Browsing by Author "Utomo, Wasisto"
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Item Analisis Pola Sosiodemografi Kejadian Stroke Akibat Sumbatan Pembuluh Darah Otak (Iskemik) Di Pekanbaru(2015-10-12) Utomo, Wasisto; Karim, DarwinStroke merupakan suatu sindrom klinis yang dapat menimbulkan kematian atau kelainan yang menetap lebih dari 24 jam, tanpa penyebab lain kecuali gangguan vascular. Dari seluruh kejadian stroke, lebih dari dua pertiga adalah stroke iskemik dan sisanya adalah stroke hemoragik. Terjadinya stroke tidak terlepas dari faktor sosiodemografi dari masyarakat yang meliputi umur, pendapatan, kebiasaan makan, jarak dengan pelayanan kesehatan, penyakit penyerta dan riwayat genetik. Tujuan penelitian ini adalah untuk mengetahui factor sosiodemografi yang berhubungan dengan kejadian stroke karena sumbatan (iskemik). Metode : Rancangan penelitian observasional dengan pendekatan Cross sectional. Variabel independen adalah factor sosiodemografi yang meliputi umur, pendapatan, kebiasaan makan, jarak dengan pelayanan kesehatan, penyakit penyerta dan riwayat genetik, sedangkan variabel dependen adalah kejadian stroke iskemik yang dibuktikan dengan hasil pemeriksaan CT Scan periode Juli-Oktober 2013. Jumlah responden yang didapatkan adalah 50 oran, diambil secara incidental sampling. Analisis data dengan X2 untuk uji bivariat. Hasil : Faktor sosiodemografi yang memiliki pola signifikan terhadap kejadian stroke iskemik adalah umur pasien >= 45 tahun (P value=0,023; OR = 5,4) dan kebiasaan makanan bersantan(P value=0,000; OR = 18,9). Sedangkan factor sosiodemografi lainnya (pendapatan, jarak dengan pelayanan kesehatan, penyakit penyerta dan riwayat genetic) tidak memiliki pola signifikan (P value= 0,224; 0,247; 0,758 dan 1,000) terhadap kejadian stroke iskemik. Simpulan : Terdapat 2 faktor sosoidemografi yang memiliki pola signifikan terhadap kejadian stroke iskemik umur lebih dari 45 tahun dan kebiasaan makan bersantan. Saran : Perlu dilakukan pengelolaan yang baik, dan pemberian informasi tentang faktor sosiodemografi serta cara memodifikasi dan memperbaikinya.Item Analysis Of Home Care Need Among Patients With Chronic Respiratory Disease(2015-06-20) Rahmalia, Siti; Utomo, WasistoChronic respiratory diseases are chronic diseases of airways and other structures of the lung. People with chronic respiratory disease have difficulties breathing, primarily due to the narrowing of their airway. They need to admit in hospital for getting treatment from medical services to improve health status and reduce dyspnea. However this condition need long term care and need rehabilitation program that can be planed by home care. The objective of study was to identify kind of needs among patients with respiratory disease (chronic respiratory dieases) and to prevent exacerbation and also to increase quality of life for patient with chronic respiratory dieases. This study was conducted at Arifin Achmad Goverment Hospital Pekanbaru, Indonesia. Participant was eligible if they have diagnosis chronic respiratory problem and selected by purposive sampling. A total of 60 patients are agreeing to participate in this study. Each participant recruited was required to complete home care chronic respiratory disease (HCCRD) questioner. The questioner used rating scale 1 to 4(1: not all need, 2: somewhat need, 3: Pretty need, and 4: very need). Content validity index of HCCRD questioner at level 0, 82 and reliability was tested by 20 respondents at level 0, 92. The study design was descriptive analysis. The result study showed that, male more than female have chronic respiratory diseases. The mean of age was 47,5 years old; 37 % were men, majority were employee clerical and trade job. Over a half (56%) of respondents have secondary education and were current smoker (45%) and also had limited exercise (52%).There was 37% respondents need to make oxygen available at their home; most of them also need more information related to their diseases, physical exercise, deep breathing relaxation technique, consult to dietary consultant and also need medical checkup for lung function. However majority of them didn’t need pot sputum and wheel chair but almost of them need to follow up their health status regularly by health care provider. Patient with chronic respiratory dieases need home care to improve their quality of life. Home care services can increase quality of daily activity by follow up health condition