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ISM (Intisari Sains Medis) : Jurnal Kedokteran

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Published by Universitas Udayana

ISSN : 25033638 EISSN : - DOI : -

Core Subject : Health, Science,

Biochemistry, Genetics & Molecular Biology Medicine & Pharmacology

Intisari Sains Medis is published by Medical Scientific Community, Indonesia. Intisari Sains Medis is an international, multidisciplinary, peer-reviewed, open access journal accepts papers for publication in all aspects of Science Digest, Medical Research Development, Research Medical Field and Theory. We also publish cases from third world country, that is considered very rare and special cases.

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Articles 1,063 Documents

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Perbedaan stress kerja pada perawat di ruang unit gawat darurat dengan perawat di ruang rawat inap Rumah Sakit â€œSâ€ di Kota Denpasar tahun 2017 Putu Dharma Putri Mahastuti; I Made Muliarta; Luh Made Indah Sri Handari Adiputra
Intisari Sains Medis Vol. 10 No. 2 (2019): (Available online: 1 August 2019)
Publisher : DiscoverSys Inc.

Introduction: Job stress can be interpreted as a demand or stressor that can cause a complaint or stress caused by work. This study was conducted to know the difference of job stress that happened at Emergency Room and inpatient ward at Sanglah Hospital Denpasar. Method: This study used cross sectional analytic design and the data was analyze from the job stress questionnaire that was validated. Questionnaires were given to nurses that working in the emergency room and inpatient ward at Sanglah Hospital Denpasar. The samples size is 116 subjects. Result: The result is 7 nurses at the emergency room (12.1%) and 29 inpatients (50%) had mild stress, 33 ER nurses (56.9%) and 25 inpatients (43.1%) experienced moderate stress meanwhile, at 18 ER nurses (31%) and 4 inpatients (6.9%) had severe stress. Based on statistical test to find out the difference of work stress using Mann-Whitney test, the result of Mann-Whitney U value is 841.0 and p value is 0.000. So it can be concluded that p valueÂ <0.05. Conclusion: Thus, there is a significant difference in the level of work stress between nurses who served in the emergency room with inpatient care.

Impact of depression on the academic performance of international students in Udayana University Jacintha James; AA. Sagung Sawitri; Luh Putu Ariastuti; Putu Aryani
Intisari Sains Medis Vol. 10 No. 2 (2019): (Available online: 1 August 2019)
Publisher : DiscoverSys Inc.

Background: Depression is a mental disorder that affects an individualâ€™s mood and emotion. Depression is very common among the students. In this study, the impact of depression, especially on the academic performance of students who are abroad, studies along with the risk factors of depression.Aim: The study aims to know the relationship between depression and the academic performances of international students studying abroad. Â Method: In this analytic study, a cross sectional method was being used. This method is being used to analyze the relationship between the factors that influence the academic performance and also to investigate the relationship between depression and academic performance of the students.Result: As for the residence factor, the student who was lived alone performed better in academic. For the method of study factor, the student who conducts independent learning performs well in academic whereas for the factor back to Malaysia in a year, the students who go back to Malaysia less than or twice a year performs better in their academic. As for the family support factor, students who have good family support obtain good results in academic performance, but for factor family financial support, students with inadequate financial support obtain good results in their academic.

Overview of drugs used for the treatment of hypertension for elderly patients in Sanglah General Hospital, Denpasar, Bali Archana Laxmi Pathmanathan; I Nyoman Gede Wardana; I Gusti Ayu Widianti
Intisari Sains Medis Vol. 10 No. 2 (2019): (Available online: 1 August 2019)
Publisher : DiscoverSys Inc.

