hiswani .
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Published : 52 Documents
Articles

KARAKTERISTIK PENDERITA MIOMA UTERI RAWAT INAP DI RSUD DELI SERDANG LUBUK PAKAM TAHUN 2013-2015 sipayung, yuli anti; Lubis, Rahayu; ., Hiswani
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 3 (2016): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

Abstract Uterine myoma are also known as fibromioma, fibroids, or leiomyomas are benign neoplasm derived from uterine smooth muscle and connective tissue on it.  Most of them was found with an estimated incidence of 20% -40% in women during reproductive years. In Indonesia, uterine myoma was found 2.4% - 11.7% of all gynecological patients were treated. In Deli Serdang Hospital Lubuk Pakam there are 78 cases of uterine myoma during 2013-2015. The research is descriptive with case series design. Population and sample were 78 data (total sampling) by using secondary data obtained from medical records of patients with uterine myoma. The results showed the proportion of patients with uterine myoma highest age 35-44 years old 44.9%, Javanese 66.9%, senior high school 35.9%, housewives 75.6%, married status 88.5%. menarche age > 12 years was 37.2%, multiparous parity47.4%, type of submucosal fibroids 25.6%, having more than one complaint 42.3%, hemoglobin <12 g/dl (79.5%), hysterectomy 55, 1%, the average length of stay 8 days, discharged under medical treatment 93.6%, government funding source 92.3%. The proportion aged based on the type of uterine myoma highest age > 44 years old. The proportion of patients with uterine myoma with the type of submucous fibroids, abnormal bleeding 60%, hemoglobin <12 g/dl (85%) and hysterectomy55%, the type of intramural fibroids having more than one complaint 81.8%, hemoglobin <12 g/dl (72.7%) and  hysterectomy 54.5%, the type of subserosal fibroids having more than one complaint 50% and conservative treatment 50%, the type of multiple fibroids having more than one complaint 88.9%, hemoglobin <12 g/dl 88.9% and hysterectomy 77.8%. It was suggested that women who have risk factors for uterine myoma especially women in the reproductive age and multiparity to maintain in their health with a healthy diet and regular check-up for early detection of the possibility of the discovery of uterine myoma. For Deli Serdang Hospital Lubuk Pakam to complete data in the medical record including menarche age of patients, parity, and the type of myoma uteri. Keywords: uterine myomas, Characteristics of Patients
KARAKTERISTIK PENDERITA DIABETES MELLITUS TIPE 2 DENGAN KOMPLIKASI YANG DIRAWAT INAP DI RUMAH SAKIT UMUM DAERAH (RSUD) GUNUNGSITOLI TAHUN 2015 Zebua, Maria Margareth; ., Hiswani; ., Rasmaliah
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 3 (2016): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

Diabetes Mellitus (DM) is a chronic metabolic disease. According to International Diabetes Federation (2015), global prevalence of DM in adults aged 20-79 years reached 8,8%. Prevalence in Indonesia according to World Health Organization (2016) reached 7,0%. In North Sumatera, prevalence of DM was 1,8% in 2013. The purpose of this research is to find out the characteristics of patients type 2 DM with complications who were hospitalized at Gunungsitoli Hospital in 2015. This study is descriptive with case series design. The population and sample were 142 people. The data was using secondary data and analyzed by using Chi-Square, Exact Fisher and Mann-Whitney. The result showed the proportion of patients with complications of type 2 DM was highest at the age group 45-54 years is male (41,0%) of all male patients and female (45,7%) of all female patients, Nias (95,8%), Christiant Protestant (89,4%), civil servants (29,6%), married (80,3%), live in Gunungsitoli (64,1%), languid/nausea and vomit (31,7%), hypertension (33,1%), the checking blood plasma glucose (64,1%), the abnormal levels of blood plasma glucose (78,0%), oral hypoglycemic medicine (78,2%), government cost (97,9%), average length of stay (8 days), becoming outpatient (84,5%). The statistical resulted, there was no difference between age by the category of complication (p=1,00), gender by the category of complication (p=0,375), medical management by the category of complication (p=530), average length of stay by the category of complication (p=0,620). It?s suggested for Gunungsitoli Hospital to check blood plasma glucose for the patients of type 2 DM, and plan a medical management appropriate. The patient of type 2 DM with complications should control blood glucose regularly, adopt healthy lifestyle and put the treatment with insulin. Keywords: Characteristic, Type 2 DM, Gunungsitoli Hospital
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KELENGKAPAN IMUNISASI DASAR PADA BATITA DI DESA HUTAIMBARU KECAMATAN HALONGONAN KABUPATEN PADANG LAWAS UTARA TAHUN 2016 Nainggolan, Zuriatina Chairani; Lubis, Rahayu; ., Hiswani
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 2 (2017): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

