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Zulfikar Naftali
Departemen Ilmu Kesehatan Telinga Hidung Tenggorok-Bedah Kepala Dan Leher Fakultas Kedokteran Universitas Diponegoro/ RSUP Dr. Kariadi
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Hubungan Kebisingan Dengan Gangguan Pendengaran Dan Kejiwaan Para Pekerja Terpapar Bising Rohmatullah Subekti; Muyassaroh Muyassaroh; Zulfikar Naftali
Medica Hospitalia : Journal of Clinical Medicine Vol. 6 No. 2 (2019): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (262.313 KB) | DOI: 10.36408/mhjcm.v6i2.391

Abstract

Latar belakang: Kebisingan di tempat kerja seringkali menjadi problem bagi tenaga kerja. Paparan bising dapat menyebabkan gangguan auditori yaitu noise-induced hearing loss (NIHL) dan gangguan non auditori berupa gangguan kejiwaan seperti depresi, kecemasan serta stress. Tujuan: Untuk mengetahui hubungan antara kebisingan terhadap kejadian gangguan pendengaran dan kejiwaan pada pekerja terpapar bising. Metode: Penelitian ini bersifat deskriptif analitik dengan design belah lintang. Tingkat kebisingan diukur dengan menggunakan alat sound level meter (SLM), gangguan pendengaran dinilai dari hasil audiometri, gangguan kejiwaan dinilai dari jawaban kuesioner Depression Anxiety Stress Scale 42 (DASS 42) dari WHO. Analisis data dengan uji chi square. Hasil : Data yang didapatkan dari 326 sampel menunjukkan bahwa 179 (54.9%) subjek mempunyai masa kerja lebih dari 10 tahun dan 147 (45.1%) subjek mempunyai masa kerja kurang dari 10 tahun. Sebanyak 51 (15.6%) pekerja mengalami NIHL dan 154 (47.2%) pekerja mengalami gangguan jiwa. Terdapat hubungan antara lama paparan bising (P= 0.000) dan intensitas kebisingan (P= 0.022) terhadap kejadian NIHL, dan intensitas kebisingan terhadap derajat keparahan depresi (P= 0.007) Kesimpulan: Lama paparan dan intensitas bising berhubungan dengan gangguan pendengaran sedangkan intensitas bising berhubungan dengan derajat keparahan depresi. Dibandingkan dengan intensitas bising, lama paparan bising mempunyai hubungan yang lebih besar terhadap kejadian NIHL. Kata kunci : Kebisingan, NIHL, depresi, ansietas, stres Background: Noise can raise significant issues in the workplaces. It can affect either auditory disturbance called Noise Induce Hearing Loss (NIHL) or non-auditory disturbance involving psychiatric disorders such as depression, anxiety and stress. Objective: To examine the relationship between noise in the workplace and the incidence of hearing impairment and psychiatric disorders. Method: The study design is analitic desciptive with cross-sectional approach. The noise level was measured with sound-level-metre (SLM), hearing disorders was assessed with audiometric and psychiatric disorder was assessed with Depression Anxiety Stress Scale 42 (DASS 42). The data were analized with chi square. Results : A total of 326 workers were sampled during this study showing that 179 (54.9%) workers have worked over 10 years and 179 (54.9%) workers have worked less than 10 years. It was found that 51 (15.6%) workers suffered from NHIL and 154 (47.2%) workers suffered from mental disorders. A significant relationship was found between the incidence of NIHL and years of noise exposure (P= 0.000) and noise intensity (P= 0.022). A significant relationship was found between noise intensity and depression severity (P= 0.007) Conclusion: The years of noise exposure and noise intensity were related to haring disorders. The noise intensity were related to the depression severity. In comparison with noise intensity, a stronger relationship was found between years of noise exposure and the incidence of NIHL. Keywords : Noise, NIHL, depression, anxiety, stress
Faktor Risiko Air Bone Gap Pada Otitis Media Supuratif Kronik Yoke Kurniawan Inardi; Pujo Widodo; Zulfikar Naftali; Willy Yusmawan
Medica Hospitalia : Journal of Clinical Medicine Vol. 7 No. 1 (2020): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (263.224 KB) | DOI: 10.36408/mhjcm.v7i1.422

