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All Journal Heart Science Journal Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Abdul Halim Raynaldo
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Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Quality of life assessment in patients after permanent pacemaker implantation at Haji Adam Malik Hospital Medan Khairunnisah, Dina; Ali Nafiah Nasution; Refli Hasan; Nizam Zikri Akbar; Anggia Chairuddin Lubis; Abdul Halim Raynaldo
Heart Science Journal Vol. 6 No. 3 (2025): Advancements in Cardiac Imaging : Unlocking New Perspectives on the Heart Visua
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.hsj.2025.006.03.15

Abstract

Background: PPM implantation is used to send electrical impulses to the heart muscle to correct heart rhythm disturbances also known as cardiac arrythmia. Assessing the patient's quality of life after a PPM implantation is crucial for predicting the therapy's effectiveness and success. Objectives: This study aims to assess the quality of life of patients following pacemaker implantation by using the SF-36 questionnaire. Methods: A cross-sectional study conducted from January 2021 to July 2023 on 60 outpatients with a minimum duration of PPM implantation of 6 months in the cardiology department of H. Adam Malik Hospital Medan. Patient’s quality of life was assessed based on the SF-36 questionnaire. Subjects then were grouped based on age, gender, PPM duration and location, as well as other echocardiographic parameters that may affect patient’s quality of life after PPM implantation. Results: There were 60 patients included in this study. Majority of patients were male (56.7%) with an average age of 67.98 ± 10.95 years old and most patients had comorbidities (81.7%). The majority of patients (93.3%) had a single-chamber permanent pacemaker implanted, with 68.3% of these devices’ ventricular leads positioned in the non-apical segment of the heart.  After assessing the quality of life, we found there’s a relationship between age, gender, and PPM lead locations with nearly all SF-36 domains (p<0.05). Additionally, there was a significant association between comorbidities and SF-36 scores, including physical function, physical limitations, and emotional limitations (p<0.05). There was a significant association between ejection fraction and SF-36 scores, including physical function, role limitations due to physical health problems, vitality, social function, bodily pain and general health. However, no relationship was found between IMT and PPM implantation duration with SF-36 scores (p>0.05). Conclusion: We identified a relationship between age, gender, comorbidities, PPM lead location, and ventricular ejection fraction with the quality of life of patients following PPM implantation
Hubungan Kadar Kalsium-Fosfat Terhadap Derajat Pruritus dan Kualitas Hidup Pada Pasien Penyakit Ginjal Kronis Yang Menjalani Hemodialisis Di Rumah Sakit Prof. Dr. Chairuddin P. Lubis Universitas Sumatera Utara Azzuhra Putri Siregar; Dina Arwina Dalimunthe; Abdul Halim Raynaldo; Andre Marolop Pangihutan Siahaan
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 6 No. 1 (2026): Maret : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v6i1.9576

Abstract

Background. Chronic kidney disease (CKD) remains a significant global health issue because it often leads to long-term complications that affect patients’ physiological and functional status. One factor that may influence disease progression and symptom burden is the imbalance of calcium and phosphate levels. Objective. This study aims to evaluate the association between calcium–phosphate levels, the severity of pruritus, and the quality of life in CKD patients receiving hemodialysis at Prof. dr. Chairuddin P. Lubis Hospital, Universitas Sumatera Utara, Medan. Methods. A correlational analytic design was employed using the Slovin formula, resulting in 63 respondents selected through a cross-sectional approach. Data were obtained from laboratory findings, medical records, and standardized questionnaires collected between August and October 2025. Results. Most respondents were in the 46–65-year age group (54%), with women representing 55.6% of the sample. A total of 58.7% were unemployed, 31.7% identified as Batak, and 58.7% had completed senior high school. Nearly half of the patients had undergone hemodialysis for more than 36 months (45%), and 62.5% presented with normal calcium–phosphate levels. Moderate pruritus, assessed using the 5D Itch Scale, was the most common category (56.3%), while the KDQOL-36 indicated that 45.3% of patients had a moderate quality of life. Statistical testing revealed a significant association between calcium–phosphate levels and pruritus severity (p = 0.044), as well as quality of life (p = 0.011). Conclusion. Calcium–phosphate balance is significantly related to both pruritus severity and quality of life in CKD patients undergoing hemodialysis at RS CPL USU.
Co-Authors Ali Nafiah Nasution Andre Marolop Pangihutan Siahaan Azzuhra Putri Siregar Dina Arwina Dalimunthe Hasan, Refli Khairunnisah, Dina Lubis, Anggia Chairuddin Nizam Zikri Akbar