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PENGARUH ELECTRONIC ROAD PRICING TERHADAP KONDISI LALU LINTAS RUAS JALAN KUNINGAN Fernando Nathaniel; Najid Najid
JMTS: Jurnal Mitra Teknik Sipil Volume 3, Nomor 4, November 2020
Publisher : Prodi Sarjana Teknik Sipil, FT, Universitas Tarumanagara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24912/jmts.v3i4.8421

Abstract

Electronic road pricing is a prepaid road which is used to decrease the traffic volume with using Electronic road pricing gate on the road that applied ERP and using In-Vehicle Unit device. The high number of vehicle volume at jakarta become one of the main reason of applying electronic road pricing. On this study will be discussed about the condition of Kuningan road traffic situation, this road is a main access for people especially to work and shopping. to analyze the vehicle volume will be using direct observation method to got the volume, velocity and intensiveness of the traffic. direct observation will be used to watch vehicle such as motorcycle, light vehicle and weight vehicle. with observation data we will get graphic about the connectivity between velocity and intensiveness that will be modified with questionnaire. questionnaire data will be spreaded out to get the percentage of decreased volume and estimated price for electronic road pricing. This study is expected to learn the electronic road pricing with most efficient price to decreased the vehicle volume at Kuningan road. ABSTRAKElectronic Road Pricing adalah jalan berbayar yang digunakan untuk mengurangi kemacetan lalu lintas dengan cara memasangkan gate Electronic Road Pricing pada jalan yang akan dikenai ERP dan memasang In-Vehicle Unit. Tingginya volume kendaraan di Jakarta menjadi alasan utama diterapkan Electronic Road Pricing. Pada penelitian ini, dibahas mengenai kondisi lalu lintas jalan Kuningan, ruas jalan ini merupakan akses pengguna jalan untuk menuju perkantoran dan tempat perbelanjaan. Untuk menganalisa volume kendaraan akan digunakan metode observasi langsung untuk mendapatkan volume, kecepatan dan kepadatan lalu lintas. Observasi langsung dilakukan dengan memperhatikan kendaraan bermotor roda dua, kendaraan ringan dan kendaraan berat. Dengan data observasi akan didapat grafik hubungan antara kecepatan dan kedapatan yang akan dimodifikasi dengan data kuesioner. Data kuesioner disebar untuk mendapatkan persentase penurunan volume dan perkiraan harga Electronic Road Pricing untuk mengurangi volume lalu lintas. Diharapkan pada analisis penelitian ini dapat mengetahui biaya Electronic Road Pricing yang paling efisien untuk mengurangi volume kendaraan pada ruas jalan Kuningan.
Edukasi dan Pemeriksaan Fisik Kesehatan Telinga pada Pekerja Usia Produktif Sukmawati Tansil Tan; Fernando Nathaniel; Yohanes Firmansyah
Jurnal Pengabdian Masyarakat Nusantara Vol. 5 No. 2 (2023): Juni: Jurnal Pengabdian Masyarakat Nusantara
Publisher : Universitas Muhammadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/pengabmas.v5i2.301

Abstract

Educational activities and physical examinations regarding ear canal hygiene and tympanic membrane health have the aim of increasing public knowledge about the importance of maintaining ear hygiene and maintaining the integrity of the tympanic membrane. In this activity, counseling is given to the public to provide a correct understanding of cerumen, proper ear care, and signs of damage to the tympanic membrane. This community service activity was carried out on June 9, 2023 by involving 52 respondents. All respondents attended community counseling and physical examinations. On the results of the physical examination it was found that 3 (5.8%) respondents had a perforated tympanic membrane, and 6 (11.5%) respondents had prop cerumen. The results of this educational activity and physical examination are expected to increase public understanding of the importance of maintaining ear hygiene and maintaining the health of the tympanic membrane. With the right knowledge, it is hoped that people will be able to adopt healthy habits in caring for their own ears and take the necessary precautions to maintain optimal ear health.
Perbedaan Tekanan Darah Sistolik dan Diastolik Pada Kelompok Lanjut Usia Dengan Insomnia Djung Lilya Wati; Meilani Kumala; Zita Atzmardina; Fernando Nathaniel; Dean Ascha Wijaya
Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran Vol. 1 No. 3 (2023): Juli : Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran
Publisher : Politeknik Pratama Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/termometer.v1i3.2060

