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e-CliniC
Published by Universitas Sam Ratulangi
ISSN : 23375949     EISSN : -     DOI : -
Core Subject : Health,
Health Professions
Jurnal e-CliniC (eCl) diterbitkan oleh Perhimpunan Ahli Anatomi Indonesia bekerja sama dengan Fakultas Kedokteran Universitas Sam Ratulangi Manado. Jurnal ini diterbitkan 3 (tiga) kali setahun (Maret, Juli, dan November). Sejak tahun 2016 Jurnal e-CliniC diterbitkan 2 (dua) kali setahun (Juni dan Desember). Jurnal e-CliniC memuat artikel penelitian, telaah ilmiah, dan laporan kasus di bidang ilmu kedokteran klinik.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 1,074 Documents
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Hubungan Kadar Low Density Lipoprotein (LDL) dengan Tekanan Darah pada Pasien Hipertensi Mongdong, Chindy F.; Tiho, Murniati; Purwanto, Diana S.
e-CliniC Vol. 13 No. 1 (2025): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v13i1.60869

Abstract

Abstract: Hypertension is a non-communicable disease that can cause complications, especially complications related to the cardiovascular system. This disease is closely related to low density lipoprotein (LDL) level. Excessive LDL level can cause atherosclerosis, leading to hypertension. According to Riskesdas 2018, North Sulawesi has a high prevalence of hypertension. This study aimed to obtain the relationship between the level of low density lipoprotein (LDL) and blood pressure among hypertensive patients. This study was conducted at RSUD ODSK of North Sulawesi Province, which is the only regional hospital owned by North Sulawesi Province.  This was an analytical and observational study with a cross sectional and restrospective approach using medical records of hypertensive patients. The results showed that from 78 patients, the highest percentages were found in female sex (62.8%), age group 55-64 years (30,8%), LDL level above optimal (38.5%), and hypertension grade 1 (57.7%). The Pearson correlation test for the relationship between LDL level and blood pressure obtained a p-value of 0,019 for systolic blood pressure, and a p-value of 0.037 for diastolic blood pressure. In conclusion, there is a relationship between LDL level and blood pressure in patients with hypertension. Keywords: hypertension; low density lipoprotein   Abstrak: Hipertensi merupakan penyakit tidak menular yang dapat menyebabkan komplikasi terutama komplikasi yang berkaitan dengan sistem kardiovaskular. Hipertensi memiliki kaitan erat dengan kadar low density lipoprotein (LDL). Kadar LDL berlebihan dapat menyebabkan aterosklerosis hingga berujung pada hipertensi. Sulawesi Utara memiliki prevalensi hipertensi yang tinggi menurut data RISKESDAS 2018. Penelitian ini bertujuan untuk mengetahui hubungan kadar low density lipoprotein (LDL) dengan tekanan darah pada pasien hipertensi. Penelitian ini dilakukan di RSUD ODSK Provinsi Sulawesi Utara yang merupakan satu-satunya rumah sakit daerah milik Provinsi Sulawesi Utara. Jenis penelitian ialah analitik observasional dengan desain potong lintang retrospektif dengan menggunakan data rekam medis pasien hipertensi. Hasil penelitian mendapatkan dari 78 pasien yang terlibat dalam penelitian ini, yang terbanyak ialah pasien berjenis kelamin perempuan (62,8%), kelompok usia 55-64 tahun (30,8%), kadar LDL di atas optimal (38,5%), dan hipertensi derajat 1 (57,7%). Berdasarkan hasil analisis uji korelasi Pearson, didapatkan adanya korelasi antara kadar LDL dengan tekanan darah sistolik (p=0,019) dan dengan tekanan darah diastolik (p=0,037). Simpulan penelitian ini ialah pada pasien dengan hipertensi terdapat hubungan antara kadar LDL dengan tekanan darah. Kata kunci: penyandang hipertensi; low density lipoprotein; high density lipoprotein
Hubungan antara Merokok dengan Terjadinya Disfungsi Ereksi di Komunitas Pasar Tradisional Bersehati Manado Tahun 2023 Mamuaja, Fransiscus X. S.; Turalaki, Grace L. A.; Tendean, Lydia E. N.
e-CliniC Vol. 13 No. 1 (2025): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v13i1.60870

