1,526 research outputs found
Perdarahan Uterus Abnormal (PUA) di Rumah Sakit Umum Pusat Haji Adam Malik Medan Tahun 2020-2021
Background. Abnormal uterine bleeding (AUB) is one of the most common gynecological conditions in women of reproductive age. AUB is described as menstrual complaints in terms of regularity, frequency, duration, volume and occurs outside of pregnancy. Aim. To identify how the incidence of Abnormal Uterine Bleeding (AUB) at the RSUP H. Adam Malik Medan in 2020-2021. Method. This research is a descriptive study with a cross sectional design. Sampling was taken using total sampling and using retrospective data in the form of medical records with a diagnosis of AUB at RSUP H. Adam Malik Medan in 2020-2021. Results. There were 197 cases of AUB with the highest distribution in the age group of 41-50 years with 84 people (42.6%). The most cases of AUB with obese BMI were 91 people (46.2%), married status as many as 176 people (89.3%), had the last education level of senior high school as many as 99 people (50.3%), 144 people (73.1%) got their first menstruation when they were >12 years old, 80 people (40.6%) had multipara parity, 90 people (45.7%) received medical therapy. Based on the PALM-COEIN classification, the most AUB cases were AUB-L with 99 people (50.3%). Based on the classification of AUB-L locations, most locations were submucosa with 38.6%. Conclusion. Based on the research, it was found that AUB-L cases were still the most common cases at the RSUP H. Adam Malik Medan in 2020-2021.115 HalamanSkripsi Sarjan
Pengaruh Kualitas Pelayanan dan Kepuasan Terhadap Loyalitas Pasien Rawat Jalan Rumah Sakit H Adam Malik Medan
Dalam penelitian ini yang berjudul "Pengaruh Kualitas Pelayanan dan Kepuasan Terhadap Loyalitas Pasien Rawat Jalan Rumah Sakit H Adam Malik Medan", penulis meneliti apakah ada hubungan yang positif antara kualitas jasa dan kepuasan dengan loyalitas pasien rawat jalan rumah sakit H. Adam Malik Medan.Tujuan Penelitian ini adalah untuk mengetahui: Kualitas pelayanan rawat jalan yang diterapkan di Rumah Sakit H. Adam Malik Medan, Kepuasan pasien terhadap loyalitas Rumah Sakit Adam Malik Medan, dan Besar pengaruh kualitas pelayanan dan kepuasan pasien terhadap loyalitas pasien rawat jalan dan rawat inap Rumah Sakit H. Adam Malik Medan.
Metode yang digunakan dalam penelitian ini adalah metode deskriptif dan verifikatif melalui pendekatan survey. Metode pengambilan sampel dalam penelitian ini adalah dengan metode probability sampling, yaitu suatu teknik penarikan sampel yang memberikan kesempatan yang sama pada setiap anggota populasi untuk terpilih menjadi sampel. Dengan ukuran populasi (N) 41024, maka jumlah pasien rawat inap yang akan dijadikan responden dihitung menggunakan rumus Slovin (Suliyanto, 2006: 100) jumlah responden penelitian ini dengan tingkat kesalahan sebesar 10% (tingkat kepercayaan 90%) adalah 100 responden.
Berdasarkan hasil perhitungan korelasi rank spearman didapat sebesar memiliki keeratan hubungan yang kuat dengan Loyalitas Pasien (Y) Rawat Jalan Rumah Sakit H. Adam Malik Medan. Perhitungan koefisien determinasi dalam persen diperoleh hasil sebesar 58,6%, artinya variabel kualitas pelayanan Xi, an kepuasan O mempunyai pengaruh terhadap loyalitas pasien, sebesar 58,6% dan sisanya 41,4% dipengaruhi oleh faktor lain. Dari hasil pengujian hipotesis diperoleh bahwa nilai (68,740) Fabel artinya Ho ditolak dan Ha diterima. Dengan demikian kualitas pelayanan Xil, dan berpengaruh terhadap loyalitas pasien (Y) Rawat Jalan Rumah Sakit H. Adam Malik Medan
Hubungan Efikasi Diri terhadap Kualitas Hidup Pasien Kanker Serviks yang Sedang Menjalani Radioterapi di RSUP Haji Adam Malik Medan
