cover
Article Per Year (5 Year)
All
Home Page
OAI Link
Editorial Team
Contact
Reviewer
Google Scholar
Contact Name
Sunny Wangko
Contact Email
sunnypatriciawangko@gmail.com
Phone
+628124455733
Journal Mail Official
sunnypatriciawangko@gmail.com
Editorial Address
medscopej@gmail.com
Location
Kota manado,
Sulawesi utara
INDONESIA
Medical Scope Journal (MSJ)
Published by Universitas Sam Ratulangi
ISSN : -     EISSN : 27153312     DOI : https://doi.org/10.35790/msj
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Nursing Public Health
Medical Scope Journal (MSJ) diterbitkan oleh Perhimpunan Ahli Anatomi Indonesia (PAAI) Komisariat Manado bekerjasama dengan Fakultas Kedokteran Universitas Sam Ratulangi dua kali setahun pada bulan Juni dan Desember. Tulisan yang dimuat dapat berupa artikel telaah (review article), hasil penelitian, dan laporan kasus dalam bidang ilmu kedokteran baik dalam bahasa Indonesia maupun dalam bahasa Inggris.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 231 Documents
 20   21   22   23   24 
Hubungan Kadar HbA1c dengan Nilai Ankle Brachial Index pada Lanjut Usia dengan Diabetes Melitus Tipe 2 Samuel, Patricia G. M.; Wantania, Frans E. N.; Sedli, Bisuk P.
Medical Scope Journal Vol. 7 No. 1 (2025): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v7i1.58526

Abstract

Abstract: The prevalence of type 2 diabetes mellitus (T2DM) increases with aging and unhealthy lifestyles, especially after the age of 40 years. Hyperglycemia is a risk factor for atherosclerosis. Ankle brachial index (ABI) is an option for early diagnosis of this pathological condition because it is non-invasive, low cost, and easy to perform. This study aimed to determine the relationship between HbA1c level and ankle brachial index value ​​in elderly with T2DM. This was a quantitative study using a cross sectional approach. Samples were 30 elderly DMT2 patients at Prof. Dr. R. D. Kandou Hospital Manado during October –December 2023 that fulfilled the inclusion and exclusion criteria. Data of HbA1c were obtained from the patients’ medical records. Ankle brachial index was assessed using the Doppler ultrasound dan sphygmomanometer. The results showed a moderate and significant negative correlation between HbA1c level and ABI value ​​(r=-0.425; p=0.019). In conclusion, there is a relationship between HbA1c level and ABI value ​​in elderly T2DM patients. The higher the HbA1C level, the lower the ABI value. Keywords: HbA1c; ankle brachial index; type 2 diabetes mellitus; elderly    Abstrak: Prevalensi diabetes melitus tipe 2 (DMT2) meningkat sejalan dengan proses penuaan dan gaya hidup yang tidak sehat terutma pada usia di atas 40 tahun. Hiperglikemi ialah salah satu faktor risiko terjadinya aterosklerosis. Ankle brachial index (ABI) merupakan pilihan untuk diagnosis dini pada keadaan patologi ini karena bersifat non-invasive, murah, dan mudah dilakukan. Penelitian ini bertujuan untuk mengetahui hubungan kadar HbA1c dengan nilai Ankle Brachial Index pada subjek lanjut usia (lansia) dengan DMT2. Penelitian ini menggunakan analisis kuantitatif dengan pendekatan potong lintang. Sampel penelitian ialah 30 pasien lansia DMT2 di RSUP Prof. Dr. R. D. Kandou Manado selama Oktober –Desember 2023 yang memenuhi kriteria inklusi dan eksklusi. Data HbA1c diperoleh dari data rekam medik pasien. Penilaian ABI menggunakan doppler ultrasound dan sfigmomanometer. Hasil penelitian mendapatkan korelasi negatif kekuatan sedang yang bermakna pada hubungan antara kadar HbA1c dengan nilai ABI (r=-0,425; p=0,019). Simpulan penelitian ini ialah terdapat hubungan bermakna antara kadar HbA1c dengan nilai ABI pada pasien lansia dengan DMT2. Semakin tinggi kadar HbA1c, maka semakin rendah nilai ABI. Kata kunci: HbA1c; ankle brachial index; diabetes melitus tipe 2; lanjut usia
Penggunaan Telemedicine untuk Penilaian Luaran Fungsi pada Pasien Osteoartritis Pinggul yang Telah Dilakukan Total Hip Arthroplasty Kambey, Stefan A. G. P.; Ngabalin, Jastin W.; Lampus, Harsali F.
Medical Scope Journal Vol. 7 No. 1 (2025): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v7i1.58527

