BAB 6 KESIMPULAN DAN SARAN
6.2 Saran
1. Bagi pihak peneliti di tingkat lanjutan perlu dilakukan analisis lebih dalam antara faktor-faktor yang berpengaruh terhadap batu saluran kemih dengan metode penelitian analitik yang mampu menunjukkan hubungan sebab akibat.
2. Bagi RSUP H. Adam Malik Medan khususnya di Instalasi Rekam Medik agar memaksimalkan dalam sistem pencatatan status rekam medis pada pasien-pasien di RSUP H. Adam Malik Medan.
3. Perlu dilakukan upaya menekan angka kejadian BSK yang cukup tinggi di Indonesia, khususnya Kota Medan dengan upaya promotif, preventif dan rehabilitatif batu saluran kemih.
4. Perlu dilakukan penelitian lebih lanjut tentang faktor-faktor yang berpengaruh terhadap batu saluran kemih dengan jumlah sampel yang lebih besar, subjek penelitian yang lebih luas, dan metode pengambilan sampel
DAFTAR PUSTAKA
Alpay, H, Gokce, I, Ozen, A, Biyikh, N. (2013) ‘Urinary stone disease in the first year of life: is it dangerous?’, Pediatr Surg Int, 29, pp. 311–316
Badan Penelitian dan Pengembangan dan Kesehatan Kementrian Kesehatan RI. (2013), Riset Kesehatan Dasar 2013. Jakarta: Bakti Husada.
Bak, M, Ural, R, Agin, H, Serdaroglu, E, Calkavur, S. (2009) ‘The metabolic etiology of urolithiasis in Turkish children’, Int Urol Nephrol, 41(3), pp. 453-60.
Basiri, A, Shakhssalim, N, Khoshdel, A, Ghahestani, M, Basiri, H. (2010) ‘The demographic profile of urolithiasis in Iran: a nationwide epidemiologic study’, Int Urol Nephrol, 42, pp. 119–126.
Colella, J, Kochis, E, Galli, B, Munver, R. (2005) ‘Urolithiasis/Nephrolithiasis: What’s It All About?’, Urologic Nursing, 25(6), pp. 427-475.
Devuyst, T. & Pirson, Y. (2007) ‘Genetics for hypercalciuric stone forming diseases’,Kidney Int, 72 , pp. 1065–1072.
Drake, R.L., Vogl, A.W., Mitchell, A.W.M. (2010) Gray’s Anatomy for Students
2nd Edition. Amerika Serikat: Elsevier.
Ekeruo, O, Tan, H, Young, D, Dahm, P, Maloney, E, Mathias, J, Albala, M, Preminger, M. (2004) ‘Metabolic risk factors and the impact of medical therapy on the management of nephrolithia-sis in obese patients’, J Urol, 172, pp. 159.
Ertan, P, Tekin, G, Oger, N, Alkan, S, Horasan, S. (2011) ‘Metabolic and demographic characteristics of children with urolithiasis in Western Turkey’, Urol Res, 39, pp. 105–110.
Joan, C, Eileen, K, Bernadette, G, Ravi, M. (2005) ‘Urolithiasis/Nephrolithiasis: What’s It All About?’, Urologic Nursing, 25(6), pp. 427-475.
Khan, S. (2012) ‘Is oxidative stress, a link between nephrolithiasis and obesity, hypertension, diabetes, chronic kidney disease, metabolic syndrome?’,
Urol Res, 40, pp. 95–112.
Knoll, T, Schubert, A, Fahlenkamp, D, Leusmann, D, Wendt-Nordahl, G, Schubert, G. (2010) ‘Urolithiasis Through the Ages: Data on More Than 200,000 Urinary Stone Analyses’, J Urol, 185(4), pp. 1304–1311.
Koyuncu, H, Yencilek, F, Eryilirim, B, Sarica, K. (2010) ‘Family history in stone disease: how important is it for the onset of the disease and the incidence of recurrence?’, Urol Res, 38, pp. 105–109.
López, M. & Bernd, H. (2008) ‘History, epidemiology and regional diversities of urolithiasis’, Pediatr Nephrol, 25, pp. 49–59.
Meydan, N, Barutca, S, Caliskan, S. (2003) ‘Urinary stonedisease in diabetes mellitus’, Scand J Urol Nephrol, 37, pp. 64.
Mohsen, A, Mostafa, S, Maasumeh, M, Mahdi. V, Shamsaddin, H. (2012) ‘Biochemical Risk Factors for Stone Formation in Healthy School Children’, Acta Medica Iranica, 50, pp. 814-818.
Muslumanoglu, Y, Binbay, M, Yuruk, E, Akman, T, Tepeler, A, Esen, T, Tefekli, H. (2011) ‘Updated epidemiologic study of urolithiasis in Turkey. I: Changing characteristics of urolithiasis’, Urol Res, 39, pp. 309–314. Okonogi, H, Nishimura, M, Utsunomiya, Y. (2001) ‘Urinary type IV collagen
excretion reflects renal morphological altera-tions and type IV collagen expression in patients with type 2 diabetes mellitus’, Clin Nephrol, 55, pp. 357.