Background: Hypertension is one of the most common diseases among elderly patients and it is also known as a silent killer. It could be due to excessive stress which causes the blood pressure to rise. The symptoms could appear, and people could go on for years without having any awareness of their disease. Aim: This research was conducted to determine the prevalence of hypertension cases of elderly patients and the drugs used as a treatment for hypertension in Sanglah Hospital, Denpasar, Bali. The research was carried on in the Sanglah Hospital, Denpasar, Bali as of January until June 2017. Method: In this study, a descriptive cross sectional study method was being used. Result: As the age increases, the number of individuals with hypertension increases. In gender, we could see that the female has a higher prevalence compared to male. In Sanglah, we found that the mostly given drugs are amlodipine and captopril for elderly people as this drug works effectively for the patients. Other drugs such as valsartan, furosemide, and bisoprolol are also offered to patients with hypertension depending on their associated diseases.

HUBUNGAN JENIS KELAMIN, STATUS GIZI DAN BERAT BADAN LAHIR DENGAN ANGKA KEJADIAN ISPA PADA BALITA DI PUSKESMAS BANJARANGKAN II TAHUN 2016 Putu Meitri Nirmala Utami; Putu Siadi Purniti; I Made Arimbawa
Intisari Sains Medis Vol. 9 No. 3 (2018): (Available online: 1 December 2018)
Publisher : DiscoverSys Inc.

ABSTRAKInfeksi saluran pernapasan akut (ISPA) adalah penyakit infeksi akut yang menyerang salah satu bagian dan atau lebih dari saluran napas. ISPA sering dijumpai di negara-negara berkembang. Sebagai negara berkembang, Indonesia menduduki posisi keempat bersama dengan Bangladesh dan Nigeria. Sedangkan Bali memiliki angka periode prevalensi sebesar 22,6% dimana angka tersebut tidak jauh dari angka periode prevalensi ISPA di Indonesia yaitu 25,0%. Tujuan penelitian ini untuk melihat faktor-faktor yang berhubungan dengan ISPA terutama jenis kelamin, status gizi dan berat badan lahir terhadap balita penderita ISPA. Penelitian ini menggunakan studi analitik cross-sectional. Sampel yang digunakan berjumlah 223 orang yang diambil secara konsekutif di Puskesmas Banjarangkan II Klungkung pada rentang waktu 1 Januari 2016 s.d. 31 Desember 2016. Data penelitian adalah data sekunder dari rekam medis pasien. Hasil penelitian menunjukan bahwa balita dengan ISPA cenderung lebih banyak pada usia 1-3 tahun (57,9%), jenis kelamin laki-laki (62,6%), status gizi baik (89,9%), dan berat badan lahir normal (88,5%). Hasil analisis menggunakan uji chi-square menyatakan terdapat hubungan yang bermakna antara jenis kelamin (p=0,003), status gizi (p<0,0001), dan berat badan lahir (p<0,0001) dengan angka kejadian ISPA pada balita.Terdapat hubungan bermakna antara variabel jenis kelamin, status gizi dan berat badan lahir dengan angka kejadian ISPA pada balita.Kata Kunci: balita, ISPA, jenis kelamin, status gizi, berat badan lahirâ€ƒABSTRACTTHE RELATION BETWEEN GENDER, NUTRITIONAL STATUS, AND BIRTH WEIGHT WITH THE INCIDENCE OF URTI IN CHILDREN BELOW 5 YEARS OLD AT PUSKESMAS BANJARANGKAN II IN 2016Upper respiratory tract infection (URTI) is an acute infection disease affecting one or more upper respiratory tracts. This infection is often found in developing countries. As a developing country, Indonesia holds the fourth position together with Bangladesh and Nigeria. Meanwhile, Bali has the prevalence number of 22.6% in which this number is not much different with Indonesiaâ€™s of 25.0%. The objective of this study was to find out the factors which were related to upper respiratory tract infection such as gender, nutritional status, and birth weight of children below 5 years old infected with URTI in particular. This research was a cross sectional analytic study involving 223 samples who were gathered consecutively at Puskesmas Banjarangkan II Klungkung from 1 january 2016 till 31 December 2016. The data obtained were secondary data in form of medical records. The result showed that children with URTI tended to be 1-3 years old (57.9%), male (62.6%), and have good nutritional status (89.9%) and normal birth weight (88.5%). The data were analyzed using Chi-square test which showed that there was significant relation between gender (p=0.003), nutritional status (p<0.0001), and birth weight (p<0.0001) with the URTI incidence in children below 5 years old.There was significant relation between gender, nutritional status, and birth weight with the URTI incidence in children below 5 years old.Keywords: children below 5 years old, upper respiratory tract infection, gender, nutritional status, birth weight

