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All Journal Jurnal Kedokteran Syiah Kuala Budapest International Research and Critics Institute-Journal (BIRCI-Journal): Humanities and Social Sciences Proceedings of International Conference on Multidiciplinary Research
Safrizal Rahman
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Religion Agriculture, Biological Sciences & Forestry Arts Humanities Chemical Engineering, Chemistry & Bioengineering Economics, Econometrics & Finance Education Health Professions Medicine & Pharmacology Social Sciences

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EFEKTIVITAS MANDI CHLORHEXIDINE SEBELUM OPERASI ELEKTIF ORTOPEDI DALAM MENCEGAH INFEKSI DAERAH OPERASI DI RUMAH SAKIT UMUM DAERAH DR. ZAINOEL ABIDIN BANDA ACEH Safrizal Rahman
Jurnal Kedokteran Syiah Kuala Vol 19, No 1 (2019): Volume 19 Nomor 1 April 2019
Publisher : Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jks.v19i1.18050

Abstract

Abstrak. Latar Belakang: Operasi elekif merupakan jenis pembedahan yang dapat ditunda atau direncanaan lebih lanjut dengan tidak membahayakan nyawa pasien. Setiap tindakan operasi sekecil apapun dapat menimbulkan risiko infeksi. Infeksi daerah operasi (IDO) masih menjadi masalah global yang dapat memperpanjang waktu perawatan dan memperbesar beban belanja kesehatan. Chlorhexidine (CHX) merupakan salah satu desinfektan yang dapat digunakan sebelum melakukan prosedur aseptik guna mencegah terjadinya infeksi. Tujuan: Penelitian ini bertujuan untuk menganalisis perbandingan efektivitas mandi dan lap CHX sebelum operasi elektif ortopedi dalam mencegah kejadian IDO di bangsal bedah RSUD dr. Zainoel Abidin Banda Aceh.Metode: Penelitian ini merupakan penelitian uji klinis (clinical trial) dengan desain paralel. Daerah operasi dievalusi setiap hari selama masa perawatan dimulai dari hari pertama pasca operasi menggunakan sistem skor (eritema: 1, rubor: 1, edema: 1, serosa: 2 dan pus: 4) dengan interprerasi skor ≥ 4 mengalami IDO. Uji Mann Whitney digunakan sebagai analisa statistik dengan tingkat kepercayaan 95%.Hasil: Sebanyak 66 subjek memenuhi kriteria penelitian yang selanjutnya terbagi dalam kelompok mandi CHX (n = 33) dan lap CHX (n = 33). Pada kelompok mandi CHX tidak ditemukan kejadian IDO, sedangkan pada kelompok lap CHX sebanyak 9,1% (n = 3) penderita mengalami IDO. Mandi CHX secara statistik lebih efektif dibandingkan dengan lap CHX dalam mencegah kejadian IDO (p = 0,008%).Kesimpulan: Mandi CHX 2% sebelum operasi elektif bedah ortopedi efektif dalam mencegah IDO karena bersifat sebagai bakterisidal dan bakteriostatik serta dapat bertahan lama di kulit.Kata Kunci: Chlorhexidine, mandi, infeksi daerah operasi
Hubungan indeks massa tubuh dengan kejadian osteoartritis lutut di Rumah Sakit Umum Zainoel Abidin Kota Banda Aceh Cici Enjelia Nata; Safrizal Rahman; Sakdiah Sakdiah
Jurnal Kedokteran Syiah Kuala Vol 20, No 3 (2020): Volume 20 Nomor 3 Desember 2020
Publisher : Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jks.v20i3.18215