Abstract

Insomnia is the most common sleep disorder experienced by the elderly, which has a significant negative effect on morbidity and mortality in the elderly group. A study from the Penn State Adult Cohort found that people who are sleep deprived with objectively short sleep duration have a higher risk of developing hypertension. This cross-sectional study aims to determine differences in systolic and diastolic blood pressure in the elderly group (³60 years) with insomnia which were selected consecutively at the Tarumanagara University COVID-19 Vaccine Center for the period March – April 2021. The Insomnia Severity Index (ISI) questionnaire was used to evaluate the severity of insomnia. Blood pressure is measured with a digital tensimeter according to standard procedures. Statistical analysis using the Mann Whitney test. Of the 119 respondents, the average age was 69.84 years and 58% of the respondents were women. The mean systolic blood pressure was 150.18 and the average diastolic blood pressure was 83.23. From all respondents, it was found that 17.6% of respondents experienced insomnia. The results of the Mann Whitney statistical test explained that there was no difference in the mean systolic and diastolic blood pressure in the group with insomnia and without insomnia (p-value > 0.05). Further clinical studies revealed that the group of elderly who had insomnia tended to have higher blood pressure than the group of elderly who did not experience insomnia (SBP: 160 vs 151; DBP: 85 vs 84). Dealing with insomnia can be an effort to lower blood pressure.
Hubungan Tekanan Darah yang Tidak Terkontrol dengan Kejadian Gangguan Kognitif pada Lansia Yuwono Yuwono; Fernando Nathaniel; Joshua Kurniawan; Noer Saelan Tadjudin
Detector: Jurnal Inovasi Riset Ilmu Kesehatan Vol. 1 No. 3 (2023): Agustus : Jurnal Inovasi Riset Ilmu Kesehatan
Publisher : Politeknik Pratama Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/detector.v1i3.2160

Abstract

Hypertension is one of the cardiovascular disease, defined by World Health Organization as blood pressure ≥140/90 mmHg. The high prevalence of hypertension has always been a problem globally. This disease could cause many complications, including cerebrovascular disease, and often associated with cognitive impairment. This study is done to find out the relation between uncontrolled blood pressure and cognitive impairment in geriatric people. This study is an observational analytic study with cross-sectional design. Samples are geriatric people with minimum of 60 years of age in Sasana Tresna Werda RIA Pembangunan in January 2019. Sample was taken with total sampling method. The hypertension criteria in study is previous history of hypertension or blood pressure ≥140/90 mmHg. MMSE score interpretations are: (1) score of 25-30: normal cognitive function; (2) score of <21: indication of mild to severe cognitive impairment. Statistical analysis used in the study are Pearson Chi Square with Yates Correction, with alternative of Fischer Exact, with parameter of expected count of 5%. Significant relation expected in the study is 5%. The study found that there are no significant relation between history of hypertension with cognitive impairment in geriatric people in Sasana Tresna Werda RIA Pembangunan (p-value=0.098), but it is predicted that the group of geriatric people with history of hypertension has 27.7% more risk of getting cognitive impairment. However, the elderly group who have a history of hypertension has a proportion of 27.7% experiencing cognitive impairment.
Potensi Keuntungan Mindfulness-Based Stress Reduction terhadap Kecemasan saat Pandemi Covid-19 pada Orang Dewasa Dean Ascha Wijaya; Ernawati Ernawati; Yohanes Firmansyah; Fernando Nathaniel; Refael Alfa Budiman
Malahayati Nursing Journal Vol 5, No 8 (2023): Volume 5 Nomor 8 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v5i8.10957

