Yudistira Pratama, Anna Mailasari Kusuma Dewi, Muyassaroh, Riece Hariyati, Willy Yusmawan
{"title":"Relationship Between Obesity and Allergies with Olfactory Disorders in Covid-19 Patients","authors":"Yudistira Pratama, Anna Mailasari Kusuma Dewi, Muyassaroh, Riece Hariyati, Willy Yusmawan","doi":"10.36408/mhjcm.v10i3.949","DOIUrl":"https://doi.org/10.36408/mhjcm.v10i3.949","url":null,"abstract":"Background: The prevalence of olfactory disorders is around 68% - 85% which occurs in COVID-19 patients with obesity and allergies as risk factors. The abnormalities olfactory pathways can cause by inflammatory response in adipose tissue in obese patients and excessive inflammation due to hyperreactivity of the immune system to allergens in allergic patients. This study aims to analyze the relationship between obesity and allergies to the occurrence of olfactory disorders in COVID-19. Method: It was an observational study during pandemic. Subjects were adult COVID-19 patients in the dr. Kariadi Hospital from June to July 2021. Patient with complete medical record ask for olfactory and allergic questionnaire. Patient with nasal tumor were excluded. Result: We found 100 subjects who meet the criteria. There was a significant difference in smell disturbances between obese and non-obese subjects. (p = 0.019, OR 4.99). There was a significant difference (p=0.001) in complaints of olfactory disorders between allergic and non-allergic subjects, whereas all allergic subjects experienced olfactory disorders. Conclusion: Obesity and allergies are corelated with impaired smell in COVID-19 patients.","PeriodicalId":117574,"journal":{"name":"Medica Hospitalia : Journal of Clinical Medicine","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139214690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Irma Amalia, Agnes Sri Widayati, Holy Ametati, Yosep Ferdinand Rahmat Sugianto, Sri Windayati
{"title":"Lucio’s Phenomenon in Lepromatous Leprosy Patient: A Rare Case Report","authors":"Irma Amalia, Agnes Sri Widayati, Holy Ametati, Yosep Ferdinand Rahmat Sugianto, Sri Windayati","doi":"10.36408/mhjcm.v10i3.998","DOIUrl":"https://doi.org/10.36408/mhjcm.v10i3.998","url":null,"abstract":"BACKGROUND: Lucio’s phenomenon is a rare leprosy reaction, characterized by severe necrotic cutaneous lesions that generally occur in patients with untreated or inadequately treated lepromatous leprosy (LL). OBJECTIVE: to describe and comprehend the diagnosis and management of Lucio’s phenomenon in leprosy patients CASE: Male, 34 years old with extensive wounds on both arms and legs. About 3 years earlier, the patient felt burning heat in both hands and feet followed by loss of eyebrows and eyelashes, and a change in the shape of the nose. The patient had not received previous therapy. Physical examination showed that the patient appeared anaemic, leonine facies, megalobuli, madarosis, saddle nose, thickening of the ulnar and posterior tibial nerves, deformities of the fingers and toes, and amputations of several fingers. The dermatological status showed multiple ulcers of irregular shape and varying sizes with pus and necrotic tissue. Reitz serum test revealed a bacterial index of +3 with a morphological index of 90%, and routine blood showed hypochromic microcytic anaemia and leucocytosis. The patient received corticosteroid therapy, anti-leprosy combination therapy, antibiotics, iron tablets and wound care. DISCUSSION: Lucio’s phenomenon consists of skin lesions that range from painful red-black patches to flaky blisters and ulcerations. These lesions usually occur on the lower extremities, and may extend proximally and distally. The lesions improved after administration of corticosteroids and anti-leprosy. Delayed diagnosis leads to significant disability and community transmission of the disease. The later the diagnosis, the more serious the disease becomes and can lead to death due to sepsis. Early diagnosis and appropriate treatment are important. CONCLUSION: Early detection is crucial in order to deliver therapy earlier and prevent disease worsening.","PeriodicalId":117574,"journal":{"name":"Medica Hospitalia : Journal of Clinical Medicine","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139211366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Victor Jeremia Syaropi Simanjuntak, Renni Yuniati, Yan Wisnu Prajoko, Heri Nugroho Hario Seno, Tri Nur Kristina