Abstract

Abstract: The most common arthritis in the hip joint is due to joint wear and tear, osteoarthritis (OA). One of the most effective types of surgery to perform on hip OA is total hip arthroplasty (THA). This study aimed to determine the functional results of total hip arthroplasty surgery in cases of hip arthritis at Prof. Dr. R. D. Kandou Hospital Manado by using telemedicine. This was a descriptive study interviewing patients who underwent total hip arthroplasty in the period of January-November 2023 via video call. The Harris hip score (HHS) was measured before and after THA. The results showed that from five patients who underwent HHS evaluation before THA, all of them had poor scores (100%). Meanwhile, the HHS after THA showed that one patient had a poor score (20%), one patient had a fairly good score (20%), two patients had good scores (40%), and one patient had a very good score (20%), indicating increased HHS after THA in all patients. In conclusion, total hip arthroplasty is effective in hip arthritis patients. The telemedicine can be an alternative for evaluating patients with hip osteoarthritis after total hip arthroplasy who are difficult to be reached. Keywords: hip osteoarthritis; Harris hip score; total hip arthroplasty; telemedicine    Abstrak: Artritis yang paling umum terjadi pada sendi pinggul diakibatkan oleh keausan sendi atau  disebut osteoartritis (OA). Salah satu jenis operasi yang paling efektif untuk OA pinggul ialah total hip arthroplasty (THA). Penelitian ini bertujuan untuk mengetahui hasil fungsional pembedahan THA pada kasus OA pinggul di RSUP Prof. Dr. R. D. Kandou Manado menggunakan telemedicine. Jenis penelitian ini ialah deskriptif dengan mewawancarai pasien yang dilakukan total hip arthroplasty periode Januari-November 2023 via panggilan video. Nilai Harris hip score (HHS) diukur sebelum dan setelah dilakukan THA. Hasil penelitian memperlihatkan bahwa dari lima pasien yang dilakukan evaluasi HHS sebelum dilakukan THA, didapatkan semuanya memiliki skor kurang baik (100%). Setelah dilakukan THA dan dievaluasi menggunakan HHS didapatkan satu orang memiliki skor kurang baik (20%), satu orang memiliki skor cukup baik (20%), dua orang memiliki skor baik (40%), dan satu orang memiliki skor baik sekali (20%). Dengan kata lain terdapat peningkatan skor HHS setelah dilakukan THA pada semua pasien. Simpulan penelitian ini ialah total hip arthroplasty efektif dilakukan pada pasien dengan osteoartritis pinggul. Penggunaan telemedicine dapat menjadi alternatif untuk mengevaluasi pasien osteoartritis pinggul setelah total hip arthroplasty yang memiliki keterbatasan jarak untuk dijangkau. Kata kunci: osteoartritis pinggul; Harris hip score; total hip arthroplasty; telemedicine
Endometriosis Umbilikal Primer: Laporan Kasus Kalesaran, Laurens; Torar, Ridel
Medical Scope Journal Vol. 7 No. 1 (2025): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v7i1.58560