Abstract

Abstrak. Indeks Massa Tubuh (IMT) merupakan parameter yang digunakan untuk menilai komposisi tubuh dengan menggunakan klasifikasi Asia Pasifik. IMT menjadi salah satu faktor risiko terjadinya osteoartritis lutut. Osteoartritis lutut merupakan penyakit degeneratif yang terjadi pada sendi lutut. Berdasarkan RISKESDAS tahun 2018, Provinsi Aceh menduduki peringkat pertama sebagai provinsi dengan angka penyakit sendi terbanyak yang termasuk osteoartritis lutut yaitu 13.3%. Prevalensi indeks massa tubuh berlebih di Indonesia pada tahun 2018  meningkat dari 26.3% menjadi 34.4% sehingga kemungkinan terjadinya osteoartritis lutut juga meningkat. Penelitian ini menggunakan metode observasional analitik dengan desain cross-sectional dilakukan dengan cara mengukur berat badan dan tinggi badan responden yang memenuhi kriteria penelitian berdasarkan pedoman American College of Rheumatology (ACR). Sampel dikumpulkan berdasarkan rekam medis di Rumah Sakit Umum Zainoel Abidin kota Banda Aceh sejak september hingga oktober 2019 yang melibatkan tujuh puluh responden sebagai sampel penelitian yang dimana 51 responden (72.9%) memiliki indeks massa tubuh berlebih dan 43 responden (61.4%) didiagnosis dengan Osteoartritis lutut. Berdasarkan hasil analisis uji Chi Square, nilai p value yang diperoleh adalah 0.021 (p value ≤ 0,05). Dengan demikian, penelitian ini menunjukkan bahwa terdapat hubungan antara indeks massa tubuh dengan kejadian osteoartritis lutut di Rumah Sakit Umum Zainoel Abidin di kota Banda Aceh.Kata Kunci: Indeks massa tubuh; berat badan lebih, osteoartritis lutut;               Abstract. Body Mass Index (BMI) is a parameter to measure body composition which is classified into underweight, normal and overweight. Overweight has been known to potentially cause knee osteoarthritis. Knee osteoarthritis is a degenerative disease happening on the knee. Based on RISKESDAS 2018, Aceh led Indonesia as a province with the highest number of knee arthritis (13.3%). In the same year, the prevalence of overweight in Indonesia has also increased from 26.3% to 34.4% and is expected to rise annually. This research is an analytic observational using cross sectional design. The method used in this research is body weight and body length measurement of samples fulfilling the criteria based on American College of Rheumatology (ACR). Data were collected based on medicalr record at Zainoel Abidin General Hospital, Banda Aceh, from September to October 2019. We examined 70 respondents, 51 of them (72.9%) had overweight IMT and 43 of them (61.4%) were diagnosed with knee osteoarthritis. Chi Square analysis showed p value 0,021 (p value ≤ 0.05). We concluded that there is a correlation between body mass index with knee osteoarthritis in Zainoel Abidin General Hospital, Banda Aceh.Keyword: Body Mass Index; overweight; knee osteoarthritis;
The Effectiveness Implementation of Package Payment System (INA-CBGs) at Inpatient Installation of RSUD Zainoel Abidin Banda Aceh Herianti Herianti; Said Usman; Irwan Saputra; Safrizal Rahman; Marthonies Marthonies
Budapest International Research and Critics Institute (BIRCI-Journal): Humanities and Social Sciences Vol 3, No 3 (2020): Budapest International Research and Critics Institute August
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birci.v3i3.1110

Abstract

Regional General Hospital Dr. Zainoel Abidin (RSUDZA) is one of the public service installations that provide direct health services to the community, especially outpatient and inpatient services. RSUD dr. Zainoel Abidin has implemented a package payment system (INA-CBGs) since January 2014. One of the management elements of implementing this system is planning. Planning (planning) is a process that is very important of all other management functions, which specifically includes the actions to be carried out in order to achieve goals. This study uses a mixed method that uses a combination of descriptive quantitative research and qualitative research with a phenomenological approach through in-depth interviews with informants (in-depth interview). The data used to assess the effectiveness of implementing package payment systems (INA-CBGs) is secondary data taken from hospital medical records. The statistical results assess the frequency distribution by comparing the effectiveness before and after the implementation of the package payment system (INA-CBGs) at RSUD dr. Zainoel Abidin Banda Aceh. The results showed the INA-CBG system was more effective than the Fee for Service (FFS) payment system. The results of this study indicate an increase in efficiency based on service indicators before / after the application of the INA-CBG system, namely (BOR: 75% / 72%, AvLOS: 5 days / 4 days, TOI: 2 days / 1 day, BTO: 46 times / 58 times, GDR: 6 per 1000 patients with discharge / 27 per 1000 patients with discharge, and NDR: 8 per 1000/21 per 1000). It can be concluded that the planning process (planning) of the implementation of the package payment system (INA-CBGs) which has been implemented well by the RSUD Dr. Zainoel Abidin Banda Aceh, including the provision of adequate Human Resources (HR), provision of adequate facilities (infrastructure and facilities), the process of formulating and forming strategies and the process of preparing the budget. The implication of implementing this system has been to be able to increase the efficiency of hospital service performance.
Development of Website-Based a Health Crisis Reporting System Yeni Rimadeni; Hizir Sofyan; Safrizal Rahman; Setia Pramana; Rina S. Oktari
International Conference on Multidisciplinary Research Vol 4, No 1 (2021): ICMR
Publisher : Universitas Serambi Mekkah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32672/pic-mr.v4i1.3774