Immunization remains a public health problem in North Padang Lawas District, because the basic immunization coverage is low and has not achieved Universal Child Immunization (UCI) in most of these areas. One of them Hutaimbaru village with basic immunization coverage amounted to 30%  in 201. This research is an analytic observational (non-experimental) with cross sectional study design, aimed to analyze the factors related to the completeness of basic immunization by toddlers on Hutaimbaru subdistricts Halongonan in 2016. The study population was all mother who had a toddler in the village of the Hutaimbaru subdistrict Halongonan and sampling done by total sampling. Data were collected using a questionnaire and analyzed using Chi-square test and multiple logistic regression test. Immunization coverage complete of the result of this study was 48.6%.  The results evidence that the variables have a significant related (p<0,05) on the completeness of immunization in toddlers in the Hutaimbaru village of the subdistrict  Halongonan 2016  is  the age variable (p= 0,008), education (p. = 0,0001), occupation (p= 0,0001), and parity (p= 0,001), when the unrelated variables (p<0,05) is a variable place of birth (p= 0,110) and the distance of a residence with health care (p= 0,364). The results of multiple logistic regression test, the variables have a significant  most related on the completeness of immunization in toddlers in the Hutaimbaru village of the subdistrict  Halongonan in 2016  is education (Exp {B}= 7,280). Implementation of the integrated health system should apply first date alone each month, so that mothers more easily remember, or Implement s system of ?Jemput Bola? in providing basic immunization, given the extensive settlements Hutaimbaru village is not so wide, and they can be easy to reach. Keywords: Immunization, Hutaimbaru, Toddlers
KARAKTERISTIK PENDERITA HIPERTENSI DENGAN KOMPLIKASI YANG DIRAWAT INAP DI RS SANTA ELISABETH MEDAN TAHUN 2011-2015 Marpaung, Fredrick Alexander; ., Hiswani; Lubis, Sri Novita
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 2 (2017): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

Hypertension is the number one cause of illness in developed countries, the number two cause of illness in developing countries, the number one cause for the risk of stroke and heart failure, and the number two cause for the risk of heart attack. In Indonesia, one of three adults were people with hypertension. Prevalence of Hypertension in Indonesia obtained through measurement at age ?18 years old was 25.8%. This is a descriptive study with case series design, and continued with the analysis of statistic chi square test, fisher test, dan kolmorgorov-smirnov test. This study aims to determine the characteristics of patients with Hypertension with complications who were hospitalized at the Santa Elisabeth Hospital Medan in 2011-2015. Population and sample were same (total sampling) which were 101 inpatients with hypertension with complications. Data is secondary data taken from the patient?s medical record. The result showed the proportion of patients the most at age ?40 years (96.0%), women (57.4%), Batak (82.2%), Protestants (54.5%), did not work (41.5 %), married (95.0%), in Medan (74.3%), headache (65.3%), hypertension stage 2 (53.5%), diabetes mellitus (34.7%), average of treatment duration was 5.45 days, out as outpatient (84.1%). There was no significant difference between the proportions of age by complications of hypertension (p = 0.101), there was no significant difference between the proportion of sexes by complications of hypertension (p = 0.652), there was no significant difference between the proportion of work categories by complications of hypertension (p = 0.756), there was no significant difference between the proportion of Hypertension degrees by complications of hypertension (p = 0.485), the distribution for average of treatment duration by category of complications with acute complications were 4.18 days and chronic complications were 6.06 days , there was no significant differences between the proportion of discharged status by complications of hypertension (p = 0.164). The hospital authorities should give a promotions or information that is important for everyone's to check their blood pressure routinely in order to anticipate and prevention of hypertension disease. Suggest the patients with hypertension to organize a good diet like the DASH dietary and recommend them to havea  healthy lifestyle like increasing physical activity by exercising regularly. The medical officer who in charge kindly give more attention to fill the columns data of patient Hypertension with complications status especially in  how the patients go out from the hospital. Keywords: Hypertension, Characteristic, Hospitalized, Santa Elisabeth Hospital Medan
KARAKTERISTIK PENDERITA TB PARU KATEGORI 2 RAWAT JALAN DI BALAI PENGOBATAN PENYAKIT PARU-PARU (BP4) LUBUK ALUNG SUMATERA BARAT TAHUN 2015-JUNI 2016 Junaidi, Tryani Walnizam; Sarumpaet, Sori Muda; ., Hiswani
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 3 (2016): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

