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Wein, Alan J.
"Overactive bladder in clinical practice provides a timely and comprehensive update on the overactive bladder (OAB) syndrome. The symptoms of urgency, with or without urge incontinence, usually with frequency or nocturia, now defined as the overactive bladder syndrome, have become a hot topic in urology, gynecology and urogynecology. Epidemiological data show very high disease prevalence (19%), particularly when compared with other chronic conditions such as diabetes (2%) and asthma (7%). OAB symptoms impact severely on patient’s quality of life, causing significant impairment of patient vitality and limiting their physical role, similar to diabetes. The OAB syndrome involves all age groups, both sexes and is frequently found in neurogenic patients. This book will cover all aspects of OAB epidemiology, economics, pathophysiology, conservative, pharmaceutical and surgical."
London : Springer, 2012
e20426332
eBooks  Universitas Indonesia Library
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"Overactive bladder (OAB) is a clinical syndrome consisting of symptom complex of urgency, with or without incontinence which has significant effects on quality of life and has to be managed properly. The aim of this study was to review the management of OAB by Indonesian urologists. A self-constructed questionnaires containing diagnostic and treatment options of OAB patients were distributed to indonesian urologists. This was a cross-sectional study and descriptive analyze the data. 129 Indonesian urologists participated in this study. Most of them faced more than 20 OAB cases per year with the most common type was OAB without incontinence or dry OAB (57,4%). Most urologists (34.1%) ordered at least three diagnostic tools to determine OAB. They were bladder diary, urinalysis and scoring system. The most used scoring system (48.9%) was the overactive bladder symptoms score (OABSS). Thirty-five point seven percent (35.7%) of urologist used antimuscarinic and behavioral therapy as initial therapy. Solifenacin 5 mg/day was the most common antimuscarinic prescribed as the first line therapy (48%). Most common items commonly evaluated for follow-up: symptoms (96.9%), bladder diary (72.9%); and drug's side effect (58.1%). When initial therapy had failed, most of the urologists (54.3%) chose to increase the dose of antimuscarinic. None of them chose bladder botulinum toxin injection as their additional therapy. OAB is a frequent disorder which remains a challenge for urologists. The management of patients with OAB by Indonesian urologists has been suitable with the previous studies and guidelines."
UI-MJI 24:2 (2015)
Artikel Jurnal  Universitas Indonesia Library
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Wulandari
"Praktik keperawatan residensi peminatan perkemihan merupakan program pencapaian kompetensi speliasis perkemihan yang dofokuskan pada pengelolaan kasus-kasus gangguan system perkemihan yang komleks. Pemberian asuhan keperawatan profesional yang komprehensif oleh residen dengan melakukan pendekatan penerapan Evidence Based Nursing dan inovasi, dan kolaborasi interprofesional telah dilakukan di RSUP Fatmawati. Residen juga mengembangkan pengalaman sebagai seorang Clinical Care Manajer (CCM) dan educator yang berperan integrative memberikan asuhan keperawatan yang berkualitas. Asuhan keperawatan dengan menggunakan teori Adaptasi Roy diberikan kepada pasien dengan baru cetak ginjal inkomplit kanan dan 30 kasus resume. Perawat memberikan asuhan keperawatan untuk masalah kelebihan volume cairan dengan menerapkan kemandirian dan mencegah kekambuhan melalui usaha pola hidup sehat. Pasien hemodialisis mengalami kram intradialitik yang disebabkan oleh penarikan cairan berlebihan, penarikan ultrafiltrasi yang cepat dan IDWG yang berlebihan. Penerapan EBN berupa latihan peregangan intradialitik, pelaksanaan proyek inovasi sehat dengan pembatasan cairan (SE-GARAN) merupakan bagian dari upaya meningkatkan pengetahuan pasien, perubahan sikap dan perilaku baik pada pasien hemodialisis. Proyek inovasi sehat (SE-GARAN) dapat berdampak bagi pasien yang menjalani hemodialisis dari terjadinya overload cairan.

