scholarly journals Kualitas Hidup Pasien Hipertensi Dengan Penyakit Penyerta Di Poli Jantung RSUD Ratu Zalecha Martapura

2017 ◽  
Vol 4 (1) ◽  
Author(s):  
Riza Alfian ◽  
Yugo Susanto ◽  
Siti Khadizah

ABSTRAK Hipertensi dengan penyakit penyerta adalah salah satu penyebab kematian nomor satu di dunia. Hal tersebut pasti akan membahayakan jiwa pasien dan menurunkan kualitas hidup pasien. Kualitas hidup merupakan indikator penting untuk menilai keberhasilan intervensi pelayanan kesehatan, baik dari segi pencegahan maupun pengobatan. Tujuan penelitian ini adalah untuk mengetahui gambaran kualitas hidup pasien hipertensi dengan penyakit penyerta gagal jantung dan hipertensi dengan penyakit penyerta diabetes melitus di poli jantung RSUD Ratu Zalecha Martapura. Penelitian ini merupakan penelitian deskriptif. Pengambilan data dilakukan secara prosfektif pada pasien rawat jalan di poli jantung selama periode Desember 2015 – Januari 2016. Subjek penelitian yang memenuhi kriteria inklusi sejumlah 71 orang yang terbagi atas 58 orang (82,36 %) pasien hipertensi dengan penyakit penyerta gagal jantung dan 13 orang (17,64 %) pasien hipertensi dengan penyakit penyerta diabetes melitus. Pengumpulan data dilakukan dengan melakukan wawancara mengunakan kuesioner Short Form 36 (SF 36). Hasil penelitian menunjukkan untuk 58 orang pasien hipertensi dengan penyakit penyerta gagal jantung 15 orang (25,86%) kualitas hidup baik, dan 43 orang (74,14%) kualitas hidup kurang baik, total skor kualitas hidup rata-rata yaitu 46,21 dengan nilai skor tiap dimensi yaitu fungsi fisik 48,71, fungsi emosi 64,9, fungsi sosial 50,25, kesehatan umum 44,11, keadaan fisik 31,9, keadaan emosi 36,23, dimensi nyeri 36,85, dan fatique 58,72. Sedangkan untuk 13 orang pasien hipertensi dengan penyakit penyerta diabetes melitus 9 orang (69,23 %) kualitas hidup baik dan 4 orang (30,77 %) kualitas hidup kurang baik, total skor kualitas hidup rata-rata yaitu 67,93 dengan nilai skor tiap dimensi yaitu fungsi fisik 69,54, fungsi emosi 86,00, fungsi sosial 75,96, kesehatan umum 49,68, keadaan fisik 63,46, keadaan emosi 66,67, dimensi nyeri 61,92, dan fatique 70,19. Berdasarkan hasil penelitian di poli jantung RSUD Ratu Zalecha Martapura dapat disimpulkan bahwa pasien hipertensi dengan penyakit penyerta gagal jantung mayoritas memiliki gambaran kualitas hidup yang kurang baik dan pasien hipertensi dengan penyakit penyerta diabetes melitus mayoritas memiliki gambaran kualitas hidup baik. Kata Kunci— Kualitas Hidup, Hipertensi dengan penyakit penyerta, ABSTRACT Hypertension with the followers disease is one of the main causes of death in the world. This problem certainly will endanger patients’ life and decrease their life quality. Life quality is an important indicator to measure the successful of health service intervention, either from prevention aspect or medical treatment aspect. The purpose of this research is to know the description of hypertension patient’s life quality with the followers disease heart failure and hypertension with the followers disease diabetes mellitus at polyclinic cardiology of Ratu Zalecha Hospital Martapura. This research is a descriptive research. Collecting data was conducted prosfectively on outpatient at poly cardiology from December 2015 until January 2016. The research subject who fulfilled the inclusive criteria is 71 patients. 58 patients (82.36%) have hypertension with the followers disease heart failure and 13 patients (17.64%) have and hypertension with the followers disease diabetes mellitus. Collecting data was done by doing interview using Short Form questioner (SF36). The result shows that from 58 hypertension patient with the followers disease heart failure, 15 patients of them (25.86%) have a good quality of life and 43 patients (74.14%) have a poor quality of life. The total average score of life quality is 46,21 with each detail aspect score like, physical function 48,71 emotional function 64.9, social function 50.25, general health 44.11, physical condition 31.9, emotional condition 36.23, painful aspect 36.85 and fatigue 58.72. Whereas for 13 hypertension patients with the followers disease diabetes mellitus, 9 (69.23%) of them have a good quality of life and 4 patients (30.77%) have a poor quality of life. The total average score of life quality is 67.93 with each detail aspect like; physical function 69.54, emotional function 86.00, social function 75.96, general health 49.68, physical condition 63.46, emotional condition 66.67, painful aspect 61,92 and fatigue 70,19. Based on the research at polyclinic cardiology of Ratu Zalecha Hospital Martapura it can be concluded that hypertension with the followers disease heart failure majority have poor quality of life and hypertension with the followers disease diabetes mellitus majority have good life of quality Keywords— Quality of life, Hypertension with complication, polyclinic cardiology.

