Ulin Hospital Research Articles

THE EFFECTIVENESS OF PROGRESSIVE MUSCLE RELAXATION ON SLEEP QUALITY OF PATIENT FAMILIES IN THE ICU ROOM

Background: Sleep quality is a person's level of satisfaction with their sleep. Poor sleep quality is a decrease in sleep quality which can be seen from frequently woke up dured sleep at night and had difficulty fell asleep. A person who lacks sleep can cause physical and psychological health to decline. Progressive muscle relaxation is a non-pharmacological therapy that can improve sleep quality Purpose: This research aims to determine the effectiveness of progressive muscle relaxation on the sleep quality of patient families in the ICU room Methods: This study uses a Quasi-experiment one group pretest posttest design with consecutive sampling technique on 30 families of patients in the ICU waited room used the RCSQ questionnaire. Bivariate analysis used the Wilcoxon test. Result: Data analysis shows the sig value. 0.000 (p > 0.05) so Ho is rejected, means that there is an effect of progressive muscle relaxation on the sleep quality of the patient's family in the ICU room at Ulin Hospital, Banjarmasin Result: The sleep quality of the patient's family before the intervention was 30 respondents who experienced poor sleep quality and after the intervention 30 respondents experienced good sleep quality. So this therapy can be used to improve the quality of family sleep Implication: There is the effectiveness of progressive muscle relaxation on the sleep quality of patient families in the ICU Room

Functional assessment of knee osteoarthritis in the hospital outpatient care unit

Background: Osteoarthritis is a joint cartilage disease that affects a patient’s quality of life as it limits the patient’s movement, reduces the ability to work, increases emotions, and leads to long-term depression. Objective: To report the functional status of Knee OA in outpatient care at Ulin Hospital Banjarmasin, Indonesia. Method: A cross-sectional study was conducted with a functional assessment of the patient's medical record data. The Western Ontario and McMaster University Osteoarthritis Index (WOMAC) instruments were used. Fifty-one respondents participated in the study. Result: Most respondents were female (86.27%), 50–59 years old (33.33%), and suffered from OA for less than one year (35.29%). In addition, 24 patients (47%) suffered from mild OA, and 27 patients (53%) had moderate OA, reflecting that patients might have issues with their physical function. Of all participants, 60.78% had grade three OA by Kellgren Lawrence's severity classification; others had grade two. All patients received intraarticular injections of hyaluronic acid. Conclusion: There was no statistically significant difference between the WOMAC score and the gender, age, degree of OA and duration of OA. Hence, this illustrates that patients would suffer more from OA along with disease progression.

The Effect Of Stress and Optimism on Resilience for Parents with Children Leukemia at Ulin Hospital Banjarmasin

Kanker Anak adalah penyakit yang mengancam jiwa dan penyebab utama kematian anak di negara berpenghasilan rendah dan menengah. Keluarga yang memiliki anak dengan penyandang kanker dapat memiliki dampak negatif pada kesejahteraan orang tua. Pengobatan leukemia yang panjang mnyebabkan dampak bagi orang tua oleh karena itu dibutuhkan resiliensi, beberapa faktor yang mempengaruhi resiliensi yakni stres dan optimisme. Tujuan penelitian ini adalah mengetahui hubungan stres dan optimisme terhadap resilience ibu yang memiliki anak penyandang leukemia di RSUD Ulin Banjarmasin. Desain survei analitik dan rancangan Cros-Sectional. Sampel adalah Ibu memiliki anak penyandang leukemia berjumlah 30 dengan teknik purposive sampling. Instrumen menggunakan kuesiner Stress Scale (PSS). Optimisme menggunakan kuesioner Life Orientation Test – Revised (LOT-R), Resiliensi menggunakan The Corner Davidson Resilience Questionnaire (CD-RISC) yang telah teruji validitas dan reabilitas. Analisis data univariat dilakukan untuk mengetahui frekuensi dan presentase, dan bivariat dilakukan menggunakan Kalmogorov-Smirnov untuk mengetahui hubungan antar variabel.