Residency nursing practice carried out at Fatmawati General Hospital with specialization in urination is expected to overcome urinary problems. In addition, during the residency process must have the ability to apply interventions based on Evidence Based Nursing (EBN), is expected to be able to become a Clinical Care Manager (CCM) who serves as a nursing consultant for nursing staff and nursing therapy providers to patients in the context of providing nursing care to improve the quality or quality of nursing care. Nursing care using Roy's Adaptation theory is given to patients with new right incomplete kidney prints and 30 case resumes. Nurses provide nursing care for the problem of excess fluid volume by implementing independence and preventing recurrence through healthy lifestyle efforts. Hemodialysis patients experience intradialytic cramps caused by excessive fluid withdrawal, rapid ultrafiltration withdrawal and excessive IDWG. The application of EBN in the form of intradialytic stretching exercises, the implementation of a healthy innovation project with fluid restriction (SE-GARAN) is part of an effort to increase patient knowledge, change attitudes and good behavior in hemodialysis patients. The healthy innovation project (SE-GARAN) can have an impact on patients undergoing hemodialysis from fluid overload."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2024
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UI - Tugas Akhir  Universitas Indonesia Library
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Ervandy Rangganata
"Background: overactive bladder (OAB) affects 17-41% older adults in community dwelled setting. For several years, antimuscarinics have been validated as the first-line medical treatment for OAB. Despite abundant data obtained from clinical trials provisions the use of antimuscarinics, investigation about the effect of this drug on cognitive function in elderly remains scarce. The objective of this study is to investigate the effect of antimuscarinics therapy on cognitive functions in OAB geriatric patients. Methods: this study design is a systematic review and meta-analysis. Studies were collected using several search engines; those were PubMed, Science Direct, Cochrane, and EBSCOhost using predetermined MeSH keywords with Boolean operators. Selection of studies was done by three reviewers. Studies which fulfilled the inclusion and exclusion criteria underwent full-text review. For every selected full text, we extracted the following data if available: patients demographics, types of antimuscarinics used, placebo, dose, follow-up period, and Mini-Mental State Examination (MMSE) total score. Results: a total of 8 studies from an initial 146 publications were selected. There were 8 antimuscarinic agents evaluated in the studies, including Oxybutynin, Darifenacin, Tolterodine, Trospium, Imidafenacin, Propiverine hydrochloride, Fesoterodine, and Solifenacin. Oxybutynin was shown to have largest effect towards the decline of MMSE score [Mean difference: -2.90; 95% CI: -4.07, -1.73]. Darifenacin and Tolterodine were also shown to be significant in the decline of total MMSE score, although still inferior to Oxybutynin. Conclusion: the use of most antimuscarinics medication has little to no effect towards the cognitive function in the management of overactive bladder in elderly patients. However, Oxybutynin, Darifenacin, and Tolterodine was shown to have significant decrease in cognitive functions, as shown in the decline of total MMSE score."
Jakarta: University of Indonesia. Faculty of Medicine, 2020
610 UI-IJIM 52:3 (2020)
Artikel Jurnal  Universitas Indonesia Library
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"Stroke sering menimbulkan gangguan fungsi eliminasi yaitu inkontinensia urin urin. Pada psien stroke kondisi inkontinensia urin urin sering menimbulkan masalah baru yang akan memperberat kondisi pasien. Latihan berkemih atau bladder training dari penelitian Fanl, 1991 menunjukkan bahwa 50% dari sampel percobaannya menjadi mampu mengontrol kencing, dan 12 % menjadi total kontinen.
Pada penelitian ini, pengambilan data dilakukan selama tiga bulan dengan responden sebanyak 38 pasien stroke, dimana 19 sebagai kelompok intervensi, dan 19 sebagai kelompok kontrol Karakteristik responden sebagai berikut: jumlah pasien stroke Hemoragie di ruang intervensi 0,59 % dan stroke iskemi 0,41%. Di ruang Kontrol jumlah stroke Hemoragie 0,47 %, sedangkan stroke lskemia 0,53 %. Jika dibandingkan dengan usia, maka jumlah stroke Hemoragie dan lansia di ruang intervensi 0,21 %, di ruang kontrol 0,26 %.