Abstract

Health crisis management is prioritized on health crisis risk reduction consisting of pre-health crisis stage, health crisis emergency response stage, and post-health crisis stage. Prevention and mitigation efforts at the pre-health crisis stage, in the context of our study, aim to develop an information system for health crisis management. Information system for health crisis, in general, is provided by the Health Agency. In this study, we discussed the system applied by the Health Agency of Aceh Tengah that still uses a manual information system for reporting during disasters. Hence, it causes a delay of the information updates despite the emergency situation. To overcome this problem, we proposed a newly developed health crisis management reporting system in disaster risk reduction. We used a Research and Development approach with Heuristic Review Analysis to assess the performance of the proposed system. The scope of the study was limited to the development of a new reporting system and system test on users. The research subjects were disaster officers and heads of 14 health centers involved in the health crisis reporting in Aceh Tengah. Improvements can be made in the future through trainings and system adjustments supported by institutional policies. Keywords: Health crisis, disasters, website, reporting system.
Perbandingan risiko fraktur berdasarkan Indeks Singh dan Fracture Risk Assessment pada penderita autoimun yang mendapat terapi steroid di RSUD dr. Zainoel Abidin Banda Aceh Dytha Putri Harwani; Maryatun Hasan; Dedy Syahrizal; Safrizal Rahman; Suryawati Suryawati
Jurnal Kedokteran Syiah Kuala Vol 23, No 1: April 2023
Publisher : Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jks.v23i1.31127

Abstract

Abstrak. Penyakit autoimun adalah sekelompok penyakit yang ditandai dengan tidak berfungsinya sistem kekebalan tubuh yang menyebabkan hilangnya toleransi terhadap antigen diri sendiri. Penggunaan steroid jangka panjang menyebabkan efek yang kompleks terhadap tulang. Patah tulang belakang dan tulang pinggul merupakan karakteristik dari osteoporosis yang diinduksi oleh steroid. Metode yang relatif mudah untuk dilakukan dan cukup akurat untuk melihat risiko fraktur adalah menggunakan Indeks Singh pada foto polos panggul dan penilaian menggunakan kuesioner Fracture Risk Assessment (FRAX). Tujuan penelitian ini adalah untuk mengetahui perbandingan risiko fraktur berdasarkan Indeks Singh dan FRAX pada penderita autoimun yang mendapat terapi steroid. Jenis penelitian ini adalah analitik obervasional dengan desain cross sectional, dilaksanakan di RSUD dr. Zainoel Abidin, Banda Aceh, pada bulan Desember 2020 hingga Januari 2021 dengan teknik purposive sampling. Hasil penelitian didapatkan dari 45 responden, sebanyak 35 orang (77,8%) mengalami Osteopenia (Grade 4-5) berdasarkan Indeks Singh dan sebanyak 42 pasien (93,3%) mengalami risiko fraktur rendah berdasarkan penilaian FRAX score. Hasil analisis bivariat menggunakan uji Chi Square didapatkan P value=0,000, yang menunjukkan terdapat perbedaan risiko fraktur antara penilaian menggunakan metode Indeks Singh dan metode FRAX score pada penderita autoimun yang mendapat terapi steroid di RSUD dr. Zainoel Abidin Banda Aceh.   Kata kunci: Penyakit Autoimun, Steroid, Risiko Fraktur, Indeks Singh, FRAX Score Abstract. Autoimmune disease is a group of diseases characterized by improper immune system. This condition causes the body to lose its tolerance to its own antigen. The use of steroid over a long period of time can affect the bones. Spinal and pelvic bone fracture are the characteristic of steroid-induced osteoporosis. The accurate and easily used method to see the risk factors of having bone fracture is by using Singh Index based on the result of pelvic bone x-ray, and by using FRAX questionnaire. This study aims to compare the risk factors of having bone fracture by using Singh index and FRAX score on patients with autoimmune diseases that were prescribed with steroid therapy. This is an analytical observational study with cross-sectional design. This study was carried out in Zainoel Abidin Hospital, Banda Aceh, from December 2020 to January 2021 with purposive sampling method. The result of this study with 45 respondents found that 35 patiens (77,8%) had osteopenia (Grade 4-5) based on the Singh Index and 42 patiens (93,3%) had low fracture risk based on the FRAX score. The result of bivariate analysis using the Chi-Square test obtained P value=0.000, which indicated that there was a difference in fracture risk between assessments using the Singh Index method and the FRAX score method in autoimmune patients receiving steroid therapy at Zainoel Abidin Hospital, Banda Aceh. Keywords: autoimmune disease, steroid, risk for bone fracture, Singh index, FRAX score 
Co-Authors Cici Enjelia Nata Dedy Syahrizal Dytha Putri Harwani Herianti Herianti Hizir Sofyan Irwan Saputra Marthonies Marthonies Maryatun Hasan Rina S. Oktari Said Usman Sakdiah Sakdiah Setia Pramana Suryawati Suryawati Yeni Rimadeni