Level of Understanding of HPV Vaccine as Cervical Cancer Prevention at Ulin Hospital

Level of Understanding of HPV Vaccine as Cervical Cancer Prevention at Ulin Hospital

Comparison of the Effects of Leuprolide Acetate and Dienogest on Endometrioma Size at Ulin Hospital Banjarmasin for the Period of January-December 2022

Comparison of the Effects of Leuprolide Acetate and Dienogest on Endometrioma Size at Ulin Hospital Banjarmasin for the Period of January-December 2022

CD64 and I/T Ratio as a Diagnostic Test on Neonatal Sepsis in Banjarmasin

Neonatal sepsis remains a major problem in the service and care of neonates. The clinical features of neonatal sepsis are non-specific, which makes it difficult to diagnose. The primary objective of this study was to assess the clinical use of cluster of differentiation 64 as a diagnostic marker of neonatal infection. This research used an analytical observational study. The research subjects consisted of 43 samples of neonates at Ulin Hospital, Banjarmasin who had met the inclusion criteria. The results of the study concluded that there was no significant difference between the I/T ratio and cluster of differentiation 64 values in patients with suspected neonatal sepsis with the gold standard procalcitonin and/or blood culture at Ulin Hospital with p=0.874 for the I/T ratio and p=0.285 for cluster of differentiation 64. The diagnostic test for the I/T ratio with a cut-off of 0.2 showed a sensitivity of 23.8%, specificity of 72.7%, positive predictive value of 45.5%, negative predictive value of 50%, mean of 0.16, and median of 0.11. The results of the cluster of differentiation 64 diagnostic test with a cut-off of 2025 showed a sensitivity of 42.9%, specificity of 72.7%, positive predictive value of 81.8%, negative predictive value of 50%, mean of 2487.93, and median of 1671. There was no significant difference between the I/T ratio and cluster of differentiation 64 values in patients with suspected neonatal sepsis with the gold standard procalcitonin and/or blood culture at Ulin Hospital, Banjarmasin.

Increased Neutrophil Count Related to Bleeding Volume in Intracerebral Hemorrhage Cerebrovascular Accident

Background: Cerebrovascular accidents (CVA) was increasing per year. In Indonesia reached 550.000 cases per year. Ten to fifteen percent are types of CVA bleeding (CVA-B). Death and disability as complications of CVA-B are more often compared to an ischemic type. Early diagnosis of CVA-B is key to decreasing it’s complications. Unfortunately, diagnosis of early CVA-B requires excellent effort and spending more expense when using an advanced CT scan. Previous research has shown a relationship between leucocyte count and CVA, but there is no adequate data relating leukocyte count and mean arterial pressure (MAP) with bleeding volume in CVA-B patients.Objective: This study aimed to answer whether Leukocyte count combined with MAP can be a choice to diagnose CVA-B at an early stage.Methods: Analytic observational research was conducted with a cross-sectional approach. The population of this study was all patients with CVA intracerebral bleeding at Ulin Hospital of Banjarmasin. The patient's medical records and CT scans were used to assess the bleeding volume. The number of leukocytes and the patient's mean arterial pressure were tabulated and analyzed to their relationship with bleeding volume.Results: In this study, there was a significant relationship between the number of leukocytes and the volume of intracerebral hemorrhage (r=0.801, p=0.000). There was no significant relationship between the MAP and the volume of intracerebral hemorrhage (r=0,17, p=0,361)Conclusion: There is a strong relationship with a significant relationship between the number of leukocytes and the volume of bleeding in patients with intracerebral hemorrhage but no relationship with MAP.