Masalah ginekologi pasien remaja di RSUP Sanglah Denpasar pada April 2016 â€“ Maret 2017 Demetria Jesica Lim; IBG Fajar Manuaba; I Gede Mega Putra; I Nyoman Gede Budiana
Intisari Sains Medis Vol. 10 No. 1 (2019): (Available online 1 April 2019)
Publisher : DiscoverSys Inc.

Remaja adalah masa peralihan dari anak-anak ke dewasa atau tumbuh menjadi dewasa. Remaja belum dapat dikatakan sebagai dewasa namun juga sudah tidak dapat dikatakan sebagai anak â€“ anak. Definisi remaja menurut WHO adalah seseorang dengan usia 10-19 tahun. Pada masa remaja ini sudah mulai muncul ciri-ciri perkembangan seks primer maupun sekunder seperti tumbuhnya payudara dan menstruasi pada wanita. Proses perkembangan seks sekunder ini tidak semuanya berjalan dengan lancar pada setiap wanita. Sangat mungkin untuk terjadi masalah-masalah pada proses perkembangan ini yang berhubungan dengan kesehatan reproduksi. Tujuan: Untuk mengetahui masalah ginekologi remaja yang berkunjung di RSUP Sanglah Denpasar. Metode: Penelitian ini dilakukan dengan teknik total sampling untuk mendapat angka kejadian gangguan menstruasi, keputihan, tumor ovarium, Polycystic Ovary Syndrome, infeksi Human Papilloma Virus dan kehamilan yang tidak diinginkan pada remaja wanita yang memeriksakan diri di RSUP Sanglah dalam periode April 2016 â€“ Maret 2017. Hasil: Dari 49 sampel yang didapat terdapat 53,06% kasus keputihan, 38,78% kasus gangguan menstruasi dan 8,16% kasus kanker ovarium. Kesimpulan: Tidak ditemukan pasien dengan infeksi Human Papilloma Virus (HPV), Polycystic Ovary Syndrome (PCOS) dan kehamilan yang tidak diinginkan pada periode April 2016 â€“ Maret 2017.Â

Sore throat pada siswa-siswi perokok dan non-perokok SMA Kota Denpasar tahun 2017 Tommy Sutanto; Putu Aryani; Anak Agung Sagung Sawitri
Intisari Sains Medis Vol. 11 No. 1 (2020): (Available online: 1 April 2020)
Publisher : DiscoverSys Inc.