The category-2 pulmonary tuberculosis?s patients are patients who have to undergo re-treatment which has received treatment with anti-tuberculosis drugs before and has more risk of drugs resistance. Based on TB report in West Sumatera province, there?re 268 cases  of TB in category-2. The amount of patients with pulmonary TB 2 categories based outpatient medical record in Lubuk BP4 Alung 2015-June 2016 are 146 cases. The purpose of this research is to analyze the characteristics of pulmonary tuberculosis patients in category 2, the research will be conducted in BP4 Lubuk Alung West Sumatra in case series design . The amount of population in this research are 146 people in 2015 to June 2016 in the medical record and the sample of this research is total sampling. Univariate data were analyzed by descriptively and bivariate data were analyzed by using Chi-square, Fisher Exact, and Kolgomorov-Smirnov. Based on the sociodemographic, the highest proportion is in the age group of namely 55-64 years (23,3%), males (63,0%), farmers/ fisherman/labors (28,1%), the West Sumatra province (92,5%). The highest proportion is based on the results of BTA test (87,0%), the type of patients relapsed (69,2%), history of diabetes mellitus (17.8%), smoking (58,2%), no alcohol consumption (94,5% ), a complication of spontaneous pneumothorax (13,7%). There was no significant difference in the proportion of age based on the type of patients (p=0,227), gender based on the types of patients (p=0,901), the results of the examination with the type of patient (p=0,999), disease history is based on the type of patients (p=0,547), smoking and type of patients (p=0,835), alcohol habits with the type of patients (p=0,418), based on the type of patient complications (p=0,806). This is suggested BP4 to give more intensive information to  category-2 patient to obey the medication rule completely to avoid relapse and failure of treatment convertion and more risk of getting TB-MDR. They also have to keep their immune system by maintain a healthy lifestyle. Keywords: Pulmonary tuberculosis in category-2, the characteristics of the patients, outpatient
GAMBARAN TERSANGKA PENDERITA MALARIA DI WILAYAH KERJA PUSKESMAS PANYABUNGAN JAE KECAMATAN PANYABUNGAN KABUPATEN MANDAILING NATAL TAHUN 2015 Putri, Delima Saima; ., Hiswani; Lubis, Sri Novita
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 3 (2016): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

Malaria is a disease caused by parasite of the genus Plasmodium that transmission  whilebite of  Anopheles spp. Annual Parasit Incidence (API) Indonesia in 2015 is 0,99%. API  in Sumatera Utara in 2014 is 1 %. API at District of Mandailing Natal in 2014 is 12,4 %, and  Panyabungan in 2014 with API 22,2 %. This research has descriptive study with case series design. The purposed to knowing the description of malaria patients suspect of Panyabungan Jae public health center District Mandailing Natal in 2015. Population is all of data malaria patients suspect had laboratory result about 206 people. Sample is some of  the population about 136 people, taken with Systematic Random Sampling. Data has analyzed statistic with using Chi- Square test. Sosiodemographic higest proportion in the age group 5-14 years old (27,9%), male (52,2%), school (34,6 %), and living in Panyabungan (93,4%).  Result of laboratory of  malaria clinis is higest  (79,4%).The type of malaria parasite is Plasmodium falciparum (96,4 %). Symptom of malaria is fever (100%). The type of treatment  of malaria is ACT (67,9%). There is no different proportion of age  patients malaria positif based  the type of malaria parasite(p=1),gender of patient malaria positif  based  the type  of malaria parasite (p=0,429),the type of treatment based the  type of malaria parasite (p=1). To reduce the incidence of malaria in the age group 5-14 years old, it is advisable for children to improve protection against mosquite bites. Such as wearing long sleeves when out  at night, wear repellent, nets during sleeps and not hang  dirty clothes in the room.  To suggested to Panyabungan Jae Public Health Center to giving promotion and sosialitation to schools about prevention of malaria. Key Words: Description, Malaria Patients Suspect, Puskesmas Panyabungan Jae
KARAKTERISTIK PENDERITA STROKE HEMORAGIK (SH) RAWAT INAP DI RSUD RADEN MATTAHER PROVINSI JAMBI TAHUN 2015 padang, ira aminah; ., Rasmaliah; ., Hiswani
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 3 (2016): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