Differences of bone quality in patients type II diabetes mellitus with mandibular cortical index analysis on panoramic radiograph

Objectives: This study aims to determine the quality of the mandibular cortex in Type II diabetes mellitus patients by analyzing the Mandibular Cortical Index on panoramic radiography. Materials and Methods: This type of research is unpaired comparative analytical design research using a cross-sectional stratified random sampling method and the Mann-Whitney statistical test. The subjects in this study were patients who visited and were diagnosed with type 2 DM for ≤ 5 years and > 5 years by doctors at the Endocrine Metabolic Internal Medicine Sub-Specialist Polyclinic, Ulin Hospital, Banjarmasin. Results: Respondents who had suffered ≤ 5 years had the highest mandibular cortical C2 index value of 10 (58.8%). Respondents who suffered > 5 years had the highest mandibular cortical C3 index value of 10 (58.8%). Diabetes mellitus patients with mandibular cortical C3 index value were ranked highest out of a total of 34 samples and were found in patients suffering from diabetes mellitus > 5 years. Conclusion: Patients with diabetes mellitus had poor bone quality, especially patients suffering from diabetes mellitus > 5 years.

PENGARUH ERITROPOETIN TERHADAP TINGKAT KEBERHASILAN TERAPI ANEMIA PADA PASIEN ANEMIA PADA PASIEN CHRONIC KIDNEY DISEASE DI RSUD ULIN BANJARMASIN

Chronic kidney disease (CKD) is kidney damage for more than 3 months. The medical in hospital taken was hemodialysis. The aim of this study was to determine the success rate of anemia therapy, the incidence of anemia in CKD patients, and determine the effect of erythropoietin administration on the success rate of anemia therapy in CKD patients at Ulin Hospital, Banjarmasin. This research is a non-experimental research, observational in nature. Data collection was carried out prospectively. The sample used in this study was patient hemoglobin data in medical records that met the inclusion and exclusion criteria. The sample selection method used was total sampling. The measurement of therapeutic success used is the patient's hemoglobin data after being given erythropoietin. The research data obtained is displayed descriptively analytically. The research results of 90 patients with CKD (Chronic Kidney Disease). The results obtained were that 50 patients (55.55%) achieved success in anemia therapy and 40 patients (45.45%) did not achieve success in anemia therapy. The incidence of anemia was 90 patients (100%). Based on the analysis of data obtained, there is an influence of erythropoietin on the success of anemia therapy in Chronic Kidney Disease (CKD) at Ulin Regional Hospital, Banjarmasin.

ANALISIS BIAYA DAN PENGUKURAN KUALITAS HIDUP YANG DIUKUR MENGUNAKAN INSTRUMEN EQ-5D PADA PASIEN PENYAKIT GAGAL GINJAL KRONIS YANG MENJALANI PENGOBATAN HEMODIALISIS

Treatment of end-stage chronic kidney failure is usually carried out by administering hemodialysis. This action has an impact on social, financial and psychological conditions and reduces the quality of life. The aim of this research is to determine the quality of life of chronic kidney failure patients who undergo hemodialysis and to calculate the average cost of drugs and medical equipment for hemodialysis. The research method was a crosssectional design, the data taken in August-September 2023 at Ulin Hospital Bajarmasin. The consecutive sampling t resulted in 70 respondents. Calculation of quality of life using the EQ-5D index calculator and the average cost using Microsoft Excel. The results showed that the cost of medicine was IDR.9,805,345 and medical equipment costs IDR.12,754.630, it was calculated for treatment for 1 month. The quality of life of patients who underwent hemodialysis was found to be 65% good and 34.3% poor quality of life where the average value of quality of life had an index of 0.6631. The conclusion obtained is that the cost for 1 month is IDR. 22,559,975 and the quality of life of patients undergoing hemodialysis treatment is in the good category with an average health index value of 0.6631

The relationship between living on the riverside and the length of stay of stroke patients at Ulin Hospital Banjarmasin Indonesia

The relationship between living on the riverside and the length of stay of stroke patients at Ulin Hospital Banjarmasin Indonesia

Influence of inflammatory factors (IL-6, CRP, NLPR, D-Dimer, LDH) on the PaO2/FiO2 ratio, in patients with severe and critical degrees of COVID-19

