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Hery Agung Samsu Alam
"ABSTRAK
Latar Belakang: Kesinambungan berobat memiliki peran penting dalam
keberhasilan tatalaksana pasien HIV. Hingga saat ini, belum dilakukan penelitian
untuk melihat proporsi pasien yang masih tetap berobat di UPT HIV RSCM
maupun profil dari pasien-pasien tersebut.
Tujuan: Mengetahui proporsi dan profil pasien yang masih tetap berobat di UPT
HIV RSCM.
Metode: Studi dengan metode potong lintang pada pasien HIV yang baru
terdiagnosis dan berobat di UPT HIV RSUPNCM dalam periode Januari 2004 -
Desember 2013. Data diperoleh melalui ekstraksi data sekunder yang berasal dari
rekam medik. Penelitian dilakukan terhadap pasien HIV yang berusia diatas 18
tahun dan belum menjalani terapi ARV. Pasien yang tetap berobat sampai akhir
2014 didefinisikan sebagai pasien yang tetap kontrol ke poliklinik sejak awal pasien
datang ke UPT HIV hingga minimal tiga bulan sebelum akhir Desember 2014.
Hasil: Sebanyak 4949 subjek diikutkan dalam penelitian ini. Didapatkan proporsi
pasien yang tetap berobat sampai akhir 2014 adalah 23% (1136 subjek). Selain itu,
subjek dengan jenis kelamin wanita (26,6%), berusia ≥35 tahun (usia 35-44 tahun
sebesar 25,5% dan ≥45 tahun sebesar 35,5%), pendidikan terakhir diatas SMU
(26,8%), menikah/dengan pasangan (25%), beralamat di Bodetabek (26,1%),
stadium klinis IV (28,3%), memiliki angka CD4 awal 201-350 sel/mm3 (35%), dan
bukan penasun (28%) adalah subjek terbanyak yang tetap berobat sampai akhir
2014.
Simpulan: Proporsi pasien yang tetap berobat sampai akhir 2014 adalah 23% (1136
subjek). Selain itu, pasien dengan jenis kelamin wanita, berusia ≥35 tahun,
pendidikan terakhir diatas SMU, menikah/tinggal dengan pasangan, beralamat di
Bodetabek, stadium klinis IV, memiliki angka CD4 awal 201-350 sel/mm3, dan
bukan penasun merupakan kelompok subjek terbanyak yang tetap berobat sampai akhir 2014.ABSTRACT
Background: Continued medical treatment serves an important role in the
successful management of patients with HIV. Until this present day, there has never
been any research which seeks to examine the proportion of patients who continue
their medical treatment at HIV Integrated Service Unit of National Central General
Hospital Cipto Mangunkusumo (RSUPNCM) and the profiles of those patients.
Objectives: To discover the proportion and to generate the profiles of patients who
continued their medical treatment at HIV Integrated Service Unit, RSUPNCM.
Methods: This research was conducted by applying the cross-sectional method on
patients who were diagnosed with HIV and were subsequently undergoing medical
treatment at HIV Integrated Service Unit, RSUPNCM, during the period of January
2004 to December 2013. Data were obtained by extracting secondary data in the
form of medical records. The subjects of the research are HIV patients who are
more than 18 years of age and have not undergone anti-retroviral (ARV) treatments.
Patients who continued their medical treatment until the end of 2014 are defined as
patients who have undergone medical treatment at the polyclinic starting from their
first visit to HIV Integrated Service Unit until at least three months prior to the end
of December 2014.
Results: As many as 4949 subjects participated in this research. We found that the
proportion of patients who continued their medical treatment until the end of 2014
is 23% (1136 subjects). In addition to that, we also found that female subjects
(26.6%) who are ≥35 years of age (25.5% for those between 35 and 44 years of age
and 35.5% for those ≥45 years of age); whose education is higher than Senior High
School level (26.8%); who have married or live with their respective partners
(25%); who reside in Bogor, Depok, Tangerang, or Bekasi areas (26.1%); who have
reached clinical stage IV (28.3%); whose initial CD4 count is 201?350 cells/mm
3
(35%); and who are not injecting drug users (IDUs) (28%) constitute the largest
group of subjects who continued their medical treatment until the end of 2014.
Conclusion: The proportion of patients who continued their medical treatment until
the end of 2014 is 23% (1136 subjects). In addition to that, female patients who are
≥35 years of age; whose education is higher than Senior High School level; who
have married or live with their respective partners; who reside in Bogor, Depok,
Tangerang, or Bekasi areas; who have reached clinical stage IV (28.3%); whose
initial CD4 count is 201?350 cells/mm
3
, and who are not injecting drug users
(IDUs) constitute the largest group of subjects who continued their medical
treatment until the end of 2014.;Background: Continued medical treatment serves an important role in the
successful management of patients with HIV. Until this present day, there has never
been any research which seeks to examine the proportion of patients who continue
their medical treatment at HIV Integrated Service Unit of National Central General
Hospital Cipto Mangunkusumo (RSUPNCM) and the profiles of those patients.