Hasil dari penelitian menunjukan ada perbedaan yang bermakna terhadap masa pemulihan inkontinensia urin urin pada pasien yang bladder retraining-nya terprogram dengan baik dan yang tidak terprogram dengan baik. Pada ruangan intervensi jika tidak dibedakan jenis strokenya dan usisnya maka diperoleh lama Inkominensia urin rata-ratanya 13,11 hari, sedangkan di maka kontrol 22,7 hari. Setelah dianalisa dengan C 95% dengan uji T-test ternyata perbedaan ini bermakna dengan p= 0,012."
Fakultas Ilmu Keperawatan Universitas Indonesia, 2000
TA-Pdf
UI - Tugas Akhir  Universitas Indonesia Library
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Irawan Anhari
"Overactive Bladder OAB masih menjadi masalah dan mengurangi kualitas hidup pada penderitanya. Terapi akupunktur dapat dipakai sebagai terapi OAB. Penelitian ini menggunakan metode uji klinis quasi experimental, terdiri atas 23 orang diterapi dengan akupunktur, 23 orang lainnya diterapi dengan obat Tolterodine. Penilaian keberhasilan dilihat dari penurunan skor OABSS. Setelah 18 hari terapi, terjadi penuruan rerata skor OABSS pada kelompok akupunktur dari 8,045 1,863 menjadi 1.909 0.867 dan pada kelompok tolterodine dari 8,000 0,617 menjadi 2,272 0,631 p = 0,357 . Dua minggu pasca terapi pada kelompok akupunktur masih terjadi penurunan skor OABSS dari 1.909 0.867 menjadi 1.272 0.702 dan pada kelompok tolterodine terjadi peningkatan skor OABSS dari 2,272 0,631 menjadi 2,590 0,503 p = 0,003 . Akupunktur mempunyai efek terapi yang sama baiknya dengan tolterodine dalam menurunkan OABSS tanpa efek samping. Efek terapi akupunktur masih bekerja walau terapi telah dihentikan 2 minggu.

Overactive Bladder still gives problems and reducing their quality of life. Acupunture can be used for treatment of OAB. This research using clinical trial quasi experimental, consisted of 23 participant were treated with acupuncture and 23 others were treated with Tolterodine. Assessment of therapeutic success seen from the decrease in OABSS. After 18 days therapy in Acupuncture Group from 8,045 1,863 to 1,909 0,867 and Tolterodine Group from 8,000 0,617 to 2,272 0,631 p 0,357 . After 2 weeks post therapy in Acupuncture Group OABSS was still a decline from 1.909 0.867 to 1.272 0.702 and in Tolterodine Group OABSS was still a increase from 2,272 0,631 to 2,590 0,503 p 0,003 . Acupuncture has the same therapeutic effect with tolterodine in reducing OABSS without side effect. Therapeutic effect of acupuncture was still working even though therapy had been 2 weeks discontinued."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2016
T57674
UI - Tesis Membership  Universitas Indonesia Library
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Ihya Ridlo Nizomy
"Latar Belakang: Inkontinensia urin (IU) menurut ICS didefinisikan sebagai keluarnya urin yang tidak dapat dikendalikan atau dikontrol, yang secara obyektif dapat diperlihatkan dan merupakan suatu masalah sosial dan higienis. Pada perempuan, gangguan fungsi berkemih ini sering kali didapatkan pasca-operasi koreksi kelainan Prolaps Organ Panggul (POP). Inkontinensia Urin Tekanan de novo (IUT de novo) adalah IU yang terjadi pada pasien POP pasca-operasi pervaginam yang tidak didapatkan sebelum operasi.
