scholarly journals Kejadian Rheumatoid Arthritis pada lansia di Poliklinik Bandar Lampung

2020 ◽  
Vol 14 (3) ◽  
pp. 375-382
Author(s):  
Athaya Hafizhah ◽  
Umi Romayati Keswara ◽  
Dhiny Easter Yanti

Rheumatic disease in the elderly: Rheumatoid arthritis cases and non–rheumatoid arthritis controlsBackground: Rheumatoid arthritis (RA) is an autoimmune disease that affects most people and the exact cause is unknown. Based on data from Bandar Lampung, RA ranks fourth in the profile of the top 10 diseases that have emerged since 2012. Although the cause is unknown, RA complications are very dangerous, ranging from joint deformities & disabilities, internal organ damage, to death.Purpose: To determine the factors associated with the incidence of rheumatoid arthritis in the elderlyMethod: Quantitative research with a case control design. The study population was all elderly patients at Pertamina Bintang Amin Hospital. The samples used were 47 cases and 47 controls. Multivariate analysis using multiple logistic regression tests.Results: It shows that there is no relationship between economic status (p-value 0.062) and the incidence of RA at Pertamina Bintang Amin Hospital. There was a significant relationship between smoking (p-value 0.042; OR 2.86), diet (p-value 0.013; OR 3.61), occupational (p-value 0.000; OR 6.80), and obesity (p-value. 0.017; OR 3.25) with RA.Conclusion: The most dominant factor associated with the incidence of RA in the elderly is work (OR 7,8). Workers at high risk are advised to use personal protective equipment while working and provide time for fun outdoor physical activity so as to reduce stress and help the absorption of vitamin D in the body more optimally.Keywords: Elderly; Rheumatoid arthritis; Obesity; Smoking; Economic status; OccupationalPendahuluan: Rheumatoid arthritis (RA) merupakan penyakit autoimun yang paling sering terjadi di masyarakat dan belum diketahui secara pasti penyebabnya. Berdasarkan Data Kota Bandar Lampung, RA berada diurutan keempat dalam profil 10 penyakit terbesar yang muncul sejak tahun 2012. Meski penyebabnya belum diketahui, komplikasi RA sangat berbahaya, mulai dari deformitas sendi & disabilitas, kerusakan organ-organ dalam, hingga kematian.Tujuan: Mengetahui faktor-faktor yang berhubungan dengan kejadian rheumatoid arthritis pada lansia di poliklinik rawat jalan Rumah Sakit Pertamina Bintang Amin (RSPBA) Tahun 2019.Metode : Penelitian kuantitatif dengan rancangan kasus control (case control). Populasi penelitian adalah seluruh pasien lansia di Rumah Sakit Pertamina Bintang Amin. Sampel yang digunakan sebanyak 47 kasus dan 47 kontrol. Analisis multivariat menggunakan uji regresi logistik ganda.Hasil : Tidak ada hubungan antara status ekonomi (nilai p 0,062) dengan kejadian RA di RSPBA. Ada hubungan yang signifikan antara merokok (nilai p 0,042; OR 2,86), diet (nilai p 0,013; OR 3,61), pekerjaan (nilai p 0,000; OR 6,80), dan obesitas (nilai p 0,017; OR 3,25) dengan kejadian RA.Simpulan: Faktor yang paling dominan berhubungan dengan kejadian RA pada lansia di poliklinik rawat jalan RSPBA Tahun 2019 adalah pekerjaan (OR 7,8). Disarankan pekerja berisiko untuk menggunakan alat pelindung diri saat bekerja, dan menyediakan waktu melakukan aktifitas fisik di luar ruangan yang menyenangkan sehingga dapat mengurangi stress dan membantu penyerapan vit. D lebih maksimal.

