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Hubungan Staging Kanker Paru dengan Skala Nyeri pada Pasien Kanker Paru yang Dirawat di Bagian Paru RSUP DR M Djamil Padang Rian Rizki Ananda; Sabrina Ermayanti; Abdiana Abdiana
Jurnal Kesehatan Andalas Vol 7, No 3 (2018)
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v7i3.898

Abstract

Pasien kanker paru banyak ditemukan sudah berada pada stadium lanjut. Nyeri banyak dikeluhkan oleh pasien kanker paru. Nyeri yang dialami oleh pasien dapat menurunkan kualitas hidup pasien. Tujuan penelitian ini adalah menentukan hubungan stadium kanker paru dan skala nyeri pada pasien kanker paru yang dirawat di Bagian Paru RSUP Dr M Djamil Padang. Penelitian ini merupakan studi observasi analitik dengan desain potong lintang. Sampel penelitian ini adalah data rekam medik pasien kanker paru di Bagian Paru RSUP DR. M Djamil Padang periode tahun 2014 sampai 2015 yang berjumlah 66 pasien. Penelitian dilakukan pada bulan Oktober 2017 sampai Maret 2018 di RSUP Dr M Djamil Padang. Data dianalisis menggunakan uji Chi-square. Hasil studi didapatkan karakteristik pasien kanker paru terbanyak adalah umur >40 tahun (90,9%), jenis kelamin laki-laki (84,8%), status rokok adalah sebagai perokok (74,2%), dan jenis sel Kanker Paru Jenis Karsinoma Bukan Sel KeciL/KPKBSK (45,5%). Pasien paling banyak berada pada stadium lanjut (93,9%) dengan keluhan nyeri paling banyak adalah nyeri sedang (51,5%). Berdasarkan hasil penelitian disimpulkan tidak ada hubungan yang bermakna antara staging kanker paru dengan skala nyeri.
CLINICAL PRESENTATION, DIAGNOSIS AND TREATMENT OF PULMONARY FUNGUS BALL RELATED TUBERCULOSIS Fenty Anggrainy; Irvan Medison; Deddy Herman; Sabrina Ermayanti; Yessy Susanty Sabri
Jurnal Kesehatan Andalas Vol 8, No 2 (2019): Online Juni 2019
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v8i2.1025

Abstract

Fungus Ball paru merupakan komplikasi yang sering terjadi pada Tuberkulosis (TB) paru dengan kavitas, terutama pada bekas TB paru. Agen penyebab selain Aspergilus sp yaitu Candida sp. Terapi definitif untuk penyakit ini adalah terapi bedah. Pada kondisi khusus dapat digunakan tatalaksana lainnya. Penelitian ini mengevaluasi 6 pasien Fungus Ball paru dengan riwayat obat anti tuberkulosis, dengan beberapa metode diagnosis dari tahun 2010 sampai 2013. Tatalaksana dan hasil pengobatan pasien dianalisis pada penelitian ini. Hemoptisis terdapat pada seluruh pasien dan tiga diantaranya dengan hemoptisis masif. Semua pasien memiliki gambaran yang khas untuk Fungus Ball paru dari radiologi toraks. Spesies jamur terkonfirmasi pada 5 pasien: pemeriksaan serologis (1), kultur jamur (2) dan pemeriksaan histopatologi (2). Spesies yang didapatkan adalah Aspergilosis sp = 3, Candida paraspilosis = 1 dan Candida sp = 1. Dua pasien mendapatkan terapi bedah dengan tidak adanya keluhan hemoptisis setelah itu. Empat pasien yang hanya mendapatkan anti jamur, ternyata 75% memberikan respon yang baik secara klinis dan radiologis. Kavitas yang menetap pada TB paru dan bekas TB paru, dapat menimbulkan insiden Fungus Ball paru yang membutuhkan lobektomi sebagai terapi definitif. Pada kondisi tertentu dimana terapi pembedahan tidak dapat dilakukan, anti jamur dapat menjadi terapi alternatif dan memberikan hasil yang baik.
Faktor Risiko Kanker Paru pada Perempuan yang Dirawat di Bagian Paru RSUP Dr. M. Djamil Padang dan RSUD Solok: Penelitian Case Control Yati Ernawati; Sabrina Ermayanti; Deddy Herman; Russilawati Russilawati
Jurnal Kesehatan Andalas Vol 8, No 2S (2019): Suplemen 2
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v8i2S.951