{"title":"Effectiveness of Sucralphate and Platelet-Rich Plasma Combinations For Vascular Endothelial Growth Factor (VEGF) Expression In Diabetic Ulcer Healing","authors":"Victor Jeremia Syaropi Simanjuntak, Renni Yuniati, Yan Wisnu Prajoko, Heri Nugroho Hario Seno, Tri Nur Kristina","doi":"10.36408/mhjcm.v10i3.862","DOIUrl":"https://doi.org/10.36408/mhjcm.v10i3.862","url":null,"abstract":"Background: Diabetic ulcer is one of the most feared chronic infections due to Diabetes Mellitus because it can lead to amputation and death. Aim: To prove the effectiveness of sucralfate and platelet-rich plasma (PRP) combination for Vascular Endothelial Growth Factor (VEGF) expression in diabetic ulcer healing. Methods: This research is an experimental study of Phase I Clinical Trial with post-test only group design. There were 20 patients with diabetic ulcers divided into two groups, namely the treated group that was given sucralfate and PRP therapy and the control group was given standard therapy of normal saline drainage and gauze covered. Parameters were VEGF expression levels, wound area after being given therapy, and side effect from the treatment. Data on VEGF expression levels were obtained by means of examination with the Quantikine Human VEGF-ELISA Quantikine, R&D System, Inc, Minneapolis. The measurement of the wound area was assessed based on several criteria, namely grade 0 (no change), grade 1 (wound size reduced to less than of the previous wound), grade 2 (wound size was reduced to less than of the previous wound, but granulation was visible), and grade 3 (wound has closed completely). Result: In unpaired t-test, the mean VEGF expression was 98.18+10.96 in the treatment group and 66.69+23.79 in the control group which showed significant difference in VEGF expression levels (p = 0.003). In Mann-Whitney test, the mean wound area was 0.68+0.40 in the treatment group and 0.77+0.67 in the control group which showed that there was not any significant difference in wound area (p = 0.152). There were no side effects in both study group. Conclusions: The combination of sucralfate and PRP can increase VEGF levels significantly in diabetic ulcer patients but does not show a different effect in reducing wound area compared to standard treatment. The combination did not cause any side effects in the study subjects, as well as those using standard treatment.","PeriodicalId":117574,"journal":{"name":"Medica Hospitalia : Journal of Clinical Medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139213747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effectiveness Of Skin Barrier Acrylate Terpolymer On Medical Adhesive Related To Skin Injury (MARSI) in Children At Pediatric Intensive Care Unit Dr. Cipto Mangunkusumo Hospital","authors":"Juanda Mutifa, Nani Nurhaeni, Efa Apriyanti","doi":"10.36408/mhjcm.v10i3.928","DOIUrl":"https://doi.org/10.36408/mhjcm.v10i3.928","url":null,"abstract":"BACKGROUND: For a long time, the use of medical adhesives in invasive device installation procedures can cause medical adhesive related to skin injury (MARSI) in children; in order to minimize the risk of MARSI incidents, so that a skin barrier is needed before applying the adhesive. OBJECTIVE: The purpose of this study is to determine the effectiveness of acrylate terpolymer skin barrier against medical adhesive related to skin injury (MARSI) prevention in children who are treated at the intensive care unit. METHOD: This study used a true experimental design which involved 46 children; it was divided into an intervention group of 24 respondents and a control group of 22 respondents who were treated by using medical adhesive due to the procedure for inserting an endotracheal tube and nasogastric tube. Samples were taken by using random sampling technique. The risk level of skin injury was assessed by using the Braden Q scale and the MARSI incidents were observed by using the observational format. RESULT: The results showed that the acrylate terpolymer skin barrier was effective in reducing the MARSI in children who were treated at the intensive care unit with having a p-value of 0.03 (α <0.05). The use of an acrylate terpolymer skin barrier can be recommended to minimize the incidence of MARSI in children. CONCLUSION: The use of acrylate terpolymer skin barrier significantly minimizes the incidence of MARSI in children.","PeriodicalId":117574,"journal":{"name":"Medica Hospitalia : Journal of Clinical Medicine","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139214439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