Nursing Arts ◽  
2019 ◽  
Vol 12 (1) ◽  
pp. 13-19
Author(s):  
Kartini Kartini ◽  
Elisabeth Samaran ◽  
A Marcus

Arthritis or commonly called rheumatism is a disease that attacks the joints and surrounding structures. Rheumatic disease in the community is often considered a trivial disease because it does not cause death, but if not treated quickly rheumatism can make limbs function abnormally, starting from bumps, stiff joints, difficulty walking, even lifelong disability. Objective: to find out there is a relationship between rheumatoid arthritis pain and independence of Activity daily living (ADL) in the elderly. Research Methods: This study used a quantitative research design with a cross sectional approach to reveal the relationship between independent variables (Rheumatoid Arthritis pain) and the dependent variable of Independent Activity daily living (ADL) at the same time and once a measurement. Statistical tests using chi-square consisted of 33 respondents. Results: From the results of the chi-square statistical test obtained p value = 0.047 (p <0.05) there was a relationship between rheumatoid arthritis pain and the independence of the elderly in the puskesmas classaman city of Sorong. Conclusion: There is a relationship between Rheumatoid Arthritis pain and the degree of independence in carrying out daily life activities in the elderly in the working area of ​​the Sorong City Community Health Center (p value = =, 047) Keywords: Rheumatoid Pain Arthritis; Elderly ADL Bibliography: 2002 – 2017  


2018 ◽  
Vol 3 (1) ◽  
pp. 38
Author(s):  
Hellen Febriyanti

Abstrak: Cakupan pemberian ASI eksklusif pada bayi usia kurang dari enam bulan sebesar 55,7% telah mencapai target. Dari 33 provinsi yang melapor, sebanyak 29 provinsi di antaranya (88%) berhasil mencapai target renstra 2015, sedangkan Provinsi Lampung sebesar  54,9% tidak mencapai target Nasional yang ada. Tujuan dari penelitian ini adalah Diketahui  faktor-faktor yang berhubungan dengan pemberian ASI eksklusif pada tenaga kesehatan yang memiliki bayi 7-24 bulan di wilayah Kabupaten Pringsewu  tahun 2017. Penelitian kuantitatif dengan pendekatan Cross Sectional. Penelitian ini dilakukan di rumah sakit wilayah kabupaten pringsewu. Populasi penelitian ini adalah seluruh tenaga kesehatan yang memiliki bayi usia 7-24 bulan sebanyak 83 ibu, dan sampelnya berjumlah 66 ibu. Metode pengumpilan data dengan lembar kuisioner. Analisa data yang digunakan univariat, bivariat, multivariate.Hasil Penelitian Sebagian responden tidak memberikan ASI esklusif, yaitu sebanyak 62,1%,Ada hubungan antara dukungan tempat bekerja dengan pemberian ASI eksklusif dengan  p-value = 0,011 dan OR 4,525,  hubungan antara dukungan suami dengan pemberian ASI eksklusif dengan  p-value = 0.000 dan OR 8,615, Ada hubungan antara faktor psikis dengan  p-value = 0,009 dan OR 5,513, Ada hubungan antara sosial budaya dengan  p-value = 0,021 dan OR 7,583, dan Tidak ada hubungan antara pengetahuan, usia, status ekonomi tentang ASI eksklusif dengan pemberian ASI eksklusif. Faktor yang paling dominan adalah Dukungan suami dengan nilai OR paling besar yaitu 7,291. Abstract: The coverage of exclusive breastfeeding in infants aged less than six months by 55.7% has reached the target. Of the 33 provinces reporting, 29 of them (88%) succeeded in reaching the 2015 strategic plan, while Lampung province of 54.9% did not achieve the existing National targets. The purpose of this research is to know the factors related to exclusive breastfeeding on health workers who have babies 7-24 months in Pringsewu District in 2017. Quantitative research with Cross Sectional approach. This research was conducted in pringeu county hospital. The population of this study is all health workers who have babies 7-24 months of age as many as 83 mothers, and the sample amounted to 66 mothers. Data latching method with questionnaire. Data analysis used univariate, bivariate, multivariate. Research Results Some respondents did not give exclusive breastfeeding as much as 62.1%. There was a relationship between workplace support and exclusive breastfeeding with p-value = 0.011 and OR 4.525, the relationship between husband support and exclusive breastfeeding with p-value = 0.000 And OR 8,615. There is correlation between psychological factor with p-value = 0,009 and OR 5,513. There is correlation between social culture with p-value = 0,021 and OR 7,583, and there is no correlation between knowledge, age, economic status about exclusive breastfeeding Exclusive breastfeeding. The most dominant factor is the support of husbands with the greatest OR value is 7.29


2020 ◽  
Vol 3 (2) ◽  
pp. 186-192
Author(s):  
Siti Solikha ◽  
Siti Farida ◽  
Indasah Indasah