Abstract

Kejadian kangker paru pada perempuan meningkat setiap tahun. Penelitian ini bertujuan mengetahui faktor risiko kejadian  kanker paru pada perempuan yang dirawat di Bagian Paru RSUP Dr. M. Djamil Padang dan RSUD Solok. Penelitian ini menggunakan desain penelitian case control pada 23 orang perempuan dengan kanker paru sebagai kasus dan 46 orang perempuan bukan kanker paru sebagai kontrol yang dilakukan di Bagian Paru RSUP Dr. M. Djamil Padang dan RSUD Solok selama tahun 2018. Sampel diambil secara nonprobabilitas dengan teknik konsekutif. Tidak terdapat perbedaan bermakna karakteristik antara kelompok kasus dan kontrol. Terdapat hubungan bermakna antara paparan asap rokok dari orang tua dengan kejadian kanker paru pada perempuan (OR= 13,46 CI95% 4,04-44,82; p=0,0001). Tidak terdapat perbedaan bermakna merokok (OR=2,05 CI95%  0,12-34,26; p=1,000), paparan asap rokok suami (OR=2,97 CI95% 1,03-8,60; p=0,074), paparan asap rokok di tempat kerja (OR=2,10 CI95% 0,28-15,92; p=0,596), paparan asap biomass (OR=1,22 CI95% 0,42-3,57; p=0,928), riwayat keganasan dalam keluarga (OR=4,29 CI95% 0,37-49,95; p=0,256) dan riwayat TB (OR=0,25 CI95%; p=0,253) dengan kejadian kanker paru pada perempuan. Dapat disimpulkan, paparan asap rokok orang tua adalah faktor risiko utama untuk terjadinya kaker paru pada perempuan.
Hubungan Kejadian Pneumonia terhadap Lama Rawatan Pasien Kanker Paru di RSUP Dr M Djamil Padang Rahmat Akbar; Sabrina Ermayanti; Nora Harminarti
Jurnal Kesehatan Andalas Vol 7, No 4 (2018)
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v7i4.910

Abstract

Pneumonia merupakan kejadian yang sering menyertai pasien sebagai komplikasi kanker paru (50-70% kasus). Penyebab utama pneumonia pada pasien kanker paru adalah mikroorganisme seperti Streptococcus pneumoniae. Tujuan penelitian ini adalah hubungan kejadian pneumonia terhadap lama rawatan pada pasien kanker paru. Jenis penelitian ini merupakan studi analitik dengan pendekatan cross sectional. Populasi penelitian adalah pasien kanker paru yang dirawat di Bangsal Paru RSUP Dr M Djamil Padang periode 1 Januari 2016 sampai 31 Desember 2016 dengan sampel sebanyak 84 orang. Pengumpulan data dilakukan menggunakan data sekunder yaitu rekam medik yang dianalisis menggunakan uji Chi-square. Hasil penelitian memperlihatkan pasien kanker paru didominasi usia diatas 40 tahun baik kelompok dengan pneumonia (90,5%) maupun tanpa pneumonia (97,7%). Sebagian besar pasien kanker paru adalah berjenis kelamin laki-laki baik kelompok dengan pneumonia (76,2%) maupun tanpa pneumonia (80,9%). Pasien kanker paru kebanyakan merupakan perokok pada kelompok dengan pneumonia (57,1%) dan tanpa pneumonia (54,8%). Jenis sel kanker adenokarsinoma merupakan jenis sel kanker paru terbanyak, pada kelompok pasien dengan pneumonia sebanyak (54,8%) dan tanpa pneumonia (52,4%). Stage paling banyak pada kedua kelompok pasien kanker paru adalah stage IV. Lama rawatan raerata pasien kanker paru kelompok dengan pneumonia lebih lama (16,3 hari) dibandingkan kelompok tanpa pneumonia (7,4 hari). Simpulan penelitian ini adalah didapatkan adanya hubungan yang bermakna antara kejadian pneumonia terhadap lama rawatan pada pasien kanker paru.
Hematologic Toxicities of Chemotherapy in Lung Cancer Patients: A Retrospective Study in Dr. M. Djamil Hospital Padang, Indonesia Yori Yuliandra; Hansen Nasif; Sabrina Ermayanti; Lilik Sulistyowati; Dian A. Juwita
Indonesian Journal of Clinical Pharmacy Vol 8, No 2 (2019)
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (145.101 KB) | DOI: 10.15416/ijcp.2019.8.2.129