F. Halim, Devi Listiana, Vega Karlowee, Hermawan Istiadi, A. Prasetyo, Meira Dewi Kurnia Astuti
{"title":"Imunohistokimia Sebagai Lini Kedua Untuk Identifikasi Helicobacter spp pada Biopsi Lambung","authors":"F. Halim, Devi Listiana, Vega Karlowee, Hermawan Istiadi, A. Prasetyo, Meira Dewi Kurnia Astuti","doi":"10.36408/mhjcm.v10i3.959","DOIUrl":"https://doi.org/10.36408/mhjcm.v10i3.959","url":null,"abstract":"LATAR BELAKANG: Prevalensi infeksi Helicobacter pylori di Indonesia tahun 2015 sebesar 22,1%. Identifikasi infeksi Helicobacter pylori menjadi hal yang krusial untuk pencegahan adenokarsinoma dan limfoma sel B primer dari gaster. Pulasan imunohistokimia bersifat lebih spesifik dan sensitif untuk Helicobacter pylori dibandingkan pulasan histokimia Modifikasi Giemsa karena menggunakan prinsip ikatan antigen-antibodi, tetapi masih ada kemungkinan reaksi silang dengan Helicobacter heilmannii. TUJUAN: Untuk menganalisis perbedaan hasil identifikasi Helicobacter spp menggunakan imunohistokimia dibandingkan dengan modifikasi Giemsa. METODE: Penelitian potong lintang dilakukan di RSUP Dr Kariadi menggunakan 64 sampel biopsi hasil simple random sampling dengan rincian 32 sampel Helicobacter spp positif dan 32 sampel Helicobacter spp negatif dari hasil pulasan Modifikasi Giemsa. Analisis statistik menggunakan uji x2. HASIL: Jumlah bakteri atipikal sebesar 42,19%. Jumlah sampel yang mendapatkan terapi Proton Pump Inhibitor (PPI) sebanyak 93,75%. Hasil pulasan imunohistokimia menunjukkan Helicobacter spp positif pada 31 sampel dan negatif pada 33 sampel. Tidak terdapat perbedaan bermakna (p=0.617) antara hasil identifikasi Helicobacter spp biopsi lambung menggunakan pulasan imunohistokimia dibandingkan Modifikasi Giemsa baik pada pembesaran 400x maupun 1000x. KESIMPULAN: Pulasan imunohistokimia tidak perlu dilakukan secara rutin untuk identifikasi Helicobacter spp dan dapat dilakukan pada kasus bakteri negatif berdasarkan Hematoxylin Eosin (HE) dan Modifikasi Giemsa dengan inflamasi, pasca-terapi, struktur atipikal, metaplasia intestinal, atrofi kelenjar. Perlu diadakan konsensus bersama Gastroenterolog dan Dokter Spesialis Patologi Anatomik tentang persiapan pasien, kriteria pengambilan, pengelolaan, pengiriman sampel yang adekuat untuk pemeriksaan Patologi Anatomik, dan hasil diagnosis Patologi Anatomik yang optimal untuk tata laksana pasien.","PeriodicalId":117574,"journal":{"name":"Medica Hospitalia : Journal of Clinical Medicine","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139212134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yudo Murti Mupangati, Henry Setyawan, C. H. Soejono, M. H. Gasem, Ignatius Riwanto
{"title":"Assessing the Inter-observer Agreement of Electrocardiography Interpretation in the Elderly Surgical Patients: A Cross-Sectional Study","authors":"Yudo Murti Mupangati, Henry Setyawan, C. H. Soejono, M. H. Gasem, Ignatius Riwanto","doi":"10.36408/mhjcm.v10i3.969","DOIUrl":"https://doi.org/10.36408/mhjcm.v10i3.969","url":null,"abstract":"Background: Electrocardiography (ECG) is an essential objective diagnosis tool, specifically for the elderly who are about to undergo surgery. From the examination results, it is possible to determine the presence of a heart condition that could impair the surgical outcome. Furthermore, the examination is slightly influenced by the subjectivity of observers. Purpose: To evaluate the inter-observer agreement on the reader of a 12-lead ECG on elderly patients subjected to elective surgery. Method: A consequential ECG examination was conducted on elderly patients who underwent elective surgery at Dr. Kariadi Hospital Semarang between July and November 2021. Two junior internist observers were independently involved in reading the ECG results in different places. The inter-observer reliability analysis used kappa statistics to determine consistency between observers. Result: Analysis was carried out on 193 patients aged 60-87 years old, with a prevalence of abnormal ECG was 33.7%. Kappa Conformity Value was 0.864 (95 % CI: 0.790-0.938, p<0.001). Conclusion: The value of agreement between junior internists in ECG interpretation among elderly surgical patients is good (kappa value >0.8). Even though the observers are junior internist, the result of the interpretation with a high kappa is considered to have reliable validity.","PeriodicalId":117574,"journal":{"name":"Medica Hospitalia : Journal of Clinical Medicine","volume":"44 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139212609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Albertus Magnus Arya Abisatya, Ajeng Andini Prameswari, Agung Rahmat Fauzi, Aji Febrianto, Alexander Steven Nugroho, H. E. Andisari, Pandu Harijono, Redemptus Yudadi