Tujuan: Untuk mengetahui kejadian IUT de novo dan faktor risiko yang berhubungan pada pasien POP pasca-operasi pervaginam di Divisi Uroginekologi dan Rekonstruksi Departemen Obstetri dan Ginekologi RSCM Jakarta.
Metode: Studi klinis potong lintang yang dilakukan pada 75 orang pasien POP pasca-operasi pervaginam di Divisi Uroginekologi dan Rekonstruksi Departemen Obstetri dan Ginekologi RSCM Jakarta pada bulan Januari 2016 sampai Juli 2017. Penilaian kejadian IUT de novo dan faktor risiko yang berperan dilakukan berdasarkan data Rekam Medik, lembar penilaian Kuesioner QUID (Questionnaire for Urinary Incontinence Diagnosis) versi Indonesia dan dikonfirmasi dengan pemeriksaan Cough Stress Test secara kualitatif dan tes pembalut pad test secara kuantitatif.
Hasil: Dari 75 subyek penelitian didapatkan angka kejadian IUT de novo sebesar 8% (6/75). Uji analisis statistik menunjukkan hanya 2 faktor risiko yang berperan secara bermakna (p < 0,05) terhadap kejadian IUT de novo pada pasien POP pasca-operasi pervaginam di RSCM Jakarta, yaitu derajat POP yang berat dan penyakit Diabetes Mellitus dengan nilai OR 0,13 (95% CI 0,02-1,63) dan 23,75 (95%CI 2,29-590,2).
Kesimpulan: Pada penelitian ini, angka kejadian IUT de novo pada pasien POP pasca-operasi pervagnam adalah 8% dengan faktor risiko yang berperan adalah derajat POP preoperatif yang berat dan penyakit Diabetes Mellitus.

Background: Stress Urinary Incontinence remains a main women's health problem due to its devastating impacts to the quality of life. Some patients with pelvic organ prolapse (POP) may suffer from stress urinary incontinence (SUI) named de novo SUI after pelvic floor reconstruction2. The epidemiology study of de novo SUI in Indonesia is not known yet. In the world, a few studies have reported a wide range (2-43%) in incidence of de novo SUI following surgical repair of POP in previously continent patients. This study aimed to investigate the occurrence of de novo SUI and determined related risk factors after vaginal surgery on POP patients in Ciptomangunkusumo Hospital Jakarta. Methods: This is a cross-sectional study of 108 patients who underwent pelvic floor vaginal surgery due to pelvic organ prolapse (POP) at the Department of Obstetry and Gynecology, Urogynecology and Recontruction Division in Indonesian University-Ciptomangunkusumo Hospital from January 2016 to December 2017. According to the inclusion and exclusion criteria, 75 patients were enrolled in the study with consecutive sampling technique. The occurrence of de novo SUI was determined 6-12 months postoperatively by using Indonesian version of Questionnaire for Urinary Incontinence Diagnosis (QUID), and objectively by positive Cough Stress Test (CST) during gynecological examination after negative Preoperative Prolapse Reduction Stress Test (PPRST). The clinical characteristic of positively de novo SUI patients identified were age, parity, Body Mass Index, menopause periode before surgery, degree of Pelvic Organ Prolapse based on POP-Q system, type of vaginal surgery and clinical result of Diabetes Mellitus. Thes significant risk factors that contribute for the occurrence of de novo SUI determined by multivariate statistical analysis (95% CI and 𝛼 0.05).
Results: The occurrence of de novo SUI was 8% or 6 from 75 patiens 6-7 month postoperative for pelvic floor reconstruction due to POP. Average of age, parity, BMI, menopause periode before surgery, respectively were 56.17 ± 4.67, 3.17 ± 1.07, 28.58 ± 5.18, and 12,8 ± 7,0. There were 50,0% (3/6) patients with severe degree of POP and 50% (3/6) with mild degree of POP with most of them 66,7% (4/6) had underwent non colpocleisis procedure for POP reconstruction. All of the patient but one were positively Diabetes Mellitus according to clinical hystory and laboratory finding, and most of them about 83,3% (5/6) were in menopause state. There were two significant risk facors that contribute to the occurrence of de novo SUI which are severe degree of preoperative POP (p 0.038; OR 0.13 95% CI 0,02-0,63) and Diabetes Mellitus (p 0.02; OR 23.75 95% CI 2.29-590.2).