Objectives: To discover the proportion and to generate the profiles of patients who
continued their medical treatment at HIV Integrated Service Unit, RSUPNCM.
Methods: This research was conducted by applying the cross-sectional method on
patients who were diagnosed with HIV and were subsequently undergoing medical
treatment at HIV Integrated Service Unit, RSUPNCM, during the period of January
2004 to December 2013. Data were obtained by extracting secondary data in the
form of medical records. The subjects of the research are HIV patients who are
more than 18 years of age and have not undergone anti-retroviral (ARV) treatments.
Patients who continued their medical treatment until the end of 2014 are defined as
patients who have undergone medical treatment at the polyclinic starting from their
first visit to HIV Integrated Service Unit until at least three months prior to the end
of December 2014.
Results: As many as 4949 subjects participated in this research. We found that the
proportion of patients who continued their medical treatment until the end of 2014
is 23% (1136 subjects). In addition to that, we also found that female subjects
(26.6%) who are ≥35 years of age (25.5% for those between 35 and 44 years of age
and 35.5% for those ≥45 years of age); whose education is higher than Senior High
School level (26.8%); who have married or live with their respective partners
(25%); who reside in Bogor, Depok, Tangerang, or Bekasi areas (26.1%); who have
reached clinical stage IV (28.3%); whose initial CD4 count is 201?350 cells/mm
3
(35%); and who are not injecting drug users (IDUs) (28%) constitute the largest
group of subjects who continued their medical treatment until the end of 2014.
Conclusion: The proportion of patients who continued their medical treatment until
the end of 2014 is 23% (1136 subjects). In addition to that, female patients who are
≥35 years of age; whose education is higher than Senior High School level; who
have married or live with their respective partners; who reside in Bogor, Depok,
Tangerang, or Bekasi areas; who have reached clinical stage IV (28.3%); whose
initial CD4 count is 201?350 cells/mm
3
, and who are not injecting drug users
(IDUs) constitute the largest group of subjects who continued their medical
treatment until the end of 2014.;Background: Continued medical treatment serves an important role in the
successful management of patients with HIV. Until this present day, there has never
been any research which seeks to examine the proportion of patients who continue
their medical treatment at HIV Integrated Service Unit of National Central General
Hospital Cipto Mangunkusumo (RSUPNCM) and the profiles of those patients.
Objectives: To discover the proportion and to generate the profiles of patients who
continued their medical treatment at HIV Integrated Service Unit, RSUPNCM.
Methods: This research was conducted by applying the cross-sectional method on
patients who were diagnosed with HIV and were subsequently undergoing medical
treatment at HIV Integrated Service Unit, RSUPNCM, during the period of January
2004 to December 2013. Data were obtained by extracting secondary data in the
form of medical records. The subjects of the research are HIV patients who are
more than 18 years of age and have not undergone anti-retroviral (ARV) treatments.
Patients who continued their medical treatment until the end of 2014 are defined as
patients who have undergone medical treatment at the polyclinic starting from their
first visit to HIV Integrated Service Unit until at least three months prior to the end
of December 2014.
Results: As many as 4949 subjects participated in this research. We found that the
proportion of patients who continued their medical treatment until the end of 2014
is 23% (1136 subjects). In addition to that, we also found that female subjects
(26.6%) who are ≥35 years of age (25.5% for those between 35 and 44 years of age
and 35.5% for those ≥45 years of age); whose education is higher than Senior High
School level (26.8%); who have married or live with their respective partners
(25%); who reside in Bogor, Depok, Tangerang, or Bekasi areas (26.1%); who have
reached clinical stage IV (28.3%); whose initial CD4 count is 201?350 cells/mm
3
(35%); and who are not injecting drug users (IDUs) (28%) constitute the largest
group of subjects who continued their medical treatment until the end of 2014.
Conclusion: The proportion of patients who continued their medical treatment until
the end of 2014 is 23% (1136 subjects). In addition to that, female patients who are
≥35 years of age; whose education is higher than Senior High School level; who
have married or live with their respective partners; who reside in Bogor, Depok,
Tangerang, or Bekasi areas; who have reached clinical stage IV (28.3%); whose
initial CD4 count is 201?350 cells/mm
3
, and who are not injecting drug users
(IDUs) constitute the largest group of subjects who continued their medical
treatment until the end of 2014.;Background: Continued medical treatment serves an important role in the
successful management of patients with HIV. Until this present day, there has never
been any research which seeks to examine the proportion of patients who continue
their medical treatment at HIV Integrated Service Unit of National Central General
Hospital Cipto Mangunkusumo (RSUPNCM) and the profiles of those patients.