{"title":"Adenocarcinoma Colon dengan Co-existence dari Limfadenitis Tuberculosa","authors":"Albertus Magnus Arya Abisatya, Ajeng Andini Prameswari, Agung Rahmat Fauzi, Aji Febrianto, Alexander Steven Nugroho, H. E. Andisari, Pandu Harijono, Redemptus Yudadi","doi":"10.36408/mhjcm.v10i3.1007","DOIUrl":"https://doi.org/10.36408/mhjcm.v10i3.1007","url":null,"abstract":"Pendahuluan: Keterlibatan usus besar dalam tuberkulosis adalah kejadian langka, dan koeksistensi karsinoma kolon dengan lesi tuberkulosis di usus besar lebih jarang dilaporkan. Karsinoma dan tuberkulosis dapat terjadi pada tempat yang sama atau pada situs yang berbeda di usus besar. Terjadinya dua patologi di tempat yang sama jauh lebih jarang terjadi. Laporan Kasus: Seorang perempuan berusia 52 tahun dengan keluhan sulit buang air besar, perutnya membesar dan nyeri serta nafsu makan dan berat badan yang menurun dalam sebulan. Pada pemeriksaan klinis tampak perut cembung, sedikit distended, dan nyeri tekan pada kuadran kiri bawah iliaca sinistra dan pemeriksaan radiologis yang menyokong gambaran ileus obstruktif parsial. Pasien terdiagnosa Adenocarcinoma pada colon ascenden di flexura hepatica berdasar pemeriksaan klinis dan hasil radiologis yang terkonfirmasi melalui operasi dan histopatologi. Pemeriksaan histopatologi ditemukan adenocarcinoma kolon yang koeksisten dengan limfadenitis tuberkulosis (TB) pada kolon. Kesimpulan: Hubungan etiologi dan patofisiologi antara limfadenitis tuberkulosis dan kanker kolon masih dalam perdebatan, namun dokter bedah perlu untuk mewaspadai kejadian ini, untuk pemilihan tatalaksana dan menghindari perburukan paska tindakan operatif. Keyword: Adenocarcinoma of colon, tuberculosis limphadenitis","PeriodicalId":117574,"journal":{"name":"Medica Hospitalia : Journal of Clinical Medicine","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139213676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effect of Kinesio Taping on Muscle Spasticity in Post-Stroke Patients Receiving Infrared Therapy and Stretching Exercise : A Quasi-Experimental Study","authors":"Andirezeki Riswanti, Robby Tjandra Kartadinata, H. Julianti, Hindun Zuhdiana, Lilik Sigit Wibisono","doi":"10.36408/mhjcm.v10i3.952","DOIUrl":"https://doi.org/10.36408/mhjcm.v10i3.952","url":null,"abstract":"BACKGROUND: Spasticity is one of the symptoms of a stroke. One of the muscles with increased tone is the plantar flexor (66%). Spasticity is commonly treated with infrared therapy and stretching exercises. Kinesio Taping is a skin-based therapeutic procedure that uses elastic tape and can be used with infrared therapy and stretching exercises. Kinesio Taping is predicted to reduce spasticity in the plantar flexor muscle as determined by the Tardieu scale, improving functional walking. OBJECTIVE: To demonstrate the efficacy of adding Kinesio Taping on lower extremity muscular spasticity in post-stroke patients who had previously received infrared and stretching exercises. METHOD: This study is a controlled group design with a quasi experimental pre and post test. Post-stroke patients were divided into two groups: the control group (16 patients) and the treatment group (16 patients) who received the addition of Kinesio Taping. Before and after 6 weeks of treatment, the Tardieu scale was measured. RESULT: Before and after treatment, there was a significant difference in Tardieu scale (both on quality and angle of resistance) in each group (p < 0.05), and there was a significant difference in Tardieu scale in the two groups (p < 0.05). CONCLUSION : Kinesio Taping has been demonstrated to significantly reduce plantar flexor muscle spasticity in stroke survivors.","PeriodicalId":117574,"journal":{"name":"Medica Hospitalia : Journal of Clinical Medicine","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139210412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Retnaningsih, D. Tugasworo, Y. Andhitara, Rahmi Ardhini, Aditya Kurnianto, Daynuri, Erlangga Pradipta Harianto