Abstract

ABSTRACT The COVID-19 pandemic has had extensive and severe impacts on the mental welfare of individuals worldwide. Anxiety is a primary issue faced by adults during this crisis. Hence, it is crucial to discover effective strategies for alleviating this anxiety. One promising approach is Mindfulness-Based Stress Reduction (MBSR), which combines mindfulness practices with an understanding of stress and its management. This literature review aims to identify and assess the potential advantages of MBSR in reducing anxiety among adults during the COVID-19 pandemic. Through an extensive analysis of relevant empirical studies, we have found that MBSR holds significant potential for decreasing anxiety levels in adults amidst the COVID-19 pandemic. MBSR interventions enable individuals to cultivate awareness of their present thoughts, emotions, and bodily sensations. By honing this skill, adults can consciously recognize and respond to anxiety symptoms. Several studies have also indicated that MBSR can enhance mental resilience and adaptive coping mechanisms, thereby contributing to anxiety reduction. Furthermore, MBSR has been associated with additional benefits, including improved sleep, enhanced concentration, and increased overall happiness. These aspects are especially valuable during a pandemic, as excessive anxiety can disrupt sleep patterns, hinder concentration, and impact emotional well-being. Consequently, MBSR represents a highly advantageous approach for reducing anxiety among adults during the COVID-19 pandemic. Such programs provide individuals with valuable tools to manage stress and enhance their mental well-being. Keywords: Adult, Anxiety, Covid-19,  Mindfullness-Based Stress Reduction  ABSTRAK Pandemi COVID-19 telah menimbulkan konsekuensi yang luas dan serius terhadap kesejahteraan mental masyarakat di seluruh dunia. Kecemasan merupakan salah satu masalah utama yang dihadapi oleh orang dewasa selama masa pandemi ini. Oleh karena itu, penting untuk mencari strategi yang efektif dalam mengatasi kecemasan tersebut. Salah satu pendekatan yang menjanjikan adalah Mindfulness-Based Stress Reduction (MBSR), yang menggabungkan latihan meditasi mindfulness dengan pemahaman tentang stres dan cara mengelolanya. Tujuan dari kajian ini adalah untuk mengidentifikasi dan mengevaluasi potensi keuntungan MBSR dalam mengurangi kecemasan pada orang dewasa selama pandemi COVID-19. Melalui tinjauan literatur yang komprehensif, kami menganalisis studi empiris yang relevan dengan topik ini. Hasil kajian menunjukkan bahwa MBSR memiliki potensi yang signifikan dalam mengurangi tingkat kecemasan pada orang dewasa selama pandemi COVID-19. Intervensi MBSR memungkinkan individu untuk mengembangkan kesadaran terhadap pikiran, perasaan, dan sensasi tubuh mereka saat ini. Dengan melatih kemampuan ini, orang dewasa dapat mengenali dan merespons dengan sadar terhadap gejala kecemasan yang timbul. Beberapa penelitian juga menunjukkan bahwa MBSR dapat meningkatkan ketahanan mental dan koping adaptif, yang berkontribusi pada pengurangan kecemasan. Selain itu, MBSR juga dikaitkan dengan manfaat tambahan, termasuk peningkatan kualitas tidur, peningkatan konsentrasi, dan peningkatan kebahagiaan secara keseluruhan. Hal ini sangat penting dalam konteks pandemi, dimana kecemasan yang berlebihan dapat mengganggu tidur dan konsentrasi, serta mempengaruhi kesejahteraan emosional. MBSR memiliki potensi besar dalam mengurangi kecemasan pada orang dewasa selama pandemi COVID-19. Program ini dapat memberikan alat yang berharga bagi individu untuk mengatasi stres dan meningkatkan kesejahteraan mental mereka. Kata Kunci: Cemas, Covid-19, Dewasa, Mindfullness-Based Stress Reduction
Profil Neuropati Perifer dan Korelasinya dengan Kadar Gula Darah Sewaktu di Panti Lansia Santa Anna Alfred Sutrisno Sim; Dean Ascha Wijaya; Fernando Nathaniel; Giovanno Sebastian Yogie; Yohanes Firmansyah; Hans Sugiarto; Stephanie Amadea; Alexander Halim Santoso
Malahayati Nursing Journal Vol 5, No 9 (2023): Volume 5 Nomor 9 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v5i9.11121

