(/) Editor-in-Chief Associate Editor Adminstrative Editorial Board for Regional Australia

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722-727

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06/11/2020 Intisari Sains Medis

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dr. Agha Bhargah, SKed.

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Research Article

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ORIGINAL ARTICLE

Intisari Sains Medis 2020, Volume 11, Number 2: 439-444 P-ISSN: 2503-3638, E-ISSN: 2089-9084

439 Open access: http://isainsmedis.id/

CrossMark

Published by DiscoverSys

Volume No.: 11 Issue: 2

First page No.: 439 P-ISSN.2503-3638 E-ISSN.2089-9084

Doi: 10.15562/ism.v11i2.714 ORIGINAL ARTICLE

1PPDS-1 Ilmu Bedah, Fakultas Kedokteran, Universitas Udayana- RSUP Sanglah Denpasar, Bali- Indonesia

2Divisi Bedah Trauma, Departemen/KSM Ilmu Bedah, Fakultas Kedokteran, Universitas Udayana-RSUP Sanglah Denpasar, Bali-Indonesia

3Departemen Bedah Saraf, Fakultas Kedokteran, Universitas Udayana-RSUP Sanglah Denpasar, Bali-Indonesia

*Correspondence to:

Danny Zefanya Mooy, PPDS-1 Ilmu Bedah, Fakultas Kedokteran, Universitas Udayana-RSUP Sanglah Denpasar, Bali-Indonesia [email protected]

PENDAHULUAN

Infeksi luka operasi (ILO) merupakan salah satu dari tiga infeksi tersering yang didapat di rumah sakit, dengan rata-rata mencapai 14-16% dan yang merupakan infeksi yang paling sering terjadi pada pasien post operasi. Hampir dua pertiga angka kejadian ILO terbatas pada luka insisi operasi dan hanya sepertiga yang juga melibatkan organ atau bagian anatomi lain yang terlibat saat operasi. ILO juga sering terjadi setelah operasi appendectomy terutama

pada appendisitis yang kompleks (gangrenosa dan rupture) dengan angka kejadian mencapai 9-53%.

Dimana dengan komplikasi ILO tentu akan menam- bah nyeri, waktu tinggal di rumah sakit dan biaya. Di Rumah Sakit Sanglah sendiri belum ada penelitian yang meunujukan angka kejadian ILO post appen- dectomy, maupun faktor risiko terjadinya ILO.

Banyak faktor risiko yang dapat mengakibat- kan terjadinya infeksi luka operasi pada pasien ABSTRACT

Background: Surgical wound infection (SWI) is one of the three most common hospital-acquired infections, with an average of 14-16% and which is the most common infection in postoperative patients. This study aims to look for factors associated with post-operative wound infection in the appendectomy procedure at Sanglah General Hospital Denpasar.

Methods: This study used a retrospective cohort design, which was carried out at the Medical Record Installation Sanglah General Hospital Denpasar, Bali-Indonesia during the January 2017 to September 2018.

Data analysis used chi-square tests, relative risk calculations, and logistic regression.

Results: This study used 108 respondents, and there were 17 people who experienced SWI, the final analysis using logistic regression showed a diagnosis of perforated appendicitis (RR: 9.57; 95%

CI: 2.09-43.64; p = 0.004) and operator guidance resident (RR: 1.75;

95% CI: 1.49-22.3; p = 0.011) is a risk factor for the occurrence of the SWI.

Conclusion: The diagnosis of perforated appendicitis is the most important factor in the occurrence of surgical wound infection after appendectomy.

Keywords: infection, risk factors, characteristics, surgery.

Cite This Article: Mooy, D.Z., Suwedagatha, I.G., Golden, N. 2020. Faktor-faktor risiko yang berperan terhadap terjadinya infeksi luka operasi pada pasien post appendectomy di RSUP Sanglah Denpasar. Intisari Sains Medis 11(2): 439-444. DOI: 10.15562/ism.v11i2.714

ABSTRAK

Latar Belakang: Infeksi luka operasi (ILO) merupakan salah satu dari tiga infeksi tersering yang didapat di rumah sakit, dengan rata-rata mencapai 14-16% dan yang merupakan infeksi yang paling sering terjadi pada pasien pasca operasi. Penelitian ini bertujuan untuk mencari faktor-faktor yang berhubungan dengan infeksi luka operasi pasca prosedur appendectomy di RSUP Sanglah Denpasar.

Metode: Penelitian ini menggunakan rancangan kohort retrospektif, yang dilakukan di Instalasi Rekam Medis RSUP Sanglah Denpasar, Bali-Indonesia selama periode Januari 2017 hingga September 2018.