Objectives: To discover the proportion and to generate the profiles of patients who
continued their medical treatment at HIV Integrated Service Unit, RSUPNCM.
Methods: This research was conducted by applying the cross-sectional method on
patients who were diagnosed with HIV and were subsequently undergoing medical
treatment at HIV Integrated Service Unit, RSUPNCM, during the period of January
2004 to December 2013. Data were obtained by extracting secondary data in the
form of medical records. The subjects of the research are HIV patients who are
more than 18 years of age and have not undergone anti-retroviral (ARV) treatments.
Patients who continued their medical treatment until the end of 2014 are defined as
patients who have undergone medical treatment at the polyclinic starting from their
first visit to HIV Integrated Service Unit until at least three months prior to the end
of December 2014.
Results: As many as 4949 subjects participated in this research. We found that the
proportion of patients who continued their medical treatment until the end of 2014
is 23% (1136 subjects). In addition to that, we also found that female subjects
(26.6%) who are ≥35 years of age (25.5% for those between 35 and 44 years of age
and 35.5% for those ≥45 years of age); whose education is higher than Senior High
School level (26.8%); who have married or live with their respective partners
(25%); who reside in Bogor, Depok, Tangerang, or Bekasi areas (26.1%); who have
reached clinical stage IV (28.3%); whose initial CD4 count is 201?350 cells/mm
3
(35%); and who are not injecting drug users (IDUs) (28%) constitute the largest
group of subjects who continued their medical treatment until the end of 2014.
Conclusion: The proportion of patients who continued their medical treatment until
the end of 2014 is 23% (1136 subjects). In addition to that, female patients who are
≥35 years of age; whose education is higher than Senior High School level; who
have married or live with their respective partners; who reside in Bogor, Depok,
Tangerang, or Bekasi areas; who have reached clinical stage IV (28.3%); whose
initial CD4 count is 201?350 cells/mm
3
, and who are not injecting drug users
(IDUs) constitute the largest group of subjects who continued their medical
treatment until the end of 2014.;Background: Continued medical treatment serves an important role in the
successful management of patients with HIV. Until this present day, there has never
been any research which seeks to examine the proportion of patients who continue
their medical treatment at HIV Integrated Service Unit of National Central General
Hospital Cipto Mangunkusumo (RSUPNCM) and the profiles of those patients.
Objectives: To discover the proportion and to generate the profiles of patients who
continued their medical treatment at HIV Integrated Service Unit, RSUPNCM.
Methods: This research was conducted by applying the cross-sectional method on
patients who were diagnosed with HIV and were subsequently undergoing medical
treatment at HIV Integrated Service Unit, RSUPNCM, during the period of January
2004 to December 2013. Data were obtained by extracting secondary data in the
form of medical records. The subjects of the research are HIV patients who are
more than 18 years of age and have not undergone anti-retroviral (ARV) treatments.
Patients who continued their medical treatment until the end of 2014 are defined as
patients who have undergone medical treatment at the polyclinic starting from their
first visit to HIV Integrated Service Unit until at least three months prior to the end
of December 2014.
Results: As many as 4949 subjects participated in this research. We found that the
proportion of patients who continued their medical treatment until the end of 2014
is 23% (1136 subjects). In addition to that, we also found that female subjects
(26.6%) who are ≥35 years of age (25.5% for those between 35 and 44 years of age
and 35.5% for those ≥45 years of age); whose education is higher than Senior High
School level (26.8%); who have married or live with their respective partners
(25%); who reside in Bogor, Depok, Tangerang, or Bekasi areas (26.1%); who have
reached clinical stage IV (28.3%); whose initial CD4 count is 201?350 cells/mm
3
(35%); and who are not injecting drug users (IDUs) (28%) constitute the largest
group of subjects who continued their medical treatment until the end of 2014.
Conclusion: The proportion of patients who continued their medical treatment until
the end of 2014 is 23% (1136 subjects). In addition to that, female patients who are
≥35 years of age; whose education is higher than Senior High School level; who
have married or live with their respective partners; who reside in Bogor, Depok,
Tangerang, or Bekasi areas; who have reached clinical stage IV (28.3%); whose
initial CD4 count is 201?350 cells/mm
3
, and who are not injecting drug users
(IDUs) constitute the largest group of subjects who continued their medical
treatment until the end of 2014."