Abstract

ABSTRACT Diabetes, as a global disease, continues to increase worldwide without being limited by location. The burden of diabetes in the elderly population is a significant health issue. Peripheral neuropathy caused by diabetes is strongly associated with physical limitations in older individuals. This cross-sectional study aims to determine the characteristics of peripheral neuropathy in participants who meet the criteria, using a total sampling at Santa Anna on July 15, 2023, and explore its correlation with blood sugar levels. Evaluation of sensory and motor clinical symptoms using Neuropathy Symptom Score (NSS) questionnaire. Abnormal reflexes and sensory function were assessed using Neuropathy Deficit Score (NDS) questionnaire. Blood sugar levels were measured using POCT method following standard procedures. Statistical analysis using the Kruskall Wallis test. Out of the 68 participants, the average age was 74.06 years, with 67.6% of the participants being female. The overall average blood sugar level was found to be 115.82 mg/dL. Based on the NSS and NDS classifications, 8.8% and 23.5% of the total participants were categorized as having severe symptoms, respectively. The statistical analysis revealed a significant difference in mean blood sugar levels between the NSS groups (p-value: 0.003). However, no significant difference was observed in mean blood glucose levels between the NDS groups (p-value: 0.264). Clinically, the severe symptom group had a higher median blood glucose level compared to the normal group. It is noteworthy that elevated transient blood sugar levels tend to impact the subjective symptoms (NSS) of peripheral neuropathy earlier than the objective symptoms (NDS). Keywords: Blood Glucose, Clinical Symptom, Peripheral Neuropathy  ABSTRAK Sebagai penyakit yang tersebar di seluruh dunia, diabetes terus berkembang tanpa memandang tempat dengan jumlah pasien yang semakin meningkat. Beban diabetes pada populasi lanjut usia merupakan masalah kesehatan yang krusial. Neuropati perifer yang diakibatkan oleh diabetes dikaitkan dengan disabilitas fisik yang signifikan pada populasi lanjut usia. Penelitian potong lintang ini bertujuan untuk mengetahui profil neuropati perifer pada responden yang memenuhi kriteria dengan menggunakan total sampling di Panti Santa Anna pada 15 Juli 2023 serta korelasinya dengan kadar gula darah sewaktu. Evaluasi gejala klinis sensorik dan motorik menggunakan kuesioner Neuropathy Symptom Score (NSS). Refleks tidak normal dan penilaian sensorik dieevaluasi menggunakan kuesioner Neuropathy Deficit Score (NDS). Gula darah sewaktu diukur menggunakan POCT sesuai prosedur standar. Analisis statistik menggunakan uji Kruskall Wallis. Dari 68 responden, rata-rata usia adalah 74,06 tahun dengan 67,6% responden adalah perempuan. Dari seluruh responden, didapatkan rata-rata gula darah sewaktu sebesar 115,82 mg/dL. Berdasarkan NSS dan NDS, persentase responden yang termasuk dalam klasifikasi berat adalah sebesar 8,8% dan 23,5% dari keseluruhan responden. Hasil uji statistik Kruskall Wallis menyatakan adanya perbedaan rerata kadar gula darah sewaktu antar kelompok NSS (p-value : 0,003). Namun, didapatkan tidak adanya perbedaan rerata kadar gula darah sewaktu antar kelompok NDS (p-value : 0,264). Secara klinis, kelompok dalam kategori berat memiliki nilai median kadar gula darah sewaktu lebih tinggi dibanding kelompok normal. Kadar gula darah sewaktu yang tinggi cenderung mempengaruhi gejala subjektif (NSS) dari neuropati perifer terlebih dahulu dibandingkan dengan gejala objektif (NDS) dari neuropati perifer. Kata Kunci: Gejala Klinis, Gula Darah, Neuropati Perifer
Sinusitis-Induced Orbital Apex Syndrome with Unusual Presentation of Facial Nerve Palsy In HIV-Positive Patient Fernando Nathaniel; Irawaty Hawari; Yohanes Firmansyah; Dean Ascha Wijaya
Malahayati Nursing Journal Vol 5, No 8 (2023): Volume 5 Nomor 8 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v5i8.10962