Analisis data menggunakan uji chi-square, perhitungan risiko relatif, dan regresi logistik.

Hasil: Penelitian ini menggunakan 108 responden, dan terdapat 17 orang yang mengalami ILO, analisis akhir menggunakan regresi logistik menunjukkan diagnosis appendisitis perforasi (RR: 9,57; IK 95%:

2,09-43,64; p=0,004) dan operator residen bimbingan (RR: 1,75; IK 95%:

1,49-22,3; p=0,011) merupakan faktor risiko terjadinya ILO.

Simpulan: Diagnosis appendisitis perforasi merupakan faktor yang paling berperan terhadap terjadinya infeksi luka operasi pasca appendectomy.

Kata kunci: infeksi, faktor risiko, karakteristik, operasi.

Cite Pasal Ini: Mooy, D.Z., Suwedagatha, I.G., Golden, N. 2020. Faktor-faktor risiko yang berperan terhadap terjadinya infeksi luka operasi pada pasien post appendectomy di RSUP Sanglah Denpasar. Intisari Sains Medis 11(2): 439-444. DOI: 10.15562/ism.v11i2.714

Faktor-faktor risiko yang berperan terhadap terjadinya infeksi luka operasi pada pasien post

appendectomy di RSUP Sanglah Denpasar

Danny Zefanya Mooy,^1* I Gede Suwedagatha,² Nyoman Golden³

Diterima: 17-02-2020 Disetujui: 30-06-2020 Diterbitkan: 11-07-2020

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ORIGINAL ARTICLE

Intisari Sains Medis 2020, Volume 11, Number 2: 434-438 P-ISSN: 2503-3638, E-ISSN: 2089-9084

434 Open access: http://isainsmedis.id/

CrossMark

Published by DiscoverSys

Volume No.: 11 Issue: 2

First page No.: 434 P-ISSN.2503-3638 E-ISSN.2089-9084

Doi: 10.15562/ism.v11i2.768 ORIGINAL ARTICLE

Ilmu Kesehatan Masyarakat PascaSarjana Universitas Sam Ratulangi Manado

*Korespondensi:

Starry H Rampengan, Ilmu Kesehatan Masyarakat PascaSarjana Universitas Sam Ratulangi Manado [email protected]

Diterima: 15-03-2020 Disetujui: 25-05-2020 Diterbitkan: 19-06-2020

PENDAHULUAN

Setiap tenaga kesehatan yang bekerja di Rumah Sakit harus bekerja sesuai dengan standar profesi, standar pelayanan Rumah Sakit, standar prosedur operasional yang berlaku, etika profesi, meng- hormati hak pasien dan mengutamakan kesela- matan pasien. Salah satu kewajiban rumah sakit ialah memberi pelayanan kesehatan yang aman, bermutu, anti diskriminasi, dan efektif dengan

mengutamakan kepentingan pasien sesuai dengan standar pelayanan rumah sakit.¹

Pada pelayanan kesehatan dirumah sakit kepuasan pasien merupakan salah satu indikator mutu pelayanan kesehatan. Kepuasan pasien menjadi bagian integral dan menyeluruh dari kegiatan jaminan mutu layanan kesehatan artinya, pengukuran tingkat kepuasan pasien harus menjadi kegiatan ABSTRACT

Background: Hospitals are currently required to provide health services according to optimal service standards. In hospital health services, patient satisfaction is one indicator of the quality of health services.

Service quality is contributed by 5 principles, such as Service Quality, namely Reliability, Assurance, Tangible, Emphaty, Responsivenses.

Methods: The research used analytic survey method, with cross sectional design. The research was held at GMIM Pancaran Kasih Manado hospital in January-March 2019. Samples taken from 150 respondents who fulfilling research questionnaires. Data analysis is univariate, bivariate, multivariate using chi-square, with α = 0,05 dan CI = 95%.

Results: The results of the research were, reliability (p=0,000), Assurance (p=0,530), Emphaty (p=0,028), Tangible (p<0,001) and Responsiveness (p=0,855).

Conclusion: There was a relationship between reliability, empathy and tangible with patient satisfaction, while there was no relationship between assurance and responsiveness with satisfaction of medical inpatients at GMIM Pancaran Kasih General Hospital in Manado.

Tangible factor became the most dominant variable associated with patient satisfaction.

