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INDONESIA
ISM (Intisari Sains Medis) : Jurnal Kedokteran
Published by Universitas Udayana
ISSN : 25033638     EISSN : -     DOI : -
Core Subject : Health, Science,
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.
Arjuna Subject : -
Articles 1,063 Documents
Pengaruh obesitas pada kualitas tidur mahasiswa Fakultas Kedokteran Universitas Udayana periode 2018 Yudha Anggoro Kawi; Desak Made Wihandani; I Wayan Surudarma
Intisari Sains Medis Vol. 10 No. 3 (2019): (Available online: 1 December 2019)
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Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (228.579 KB) | DOI: 10.15562/ism.v10i3.442

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Introduction: Increased obesity rates in adolescents can lead to the emergence of new risk populations for the occurrence of sleep disorders. The emergence of sleep disorders will have a direct impact on decreasing the quality of sleep. This study aims to determine the effect of obesity on the sleep quality of students of the Faculty of Medicine, Udayana University.Method: The study design was cross sectional analytic with a total sample of 74 students of the Medical Faculty of Udayana University (37 samples of the Body Mass Index (BMI) obesity and 37 samples of the normal BMI). Sample selection is done randomly. Measuring sleep quality was done through filling in the Pittsburgh Sleep Quality Index (PSQI) questionnaire and measuring obesity was done by calculating BMI. The answers to the questionnaire were scoring and based on the global score, sleep quality was categorized into poor and good sleep quality. The PSQI questionnaire also included questions about health problems experienced by students in the past month. Data analysis is presented in the form of tables and narratives.Result: The results showed that in the obese student group there were 22 samples with poor sleep quality (53.7%) and 15 samples with good sleep quality (45.5%). In the normal IMT student group there were 19 samples with poor sleep quality (46.3%) and 18 samples with good sleep quality (54.5%). In 20 students with health problems, there were 15 samples with poor sleep quality and 5 samples with good sleep quality. In 54 students without health problems, 26 samples with poor sleep quality and 28 samples with good sleep quality. Analysis using chi-square showed obesity did not have a significant effect on sleep quality (p = 0.483). There was a significant effect of health problems on sleep quality (p = 0.039).Conclusion: Conclusions of the study were obesity did not have a significant effect on the quality of sleep of students of the Faculty of Medicine, Udayana University.
Hipertensi sebagai prediktor kejadian kardiovaskular mayor pada pasien infark miokard akut pada tahun 2018 di RSUP Sanglah Denpasar, Bali-Indonesia A A Ayu Kaivalya Kirthi; A. A. Ayu Dwi Adelia Yasmin; I Made Junior Rina Artha; Agha Bhargah
Intisari Sains Medis Vol. 10 No. 3 (2019): (Available online: 1 December 2019)
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Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (544.173 KB) | DOI: 10.15562/ism.v10i3.443

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Introduction: Acute Myocardial Infarction (AMI) is a leading cause of morbidity and mortality in developed countries, as well as emerged as a very important health problem in developing countries. Despite of management and treatment of AMI strategies has been evolving. Complications due to AMI cause high morbidity and mortality. To minimalize complications in AMI patients need some risk stratification. Risk stratification have been made based on AMI pathophysiology. Hypertension is a factor that directly influences the development of atherosclerosis through mechanical stress.Method: This study was a retrospective cohort observational study that enrolled 70 patients with AMI as the subject of research by consecutive sampling from January 2018 – September 2018. Data retrieval is done by taking data from medical records of patients in the Sanglah General Hospital. Outcome observed was in-hospital MACE (cardiovascular death, cardiogenic shock, heart failure, and malignant arrhythmias).Result: In this study, it was found that hypertension is a predictor of major cardiovascular events by almost 5-fold (HR = 5,02, 95% CI = 1,32-19,20, p = <0.018in patients with AMI that were treated at Sanglah General Hospital.Conclusion: The conclusion of this study is hypertension is a predictor of major cardiovascular events in patients with AMI on admission to hospital. The results of this study are expected to be used as baseline data for subsequent larger studies.
Ascites permagna caused by large mesenteric cyst in 2 years old male: A case report I Made Yullyantara Saputra; Putu Gde Karyana; Sanjaya Putra; Metriani Nesa; Made Dharmajaya; Kadek Deddy Arianta
Intisari Sains Medis Vol. 10 No. 3 (2019): (Available online: 1 December 2019)
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Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1120.126 KB) | DOI: 10.15562/ism.v10i3.447