Abstract

ABSTRACT Orbital Apex Syndrome (OAS) is a rare ophthalmological disorder characterized by complex symptoms originating from lesions at the orbital apex. Herein, we report a 60-year-old man with a history of diabetes mellitus and hypertension presented with a swollen left eye and sudden visual loss. He also had nasal symptoms before his admission. Treatment includes broad-spectrum antibiotics and antifungals with additional diabetes management and HIV evaluation. OAS, a severe and uncommon complication of a sinusitis infection, can present with diverse symptoms and cause nerve damage in the orbital apical area. The disease can be easily missed or overlooked when it exhibits atypical symptoms in its initial stages. It is crucial to be vigilant and consider the possibility of complications related to the orbital apex for early detection and appropriate treatment. Keywords: Facial Nerve Palsy, HIV, Orbital Apex Syndrome, Sinusitis
Korelasi Kadar Gula Darah Sewaktu dengan Nilai International Consultant Incontinence Questionnaire – Urine Incontinence Short Form (ICIQ-UISF) pada Kelompok Lanjut Usia Nicholas Albert Tambunan; Yohanes Firmansyah; Fernando Nathaniel; Dean Ascha Wijaya; Giovanno Sebastian Yogie
MAHESA : Malahayati Health Student Journal Vol 3, No 11 (2023): Volume 3 Nomor 11 (2023)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v3i11.11411

Abstract

ABSTRACT Urinary incontinence (UI) is one of health problems that occur in elderly population. This cross-sectional study aims to determine correlation between blood sugar levels and International Consultation Incontinence Questionnaire - Urine Incontinence Short Form (ICIQ-UISF) scores in elderly group selected through total sampling criteria at Santa Anna Elderly Care Center in July 2023. ICIQ-UISF questionnaire was used to evaluate UI. Blood sugar level was measured using POCT according to standard procedures. Statistical analysis using Spearman correlation test. Out of 60 respondents, average age was 76.30 years, with 66.7% of respondents being female. Mean blood sugar level was 118.12 mg/dL and 11.7% of respondents showed high blood sugar levels. Average ICIQ-UISF score was 4.58 with 21.7% of respondents experiencing UI onset before reaching toilet, 20% during sleep, and the rest never experienced it. Spearman correlation test indicated a significant correlation between blood sugar levels and ICIQ-UISF scores (p-value: 0.028) with a correlation strength value of 0.264 (r-correlation: 0.283), which falls into weak category. The results show there is a significant correlation between blood sugar levels and ICIQ-UISF questionnaire scores. Blood sugar levels influence 8.0% of ICIQ-UISF scores, while the remaining 92% is attributed to other variables not examined in this study. Keywords: Blood Glucose, Elderly, Urine Incontinence  ABSTRAK Inkontinensia urin merupakan salah satu masalah kesehatan yang terjadi pada kalangan lanjut usia. Penelitian potong lintang ini bertujuan untuk mengetahui korelasi kadar gula darah sewaktu (GDS) dengan nilai kuesioner International Consultant Incontinence Questionnaire – Urine Incontinence Short Form (ICIQ-UISF) pada kelompok lanjut usia yang dipilih sesuai kriteria secara total sampling di Panti Lansia Santa Anna pada Juli 2023. Kuesioner ICIQ-UISF digunakan untuk mengevaluasi inkontinensia urin. GDS diukur menggunakan POCT sesuai prosedur standar. Analisis statistik menggunakan uji korelasi Spearman. Dari 60 responden, rata-rata usia adalah 76,30 tahun dengan 66,7% responden adalah perempuan. Didapatkan rata-rata GDS sebesar 118,12 mg/dL dan 11,7% responden menunjukkan kadar GDS yang tinggi. Rata-rata nilai ICIQ-UISF sebesar 4,58 dengan 21,7% responden mengalami onset inkontinensia urin sebelum sampai toilet, 20% saat tidur dan sisanya tidak pernah. Uji korelasi Spearman menyatakan adanya korelasi bermakna antara kadar GDS dengan nilai ICIQ-UISF (p-value : 0,028) dengan nilai kekuatan korelasi sebesar 0,264 (r-correlation : 0,283) atau masuk dalam kategori lemah. Hasil penelitian menyatakan bahwa terdapat korelasi yang bermakna antara kadar GDS dengan nilai kuesioner ICIQ-UISF. Kadar GDS memengaruhi 8% nilai ICIQ-UISF sedangkan 92% lainnya disebabkan oleh variabel lain yang tidak diteliti pada penelitian ini. Kata Kunci: Gula Darah, Inkontinensia Urin, Lanjut Usia
Profil Kelainan Radiologi pada Remaja dengan Skoliosis Inge Friska Widjaya; Yohanes Firmansyah; Fernando Nathaniel; Dean Ascha Wijaya
MAHESA : Malahayati Health Student Journal Vol 3, No 10 (2023): Volume 3 Nomor 10 (2023)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v3i10.11178

