[
ABSTRAKLatar Belakang : Inkontinensia urin sampai saat ini masih menjadi masalah bagi
masyarakat dunia. Telah ada tiga penelitian yang membandingkan penurunan
leher kandung kemih pada kelompok inkontinensia urin jenis stres dan
kontinensia. Namun penelitian mengenai perbandingan tersebut belum ada di
Indonesia sementara hasil penelitian yang telah ada belum dapat digeneralisir
pada populasi di Indonesia. Berdasarkan hal tersebut peneliti ingin mengetahui
apakah terdapat perbedaan rerata penurunan leher kandung kemih kelompok
inkontinensia urin jenis stres dan kontinensia di Indonesia dengan perbedaan pada
tiga buah aspek, yaitu aspek penegakan diagnosis, kelompok pembanding, dan
pengukuran.
Tujuan : Menganalisis perbedaan rerata mobilitas leher kandung kemih pada
inkontinensia urin jenis stres dan kontinensia.
Metode : Penelitian ini merupakan penelitian observasional. Untuk menjawab
pertanyaan penelitian utama dan tambahan digunakan desain deskriptif potong
lintang. Populasi target dalam penelitian ini adalah semua perempuan yang
mengalami inkontinensia urin jenis stres dan kontinensia di Indonesia. Populasi
terjangkau penelitian ini adalah semua perempuan yang mengalami inkontinensia
urin jenis stres dan kontinensia masing-masing 37 orang yang berobat ke Unit
Rawat Jalan Poliklinik Ginekologi RSCM periode Februari 2014 sampai Januari
2015.
Hasil : Rerata jarak leher kandung kemih ke simfisis pubis saat istirahat, saat
valsava dan mobilitas leher kandung kemih pada inkontinensia urin jenis stres
berturut-turut adalah 26,9 ( SB 3,2) mm, 5 ( -29 - 22) mm dan 24,3 (SB 7,9) mm.
Rerata jarak leher kandung kemih ke simfisis pubis saat istirahat, saat valsava dan
mobilitas leher kandung kemih pada kontinensia berturut-turut adalah 26,9 (SB
3,2) mm, 17,6 (SB 5,3) mm dan 10 (SD 4,1) mm. Rerata jarak leher kandung
kemih ke simfisis pubis saat valsava pada inkontinensia urin jenis stres lebih kecil
dibandingkan kontinensia 6,3 (SB 7,1) mm VS 16,3 (SB 5,2) mm, p=0,0001.
Rerata mobilitas leher kandung kemih pada inkontinensia urin jenis stres lebih
besar dibandingkan kontinensia 20,8 ( SB 7,0) mm VS 10,0 (SD 4,8) mm,
p=0,0001.
Kesimpulan : Rerata jarak leher kandung kemih ke simfisis pubis saat valsava
pada inkontinensia urin jenis stres lebih kecil dibandingkan kontinensia. Rerata
mobilitas leher kandung kemih pada inkontinensia urin jenis stres lebih besar
dibandingkan kontinensia.
ABSTRACTBackground : Stress urinary incontinence still be the world problem. Various
studies compared decreasing bladder neck on stress urinary incontinence and
continence have been done. Research with the same purpose has not been done in
Indonesia. Based on that, need to study how the comparison decreasing of
bladder neck between stress urinary incontinence and continence groups in
Indonesia with a difference in three aspects, such as diagnostic criteria,
comparised group, and the observer.
Aim : To analize difference bladder neck mobility on stress urinry incontinence
and continence.
Methods : This study was an observational study. Main and additional research
questions using a cross-sectional design . The target population in this study were
all women who undergo stress urinary incontinence and continence in Indonesia .
The population of this study was affordable to all women who undergo stress
urinary incontinence and continence were treated to the Outpatient Clinic of
Gynecology Unit of Ciptomangunkusumo Hospital in the period Februari 2014 to
January 2015.
Results : Mean of distance of bladder neck to the symphysis pubic at rest, valsava
and bladder neck mobility on stress urinary incontinence were 26,9 (SD 3,2) mm,
5 (-29 - 22) mm and 24,3 (SD 7,9) mm. Mean of distance of bladder neck to the
symphysis pubic at rest, at valsalva and bladder neck mobility on continence were
26,9 (SD 3,2) mm, 17,6 (SD 5,3) mm and 10,0 (SD 4,1) mm. There was no
differences between the distance of bladder neck to the symphysis pubic at rest on
stress urinary incontinence and continence 27,1 (SD 3,3) mm VS 26,3 (SD 3,5)
mm, p=0,523. Mean of distance of bladder neck to the symphysis pubic at
valsava on stress urinary incontinenc was lower than continence 6,3 (SD 7,1) mm
VS 16,3 (SD 5,2) mm, p=0,0001. Mean of bladder neck mobility on stress urinary
incontinence was greater than continence 20,8 ( SD 7,0) mm VS 10,0 (SD 4,8)
mm, p=0,0001.
Conclusion : Mean of distance of the bladder neck to the symphysis pubic at
valsava on stress urinary incontinenc was lower than continence. Mean of
bladder neck mobility on stress urinary incontinence was greater than continence, Background : Stress urinary incontinence still be the world problem. Various
studies compared decreasing bladder neck on stress urinary incontinence and
continence have been done. Research with the same purpose has not been done in
Indonesia. Based on that, need to study how the comparison decreasing of
bladder neck between stress urinary incontinence and continence groups in
Indonesia with a difference in three aspects, such as diagnostic criteria,
comparised group, and the observer.
Aim : To analize difference bladder neck mobility on stress urinry incontinence
and continence.
Methods : This study was an observational study. Main and additional research
questions using a cross-sectional design . The target population in this study were
all women who undergo stress urinary incontinence and continence in Indonesia .
The population of this study was affordable to all women who undergo stress
urinary incontinence and continence were treated to the Outpatient Clinic of
Gynecology Unit of Ciptomangunkusumo Hospital in the period Februari 2014 to
January 2015.
Results : Mean of distance of bladder neck to the symphysis pubic at rest, valsava
and bladder neck mobility on stress urinary incontinence were 26,9 (SD 3,2) mm,
5 (-29 - 22) mm and 24,3 (SD 7,9) mm. Mean of distance of bladder neck to the
symphysis pubic at rest, at valsalva and bladder neck mobility on continence were
26,9 (SD 3,2) mm, 17,6 (SD 5,3) mm and 10,0 (SD 4,1) mm. There was no
differences between the distance of bladder neck to the symphysis pubic at rest on
stress urinary incontinence and continence 27,1 (SD 3,3) mm VS 26,3 (SD 3,5)
mm, p=0,523. Mean of distance of bladder neck to the symphysis pubic at
valsava on stress urinary incontinenc was lower than continence 6,3 (SD 7,1) mm
VS 16,3 (SD 5,2) mm, p=0,0001. Mean of bladder neck mobility on stress urinary
incontinence was greater than continence 20,8 ( SD 7,0) mm VS 10,0 (SD 4,8)
mm, p=0,0001.
Conclusion : Mean of distance of the bladder neck to the symphysis pubic at
valsava on stress urinary incontinenc was lower than continence. Mean of
bladder neck mobility on stress urinary incontinence was greater than continence]
T-Riry Meria.pdf :: Unduh