Introduction. Cervical cancer is the second most common cancer that attacks women. Cervical cancer is classified as malignant, but its development can still be prevented with radiotherapy. Cervical cancer and its treatment can affect the patient's physical, mental and social well-being which impacts the patient's quality of life. Self-efficacy is needed for patients so that their quality of life becomes better so that the results of treatment for cervical cancer patients will have a positive impact. Objective. To determine the relationship between self-efficacy and the quality of life of cervical cancer patients undergoing radiotherapy at Haji Adam Malik General Hospital, Medan. Method. This research uses a cross sectional design. The instruments used were the general self-efficacy, EORTC QLQ-C30, and EORTC QLQ-CX24 questionnaires. The population in this study was 42 cervical cancer patients undergoing radiotherapy at Haji Adam Malik central general hospital Medan. Results and Discussion. The majority of respondents had high self-efficacy at 73.8% and from the 24 aspects of the EORTC QLQ quality of life assessment, good quality of life was found to be greater than bad quality of life. The results of the Kendall's Tau B correlation test show that there is a significant relationship between self-efficacy and 24 aspects of the EORTC QLQ quality of life assessment in post-radiotherapy cervical cancer patients at Haji Adam Malik General Hospital, Medan (with r values between the following values; 0.327 ≥ r ≥ 0.523 and p < 0.05). Conclusion. The quality of life of 42 cervical cancer patients undergoing radiotherapy at Haji Adam Malik central general hospital Medan affects the patient's self-efficacy.140 HalamanSkripsi Sarjan
Hubungan Efikasi Diri terhadap Kualitas Hidup Pasien Kanker Serviks yang Sedang Menjalani Radioterapi di RSUP Haji Adam Malik Medan
Introduction. Cervical cancer is the second most common cancer that attacks women. Cervical cancer is classified as malignant, but its development can still be prevented with radiotherapy. Cervical cancer and its treatment can affect the patient's physical, mental and social well-being which impacts the patient's quality of life. Self-efficacy is needed for patients so that their quality of life becomes better so that the results of treatment for cervical cancer patients will have a positive impact. Objective. To determine the relationship between self-efficacy and the quality of life of cervical cancer patients undergoing radiotherapy at Haji Adam Malik General Hospital, Medan. Method. This research uses a cross sectional design. The instruments used were the general self-efficacy, EORTC QLQ-C30, and EORTC QLQ-CX24 questionnaires. The population in this study was 42 cervical cancer patients undergoing radiotherapy at Haji Adam Malik central general hospital Medan. Results and Discussion. The majority of respondents had high self-efficacy at 73.8% and from the 24 aspects of the EORTC QLQ quality of life assessment, good quality of life was found to be greater than bad quality of life. The results of the Kendall's Tau B correlation test show that there is a significant relationship between self-efficacy and 24 aspects of the EORTC QLQ quality of life assessment in post-radiotherapy cervical cancer patients at Haji Adam Malik General Hospital, Medan (with r values between the following values; 0.327 ≥ r ≥ 0.523 and p < 0.05). Conclusion. The quality of life of 42 cervical cancer patients undergoing radiotherapy at Haji Adam Malik central general hospital Medan affects the patient's self-efficacy.140 HalamanSkripsi Sarjan
Gambaran Karakteristik Efusi Pleura di RSUP Haji Adam Malik Tahun 2015
Efusi pleura adalah akumulasi cairan abnormal di rongga pleura yang diakibatkan oleh transudasi atau eksudasi yang berlebihan dari permukaan pleura dan merupakan komplikasi dari berbagai penyakit. Efusi pleura merupakan akumulasi cairan dalam rongga pleura dan merupakan masalah umum dalam medis. Tujuan penelitian ini adalah untuk meneliti tentang karakteristik efusi pleura di RSUP Haji Adam Malik.
Penelitian ini bersifat retrospektif dan deskriptif. Total sampel yang didapatkan adalah sebanyak 108 orang yang memenuhi kriteria inklusi. Data pasien Efusi Pleura dikumpulkan melalui rekam medik.
Hasil dari penelitian ini menunjukkan bahwa dari jenis kelamin, laki-laki adalah sebanyak 56,6 % dan perempuan sebanyak 43,5%, Distribusi berdasarkan umur menunjukkan prevalensi paling banyak berlaku efusi pleura adalah pada kategori lansia akhir (>55-65 tahun) (23,1%) diikuti dengan manula sebanyak 21,3% dan yang paling sedikit adalah kategori remaja akhir (17-25 tahun) sebanyak (7,4%). Keluhan utama pada pasien dengan efusi pleura adalah dispnea dengan jumlah sebanyak 53,7%. Untuk lokasi cairan efusi pleura, lokasi dekstra adalah paling banyak dengan persentase (45,4%). Etiologi yang terbesar adalah eksudat dengan persentase sebanyak (59,3%).