Background: Sore throat is a symptom that occurs due to the inflammation process that often disrupts everyday activities and decreases the quality of life of the patient. Smoking cigarette is one of the causes of a sore throat. Prevalence of smokers in Indonesia, especially in adolescents has reached 45%.Aim: This study aimed to find the prevalence of sore throat as well as its tendency on smokers and non-smokers in high school students in Denpasar City and the characteristics of sore throat and smoking behavior.Method: This is a descriptive study with a cross sectional research design. The samples of this study are students of SMA PGRI 1 Denpasar. The data in this study is primary data, gathered from questionnaires.Result: Of the 63 samples included in the study, it was found that the prevalence of active smokers among high school students in Denpasar city reached 27% (95%CI: 16.6-39.7) with a higher proportion of men. The sore throat tends to occur more on active smokers with a proportion of 76.5% (95%CI: 50.1-93.2) than non-smokers with a proportion of 63% (95%CI: 47.5-76.8). Smoking behavior was found to have started, mostly, for 12 months with everyday consumption as the majority. The number of cigarettes smoked could reach 16 cigarettes a day.Conclusion: Sore throat tends to occur more on smokers than non-smokers even though the difference is not a lot. The results of this study are expected to be used to educate adolescents about the harmful effect of smoking cigarette on health, considered on making policies around the consumption of cigarette in students and to be a foundation for further research to find the relationship between smoking behavior and sore throat.Â Sore throat merupakan gejala yang terjadi akibat proses inflamasi yang sering kali mengganggu kegiatan sehari-hari dan menurunkan kualitas hidup penderita. Merokok merupakan salah satu penyebab dari munculnya gejala ini. Prevalensi perilaku merokok di Indonesia, khususnya golongan remaja sudah mencapai 45.0%.Tujuan: Untuk mencari prevalensi sore throat serta kecenderungan nya pada siswa-siswi perokok dan non-perokok SMA kota Denpasar serta mendapatkan karakteristik dari sore throat dan perilaku merokok.Metode: Penelitian ini bersifat deskriptif dengan rancangan penelitian potong lintang. Sampel pada penelitian ini adalah siswa-siswi SMA PGRI 1 Denpasar. Data penelitian bersifat data primer dengan menggunakan kuesioner angket yang diisi sendiri oleh sampel.Hasil: Dari 63 sampel yang diikutsertakan dalam peneltiian didapatkan prevalensi perokok aktif SMA kota Denpasar sebesar 27% (95%CI: 16,6-39,7) dengan proporsi pria yang lebih banyak. Sore throat lebih cenderung terjadi pada perokok aktif yaitu 76,5% (95%CI: 50,1-93,2) dibandingkan non-perokok yaitu 63% (95%CI: 47,5-76,8). Perilaku merokok ditemukan paling banyak sudah dilakukan semenjak 12 bulan terakhir dengan frekuensi konsumsi tersering adalah setiap hari dengan jumlah batang rokok yang dikonsumsi dapat mencapai 16 batang perhari.Simpulan: Sore throat memiliki kecenderungan untuk lebih banyak terjadi pada perokok dibandingkan non-perokok walaupun tidak jauh berbeda. Hasil penelitian ini diharapkan dapat diterapkan untuk mengedukasi pelajar remaja tentang pengaruh rokok terhadap kesehatan, digunakan untuk pertimbangan pembuatan peraturan seputar konsumsi rokok di kalangan pelajar dan menjadi dasar untuk penelitian lebih lanjut untuk menemukan hubungan antara perilaku merokok dengan sore throat.Â

Perbandingan outcome penanganan pembedahan dan tanpa pembedahan pada fraktur radius distal di RSUP Sanglah periode April 2016-Agustus 2017 Putu Prabhawati DwiKrisna; I Wayan Subawa; IGL Ngurah Agung Artha Wiguna
Intisari Sains Medis Vol. 11 No. 3 (2020): (Available online: 1 December 2020)
Publisher : DiscoverSys Inc.

Background: Fracture of the distal radius is one of the most common fractures of the wrist. The incidence of fracture of the distal radius increases in each year. Management on the fracture of the distal radius can be grouped into two ie surgery and without surgery.Aim: This study aims to determine the comparison of successful treatment between fracture of distal radius surgically and without surgery.Method: This research used descriptive cross-sectional approach which is conducted at Sanglah General Hospital (RSUP) Denpasar. Data obtained was secondary data in the form of patient's medical record from April 2016 - August 2017 as well as primary data from patient interview. Data were analyzed using SPSS program.Result: This study indicated that the most involved gender was men classified as adult (25-59 years). The incidence of most fracture of distal radius was caused by traffic accidents. It also obtained that there were no different outcomes between surgical and non-surgical therapy in patients with fracture of distal radius.Conclusion: The comparison of surgical and non-surgical outcome at distal radius do not show significant differences statistically. Fraktur radius distal adalah salah satu dari macam fraktur yang biasa terjadi pada pergelangan tangan. Angka kejadian fraktur radius distal meningkat di setiap tahunnya. Penatalaksanaan pada fraktur radius distal dapat dikelompokan menjadi dua yaitu pembedahan dan tanpa pembedahan.Tujuan: Tujuan penelitian ini yaitu untuk mengetahui perbandingan keberhasilan terapi penanganan fraktur radius distal dengan pembedahan dan tanpa pembedahan.Metode: Penelitian ini menggunakan metode penelitian deskriptif dengan pendekatan cross-sectional yang dilakukan di Rumah Sakit Umum Pusat (RSUP) Sanglah Denpasar. Data yang diperoleh berupa data sekunder rekam medis pasien periode April 2016 – Agustus 2017 dan data primer dari wawancara pasien. Data dianalisis dengan menggunakan program SPSS.Hasil: Penelitian ini menunjukkan bahwa jenis kelamin terbanyak yaitu pada laki-laki tergolong dewasa (25-59 tahun). Insiden fraktur radius distal terbanyak disebabkan oleh kecelakaan lalulintas. Penelitian ini juga mendapatkan hasil tidak terdapat perbedaan hasil outcome terapi pembedahan dan tanpa pembedahan pada pasien fraktur radius distal.Kesimpulan: Perbandingan outcome penanganan pembedahan dan tanpa pembedahan pada fraktur radius distal tidak menunjukan perbedaan yang signifikan secara statistic.