regularly, provide information and show kind of exercise to prevent exacerbation.Item Description Of The Incident Hypertension And Risk Factors That Contribute To The Occurrence Of Hypertension In Coastal Siak River(2015-06-20) Karim, Darwin; Erwin; Utomo, Wasisto; Mulia, PutraHypertension is a serious health problem and one of the most important causes of premature death worlwide. Hypertension incidence rates increased along with accompanying risk factors. This study aims to know the description of the incidence of hypertension and the risk factors that contribute to the incidence of hypertension in the coastal Siak River. The methode used is descriptive correlational cross-sectional approach. The study was conducted in the Puskesmas Rumbai Pesisir, using simple random sampling technique, obtained a sample of 100 respondents. Measuring instruments used in the form of a questionnaire. Data were analyzed by univariate statistical test frequency distribution, bivariate data were analyzed with Pearson's Product Moment Correlation. The results showed that there is significant relationship between gender (p value 0.0 with OR 2.12 in men rather than women), body mass index (p value 0.04 with OR 0.64 in obesity person), consumption of foods high in salt (p value 0.026 with OR 3.03), fried food consumption (p value 0.08 with OR 3.36) and lack of exercise (p value 0.05 with OR 0.38) with the incidence of hypertension. It can be concluded that there are risk factors can be modified in hypertension and can not be modified, that affect the incidence of hypertension. This study expected can be a foundation management of hypertension disease in the community.Item Efektifitas Kompres Hangat Pada Area Lumbal Terhadap Penurunan Nyeri Pasca Bedah Fraktur Ekstremitas Bawah Di RSUD Arifin Achmad Provinsi Riau(2015-08-10) Putra, Rhomadona Adiaka Dwi; Utomo, Wasisto; Rahmalia, SitiNyeri merupakan masalah umum yang sering terjadi pada pasien pasca bedah fraktur ektremitas bawah. Kompres hangat merupakan salah satu metode nonfarmakologi yang dapat membantu menurunkan nyeri pasca bedah. Penelitian ini bertujuan untuk mengetahui efektifitas kompres hangat pada area lumbal terhadap penurunan nyeri pasca bedah fraktur ekstremitas bawah. Metode penelitian ini adalah Quasi Experimental dengan pendekatan pretest-posttest design with control group menggunakan 30 sampel yang dibagi ke dalam kelompok ekperimen dan kelompok kontrol. Kelompok ekperimen mendapatkan terapi medis dan kompres hangat pada area lumbal pada suhu 370C-400C selama ± 20 menit dan kelompok kontrol hanya mendapatkan terapi medis. Data demografi diambil menggunakan kuesioner, sedangkan intensitas nyeri diukur dengan skala nyeri numerik (Numerical Rating Scale) (0-10). Analisis data demografi mengunakan uji Chi Square dan uji Kolmogorov Smirnov dan nyeri pasca bedah dianalisis dengan uji t Dependen dan uji t Independen. Hasil penelitian menunjukan mayoritas responden berjenis kelamin laki-laki (83,3%), usia dewasa awal (18-35 tahun) (66,7%), berpendidikan SMA (40%), suku minang (40%), sudah menikah (56,7%), dan tidak bekerja (50%). Hasil analisis bivariat menunjukan adanya perbedaan rata-rata intensitas nyeri pasca bedah yang sangat signifikan sebelum dan sesudah diberikan kompres hangat pada kelompok eksperimen dengan nilai p = 0.00 (p < 0.05). Kelompok kontrol yang tidak diberikan kompres hangat menunjukan perbedaan rata-rata intensitas nyeri pasca bedah yang tidak signifikan dengan nilai p = 0.33 (p > 0.05). Hasil penelitian ini diharapkan dapat dijadikan salah satu intervensi keperawatan untuk mengurangi nyeri pasca bedah pada pasien dengan fraktur ekstremitas bawah.Item Efektifitas Pendidikan Kesehatan Tentang Mencuci Tangan Dan Pembuangan Tinja Terhadap Perilaku Pencegahan Penyakit Diare Pasca Banjir Di Daerah Pesisir Sungai Siak Pekanbaru(2013-03-21) Utomo, Wasisto; Woferst, RismadefiThis study aims to determine the effectiveness of health education about hand washing and disposal of feces on the behavior of post-flood prevention of diarhea diseases in the Siak suangai pekanbaru. The design of this study was Quasi Experimental approaches Randomized Non Pre- Post test Control Design are divided into intervention and control group. The study was conducted in patients who come to Puskesmsa Karya Wanita Pekanbaru with a previous history of diarrhea. Total sample of 30 people, with 15 people the intervention and 15 control group with