Keywords: Perception of Quality, Patient Satisfaction, Hospital

Cite This Article: Patodo, J.A., Rampengan, S.H., Umboh, J.M.L. 2020. Hubungan antara persepsi mutu layanan kesehatan dengan kepuasan pasien rawat inap medis di RSU GMIM Pancaran Kasih Manado. Intisari Sains Medis 11(2): 434-438. DOI: 10.15562/ism.v11i2.768

ABSTRAK

Latar belakang: Rumah sakit saat ini dituntut untuk memberikan pelayanan kesehatan yang sesuai standar pelayanan yang optimal.

Pada pelayanan kesehatan dirumah sakit kepuasan pasien merupakan salah satu indikator mutu pelayanan kesehatan. Mutu pelayanan dibentuk berdasarkan 5 prinsip yang dikenal dengan Service Quality yaitu kehandalan (Reliability), jaminan (Assurance), bukti langsung/

berwujud (Tangible), empati (Emphaty), daya tanggap (Responsivenses).

Metode: Penelitian ini menggunakan metode survei analitik, dengan rancangan cross sectional. Penelitian ini dilaksanakan di Rumah Sakit GMIM Pancaran Kasih Manado pada bulan Januari-Maret 2019.

Sampel penelitian ini berjumlah 150 responden dengan melengkapi

kuesioner. Analisis data berupa univariat, bivariat dan multivariat menggunakan uji chi-square, dengan α = 0,05 dan CI = 95%.

Hasil: Hasil yang diperoleh dalam penelitian yaitu kehandalan (p=0,000), jaminan (p=0,530), perhatian (p=0,028), bukti fisik (p<0,001) dan daya tanggap (p=0,855).

Kesimpulan: Terdapat hubungan antara kehandalan, perhatian dan bukti fisik dengan kepuasan pasien, sedangkan tidak ada hubungan antara jaminan dan ketanggapan dengan kepuasan pasien rawat inap medis di RSU GMIM Pancaran Kasih Manado. Variabel bukti langsung menjadi variabel yang paling dominan berhubungan dengan kepuasan pasien.

Kata Kunci: Persepsi Mutu Layanan, Kepuasan Pasien, Rumah Sakit

Cite Pasal Ini: Patodo, J.A., Rampengan, S.H., Umboh, J.M.L. 2020. Hubungan antara persepsi mutu layanan kesehatan dengan kepuasan pasien rawat inap medis di RSU GMIM Pancaran Kasih Manado. Intisari Sains Medis 11(2): 434-438. DOI: 10.15562/ism.v11i2.768

Hubungan antara persepsi mutu layanan kesehatan dengan kepuasan pasien rawat inap medis di RSU

GMIM Pancaran Kasih Manado

Jessiliani Arvianesta Patodo, Starry H Rampengan,^* Jootje M.L. Umboh

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Diabetes insipidus after

suprasellar tumor surgery case report

by Muhamad Thohar Arifin

Submission date: 26-Oct-2020 02:18PM (UTC+0700) Submission ID: 1426770890

File name: abetes_insipidus_after_suprasellar_tumor_surgery_case_report.pdf (1.55M) Word count: 3223

Character count: 18423

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Diabetes insipidus after suprasellar tumor surgery case report

ORIGINALITY REPORT

PRIMARY SOURCES

Gerdi Tuli, Patrizia Matarazzo, Luisa de Sanctis.

"Clinical Approach to Sodium Homeostasis Disorders in Children with Pituitary-Suprasellar Tumors", Neuroendocrinology, 2020

Publication

link.springer.com

Internet Source

Sahar N. Saleem, Ahmed-Hesham M. Said, Donald H. Lee. "Lesions of the Hypothalamus:

MR Imaging Diagnostic Features", RadioGraphics, 2007

Publication

emedicine.medscape.com

Internet Source

Christopher Okpataku. "A Case of Polydipsia in a Psychiatric Patient", International

Neuropsychiatric Disease Journal, 2017

Publication

issoonline.biomedcentral.com

Internet Source

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9 < 1 ^%

10 < 1 ^%

Dhineli Michelle Patricia Perera, Judith Ann Coombes, Lelwala Guruge Thushani Shanika, Andrew Dawson et al. "Opportunities for

pharmacists to optimise quality use of medicines in a Sri Lankan hospital: an observational,

prospective, cohort study", Journal of Pharmacy Practice and Research, 2017

Publication

Larissa Alessandra Mehl, Paulo Breno Noronha Liberalesso, Mônica Jaques Spinosa, Sílvio

Machado, Alfredo Löhr Júnior. "Challenges in the surgical treatment of epilepsy: hypothalamic hamartoma in infancy - case report", Journal of Epilepsy and Clinical Neurophysiology, 2012

Publication

www.hindawi.com

Internet Source

Zong, M., J. D. Bruton, C. Grundtman, H. Yang, J. H. Li, H. Alexanderson, K. Palmblad, U.