Gambaran pemeriksaan serologi, darah lengkap, serta manifestasi klinis demam berdarah dengue pasien dewasa di RSUP Sanglah Denpasar periode Januari sampai Desember 2016 Ni Made Stithaprajna Pawestri; D.G.D. Dharma Santhi; Anak Agung Wiradewi Lestari
Intisari Sains Medis Vol. 11 No. 2 (2020): (Available online: 1 August 2020)
Publisher : DiscoverSys Inc.

Background: A serological test of anti-dengue, complete blood count (CBC), and clinical manifestations routinely assesed in patients with dengue hemorrhagic fever (DHF).Aim: This study aimed to determine the description of the serological test, the CBC test, and clinical manifestations of DHF.Method: Research design used cross-sectional descriptive study with the non-experimental retrospective method, using medical records data of adult DHF patients at Sanglah Hospital Denpasar. The sample of the study was adult DHF impatient from January to December 2016.Result and Conclusion: Of the 110 samples, the study revealed 71 (65%) men and 39 (35%) women. As from serology, 16 (14,5%) primary infection and 94 (85,5%) secondary infection were detected. CBC test results in both primary and secondary infections showed variative value. Some of the variables with the highest number of samples in abnormal value were thrombocytes (decreased, 100% both primary and secondary infection), as against in leucocytes (decreased, 81.25% in primary infection, 48.94% in secondary infection). Haematocrit is normal for both infections. Clinical manifestations were varied such as fever and torniquet (+) are most prominent (100% both primary and secondary infections), the most prominent bleeding is in the gums (75% in primary infection, 57.69% in secondary infection), and the other clinical sign such as hepatomegaly, pleural effusion, hypoalbuminemia, cold skin, restlessness, and shock were rare observed.Â Latar Belakang: Pemeriksaan serologi anti dengue, darah lengkap, dan klinis mutlak dilakukan pada pasien demam berdarah dengue (DBD). Tujuan: Penelitian ini dilakukan untuk mengetahui gambaran pemeriksaan serologi, darah lengkap dan manifestasi klinis.Metode: Rancangan penelitian descriptive cross-sectional dengan metode retrospektif non-eksperimental, menggunakan data rekam medis pasien DBD dewasa di RSUP Sanglah Denpasar. Sampel penelitian adalah 110 pasien DBD dewasa rawat inap periode Januari-Desember 2016.Hasil dan Kesimpulan: Dari 110 sampel didapatkan 71 (65%) laki-laki dan 39 (35%) perempuan. Dari pemeriksaan serologi, didapatkan 16 (14,5%) pasien infeksi primer dan 94 (85,5%) infeksi sekunder. Hasil pemeriksaan darah lengkap baik pada infeksi primer maupun sekunder menunjukkan semua variabel memiliki nilai yang bervariasi. Beberapa variabel dengan jumlah sampel paling banyak pada nilai tidak normal yaitu trombosit (menurun, 100% baik infeksi primer maupun sekunder), leukost (menurun, 81,25% pada infeksi primer, 48,94% pada infeksi sekunder), hematokrit cenderung normal pada kedua infeksi, manifestasi klinis yang bervariasi, demam dan torniquet (+) yang paling menonjol (100% baik infeksi primer maupun sekunder). Selain itu, perdarahan yang paling menonjol adalah pada gusi (75% pada infeksi primer, 57,69% pada infeksi sekunder). Klinis lain seperti hepatomegali, efusi pleura, hipoalbuminemia, kulit dingin, gelisah dan syok jarang teramati.