Abstract

ABSTRACT Scoliosis is a type of spinal abnormality characterized by a lateral deviation of more than 10 degrees to the right or left. It affects 1-3% of children in the at-risk population, particularly those aged between 10 to 16 years. The main purpose of this research is to examine the radiological characteristics of scoliosis in teenagers using imaging (Spinal X-ray) at Royal Taruma Hospital. The sample for this study was selected using total sampling criteria from medical records gathered during the period from January to June 2023. The variables analyzed include age, gender, and the radiological features of scoliosis. The data was presented descriptively. Out of the 25 respondents, the average age was 15 years, with females comprising 88% of the participants. Most respondents (80%) exhibited a combination of dextroscoliosis and levoscoliosis. The median Cobb angle measurement for dextroscoliosis was 24 degrees, while for levoscoliosis, it was 26.5 degrees, both indicating moderate scoliosis. The curvature lesions for dextroscoliosis generally started at T5, and for levoscoliosis, they began at T12, with both types of scoliosis commonly ending at the level of L4. Keywords : Scoliosis, Spinal X-ray, Teenager  ABSTRAK Skoliosis merupakah salah satu bentuk kelainan tulang belakang dengan deviasi lateral lebih dari 10 derajat ke kanan atau ke kiri. Skoliosis mempengaruhi 1-3% anak-anak dalam populasi berisiko yaitu mereka yang berusia 10-16 tahun. Penelitian ini bertujuan untuk mengetahui profil kelainan radiologi pada remaja dengan skoliosis berdasarkan pemeriksaan radiologi (X-Ray Spine) di RS Royal Taruma yang dipilih sesuai kriteria secara total sampling menggunakan data rekam medis pada periode waktu Januari – Juni 2023. Variabel yang digunakan dalam penelitian ini yaitu usia, jenis kelamin, dan gambaran radiologi skoliosis. Data disajikan dalam bentuk deskriptif. Dari 25 responden, rerata usia adalah 15 tahun, didominasi oleh perempuan pada 88% responden, dan didapatkan kombinasi dextroskoliosis dan levoskoliosis pada 80% responden. Nilai median Cobb angel pada kelainan dextroskoliosis sebesar 24 derajat dan pada levoskoliosis sebesar 26,5 derajat dimana keduanya masuk dalam kategori moderate skoliosis. Letak lesi lengkungan pada dextroskoliosis dimulai dari T5 dan kelainan levoskoliosis dimulai dari T12, dan umumnya berakhir setinggi L4 baik pada dextroskoliosis maupun levoskoliosis. Kata Kunci: Remaja, Rontgen Tulang Belakang, Skoliosis
Perbedaan Rerata Usia Kehamilan dengan Munculnya Onset Preeklamsi Ringan, Berat, dan Eklamsi pada Ibu Hamil Freddy Dinata; Fernando Nathaniel; William Gilbert Satyanegara; Joshua Kurniawan; Yohanes Firmansyah
MAHESA : Malahayati Health Student Journal Vol 3, No 9 (2023): Volume 3 Nomor 9 (2023)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v3i9.11037

