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Jurnal Klinik dan Riset Kesehatan (Journal of Clinical and Health Research) Bidang Pendidikan dan Penelitian, RSUD dr. Saiful Anwar Malang Jl. Jaksa Agung No. 2, Kec. Klojen, Malang 65112 Phone/Fax: 0341 – 362101 / 0341 - 369384 Email: jkrisk.rssa@gmail.com
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Jurnal Klinik dan Riset Kesehatan
Published by RSUD Dr. Saiful Anwar Malang
ISSN : 28092678     EISSN : 28090039     DOI : https://doi.org/10.11594/jk-risk
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Nursing Public Health
Jurnal Klinik dan Riset Kesehatan (JK-RISK) – RSUD dr. Saiful Anwar Malang adalah jurnal open-access resmi yang dikelola oleh tim Penelitian dan Pendidikan Rumah Sakit Umum Daerah dr. Saiful Anwar Malang, Jawa Timur, Indonesia. JK-RISK menerbitkan satu volume yang terdiri atas tiga nomor setiap tahunnya yang diterbitkan pada bulan Oktober, Februari, dan Juni. JK-RISK hanya akan menerbitkan jurnal berbahasa Indonesia. Jurnal Klinik dan Riset Kesehatan – RSUD dr. Saiful Anwar Malang menerbitkan tulisan-tulisan ilmiah hasil penelitian, laporan kasus, tinjauan pustaka dalam bidang kedokteran dan kesehatan yang belum pernah diterbikan di jurnal manapun. Pernyataan kode etik publikasi JK-RISK merupakan pernyataan kode etik yang melibatkan pengelola jurnal, editor, mitra bestari serta penulis dalam proses publikasi jurnal ilmiah. Pernyataan kode etik didasarkan pada Peraturan Kepala LIPI Nomor 5 tahun 2014 tentang Kode Etik Publikasi Ilmiah yang menjunjung tinggi tiga nilai etik dalam publikasi, yaitu (i) Kenetralan, yang berarti terbebas dari pertentangan kepentingan dalam pengelolaan publikasi jurnal; (ii) Keadilan, dengan memberikan kebebasan hak kepengarangan kepada pengarang/penulis; dan (iii) Kejujuran, yang berarti bebas dari duplikasi, fabrikasi, falsifikasi dan plagiarisme (DF2P) dalam publikasi.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 200 Documents
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Prevalensi Burnout Pada Tenaga Kesehatan di RSUD Dr. Saiful Anwar Selama Pandemi Covid-19: Sebuah Studi Potong-Lintang Daryanto, Besut; Putri, Frilya Rachma; Kurniawan, Jemmy; Ilmawan, Muhammad; Fajar, Jonny Karunia
Jurnal Klinik dan Riset Kesehatan Vol 2 No 1 (2022): Edisi Oktober
Publisher : RSUD Dr. Saiful Anwar Province of East Java

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jk-risk.02.1.2

Abstract

Pendahuluan: Sebagai garda terdepan dalam penanganan COVID-19, tenaga kesehatan merupakan salah satu pihak yang paling terdampak oleh pandemi COVID-19. Menghadapi berbagai macam tantangan, seperti risiko tertular dan menularkan virus, tenaga kesehatan memiliki risiko lebih besar untuk mengalami burnout. Tujuan: Penelitian ini bertujuan untuk melihat prevalensi burnout beserta faktor yang berasosiasi terhadap burnout pada tenaga kesehatan di Rumah Sakit Umum Daerah Dr. Saiful Anwar (RSSA) selama pandemi COVID-19. Metode: Penelitian ini menggunakan desain studi potong-lintang dengan menggunakan kuesioner yang disebarkan secara daring kepada seluruh tenaga kesehatan di RSSA. Penilaian burnout menggunakan Maslach Burnout Inventory-Human Services Survey (MBI-HSS). Asosiasi dianalisis menggunakan regresi logistik dan disajikan dalam odds ratio (OR) dengan confidence interval 95% (CI 95%). Hasil: Sebanyak 444 tenaga kesehatan di RSSA ikut serta dalam penelitian ini. Sebanyak 21,6% dari seluruh partisipan mengalami burnout. Partisipan dengan usia >40 tahun memiliki risiko 3,7 kali lebih rendah mengalami burnout dibandingkan dengan yang berusia <30 tahun. Sedangkan partisipan yang bekerja 70-100 dan >100 jam per minggu, masing-masing memiliki risiko 2,4 dan 4,5 kali lipat lebih tinggi dibandingkan dengan yang bekerja <70 jam per minggu. Kesimpulan: Hampir seperlima tenaga kesehatan di RSSA mengalami burnout selama pandemi COVID-19, terutama mereka yang berusia <30 tahun dan bekerja >70 jam per minggu.
HUBUNGAN STATUS NUTRISI TERHADAP OUTCOME KLINIS PASIEN SIROSIS HATI DI RSUD DR. SAIFUL ANWAR MALANG Supriono, Supriono; Dianita Mayasari , Ema
Jurnal Klinik dan Riset Kesehatan Vol 2 No 3 (2023): Edisi Juni
Publisher : RSUD Dr. Saiful Anwar Province of East Java