Abstract

Latar belakang : Kehilangan pendengaran merupakan komplikasi otitis media kronik (OMSK) yang paling sering, jenis kehilangan pendengaran yang tersering adalah tuli konduktif, yang disebabkan oleh adanya air bone gap (ABG), ABG pada pasien OMSK mempunyai variasi yang berbeda-beda dan karakter yang khas berdasarkan faktor risiko. Tujuan : Menganalisis hubungan faktor risiko dengan ABG pada penderita OMSK. Metode : Penelitian desain observational analitik retrospektif di RSUP Dr Kariadi Semarang pada bulan September 2018 - Januari 2019. Data diambil dari rekam medis. jumlah sampel ditentukan sebanyak 100. Analisis data dengan uji chi-square. Hasil : Jenis kelamin laki-laki 46 orang, wanita 54 orang, rerata usia 32 tahun. Status osikula, lama sakit, kolesteatom, luas perforasi membran telinga berhubungan terhadap ABG (p <0,05). Kesimpulan : Faktor risiko (status osikula, lama sakit, kolesteatom, perforasi membran timpani) berhubungan dengan air bone gap pada penderita OMSK. Kata kunci : Air bone gap, faktor risiko, otitis media supuratif kronik. Background: Hearing loss is the most frequent complication of chronic otitis media (CSOM), hearing loss is usually caused by conductive deafness caused by the presence of an air bone gap (ABG). ABG in CSOM patients has different variations and distinctive characters based on the factors. Objective: To analyze the relationship of risk factors ABG in CSOM patients. Methods: Observational analytic study with a retrospective observational analytic design at Dr. Kariadi Hospital Semarang in September 2018 - January 2019. Subjects were 100 patients. Data retrieval is done based on medical records about history taking, physical examination and investigation. Data were analyzed by Chi-square test. Results: A total male 46 and female. Avarage age 32 years. Oscular status, duration of illness, cholesteatom, area of ??ear membrane perforation associated with ABG (p <0.05). Conclusion: Risk factors (osicular status, duration of illness, cholesteatom, tympanic membrane perforation) associated with air bone gap in CSOM patients. Keywords: Chronic supurative otitis media, air bone gap, risk factors
Hubungan derajat friedman tounge position dengan nilai apnea-hypopnea index dan nilai low oksigen saturation pada pasien obstructive sleep apnea Ahmad Effendi; Willy Yusmawan; Anna Mailasari Kusuma Dewi; Zulfikar Naftali; Muyassaroh Muyassaroh; Dwi Antono; Herlina Suryawati; Kanti Yunika
Medica Hospitalia : Journal of Clinical Medicine Vol. 9 No. 1 (2022): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (267.088 KB) | DOI: 10.36408/mhjcm.v9i1.651

Abstract

ABSTRACT Background: Obstructive Sleep Apnea (OSA) is characterized by an airway obstruction that causes breathing to stop momentarily, either totally or partially. OSA can cause serious complications. The definitive diagnosis of OSA with polysomnography (PSG). PSG is not widely available in health facilities, Friedman tongue position (FTP) examination is expected to be an initial simple examination that can be done to diagnose patients with suspected OSA. Objective: To determine the relationship between the degree of FTP with the Apnea Hyponea index (AHI) andvalues Low saturation (LSAT)in OSA patients at Dr. Kariadi Semarang. Methods: Cross-sectional study design, samples were taken from patients diagnosed with OSA by polysomnography in May – July 2021. AHI and LSAT values ??were taken from polysomnography results. FTP is determined by physical examination of the throat. Data analysis with Spearman correlation test. Results: The highest number of samples was 44 male, 32 samples (72.7%). The highest age group was 46-65 years, 26 (59.1%), the youngest was 18 years and the oldest was 81 years, the mean age was 64 years +17-81 years. , the most FTP results are type 2, the most AHI values ??are severe degrees, the most LSAT values ??are moderate degrees. There is a very strong positive significant relationship between the degree of FTP and the AHI value, there is no significant relationship between the degree of FTP and the LSAT value. Conclusion: There is a relationship between FTP and the AHI value, there is no FTP relationship with the LSAT value Keywords: Obstructive sleep apnea, friedman tongue position, Apnea-Hyponea index, Low saturation.
Hubungan frekuensi dan intensitas tinitus subjektif dengan kualitas hidup pasien Dimas Adi Nugroho; Muyassaroh Muyassaroh; Zulfikar Naftali
Oto Rhino Laryngologica Indonesiana Vol 45, No 1 (2015): Volume 45, No. 1 January - June 2015
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1754.836 KB) | DOI: 10.32637/orli.v45i1.102