The prevalence of urinary incontinence in aged women in Peguyangan Village, District of Tag-Tag Kelod, Denpasar, Bali Diviya Batumalay; Yuliana Yuliana; I Nyoman Mangku Karmaya
Intisari Sains Medis Vol. 10 No. 1 (2019): (Available online 1 April 2019)
Publisher : DiscoverSys Inc.

Background: Urinary incontinence (UI) is a significant health problem with considerable social and economic impact. Distinguishing between prevalence and incidence of incontinence is important. There are significant variations in the severity and impact of incontinence, and its severity, frequency, and predictability all need to be considered when evaluating its effects on patients, the degree of bother is particularly significant when determining who will need treatment. Incontinence may be a result of bladder dysfunction, sphincter dysfunction, or a combination of both, but large-scale studies are not designed to determine the etiology. Aim: To know the prevalence of UI in aged women in Peguyangan village, Denpasar, Bali.Method: This is cross-sectional descriptive design conducted in Peguyangan Village Denpasar, Bali, in early July 2017. There were 79 of 94 aged women above 65 years involved in the survey using a questionnaire.Result: In young women, the prevalence of incontinence is usually low, but prevalence peaks around menopause, with a steady rise there-after into later life. Although the prevalence of stress and mixed (stress and urge) incontinence is higher than urge incontinence, the latter is more likely to require treatment. In women, moderate and severe bother have a prevalence ranging from about 3% to 17%. Severe incontinence has a low prevalence in young women but rapidly increases at ages 70 through 80.Conclusion: The prevalence is 0.076.

Perbandingan asupan makronutrien antara anak obesitas dengan normal pada siswa kelas 4-6 di Sekolah Dasar Santo Yoseph 2 Denpasar tahun 2017 Ni Kadek Parswa Diah Pradnyandari; Wayan Weta; Anak Agung Sagung Sawitri
Intisari Sains Medis Vol. 10 No. 2 (2019): (Available online: 1 August 2019)
Publisher : DiscoverSys Inc.

Background: Childhood obesity is a disturbance of nutritional status in children with body mass index per age (BMI / U) exceeding> 1 standard deviation (SD) - 2 SD followed by unbalanced diet between intake and output accumulated in excess fat storage. There are some related factors for obesity such as unbalanced diet, lack of physical activity, and the environmental agents.Aim: This research aims to find out the correlation between macronutrient intake with child obesity in grade 4-6 students at Santo Yoseph 2 Denpasar Elementary School.Method: The study was an analytical cross-sectional design with 60 samples obtained from random sampling technique and interviewed with questioner (SQ-FFQ) and then measured the height and weight in the period March-August 2017. Those interview data was processed with Nutriesurvey9Â© and analyzed with SPSS.Result: 60 samples showed the dominant child obesity occurred in male gender (70.0%). The proportion of child obesity by age group was highest at 10-12 years (51.2%). Analysis of the relationship of macronutrient intake with child obesity was obtained for energy intake (p = 0.007), protein (p = 0.009) and fat (p = 0.018) intake was p < 0.05, while carbohydrate (p= 0.074) p > 0.05.Conclusion: This study shows that there is a statistically significant relationship between energy intake, protein, and fat with child obesity. Reversely, carbohydrates, there is no statistically significant association with childhood obesity.

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