Abstract

Abstract: More than a third of the population in Indonesia has smoking habit. To date, smoking is identified as a risk factor for many health problems, one of them is erectile dysfunction. This study aimed to evaluate the relationship between smoking and erectile dysfunction among male traders and workers in the Pasar Tradisional Bersehati (traditional market) in Manado. This was an analytical and survey study with a cross-sectional design. Purposive sampling was used for sample selection. The research instruments included interview questionnaires and the IIEF-5 questionnaire. The results obtained 77 males as respondents. The highest percentages were found in age group of 21-30 years (28.6%), senior high school (42.9%), working as trader (84.4%), married (74.0%), and being smoker for >3 years (96.1%). Erectile dysfunction was found in 65 respondents (84.41%), most in the age group of 21-30 years (20 respondents), followed by the age groups of 41-50 years (17 respondents) and 31-40 years (11 respondents). The chi-square obtained a significant relationship between smoking and the occurrence of DE (p=0.021). In conclusion, there is a significant relationship between smoking and the occurrence of DE among the community of Pasar Tradisional Bersehati Manado in year 2023; the majority have mild erectile dysfunction. Keywords: smoking; erectile dysfunction; traditional market   Abstrak: Lebih dari sepertiga penduduk Indonesia memiliki kebiasaan merokok. Merokok merupakan salah satu faktor risiko dari banyak masalah kesehatan, salah satunya disfungsi ereksi (DE). Penelitian ini bertujuan untuk mengetahui hubungan antara merokok dengan DE pada pedagang dan tenaga kerja pria di Pasar Tradisional Bersehati Manado. Penelitian ini menggunakan survei analitik dengan desain penelitian potong lintang. Teknik pengambilan sampel menggunakan purposive sampling dan instrumen penelitian menggunakan kuesioner wawancara dan kuisioner IIEF-5. Hasil penelitian mendapatkan 77 responden penelitian (n=77). Persentase tertinggi didapatkan pada usia 21-30 tahun (28,6%), tingkat pendidikan SMA/sederajat (42,9%), pekerjaan sebagai pedagang (84,4%), status kawin (74,0%), dan lama merokok >3 tahun (96,1%). Disfungsi ereksi didapatkan pada 65 responden (84,41%), terbanyak pada usia 21-30 tahun (20 responden) diikuti usia 41-50 tahun (17 responden), dan 31-40 tahun (11 responden). Hasil uji chi-square mendapatkan hubungan bermakna antara merokok dengan kejadian DE (p=0,021). Simpulan penelitian ini ialah terdapat hubungan bermakna antara merokok dengan kejadian disfungsi ereksi pada komunitas Pasar Tradisional Bersehati Manado tahun 2023; mayoritas menderita disfungsi ereksi tipe ringan. Kata kunci: merokok; disfungsi ereksi; pasar tradisional
Hubungan Kadar Kalium dengan Tekanan Darah pada Pasien Hipertensi Watulingas, Jessica C.; Tiho, Murniati; Purwanto, Diana S.
e-CliniC Vol. 13 No. 2 (2025): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v13i2.60871