BACKGROUND: Several types of inflammatory biomarkers that are important in severe and critical Covid-19 infections include: levels of IL-6, C-reactive protein (CRP), lactate dehydrogenase (LDH), D-Dimer and neutrophil-lymphocyte platelet ratio (NLRP), which are independent variables. Meanwhile, the severity of Covid-19 infection can be determined by measuring the PaO2 /FiO2 ratio. However, the relationship between the PaO2/FiO2 ratio as the dependent variable is not yet known. AIMS: To analyze the relationship between PaO2/FiO2 ratio and inflammatory biomarkers in COVID-19 patients METHOD: An analytic observational study with a retrospective, cross-sectional approach. The research sample consisted of PCR-confirmed severe and critical COVID-19 patients who were treated in the isolation room of the Ulin Hospital in Banjarmasin from August–December 2021, who met the inclusion and exclusion criteria. Data analysis used the Spearman test to see the relationship between the PaO2/FiO2 ratio and various inflammatory markers. RESULT: 52 severe and critical patients were observed according to the research flow. The number of male and female subjects (32/20) was found. The mean age was 55.38 years. The correlation test found that: there was no significant relationship between the PaO2/FiO2 ratio and IL-6 (p = 0.964), but there was a negative correlation between the PaO2/FiO2 ratio and: a).CRP (p = 0.038), b).LDH ( p<0.001), c).NLPR (p = 0.013), and d). D-dimer (p<0.001). The inflammatory biomarkers NLPR, LDH, and D-dimer are important independent variables for the severity of COVID-19, namely the PaO2/FiO2 ratio. CONCLUSION: There are a significant correlation between the PaO2/FiO2 ratio to measure the severity of Covid-19 and several inflammatory biomarkers CRP, LDH, NLPR and D-dimer

The Correlations Between Clinical Characteristics and Inflammation Markers with Chest X-rays in COVID-19 Patients at Ulin Hospital

Background: Chest x-ray is one of the parameters used to estimate the severity and prognosis of COVID-19. Arterial oxygen saturation (SaO2), partial pressure of arterial oxygen (PaO2), and respiratory index (PaO­/FiO2) can also predict the disease severity. Other parameters, like inflammation markers, have also been used as predictors for prognosis. Based on those considerations, this study aimed to examine their connection and find their correlation.Methods: This was an analytic observational retrospective study. The samples were moderate-critical COVID-19 patients in Ulin General Hospital Banjarmasin from July to December 2021 who met the inclusion and exclusion criteria. Statistical tests were used to see the relationship between clinical characteristics and inflammation markers with chest X-rays using various scoring systems (Brixia, sRALE, and modified Soetomo score).Results: The total number of subjects was 67. The data analysis found that the severity of the disease had a significant relationship with the severity of the chest x-ray (P<0.001). The PF ratio also had a significant negative correlation (P<0.001) with the severity of the chest x-ray. For inflammation markers, NLR, CRP, and LDH significantly correlated with a chest x-ray. The patient's outcome was also associated with a chest X-ray (P<0.015).Conclusion: There were significant correlations between clinical characteristics and inflammation markers on the chest X-ray severity, and sRALE was a better scoring system to assess chest X-ray severity than other scoring systems.

Association Of Gestational Age And Birth Weight With Neonatal Sepsis In Ulin Hospital Banjarmasin