Karakteristik yang didapatkan pada pasien efusi pleura di RS Haji Adam Malik bisa memberikan manfaat pada pihak peneliti,pihak Rumah Sakit dan Dinas Kesehatan sehingga dapat meningkatkan dan memberikan pengetahuan tentang pasien efusi pleura, etiologi dan lokasi cairan yang sering terjadi pada pasien efusi pleura.Pleura Effusion is an abnormal accumulation of fluid in the pleural cavity that is cause by excessive transudate and exudate from the pleural surface and it is a complication from various diseases. It is also a common medical problem. The purpose of this study was to examine the characteristics of pleural effusion in Haji Adam Malik Hospital.
This is a retrospective and descriptive study.The total sample of 108 people is obtained full-filled the inclusion criteria. Data of patient with pleural effusion is obtained through medical records.
The result of this study showed that of the gender, 56.6 % are men and 43.5% are women. The distribution by age are highest with percentage of in the late elderly category (>55-65 years) 23.1 %, followed by the aged adult with 21,3% and the least from the category of adolescent (17-25) with 7.4 % .The main complaints in patient with pleural effusion is dyspnea with a total of 53.7%. Base on the location of the pleural effusion, dextra (right) is the most common with 45.5%. Exudate is the highest cause with the percentage as much as 59.3%
Characteristics that is obtained from patient of pleural effusion in Haji Adam Malik Hospital can provide benefits and provide knowledge about patient with pleural effusion, etiology of pleural effusion and location of fluid that often occurs in patients with pleural effusion.51 HalamanSkripsi Sarjan
Lipid Profile of Diabetes Melitus Patiens with Chronic Kidney Disease at Haji Adam Malik Hospital Medan
Introduction. Patients with diabetes mellitus (DM) with chronic kidney disease (CKD) in Indonesia often experience dyslipidemia, which is characterized by an increase in total cholesterol, LDL cholesterol, and triglyceride levels, as well as a decrease in HDL cholesterol levels. Chronic hyperglycemia in DM patients also affects lipid metabolism, worsening existing dyslipidemia conditions. Purpose. To find out the Lipid Profile of Diabetes Mellitus patients with Chronic Kidney Disease at Haji Adam Malik Hospital Medan. Method. This research is in quantitative form with a descriptive design. The population of this study is 100 patients with Diabetes Mellitus with Chronic Kidney Disease at Haji Adam Malik Hospital Medan in 2023. Data collection used medical records and sampling techniques using consecuetive sampling to assess Lipid Profile (Total Cholesterol, HDL, LDL, Triglycerides). Result. The study showed that the Lipid Profile in Diabetes Mellitus patients with Chronic Kidney Disease at Haji Adam Malik Hospital Medan; Total cholesterol is the most in the normal category (72%). Based on HDL is most in the low category as much as (69%). Based on LDL the most optimal as many as (59%) The most triglyceride levels are in the normal category as much as (58%). Based on the table of the most blood sugar levels in the Diabetes category (64%). Conclusion. The lipid profile of Diabetes Mellitus patients with Chronic Kidney Disease at Haji Adam Malik Hospital Medan has the most total cholesterol in the normal category (72%). Based on HDL is most in the low category as much as (69%). Based on LDL the most optimal as many as (59%) The most triglyceride levels are in the normal category as much as (58%).79 PagesSkripsi Sarjan
Clinical and Laboratory Characteristics of Sepsis in Children at H. Adam Malik General Hospital Medan, 2022- 2024
Background: Pediatric sepsis is a leading cause of morbidity and mortality worldwide. This condition involves a complex systemic inflammatory response that can lead to organ dysfunction and death. Data on the clinical and laboratory characteristics of pediatric sepsis are crucial for understanding disease patterns;
however, related studies in Indonesia, particularly at RSUP H. Adam Malik,
remain limited. Objective: To identify the clinical and laboratory characteristics of pediatric sepsis at RSUP H. Adam Malik. Methods: A descriptive observational study with a retrospective approach. Results: The findings showed that the clinical characteristics of pediatric sepsis at RSUP H. Adam Malik were dominated by fever of 36–38.4 °C (71%), normocardic status (58.6%), absence of
tachypnea (56.9%), GCS of 0 points (62%), normotension (79.3%), and normal pupillary response (94.8%). Laboratory characteristics revealed elevated CRP levels (98.3%), high PCT levels (87.9%), low NLR (77.6%), normal creatinine (65.5%), normal lactatemia (69%), normal PaO₂ range, PaCO₂ ≤58 mmHg
(93.1%), and normal platelet counts (55.2%). All patients received invasive ventilation (100%). Conclusion: This study concludes that the clinical characteristics of pediatric sepsis at RSUP H. Adam Malik were predominantly marked by fever of 36–38.4 °C, normocardic status, absence of tachypnea, low
GCS scores, normotension, and normal pupillary response. In terms of laboratory findings, most patients had elevated CRP and PCT levels, low NLR, normal creatinine and lactatemia, as well as PaO₂ and PaCO₂ within normal limits, with
all patients undergoing varying types of invasive ventilation.72 PagesSkripsi Sarjan
Gambaran Karakteristik Pasien dengan Kanker Endometriumdi RSUP. H. Adam Malik Periode 2015
Pendahuluan: Kanker endometrium adalah tumor ganas epitel primer diendometrium,
umumnya dengan diferensiasi glandular dan berpotensi mengenai miometrium dan
menyebar luas. Insidensikan kerendometrium mencapai 8% dari seluruh kejadian kanker
pada perempuan. Penelitian ini bertujuan untuk mengetahui gambaran karakteristik
pasien kanker endometrium di RSUP H Adam Malik pada tahun 2015.
