest propotion of breast cancer patient at the age of 41-65 years (76,3%), woman (100%), Bataknese (78,1%), Protestant (60,6%), housewife (38,8%), married (93,1%), residence outside Medan (60,6%), the main complaiment lump of breast (49,4%), stage IV (25%), operation (68,1%), length of treatment on avarage 6 days, home ambulatory (92,5%). There is no significant difference based age and clinical stage (p>0,05). There is a significant difference based average length of treatment and clinical stage (p<0,05). It was recommended that Santa Elisabeth Hospital should complicated the data of patients. Patients and community should do breast self-examination (SADARI) to detected the breast cancer. Key words : Breast Cancer, Patient Characteristics, Santa Elisabeth Hospital