Abstract

The use of chemotherapeutic agents in the management of cancer is often followed by a range of toxicities to various organ systems. A retrospective study on the hematologic toxicities of chemotherapy in lung cancer patients has been carried out. The study was conducted by a cross-sectional method from medical records of four-year data in 2010–2014 at Dr. M. Djamil Hospital Padang, West Sumatra, Indonesia. Data from medical records of patients diagnosed with lung cancer and underwent chemotherapy, not suffering from primary hematologic diseases, and with normal kidney and liver function prior to chemotherapy were studied. A number of 22 medical records of lung cancer patients which met the criteria with a total of 40 chemotherapy cycles were observed. The study revealed that a combination of carboplatin-paclitaxel was the most common chemotherapy used for the patients (72.7%). The hematologic toxicities comprised anemia, leukopenia, and thrombocytopenia with the severity ranging from grade 1–3. Carboplatin-paclitaxel was the only combination that caused these three toxicities, and the only combination to cause thrombocytopenia as well. Anemia was the major hematologic toxicity experienced by more than half of the patients. The study concludes that there is a reasonably high incidence of hematologic toxicities from chemotherapy among lung cancer patients.Keywords: Anemia, chemotherapy, hematologic toxicity, leukopenia, lung cancer, thrombocytopenia Toksisitas Hematologis Akibat Kemoterapi pada Pasien Kanker Paru: Studi Retrospektif di RSUP Dr. M. Djamil PadangAbstrak Penggunaan obat kemoterapi dalam pengobatan kanker sering disertai dengan toksisitas pada beberapa sistem organ. Kajian retrospektif terhadap toksisitas hematologis akibat kemoterapi pada pasien kanker paru sudah dilaksanakan. Studi ini dilaksanakan dengan metode cross-sectional dari data rekam tahun 2010–2014 di RSUP Dr. M. Djamil Padang, Sumatera Barat. Data pasien yang didiagnosis menderita kanker paru yang menjalani kemoterapi, tidak menderita penyakit hematologis dan gangguan hematopoiesis, serta memiliki fungsi ginjal dan hati yang normal dimasukkan ke dalam kajian. Sejumlah 22 pasien memenuhi kriteria dengan jumlah siklus kemoterapi sebanyak 40. Hasil kajian ini mengungkap bahwa kombinasi karboplatin-paklitaksel merupakan kemoterapi yang paling banyak digunakan (72,2%). Toksisitas hematologis yang terjadi meliputi anemia, leukopenia, dan trombositopenia dengan tingkat keparahan 1–3. Karboplatin-paklitaksel merupakan satu-satunya kombinasi kemoterapi yang menyebabkan ketiga toksisitas hematologis tersebut, sekaligus juga merupakan satu-satunya kombinasi yang menimbulkan trombositopenia. Anemia merupakan toksisitas hematologis yang paling banyak terjadi meliputi lebih dari separuh pasien. Penelitian ini menyimpulkan bahwa terdapat toksisitas hematologis yang cukup tinggi akibat kemoterapi pada pasien kanker paru.Kata kunci: Anemia, kanker paru, kemoterapi, leukopenia, toksisitas hematologis, trombositopenia
PENYULUHAN BAHAYA MEROKOK DALAM RANGKA PERINGATAN HARI PENYAKIT PARU OBSTRUKTIF KRONIK (PPOK) SEDUNIA DAN BULAN PEDULI KANKER PARU Russilawati Russilawati; Sabrina Ermayanti; Masrul Basyar
LOGISTA - Jurnal Ilmiah Pengabdian kepada Masyarakat Vol 4 No 2 (2020)
Publisher : Department of Agricultural Product Technology, Faculty of Agricultural Technology, Universitas Andalas Kampus Limau Manis - Padang, Sumatera Barat Indonesia-25163