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Background: Mesenteric cysts are documented as a rare entity in the pediatric population. They are considered as benign intraabdominal tumors with an unknown etiology and may occur anywhere in the mesentery of the gastrointestinal tract from the duodenum to the rectum. They are most commonly located in the mesentery of the ileum followed by localization in the sigmoid mesocolon. Approximately one-third of mesenteric cysts occur in children younger than 15 years of age and are slightly more common in males. The surgery is the common methods to remove the cyst.Case presentation: A 2-year-old boy was hospitalized with a history of the bloated abdomen and dull achy pain on the left side of the abdomen since I year before admitted. Physical examination revealed distended of abdomen and ascites. Laboratory investigation showed normal limit; ultrasonography investigation showed cystic lesion and fluid collection in the cavum abdomen. It was confirmed with a CT scan. We diagnosed the patient with ascites permagna et causa suspected mesenteric cyst. After the diagnosis, a laparoscopic exploration and drainage ascites and total resection of the cyst were performed. Seven days after surgery, the patient was in good condition and discharged from the hospital — no distention in the abdomen.Conclusion: The mesenteric cyst can be the cause of ascites and can be well treated with laparoscopic modalities; the outcome is excellent with no malignancy founded.
Gambaran aspek lingkungan dan perilaku pencegahan penularan tuberkulosis paru pada pasien tuberkulosis paru di wilayah kerja Puskesmas Dawan I, Kabupaten Klungkung tahun 2017 Yoseph Louis Helmi Rumkabu; Fatqur Rochman; Dewa Ayu Tintyani Rahmani Wikananda; Putu Cintya Deny Yuliatni
Intisari Sains Medis Vol. 10 No. 3 (2019): (Available online: 1 December 2019)
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Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (229.131 KB) | DOI: 10.15562/ism.v10i3.448

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Pendahuluan: Tuberkulosis paru adalah penyakit reemerging dan masih ditemukan di Provinsi Bali. Untuk mengurangi bertambahnya TB paru dan masalah yang ditimbulkan, perlu dilakukan penanganan awal yang dapat dilakukan yaitu di lingkungan keluarga. Selain untuk menyembuhkan pasien dan mencegah kematian, tujuan pengobatan TB lainnya yaitu mencegah kekambuhan dan memutuskan rantai penularan.Tujuan: Mengetahui gambaran aspek lingkungan dan perilaku pencegahan penularan tuberkulosis paru pada pasien TB Paru di wilayah kerja Puskesmas Dawan IMetode: Penelitan ini menggunakan pendekatan deskriptif menggunakan rancangan cross-sectional pada populasi pasien TB paru di Puskesmas Dawan I, Klungkung. Sampel ditentukan melalui total sampling, yaitu pasien tuberkulosis dengan BTA (+) selama tahun 2016-2017. Instrumen yang digunakan berupa kuesioner tentang gambaran aspek lingkungan dan perilaku pencegahan penularan tuberkulosis paru. Data yang telah terkumpul dianalisa secara deskriptif dengan program SPSS.Hasil: Gambaran responden yaitu 68,4% usia produktif; tamatan SMA 42,1%; PNS/pensiunan dan buruh 31,6%; keluarga kurang mampu 47,4%. Pada aspek lingkungan penderita TB, pencahayaan cukup 68,4%; kamar mandi cukup 89,5%; penghuni 1-3 orang 63,2%; luas ventilasi kamar tidur kurang 57,9%. Pada aspek pengetahuan mayoritas pengetahuan masyarakat tentang TB sudah baik.Simpulan: Sebagian besar penderita TB paru berada pada rentang usia produktif, jenis kelamin perempuan, berpenghasilan rendah, tingkat pendidikan rata-rata SMA. Mayoritas responden memiliki tempat tinggal dan pencegahan penularan penyakit yang sudah baik.
Korelasi jenis dan lama waktu pemberian obat antituberkulosis paru terhadap kadar glukosa darah di RSUP Sanglah periode 2015-2016 Gde Dicky Arimbawa; Ni Kadek Mulyantari
Intisari Sains Medis Vol. 10 No. 3 (2019): (Available online: 1 December 2019)
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Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (235.631 KB) | DOI: 10.15562/ism.v10i3.449