Perenium rupture is a tear that occurs in the perenium region during labor. Factors that influence the healing of perineal wounds include maternal nutritional needs that are sufficiently seen from the Body Mass Index (BMI), personal hygiene, mothers mobilizing. This study aims to determine the factors that influence the healing of perenium wounds in postpartum mothers at Turi Health Center and Lamongan Health Center in 2018. The research design used is quantitative research using a "cross sectional" approach. The sampling technique used is Simple Rendom Sampling with a sample of 116 respondents. Analysis technique with logistic regression test. The results of the analysis showed that there was a significant influence between the mobilization of p-value 0,000 <0,05, Personal Hygiene p-value 0,009 <0,05, and Nutritional Status p-value 0,009 <0,05 with healing of perennial wounds. And also found a significant simultaneous influence between personal hygiene mobilization, and nutritional status of perenium wound healing with a p-value of 0,000 <0,05 with the most dominant factor affecting wound healing is personal hygiene. Mother's personal hygiene helps reduce the source of infection and increases comfort in the mother. By preventing infection in perenium wounds, the wound can heal quickly


2018 ◽  
Vol 6 (1) ◽  
pp. 1
Author(s):  
Nella Mega Fadhilah Haritya Akbar ◽  
Muhammad Atoillah Isfandiari

ABSTRAK Terapi intravena merupakan salah satu prosedur invasif yang bertujuan untuk mensuplai cairan, obat, vitamin, komponen darah, dan monitoring status hemodinamik. Pasien yang mendapatkan terapi intravena dalam jangka panjang berisiko tinggi terinfeksi, plebitis dan ekstravasasi vena. Penelitian ini bertujuan untuk menganalisis pengaruh karakteristik pasien terpasang kateter intravena terhadap kejadian plebitis. Desain penelitan ini adalah case control dengan besar sampel 45 pasien pada kelompok kasus dan kontrol. Sampel kasus pada penelitian ini adalah pasien yang terdiagnosa plebitis sedangkan sampel kontrol adalah pasien yang tidak terdiagnosa plebitis di RSU Haji Surabaya pada bulan Januari sampai dengan April 2017. Variabel independen adalah umur, jenis kelamin, status gizi, hipertensi dan DM, sedangkan variabel dependen adalah kejadian plebitis. Pengelolahan data menggunakan analisis regresi logistik berganda. Hasil penelitian ini menunjukan bahwa dari 5 faktor terkait dengan karakteristik pasien hanya 3 faktor yang berpengaruh terhadap kejadian plebitis adalah  jenis kelamin dengan p value = 0,043 dan odds ratio = 3,45, umur dengan p value = 0,016 dan odds ratio 4,10 dan  DM dengan p value = 0,000 dan odds ratio = 9,78. Sedangkan 2 faktor yang tidak berpengaruh terhadap kejadian plebitis adalah status gizi dengan p value = 0,74 dan odds ratio = 0,79 dan hipertensi dengan p value = 0,178 dan odds ratio = 2,35. Berdasarkan hasil analisis data, dapat disimpulkan bahwa faktor dominan dan berpengaruh terhadap kejadian plebitis adalah status DM. Hasil penelitian ini diharapkan dapat menjadi acuan bagi RSU Haji Surabaya, terutama dalam prosedur pemasangan dan perawatan terapi intravena yang perlu mempertimbangkan kondisi pasienKata Kunci : Karakteristik, intravaskular, pengaruh, plebitis, terapi intravena.ABSTRACTIntravenous therapy is one of the most common invasive procedures used for injecting  fluids, drugs, blood products, nutritional and monitoring of hemodynamic status. The insertion and daily use of these devices isassociated with risk plebitis and complications that can have impact on the clinical status and outcome of the patient.. The aims of this research was  to analyze the effect of patient characteristics on intravenous catheter to the occurrence of plebitis. This study used case control with sample size 45  for each group. Case sample was patients who diagnosed with plebitis while control samples was diagnosed patients with no plebitis at RSU Haji Surabaya in January until April 2017. Independent variables were age, sex, nutritional status, hypertension and DM, whereas the depenendent variable was plebitis occurrence. Those variables was analyze with  logistic regression. The results of this study showed that the 5 factors related to the characteristics of patients only 3 factors that affect the incidence of plebitis include the gender with p value = 0.043 and odds ratio = 3.45, age with p value = 0.016 and odds ratio 4.10 and DM with p value = 0.000 and odds ratio = 9.78. While the 2 factors that have no effect on the occurrence of plebitis is the nutritional status with p value = 0.74 and odds ratio = 0.79 and hypertension with p value = 0.178 and odds ratio = 2.35. Based on the results of data analysis, it can be concluded that the most dominant factor and the effect on the occurrence of plebitis is DM status. The results of this study are expected to be a reference for RSU Haji Surabaya, especially in the installation procedure and treatment of intravenous therapy that needs to consider the condition of the patientKeywords: Characteristics, influences, intravascular, intravenous therapy, plebitis.