2020 ◽  
Vol 4 (1) ◽  
pp. 8
Author(s):  
Manik Elisa Putri

ABSTRAKLatar Belakang : Quality of Life (QoL) atau Kualitas hidup pasien dengan ulkus kakik diabetes melitus lebih buruk, daripada pasien dengan Diabetes Melitus (DM) tanpa ulkus kaki dalam populasi umum. Tujuan dari penelitian ini adalah untuk mengetahui gambaran Quality of Life (Kualitas hidup) pada pasien dengan ulkus kaki diabetes melitus (Diabetic Foot Ulcer / DFU) di Bali.Metode : Desain deskriptif dengan pendekatan cross sectional. Teknik sampel direkrut menggunakan convenience sampling yang melibatkan pasien dengan ulkus kaki diabetes melitus (Diabetic Foot Ulcer / DFU) dengan total sampel yang melibatkan 201 orang responden. yang dilakukan di ruangan department rawat jalan bedah Rumah Sakit Wangaya serta klinik perawatan luka di Bali Indonesia. Data dikumpulkan menggunakan kuesioner Diabetic Foot Ulcer Scale-Short Form (DFS-SF) dan Independent t-test digunakan untuk memahami gambaran kualitas hidup antara perempuan dan laki-laki dengan DFU. Penelitian ini sudah mendapatkan ijin etik oleh komite etik Universitas Udayana.Hasil : Karakteristik responden perempuan (n= 103; 51.2%), dan laki-laki (n= 98; 48.8%). Kualitas hidup sebagian besar memiliki kualitas hidup rendah yang buruk yaitu (<50)(n=133; 66.2%), dan kualitas hidup yang lebih baik yaitu (> 50)[n=68; 33.8%]. Skor rata-rata kualitas hidup pada pasien dengan DFU 42.4±15.5.Kesimpulan: Laki-laki dan perempuan pada pasien dengan ulkus kaki diabetes melitus menunjukkan kualitas hidup perempuan lebih rendah daripada laki-laki dengan diabetes melitus (DFU). Keluarga diharapkan tetap memotivasi dan mendukung pasien agar dapat berpartisipasi dalam aktivitas keagamaan atau kegiatan positif lainnya. Berdasarkan hasil penelitian yang telah didapat, Pasien dengan ulkus kaki diabetes melitus, baik laki-laki maupun perempuan merupakan suatu hal yang perlu kita perhatikan.  Kata Kunci : Ulkus Kakik Diabetes Mellitus, Jenis kelamin, dan Kualitas Hidup  ABSTRACTBackground: Quality of Life (QoL) or Quality of Life of patients with diabetic ulcer diabetes is worse, than patients with Diabetes Mellitus (DM) without foot ulcers in the general population. The purpose of this study was to study the description of Quality of Life (quality of life) in patients with Diabetic Foot Ulcer (DFU) in Bali. Methods: Descriptive design by discussing cross sectional. Sampling techniques were recruited using convenience sampling involving diabetic foot ulcer patients with diabetes mellitus (DFU) with a total sample involving 201 respondents. Performed in the Wangaya Hospital surgical outpatient room and wound care in Bali Indonesia. Data were collected using a Diabetic Foot Ulcer Scale-Short Form (DFS-SF) questionnaire and Independent t-test was used to collect assessments of quality of life between women and men with DFU. Udayana University Ethics Committee.Results: Characteristics of female respondents (n = 103; 51.2%), and male (n = 98; 48.8%). Quality of life mostly has a low quality of life that is poor (<50) [n = 133; 66.2%], and a better quality of life (> 50) [n = 68; 33.8%]. The mean score of quality of life was 42.4±15.5. Conclusion: Male and female patients with diabetes mellitus foot ulcers show a lower quality of life for women than men with diabetes mellitus (DFU). Families are expected to continue to motivate and support patients to participate in religious activities or other positive activities.Keywords: diabetic foot ulcer, gender, and quality of life