Abstract

Background: Tuberculosis (TB) is a chronic infectious disease caused by an infection of the Mycobacterium tuberculosis complex. Antituberculosis (OAT) drugs used in TB treatment include Isoniazid (H), Rifampicin (R), Pyrazinamide (Z), Ethambutol (E), and Streptomycin (S). The effects of OAT use are many that are hepatotoxic. This hepatotoxic disrupts liver function as a very important glucose buffer system. The purpose of this study was to determine the correlation of the type and duration of administration of OAT to blood glucose levels at Sanglah Hospital.Method: This study is an analytical study with a cross sectional study design. The population in this study were tuberculosis patients who were treated at Sanglah General Hospital, Denpasar in March 2015 - October 2016. The selection of samples used consecutive sampling with a total sample of 38.Results: The correlation test results between the duration of OAT administration and blood glucose levels in tuberculosis patients at Sanglah General Hospital using the spearman test obtained a correlation coefficient (r) value of 0.536 so that according to statistics it can be concluded that there is a positive correlation between the length of time OAT is to blood glucose concentrations. The correlation test between the type of OAT on blood glucose levels in tuberculosis patients in Sanglah General Hospital used the chi-square test obtained P value is 0.133 so according to statistics it can be concluded that there was no significant relationship between the type of OAT to blood glucose concentrations in tuberculosis patients at Sanglah Hospital.Conclusion: There is a significant positive correlation between the duration of OAT treatment of blood sugar levels, but there is no relationship between the type of OAT to blood sugar levels in patients with pulmonary tuberculosis.
Hubungan antara kadar albumin dengan penyembuhan luka pada pasien pasca bedah di Rumah Sakit Umum Pusat Sanglah Denpasar Ni Luh Gede Apsari Pararesthi; Kadek Agus Heryana Putra; Putu Kurniyanta
Intisari Sains Medis Vol. 10 No. 3 (2019): (Available online: 1 December 2019)
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Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (249.388 KB) | DOI: 10.15562/ism.v10i3.450

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Introduction: Wound healing is influenced by various factors, one of which is nutritional status. Nutritional status itself is often detected by one of the important signs of serum albumin. Albumin is a protein in human plasma that is soluble in water and high in concentration in blood plasma. Low albumin levels as an estimate of the causes of malnutrition and also associated with increased complications and postoperative death. Serum albumin less than 3.5g / dL is recognized by the patient as hypoalbuminemia.Methods: This research was conducted with the aim of analyzing the relationship between albumin levels and wound healing in postoperative patients. This study used a cross sectional observational analytic method by taking secondary data from medical records of postoperative patients (disgestif surgery, neurosurgery, orthopedic surgery, oncology surgery) at Sanglah General Hospital.Result: Of the 60 patients involved in this study, patients with abnormal albumin levels were 36.7% and patients with normal albumin levels were 63.3%. The chi-square test results showed that postoperative patients who had the last abnormal albumin level before surgery 5.1 times more with unrecover wound compared to patients with normal albumin levels (PR = 5.182; 95% CI = 2.181-12.310, p = 0.00001).Conclusion: There is a significant relationship between albumin levels and wound healing.Latar Belakang: Penyembuhan luka dipengaruhi oleh berbagai faktor, salah satunya adalah faktor status nutrisi. Status nutrisi sendiri sering dideteksi oleh salah satu tanda penting yaitu serum albumin. Albumin merupakan protein dalam plasma manusia yang larut dalam air dan tinggi konsentrasinya dalam plasma darah. Kadar albumin yang rendah sebagai perkiraan penyebab malnutrisi dan juga berhubungan dengan peningkatan komplikasi serta kematian postoperasi. Serum albumin yang kurang dari 3.5g/dL diakui pasien tersebut hipoalbuminemia.Metode: Penelitian ini dilaksanakan dengan tujuan untuk menganalisis hubungan kadar albumin dengan penyembuhan luka pada pasien pasca bedah. Penelitian ini menggunakan metode observasional analitik cross sectional dengan mengambil data sekunder dari rekam medis pasien pasca bedah (bedah disgestif, bedah saraf, bedah ortopedi, bedah onkologi) di RSUP Sanglah.Hasil: Dari 60 pasien yang terlibat dalam penelitian ini didapatkan pasien dengan kadar albumin tidak normal sebesar 36.7% dan pasien dengan kadar albumin normal sebanyak 63.3%. Hasil uji chi-square menunjukkan bahwa pasien pasca bedah yang sebelum operasi memilki kadar albumin terakhir tidak normal 5.1 kali lebih banyak mengalami luka tidak sembuh dibanding pasien dengan kadar albumin normal (PR=5.182; 95% CI=2.181-12.310, p=0.00001).Simpulan: Terdapat hubungan yang signifikan antara kadar albumin dengan penyembuhan luka.
Hubungan antara obesitas sentral dengan kadar Hba1c pada penduduk usia 30-50 tahun di Lingkungan Batursari Desa Bitera, Gianyar Putu Devita Sucitawati; DGD Dharma Santhi; AA Ngurah Subawa
Intisari Sains Medis Vol. 10 No. 3 (2019): (Available online: 1 December 2019)
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Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (250.766 KB) | DOI: 10.15562/ism.v10i3.451