Abstract

Abstract: Potassium is an intracellular cation in the body that controls the function of nerve and muscle cells, especially heart muscle, maintains water balance in the body, and regulates blood pressure. Potassium also reduce tension in blood vessel walls, which in turn lowers blood pressure. This study aimed to evaluate the relationship between potassium level and blood pressure in patients with hypertension. This was an observational and analytical study with a cross sectional design using medical records of 154 hypertensive patients at ODSK Regional Hospital, North Sulawesi Province from April 2022 – September 2023. The results showed that 55-64 years (31.2%) was the most dominant age group. There were more female patients (52.6%) than male patients (47.4%). The majority of patients suffered from hypertension grade 2 (60.4%), and had normal potassium level (55.8%). The Spearman correlation test showed a positive significant correlation between potassium evel and systolic blood pressure (p=0.035; r=0.170), but not with diastolic blood pressure (p=0.099). In conclusion, there is a significant relationship between potassium level and systolic blood pressure, but not with diastolic blood pressure in patients with hypertension. Keywords: potassium level; hypertension; systolic blood pressure; diastolic blood pressure    Abstrak: Kalium merupakan kation intrasel dalam tubuh yang mengontrol fungsi sel saraf dan otot, terutama otot jantung, menjaga keseimbangan air dalam tubuh, dan mengatur tekanan darah. Kalium juga membantu mengurangi ketegangan di dinding pembuluh darah, yang selanjutnya menurunkan tekanan darah. Penelitian ini bertujuan untuk mengetahui hubungan kadar kalium dengan tekanan darah pada pasien hipertensi. Jenis penelitian ialah analitik observasional dengan desain potong lintang. Data penelitian diambil dari rekam medis 154 pasien hipertensi di RSUD ODSK Provinsi Sulawesi Utara periode April tahun 2022–September 2023. Hasil penelitian mendapatkan kelompok usia 55–64 tahun (31,2%) yang terbanyak dibandingkan kategori usia lainnya. Pasien berjenis kelamin perempuan (52,6%) lebih banyak daripada laki-laki (47,4%). Majoritas pasien berada pada hipertensi derajat 2 (60,4%) dan memiliki kadar kalium normal (55,8%). Hasil uji korelasi Spearman menunjukkan adanya korelasi positif yang bermakna antara kadar kalium dengan TDS (p=0,035; r=0,170), namun tidak terdapat hubungan bermakna antara kadar kalium dengan TDD (p=0,099). Simpulan penelitian ini ialah terdapat hubungan bermakna antara kadar kalium dengan tekanan darah sistolik, namun tidak dengan tekanan darah diastolik. Pada pasien dengan hipertensi Kata kunci: kadar kalium; hipertensi; tekanan darah sistolik; tekanan darah diastolik
Long-Term Follow-up after Kidney Trauma at Prof. Dr. R. D. Kandou General Hospital Manado Arianto, Eko; Panelewen, Bryan P.; Astram, Ari; Toreh, Christof; Wihono, Frendy
e-CliniC Vol. 13 No. 2 (2025): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v13i2.59605

Abstract

Abstract: Renal trauma, caused by blunt or penetrating injuries, is associated with severe complications such as hypertension, chronic kidney disease (CKD), and pyelonephritis, especially in high-grade renal trauma. The study aimed to evaluate the complications and management of renal trauma patients at Prof. Dr. R. D. Kandou Hospital Manado from January 2022 to October 2024. This was an observational study with a cross-sectional design involving 17 patients that met the inclusion criteria. Data included types of trauma, severity level, management approaches, and post-trauma complications. Trauma severity was classified using the American Association for Surgery of Trauma (AAST) grading system. The results showed that 58.8% of patients had penetrating trauma, while 41.2% experienced blunt trauma. The highest percentages were found in grade II severity (29.4%). Operative management was the most common approach (58.8%). Post-trauma complications included CKD (70.5%), hypertension (29.4%), and pyelonephritis (29.4%). In conclusion, renal trauma, whether blunt or penetrating, often leads to significant complications such as CKD and hypertension. Proper long-term management and monitoring of kidney function and blood pressure are crucial to minimize the complications. This study highlights the need for early and effective intervention in high-grade renal trauma cases. Keywords: renal trauma; hypertension; acute kidney injury (AKI); chronic kidney disease (CKD); post-trauma complications
Hubungan Kadar Natrium Darah dengan Tekanan Darah pada Pasien Hipertensi Rompas, Noah A.; Assa , Youla A.; Tiho, Murniati
e-CliniC Vol. 13 No. 2 (2025): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v13i2.60872