Pearle, S. & Lotan, Y. (2011) ‘Urinary Lithiasis: Etiology,Epidemiology, and Pathogenesis’. In: Wein, A. et al. eds. Campbell Walsh Urology 10th Edition. Amerika Serikat: Saunders Elsevier
Pinduli, I, Spivacow, R, del Valle, E, Vidal, S, Negri, L, Previgliano, H, Farías, R, Andrade, H, Negri, M, Boffi-Boggero, J. (2006) ‘Prevalence of urolithiasis in the autonomous city of Buenos Aires, Argentina’, Urol Res, 34(1), pp. 8-11.
Rodgers, A. (2013) ‘Race, ethnicity and urolithiasis: a critical review’,
Urolithiasis, 41, pp. 99–103.
Safarinejad, R. (2007) ‘Adult urolithiasis in a population-based study in Iran: prevalence, incidence, and associated risk factors’, Urol Res, 35, pp. 73- 82.
Sakhaee, K. (2009) ‘Recent advances in the pathophysiology of nephrolithiasis’,
Kidney International, 75, pp. 585–595.
Sastroasmoro,S, Ismael, S. (2013) Dasar-Dasar Metodologi Penelitian Klinis Edisi ke-4. Jakarta: Sagung Seto.
Seitz, C, Fajkovic, H. (2013) ‘Epidemiological gender-specific aspects in urolithiasis’, World J Urol, 31, pp. 1087–1092.
Srivastava, T. & Alon, S. (2005) ‘Urolithiasis in Adolescent Children’,Adolescent Medicine Clinics, 16(1), pp. 87.
Stoller, L. (2012) ‘Urinary Stone Disease’. In: McAnich, J &Tanagho, E. eds. Smith’s General Urology 18th Edition. Amerika Serikat: McGraw Hill. Sun, X, Shen, L, Cong, X, Zhu, H, He, L, Lu, J. (2011) ‘Infrared spectroscopic
analysis of 5,248 urinary stones from Chinese patients presenting with the first stone episode’, Urol Res, 39, pp. 339–343.
Taylor, N, Stampfer, J, Curhan, C. (2005) ‘Diabetes mellitus and the risk of Nephrolithiasis’, Kidney Int, 68, pp. 1230–1235.
Tiselius, H. (2011) ‘A hypothesis of calcium stone formation: an interpretation of stone research during the past decades’, Urol Res, 39, pp. 231–243.
Türk, C, Knoll, T, Petrik, A, Sarica, K, Seitz, C, Straub, M. (2011) Guidelines on Urolithiasis, Belanda: European Association of Urology.
Valle, E, Negri, A, Spivacow, F, Rosende, G, Forrester, M, Pinduli, I. (2012) ‘Metabolic diagnosis in stone formers in relation to body mass index’,
Urol Res, 40, pp. 47–52.
Wei, M, Chou, Y, Ching, C, Chia, L, Huang, S, Wu, W, Chen, C, Su, C, Lee, M. (2009) ‘Association of body mass index and urine pH in patients with urolithiasis’, Urol Res, 37, pp. 193–196.
Yilmaz, S, Pekdemir, M, Aksu, N, Koyuncu, N, Cinar, O. (2012) ‘A multicenter case–control study of diagnostic tests for urinary tract infection in the presence of urolithiasis’, Urol Res, 40, pp. 61–65.
Zhang, P, Nie, W, Jiang, H. (2013) ‘Effects of vitamin D receptor polymorphisms on urolithiasis risk: a meta-analysis’, BMC Medical Genetics, 14, pp. 104.
Nama Lengkap : Yehezkiel Bastanta Ginting
Tempat/ Tanggal Lahir : Tanjung Tabalobng, 15 Desember 1992 Alamat : Jl. M. Suhada no. 3, Medan
Riwayat Pendidikan
A.SD : SD Swasta St. Yoseph Kabanjahe (1999-2005) B.SMP : SMP Negeri 1 Kabanjahe (2005-2008)
C.SMU : SMA Negeri 1 Kabanjahe (2008-2011)
D.Perguruan Tnggi : Fakultas Kedokteran Universitas Sumatera Utara (2011-sekarang)