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Introduction: Central obesity is condition there is an accumulation of intraabdominal and subcutaneous fat that occurs in the abdominal area which can cause insulin resistance so that glucose is difficult to enter the cell and causes blood glucose levels to increase in Type 2 Diabetes Mellitus. Waist circumference is one indicator used for measure central obesity. This study aims to determine the relationship between central obesity and HbA1c levels.Methods: This study was observational analytic with a cross sectional approach. The study population was adults aged 30-50 years in the Batursari, Bitera Village, Gianyar. Data taken included age, sex, occupation, waist circumference, BMI, HbA1c levels in 50 respondents taken by purposive sampling method. The relationship between central obesity and HbA1c levels was analyzed using Pearson correlation test with a significance level of 0.05.Result: The majority of the sample were central obesity based on waist circumference (60%). The number of respondents with HbA1c level ≥ 6.5% by 30%. Pearson Product Moment correlation test between central obesity and HbA1c level with p = 0.001 and Pearson Correlation r = 0.456.Conclusion: There is a significant positive relationship between central obesity and HbA1c levelsLatar Belakang: Obesitas sentral adalah suatu keadaan dimana adanya akumulasi lemak intraabdominal dan subkutan yang terjadi di daerah abdomen yang dapat menyebabkan resistensi insulin sehingga glukosa sulit untuk memasuki sel dan menyebabkan kadar glukosa darah meningkat pada penyakit Diabetes Mellitus Tipe 2. Lingkar pinggang merupakan salah satu indikator yang digunakan untuk mengukur obesitas sentral. Penelitian ini bertujuan untuk mengetahui tentang hubungan antara obesitas sentral dengan kadar HbA1c.Metode: Penelitian ini bersifat observasional analitik dengan pendekatan cross sectional. Populasi penelitian adalah penduduk dewasa usia 30-50 tahun di Lingkungan Batursari, Desa Bitera, Gianyar. Data yang diambil meliputi usia, jenis kelamin, pekerjaan, lingkar pinggang, IMT, kadar HbA1c pada 50 responden yang diambil dengan metode purposive sampling. Hubungan antara obesitas sentral dengan kadar HbA1c dianalisis dengan menggunakan uji korelasi Pearson dengan derajat kemaknaan 0,05.Hasil: Hasil penelitian menunjukkan bahwa sebagian besar mengalami obesitas sentral berdasarkan lingkar pinggang (60%). Jumlah responden dengan kadar HbA1c ≥ 6,5% sebesar 30%. Uji korelasi Pearson Product Moment antara obesitas sentral dengan kadar HbA1c dengan nilai p = 0,001 dan nilai Pearson Correlation r = 0,456.Simpulan: Terdapat hubungan positif bermakna antara obesitas sentral dengan kadar HbA1c.
Pengaruh cuci hidung dengan daun dewandaru (Eugenia uniflora L) terhadap infiltrasi sel inflamasi pada mukosa hidung tikus wistar yang menderita rinitis alergi Anggraini Anggraini; Sari Wulan Dwi Sutanegara; Komang Andi Dwi Saputra
Intisari Sains Medis Vol. 10 No. 3 (2019): (Available online: 1 December 2019)
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Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (279.139 KB) | DOI: 10.15562/ism.v10i3.452