Abstract

Abstract: Hypertension has become a significant health problem globally, with serious consequences for cardiovascular diseases and high mortality rates. This disease ranks first in the number of cases of the most common types of diseases in Manado in 2020. Blood sodium level has become a focus of attention due to its role in blood pressure regulation. Excessive sodium can cause fluid retention and increased blood volume, affecting blood pressure. This study aimed to analyze the relationship between blood sodium level and blood pressure in patients with hypertension. This was an observational analytical study using a retrospective and cross-sectional approach. The data used were medical records of patients with hypertension at RSUD ODSK, North Sulawesi, with total sampling method. The results obtained 160 patients as samples, dominated by 55-64 years old (30.6%), female (53.1%), patients with normal sodium levels (60.6%), and hypertension grade 2 (60.6%). The Spearman correlation test analysis resulted in p-values of >0.05 for the correlation between sodium level and systolic blood pressure (p=0.121) and diastolic blood pressure (p=0.425). In conclusion, there is no relationship between blood sodium level and blood pressure in patients with hypertension at RSUD ODSK, North Sulawesi Province. Keywords: hypertension; blood sodium level; blood pressure   Abstrak: Hipertensi telah menjadi masalah kesehatan yang signifikan secara global, dengan konsekuensi serius terhadap penyakit kardiovaskular dan tingkat kematian yang tinggi. Penyakit ini menduduki urutan pertama pada jumlah kasus jenis penyakit terbanyak di Kota Manado pada tahun 2020. Kadar natrium darah telah menjadi fokus perhatian karena perannya dalam meregulasi tekanan darah. Natrium berlebihan dapat menyebabkan retensi cairan dan peningkatan volume darah, yang memengaruhi tekanan darah. Penelitian ini bertujuan untuk menganalisis hubungan kadar natrium darah dengan tekanan darah pada pasien dengan hipertensi di RSUD ODSK Provinsi Sulawesi Utara. Penelitian ini bersifat analitik observasional dengan pendekatan retrospektif dan desain potong lintang menggunakan data rekam medis pasien hipertensi di RSUD ODSK dengan metode total sampling. Hasil penelitian mendapatkan jumlah sampel penelitian sebesar 160 pasien, yang didominasi oleh kelompok usia 55−64 tahun (30,6%), jenis kelamin perempuan (53,1%), pasien dengan kadar natrium darah normal (60,6%), dan hipertensi grade 2 (60,6%). Hasil analisis uji korelasi Spearman mendapatkan nilai p>0,05 untuk hubungan antara kadar natrium dengan tekanan darah sistolik (p=0,121) dan diastolik (p=0,425). Simpulan penelitian ini ialah tidak terdapat hubungan bermakna antara kadar natrium darah dengan tekanan darah pada pasien dengan hipertensi di RSUD ODSK Provinsi Sulawesi Utara. Kata kunci: hipertensi; kadar natrium darah; tekanan darah
Hubungan Kadar Kolesterol Total dengan Tekanan Darah pada Pasien Hipertensi Koessoy, Nathan A.; Purwanto, Diana S.; Kaligis, Stefana H. M.
e-CliniC Vol. 13 No. 2 (2025): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v13i2.60873

Abstract

Abstract: One of the non-communicable diseases that has a major health problem in Indonesia is hypertension. This disease has a close relationship with blood cholesterol level because excess cholesterol can cause atherosclerosis which leads to hypertension. This study aimed to determine the correlation between total cholesterol level and blood pressure in patients with hypertension. This was an observational and analytical study with a cross-sectional research design. This retrospective study used secondary data (medical record data) from August to December 2023. Population were patients with hypertension  at RSUD ODSK Manado. Out of the population of 350 hypertensive patients, 72 patients were taken as samples. The Spearman correlation test showed that there were no correlations between either total cholesterol and systolic blood pressure (p=0.298) or total cholesterol and diastolic blood pressure (p=0.875). In conclusion, there is no relationship between total cholesterol and blood pressure in patients with hypertension. Keywords: health problem; hypertension; total cholesterol level    Abstrak: Salah satu penyakit tidak menular yang memiliki masalah kesehatan tinggi di Indonesia ialah hipertensi. Hipertensi memiliki keterkaitan dengan kolesterol total karena kelebihan jumlah kolesterol akan menyebabkan terjadinya kondisi aterosklerosis yang dapat mengakibatkan hipertensi. Penelitian ini bertujuan untuk mengetahui hubungan kadar kolesterol total dengan tekanan darah pada pasien hipertensi. Jenis penelitian ialah analitik observasional dengan desain potong lintang. Penelitian ini merupakan penelitian retrospektif dengan menggunakan data sekunder (data rekam medis). pada bulan Agustus hingga Desember 2023. Populasi penelitian ini mencakup pasien hipertensi di RSUD ODSK pada bulan Agustus hingga Desember 2023. Dari populasi 350 pasien hipertensi, diambil 72 pasien sebagai sampel. Hasil analisis uji korelasi Spearman menunjukkan tidak terdapat korelasi antara kolesterol total dengan tekanan darah sistolik (p=0,298) maupun kolesterol total dengan tekanan darah diastolik (p=0,875). Simpulan penelitian ini ialah tidak terdapat hubungan antara kadar kolesterol total dengan tekanan darah pada penyandang hipertensi. Kata kunci: masalah kesehatan; hipertensi; kadar kolesterol total
Right Ventricular Septal Pacing to Produce Narrow QRS Duration in Patient with High Degree 2:1 AV Block Santoso, Michael; Setiadi, Benny; Rampengan, Starry H.; Jim, Edmond L.
e-CliniC Vol. 13 No. 2 (2025): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v13i2.56247