e-CliniC ◽  
2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Christin Tatukude ◽  
Starry H. Rampengan ◽  
Agnes L. Panda

Abstract: Heart failure is the major cause of morbidity and mortality worldwide. Heart failure is defined as heart’s inability to pump the blood to supply oxygen and nutrients to the body’s tissues. Functional limitation and psychological distress such as depression caused by this chronic condition will affect the quality of life of patients. This study aimed to determine the relationship of the level of depression and quality of life of patients with chronic heart failure. This was an observational analytical study with a cross sectional approach. Samples were 38 patients with chronic heart failure obtained by using consecutive sampling method. The level of depression was measured by using the Beck Depression Inventory-II meanwhile the quality of life was measured by using the Short Form-36. The results showed that of the 15 respondents with minimal depression, 4 respondents had poor quality of life and 11 respondents had better quality of life; of the 16 respondents with mild depression, 13 respondents had poor quality of life and 3 respondents had better quality of life, meanwhile 5 respondents with moderate depression and two respondents with severe depression had poor quality of life. Conclusion: There was a significant relationship between the level of depression and the quality of life. The higher the level of depression the poorer the quality of life of patients with chronic heart failure.Keywords: chronic heart failure, levels of depression, quality of life  Abstrak: Gagal jantung merupakan penyebab utama morbiditas dan mortalitas di seluruh dunia. Gagal jantung didefinisikan sebagai ketidakmampuan jantung memompa darah untuk memenuhi kebutuhan oksigen dan nutrisi jaringan tubuh. Keterbatasan fungsional dan distres psikologis seperti kejadian depresi yang disebabkan kondisi kronis ini akan mempengaruhi kualitas hidup pasien. Tujuan penelitian ini yaitu untuk mengetahui hubungan tingkat depresi dan kualitas hidup pada pasien gagal jantung kronik. Penelitian ini menggunakan metode analitik observasional dengan pendekatan potong lintang. Sampel penelitian adalah 38 pasien gagal jantung kronik yang diambil menggunakan teknik consecutive sampling. Tingkat depresi diukur menggunakan kuesioner Beck Depression Inventory-II dan kualitas hidup diukur menggunakan kuesioner Short Form-36. Hasil penelitian menunjukkan dari 15 responden dengan depresi minimal terdapat empat responden memiliki kualitas hidup kurang baik dan 11 responden memiliki kualitas hidup baik, kemudian dari 16 responden dengan depresi ringan terdapat 13 responden memiliki kualitas hidup kurang baik dan tiga responden memiliki kualitas hidup baik, sementara lima responden dengan depresi sedang dan dua responden dengan depresi berat memiliki kualitas hidup kurang baik. Simpulan: Terdapat hubungan bermakna antara tingkat depresi dan kualitas hidup, dimana semakin tinggi tingkat depresi maka semakin rendah kualitas hidup pasien gagal jantung kronik.  Kata kunci: gagal jantung kronik, tingkat depresi, kualitas hidup