2019 ◽  
Vol 13 (2) ◽  
pp. 10-16
Author(s):  
Haitham Ahmed ◽  
Tagreed A. Al-Sadoon ◽  
Khudhair A. Khudhair

Objective: To investigate the influence of obesity on disease activity in rheumatoid arthritis patients and to determine a probable connection with the acute phase response.                                          Materials and methods: The recruited patients satisfied the criteria from the American College of Rheumatology (ACR). To evaluate the body mass index (BMI), anthropometric tests were carried out at the Rheumatology Department at Baquba Teaching Hospital, which has a consultation unit. The serum levels of anti-cyclic citrullinated peptide antibodies (anti-CCP) were measured from blood samples taken through the particle-enhanced (latex) immunonephelometry assays on the genius analyser (CO, Ltd. China) and test kits from IMTEC-CCP-Antibodies. RF screen and serological tests (latex) were carried out to determine the C-reactive protein (CRP), measure Hb and the total WBCs count, the erythrocyte sedimentation rate (ESR) was also carried out.                                                                                                                                                                        Results: The current study findings from the sample of RA patients showed that the proportion of patients falling into the overweight classification (BMI 25-29) was 80.6% while the obese classification (BMI 30-35) was 33.33%. Among the RF and ACCP-positive cases, a marginally stronger relationship between the development of RA and the history of obesity was found. Additionally, a significant correlation between acute phase response and free mass was found in RA patients (anti-CCP p-value≤ 0.00021 ESR p≤ 0.00072 Hb p≤ 0.00054, and W.B.C p =≤ 0.000.94, CRP p≤1).                                                                                                     Conclusion: The present study’s findings show an elevated prevalence of high body mass among the RA patients. Furthermore, a linear association existed between the fat free mass and the acute phase response.


2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Masoumeh Shohani ◽  
Sanaz Azami ◽  
Hossein Seidkhani ◽  
Zeinab Gholami

Background: Sleep deprivation is a common problem among the elderly in the cardiac care unit (CCU). Objectives: The present study aimed to determine the effects of environmental modifications on sleep quality improvement in these people. Methods: The study population included 60 elderly patients whose sleep quality was assessed by the Pittsburgh Sleep Quality Index with even domains. The environmental factors that can disturb sleep quality were determined via a questionnaire, including 13 questions on a 5-point Likert scale. Descriptive and inferential statistical analyses were performed in SPSS 22 software via independent sample student t-test and chi-square. Results: After environmental modifications, the total sleep quality scores changed from 11.8 to 5.96, indicating sleep quality improvement. Before executing the environmental modifications, there were no significant correlations between sleep quality scores and demographic variables (sex, age, marital status, and economic status). However, after the modifications, there was a significant relationship between sleep quality and economic status (P = 0.024). Conclusions: Environmental factors can affect sleep quality in the elderly hospitalized in CCU. Therefore, it is possible to improve sleep quality in these individuals by modulating environmental conditions.


2018 ◽  
Vol 3 (2) ◽  
pp. 54
Author(s):  
Agnes Dewi Astuti ◽  
Reny Sulistyowati ◽  
Natalansyah Natalansyah

Aging is a a natural process in life. Aging is characterized by loss of slowly ability organ tissue repair itself and  is irreversible. The elderly are the final statge of a person’s life cycle and experience the aging process with change in various physical or physiological, psychological and social aspects (Miller, 2012). Hanges dues to aging eldely comple raises enormous opportunity for the elderly are at risk of depression.  The objective of this study was to determine the factors that influence the risk of depression in elderly at Puskesmas Jekan Raya of Palangka Raya City with descriptive correlational research design using cross sectional approach. The sampling technique in this research is by using probability sampling technique that sampling technique giving equal oppurtinity to every individual in the population to be the research sample.The statistical test used was descriptive test and Chi Square test. The result indicate that factors influencing the risk of depression in the elderly is functional impairment were settled with p value= 0,000. Conclusion of the elderly who have other diseases besides DM  settle a vulnerable population at risk of depression. The most dominant factor is the functional disturbances persist  after controlling the variable of age, live event s and other diseases (other than DM) with OR=39. Recommended in elderly nursing decision making in order to improve the health of elderly family based programs to prevent depression in the elderly and especially carring by elderly family members.


