BAB VI KESIMPULAN DAN SARAN
6.2 Saran
Diperlukan penelitian lebih lanjut untuk menilai hubungan antara peningkatan RDW, PDW terhadap skor SOFA secara kontinue dan penelitian yang lebih selektif dalam pengambilan dan penentuan pasien sepsis di ICU.
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Lampiran 1
LEMBARAN PENJELASAN KEPADA CALON SUBJEK PENELITIAN Selamat pagi Bapak/Ibu/Saudara/Saudari Yth
Saya dr. Edward Mario H. Silaban saat ini sedang menjalani pendidikan Strata (S) 2 di Fakultas Kedokteran Universitas Sumatera Utara dan saat ini hitung limfosit dan monosit dapat sebagai deteksi sepsis. Penelitian ini dilakukan terhadap Bapak/Ibu/Saudara/Saudari/Adik-adik dengan cara mengamati nilai kadar RDW, PDW, Limfosit, Monosit. Prosedur peneltian ini adalah dengan cara mengambil darah Vena pada daerah pergelangan tangan atau sela lipat paha. Dan efek samping yang dapat ditimbulkan adalah bengkak didaerah bekas suntikan pengambilan darah. Apabila terjadi hal-hal yang tidak diinginkan selama penelitian berlangsung maka pasien dapat menghubungi dr. Edward Mario H. Silaban (082366660706).
Kerjasama Bapak dan Ibu sangat diharapkan dalam penelitian ini.
Bila masih ada hal-hal yang belum jelas menyangkut penelitian ini, setiap saat dapat ditanyakan pada peneliti dr. Edward Mario H. Silaban. Setelah memahami berbagai hal yang menyangkut penelitian ini, diharapkan Bapak/Ibu/Saudara/Saudari/Adik-adik yang telah terpilih sebagai sukarelawan pada penelitian ini, dapat mengisi lembaran persetujuan turut serta dalam penelitian yang telah disiapkan.
Medan, 2019 Peneliti
(………...)
Lampiran 2
LEMBAR PERSETUJUAN SETELAH PENJELASAN (‘INFORMED CONSENT’)
Yang bertanda tangan di bawah ini:
Nama : Umur : Alamat : Pekerjaan : Pendidikan :
Setelah memperoleh penjelasan sepenuhnya dan menyadari serta memahami tentang tujuan, manfaat, dan resiko yang mungkin timbul dalam penelitian berjudul:
KADAR RED CELL DISTRIBUTION WIDTH (RDW), PLATELET DISTRIBUTION WIDTH (PDW), HITUNG LIMFOSIT-MONOSIT
PADA SEPSIS
Dan mengetahui serta memahami bahwa subjek dalam penelitian ini sewaktu-waktu dapat mengundurkan diri dalam keikutsertaannya, dengan ini menyatakan ikut serta/
mengikutsertakan anak/adik/ayah/ibu/suami/istri saya bernama ...………..
dalam uji penelitian dan bersedia berperan serta dengan mematuhi semua ketentuan yang berlaku dan telah saya sepakati dalam penelitian tersebut di atas.
Medan,………2019 Mengetahui Yang Menyatakan
Penanggung Jawab Penelitian Peserta Uji Klinik
(dr. Edward Mario H. Silaban) (Nama Jelas:………)
Saksi Orang Tua/Wali Peserta Uji Klinik
(Nama Jelas:...) (NamaJelas……….)
Lampiran 3 STATUS PASIEN Data Pribadi
Nama : ...
Umur : ...tahun MR:...
Alamat : ...
Suku Bangsa : ...
Pekerjaan : ...
Anamnesa
Keluhan Utama : ...
...
...
...
RPT : ...
RPO : ...
Pemeriksaan Fisik
Tekanan Darah : ...mmHg Berat Badan : ...kg Tinggi Badan : ...cm Temperatur : ….……ºC
Lampiran 4
Data untuk menentukan kriteria Kadar RDW, PDW, Limfosit, Monosit
No Kriteria Hasil
11 22 33 44 55 66
Lampiran 5
Lampiran 6
Definition of Missing User-defined missing values for dependent variables are treated as missing.
Cases Used Statistics are based on cases with no missing values for any
Resources Processor Time 00:00:06,33
Elapsed Time 00:00:05,01
Case Processing Summary
Missing Value Handling
Definition of Missing User-defined missing values are treated as missing.
Cases Used Statistics are based on all cases with valid data.
Syntax FREQUENCIES
VARIABLES=Jnis_Kelamin Suku
/ORDER=ANALYSIS.
Resources Processor Time 00:00:00,03
Elapsed Time 00:00:00,02
Frequency Percent Valid Percent
Cumulative
Frequency Percent Valid Percent
Cumulative
FREQUENCIES VARIABLES=Usia RDW PDW Limfosit Monosit ProCalcitonin Skor_SOFA
/FORMAT=NOTABLE
/STATISTICS=STDDEV MINIMUM MAXIMUM MEAN MEDIAN /ORDER=ANALYSIS.
