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PELAYANAN KESEHATAN LANJUT USIA DI WILAYAH KERJA PUSKESMAS I DENPASAR SELATAN I.G P.S. Aryana; R. A.T. Kuswardhani; I. N. Astika; I. B.P. Putrawan; N. K.R. Purnami; A. A.M.P. Triningrat; I.D. G.A.E. Putra; N. K.S. Diniari; K. Widyastuti
Buletin Udayana Mengabdi Vol 21 No 1 (2022): Buletin Udayana Mengabdi
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (424.952 KB) | DOI: 10.24843/BUM.2022.v21.i01.p07

Abstract

The number of elderly reached 6146 elderly (23.44% of the total population) in South Denpasar sub-district. The complexity of the health problems experienced by the elderly and the special character possessed by the elderly, it is necessary to use a different method and approach by conducting a comprehensive health examination (bio-psycho-social aspect) which aims to provide an understanding for the elderly to their own health and improve their abilities and abilities. the role of family and community in overcoming the health of the elderly. The activities carried out include health services for the elderly with a comprehensive health examination including a plenary assessment of geriatric patients (P3G), physical examination, eyes, ENT, mental and nervous health). Community service is carried out for the elderly in Sesetan Village, South Denpasar. There are 130 seniors who participated in this service. The elderly with the age group 60 - 69 years amounted to 72 people (55.4%) who attended the most health services. 44 men (33.8%) and 86 people (66.2%) were female. The results of the examination showed that 75 people (57.7%) were suffering from infectious diseases, 8 people (6.2%) were malnourished, 49 people (37.7%) were obese, and 25 people (19.2%) had sarcopenia. (loss of muscle mass). Based on the results of the elderly health examination, this elderly health service activity is expected to provide benefits to the elderly and their families. Keywords: Elderly, medical examination, comprehensive, family role, quality of lif
PROFIL BAYI PREMATUR DENGAN SKRINING RETINOPATHY OF PREMATURITY DI DIVISI PEDIATRI OFTALMOLOGI POLIKLINIK MATA RSUP SANGLAH PERIODE 1 JANUARI-31 DESEMBER 2015 Ni Putu Dharmi Lestari; I Wayan Eka Sutyawan; Anak Agung Mas Putrawati Triningrat
E-Jurnal Medika Udayana Vol 6 No 2 (2017): E-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

Retinopathy of prematurity (ROP) adalah sebuah permasalahan vasoproliferatif pada bayi prematur. ROP merupakan penyebab kebutaan pada masa anak-anak yang dapat dicegah. Tujuan dari penelitian ini adalah untuk mengetahui karakteristik bayi prematur dengan skrining ROP dan karakteristik ROP di Rumah Sakit Umum Pusat (RSUP) Sanglah, Bali, Indonesia. Penelitian ini dilakukan dengan metode deskriptif cross-sectional, menginklusi seluruh bayi prematur yang telah diskrining ROP pada Januari 2015 hingga Desember 2015. Teknik pengumpulan sampel adalah dengan total sampling. Penelitian ini menggunakan rekam medik bayi prematur yang ditinjau antara lain usia gestasi, berat badan lahir, jenis kelamin, terapi oksigen, sepsis dan transfusi darah. Total subjek 57 sampel yang direkrut untuk analisis akhir. Insiden ROP di RSUP Sanglah pada tahun 2015 adalah 8,8%. ROP stage 1 dan 2 masing-masing 60% dan 40%. Stage 3, 4, dan 5 tidak diamati. Distribusi insiden ROP secara relatif tinggi pada usia gestasi <28 minggu (33,3%), pada berat badan lahir 1251-1500 g (14,3%) dan pada bayi prematur laki-laki (10,7%). Distribusi insiden ROP secara relatif juga tinggi pada bayi dengan faktor risiko seperti terapi oksigen, sepsis, dan transfusi darah masing-masing 9,7%, 12% dan 11,1%. Usia gestasi rendah, berat badan lahir rendah, terapi oksigen, sepsis dan transfusi darah merupakan faktor risiko untuk ROP.
Karakteristik Penderita Katarak Senilis di Rumah Sakit Umum Pusat Sanglah Tahun 2014 Fransiska Lavinia Gracella; I Wayan Eka Sutyawan; A. A. Mas Putrawati Triningrat
E-Jurnal Medika Udayana Vol 6 No 12 (2017): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