Abstract

Latar belakang: Tinitus subjektif menimbulkan stres, depresi, kecemasan, dan penurunan kualitashidup. Frekuensi dan intensitas tinitus dilaporkan berhubungan dengan beratnya gangguan pada pasien.Hubungan frekuensi dan intensitas tinitus dengan kualitas hidup pasien menggunakan kuisioner TinnitusHandicap Inventory (THI) belum pernah dilaporkan di Indonesia. Tujuan: Menganalisis hubunganfrekuensi dan intensitas tinitus subjektif dengan kualitas hidup pasien. Metode: Desain penelitian potonglintang . Sampel penelitian adalah pasien tinitus subjektif yang datang ke klinik THT-KL RSUP Dr. Kariadi.Frekuensi dan intensitas tinitus diperiksa pitch-matching dan loudness-matching dengan audiometernada murni. Kualitas hidup dinilai menggunakan skor THI. Analisis data dengan uji korelasi. Hasil:Subjek penelitian sebanyak 31 pasien, laki-laki 15 orang (48,4%) dan perempuan 16 orang (51,6%),dengan rentang umur 25-60 tahun. Pasien dengan pendengaran normal sebanyak 18 orang (58,1%) dankurang pendengaran sebanyak 13 orang (41,9%). Gangguan kualitas hidup pasien terbanyak didapatkangangguan sedang, sebanyak 12 (38,7%). Frekuensi tinitus berhubungan dengan kualitas hidup pasien(p=0,005) dengan tingkat korelasi sedang (r=0,491). Intensitas tinitus berhubungan dengan kualitas hiduppasien (p=0,043) dengan tingkat korelasi lemah (r=0,365). Kesimpulan: Frekuensi dan intensitas tinitusberhubungan dengan kualitas hidup pasien. Kata kunci: tinitus subjektif, kualitas hidup, Tinnitus Handicap InventoryABSTRACT Background: Subjective tinnitus causes stress, depression, anxiety, and decrease quality of life. Thefrequency and intensity of tinnitus has been reported to have correlation with patients discomfort.Correlation between frequency and intensity of tinnitus with quality of life using Tinnitus HandicapInventory (THI) questionnaires has never been reported in Indonesia. Objective: To analize correlationbetween frequency and intensity of subjective tinnitus with quality of life. Method: Cross sectionalstudy was used in this research. Samples of the study were subjective tinnitus patients who attendedOtolaryngologic clinic Kariadi Hospital. Frequency and intensity of tinnitus was examined by pitchloudnessmatching using pure tone audiometry. Quality of life was assessed by THI scores. Correlationtest used to analize the data. Results: Subject of the study were 31 patients, consisted of 15 (48,4%)males and 16 (51,6%) females, age range between 25-60 years old. Eighteen (58,1%) patients had normalhearing and 13 (41,9%) with hearing loss. The highest disturbance of quality of life obtained in patientswas moderate handicap in 12 (38,7%) patients. Correlation between frequency of tinnitus with qualityof life was statistically significant (p=0,005) with moderate level of correlation (r=0,491). Correlationbetween intensity of tinnitus with quality of life was statistically significant (p=0,043) with weak level ofcorrelation (r=0,365). Conclusion: Frequency and intensity of subjective tinnitus had correlation withquality of life. Keywords: subjective tinnitus, quality of life, Tinnitus Handicap Inventory
Co-Authors Ahmad Effendi Dimas Adi Nugroho Dwi Antono Herlina Suryawati Kanti Yunika Kusuma Dewi, Anna Mailasari Muyassaroh Muyassaroh Muyassaroh Muyassaroh Muyassaroh Muyassaroh Pujo Widodo Rohmatullah Subekti Willy Yusmawan Yoke Kurniawan Inardi