BAB VI: SIMPULAN DAN SARAN
6.2. SARAN
a. Perlu ada penelitian yang lebih lanjut untuk membandingkan tingkat mortalitas pada setiap nilai MICH score sehingga dapat memberikan hasil yang lebih signifikan.
b. Perlu adanya penelitian yang menggunakan sistem penilaian lain untuk menentukan batasan pemilihan terapi pada perdarahan intraserebral spontan pada institusi ini.
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Lampiran: 2
LEMBAR PENJELASAN KEPADA CALON SUBJEK PENELITIAN
Assalamualaikum Wr.Wb., Salam sejahtera, Selamat pagi/siang/malam Bapak/Ibu, perkenalkan, nama saya dr. Ahmad Brata Rosa, saya sedang menjalani pendidikan spesialis bedah saraf dan S2 di Fakultas Kedokteran USU/RS HAM. Pada hari ini, saya hendak meminta kesediaan bapak/ibu atau keluarga bapak/ibu untuk ikut didalam penelitian saya yang berjudul “Analisis Mortalitas 30 Hari Pasien Perdarahan Spontan Basal Ganglia Dengan Sistem Penilaian MICH Score yang Mendapat Terapi Bedah dan Terapi Konservatif”. Penelitian ini bertujuan untuk menentukan pilihan terapi yang terbaik terhadap pasien dengan perdarahan spontan pada basal ganglia, yaitu jenis perdarahan kepala yang sedang Bapak/Ibu atau keluarga dari Bapak/Ibu alami saat ini. Apakah nantinya tindak lanjut terapi bersifat obat-obatan/konservatif ataupun dengan tindakan operasi, akan ditentukan sesuai penilaian/skor dan persetujuan Bapak/Ibu sendiri. MICH Score (Modified Intracerebral hemorrhage score) merupakan salah satu penilaian yang baik dilakukan untuk penderita perdarahan basal ganglia.
Adapun prosedur penelitian yang nantinya akan Bapak/Ibu atau keluarga Bapak/Ibu jalani selama penelitian ini adalah:
- Pemeriksaan fisik neurologis, tanda vital - Diukur Skala Koma Glasgow (SKG)
- Pemeriksaan laboratorium darah rutin, fungsi ginjal dan fungsi hati, kadar oksigen, juga scanning kepala tanpa zat kontras.
- Dilakukan penghitungan score MICH. Pasien dengan score MICH 2,3,4 akan ditawarkan untuk dilakukan tindakan operasi. Pasien yang menolak tindakan operasi akan ditindaki secara konservatif, yang nantinya menjadi acuan untuk tindakan konservatif pada score MICH 2-4.
- Pasien yang diterapi secara bedah akan dilakukan tindakan Craniectomy decompresi dan evakuasi ICH. Pasien akan dirawat di ICU setelah operasi.
- Pasien konservatif diberikan terapi untuk menurunkan tekanan pada kepala seperti posisi kepala tidur 300
- Bapak/Ibu/keluarga akan diikuti perkembangannya dalam 30 hari ke depan.
, terapi obat anti tekanan darah tinggi, terapi oksigen, bila perlu diberi alat bantu nafas/mesin ventilator.
Segala biaya, pemeriksaan laboratorium dan penyediaan obat menjadi tanggung jawab peneliti. Bila masih terdapat pertanyaan, maka Bapak/Ibu dapat menghubungi saya:
Nama : dr. Ahmad Brata Rosa
Alamat : Jl. Asrama, Komp. Bumi Asri Blok C-222, Medan. Telepon/ HP : (061)8470183/081260831143
Pada Bapak/Ibu yang bersedia mengikuti penelitian ini, diminta kesediaannya untuk mengisi lembar surat persetujuan ikut dalam penelitian. Semoga kiranya partisipasi Bapak/Ibu dalam penelitian ini dapat memberikan sumbangan dalam memajukan ilmu pengetahuan dalam bidang ilmu bedah syaraf khususnya, dan bagi dunia kesehatan pada umumnya. Terima kasih sebesar-besarnya peneliti ucapkan.