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Introduction: Pitanga Leaves (Eugenia uniflora L) was known to contain flavonoids such as quercetin – a substance that can prevent inflammation on an allergic reaction by preventing the degranulation of cell mast and prevent enzymes cyclooxygenase and lipoxygenase. The effects of quercetin in Suriname Cherry towards the allergic reaction can be identified by the decrease in inflammatory cell infiltration in the nasal mucosa.Methods: This study is a laboratory experiment using post-test only control group design. The study used 28 male Rattus norvegicus aged 8 – 12 weeks with body weights of 200 – 280 grams. The rats were divided into 4 groups: K Group (rats were induced with ovalbumin and were not treated), K1 Group (rats were induced with ovalbumin and were therapized an intranasal therapy using NaCl 3% in Day 21 – 31), P1 Group (rats were induced with ovalbumin and were given intranasal therapies with a 10mg/ml Pitanga Leaves extract in Day 21 – 31), and P2 Group (rats were induced with ovalbumin and were given internasal therapies with a 20mg/ml Pitanga Leaves extract. Afterwards, histopathology preparations were created, examined, and scored from inflammatory cell infiltration in the nasal mucosa.Results: Inflammatory cell infiltration was found on different significance between groups K, K1, P1, and P2 (p<0.05). On groups with 10mg/ml and 20mg/ml Pitanga Leaves extract therapy, there was a significant decrease in inflammatory cell infiltration compared to the control group (p<0.05). There was no significant difference between the K and K1 groups (p>0.05).Conclusion: Rats that were induced with allergic rhinitis and were given intranasal therapy using Pitanga Leaves extract had lower inflammatory cell infiltration compared to the rats that were not given therapy.Latar Belakang: Daun dewandaru (Eugenia uniflora L) telah diketahui memiliki kandungan flavonoid yang salah satunya merupakan kuersetin yang memiliki kemampuan untuk mencegah proses inflamasi pada reaksi alergi dengan cara mencegah degranulasi sel mast dan juga mencegah enzim siklooksigenase dan lipoksigenase. Pengaruh dari kuersetin pada daun dewandaru terhadap reaksi alergi ini dapat ditandai dengan penurunan infiltrasi sel inflamasi pada mukosa hidung.Metode: Penelitian ini merupakan penelitian eksperimental laboratorium dengan menggunakan post-test only control group design.  Penelitian ini menggunakan 28 ekor tikus jantan galur wistar berusia 8 – 12 minggu dengan berat badan 200-280 gram. Tikus dibagi menjadi 4 kelompok, yaitu Kelompok K (tikus mendapatkan induksi ovalbumin dan tidak mendapatkan perlakuan), Kelompok K1 (tikus mendapatkan induksi ovalbumin dan terapi NaCl 3% secara intranasal pada hari ke 21-31), Kelompok P1 (tikus mendapatkan induksi ovalbumin dan terapi dengan ekstrak daun dewandaru 10mg/ml secara intranasal pada hari ke 21-31), dan Kelompok P2 (tikus mendapatkan induksi ovalbumin dan terapi dengan ekstrak daun dewandaru 20mg/ml secara intranasal pada hari ke 21-31). Kemudian dilakukan pembuatan dan pemeriksaan preparat histopatologi mukosa hidung dan dilakukan scoring pada infiltrasi sel inflamasi pada mukosa hidung.Hasil: Infiltrasi sel inflamasi ditemukan berbeda signifikan antar kelompok kontrol negatif, kontrol positif, perlakuan 1, dan perlakuan 2 (p<0.05). Pada kelompok terapi dengan daun dewandaru 10mg/ml dan 20mg/ml ditemukan infiltrasi sel inflamasi yang lebih rendah secara signifikan dibandingkan dengan kelompok kontrol (p<0.05). Pada kelompok kontrol negatif dan kontrol positif hasil ditemukan tidak berbeda signifikan (p>0.05).Simpulan: Pemberian terapi intranasal dengan ekstrak daun dewandaru pada tikus yang diinduksi rinitis alergi memiliki infiltrasi sel inflamasi yang lebih rendah dibandingkan dengan kelompok yang diinduksi rinitis alergi tanpa diberikan terapi.
Pemeriksaan widal untuk mendiagnosis Salmonella typhi di Puskesmas Denpasar Timur 1 Melania Antonia Barreto Cerqueira; Ni Nyoman Mahartini; I Wayan Putu Sutirta Yasa
Intisari Sains Medis Vol. 10 No. 3 (2019): (Available online: 1 December 2019)
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Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (266.848 KB) | DOI: 10.15562/ism.v10i3.453