2020 ◽  
Vol 1 (2) ◽  
pp. 28-36
Author(s):  
Hendera Hendera ◽  
Laila Eka Pratiwi ◽  
Memin Tri Ethik ◽  
Dina Ahsana

The coronavirus 19 (COVID-19) outbreak is an infection caused by the acute respiratory syndrome coronavirus 2 (SARS-CoV-2) which are a pathogenic virus and highly contagious. The drug dexamethasone is only beneficial for patients infected with COVID-19 and has no effect on patients who are infected with mild symptoms nor can it prevent the entry of the COVID-19 virus. Taking dexamethasone without a doctor's prescription can trigger infection of the COVID-19 virus and have detrimental effects on the body. The purpose of this community service activity is to provide education that can increase understanding of dexamethasone which can not prevent us from getting infected by the COVID-19 and to inform the dangers of using dexamethasone that is not from a doctor's prescription. This is a quantitative research with a Pre-Experimental method using One Group Pretest-Posttest Design and the collecting data instruments used are multiple choice question types. The results of 30 participants complete data were analyzed using statistics with the Wilcoxon test with a P-value of 0,000 (P 0.05). The results showed that there was a significant effect on the use of educational methods in increasing participants' understanding of this drug. Furthermore, the N-Gain test was carried out with a result of 75.389%, so it concluded that the use of the educational method in the activity entitled "dexamethasone drug not an antidote to COVID-19" was considered quite effective in increasing the knowledge of participants who were facilitated by the pre-test and post-test.


2019 ◽  
Vol 3 (1) ◽  
pp. 14
Author(s):  
Sonhaji Sonhaji ◽  
Roland Lekatompessy

The result of statistical analysis obtained data on the average blood pressure inthe left group before being given the intervention of 173,76/96,41 while after being given the intervention of 170,29/93,82. On the singing group before being given intervention, the average of blood pressure of 153,06/87,41 and after being given intervention tobe 168/87. Camparative test results in both groups between before and after ihe invention were obtained p – value = 0,00 (p- value p < 0,05). Conclusion was spiritual emotional freedom techneque (SEFT) is more effective than singing to reduce the blood pressurenof the elderly with hypertension in social service home, Pucang Gading, Semarang. One of the body system disorders that is often experienced by the elderly. Namely the cardiovascular system such as hypertension. Hypertension of elderly can caused bad condition such as heartdiscase, stroke and kidney failure, there fore, intervention is needed to maintain blood pressure within normal himits.


MEDISAINS ◽  
2020 ◽  
Vol 17 (3) ◽  
pp. 53
Author(s):  
Esri Rusminingsih ◽  
Nur Wulan Agustina ◽  
Dyah Ayu Nawang Wulan

Background: The aging process results in changes in the musculoskeletal system causing a decrease in function of joints, loss of elasticity and limited mobility. This condition also causes joint pain, especially in the joints supporting the body weight, namely the knee. The previous studies discussed the method of reducing pain using a contras bath which was implemented by soaking parts of the body that experience pain alternately with hot and cold water, this was difficult to apply if the pain occurs in the upper body. Modifications in contrast baths using compresses to the knee joint have never been implemented before.Objective: This study aimed to figure out the effect of the contras bath method using compresses to reduce knee joint pain in the elderly.Method: The design of this study was pre-experimental with one group of pretest-posttest. The sample used was 16 elderly who were selected by random sampling at Posyandu (a center for pre- and postnatal health care and information for elderly) in village of Sawit Gantiwarno, Klaten. Contrast bath is applied by giving compresses of warm and cold water alternately with a ratio of three minutes: one minute per-day during 20 minutes, for a week. Pain measurement is performed using the Visual Analog Scale (VAS) instrument.Result: The mean of knee pain before giving a contrast bath was 5.44, whereas after a contrast bath was 3.50. Bivariate analysis used Wilcoxon, it showed p value <0.05 which means there was a significant difference in knee joint pain before and after contrast baths were applied.Conclusion: Administration of contrast bath can reduce knee joint pain in the elderly.


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