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/logista.4.2.356-366.2020

Abstract

Padang Municipality has been making effort to improve quality of life for its citizens by providing out door facility trough weekly car free day program. Even though it is supposed to be fresh air there were many visitors still smoking tobacco so that caused air pollution. Tobacco smoking has been known as major risk factor for Chronic Obstructive Pulmonary Disease (COPD) and lung cancer. In addition tobacco smoking has been considered to have association with twenty millions premature deaths. Our objectives were to outspread knowledge about hazard of tobacco and smoking cessation campaign in commemoration of COPD word day and month of lung cancer care 2018. Counseling was implemented by presentation, discussion, leaflet, and quiz with door prize. Meanwhile, smoking cessation campaign was performed by waking around and giving present to individu who willingly put out the cigarette at the moment. Total 155 visitors were involved in the event. They were classified in three groups of never smoker, former smoker or current smoker. Furthermore, 74 self identified current smokers were assessed in regard of grade of smoking, nicotine dependence, and motivation to smoke by using standardized questioner. Analysis of interview found out most of visitors were mild smoker with low nicotine dependence, and had motivation for smoking by social influence and stress relief. The data could be considered in choosing smoking cessation program for community. Keyword: tobacco smoking, nicotine, COPD, lung cancer
Mediastinal Tumor Thymoma Type B1 T4N2M1B Stage IVB with Multimodality Therapy Muhammad Zakki Al-Fajri; Sabrina Ermayanti; Afriani Afriani
EKSAKTA: Berkala Ilmiah Bidang MIPA Vol. 23 No. 01 (2022): Eksakta : Berkala Ilmiah Bidang MIPA (E-ISSN : 2549-7464)
Publisher : Faculty of Mathematics and Natural Sciences (FMIPA), Universitas Negeri Padang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1061.801 KB) | DOI: 10.24036/eksakta/vol23-iss01/300

Abstract

The incidence of thymoma increases with age, generally occurs in the 40-60s. Thymoma cases are rare at a young age. The prevalence of thymoma at a young age is very small at 0.6 – 5% of all thymoma cases. Thymoma management requires multimodality therapy depending on the stage of the thymoma, along with the development of surgery, radiotherapy and chemotherapy in the past three decades. A 21-year-old male patient with complaints of shortness of breath since 5 months before being admitted to the hospital. The patient has been diagnosed with thymoma type Mediastimum Tumor Type B1 T4N2M1B stage IVB from the results of chest X-ray investigations, chest CT scan, bronchoscopy and histopathological examination. The patient has received various therapeutic modalities including 6 cycles of chemotherapy, 30 radiotherapy and thymectomy surgery
The Differences of Respiratory Symptoms and Pulmonary Impairment between Exposure and Unexposured Areas by Dust from Semen Padang Factory Dian Citra; Irvan Medison; Sabrina S Ermayanti
Jurnal Respirologi Indonesia Vol 38, No 3 (2018)
Publisher : Perhimpunan Dokter Paru Indonesia (PDPI)/The Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (764.837 KB) | DOI: 10.36497/jri.v38i3.7