Abstract

Prolonged right ventricular (RV) apical pacing has been recognized to be associated with progressive left ventricular (LV) dysfunction. This impairment of LV function resultant from RV apical pacing is a remodelling process consequent to abnormal ventricular activation and contraction. RV septal pacing theoretically is associated with a more physiological ventricular activation results in shorter electrical activation delay and consequently less mechanical dyssynchrony. We reported A-75-year-old woman presented to emergency department (ED) with dyspnea only on exertion in the last 3 weeks before admission, she also complaint near syncope episode while doing activities. Electrocardiogram (ECG) result was high degree AV block with 2:1 conduction with ventricular rate 40 beats per minute. PPM implantation was performed with VVIR mode, ventricle lead inserted into mid-septal RV. ECG post implantation showed pacing rhythm with narrow QRS duration. Pacemaker-related LBBB is associated with an adverse prognosis. RV septal pacing produces more synchronous contraction denoted by narrow QRS, preventing the deterioration of LV structure and function. RV septal pacing, although not as good as intrinsic conduction or His bundle pacing, may be more desirable for chronic RV pacing compared to the RV apex as a narrow QRS is associated with improved LV dynamics. RV septal pacing was safely done in this patient, but further study needed to evaluate its long-term effect. Keywords: AV block; permanent pacemaker; septal; right ventricle
Hubungan Penggunaan Tas Punggung dengan Kejadian Nyeri Muskuloskeletal pada Pelajar SMA Solo, Godilia; Wahyuni, Octavia D.
e-CliniC Vol. 13 No. 2 (2025): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v13i2.58292

Abstract

Abstract: Backpack is still quite popular among high school students, albeit, inappropriate usage of backpacks can cause side effects in the form of pain complaints in the musculoskeletal system. This study aimed to determine the relationship between backpack usage and musculoskeletal disorders among high school students. This was an observational and analytical study with a cross-sectional design. Samples were high school students grades X-XI of SMA Regina Pacis Jakarta obtained by using concecutive non-random sampling method. Data of musculoskeletal pain using the Nordic body map (NBM) questionnaire were accompanied by measurements of backpack weight, body weight, and height. The results otained 94 students as samples. Students who used backpacks appropriately and did not experience musculoskeletal disorders were 12 people (92.3%), while students who used backpacks inappropriately and experienced musculoskeletal disorders were 20 people (24.7%). Analysis of the relationship between variables using the Fisher’s Exact test obtained  a p-value of 0.285, and a PR-value of 3.21. In conclusion, there is no significant relationship between backpack usage and musculoskeletal disorder among high school students of SMA Regina Pacis Jakarta. However, students who use backpacks inappropriately can experience musculoskeletal disorders 3.21 times greater than students who use backpacks appropriately. Keywords: backpack usage; musculoskeletal disorder; students    Abstrak: Penggunaan tas punggung di kalangan siswa sekolah menengah atas (SMA) masih cukup diminati, namun penggunaan tas punggung yang tidak sesuai dapat menimbulkan efek samping berupa keluhan nyeri pada sistem muskuloskeletal. Penelitian ini bertujuan untuk mengetahui hubungan antara penggunaan tas punggung dengan gangguan muskuloskeletal pada pelajar SMA. Metode penelitian ialah analitik-observasional dengan desain potong lintang. Sampel penelitian yaitu pelajar SMA Regina Pacis Jakarta kelas X- XI berjumlah 94 orang. Pengambilan sampel menggunakan metode concecutive non random sampling. Pengambilan data nyeri muskuloskeletal menggunakan kuesioner Nordic body map (NBM), disertai pengukuran berat tas punggung, berat badan, dan tinggi badan. Hasil penelitian mendapatkan pelajar yang menggunakan tas punggung dengan tepat dan tidak mengalami gangguan muskuloskeletal sebanyak 12 orang (92,3%) sedangkan pelajar yang menggunakan tas punggung tidak tepat dan mengalami gangguan muskuloskeletal sebesar 20 orang (24,7%). Uji analisis hubungan antar variabel menggunakan uji Fisher’s Exact Test mendapatkan p=0,285 dan nilai PR=3,21. Simpulan penelitian ini ialah tidak didapatkan hubungan bermakna antara penggunaan tas punggung dengan gangguan muskuloskeletal pada pelajar SMA Regina Pacis Jakarta, namun, pelajar yang menggunakan tas punggung tidak tepat dapat mengalami gangguan muskuloskeletal 3,21 kali lebih besar dibandingkan pelajar yang menggunakan tas punggung dengan tepat. Kata kunci: penggunaan tas punggung; gangguan muskuloskeletal; pelajar
Delayed Staged Hepatectomy for Metastatic Colorectal Cancer: A Single Case Report Tendean, Michael; Paparang, Steven; Tjandra, Ferdinand; Mambu, Toar; Panelewen, Jimmy; Salem, Billy
e-CliniC Vol. 13 No. 2 (2025): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v13i2.59701