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Introduction: Typhoid fever is an acute systemic infectious disease caused by Salmonella typhi which is still widely found in various developing countries, especially in the tropics and subtropics. Widal test is an agglutination reaction between antigen and S. typhi O titer antibodies> 1/160 and S. typhi H titer >1/160, Aglutinin that is specific to Salmonella typhi in the serum of patients with typhoid fever.Methods: This research was descriptive observational cross sectional. The population of the study was patients from the East Denpasar Health Center 1 who presented with clinical symptoms that supported.Result: There were 10 sample (30%) aged 0-10 years, 12 sample (36%) people aged 11-20 years, 7 sample (21%) aged 21-30 years, and 4 sample (12%) people aged >30 year. Samples with clinical symptoms of fever> 37 ° C with digestive disorders (nausea, vomiting, abdominal pain) with or without impaired consciousness were 18 samples (55%). Samples with clinical symptoms of fever> 37 ° C with digestive tract disorders were 11 samples (33%). Samples with fever> 37 ° C were 4 samples (12%)Conclusion: There were 3% of positive widal test and 97% of negative widal test in the East Denpasar Health Center 1.Latar Belakang: Demam tifoid merupakan suatu penyakit infeksi akut sistemik yang disebabkan oleh Salmonella typhi yang masih dijumpai secara luas di berbagai negara berkembang terutama di daerah tropis dan subtropics. Uji Widal adalah suatu reaksi aglutinasi antara antigen dan antibody S. typhi O titer > 1/160 dan S. typhi H titer >1/160, Aglutinin yang spesifik  terhadap  Salmonella  typhi  terhadap dalam serum penderita demam  tifoid.Metode: Penelitian ini bersifat observasional cross sectional deskriptif Populasi Penelitian adalah pasien dari Puskesmas Denpasar Timur 1 datang dengan gejala klinis yang mendukung.Hasil: Rentang usia dari 33 pasien subjek penelitian, terdapat 10 sampel(30%) berusia 0 – 10 tahun, 12 sampel  (36 %) sampel berusia 11 – 20 tahun, 7 sampel (21%) berusia 21-30 tahun,  dan 4 sampel  (12 %) sampel berusia > 30 tahun. Sampel dengan gejala klinis demam > 37 °C dengan gangguan pencernaan (mual, muntah, nyeri perut) dengan atau tanpa gangguan kesadaran sebanyak 18 sampel (55%). Sampel dengan gejala klinis demam > 37°C dengan gangguan saluran pencernaan sebanyak 11 sampel (33%). Sampel dengan demam >37°C sebanyak 4 sampel (12%)Simpulan: Terdapat 3% sampel dengan widal positif dan 97% sampel dengan widal negatif di Puskesmas Denpasar Timur 1.
Karakteristik penderita polip hidung di poliklinik THT-KL RSUP Sanglah Denpasar tahun 2018 I Made Surya Vedo Wirananda; Agus Rudi Asthuta; Komang Andi Dwi Saputra
Intisari Sains Medis Vol. 10 No. 3 (2019): (Available online: 1 December 2019)
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Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (274.85 KB) | DOI: 10.15562/ism.v10i3.454