Fakultas Kedokteran Universitas Indonesia, 2015
SP-PDF
UI - Tugas Akhir  Universitas Indonesia Library
cover
Dewi Mira Ratih
"Latar Belakang: Petugas kesehatan memiliki risiko terpajan darah atau jaringan tubuh saat bekerja. World Health Organization WHO memperkirakan adanya 3 juta pajanan setiap tahunnya pada 35 juta petugas kesehatan. Adanya profilaksis pascapajanan dapat menurunkan risiko penularan.Tujuan: Mengetahui pelaksanaan profilaksis pascapajanan terhadap terhadap HIV, hepatitis B dan hepatitis C pada petugas kesehatan di RSUPN Cipto Mangunkusumo RSCM .Metode: Penelitian potong lintang dilakukan pada petugas terpajan yang terdata melalui laporan IGD, poli pegawai dan UPT HIV pada tahun 2014-2016. Data dikumpulkan dan diolah melalui SPSS versi 20.Hasil Penelitian: Dari 196 pekerja yang melaporkan pajanan, sebagian besar merupakan perempuan 69,9 , bekerja sebagai perawat 38,3 dan dokter 38,3 , serta terpajan secara perkutan 93,4 . Anti-HIV reaktif ditemui pada 25 13 sumber pajanan, HBsAg reaktif pada 13 8 dan anti-HCV reaktif pada 12 6 sumber. Petugas dengan anti-HBs protektif adalah 55 28,1 petugas. Dari 183 pajanan berisiko, 45,9 81 petugas direkomendasikan pemberian ARV, 81,5 66 petugas melakukan profilaksis dengan ARV, 60 petugas minum ARV secara lengkap 28 hari . Follow-up anti-HIV bulan ke-3 dan 6 dilakukan oleh 44 24 dan 41 22,4 petugas. Terdapat 37 pekerja yang direkomendasikan menerima vaksinasi Hepatitis B dan/atau immunoglobulin HBIG . Dari 22 59 yang direkomendasikan vaksinasi hepatitis B, hanya 1 2,7 yang melakukan. Dari 15 41 yang direkomendasikan vaksinasi hepatitis B dan HBIG, hanya 2 5,4 yang melakukannya. Follow-up 3 dan 6 bulan HBsAg serta anti-HBs dilakukan oleh 41 31,1 , 38 28,8 dan 2 1,5 petugas. Dari 182 petugas yang melakukan follow-up anti-HCV bulan ke 3 dan ke 6 adalah 39 21,4 dan 37 20,3 petugas.Kesimpulan: Pelaksanaan profilaksis pasca pajanan terhadap HIV, hepatitis B dan hepatitis C masih rendah. Oleh karena itu, penanganan profilaksis secara komprehensif penting dilakukan termasuk peningkatan pengetahuan dan kesadaran pekerja, peninjauan kembali SOP, dan komunikasi yang efektif.
Introduction Health care workers HCW have exposure risk of blood or body tissue at work. World Health Organization WHO estimates there is 3 millions exposure to 35 millions workers annually. The existance of post exposure prophylaxis could reduce the transmission risk.Goal To identify the implementation of post exposure prophylaxis of HIV, Hepatitis B, and Hepatitis C among HCW in RSUPN Cipto Mangunkusumo RSCM .Method A cross sectional study was conducted to exposured workers who had been recorded in emergency ward, employee ward, and UPT HIV on 2014 2016. Data was collected and analyzed with SPSS 20.Result Among 196 HCW who reported the exposure, most of them were female 69.9 , worked as nurse 38.3 and doctor 38.3 , and exposed percutaneously 93.4 . Positive anti HIV was found in 25 13 people of exposure sources, positive HBsAg in 13 8 people and positive HCV in 12 6 people. Workers with protective anti HBs were 55 28.1 people. In 183 reports, 81 45,9 workers were recommended to receive ARV, 66 81.5 workers did receive it, and 40 60 workers took complete ARV 28 days . Follow up 3 and 6 months was done by 44 24 and 41 22,4 workers. There were 37 workers recommended to receive Hepatitis B vaccination and or immunoglobulin HBIG . In 22 59 recommended to receive Hepatitis B vaccination, only 1 2,7 who took that. In 15 41 recommended to receive both Hepatitis B vaccination and immunoglobulin, only 2 5,4 who took both. Follow up of HBsAg and anti HBs on 3rd and 6th months were done by 41 31,1 , 38 28,8 and 2 1,5 workers who were recommended to receive prophylaxis. In 182 workers recommended to do follow up of anti HCV, 39 21,4 and 37 20,3 workers did the follow up on 3rd and 6th month.Conclusion The implementation of post exposure propyhlaxis of HIV, Hepatitis B, and Hepatitis C was still low. Thus, it was important to do the management of prophylaxis comprehensively. It was also included the increasing of worker rsquo s knowledge and awareness, reconsidering the operational standard, and communicating effectively. "
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2018
T58568
UI - Tesis Membership  Universitas Indonesia Library