Abstract

Abstract: Primary umbilical endometriosis (PUE) is characterized by the presence of endometrial tissue in the umbilicus without a prior history of surgery, often accompanied by cyclical bleeding corresponding to the menstrual cycle. We reported a 41-year-old woman presented with cyclical bleeding from the umbilicus, coinciding with her menstrual periods for several months. Physical examination revealed a small, firm nodule with blood secretion at the umbilicus. The patient had no history of abdominal trauma or previous surgery. Abdominal ultrasonography suggested a diagnosis of umbilical endometriosis. The patient underwent total excision of the umbilical nodule, and histopathological examination confirmed the presence of endometrial tissue. This PUE should be considered as a differential diagnosis in reproductive-age women presenting with umbilical bleeding associated with the menstrual cycle. In this case, the absence of surgical history made the diagnosis of PUE more evident. Surgical treatment with total excision is the main therapeutic option to prevent recurrence. Post-excision histopathological examination is crucial to confirm the diagnosis. This study highlights the importance of clinical awareness of this rare condition to ensure early diagnosis. In conclusion, PUE is a rare condition that should be suspected in patients with the characteristic symptom of cyclical umbilical bleeding. Surgical excision with histopathological confirmation is the standard treatment, with a good prognosis and minimal risk of recurrence. Keywords: primary umbilical endometriosis; umbilical bleeding; surgical excision   Abstrak: Endometriosis umbilikalis primer (EUP) ditandai dengan adanya jaringan endometrium di umbilikus tanpa riwayat operasi sebelumnya, yang sering disertai perdarahan siklik sesuai dengan siklus menstruasi. Kami melaporkan kasus seorang wanita berusia 41 tahun dengan keluhan perdarahan siklik dari umbilikus yang selalu bertepatan dengan periode menstruasinya selama beberapa bulan terakhir. Pemeriksaan fisik menunjukkan adanya nodul kecil dan keras dengan sekresi darah di umbilikus. Pasien tidak memiliki riwayat trauma abdomen atau operasi sebelumnya. Pemeriksaan ultrasonografi abdomen mengarahkan kepada diagnosis endometriosis umbilikalis. Pasien menjalani eksisi total nodul umbilikalis, dan hasil histopatologik mengonfirmasi adanya jaringan endometrium. EUP harus dipertimbangkan sebagai diagnosis banding pada wanita usia reproduktif dengan keluhan perdarahan umbilikalis yang berhubungan dengan siklus menstruasi. Pada kasus ini, tidak adanya riwayat operasi menjadikan diagnosis EUP lebih jelas. Pembedahan berupa eksisi total merupakan pilihan terapi utama untuk menghindari kekambuhan. Pemeriksaan histopatologik pasca-eksisi sangat penting untuk memastikan diagnosis. Studi ini menekankan pentingnya kesadaran klinis terhadap kondisi langka ini agar diagnosis dapat ditegakkan lebih dini. Simpulan studi ini ialah endometriosis umbilikalis primer merupakan kondisi langka yang penting untuk diwaspadai pada pasien dengan gejala khas berupa perdarahan umbilikalis yang siklik. Eksisi bedah dengan konfirmasi histopatologi menjadi standar penanganan utama, dengan hasil prognosis yang baik dan risiko kekambuhan minimal. Kata kunci: endometriosis umbilikalis primer; perdarahan umbilikus; eksisi bedah
Selective Embolization of Arteriovenous Malformation in Gross Hematuria Post-Renorrhaphy: A Case Report Tangkilisan, Adrian; Sukanto, Wega; Paat, Rigel; Iskandar, Edward
Medical Scope Journal Vol. 7 No. 2 (2025): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v7i2.58642

Abstract

Abstract: Management approaches for renal trauma vary from conservative methods for contusions to surgical interventions for severe injuries. Postoperative renal artery embolization (RAE) is crucial to control bleeding and preserve renal parenchymal tissue integrity. We reported a patient presented with hematuria 30 minutes after sustaining a stab wound to the right waist, accompanied by severe pain, dizziness, and cold sweats. Physical examination revealed a penetrating wound in the right flank, gross hematuria, and signs of hypovolemic shock. The patient was diagnosed with grade II hypovolemic shock due to a renal laceration and duodenal rupture, initial resuscitation and conservative management were followed by exploratory laparotomy and renorrhaphy. Persistent gross hematuria post-renorrhaphy necessitated embolization. Hypovolemic shock resulted from significant bleeding from duodenal and renal lacerations. Renorrhaphy effectively minimized renal parenchymal damage without urine extravasation. Subsequent angiography revealed gross hematuria, indicating renal arteriovenous malformation (AVM). Embolization using a vortex coil successfully managed bleeding from large vessels and improved perfusion in the lesion area. In conclusion, renal trauma poses serious risks, including hypotension and hemorrhagic shock. Prompt resuscitation followed by surgical repair and angiographic embolization are essential. Embolization remains a generally safe and effective method for achieving selective hemostasis in such cases. Keywords: renal trauma; gross hematuria; renorrhaphy; renal-artery embolization
Profil Pasien dengan Gangguan Elektrolit yang Dirawat di Ruang Perawatan Intensif Sumule, Vania S. P.; Laihad, Mordekhai L.; Kambey, Barry I.
Medical Scope Journal Vol. 7 No. 2 (2025): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v7i2.58877