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jk-risk.02.3.2

Abstract

Introduction: Nutritional status is often associated with mortality and disease morbidity, including liver cirrhosis. Assessment of Tricep Skin Fold (TSF) and mid-arm muscle circumference (MAMC) is an easy parameter of nutritional status. Objective: This study aims to determine the relationship between nutritional status and clinical outcomes in patients with liver cirrhosis. Methods: The study used a retrospective cohort observational design with a sample of 57 patients with liver cirrhosis with various etiologies. The data comes from the results of anthropometric measurements of patients in the poly or inpatient ward and interviews regarding the history of the disease and complications experienced during the last month. Data analysis used the Chi-square test with a 95% Confidence Interval (CI), p < 0.05, to analyze the relationship between nutritional status (TSF and MAMC) with clinical outcomes of liver cirrhosis (hematemesis melena, degree of esophageal varices grade Hepatic encephalopathy (HE) and degree of ascites). Results: Based on the TSF and MAMC values, data on cirrhotic patients who experienced nutritional status with the “low” criteria were 33.3% and 57.89%, respectively. The 'low” TSF value significantly correlates with the HE incidence (p = 0.049) with the RR value of 0.461. The relationship between MAMC and the incidence of ascites was statistically significant (0.004), with an RR value of 0.462. Conclusion: Nutritional status affects the incidence of HE and ascites in liver cirrhosis patients
Terapi HuCB-MSCs pada Dermatitis Atopi: Kajian terhadap Imunologi dan Efektivitas Umami, Helmina Robiyatul
Jurnal Klinik dan Riset Kesehatan Vol 2 No 1 (2022): Edisi Oktober
Publisher : RSUD Dr. Saiful Anwar Province of East Java

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jk-risk.02.1.5

Abstract

Dermatitis atopi merupakan penyakit yang prevalensinya semakin meningkat. Pengetahuan terkini menyebutkan bahwa faktor penyebab dermatitis atopi berhubungan dengan banyak faktor1. Mekanisme yang berhubungan erat dengan dermatitis atopi adalah mekanisme imunologi. Salah satu strategi terapi utama dermatitis atopi adalah untuk mengontrol sistem imun tubuh. Modalitas terapi terbaru yang masih diteliti hingga kini adalah terapi Mesenchymal Stem Cells (MSCs) atau sel punca mesenkimal2. Beberapa penelitian terbaru menunjukkan efektivitas MSCs dalam mengontrol sistem imun tubuh sehingga dapat menghambat progresitivas dermatitis atopi.
Pencegahan COVID-19 di Panti dan Pondok melalui Pendidikan dan Perilaku Hidup yang Bersih dan Sehat Muhammad, Iqbal; Putra, Ngakan; Djajalaksana, Susanthy; Sari, Fitri; Falyani , Silvy; Yusdianto, Adrian; Fahmi, Kristia
Jurnal Klinik dan Riset Kesehatan Vol 2 No 2 (2023): Februari 2023
Publisher : RSUD Dr. Saiful Anwar Province of East Java

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jk-risk.02.2.2

Abstract

Pendahuluan: Penyakit COVID-19 sebagai sumber penularan yang cepat dan telah menjadi pandemi di dunia dan menjadi perhatian penting terutama terhadap populasi rentan seperti anak-anak. Munculnya varian dari virus penyebab penyakit COVID-19 ini pun menjadi ancaman terutama anak-anak, dimana varian delta ditemukan dapat menginfeksi anak yang berusia diantara 1 hingga 14 tahun. Perilaku Hidup Bersih dan Sehat (PHBS) salah satu cara untuk mencegah penyebaran penyakit COVID-19 dan dapat dipraktekan untuk semua kalangan masyarakat, termasuk anak-anak. Tujuan: Penelitian ini bertujuan untuk mencari tingkat keefektivan pendidikan PHBS untuk mencegah COVID-19 pada anak-anak di Panti dan Pondok Kota Malang. Metode: Metode penelitian dengan metode kaji tindak (Action Research) dengan pendekatan program aksi partisipatif (Partisipatory Action Program) pre-test dan post-test yang melibatkan kelompok masyarakat sasaran yaitu 65 orang anak-anak di panti dan pondok Kota Malang. Data dikumpulkan melalui kuesioner yang dilaksanakan sebelum dan setelah penyuluhan berupa edukasi PHBS sebagai pencegahan COVID-19 serta data diolah menggunakan SPSS. Hasil: Hasil penelitian ini adalah terdapat peningkatan pengetahuan responden dimana nilai rata-rata sebelum penyuluhan adalah 85.08 dan meningkat sebesar 94.15 setelah penyuluhan, hasil tersebut berbeda secara signifikan dengan p-value <0.05. Kesimpulan: Terdapat perbedaan signifikan tingkat pengetahuan terhadap PHBS sebagai pencegahan COVID-19 sebelum dan sesudah dilakukan penyuluhan pada anak-anak yatim piatu di panti asuhan. Kata Kunci: PHBS; COVID-19; Edukasi; Pencegahan; Panti dan Pondok.
Disfungsi Seksual pada Penyakit Kronik Fatma, Siti
Jurnal Klinik dan Riset Kesehatan Vol 2 No 1 (2022): Edisi Oktober
Publisher : RSUD Dr. Saiful Anwar Province of East Java