2020 ◽  
Vol 4 (s1) ◽  
pp. 75-76
Author(s):  
Ariel Gonzalez-Cordero

OBJECTIVES/GOALS: Heart failure is a public health problem. Currently, heart failure affects 2-5 % of adults within the age of 65-75 years. (Mosterd & Hoes, 2007)Moreover, rates of hospitalization and rehospitalization among patients with heart failure are high and are associated with poor quality of life(Dunlay et al., 2011)Unsurprisingly, studies have found that poor quality of life is linked to decreased physical activity and increased symptomatology, a perception that can quickly change depending on the patient’s mood. Factors such as age, cultural background, socioeconomical status, ethnicity, and gender are highly correlated with quality of life but have not been studied thoroughly. Quality of life assessment in Puerto Rican Hispanics living with heart failure is non-existent. Objective:•To determine gender-specific differences in quality of life for patients hospitalized due to heart failure in Puerto Rico.•To correlate heart failure symptoms, presence of depression and level of perceived quality of life in Puerto Rican patients hospitalized due to heart failure METHODS/STUDY POPULATION: We will recruit patients admitted with heart failure (n = 300) to the Cardiovascular Hospital of Puerto Rico and The Caribbean between 2019-2021. In the first aim, we will implement the Minnesota Living with Heart Failure Questionnaire to assess the quality of life of Puerto Rican Hispanics diagnosed that life with heart failure and the short form-36 (SF-36) for a generic quality of life assessment. For the second aim, we will provide two instruments: The Geriatrics DepressionScale QuestionnaireShort Form (GDS-SF)and the Memorial Symptom Assessment ScaleShort Form (MSAS-SF) to assess the presence and severity of depression and multiple general symptoms RESULTS/ANTICIPATED RESULTS: We expect that women living with heart failure will have worse quality of life and higher NYHA scale and NT-pro-BNP. DISCUSSION/SIGNIFICANCE OF IMPACT: This contribution is significant because it can clarify the specific risk factors in the Puerto Rican community that are associated with lower quality of life among patients suffering from heart failure. This, in term, can allow physicians to identify which population of HF patients is at risk,and have strategies to improve quality of life


e-CliniC ◽  
2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Cindy R. Senduk ◽  
Stella Palar ◽  
Linda W. A. Rotty

Abstract: The objective of this study is to determine the correlation between anemia and quality of life in chronic kidney disease patients undergoing regular hemodialysis. This was an observational analytical study with a cross-sectional design. Samples were obtained by using consecutive sampling. Patients’ quality of life was assessed with short-form 36 questionnaires (SF-36) while their Hb levels data were taken from the medical records. There were 60 samples, with a majority age range of 50-59 years old (33.33%) adn the dominant gender was males (68,3%). There were 13 non-anemia patients (22%), 27 mild anemia patients (45.0%), 15 moderate anemia patients (25.0%) and 5 severe anemia patients (8%). The highest quality of life score obtained was 90.70 with an average score 61.99. The Spearman correlation test showed a correlation between anemia and life quality (p=0.000). Conclusion: There was a significant correlation between anemia and quality of life in chronic kidney disease patients undergoing regular hemodialysis.Keywords: chronic kidney disease, hemodialysis, anemia, quality of life Abstrak: Tujuan dari penelitian ini untuk mengetahui hubungan anemia dengan kualitas hidup pasien PGK yang sedang menjalani hemodialisis reguler. Desain penelitian yang digunakan adalah analitik observasional dengan rancangan studi potong silang (cross sectional study). Teknik pengambilan sampel yang digunakan yaitu consecutive sampling. Data kualitas hidup pasien diukur dengan pertanyaan dalam kuesioner Short Form (SF-36) sedangkan kadar Hb diambil dari rekam medik. Hasil dari penelitian ini didapatkan sampel 60 orang, usia terbanyak 50-59 tahun (33,3%), jenis kelamin terbanyak adalah laki-laki (68,3%), tidak anemia 13 orang (22%), anemia ringan 27 orang (45,0%), 15 orang (25,0%) anemia sedang dan sisanya 5 orang (8%) anemia berat. Skor kualitas hidup tertinggi 90,70 dengan rata-rata 61,99. Uji korelasi spearman didapatkan hubungan antara anemia dengan kualitas hidup (p=0,000). Simpulan: Terdapat hubungan yang signifikan antara anemia dengan kualitas hidup pasien PGK yang sedang menjalani hemodialisis reguler.Kata kunci: penyakit ginjal kronik, hemodialisis, anemia, kualitas hidup