Riwayat Prestasi
1. Juara 1 Olmpiade Sains Pertamina (OSN-PTI) Biologi tingkat Sumatera Utara tahun 2013.
2. Juara 3 Olmpiade Sains Pertamina (OSN-PTI) Biologi tingkat Sumatera Utara tahun 2012.
3. Juara Harapan 2 Lomba Menulis Essay Perpajakan tingkat Sumbagut tahun 2010
Riwayat Organisasi
1. Anggota Departemen Pendidikan dan Pelatihan (Diklit) PEMA FK USU periode 2012-2013
2. Ketua Anatomy Club FK USU periode 2013-2014
3. Anggota Standing Committee on Research Exchange (SCORE) PEMA FK USU periode 2012-sekarang
4. Anggota Kelompok Mahasiswa Kristen KMK UP FK USU 2011-2013 5. Ketua Divisi Multimedia Sion Ministry 2013-sekarang
Statistics
lokasi batu
N Valid 129
Missing 0
lokasi batu
Frequency Percent Valid Percent
Cumulative Percent Valid <15 5 3,9 3.9 3,9 16-25 12 9.3 9.3 13.2 26-35 8 6.2 6.2 19.4 36-45 27 20.9 20.9 40.3 46-55 43 33.4 33.4 73.7 56-65 22 17.0 17.0 90.7 66-75 10 7.7 7.7 98.4 >75 2 1.6 1.6 100 Total 129 100.0 100.0 Statistics jenis kelamin N Valid 129 Missing 0 jenis kelamin
Frequency Percent Valid Percent
Cumulative Percent
Valid L 81 62.8 62.8 62.8
suku
Frequency Percent Valid Percent
Cumulative Percent
Valid Tidak Diketahui 53 41.1 41.1 41.1
Aceh 9 6.9 6.9 48 Batak 40 31.0 31.0 79 Jawa 7 5.5 5.5 84.5 Karo 20 15.5 15.5 100 Total 129 100.0 100.0 Statistics pekerjaan N Valid 129 Missing 0 pekerjaan
Frequency Percent Valid Percent
Cumulative Percent
Valid Guru 2 1.6 1.6 1.6
Ibu Rumah Tangga 25 19.4 19.4 21
Pegawai Swasta 5 3.9 3.9 24.9
Pegawai Negeri Sipil 24 18.6 18.6 43.5
Pelajar 10 7.7 7.7 51.2 Pensiunan 12 9.3 9.3 60.5 Petani 10 7.7 7.7 68.2 Wiraswasta 40 31.0 31.0 99.2 Tidak Bekerja 1 0.8 0.8 100 Total 129 100.0 100.0
Missing 0
pendidikan
Frequency Percent Valid Percent
Cumulative Percent
Valid Tidak Tamat SD 2 1.6 1.6 1.6
Tamat SD 24 18.6 18.6 39.5 Tamat SMP 25 19.3 19.3 89.1 Tamat SMA 64 49.6 49.6 100 Tamat PT 14 10.9 10.9 20.2 Total 129 100.0 100.0 Statistics riwayat keluarga N Valid 129 Missing 0 riwayat keluarga
Frequency Percent Valid Percent
Cumulative Percent
Valid BSK 3 2.3 2.3 2.3
tidak 126 97.7 97.7 100.0
status ekonomi
Frequency Percent Valid Percent
Cumulative Percent Valid ATAS 22 17.7 17.7 17.7 BAWAH 26 20.2 20.2 37.9 MENENGAH 81 62.8 62.8 100.0 Total 129 100.0 100.0 Statistics diabetes melitus N Valid 129 Missing 0 diabetes melitus
Frequency Percent Valid Percent Cumulative Percent
Valid DM 57 44.2 44.2 44.2 TIDAK DM 29 22.5 22.5 66.7 TIDAK DIKETAHUI 43 33.3 33.3 100.0 Total 129 100.0 100.0 Statistics hiperurikosuria N Valid 129 Missing 0
TIDAK DIKETAHUI 65 50.4 50.4 73.6 YA 34 26.4 26.4 100.0 Total 129 100.0 100.0 Statistics pH Urin N Valid 129 Missing 0 pH Urin
Frequency Percent Valid Percent Cumulative Percent
Valid 5,0-5,9 19 14.7 14.7 14.7 6,0-6,9 23 17.9 17.9 32.6 7,0-7,9 7 5.4 5.4 38 >8 4 3.1 3.1 41.1 Tidak Diketahui 76 58.9 58.9 100 Total 129 100.0 100.0 Statistics
Infeksi saluran kemih
N Valid 129
Missing 0
Infeksi saluran kemih
Frequency Percent Valid Percent
Cumulative Percent
Valid ISK 47 36.4 36.4 36.4
Missing 0
lokasi batu
Frequency Percent Valid Percent Cumulative Percent
Valid Ginjal 54 36.0 36.0 36.0 Ureter 42 28.0 28.0 64 Kandung Kemih 39 26.0 26.0 90 Uretra 15 10.0 10.0 100 Total 129 100.0 100.0 Statistics jenis batu N Valid 129 Missing 0 jenis batu
Frequency Percent Valid Percent
Cumulative Percent Valid Radiolusen 33 25.6 25.6 25.6 Radioopak 53 41.0 41.3 6.9 Tidak Diketahui 43 33.4 33.4 100.0 Total 129 100.0 100.0