Andersson, H. E. Harris, I. E. Lundberg, and H.

Westerblad. "TLR4 as receptor for HMGB1

induced muscle dysfunction in myositis", Annals of the Rheumatic Diseases, 2012.

Publication

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Exclude matches Off

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FINAL GRADE

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Diabetes insipidus after suprasellar tumor surgery case report

GRADEMARK REPORT

GENERAL COMMENTS

Instructor

PAGE 1 PAGE 2 PAGE 3 PAGE 4 PAGE 5 PAGE 6

(/) Editor-in-Chief Associate Editor Adminstrative Editorial Board for Regional Australia

C-16

C-16

(/)

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Open Access & Peer Reviewed Multidisciplinary Journal of Science and

Medical Research

Table of Contents

Gambaran pola makan, kecukupan gizi, dan status gizi mahasiswa Fakultas Kedokteran Universitas Mataram, Nusa Tenggara Barat

Rifana Cholidah Ida Ayu Eka Widiastuti Lina Nurbaiti Seto Priyambodo

|

| Korelasi antara persentase lemak tubuh dan rasio lingkar pinggang-lingkar pinggul dengan kebugaran sik pada mahasiswa Fakultas Kedokteran Universitas Mataram

Ida Ayu Eka Widiastuti Seto Priyambodo Gede Wira Buanayuda

|

| Korelasi antara parameter faal hemostasis dan kadar serum laktat sebagai indikator mortalitas pada pasien multiple trauma di Rumah Sakit Umum Pusat Sanglah Denpasar, Bali-Indonesia Hizkia Robinson Junsen Lumban Gaol Ketut Wiargitha Gde Raka Widiana

|

|

(Available online: 1 August 2020)

Vol 11, No 2 (2020): (Available online: 1 August

2020)

|

| Seorang penderita kanker paru dengan manifestasi efusi perikardium: Laporan kasus

Ida Ayu Nanda Dwijayanthi Ida Bagus Sutha

|

| Stevens-Johnson Syndrome (SJS)-Toxic Epidermal Necrolysis (TEN) overlap in a 61-year old woman: a case report

Luh Gede Melia Puspita Sari Tjok Dalem Pemayun

|

| Steven-Johnson Syndrome associated with anti-tuberculosis drugs: a case reports

I Gusti Ayu Risma Pramita Tjokorda Dalem Pemayun

|

| A jejunal atresia type I in newborn: a case report

Anak Agung Adi Suryaningrat Kadek Deddy Ariyanta

|

| Diabetes insipidus after suprasellar tumor surgery: case report

Yuriz Bakhtiar Muhamad Thohar Ari n Adrian Pratama Jacob Bunyamin

|

| Noma management in a 47-years-old female patient using estlander ap: a case report

Anak Agung Bagus Satria Brahmananta Ida Bagus Adiguna Wibawa Anak Agung Ngurah Asmarajaya

|

| Acute thoracic aortic dissection: a case report

Dewa Ayu Ratna Dewi Made Dwija Putra Ayusta

|

| Spontaneous intracerebellar haemorrhage and hydrocephalus: a case report

Yovi Eko Azhra M Ihsan Z Tala M Deni Nst

|

| Acute fatty liver of pregnancy: a case report

Putu Gede Agus Surya Mahardika Aditya Prabawa Ketut Suardana

|

|

Research Article

Volume No.: 11 Issue: 2

First page No.: 439 P-ISSN.2503-3638 E-ISSN.2089-9084

Doi: 10.15562/ism.v11i2.714 ORIGINAL ARTICLE

PENDAHULUAN

Faktor-faktor risiko yang berperan terhadap terjadinya infeksi luka operasi pada pasien post

appendectomy di RSUP Sanglah Denpasar

Volume No.: 11 Issue: 2

First page No.: 434 P-ISSN.2503-3638 E-ISSN.2089-9084

Doi: 10.15562/ism.v11i2.768 ORIGINAL ARTICLE

PENDAHULUAN

Hubungan antara persepsi mutu layanan kesehatan dengan kepuasan pasien rawat inap medis di RSU

GMIM Pancaran Kasih Manado

Diabetes insipidus after

suprasellar tumor surgery case report

by Muhamad Thohar Arifin

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