2019 ◽  
Vol 3 (1) ◽  
pp. 11-17
Author(s):  
Enceng Herawati ◽  
Aszrul AB ◽  
Andi Baso Tombong

Patients with heart failure already have problems that will affect the quality of life, one of which can be influenced by family support. This study aims to determine the relationship of family support with quality of life in patients with congestive heart failure in H. Andi Sulthan Daeng Radja Hospital Bulukumba District. This study is an analytic observational study with a cross-sectional approach. Sampling was done by consecutive sampling technique. The population in this study were 144 patients with congestive heart failure at H. Andi Sulthan Daeng Radja Regional General Hospital. The sample in this study were 48 people. The measuring instrument used is a questionnaire. Data analysis using the Chi-Square test. The results of the study showed that from 21 respondents who received good family support there were 16 (57.14) whose quality of life was poor and 5 (25%) of good quality. And from 27 respondents who received family support in the poor category, there were 12 (42.85%) of poor quality of life, and 15 (75%) of good quality. Based on the results of the analysis of family support with quality of life using the Chi-Square statistical test obtained p = <0.027 <0.5 indicates that there is a relationship between family support and quality of life in congestive heart failure patients at H. Andi Sulthan Daeng Radja Hospital Bulukumba District.


2020 ◽  
pp. 33-38
Author(s):  
E. Yu. Gan ◽  
L. P. Evstigneeva

Purpose of the study. Assessing the association between the life quality of patients with Sjogren’s Disease and ongoing therapy with various disease-modifying antirheumatic drugs.Material and methods. The study was conducted on the basis of the regional rheumatology center of the consultative diagnostic clinic of the Sverdlovsk Regional Clinical Hospital No. 1. This work is based on the results of a simultaneous study of 74 patients with primary Sjogren’s Disease (SD), distributed in three comparison groups receiving various disease-modifying antirheumatic drugs chlorambucil, methotrexate and hydroxychloroquine. The diagnosis of SD was carried out according to European-American criteria AECGC (2002) [18]. In order to analyze the quality of life of patients with SD, the 36-Item Short Form Health Survey (SF‑36) was used. Statistical data processing was carried out using Statistica 7.0 program.Results. Assessment of the quality of life of patients with SD, which is an integrative criterion of human health and well-being, revealed the absence of statistically significant differences (p > 0.05) on eight scales and two health components of the SF‑36 questionnaire in the analyzed groups that differ in the treatment of disease-modifying antirheumatic drugs chlorambucil, methotrexate and hydroxychloroquine.Conclusions. The obtained data indicate an equivalent quality of life in SD patients treated with different disease-modifying antirheumatic drugs methotrexate, chlorambucil and hydroxychloroquine, and therefore hydroxychloroquine can be considered as an alternative basic therapy in patients with SD with certain limitations and contraindications methotrexate and chlorambucil.