the technique ofpurposive sampling. Measuring instruments in the form of a questionnaire with 10 questions. In the intervention group were given health education about hand washing and disposal of feces in preventing diarrhea. The analysis used univariate and bivariate analyzes were by t test. The results showed a difference in mean scores significant knowledge between the experimental group after being given health education control group with p = 0.000 (p <0.05). The analysis also found that there is an increase in knowledge score given before and after health education in the intervention group with p = 0.000 (p <0.05). It was concluded that health education is effective against diarhea disease prevention behaviors. Health education can be used as an intervention to shape the behavior of diarrhea disease prevention.Item Efektivitas Kasus (Case Trigger) Pada Mata Kuliah Keperawatan Medikal Bedah Di Program Studi Ilmu Keperawatan Universitas Riau(2015-08-10) Rahmalia, Siti; Utomo, Wasisto; BayhakkiPenelitian ini adalah penelitian tindakan kelas yang menggunakan metode pemberian kasus pemicu pada mata ajar keperawatan medikal bedah I. Tujuan penelitian ini adalah meningkatkan kompetensi mahasiswa dalam mempelajari mata ajar keperawatan medical bedah I. Penelitian ini dilakukan pada mahasiswa program B 2009 dan didesain dengan menggunakan 2 siklus yang terdiri dari perencanaan, pelaksanaan dan observasi. Hasil penelitian menunjukkan adanya perubahan kompetensi yang dicapai mahasiswa yang signifikan (p=0.01) dengan nilai rata-rata sebelum diberi kasus pemicu 2,21 dan sesudah diberi kasus pemicu menjadi 3,38. Mahasiswa yang mencapai nilai A sebanyak 6,06 %, nilai B 83,31%,dan nilai C 2,12% orang tetapi masih 1,15% mahasiswa yang masih memiliki nilai D. Kata kunci: kasus pemicu, medikal, bedah, hasil belajarItem Faktor- Faktor Risiko Yang Berhubungan Dengan Kejadian Stroke Berulang (Studi Kasus Di Rs Arifin Achmad Pekanbaru)(2015-08-10) Utomo, WasistoStroke merupakan penyebab kematian nomor tiga di banyak negara dan kejadian stroke dapat berulang. Insiden stroke berulang berbeda-beda, diperkirakan 25% orang yang sembuh dari stroke pertama akan mendapatkan stroke berulang dalam kurun waktu 5 tahun. Terjadinya stroke berulang berkaitan dengan faktor risiko yang dipunyai oleh penderita, terutama bila faktor risiko yang ada tidak ditanggulangi dengan baik. Tujuan penelitian ini adalah untuk mengetahui faktor-faktor risiko yang berhubungan dengan kejadian stroke berulang. Metode : Rancangan penelitian kasus kontrol. Kasus adalah penderita yang berobat di RS Arifin Achmad Pekanbaru yang didiagnosis sebagai stroke berulang berdasarkan riwayat penyakit, pemeriksaan neurologi dan pemeriksaan Head CT Scan yang tercatat dalam rekam medis, periode Oktober-Desember 2010, sedangkan kontrol adalah penderita stroke yang didiagnosis belum/tidak mengalami stroke berulang. Jumlah kasus dan kontrol masing-masing 18 orang , diambil secara consecutive sampling. Analisis data dengan X2 untuk uji bivariat. Hasil : Faktor risiko yang berhubungan terhadap kejadian stroke berulang adalah tekanan darah sistolik >140 mmHg (OR = 7,04; 95% CI = 2,101 – 23,628), tekanan darah distolik >90 mmHg (OR = 6,04; 95% CI = 2,101 – 23,628), kadar gula darah sewaktu > 200 mg/dl (OR = 5,56; 95% CI = 1,437 – 21,546), dan ketidak teraturan berobat (OR = 4,39; 95% CI = 1,623 – 11,886). Simpulan : Terdapat 4 faktor risiko yang berpengaruh terhadap kejadian stroke berulang yaitu tekanan darah sistolik >140 mmHg, tekanan darah distolik >90 mmHg, kadar gula darah sewaktu > 200 mg/dl, dan ketidak teraturan berobat. Saran : Perlu dilakukan pengobatan secara rutin, dan pemberian informasi tentang faktor risiko stroke berulang serta cara pengandaliannyaItem Gambaran Status kognitif pada pasien cendera kepala yang telah diizinkan pulang di RSUD Arifin Achmad Pekanbaru(2013-07-27) Ebiet Krisandi, Andi; Utomo, Wasisto; Indriati, GanisThis study aims to the description of cognitive status in patients with head injuries who had been allowed home in Arifin Achmad Hospital Pekanbaru. The design of this study is a simple descriptive. The study was conducted in Cendrawasih II in Arifin Achmad Hospital Pekanbaru on 30 respondents. The sampling method used purposive sampling technique. Measuring instrument that used are the standard observation sheet that has been modified: Mini Mental State Examination (MMSE), which consists of 6 items related to