Abstract

Background: The cement factories have a waste product such as dust that had negative impact on respiratory system. The aims of this study is to investigate the differences of respiratory symptoms and pulmonary impairment between exposure and unexposured region by dust from Semen Padang factory. Methods: Cross sectional study of 282 subjects from exposure and unexposure areas in Semen Padang factory. This study was held in March 2016 - July 2017. Dust levels were assessed at both areas. Respiratory symptoms were assessed by interviews and quistionnaires. Lung function was measured by spirometry examinations. The variables between both groups were analyzed. Results: The daily dust level of exposure area close to three folds than unexposure area (150μg/Nm 3 vs 53,50 μg/Nm 3) yet still in save level that assigned by regulation. There were 282 subjects from both areas which consist of 67 men and 74 women for each area. There were no differences in respiratory symptoms included chest pain (0% vs 0,7%, P=1,00), productive cough (4,3% vs 2,1%, P=0,5), cronic cough (4,3% vs 2,1% ,P=0,5) and breathlessness (5,7% vs 5% ,P=1,00). The proportion of pulmonary impairment not difference between two areas (P=0,053). Concusions: Both area had dust level below up level assigned by regulation. There were no differences in respiratory symptoms and pulmonary impairment at exposure area and unexposure area. Breathlessness is most common symptom.
Gender Disparities in Their Effects on Characteristics and Prognostics of Lung Cancer Patients in Pulmonary Ward of Dr. M Djamil Hospital, Padang Sabrina Ermayanti; Afriani Afriani; Sari Nikmawati; Russilawati Russilawati; Irvan Medison; Suyastri Suyastri
Jurnal Respirologi Indonesia Vol 41, No 4 (2021)
Publisher : Perhimpunan Dokter Paru Indonesia (PDPI)/The Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/jri.v41i4.216

Abstract

Background: Lung cancer incidence in female tends to increase in many countries. Various studies have reported the characteristics of lung cancer in female are different from male. The purpose of this study was to determine the effect of gender on characteristics of lung cancer at Dr. M Djamil Hospital, Padang.Methods: A retrospective analytic study of lung cancer patients treated in the Pulmonary Ward of Dr. M. Djamil Hospital Padang from January 1, 2004 to December 31, 2017, with recognized cancer cell types. Data were grouped according to gender.Results: This study found that 451 lung cancer patients, male-dominant 77.8%. Female were younger than male (52.97 ± 12.79 years vs. 57.81 ± 11.23 years; p = 0.00). Most of male (94.5%) were smokers and former smokers, while 93.9% of female were non-smokers (p = 0.00). Most female were having prior history of tuberculosis (TB) (21.2% vs 11.0%; p = 0.008) and also prior history of other organs cancer (10.1% vs 3.4%; p = 0.007) than in male. Squamous cells were highest in males (41.1%), while females had adenocarcinoma (55.0%); with p = 0.008. Advanced stage in female more than male (91.8% vs 82.7%; p = 0.027). The mean life expectancy of female was longer than male, respectively 8.74 ± 1.56 and 7.29 ± 0.64 months; (p = 0.95).  Conclusion: There are differences in the epidemiology of lung cancer between male and female in Dr. M. Djamil Hospital Padang in the form of age, cell type and staging. Non-smokers, a previous history of TB and a history of cancer in other organs were more dominant in female.
Layanan Hotline Konsultasi Masalah Kesehatan Pasca COVID-19 Sabrina Ermayanti; Russilawati Russilawati; Fenty Anggraini; Afriani Afriani; Irvan Madison; Oea Khairsyaf; Masrul Basyar; Deddy Herman; Yessy Susanty Sabri; Dewi Wahyu Fitrina; Dessy Mirzati; Elsa Purnama Sari; Dimas Bayu Firdaus
Unri Conference Series: Community Engagement Vol 3 (2021): Seminar Nasional Pemberdayaan Masyarakat
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31258/unricsce.3.296-302