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Abstract

The eyes are one of the senses that has an important function in life, namely as sensory vision. A pathological condition that can occur in lens is senile cataract that affected population aged >50 years. Research on senile cataract was conducted to determine the characteristics of senile cataract patients in Sanglah Hospital 2014. This study was a descriptive study using cross sectional design. The sampling technique is total sampling. The data that met the inclusion criteria will then be analyzed. Patient data were included in the criteria for inclusion are as many as 73 datas. There are 46.6% male patients and 53.4% ??of women. The age group 50-59 years, 60-69 years, 70-79 years and 80-96 years in a row as much as 31.5%, 39.7%, 24.7% and 4.1%. A total of 19.2% had cataract in the right eye, left eye cataract was 12.3%, and 68.5% cataracts in both eyes. Patients with stage Incipient 0%, as much as 74% of immature, mature as much as 24.4%, and hipermatur as much as 1.6%. There are 24.7% of patients with early visual acuity ?6/18, as many as 39.7% with visual acuity <6/18 but ?6/60, as many as 17.8% of patients respectively with visual acuity <6/60 but ? 3/60, as well as visual acuity <3/60. Patients with senile cataract comes from the city of Denpasar as much as 37%, Badung 12.3%, Bangli 2.7%, Buleleng 1.4%, Gianyar 15.1%, Jembrana 8.2%, Karangasem 8.2%, Klungkung 2.7%, Tabanan 4.1%, and those from outside the province Bali 8.2%. Most patients were female, age group 60-69 years, bilateral senile cataract, immature stage, initial visual acuity ?6/60 but <6/18, moderate visual impairment. Keyword : senile cataract, stage, bilateralitas, vision, prevalence
KARAKTERISTIK ABLASIO RETINA RHEGMATOGENOSA DI RUMAH SAKIT UMUM PUSAT (RSUP) SANGLAH DENPASAR PADA TAHUN 2018 Marcell Dion Wibowo; I Putu Budhiastra; I Wayan Jayanegara; Anak Agung Mas Putrawati Triningrat
E-Jurnal Medika Udayana Vol 10 No 4 (2021): Vol 10 No 04(2021): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2021.V10.i4.P18

Abstract

ABSTRAK Ablasio Retina adalah suatu keajadian di mana sel batang serta sel kerucut retina terpisah dengan sel epitel pigmen retina. Ablasio retina rhegmatogenosa dibandingkan ablasio retina yang lain cukup sering terjadi. Sekitar 1 dari 10.000 populasi yang normal memiliki risiko untuk mengalami ablasio retina rhegmatogenosa. Metode penelitian yang digunakan adalah metode deskriptif retrospektif dengan rancangan cross-sectional. Pengumpulan data diperoleh dari rekan medik (data sekunder) penderita ablasio retina rhematogenous di Rumah Sakit Umum Pusat (RSUP) Sanglah Denpasar periode 2018. Pada akhir penelitian ini diperoleh 13 sampel data penderita ablasio retina dengan kasus yang paling banyak terjadi pada kelompok usia 41-50 tahun (53,85%). Proporsi jenis kelamin wanita sebanyak 7 orang (53,85%) dan pria 6 orang (46,15%). Morfologi break sebanyak 4 orang (30,77%) dan hole 9 orang (69,23%). Penderita ablasio retina rhegmatogenosa berlokasi di superior dan medial adalah 1 orang, lateral sebanyak 2 (15,38%) dan inferior 9 orang (69,23%). Penderita unilateral pada mata kiri sebanyak 4 orang (30,77%) dan mata kanan sebanyak 9 orang (69,23%). Penatalaksanaan dengan pas plana vitrectomy sebanyak 9 orang (76,93%) , pneumatic retinopexy sebanyak 3 orang (23,07%) dan dilanjutkan dengan laser. Kata Kunci: Ablasio Retina Rhegmatogenosa, Karakteristik, Epidemiologi, Pars Plana Vitrectomy
PROFIL RETINOPATI DIABETIK DI DIVISI VITREO–RETINA RUMAH SAKIT UMUM PUSAT SANGLAH DENPASAR 1 JANUARI–30 JUNI 2015 Inge Nandya Hertapanndika; I Wayan Eka Sutyawan; A.A. Mas Putrawati Triningrat
E-Jurnal Medika Udayana Vol 9 No 3 (2020): Vol 9 No 03(2020): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (262.944 KB) | DOI: 10.24843/10.24843.MU.2020.V09.i3.P07