Abstract

Abstract: Electrolyte disturbance is a common health problem in critical patients in the Intensive Care Unit (ICU). These disorders can cause serious complications and contribute to increased morbidity and mortality. This study aimed to determine the description of electrolyte disturbances experienced by patients in the ICU of Prof. Dr. R. D. Kandou Hospital. This was an observational study with a retrospective design involving 252 patients admitted to the ICU with electrolyte disturbances from January to June 2023. Data were obtained from medical records and analyzed descriptively. The results showed that hyponatremia was the most common electrolyte disorder (65.1%), followed by hypokalemia (48%), hypochloremia (53.6%), hypocalcemia (61.5%), and hyperphosphatemia (40.5%). The highest incidence was in the age group >65 years (18.7% for hyponatremia and hypocalcemia). The majority of patients were male. The most common disease diagnosis was sepsis. In conclusion, hyponatremia and hypocalcemia are the main electrolyte disorders in critical patients in the ICU of Prof. Dr. R. D. Kandou Hospital. The high-risk group is elderly men with sepsis. Close monitoring of electrolytes needs to be done especially in patients with these conditions to prevent fatal complications. Keywords: electrolyte disturbance; hyponatremia; hypocalcemia   Abstrak: Gangguan elektrolit merupakan masalah yang sering terjadi pada pasien kritis di Intensive Care Unit (ICU). Penelitian ini bertujuan mengetahui profil pasien dengan gangguan elektrolit di ICU RSUP Prof. Dr. R. D. Kandou. Jenis penelitian ialah observasional retrospektif dan pendekatan kuantitatif. Sampel penelitian ialah 252 pasien dengan gangguan elektrolit yang dirawat di ICU RSUP Prof. Dr. R. D. Kandou periode Januari-Juni 2023. Pengambilan sampel dilakukan secara purposive sampling. Variabel yang diteliti meliputi jenis gangguan elektrolit, karakteristik pasien (usia, jenis kelamin), diagnosis penyakit, dan lama rawat inap. Data dikumpulkan dari rekam medis dan dianalisis secara deskriptif. Hasil penelitian mendapatkan gangguan elektrolit terbanyak ialah hiponatremia (65,1%) dan hipokalsemia (61,5%). Kelompok usia >65 tahun (18,7%) dan laki-laki lebih banyak mengalami gangguan elektrolit, dan diagnosis tersering ialah sepsis. Rerata lama rawat inap pasien 1-7 hari. Simpulan penelitian ini ialah hiponatremia dan hipokalsemia merupakan gangguan elektrolit yang paling umum terjadi pada pasien ICU RSUP Prof. Dr. R. D. Kandou. Pasien usia lanjut dan sepsis berisiko tinggi mengalami gangguan elektrolit. Kata kunci: gangguan elektrolit; hiponatremia; hipokalsemia
Penetrating Head Injury by a Key: A Case Report Oley, Maximillian C.; Prasetyo, Eko; Tjungkagi, Ferdinan; Manuhutu, Yovanka N.; Sitorus, Edwin H.
Medical Scope Journal Vol. 7 No. 2 (2025): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v7i2.59224