Abstract Stroke is the third most common non-communicable diseases and the highest cause of disability in the world. There are two types of stroke by pathological processes that ischemic stroke and hemorrhagic stroke. According to AHA, the mortality rate of stroke patients each year are 50-100 of 100,000 patients. Based on Batubara?s research of acute stroke patients in RSUP HAM Medan January to Desember 2011 kind of stroke that causes the most deaths is 87.5% hemorrhagic stroke. This research is descriptive study using case series design. The population is 127 data of patient with total sampling. The Result of this research is founded the highest proportion of stroke hemorrhagic patient based on age of 40-69 years is 66.1%, male 57.5%, Islam 81.9%, civil servant 30.7%, married 81.9%, lived in Jambi city 59.8%, history of diseases hypertention 59.4%, disorder of speech and movement 32.23%, sistolic pressure hypertention 92.9%, diastolic pressure hypertention 93.7%, uncertain DM 73.2%, total cholesterol border 40.2%, normal triglyceride level 64.6%, normal LDL and border LDL 35.4%, normal HDL 46.5%, hemisphere dextra 49.6%, CT-Scan result with bleeding of Intra Cerebral 69.3%, location bleeding in Hemisphere/Lobar 36,2%, managed by conservative 97.6%. average lenght of stay 5.88 (6 days), source of finance from JKN 76.4%, no refferal 55.1%, died 64.6%. Found significant different between CT-Scan result by status of discharged (p=0,006) and between average length of stay by status discharged (p=0,0001). For hypertention patient with age 40-69 years were encouraged to have routine controlling and healthy lifestyle to prevent a stroke, for RSUD Raden Mattaher to increase the effort of promotive , curative , and rehabilitif to reduce the number of morbiditi and mortaliti caused by the hemorrhagic stroke, and for medical record department RSUD Raden Mattaher Province Jambi should have to complete the data such as ethnic and education. Keywords: Hemorrhagic stroke , Characteristics of patients hemorrhagic stroke
KARAKTERISTIK PENDERITA KISTA OVARIUM PADA WANITA SEBELUM MENOPAUSE YANG DIRAWAT INAP DI RS. HAJI MEDAN TAHUN 2014-2015 apriani, sri; ., Hiswani; ., Rasmaliah
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 3 (2016): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

Abstract Ovarian cyst is one of the gynecological benign tumor most often found in women in their reproductive life. Based on Indonesia Demographic Health Survey incidence of ovarian cysts in Indonesia reached 37,2%. The incidence of ovarian cyst diasease in Sumatera Utara Province is not yet know with certaintybecause the recording and reporting unfavorable. To determine the characteristics of patients with ovarian cyst the women before menopause who are hospitalized at Haji Hospital Medan in 2014-2015 was a descriptive study with case series design. Population and samples of data 126 patients (Total Sampling) with disease proportion 0,66%. Univariate data  were analyzed by descriptive, bivariate data were analyzed with Chi- square. The research found ovarian cysts proportion of patients: age 30-34 years (19,9%), Batak (32,5%), Islam (95,2%), high school education (40,5%), occupation housewife (49,2%), married status (81,0%), the size of the cyst diameter  5,25 ? 8,39 cm2 (29,3%), korpus luteum cyst (27,7%), type benign cyst (78,6%),   lower abdominal pain (40,8%), menstrual regularities (87,3%), early menarche (< 12 years) (57,9%), normality (0- 35 u/ml) CA-125 examination yield (61,4%), surgieal treatment (79,4%), the average treatment lenght 7,2 % days or 7 days, the source of the cost of treatment with BPJS/ASKES (83,3%), the origin of the patient was the Medan City (65,9%), out patient home (97,6%), there is no significant difference between the proportion of patients age by menstruation status (p= 0,792), the proportion of patients age by cyst type (p= 0,113), the proportion of cyst type by married status (p=0,774), the proportion of cyst type by the size of the cyst diameter  (p= 0,762), the proportion of menarche story (p=0,470), the proportion of the size of the cyst diameter  by complaints (p= 0,940), the proportion of the average treatment lenght by medical treatment (p=0,237), the proportion of surgieal treatment by state while returning (p = 0,503). Expected to hospital Haji Medan in order to data complementary  be related to with ovarian cyst as parity data. For childbearing age (15-49 age) in order to symptom cyst attention as risk factor happen cyst. Keywords: Ovarian cyst, Characteristics of patients ovarian cyst.
KARAKTERISTIK PENDERITA DIABETES MELLITUS TIPE 2 DENGAN KOMPLIKASI YANG DIRAWAT INAP DI RUMAH SAKIT UMUM DAERAH (RSUD) DR. R. M. DJOELHAM BINJAI TAHUN 2014 – 2015 sitohang, mangara; ., Hiswani; Sinaga, Mhd Makmur
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 3 (2016): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