Medan, 2013
Lampiran: 3
SURAT PERSETUJUAN SETELAH PENJELASAN (INFORMED CONCERN)
Saya yang bertanda tangan di bawah ini:
Nama : ………
Alamat : ………
Umur : …………Tahun
Jenis Kalamin : Laki-laki/Perempuan
Setelah mendapat penjelasan dari peneliti tentang kebaikan dan keburukan prosedur penelitian ini, saya menyatakan bersedia ikut serta dalam penelitian tentang “Analisis Mortalitas 30 Hari Pasien Perdarahan Spontan Basal Ganglia Dengan Sistem Penilaian MICH Score yang Mendapat Terapi Bedah dan Terapi Konservatif”. Apabila sewaktu-waktu saya mengundurkan diri dari penelitian ini, kepada saya tidak dituntut apapun.
Demikian surat persetujuan bersedia ikut dalam penelitian ini saya buat untuk dapat dipergunakan seperlunya.
Medan,………..2013
Lampiran: 4
Daftar Riwayat Hidup
I. DATA PRIBADI
Nama : dr. Ahmad Brata Rosa
Tempat/Tgl. Lahir : Medan/28 September 1983 Jenis Kelamin : Laki-laki
Agama : Islam
Pekerjaan : Dokter PPDS
NIP : -
Pangkat/ Gol. : -
Istri : dr. Sumi Ramadani, Sp.PD
Anak : -
Alamat Pekerjaan : Fakultas Kedokteran USU Jl. dr. Mansyur no. 5 Medan
Departemen Ilmu Bedah Saraf FK-USU RSUP. H. Adam Malik Medan
Jl. Bunga Lau no.17 Medan
Alamat Rumah : Jl. Asrama, Komp.Bumi Asri, Blok C-222 Medan Telepon selular : (061)-8470183/ 081260831143
II. PENDIDIKAN
1. SDN 060820 (1989-1995) di Medan 2. MTS Nurul Hakim (1995-1998) di Medan 3. MAN 1 (1998-2001) di Medan
4. Fakultas Kedokteran USU (2001-2008 ) di Medan
5. PPDS Ilmu Bedah Saraf Fakultas Kedokteran Universitas Sumatera Utara (2009 – sekarang) di Medan
III. RIWAYAT PEKERJAAN -
IV. KEANGGOTAAN PROFESI 1. Ikatan Dokter Indonesia (IDI)
2. Perhimpunan Ahli Bedah Indonesia (PABI) 3. Perhimpunan Spesialis Bedah Saraf Indonesia
V. KURSUS PENATARAN
Basic Surgical Skills (BSS)
Advanced Life Trauma Support (ATLS)
VI. KARYA ILMIAH
1. Ahmad Brata Rosa, Occult Spinal Disraphism, pada simposium Recent Advances in Neurotrauma Management, Medan, 28-29 November 2012
VII. PARTISIPASI DALAM KEGIATAN ILMIAH
1. Peserta simposium Educational Course, UPH Lippo Karawaci, Banten, 26-27 Januari 2013
2. Peserta dan panitia simposium Recent Advances in Neurotrauma Management, Medan, 28-29 November 2012
3. Peserta workshop neuropatologi FK USU, 9-10 Juni 2011 4. Peserta simposium P2B2 PABI VIII, Medan, 2011
5. Peserta kursus peri-operative critical care dan acute care surgery, Bali, 25-27 April 2010
6. Peserta kursus wound and stoma care course, Bali, 23 April 2010 7. Peserta kursus total nutritional therapy course, Bali, 21-22 April 2010
8. Peserta pelatihan teori dan simulasi fire safety, RSHAM Medan, 19 Maret 2013 9. Peserta pelatihan advanced trauma life support, Medan, 20-22 Mei 2011
