Sorimuda Sarumpaet
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KARAKTERISTIK PENDERITA STROKE ISKEMIK ≤ 60 TAHUN YANG RAWAT INAP DI RUMAH SAKIT UMUM DELI MEDAN TAHUN 2014-2016 Nurholijah Nasution; Sorimuda Sarumpaet; Sri Novita Lubis
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 2 (2017): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (169.653 KB)

Abstract

ABSTRACT Stroke is non communicable disease leading to emergency and body disability. According to Riskesdas 2013, North Sumatera is in the top 20 regions of high prevalence that is 10.3 per 1000 population. Prevalence of ischemic stroke is around 80-85% of all stroke cases. This research is descriptive with case series design using secondary data. Population and sample are 128 patients. Univariate data was analyzed descriptively while bivariate was analyzed by using chi-square, mann whitney and kruskall wallis tests. The result shows the highest proportion are in 56-60 years old group (48.4%), men (73.4%), Buddhism (73.4%), Tionghoa (76.6%), married (91.4%), educational status not recorded (48.4%), entrepreuner (48.4%), Medan (61.7%), limb disruption (40.6%), hypertension (53.1%), hemiparesis sinistra (48.4%), average length of stay 5 days, general cost source (79.7%), home treatment (82.0%), and Case Fatality Rate (10.2%). There is no significant difference between age group based on sex (p = 0.540) age group based on risk factor (p = 0.371), sex based on risk factor (p = 0.419), average length of stay based on age group (p = 0.145), average length of stay based on risk factor (p = 0.276), average length of stay based on paralysis location (p = 0.766), and average length of stay based on cost source (p = 0.399). Recommended to pay attention on healthy lifestyle from early age to prevent risk factors of stroke. For patients with history of hypertension to perform regular blood pressure checks and healthy lifestyle to prevent subsequent stroke. Keywords: Patient Characteristics, Ischemic Stroke, Deli Medan Hospital
Gangguan Pendengaran dan Keseimbangan pada Penderita Tuberkulosis yang Mendapat Pengobatan Antituberkulosis Kategori 1 dan 2 Indri Adriztina; Adlin Adnan; Siti Hajar Haryuna; Parluhutan Siagian; Sorimuda Sarumpaet
Jurnal Kesehatan Masyarakat Nasional Vol. 8 No. 8 Mei 2014
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (564.784 KB) | DOI: 10.21109/kesmas.v8i8.416

Abstract

Tuberkulosis merupakan masalah yang serius di masyarakat. Pada tahun 2010, World Health Organization mencatat jumlah penderita tuberkulosis di Indonesia menurun ke posisi empat dengan meningkatnya keberhasilan pengobatan obat antituberkulosis (OAT). Namun, pemberian OAT jangka panjang dapat menyebabkan efek samping ototoksik berupa gangguan pendengaran dan keseimbangan. Penelitian ini dilakukan untuk mengetahui efek ototoksik pada penderita tuberkulosis paru dengan pemberian OAT di RSUP H. Adam Malik Medan. Penelitian ini bersifat deskriptif dengan pendekatan potong lintang. Analisis univariat dilakukan dengan tabel frekuensi distribusi sedangkan analisis bivariat dilakukan dengan menggunakan uji t dan Fisher’s exact test. Didapatkan 35 penderita tuberkulosis yang memenuhi kriteria inklusi, 22 orang dengan pengobatan tuberkulosis kategori 1 dan 13 orang tuberkulosis kategori 2. Dilakukan pemeriksaan audiometri nada murni dan tes keseimbangan. Tiga orang (33,3%) penderita tuberkulosis kategori 1 dan 6 orang (66,7%) penderita tuberkulosis kategori 2 mengalami gangguan pendengaran (p < 0,05). Hasil tes keseimbangan menunjukkan perbedaan yang signifikan yaitu 7 orang (100%) tuberkulosis kategori 2 dengan positif tes Romberg dan 11 orang (100%) tuberkulosis kategori 2 positif tes tandem Romberg. Gangguan pendengaran dan keseimbangan pada penderita tuberkulosis paru dengan OAT ditemukan lebih tinggi pada kategori 2 dibandingkan dengan kategori 1 dengan perbedaan yang signifikan.Tuberculosis remains a serious problem in the community. In 2010, World Health Organization report that Indonesia’s ranking decrease to fourth position due to success of antituberculosis treatment. But the long term administration of antituberculosis treatment may cause ototoxic effect like hearing and balance impairment. The aim of this study was to describe ototoxic effect of subjects who were given tuberculosis treatment in H. Adam Malik General Hospital. This is a descriptive study with cross sectional approach. Univariat analysis was done by frequency distribution table, meanwhile bivariat analysis was done by t-test and Fisher’s exact test. Thirty five pulmonary tuberculosis patients met the inclusion criteria. Twenty two patients with 1st category, and 13 patients with 2nd category tuberculosis treatment. Pure tone audiometric and balance examination was evaluated. Three patients (33.3%) of 1st category tuberculosis and 6 (66.7%) patients of 2nd category tuberculosis have hearing loss with significant difference (p<0.05). Balance test showed 7 people (100%) of 2nd category tuberculosis having positive Romberg test and 11 people (100%) of 2nd category tuberculosis having positive tandem Romberg test. Hearing and balance impairment found higher in patients with 2nd category antituberculosis treatment with significantly different.