Abstract

Retinopati diabetik merupakan kelianan mata pada pasien DM yang disebabkan kerusakan kapiler retina. Penelitian ini dilakukan untuk mengetahui prevalensi mengenai data karakteristik retinopati diabetik dan bagaimana jenis kelainan retinopati diabetik di divisi Vitreo–Retina RSUP Sanglah periode 1 Januari hingga 30 Juni 2015. Penelitian deskriptif cross–sectional ini dilakukan dengan total sampling terhadap 57 pasien retinopati diabetik dengan riwayat DM tipe 2. Pengambilan sampel menggunakan data sekunder berupa rekam medis. Sampel yang tidak memenuhi kriteria inklusi atau memenuhi kriteria eksklusi tidak dimasukkan dalam penelitian ini. Kriteria inklusi pada sampel yaitu seluruh pasien yang memeriksakan diri di divisi Vitreo–Retina RSUP Sanglah Denpasar periode 1 Januari hingga 30 Juni 2015 dan didiagnosis mengalami kelainan retinopati diabetik. Pasien dengan rekam medis yang tidak lengkap dan pasien yang terdiagnosis memiliki penyakit lain dieksklusi dari sampel penelitian. Frekuensi umur <45 tahun sebesar 10,50%, 45-64 tahun sebesar 80,70%, dan ?65 tahun sebanyak 8,80%. Frekuensi jenis kelamin laki-laki pada kelompok NPDR didapatkan sebesar 47,80%, sedangkan perempuan sebanyak 52,20%. Kemudian frekuensi jenis kelamin laki-laki pada kelompok PDR yaitu sebesar 52.90%, sedangkan perempuan sebesar 47,10%. Frekuensi pada kelompok NPDR berdasarkan tingkat keparahan, yaitu ringan sebesar 40,00%, sedang sebesar 46,70%, dan berat sebesar 13,30%. Kelompok PDR memiliki rerata lama riwayat menderita DM yaitu 11,26 ± 6,35 tahun, sedangkan kelompok NPDR yaitu 9,22 ± 6,10 tahun. Penelitian ini menunjukkan bahwa prevalensi pasien retinopati diabetik sesuai karakteristik umum perlu untuk diteliti lebih lanjut. Hal itu diperlukan untuk mengurangi prevalensi yang tinggi, sehingga mampu menurunkan angka morbiditas maupun mortalitas pada retinopati diabetik. Kata kunci: Retinopati diabetik, DM tipe 2, karakteristik umum
Profil pasien glaukoma di Poliklinik Mata Rumah Sakit Indera Provinsi Bali Periode Januari 2014-Juni 2015 Luh Wira Pusvitasari; Anak Agung Mas Putrawati Triningrat
E-Jurnal Medika Udayana Vol 7 No 4 (2018): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

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Abstract

Glaucoma is an eye disorder in the form of a chronic neuropathy that characterized by concaving of optic disc, narrowing of visual field, and usually accompany by increasing of intraocular pressure. Glaucoma is the second lead of blindness in the world after cataract. The objective of this research is to study the profile of glaucoma patient based on range of age, gender, glaucoma classification, eye’s involvement, and intraocular pressure in Eye Polyclinic of Indera Hospital of Bali Province in period January 2014- June 2015. This research used a cross-sectional study approach. Medical reports of glaucoma patient in Eye Polyclinic of Indera Hospital of Bali Province in period January 2014 –June 2015 were used as sample. This research was conducted in 3 months, from April until July 2015. Data that obtained then analyzed by descriptive analysis to find the proportion of each variable in sample. Based on the research, found that the number of glaucoma patient in period January 2014- June 2015 is 64 persons, with eye involvement of 78 eyes. Most of them (51%) were in the 40-64 year age group. The gender are mostly men (70%) with secondary glaucoma (37%) dominating the cases. Based on the eyes involved and intraocular presure, unilateral eye (44%) and intraocular pressure ?21 mmHg (36%)are leading the cases. The conclusion of this study is the most prevalence obtained in the age group 40-64 years, the most sex is male, type of glaucoma most is secondary glaucoma. The most involved eye is unilateral (left eye or left oculus) and most abundant intraocular pressure is ?21 mmHg in the left eye. From the profile of glaucoma patient in Eye Polyclinic of Indera Hospital of Bali Province, hope that in the future there will be further counseling about early detection of glaucoma, because glaucoma is the second lead of blindness in the world, and it is irreversible blindness. Keywords: Glaucoma, Glaucoma Classification, Intraocular Pressure
Karakteristik pasien dry eye syndrome di Desa Tianyar Timur, Kecamatan Kubu, Kabupaten Karangasem Rengga Septivianti; Anak Agung Mas Putrawati Triningrat
E-Jurnal Medika Udayana Vol 7 No 3 (2018): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