Indonesia is ranked 7th in the country with the highest neonatal mortality rate in the world, respectively 60.000 neonatal deaths per year. Neonatal sepsis in one of the major causes of neonatal death. The aim of this study is to find the association of gestational age and birth weight with the incidence of neonatal sepsis in Ulin Hospital Banjarmasin, January-December 2021. This study is a retrospective study with a cross sectional approach at Neonatal Ward, Ulin Hospital Banjarmasin, South Borneo, January to December 2021. The total sample was 200 infants consisting of 100 healthy infants and 100 sepsis infants. The source of gestational age, birth weight, and diagnosis data were taken through patient medical records. The mean gestational age of healthy infant group was 38,45 weeks (all infants were at term) while in septic infant group was 33,59 weeks (70%preterm, 28%at-term, and 2%post-term). The average birth weight of healthy infant group was 3021.24 grams (all infants were normal birth weight) while in septic infant group was 2003,59 grams (25%normal birth weight, 40%low birth weight, 25%very low birth weight, and 10%extremely low birth weight). There were an association of gestational age and birth weight with neonatal sepsis, confidential rate was 95%. (p<0,000 and p<0,000). There were an association of gestational age and birth weight with neonatal sepsis in Ulin Hospital Banjarmasin, January-December 2021.

ANALISIS TINGKAT KEPUASAN PASIEN TERHADAP KEPUTUSAN PINDAH KELAS PERAWATAN PASIEN BPJS

This study aims to analyze the effect of patient satisfaction with hospital services on the decision to move BPJS patient care classes at Ulin Hospital, Banjarmasin. The data collection technique used is quantitative, namely distributing questionnaires to BPJS patients. Participants in this study amounted to 75 people. Data analysis used ordinal logistic regression analysis. The level of patient satisfaction is measured using 4 factors, namely Tangible, Reliability, Assurance, and Empathy. The results showed that the patient satisfaction factors that had a significant effect were Assurance and Empathy. Overall, these two variables influenced the satisfaction assessment of patients treated at Ulin Hospital, Banjarmasin, by 27.5%.

Differences in Panoramic Mandibular Index value between male and female hypertension patients using panoramic radiography

Objectives: This study is aimed to analyze the panoramic mandibular index value in male and female hypertensive patients using panoramic radiography.
 Materials and Methods: This research is a comparative analytic research with a purposive sampling technique. The study sample was hypertensive patients at Ulin Hospital, Banjarmasin from March to May 2023.
 Results: The results showed that there was no statistically significant difference through statistical data on the panoramic mandibular index value between men (0.27 ± 0.07) and women (0.26 ± 0.09), The age group that experienced a decrease in mandibular cortical thickness was most in the age group ≥ 65 years (0.22 ± 0.06).
 Conclusion: It is known that there is no significant difference in the panoramic mandibular index value between women and men.

Characteristics of outpatient gynecology oncology services before and after COVID-19 pandemic at Ulin Regional General Hospital, Banjarmasin, Indonesia

HIGHLIGHTS The characteristics of gynecology oncology services at Ulin Regional General Hospital before and after the COVID-19 pandemic were evaluated. There was a decrease of 19% in the number of visits by Gynecology Oncology Clinic patients at Ulin Regional General Hospital between the period of March 2019 - February 2020 and March 2020 - February 2021. ABSTRACT Objective: The aim of this study was to investigate the characteristics of the Gynecology Oncology Outpatient Clinic at Ulin Hospital Banjarmasin before and after the COVID-19 pandemic. Materials and Methods: This descriptive study utilized existing patient data from the Gynecology Oncology Outpatient Clinic at Ulin Hospital Banjarmasin covering the period from March 2019 to February 2021. The study received ethical approval from the Ulin General Hospital ethics committee with clearance number 10/I-Reg Research/RSUDU/23. The collected data was presented in a tabular format to compare the service characteristics before the pandemic (March 2019 - February 2020) and after the pandemic (March 2020 – February 2021). Results: During the periods of March 2019 – February 2020 and March 2020 – February 2021, there was a reduction of 19% in patient visits. The number of patients undergoing treatment also decreased, from 1081 patients (53.9%) in the period of March 2019 – February 2020 to 926 patients (46.1%) in the period of March 2020 – February 2021. Notably, there was a decrease in the number of patients undergoing surgical procedures, dropping from 76 patients (70.4%) in the period of March 2019 – February 2020 to 32 patients (29.6%) in the period of March 2020 – February 2021. A similar trend was seen in patients receiving chemotherapy, with the count decreasing from 1005 patients (52.9%) in the period of March 2019 – February 2020 to 894 patients (47.1%) in the period of March 2020 – February 2021. These changes were attributed to various hospital measures implemented to address the COVID-19 pandemic, including a reduction in outpatient clinic visits and the temporary suspension of surgical procedures from March 2020 to October 2020 to minimize potential exposure. Conclusion: The study highlights a noticeable decline in both the frequency of visits to the Gynecology Oncology Outpatient Clinic at Ulin Regional General Hospital Banjarmasin and the number of patients receiving treatment during the periods before and after the onset of the COVID-19 pandemic.