{"title":"Case Series Report: Subarachnoid Hemorrhage and ICU Management","authors":"Retnaningsih, D. Tugasworo, Y. Andhitara, Rahmi Ardhini, Aditya Kurnianto, Daynuri, Erlangga Pradipta Harianto","doi":"10.36408/mhjcm.v10i3.745","DOIUrl":"https://doi.org/10.36408/mhjcm.v10i3.745","url":null,"abstract":"Background: Subarachnoid hemorrhage is a neurological syndrome with complex systemic complications. Rupture of an intracranial aneurysm causes acute extravasation of arterial blood under high pressure into the subarachnoid space and often into the brain parenchyma and ventricles. Bleeding triggers a complex series of events, which can ultimately lead to early brain injury, delayed cerebral ischemia, and systemic complications. Cases: There were six cases of subarachnoid hemorrhage. Some patients come clinically with severe headache and loss of consciousness. The patient has been treated quickly and aggressively and even put on a ventilator for complications of respiratory failure, support for shock and management of aneurysm clipping and EVD. Rapid and precise diagnosis in the management of patients with SAH is of paramount importance, within the first few hours after the onset of SAH. The risk for early neurologic damage and high rates of severe long-term complications necessitated aggressive early management. Conclusion: Rapid diagnosis and attentive management of patients with SAH are essential, as early deterioration is possible within the first few hours after the onset of SAH. The risk for early neurologic damage and high rates of severe long-term complications necessitated aggressive early management. Prevention and Management of Complications. The most common complications were pneumonia, aspiration, respiratory failure/distress, sepsis and imbalance electrolyte (hyponatremia). Approximately 50% of deaths after SAH are due to medical complications.","PeriodicalId":117574,"journal":{"name":"Medica Hospitalia : Journal of Clinical Medicine","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139211359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fince Trisna Anggreni, Istha Leanni Muskananfola, Akto Yudowaluyo
{"title":"Pengaruh Tindakan Suction Terhadap Saturasi Oksigen Pasien di Ruangan ICU RSUD Prof. Dr. W. Z. Johannes Kupang","authors":"Fince Trisna Anggreni, Istha Leanni Muskananfola, Akto Yudowaluyo","doi":"10.36408/mhjcm.v10i3.966","DOIUrl":"https://doi.org/10.36408/mhjcm.v10i3.966","url":null,"abstract":"LATAR BELAKANG: Pada umumnya, pasien yang dirawat di ruang ICU mengalami penurunan kesadaran yang menyebabkan kehilangan respon batuk serta peningkatan produksi saliva dan sekret yang menyumbat jalan napas. Oleh karena itu, pasien perlu mendapatkan tindakan suctioning atau penghisapan lendir untuk membebaskan jalan napas pasien. Namun, tindakan suction harus dilakukan dengan benar, karena memiliki dampak positif dan negatif bagi pasien. Oleh karena, perlu adanya pemantauan keberhasilan tindakan suction, salah satunya melalui pengukuran saturasi oksigen. TUJUAN: Tujuan penelitian ini adalah menganalisis pengaruh tindakan suction terhadap saturasi oksigen pasien yang dirawat di ruang ICU RSUD Prof. Dr. W. Z. Johannes Kupang METODE: Penelitian yang telah dilaksanakan pada bulan November 2022 merupakan penelitian kuantitatif dengan rancangan pra eksperimen dan desain one group pre-posttest. Jumlah responden sebanyak 30 orang dengan teknik sampling accidental sampling. Instrumen yang digunakan adalah lembar observasi tindakan suction dan oximeter. Data hasil penelitian dianalisis menggunakan SPSS dengan uji Mc Nemar. HASIL: Hasil penelitian menunjukkan nilai ρ = 0.002 yang berarti adanya pengaruh tindakan suction terhadap saturasi oksigen pasien yang dirawat di ruang ICU RSUD Prof. Dr. W. Z. Johannes Kupang. KESIMPULAN: Tindakan suction berpengaruh terhadap saturasi oksigen pasien yang dirawat di ruang ICU RSUD Prof. Dr. W. Z. Johannes Kupang.","PeriodicalId":117574,"journal":{"name":"Medica Hospitalia : Journal of Clinical Medicine","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139210568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}