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Abstract

Dry eye syndrome is a multifactorial disease of tear film, which causes discomfort and visual disturbance which potentially damaged the ocular surface. Dry eye syndrome could reduce visual function, physical and social functions, which constantly and severely affect daily activities, work productivities, and quality of life. This study aims to determine the characteristics of dry eye syndrome patients in the Tianyar Village Karangasem. This is a descriptive study with cross-sectional, which applied total sampling technic, conducted in the Tianyar Village Karangasem on 24 March 2015. The number of respondents that suitable with the inclusion criteria was 42 responents. Distribution dry eye syndrome based on its characteristics, the highest number of patients was male (59.5%), in the age group 50-59 years (28.6%), and working outdoors (85.7%). Patients with history of diabetes mellitus (7.1%), history of conjunctivitis allergy (83.3%), history of smoking (28.6%), without history of coffee consumption (38.1%), with history of oral medications (23.8%), topical medication history (4.8%), and a history of eye surgery (4.8%). It can be concluded that the distribution dry eye syndrome based on its characteristic can be used to support the intervention to prevent this disease occured. Keywords: dry eye syndrome, characteristics, distribution, frequency
GAMBARAN KARAKTERISTIK GLAUKOMA PRIMER DI RUMAH SAKIT MATA BALI MANDARA PERIODE 1 JANUARI 2018 – 31 DESEMBER 2018 Nyoman Astri Dewi Sanjiwani; Anak Agung Mas Putrawati Triningrat; I Wayan Gede Jayanegara; I Gusti Ayu Made Juliari
E-Jurnal Medika Udayana Vol 10 No 4 (2021): Vol 10 No 04(2021): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2021.V10.i4.P07

Abstract

Background: Glaucoma is a group of optic neuropathies characterized by progressive degeneration of ganglion cells in the retina irreversibly causing cupping of the optic disc and causing vision loss. Considering glaucoma as the second cause of blindness after cataracts in the world and its irreversible nature, so this study was conducted to find out the characteristics of glaucoma, especially primary glaucoma at Bali Mandara Eye Hospital period January 1, 2018- December 31, 2018. Methods: This research is a retrospective descriptive study using medical record data. The sampling technique of this research is total sampling. The data obtained according to the inclusion and exclusion criteria were 41 data which were then analyzed using SPSS version 25. Results: This study showed that 38.1% of patients were in the 51-60 years age group. Most of the patients were male (54.8%). The majority live in the Denpasar area (21.4%). POAG was the most common type of primary glaucoma (78.6%). As many as 54.8% of patients experienced an increase in IOP. The majority of patients experienced thinning of the RNFL both in the right eye (61.0%) and the left eye (58.5%). The patient's CDR in the left (35.1%) and right (48.8%) eyes were in a severe state (?0.8). A total of 18 patients (43.9%) suggested to perform central 10-2 treshold test both in right and left eyes. Conclusion: most of the characteristics of primary glaucoma at Bali Mandara Eye Hospital were between 51-60 years old, male, residing in Denpasar, POAG type, and came in advanced clinical appearance. Keywords : characteristics, primary glaucoma, Bali Mandara Eye Hospital.
Karakteristik penderita glaukoma primer sudut terbuka dan sudut tertutup di divisi glaukoma di Poliklinik Mata Rumah Sakit Umum Pusat Sanglah Denpasar periode 1 januari 2014 hingga 31 desember 2014 Putu Giani Anabella Bestari Putri; I Wayan Eka Sutyawan; AA Mas Putrawati Triningrat
E-Jurnal Medika Udayana Vol 7 No 1 (2018): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