Abstract

Abstract: Penetrating head injury is defined as head trauma caused by an object that penetrates the skull and the underlying duramater. We reported a 22-year-old man who came to the hospital with a motorcycle key stuck into the back of his head after a fight with his friend approximately one hour before admission. The patient was fully conscious. History of projectile vomiting, and seizures were denied, and there were no other neurological deficits. Blindly removing the key can damage the neural tissue and can cause secondary injury to the brain and surrounding blood vessels. The primary goal of treatment for patients with suspected traumatic brain injury is to prevent secondary brain injury and infection. The removal of the object safely, debridement of the damaged parenchyma, removal of the hematoma, and closure of the injured dura and skin are the main goals of surgical treatment for penetrating head injuries. In this case, motor key evacuation was performed followed by craniotomy and debridement. The prognosis was good, and there was no neurological deficit. In conclusion, complete and adequate care is essential for patients with penetrating brain injuries. The strategy for treating these injuries is primarily surgery with the aim of preventing secondary brain injury and infection. According to existing research, antibiotics should be given for an indefinite period after surgery. Keywords: penetrating head injury; motorcycle key
Evaluation of Clinical Outcomes in Sport Participants Undergoing Anterior Cruciate Ligament Reconstruction Rawung, Rangga B. V.; Lengkong, Andriessanto C.; Lampus, Harsali F.; Bagy, Raynald G.; Sundah, Antony B. M.; Tooy, Christorei D.
Medical Scope Journal Vol. 7 No. 2 (2025): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v7i2.59451

Abstract

Anterior cruciate ligament (ACL) injury is one of the most common musculoskeletal injuries. Evaluating the clinical outcomes of the ACL reconstruction (ACLR) procedure is essential to provide information regarding the benefits of this procedure. This study aimed to assess the clinical outcomes of patients who underwent ACLR at Prof. Dr. R. D. Kandou Hospital Manado. This was a retrospective study. Secondary data were collected from all athlete patients who underwent ACLR. The ACLR procedure was performed by a single operator following the standard arthroscopic procedure. All grafts used Hamstring grafts (gracilis and semitendinosus). Suspense fixation was done using a button, while tibial fixation was done with interference fixation (bioabsorbable screw). Patients were evaluated over a short period, specifically at three months, six months, and nine months. Outcome parameters were assessed using the Visual Analog Scale (VAS), Range of Motion (ROM), Lachman test, Anterior Drawer test, and Knee Functional Score (KFS). Any complications that arose were documented. The results showed that among 21 patients at Prof. Dr. R. D. Kandou Hospital Manado, it was found that ACL injuries were more common in physically active men, especially in the age group of 26-30 years. Most patients who underwent ACLR had serious injuries that required immediate treatment. Hamstring graft was the most common choice (85.7%). Knee stiffness was the most common complication and required special attention during the rehabilitation program. Based on KFS, most patients successfully achieved good knee function recovery. There was a decrease in the VAS score reflecting the effectiveness of the procedure in reducing postoperative pain. There was an increase in the KSS reflecting the success of ACLR in restoring knee stability and function to almost normal levels. In conclusion, anterior cruciate ligament reconstruction in sport participants showed significant improvements in knee mobility and pain reduction, with low complications. Keywords: anterior cruciate ligament injury; anterior cruciate ligament reconstruction; graft fixation
Cervical Approach for Retrosternal Struma: A Case Report Tandililing, Sherly; Sipayung, Edwin Z.
Medical Scope Journal Vol. 7 No. 2 (2025): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v7i2.58670

Abstract

Abstract: Retrosternal struma is the inclusion of the thyroid gland into the thoracic cavity. Combined access with a neck incision and chest incision or only a neck incision to free the tumor from the chest cavity and avoid damage to surrounding tissues, makes treatment of substernal struma a challenge both preoperatively and during surgery. Systematic technique minimizes the need for sternotomy, even in patients with significant intra thoracic components, and keeps severe complication rates at levels comparable to those of conventional thyroidectomy. We reported a 46-year-old woman complaining of lumps on the right and left neck for six years. The masses were found on the right side of the neck (10x6cm) and on the left side of the neck (4x3cm), which were hard consistency, well-defined, immobile, skin-colored, painless, and moving when swallowing. CT-scan showed a solid mass struma that had entered the superior thoracic aperture. Total thyroidectomy was performed through cervical approach with a good outcome. In conclusion, total thyroidectomy through a cervical approach is able to remove the entire thyroid gland tissue extending to the retrosternal region with a good outcome without performing a sternotomy. Keywords: retrosternal struma; thyroidectomy; cervical approach
Manajemen Sindrom Koroner Kronik: Laporan Kasus Rampengan, Starry H.; Cahyono, Alvin E.
Medical Scope Journal Vol. 7 No. 2 (2025): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v7i2.59509