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jk-risk.02.1.6

Abstract

Disfungsi seksual merupakan kasus yang cukup banyak terjadi, baik sebagai komplikasi dari penyakit kronik atau salah satu gejala dari depresi, tetapi jarang didiagnosis sehingga masalah tersebut tidak teratasi dan bisa menyebabkan penurunan kualitas hidup pasien. Kesulitan dalam diagnosis maupun terapi ini bisa terjadi karena disfungsi seksual merupakan keluhan yang jarang diungkap oleh pasien terutama penderita penyakit kronik, selain itu disfungsi seksual juga mempunyai hubungan dua arah dengan kondisi depresi. Skrining faktor hormonal, vaskular, neurogenik, dan farmakologi perlu dikerjakan untuk penilaian klinis pasien dengan disfungsi seksual, sehingga bisa diberikan tindak lanjut yang adekuat.
Strategi Memerangi Resistensi Antibiotik Samsu, Nur
Jurnal Klinik dan Riset Kesehatan Vol 2 No 1 (2022): Edisi Oktober
Publisher : RSUD Dr. Saiful Anwar Province of East Java

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jk-risk.02.1.1

Abstract

Profil Klinikopatologi Meningioma di Instalasi Patologi Anatomi RSUD Dr. Saiful Anwar Malang Periode Tahun 2016-2020 Putri, Anggie Sasmita Kharisma; Retnani, Diah Prabawati; Dewi, Rose Khasana; Angelina, Aina; Diah Prabawati
Jurnal Klinik dan Riset Kesehatan Vol 2 No 3 (2023): Edisi Juni
Publisher : RSUD Dr. Saiful Anwar Province of East Java

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jk-risk.02.3.3

Abstract

Background. The most common intracranial neoplasms worldwide is meningioma. It has been classified into three grades by World Health Organization (WHO) in which each grade has several histological variants. The prognosis of meningioma is affected by many factors including histopathological type of tumor, age, and gender. Objective. The aim of this study is to determine the frequency of meningioma based on histopathological type, age, and gender from 2016 to 2020 in Saiful Anwar General Hospital Malang. Methods. This study was a quantitative descriptive study and data was collected from medical records from 2016 to 2020 in Department of Anatomic Pathology, Medical Faculty, Brawijaya University, Saiful Anwar General Hospital Malang. Histopathological type of meningioma, age, and gender were acquired. Results and Discussion. From 2016 to 2020, there were 96 eligible cases of meningioma. Ratio of men to women was 1:12.7. Meningioma was most commonly found in age group 41­50 years old (43.75%). The most common histopathological type of meningioma was meningotheliomatous meningioma (37.5%). The average of meningioma cases was 19 per year. In this study, there was an increase in incidence rate of meningioma in 2017, and decreased in 2020. It may happen because The government has a better referral system to provide health care, thus meningioma can be detected earlier. Conclusion. Frequency of meningioma is higher in women than men, and increases with age until 50 years, which then decreases. Meningotheliomatous meningioma is the most common histopathological type in this study.
Managemen Continuous Renal Replacement Therapy (CRRT) pada Pasien Gagal Ginjal Akut dan Syok Sepsis di ICU Fatoni, Arie Zainul; Rusly, Andri; Hartono, Ruddi
Jurnal Klinik dan Riset Kesehatan Vol 2 No 2 (2023): Februari 2023
Publisher : RSUD Dr. Saiful Anwar Province of East Java