Frequencies
Definition of Missing User-defined missing values are treated as missing.
Cases Used Statistics are based on all cases with valid data.
Resources Processor Time 00:00:00,02
Elapsed Time 00:00:00,01 Std. Deviation 16,33982 2,56914 1,89311 6,11144 2,28720 18,11439
Minimum 18,00 12,20 8,10 1,20 ,70 ,15
Maximum 65,00 22,90 16,40 23,50 11,20 64,32
Statistics
/VARIABLES=RDW PDW Limfosit Monosit ProCalcitonin Skor_SOFA /PRINT=SPEARMAN TWOTAIL NOSIG
Definition of Missing User-defined missing values are treated as missing.
Cases Used Statistics for each pair of variables are based on all the cases with valid data for that pair.
Syntax NONPAR CORR
Resources Processor Time 00:00:00,00
Elapsed Time 00:00:00,01 Number of Cases
Allowed 92521 casesa
a. Based on availability of workspace memory Correlations
RDW PDW
LIMFOSI T
Spearman's rho RDW Correlation
Coefficient 1,000 ,008 -,053
Correlations
MONOSIT PCT SKOR SOFA
Spearman's rho RDW Correlation Coefficient -,146 -,271 ,064 Sig. (2-tailed) ,442 ,148 ,736
N 30 30 30
PDW Correlation Coefficient -,183 -,160 -,140 Sig. (2-tailed) ,333 ,399 ,461
N 30 30 30
LIMFOSIT Correlation Coefficient ,701** -,145 ,760**
Sig. (2-tailed) ,000 ,445 ,000
N 30 30 30
MONOSIT Correlation Coefficient 1,000 ,064 ,760**
Sig. (2-tailed) . ,738 ,000
N 30 30 30
PCT Correlation Coefficient ,064 1,000 ,086
Sig. (2-tailed) ,738 . ,650
N 30 30 30
SKOR SOFA Correlation Coefficient ,760** ,086 1,000
Sig. (2-tailed) ,000 ,650 .
N 30 30 30
**. Correlation is significant at the 0.01 level (2-tailed).
Lampiran 7. Daftar Riwayat Hidup
DAFTAR RIWAYAT HIDUP I. IDENTITAS
Nama : dr. Edward Mario H. Silaban
Alamat : Jl. Bunga Mawar Sembada Tempat, Tanggal Lahir : Tarutung, 10 Maret 1977
Status : Menikah
Warga Negara : Indonesia
Agama : Kristen Protestan
Riwayat Pekerjaan : PNS RSUD Tarutung Tapanuli Utara II. KELUARGA
1. Anggota IDI (Ikatan Dokter Indonesia) Cabang Medan
2. Anggota Muda PDS Patklin (Perkumpulan Dokter Spesialis Patologi Klinik) VI. JURNAL ILMIAH YANG DIPRESENTASIKAN SELAMA MENJALANI
PENDIDIKAN
1. Low Levels of serum ferritin lead to adequate hemoglobin levels and good survival in hemodialysis patient
2. Diagnostic accuracy of rapid urine dipstick test to predict urinary tract infection among pregnant women in fellege hiwot refferal hospital, Bahir par, North West Ethiophia
Correlation of BACH1 and Hemoglobin E/Beta-Thalasemia Globin Expression
3. The Association Between Estimated Average Glucose Levels and Fasting Plasma Glucose Levels in a Rural Tertiary Care Centre
4. Face Mask for the detection of Mycobacterium tuberculosis in expelled aerosol
5. NS1 Last Longer than the dengue virus nucleid acid in the clinically suspected patients with dengue fever and dengue hemorrhagik fever
VII. TULISAN ILMIAH YANG DIBUAT SELAMA MENJALANI PENDIDIKAN
1. Gagal Ginjal Kronik
2. Dermatitis Karena infeksi bakteri 3. Anemia pada Gagal Ginjak Kronik 4. Respon imun terhadapvirus
5. Hiv pada Bayi
6. Dengue Hemorrhagik Fever
VIII. KEGIATAN ILMIAH YANG PERNAH DIIKUTI SELAMA MENJALANI PENDIDIKAN
1. Pendidikan Berkesinambungan Patologi Klinik V Regional SUMBAGUT HUT ke-40 Pusat Pendidikan Patologi Klinik FK USU
2. Workshop POCT & Automatic Gram 3. Joglosemar
4. The 16th Scientific Annual Meeting. Indonesian Association of Clinical Pathologist and Laboratory Medicine. Workshop, Symposia and Laborratory /Exhibition
5. Simposium Hematology, Microbiology Assesment in the New Era 2018