Abstract

Pandemy of Corona virus disease 2019 (Covid-19) has overwhelmed the word for nearly two years. Indonesia is one countries that been hit hard by Covid-19. Even though most of patients with positive test of Covid-19 had no symptoms or mild some of them reported persistent clinical symptoms months after test negative. This population with disorder whose terminology Long Covid-19 need health care to help them cope with this condition. In this need Department of Pulmonology and Respiratory medicine initiate community service activity for Covid-19 survival with Long Covid-19 in the formulation Hotline Service on Post Covid-19 Health Problem. Survivors of Covid-19 who accessed this service originated from variety geographic region in Indonesia. This Activity reached 60 survivors were mostly female (57%), in age group of young adult (62%) and dominant with mild symptoms (58%). Recommendation for these survivors whose mild symptoms was self care observation. There were still about 25 survivors (42%) who need further health care with appropriate speciality.
Co-Authors Abdiana Abdiana Adrial Adrial, Adrial Afriani Afriani Afriani Afriani Afriani Sandra Afriwardi Afriwardi Ahmad Junaidi Amelin, Fitrisia Amellya Sucieta Ana Rima Ana Rima Setijadi Ananda, Fannie Rizki Andarini, Sita Andika Chandra Putra Andreas Infianto Arfiansyah, Mochammad Aris Arif Santoso Arif Santoso Arifani, Adinda Rizky Arina Widya Murni Armiza Ashal, Taufik Dessy Mirzati Dewi Wahyu Fitrina Dewi Wahyu Fitrina Dhiaulhaq, Zalva Indira Dian A. Juwita Dian Citra Dimas Bayu Firdaus Dolly Irfandy Duyen, Natalie Dwi Rizki Fadhilah Elisna Syahruddin Elsa Purnama Sari Elsesmita Fadhilah, Dwi Rizki Fenty Anggraini Fenty Anggraininy Fenty Anggrainy Ferry Dwi Kurniawan Fika Tri Anggraini Hamni Tanjung Hanif, Muhammad Alfin Hansen Nasif Hanum, Fathiya Juwita Haryati Haryati Haryati Haryati Hendris Utama Citra Wahyudin Herman, Deddy Husna Yetti Ida Ayu Jasminarti Ida Ayu Jasminarti Dwi Kusumawardani Infianto, Andreas Intan, Shinta Ayu Iqbal Maulana Irvan Madison Irvan Medison Irvan Medison Irvan Medison Irvan Medison Isnaniyah Usman Jasminarti, Ida Ayu Julizar Julizar Kornelis Aribowo Kurniawan, Ferry Dwi Laisa Azka Laksmi Wulandari Lestari, Rahmi Liandhu Hakim, Sonya Lili Irawati Lilik Sulistyowati Lim, Darren Wan-Teck Mahata, Liganda Endo Masrul Basyar Masrul Basyar Maulana Muharam Meta Zulyati Oktora Miftah Irramah Mirtha Anggraeni Mizarti, Dessy Moulid Hidayat Muhammad Bagus H.S. Muhammad Farhan Ramadhan Muhammad Zakki Al-Fajri Nathaniel Aditya Nixon, Poety Elberta Husna Noni Novisari Soeroso Nora Harminarti Novita Andayani, Novita Nurul Sari Octavia, Fatharani Nabila Oea Khairsyaf Pratama, Avissena Dutha Pratiwi, Suryanti Dwi Putri, Biomechy Oktomalio Rahmat Akbar Rian Rizki Ananda Rini Gusya Liza, Rini Gusya Rizki Amrika Russi lawati Russilawati, Russilawati Santoso, Andintia Aisyah Sari Nikmawati Sari Nikmawati Setyawan, Ungky Agus Sita Andarini Sri Melati Munir Sri Melati Munir Sukri Rahman Sur Yastri Suyastri Suyastri Syandrez Prima Putra Vildania, Nisrina Yandra Darusman Yati Ernawati Yenita Yessy Setiawati Yessy Susanty Sabri Yogi Himawan Yori Yuliandra Yulia, Dwi Yulistini, Yulistini Zaini, Jamal