Abstract

Abstract: Over the last decades, the management of chronic coronary syndromes (CCS) has improved rapidly that contributes in the decreasing of cardiovascular mortality. After myocardial infarction, the patient’s condition can improve with the usage of reperfusion therapy with thrombolysis or primary angioplasty and preventive treatment with aspirin and antiplatelet agents, statin, beta-blockers, and renin-angiotensin antagonists. Moreover, percutaneous coronary intervention (PCI) can improve the survival of patients suffering from acute coronary syndrome (ACS). We reported a 49-year-old man, who complained of chest pain for the last one year, which worsened with activity. One day before hospitalization, the chest pain worsened. The patient was diagnosed with CCS CCS (Chronic Coronary Syndrome Canadian Cardiovascular Society) II-III, GERD, hyponatremia, dyslipidemia, hyperuricemia, and dyspepsia. After further examination, a RF-CL of 20% (moderate) was obtained. A Dobutamine Stress Echocardiography examination was carried out resulting a positive ischemic response, then DCA-PCI was performed. The patient went home without any complaints. The management of this patient from diagnosis to therapy is in accordance with the ESC CCS 2024 guidelines. In conclusion, regarding the importance of acute chest pain management, patients with chest pain should not be underestimated and there are many modalities that can be used to confirm the diagnosis of chronic coronary syndromes. Keywords: chronic coronary syndrome; dobutamin stress echocardiography; percutaneous coronary intervention; risk factor-clinical likelihood   Abstrak: Selama beberapa dekade terakhir, manajemen sindrom koroner kronis telah meningkat pesat yang menyebabkan mortalitas kardiovaskular telah menurun secara stabil. Kondisi pasien setelah infark miokard dapat menjadi lebih optimal dengan adanya terapi reperfusi dengan trombolisis atau angioplasti primer dan terapi pencegahan seperti aspirin dan agen antiplatelet lainnya, statin, beta-blocker, dan antagonis renin-angiotensin. Intervensi koroner perkutan (IKP) dapat meningkatkan kelangsungan hidup pasien yang mengalami sindrom koroner akut (SKA). Kami melaporkan seorang laki-laki berusia 49 tahun, dengan keluhan nyeri dada sejak 1 tahun terakhir, diperberat dengan aktivitas. Sehari sebelum masuk rumah sakit, nyeri dada dirasakan memberat. Pasien didiagnosis dengan sindroma koroner kronik CCS CCS (Chronic Coronary Syndrome Canadian Cardiovascular Society) II-III, GERD, hiponatremia, dislipidemia, hiperurisemia, dan dispepsia. Pada pemeriksaan lanjut, didapatkan RF-CL 20% (moderate), kemudian dilakukan pemeriksaan dobutamin stress echocardiography dan didapatkan hasil iskemik respons positif, sehingga dilanjutkan dengan IKP. Penatalaksanaan pasien ini sejak konfirmasi diagnosis sampai terapi telah sesuai dengan Guidelines ESC CCS 2024. Pasien dipulangkan dengan tidak ada keluhan. Simpulan kasus ini ialah terkait tatalaksana nyeri dada akut, pasien dengan nyeri dada tidak boleh diremehkan, dan telah banyak modalitas yang dapat digunakan untuk mendiagnosis sindroma koroner kronik. Kata kunci: sindrom koroner kronik; dobutamin stress echocardiography; intervensi koroner perkutan; risk factor-clinical likelihood
Kecemasan pada Remaja yang Hamil di Luar Nikah Rahayu, Widya; Kartini, Farida; Askuri, Askuri
Medical Scope Journal Vol. 7 No. 2 (2025): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v7i2.56534