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Abstract

Glaucoma is an eye disorder characterized by increased eye pressure, optic nerve atrophy of the optic disc, and the shrinking of the field of vision with risk factors for the increase in intraocular pressure (IOP). This study was conducted to determine the characteristics of patients with primary glaucoma in Division Glaucoma, Eye Clinic in Sanglah Hospital Denpasar in 2014 by age, sex, diagnosis, intraocular pressure, and the region distribution. The study used cross sectional descriptive study, with secondary data drawn indirectly through the register book division Glaucoma Eye Clinic Hospital Sanglah Period January 1, 2014 - 31 December, 2014. In this study, a sample of 42 people, and with 64 eyes diagnosed with primary glaucoma. The results showed:(1) patients with primary glaucoma is most often found in the age group 51-80 years by 78.5%;(2) the most frequent cases of primary glaucoma angle closure glaucoma or PACG (60.93%) compared with primary open-angle glaucoma or POAG (39.06%);(3) the average intraocular pressure in the eye larger right that is 32.38 mmHg mmHg while the average pressure of the left eye 31.3 mmHg;(4) males have a greater proportion (61.90%) compared to women (38.09 %) based on the variable gender;(5) the majority of patients with primary glaucoma cases are found to originate from Denpasar (19:04%). It can be concluded among 42 cases of glaucoma is primary with 64 eyes are involved, most characteristics of patients are men, with the most age group are 51 to 80 years, the most type of glaucoma is the angle covered, and the complaints occurred in the second eye or bilateral, intraocular pressure average on oculi dextra amounted to 32.38 mmHg and IOP oculi average on the left is equal to 31.3 mmHg and most of patient are from Denpasar. Keywords: Characteristic of Primary Glaucoma, PACG, POAG
KARAKTERISTIK PASIEN OPTIC NEURITIS DI RUMAH SAKIT UMUM PUSAT (RSUP) SANGLAH PERIODE 1 JANUARI-31 DESEMBER 2018 Siti Fatima; A. A. Mas Putrawati Triningrat; I Made Agus Kusumadjaja; I Putu Budhiastra
E-Jurnal Medika Udayana Vol 10 No 7 (2021): Vol 10 No 07(2021): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2021.V10.i7.P13

Abstract

ABSTRAK Optic neuritis (ON) adalah peradangan yang terjadi pada saraf optik, akibatnya terjadi demielinasi karena peradangan saraf. Penelitian ini merupakan penelitian observasional dengan pendekatan studi crossectional. Data dikumpulkan secara retrospektif berdasarkan catatan rekam medis pasien ON RSUP Sanglah dari 1 Januari hingga 31 Desember 2018. Data mengenai karakteristik subyek dianalisis secara deskriptif, ditampilkan sebagai distribusi frekuensi, persentase, rerata, dan standar deviasi. Dalam periode 1 Januari-31 Desember 2018 terdapat 35 pasien yang terdiagnosis ON di Polimata RSUP Sanglah, dan ada 50 mata yang terlibat. Umur pasien terbanyak ada pada rentang 20-49 tahun (62,9%), dengan jenis kelamin terbanyak perempuan (71,4%). Pasien kebanyakan mengalami ON unilateral (57,1%). Pekerjaan terbanyak pasien ON adalah pegawai swasta (22,9%) dan domisili pasien terbanyak di Denpasar (40%). Visus terbanyak pasien ketika pertama kali datang ke RSUP Sanglah ada pada rentang <6/60-1/60 (26%), dan saat terakhir kontrol visus terbanyak ada pada rentang 6/6-6/18 (36%) dengan rerata onset dari pertama datang hingga terakhir kontrol adalah 14,6±18,07 minggu. Lapang pandangan terbanyak yang diukur dengan konfrontasi adalah normal (40%). Terdapat 8 sampel yang telah melakukan pemeriksaan VEP, dan hasil terbanyak adalah terdapat lesi nervus optikus bilateral (11,4%). Pemeriksaan MRI dilakukan oleh 14 sampel, hasil terbanyak adalah tampak penebalan nervus optikus (14,3%). Penyebab ON di RSUP Sanglah bervariasi, namun yang terbanyak adalah idiophatic optic neuritis (iON) (48,5%). Mayoritas pasien diberikan pengobatan berupa optic neuritis treatment trial (ONTT) (65,7%) dan ada beberapa yang hanya diberikan mecobalamin (31,4%). Beberapa pasien mendapatkan pengobatan ONTT dan disertai dengan obat lain yang berhubungan dengan kausa ON pasien. Kata kunci: Optic, Neuritis, mata, saraf, karakteristik