Abstract Diabetes Mellitus (DM) is one of health?s problems in the world. According to World Health Organization (2003), people in the world with diabetes 5,1%. Based on data from Riset Kesehatan Dasar (2007), the prevalence of diabetes was 5,7% in Indonesia. In North Sumatra, the prevalence of DM was 1,2% in 2008. The purpose of this study is to know the characteristics of patients of type 2 DM with complications who were hospitalized in RSUD Dr. R. M. Djoelham Binjai in 2014 ? 2015. This research is descriptive with case series design. The population and the samples were all the patiens of type 2 diabetes with complications, 148 cases. The data was collected by using secondary data and analyzed with Chi-Square and Kruskal Wallis. The result showed the proportion of patiens with complications of type 2 DM was highest in the age group >40 tahun (85,1%), female (55,4%), Javanese (35,8%), Moslem (68,2%), Senior High School (55,4%), worker (53,4%), hypertension (52,7%), chronic complication (41,9%), oral hypoglycemic medicine (44,6%), not self-cost (77,7%), average length of stay  (4,89 days), becoming outpatient (89,9%). The statictical test resulted, there was no difference of age based on sex (p=0,580), age based on category of complication (p=0,427), sex based on category of complication (p=0,060), job based on category of complication (p=0,625), category of complication based on medicine (p=0,573), category of complication based on condition by going home (p=0,909). It?s suggested for RSUD Dr. R. M. Djoelham Binjai for checking blood glucose regularly to the patients for monitoring amount of glychemic and the obedience of patients in controlling theirs blood glucose. The patients of type 2 DM with complications sholud control blood glucose regularly, perform the recommended diet, regular exercise, adopt healthy lifestyle, and consume medicine regularly so that blood glucose can be controlled for preventing more serious complications. Keywords : Characteristics, Type 2 Diabetes Mellitus with Complications
KARAKTERISTIK PENDERITA HIV/AIDS DI RSUD DR. DJASAMEN SARAGIH PEMATANGSIANTAR TAHUN 2013–2014 Butarbutar, Janny Togumaito; Lubis, Rahayu; ., Hiswani
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 3 (2016): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

AIDS (Acquired Immune Deficiency Syndrome) is specific illness (syndrome) collecting caused by damaging immune system which is related to HIV (Human Immunodeficiency Virus). Prevalance rate of AIDS in Indonesia in 2014 was 23,48 with CFR of AIDS was 1,67. The main purpose of this research is to know characteristic of HIV/AIDS patients. This research is descriptive study with case series design. The population and sample was all HIV/AIDS patients as many as 145 cases. Type of data collected is secondary data which is analyced by chi square-test. The result of research showed the characteristic based on highest demograhy social with the age 30-39 years (49,0%), male (72,4%), Senior High School passed (55,2%), enterpreuner (53,1%), married (66,9%), Pematangsiantar Living (57,9%), highest infection transmission of heterosexual (65,5%), Clinic with no opportunity Infection (OI) (54,5%), Tuberculosis as OI type (48,5%), number of CD4<200 (60,0%), stop therapy phase (64,1%), alive living (76,6%). It is faound that no significant and different proportion between age and infection transmission (p=0,372), sex and last living (p=0,297), work status and infection transmission (p=0,172), marrige status and infection transmission (p=0,190). There is significant difference proportion between sex and infection transmission (p<0,001), and also clinic and last living (p<0,001). It is suggested for society to be faithful to one person as living mate to prevent transmission through heterosexual in promiscuity, to public figure especially to public religion to get involved in morality education for education for society. It is suggested for staff of HIV/AIDS Poly clinic to monitor patient obedience in consuming ARV and to record information more detail about type of opportunity infection of patients. It is suggested to local government to close prostitution place in Bukit Maraja.   Keywords: Characteristic, HIV/AIDS