Abstract

Abstract: Liver metastases are common in patients with colorectal cancer; almost 70% will develop liver metastases during the course. The recommended treatment for colorectal liver metastasis (CRLM) is multidisciplinary, including liver resection and chemotherapy. We reported a 52-year-old female with stage 3B distal third rectal adenocarcinoma which eight months earlier underwent Mile’s procedure plus total mesorectal excision (TME) followed by adjuvant radiotherapy (50gy). During surveillance, liver metastases was found at segments 4B-5. A delayed anatomical staged hepatectomy segments 4B-5 was performed. Intraoperative USG findings suggested liver metastases at segments 7, 8, and 3, and non-anatomical liver resection was performed in accordance with parenchymal liver sparing principles. No post-hepatectomy liver failure (PHLF) was detected, but billoma occured at 1-month post hepatectomy. USG guided percutaneous drainage was performed to resolve the billoma. Colorectal metastasis (CRLM) was detected at six months post-hepatectomy, and the patient underwent adjuvant chemotherapy with improvement in survival rate. In conclusion, delayed staged hepatectomy for CRLM is a safe and beneficial procedure, though there is still no guideline regarding the sequence of resection. Keywords: hepatectomy; colorectal metastasis; billoma; colorectal cancer
Identifikasi Drug Related Problems (DRPs) pada Pasien Penyakit Jantung Koroner di Instalasi Rawat Inap CVBC RSUP Prof. Dr. R. D. Kandou Manado Laloan, Carmelita; Wiyono, Weny I.; Mpila, Deby A.
e-CliniC Vol. 13 No. 2 (2025): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v13i2.60743

Abstract

Abstract: Patients with coronary heart disease (CHD) are prone to Drug Related Problems (DRPs) due to the many therapies received by patients. This study aimed to identify the prevalence of DRPs in each category of CHD patients. This was a descriptive and retrospective study using medical records of CHD patients during the period September-November 2023 who fulfilled the inclusion criteria. The results obtained 64 CHD patients as samples. There were 27 patients (42.19%) who had the potential to experience DRPs with 31 cases of DRPs in the identified DRPs categories including indications without therapy (77.41%) and therapy without indications (22.59%). There were no DRPs in the categories of ineffective drugs, dose too high, and dose too low. In conclusion, the therapy obtained by coronary heart disease patients in the CVBC inpatient installation of Prof. Dr. R. D. Kandou Hospital Manado still experienced DRPs, especially in the categories of indication without therapy and therapy without indication. Keywords: coronary heart disease; drug related problems    Abstrak: Pasien dengan penyakit jantung koroner (PJK) rentan mengalami Drug Related Problems (DRPs) karena terapi yang diterima pasien cukup banyak. Penelitian ini bertujuan untuk mengidentifikasi prevalensi kejadian DRPs pada setiap kategori dari pasien PJK. Jenis penelitian ialah deskriptif retrospektif dengan pengambilan data rekam medik pasien PJK yang memenuhi kriteria inklusi selama periode September-November 2023. Hasil penelitian mendapatkan 64 pasien PJK sebagai sampel. Terdapat 27 pasien (42,19%) yang berpotensi mengalami DRPs dengan 31 kejadian DRPs pada kategori DRPs indikasi tanpa terapi (77,41%) dan terapi tanpa indikasi (22,59%); tidak terdapat kejadian DRPs pada kategori obat tidak efektif, dosis terlalu tinggi, dan dosis terlalu rendah. Simpulan penelitian ini ialah terapi yang diperoleh pasien penyakit jantung koroner di instalasi rawat inap CVBC RSUP Prof. Dr. R. D. Kandou Manado masih mengalami kejadian Drug Related Problems, terutama pada kategori indikasi tanpa terapi dan terapi tanpa indikasi. Kata kunci: penyakit jantung koroner; drug related problems

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