Objektif : Penelitian ini dilakukan dengan tujuan untuk melihat gambaran
karakteristik pasien dengan kanker endometrium.
Metode: Penelitian ini adalah penelitian deskriptif dengan pendekatan
retrospektif. Populasi dalam penelitian ini adalah semua pasien kanker
endometrium rawat inap dan rawat jalan di RSUP H Adam Malik di Kota Medan
Provinsi Sumatera Utara dengan besar sampel sebanyak 17 pasien yang diambil
dari data rekam medis.
Hasil: Dari penelitian ini diperoleh proporsi pasien berusia 50 tahun keatas (64,7%) dan
< 50 tahun (35,3%) dan berstadium IA, IB,II, IIIC2, IIIC1(23,5%, 11,8%, 47,1%, 5,9%
dan 11,8%). Terapi pasien pembedahan 52,9%, medika mentosa dan bedah 17,6%,
bedahdankemoterapi 11,8%danmedikamentosa, bedahdankemoterapi 17,6%. Pasien
menderita berat badan kurang 5,9%, berat badan lebih 23,5%, obesitas tingkat I 41,2%
danobesitas tingkat II 29,4%.
Kesimpulan : Proporsi terbesar pasien kanker endometrium di RSUP H. Adam Malik
berusia diatas 50 tahun (64,7%), berstadium II (47,1%). Terapi pasien terbanyak adalah
pembedahan (52,9%)dan mayoritas pasien menderita obesitas tingkat I (41,2%).Introduction: Endometrial cancer is a malignant tumor in the primary epithelial
endometrium, usually with glandular differentiation and potentially in the
myometriumand spread wide. The incidence of endometrial cancer reaches 8% of all
cancer cases in women. This study aims to describe the characteristics of patients with
endometrial cancer in H Adam Malik Hospital in 2015.
Objective: This research was conducted to describe the the characteristics of patients
with endometrial cancer.
Methods: This study was a descriptive study with retrospective approach. The population
in this study were all patients with endometrial cancer inpatient and outpatient in H
Adam Malik Hospital Medan in North Sumatra Province with a sample size of 17 patients
taken from medical records.
Results: The study found proportion aged over 50 years (64.7%) and below 50 years
(35,3%),stadiumIA, IB, II, IIIC2, IIIC1 (23,5%, 11,8%, 47,1%, 5,9% and 11,8%).Medical
surgery52,9%, medikamentosa 17,6%, surgery andchemotherapy 11,8% and
medikamentosa, surgery and chemotherapy 17,6%.Less weight 5,9%, over weight
23,5%, obesitylevel I 41,2% and obesity levelII 29,4%.
Conclussion: The largest proportion aged over 50 years (64.7%) and stadium II
(47.1%). Medical surgery (47.1%)is the most therapy,the majority of patients suffering
obesity level I (41.2%).53 HalamanSkripsi Sarjan
A critical analysis of Christian responses to Islamic claims about the work of the Prophet Muhammad, ‘the Messenger of God’.