2018 ◽  
Vol 7 (1) ◽  
pp. 75-90 ◽  
Author(s):  
A. Iaremenko ◽  
E. Isaeva ◽  
T. Kolegova ◽  
E. Sitkina ◽  
Yu. Vasilieva

Satisfaction with quality of life and self-attitude in patients operated by «traditional» (conventional surgical methods) and endoscopically assisted methods are considered in the article. Differences in the quality of life in patients, self-attitude to ones appearance are described. 65 patients were surgically operated and examined. Control group – patients operated by «traditional» techniques (35 patients), the average age of patients was 38 ± 11,1 years. The comparison group – patients operated using endoscopically assisted methods (30 patients), the average age of patients was 44 ± 17,7 years. Psychodiagnostic methods: 1. N. E. Vodopyanova`s scale of life quality; 2. The Short Form-36; 3. S.R. Panteleev`s Assessment of self-relationship. Complaints of paresthesia and pain experienced by patients who underwent a “traditional” operation were revealed as a result of the examination. Operated on with an endoscopically assisted method patients did not present any complaints. Differences between the assessment of the life quality and self-relationship in examined groups were found. Operated on with an endoscopically assisted method patients evaluated life quality, satisfaction with their appearance and physical condition higher than patients operated on with a “traditional” method.


2020 ◽  
Vol 8 (1) ◽  
pp. 39
Author(s):  
Ida Ayu Agung Laksmi ◽  
Made Ani Suprapta ◽  
Ni Wayan Surinten

Long term of heart failure symptoms will affect the patient functional status and ability to do self-care appropriately. Decreasing functional status and self-care ability will certainly affect the quality of life of patients. This study aimed to determine the relationship of self-care with the quality of life of heart failure patients that undergoing treatment at Heart Polyclinic of Mangusada Hospital. The research design was descriptive correlational using cross sectional approach. The study was conducted in January-February 2019. Total respondent participated were 61 respondents and were taken using a purposive sampling technique. Self care of heart index (SCHFI) questionnaire and the Minnesota Living With Heart Failure Questionnaire (MLHFQ) were used. The results showed that the average of self-care score was 45.25 and the average score of the quality of life was 60.67. Analysis using the Spearman Rank test obtained p-value = 0,000 and r = 0.506. It can be concluded that self care had a significant correlation on quality of life patients with heart failure in Mangusada Hospital. We recommended that nursing service providers play an active role in providing education and motivation to heart failure patients to improve self-care abilities.


2004 ◽  
Vol 10 (4) ◽  
pp. S106
Author(s):  
Marie A. Krousel-Wood ◽  
Mandeep R. Mehra ◽  
Ann S. Jannu ◽  
Xiao Z. Jiang ◽  
Richard N. Re

2010 ◽  
Vol 76 (10) ◽  
pp. 1071-1074 ◽  
Author(s):  
Jonathan C. King ◽  
Shannon Abeywardina ◽  
James J. Farrell ◽  
Howard A. Reber ◽  
O. Joe Hines

Chronic pancreatitis is a debilitating disease resulting in pain, intestinal malabsorption, endocrine dysfunction, and poor quality of life (QoL). Our aim was to analyze surgical outcomes for patients with chronic pancreatitis. Data for patients undergoing operations for chronic pancreatitis between 1990 and 2009 were reviewed. Demographics, operative and perioperative data, and survival were catalogued. QoL was determined (Short Form 36 and European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire + PAN-26) and compared with historical controls. The mean age was 51 ± 2 years, 38 patients were male (53%), the most common indication was pain (71%), the etiology of pancreatitis often was alcohol, and most patients underwent a Whipple procedure (56%). Operative time was 316 ± 17 minutes and blood loss was 363 ± 75 mL. There were 34 complications in 30 patients (42%) and one death. QoL surveys were administered for 25 of 55 (45%) surviving patients at a mean follow-up of 72 ± 16 months. Mean survival was 99 ± 9 months, whereas 5- and 10-year survival were 86 and 75 per cent. QoL scores were uniformly better than historical controls. Our data demonstrate that operations for chronic pancreatitis can be performed with acceptable morbidity and mortality. Patients have excellent survival and improved QoL compared with historical controls. Surgery is an effective and durable treatment option for patients with chronic pancreatitis.


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