Abstract

ABSTRACT Preeclampsia is a serious problem in pregnancy that causes significant morbidity and mortality in maternal, fetal, and neonatal health. Eclampsia is one of the most serious non-obstetric complications. Preeclampsia often occurs in the third trimester of pregnancy, particularly after 32 weeks of gestation. However, in some cases, preeclampsia can occur in other trimesters. This cross-sectional study aims to determine the relationship between gestational age and the occurrence of mild preeclampsia, severe preeclampsia, and eclampsia using medical records from Ciawi Regional General Hospital from January to December 2020. The variables in this study consisted of basic characteristics of the respondents (maternal age and parity status), gestational age (in weeks), and maternal medical conditions divided into three groups (mild preeclampsia, severe preeclampsia, and eclampsia). Statistical analysis was performed using the Kruskal-Wallis test. Out of 190 respondents, the average age of the mothers was 32 years, and the average gestational age was 36.2 weeks, with severe preeclampsia being the dominant medical condition (85.3%). The research findings revealed no significant difference in the mean gestational age among the three groups of pregnant mothers (P-value: 0.235). Further clinical review revealed that eclampsia occurred at an earlier gestational age compared to mild preeclampsia, which generally occurs in the late stages of pregnancy. The findings from this study are expected to contribute to a deeper understanding of preeclampsia and eclampsia to improve the quality of healthcare services. Keywords: Eclampsia, Gestational Age, Preeclampsia  ABSTRAK Preeklamsi merupakan salah satu masalah pada kehamilan yang serius, kondisi tersebut menyebabkan morbiditas dan mortalitas pada maternal, fetal, dan neonatal yang signifikan. Eklamsi merupakan salah satu komplikasi non-obstetrik yang paling serius. Preeklamsi seringkali terjadi pada trimester tiga kehamilan, khususnya usia gestasi >32 minggu. Namun pada beberapa kasus preeklamsi dapat terjadi pada trimester lainnya. Penelitian potong lintang ini bertujuan untuk mengetahui hubungan antara usia kehamilan dengan kejadian preeklamsi ringan, preeklamsi berat dan eklamsi dengan menggunakan data rekam medis Rumah Sakit Umum Daerah (RSUD) Ciawi pada periode Januari – Desember 2020. Variabel pada penelitian ini terdiri dari karakteristik dasar responden (usia ibu dan status paritas), usia kehamilan (minggu), serta kondisi medis ibu yang dibagi menjadi tiga kelompok (preeklamsi ringan, berat, dan eklamsi). Analisis statistik menggunakan uji Kruskall Wallis. Dari 190 responden, rata-rata usia ibu 32 tahun, rata-rata usia kehamilan adalah 36,2 minggu dengan kondisi medis didominasi oleh preeklamsi berat (85,3%). Hasil penelitian menemukan tidak ada perbedaan rerata usia kehamilan yang bermakna antara tiga kelompok ibu hamil (nilai P = 0,235). Peninjauan lebih lanjut secara klinis diketahui bahwa eklamsi terjadi pada usia kehamilan yang cenderung lebih awal dibandingkan preeklamsi ringan yang umumnya terjadi pada fase kehamilan aterm. Temuan dari penelitian ini diharapkan dapat membantu pemahaman yang lebih mendalam terkait preeklamsi dan eklamsi guna meningkatkan kualitas pelayanan kesehatan. Kata Kunci: Eklamsi, Preeklamsi, Usia gestasi