Abstract

Introduction: Nasal polyps might trigger physical disorders and disrupt the normal function of daily life, causing decreases in productivity. Prevention and good management of nasal polyp cases become important. Therefore, information related to socio-demographic information is necessary even though the data available were still lacking.Method: This descriptive research was done using a cross sectional design, which data were collected retrospectively. The research data were secondary data of patients’ medical records in ENT poly in RSUP Sanglah Denpasar. This research describes the data related to nasal polyp patients in Sanglah Depansar, 2018 based on age, sex, main symptoms, comorbidities, and therapy. Research samples were selected using total sampling technique, in which the whole population that matched the predetermined criteria were involved in this research as samples.Result: 27 data met the inclusion criteria. Nasal polyp mostly occurred in the group of 40-60 years old patients as many as 11 persons (40.7%), with the youngest patient aged 10 years old. The results also indicated that the number of Nasal polyp in males reached 20 patients (74.1%) than in females of 7 people (25.9%). Nasal congestion was the main symptoms experienced by 15 people (55.6%), while sinusitis was the highest risk factor that occurred to 16 patients (59.3%). It was also found that rhinitis allergy was experienced by 7 patients (25.9%). Furthermore, 4 patients (14.8%) patients had rhinitis & sinusitis risk factor. There were 9 patients (33.3%) who underwent medical therapy, while 18 patients (66.7%) had undergone medical therapy and surgery.Conclusion: The highest frequency of polyp patient in RSUP Sanglah Denpasar of 2018 was found in the group of patients aged between 46-50 years old (40.7%), The number of Nasal polyps was found higher in male patients (74.1%). Nasal congestion was the most common complaint (55,6%), while the most frequently-risk factor was sinusitis (59.3%). This research has confirmed that medicine and surgery were the most preferred nasal polyps therapy (66.7%).Latar Belakang: Polip hidung dapat menyebabkan gangguan fisik dan gangguan fungsi normal kehidupan sehari-hari sehingga menyebabkan penurunan produktivitas. Pencegahan dan penanganan yang tepat terhadap polip nasi sangat penting, sehingga informasi mengenai faktor sosio-demografi polip nasi sangat dibutuhkan walaupun data yang tersedia masih jarangMetode: Rancangan penelitian ini bersifat deskriptif dengan rancangan penelitian cross sectional dengan pengambilan data secara retrospektif. Data yang digunakan berupa data sekunder yang didapat dari rekam medis pasien poli THT RSUP Sanglah Denpasar. Rancangan penelitian ini bertujuan untuk dapat menggambarkan penderita Polip Nasi di RSUP Sanglah Denpasar tahun 2018 berdasarkan usia, jenis kelamin, keluhan utama, penyakit penyerta dan terapi. Teknik penentuan sampel yang digunakan adalah total sampling dimana seluruh populasi target yang memenuhi kriteria dimasukan sebagai sampel.Hasil: Sebanyak 27 data yang memenuhi kriteria inklusi. Berdasarkan kelompok usia angka kejadian terbanyak terjadi pada kelompok usia 46-60 tahun (40,7%) dengan usia termuda yaitu 10 tahun. Angka kejadian pada laki-laki lebih banyak dari pada perempuan yaitu jumlah angka kejadian pada laki-laki sebanyak 20 orang (74,1%), perempuan 7 orang (25,9%). Hidung tersumbat merupakan keluhan utama yang paling banyak terjadi yaitu pada 15 orang (55,6%) dengan sinusitis sebagai faktor resiko tertinggi yang terjadi pada 16 orang (59,3%), sedangkan faktor resiko berupa rhinitis allergi didapatkan data sebanyak 7 orang (25,9%) dan pada faktor resiko rhinitis & sinusitis didapatkan 4 orang (14,8%). Pasien yang melakukan terapi medikamentosa didapatkan sebanyak 9 orang (33,3%), pada terapi medikamentosa & pembedahan didapatkan sebanyak 18 orang (66,7%).Simpulan: Distribusi frekuensi penderita polip nasi di RSUP Sanglah Denpasar tahun 2018 terbanyak berdasarkan kelompok usia yaitu kelompok usia 46-60 tahun (40,7%), angka kejadian pada laki-laki lebih banyak (74,1%), hidung tersumbat merupakan keluhan utama yang paling sering terjadi (55,6%) dengan sinusitis sebagai faktor resiko yang paling sering ditemukan (59,3%) dan terapi polip nasi berupa medikamentosa & pembedahan (66,7%).

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