assessment of cognitive status in patients with head injury. The results were analyze used univariate and presented in frequency distribution tables. The research showed 100.0% of head injury patients who have allowed return home is not impaired cognitive status (dementia). The research recommeds that nurse have to give health education about how to maintence the cognitive status of patients with head injury so can improve the patient's cognitive status at home.Item Identification And Analysis Of Quality Of Life Stroke Patients(2016-01-12) Utomo, Wasisto; Rahmalia, SitiStroke is a degenerative disease of the brain blood vessels that affect physical aspect, psychological aspect, social and environmental aspects. This study aims to determine the quality of life of stroke patients. This research method was descriptive design with simple survey approach. This research was conducted at the Hospital of the National Stroke Bukittingi. against 78 respondents who experienced a stroke taken by accidental sampling technique and met inclusion criteria. Measuring instruments used was WHOQOL- BREEF questionnaire to measure quality of life. The analytical method used is a univariate analysis. The results showed that there were 35 people (44.87%) have a good quality of life and 43 (55.13%) had a poor quality of life. The study concluded that the majority of the quality of life of stroke patients was poor. Based on the results of this study are expected for nurses can provide quality nursing care in patients with stroke to maintain or improve the quality of lifeItem Manajemen Keperawatan terhadap Pencegahan Penyakit Diare di Daerah Pesisir Sungai Siak Pekanbaru(2013-04-16) Hasneli, Yesi; Utomo, Wasisto; Rahmalia, SitiThe purpose of this study was to determine the effectiveness of health education about management of using the clean water for the prevention of diarrheal diseases after the floods in coastal areas of the Siak River Pekanbaru. Design of this study was a quasi experimental approach "cross-sectional". The experiment was conducted in the Puskesmas Rumbai conducted \ in March and May 2012. Research procedures that provide health education in the intervention group (15 person) on water management for the prevention of diarrheal diseases after the flood and after it was given the post test questions. The control group after being given a pre-test questions are not given health education and immediately following the treatment process at the health center and after treatment given post test questions. The results were in the control group p value is 0.719, which means that there is an increase in knowledge of the respondents and in the intervention group p value is 0.001, which means there is an increased knowledge of the respondent after health education about water management for the prevention the prevention of diarrheaItem PERBANDINGAN KEJADIAN ISPA BALITA PADA KELUARGA YANG MEROKOK DI DALAM RUMAH DENGAN KELUARGA YANG TIDAK MEROKOK(2013-07-09) Syahputra, Hadi; Sabrian, Febriana; Utomo, WasistoThis research is intended to find out the comparison of Acute Respiratory Infection (ARI) incidence in children age below five (toddlers) between family that has smokers at home with family that has non smoker at all. This research used comparative study design with case-control approach. Research has been done in Rejosari health centers in Pekanbaru city on 68 families which was chosen by using simple random sampling technique by considering inclusion criteria. Measurement tools that has been used is questionnaire that has been tested with validitas and reliabilitas test. Analysis that was used is univariate and bivariate analysis with chi-square test. Result of this research has shown that from 34 families (50% of total sampel) with smoker at home and having children with ARI are 58,8%, while another 34 families with non smoker at all and having children with ARI are 29,4% with degrees of significance 0,05 obtained the pv (0,028) < α (0,05) and OR point 3,429. Conclution of this research is there is significant differences between ARI incidence in toddlers that had smoker family member at home with family that has non smoker family member at all with 3,429 times greater risk on the family with smoker at home. According to this research, health centers (Puskesmas) are expected to increase promotion efforts by providing counseling to families about the danger of tobacco smoke to children health.