The aims of this study are to analyse critically the different Christian responses to the Islamic understanding of the work of Muhammad. Chapter one consists a short introduction leading to an appraisal of Muhammad which incorporates historical, hagiographal and Quranic source material, and in the light of relevant Christian and Muslim scholarship. The second chapter presents a summary critical analysis of Muhammad in Christian theological perspective, from 661 A.D. to modern times. Chapter three presents a critique of Christian responses to the Muslim allegations that the text of the Bible has been infected with corruption; and that Muhammad's advent and status are foretold in the unadulterated' scriptures, and in the Gospel of Barnabas. Chapter four examines the theological significance of the work of Muhammad for Christians. Thus, Jesus and Muhammad are critically assessed and contrasted in order to ascertain the importance, for Christians, of the Muslim claims in respect of Muhammad as ’the messenger of God’. Chapter five provides a critical evaluation of the various Christian responses to Muhammad. It is argued that many of the said responses have been entangled in myths and misperceptions which have severely distorted the true account of Muhammad's work. Consequently, many Christians have failed to appreciate the divine legitimacy of Muhammad's call to prophethood. Further, it is argued that Christians should accept that Muhammad is a genuine prophet, and the messenger of God. However, Muhammad's use of the power-structure in order to maintain Islam is in sharp contrast to Jesus’ decision to face the consequences of his ministry passively through faith in God. Accordingly, orthodox Christian belief in the passion, death and resurrection of Jesus provides another dimension to prophethood, where the messenger and the message become one, an identification which finds no parallel in Islam, and which, in the nature of the case, cannot find a parallel
Gambaran Karakteristik Pasien dengan Kanker Endometriumdi RSUP. H. Adam Malik Periode 2015
Pendahuluan: Kanker endometrium adalah tumor ganas epitel primer diendometrium,
umumnya dengan diferensiasi glandular dan berpotensi mengenai miometrium dan
menyebar luas. Insidensikan kerendometrium mencapai 8% dari seluruh kejadian kanker
pada perempuan. Penelitian ini bertujuan untuk mengetahui gambaran karakteristik
pasien kanker endometrium di RSUP H Adam Malik pada tahun 2015.
Objektif : Penelitian ini dilakukan dengan tujuan untuk melihat gambaran
karakteristik pasien dengan kanker endometrium.
Metode: Penelitian ini adalah penelitian deskriptif dengan pendekatan
retrospektif. Populasi dalam penelitian ini adalah semua pasien kanker
endometrium rawat inap dan rawat jalan di RSUP H Adam Malik di Kota Medan
Provinsi Sumatera Utara dengan besar sampel sebanyak 17 pasien yang diambil
dari data rekam medis.
Hasil: Dari penelitian ini diperoleh proporsi pasien berusia 50 tahun keatas (64,7%) dan
< 50 tahun (35,3%) dan berstadium IA, IB,II, IIIC2, IIIC1(23,5%, 11,8%, 47,1%, 5,9%
dan 11,8%). Terapi pasien pembedahan 52,9%, medika mentosa dan bedah 17,6%,
bedahdankemoterapi 11,8%danmedikamentosa, bedahdankemoterapi 17,6%. Pasien
menderita berat badan kurang 5,9%, berat badan lebih 23,5%, obesitas tingkat I 41,2%
danobesitas tingkat II 29,4%.
Kesimpulan : Proporsi terbesar pasien kanker endometrium di RSUP H. Adam Malik
berusia diatas 50 tahun (64,7%), berstadium II (47,1%). Terapi pasien terbanyak adalah
pembedahan (52,9%)dan mayoritas pasien menderita obesitas tingkat I (41,2%).Introduction: Endometrial cancer is a malignant tumor in the primary epithelial
endometrium, usually with glandular differentiation and potentially in the
myometriumand spread wide. The incidence of endometrial cancer reaches 8% of all
cancer cases in women. This study aims to describe the characteristics of patients with
endometrial cancer in H Adam Malik Hospital in 2015.
Objective: This research was conducted to describe the the characteristics of patients
with endometrial cancer.
Methods: This study was a descriptive study with retrospective approach. The population
in this study were all patients with endometrial cancer inpatient and outpatient in H
Adam Malik Hospital Medan in North Sumatra Province with a sample size of 17 patients
taken from medical records.
Results: The study found proportion aged over 50 years (64.7%) and below 50 years
(35,3%),stadiumIA, IB, II, IIIC2, IIIC1 (23,5%, 11,8%, 47,1%, 5,9% and 11,8%).Medical
surgery52,9%, medikamentosa 17,6%, surgery andchemotherapy 11,8% and
medikamentosa, surgery and chemotherapy 17,6%.Less weight 5,9%, over weight
23,5%, obesitylevel I 41,2% and obesity levelII 29,4%.
Conclussion: The largest proportion aged over 50 years (64.7%) and stadium II
(47.1%). Medical surgery (47.1%)is the most therapy,the majority of patients suffering
obesity level I (41.2%).53 HalamanSkripsi Sarjan
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