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jk-risk.02.2.7

Abstract

The incidence of sepsis is around 6% of patients in the hospital. Sepsis that is not manage properly will develop into septic shock which will increase mortality by 50-70%. Acute Renal Failure (ARF) occurs in 58-87% of patients with septic shock. In 70% of cases of ARF caused by sepsis can worsen and require renal replacement therapy (RRT). Continuous Renal Replacement Therapy (CRRT) is a good RRT modality for septic shock patients. A 51 year old male, referred from the ICU another hospital with a diagnosis of respiratory failure, septic shock, Hospital Associated Pneumonia (HAP), diabetic foot with osteomyelitis pedis dextra, ARF Stage 3 and Type 2 Diabetic Mellitus (DM). From the clinical sign, patient was shortness of breath, decreased consciousness, accompanied by shock requiring a vasopressor and from the laboratory obtained urea 277 mg/dl and chest X-ray obtained the impression of pneumonia. The management of this patient was administration of antibiotics, amputation of the right leg and CRRT as a therapeutic modality for ARF. CRRT was performed in Continuous Venovenous Hemodialysis (CVVHDF) mode for 3 days. On the fifth day the patient conditiont improved so he could be discharge from the ICU. At septic shock with ARF, CRRT can maintain hemodynamic stability of patients, remove toxins from the kidneys, remove cytokines and endotoxins, correct acid-base and electrolytes, control fluid volume appropriately, modulate the immune response thereby accelerating renal recovery and improving clinical conditions patient.
Gambaran Klinis dan Histopatologi Keratosis Seboroik : Clinical and Histopathological Features of Seborrheic Keratosis Mayati Suwoko, Wika Umayatul Choiroh; Yuniaswan, Anggun; Retnani, Diah
Jurnal Klinik dan Riset Kesehatan Vol 2 No 2 (2023): Februari 2023
Publisher : RSUD Dr. Saiful Anwar Province of East Java

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jk-risk.02.2.4

Abstract

Seborrheic keratosis is the most common benign epidermal tumor and is often found in the elderly, which is about 20% of the total population. The exact cause of this disorder is still not clearly known. Sun exposure is said to be one of the causes of seborrheic keratosis. Lesions can be flat, circumscript and dull-looking brown spots, with a smooth, velvety surface, can also take the form of hyperpimented papules or plaques, round or oval, circumscript, such as coated wax (waxy) with a verrucosa surface, or a picture of sticking "stuck on" to the surface of the skin. skin. Seborrheic keratosis can be in the form of multiple, solitary, disseminated lesions in old age, dermatosis papulosa nigra and also in the form of Leser-Trelat signs. The diagnosis of seborrheic keratosis is made through anamnesis, physical examination and by histopathological examination. There are various histopathological features of seborrheic keratosis, this literature review aims to explain the various clinical features of seborrheic keratosis along with their histopathological features and can assist readers in determining the type of seborrheic keratosis when they come across such cases.
SEBUAH LAPORAN KASUS Sindrom Nefrotik pada Pasien Pengguna Obat Antiinflamasi Non Steroid (OAINS) pada Dewasa: sebuah Laporan Kasus Mumtaza, Hilya Itsnain; Rochmah, Izzah
Jurnal Klinik dan Riset Kesehatan Vol 2 No 2 (2023): Februari 2023
Publisher : RSUD Dr. Saiful Anwar Province of East Java

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jk-risk.02.2.8

Abstract

Background: Non-steroidal antiinflammatory drugs (NSAID) is a common drug with an antiinflammation and an analgesic effect which consumed widely among people. On the other hand, NSAID also have some adverse effects including nefrotic syndrome (NS). Case Presentation: A man, 20 years old, came with general body swelling. The swelling appeared gradually accompanied by shortness of breath as the body swelling was spread. The patient has a history of frequently consuming pain reliver medications which he bought over the counter, 3-4 times/week since 1 year ago. The patient was diagnosed with nephrotic syndrome. We stop the OAINS and administer some medications, such as, intravenous steroid, oral ARBs, and oral anticoagulant therapy. Patients responded well to the therapy given marked by reduced edema and improved kidney function. Discussion: NS is glomerular syndrome consists of massive proteinuria, hypoalbuminemia, peripheral oedema, and/or hyperlipidemia. The etiology of NS divided into 2 group : primary NS and secondary NS. The primary NS such as minimal change disease glomerulonephritis, membranous nephropathy, focal segmental glomerulonephritis, and IgA nephropathy. In the other hand, secondary SN can be caused by NSAID toxicity, infection, metabolic dysfunction, and autoimmune disease. Conclusion: In this case report, a male, 20 years old is diagnosed with NS and had medical history of being long term NSAID’s user who responded well after given steroid therapy. In order to find the definite etiology of SN, it need adjunct examination such as renal biopsy. Moreover, medical practitioner should do the holistic and comprehensive anamnesis and physical examination associated with the risk of NS.

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