Abstract

Abstract: Teenagers with premarital pregnancy can experience more stress, feelings of helplessness, hopelessness, depression, suicidal willingness, feelings of failure, and loss of self-esteem. This study aimed to analyze the anxiety in teenagers who were pregnant before marriage in Manado. This was a mixed method study with quantitative sampling technique using total sampling (67 samples). The instrument used for quantitative research was the PASS questionnaire. Qualitative samples obtained from the results of quantitative research with purposive sampling technique, the type of research used phenomenology. Quantitative data were analyzed univariately and bivariately. The results showed that the highest percentages were found in age 15-18 years (71.6%), senior high school education (59.7%), gestational age of second trimester of pregnancy (46.3%) and third trimester of pregnancy (44.8%). The qualitative analysis obtained four major themes, namely: the anxiety of adolescents with premarital pregnancy, the impact of pregnancy, the experience of adolescents, the factors of premarital pregnancy. The chi-square test for the relationship between anxiety level and premarital pregnancy had a p-value of 0.040. In conclusion, there is a relationship between anxiety level and premarital pregnancy in adolescents in Manado. The contributing factors are inappropriate parents and couple support, and readiness for being pregnancy. Keywords: anxiety; adolescents; pre-marital pregnancy    Abstrak: Remaja hamil di luar nikah lebih mengalami stres, perasaan tidak berdaya, putus asa, depresi, keinginan bunuh diri, merasa diri gagal, serta kehilangan harga diri. Penelitian ini bertujuan untuk menganalisis kecemasan pada remaja hamil di luar nikah di Kota Manado. Penelitian ini menggunakan mixed method dengan pendekatan explanatory sequential design. Populasi dan sampel yakni remaja usia 15-24 tahun yang hamil di luar nikah di Kota Manado. Desain kuantitatif yaitu deskriptif analitik. Pengambilan sampel kuantitatif menggunakan total sampling berjumlah 67 sampel. Instrumen penelitian yaitu kuesioner PASS. Sampel kualitatif berasal dari hasil penelitian kuantitatif dengan purposive sampling, dan jenis penelitian fenomenologi. Analisis data kuantitatif secara univariat dan bivariat. Hasil penelitian mendapatkan persentase tertinggi pada kategori usia remaja 15-18 tahun (71,6%), pendidikan SMA (59,7%), serta usia kehamilan trimester II (46,3%) dan trimester III (44,8%). Hasil analisis kualitatif mendapatkan  empat tema besar, yaitu: kecemasan remaja yang hamil di luar nikah, dampak hamil, pengalaman remaja, dan faktor terjadinya kehamilan di luar nikah. Hasil uji chi-square terhadap hubungan antara tingkat kecemasan dengan hamil di luar nikah mendapatkan nilai p=0,040. Simpulan penelitian ini terdapat hubungan bermakna antara tingkat kecemasan dengan remaja hamil di luar nikah di Kota Manado. Faktor yang memengaruhi kecemasan pada remaja hamil yakni kurangnya dukungan keluarga dan pasangan, dan kesiapan menjalani kehamilan. Kata kunci: kecemasan; remaja; hamil di luar nikah

Page 22 of 24 | Total Record : 231

 20   21   22   23   24 

Filter by Year

2019 2026


Reset
Filter By Issues
All Issue Vol. 8 No. 1 (2026): Medical Scope Journal Vol. 7 No. 2 (2025): Medical Scope Journal Vol. 7 No. 1 (2025): Medical Scope Journal Vol. 6 No. 2 (2024): Medical Scope Journal Vol. 6 No. 1 (2024): Medical Scope Journal Vol. 5 No. 2 (2023): Medical Scope Journal Vol. 5 No. 1 (2023): Medical Scope Journal Vol. 4 No. 2 (2023): Medical Scope Journal Vol. 4 No. 1 (2022): Medical Scope Journal Vol. 3 No. 2 (2022): Medical Scope Journal Vol 3, No 1 (2021): Medical Scope Journal Vol 2, No 2 (2021): Medical Scope Journal Vol 2, No 1 (2020): Medical Scope Journal Vol 1, No 2 (2020): Medical Scope Journal Vol 1, No 1 (2019): Medical Scope Journal More Issue