Optimalisasi Pemanfaatan Buku KIA Pada Ibu Hamil Resiko Tinggi di Daerah Lahan Basah

AbstractMaternal mortality (MMR) and infant mortality (IMR) are critical health indicators. An essential part of the MCH service is using the MCH Handbook. The Maternal and Child Health Book is a tool or media midwives use to provide health information to pregnant women, women in childbirth, mothers and children. The results of RiskesDas showed that 80.8% had an MCH handbook, but only 40.4% could show an MCH handbook at the time of the survey, and 19.2% of mothers did not have an MCH handbook at all. The Obstetrics and Gynecology Outpatient at Ulin Hospital is a referral centre for high-risk mothers in the Banjarmasin Wetlands. This activity aims to optimize the use of MCH guidelines and carry out health education to increase the knowledge of high-risk pregnant women. This activity was conducted specifically for high-risk pregnant women who underwent routine ANC at the Ulin Hospital Obstetrics Outpatient in June-July 2023. The pre and post-questionnaires were filled in to assess the results of the counselling activitiesfor 60 pregnant women. Most pregnant women over 35 years (50%) multipara as much as 41.67%, anaemia 83.33%, K4 less than 50%. The cumulative high pre-test score was only 16.67%, and the high post-test score increased to 33.33% after this activity is hoped to be continued and developed by optimizing the MCH Handbook use. Keywords: MCH Handbook; pregnant mother; Activity

Correlation between Total Lymphocyte Count, C Reactive Protein, and Neutrophil Lymphocyte Ratio Levels with Gastrointestinal Manifestations in Covid-19 Patients Treated at Ulin Hospital, Banjarmasin

BACKGROUND: Coronavirus disease can affect the digestive system and cause gastrointestinal manifestations. The increase in C-reactive protein (CRP) correlates with the severity of the disease. The neutrophil-to-lymphocyte ratio (NLR) is a useful prognostic factor in the early screening of patients with COVID-19. A low lymphocyte count can also predict gastrointestinal involvement. AIM: This study aims to determine the correlation between TLC, CRP, and NLR levels on gastrointestinal manifestations in COVID-19 patients treated at Ulin General Hospital, Banjarmasin. METHODS: This study used a cross-sectional design. Data were taken consecutively using the medical records of confirmed COVID-19 patients with gastrointestinal manifestations. The number of subjects in this study was 88 patients. RESULTS: A decrease in TLC levels (<1740 g/dL) was not proven to have a significant correlation with gastrointestinal manifestations in COVID-19 patients (p = 0.176). Increased levels of CRP (>48 mg/L) had a significant correlation by 5.71 times compared to subjects who did not experience increased CRP (p < 0.00001). Increased levels of the NLR (>6 mg/L) had a significant correlation by 2.82 times compared to subjects who did not experience an increase in NLR (p = 0.032). CONCLISION: An increase in CRP levels >48 mg/L and levels of NLR >6, respectively, allowed the subject to experience gastrointestinal symptoms by 5.71 times and 2.82 times when infected with COVID-19, while a decrease in total lymphocyte count <1740 was not proven to have a significant correlation with gastrointestinal manifestations.

Relationship between Prolonged QT Interval and Mortality in COVID-19 Patients at Ulin Hospital, Banjarmasin

Relationship between Prolonged QT Interval and Mortality in COVID-19 Patients at Ulin Hospital, Banjarmasin