Conclusion: The occurrence of de novo SUI after vaginal surgery of Pelvic Organ Prolapse patients in Ciptomangunkusumo Hospital Jakarta was 8%. Most of them were average of age < 60 years old, parity < 4, non- obese women, in menopausal periode, and diabetic patient. The determinant significant risk factors contribute to the occurrenceof de novo SUI were evere degree of preoperative POP and Diabetes Mellitus."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2018
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UI - Tugas Akhir  Universitas Indonesia Library
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Ervandy Rangganata
"Pendahuluan dan tujuan: Overactive bladder (OAB) terjadi pada sekitar 17-41% pada lansia di lingkungan tempat tinggal komunitas. Selama beberapa tahun, antimuskarinik telah divalidasi sebagai pilihan pertama untuk tata laksana OAB. Meskipun banyak data yang diperoleh dari uji klinis terkait penggunaan antimuskarinik. Penelitian terkait efek samping dari obat antimuskarinik terhadap fungsi kognitif pada lansia masih jarang dilakukan. Tujuan dari penelitian ini adalah untuk mengetahui efek dari terapi antimuskarinik terhadap fungsi kognitif pada pasien lanjut usia dengan OAB. Metode: Desain penelitian ini adalah tinjauan sistematis dan meta-analisis. Studi dikumpulkan menggunakan beberapa mesin pencari; diantaranya adalah PubMed, Science Direct, Cochrane, and EBSCOhost menggunakan kata kunci MeSH yang sudah ditentukan sebelumnya dengan operator Boolean. Pemilihan studi dilakukan oleh 3 pengulas. Seluruh studi yang memenuhi kriteria inklusi selanjutnya melalui proses review full-text. Untuk setiap artikel full-text yang terpilih, ekstraksi data dilakukan pada data: demografis pasien, tipe antimuskarinik yang digunakan, placebo, dosis, follow-up, dan skor total Mini Mental State Examination(MMSE). Hasil: Total sebanyak 8 studi yang terpilih dari 146 publikasi yang ada sebelumnya. Terdapat 8 jenis antimuskarinik yang dievaluasi dari studi-studi yang ada, yaitu: Oksibutinin, Darifenacin, Tolterodin, Trospium, Imidafenacin, Propiverin hidroklorida, Fesoterodin, dan Solifenacin. Oksibutinin menunjukkan efek yang paling besar pada penurunan skor MMSE [Perbedaan rerata: -2,90; 95% CI: -4,07, -1,73]. Darifenacin dan Tolterodin juga menunjukkan penurunan yang signifikan pada skor total MMSE, namun lebih inferior daripada Oksibutinin Kesimpulan: Penggunaan obat-obatan antimuskarinik hanya memiliki efek yang minimal terhadap fungsi kognitif dalam penanganan OAB pada pasien usia lanjut. Akan tetapi, Oksibutinin, Darifenacin, dan Tolterodin menunjukkan penurunan yang signifikan terhadap fungsi kognitif, ditunjukkan dari penurunan total skor MMSE.

Introduction: Overactive bladder (OAB) affects 17-41% older adults in community dwelled setting. For several years, antimuscarinics have been validated as the first-line medical treatment for OAB. Despite abundant data obtained from clinical trials provisions the use of antimuscarinics, investigation about the effect of this drug on cognitive function in elderly remains scarce. The objective of this study is to investigate the effect of antimuscarinics therapy on cognitive functions in OAB geriatric patients.
Methods: This study design is a systematic review and meta-analysis. Studies were collected using several search engines; those were PubMed, Science Direct, Cochrane, and EBSCOhost using predetermined MeSH keywords with Boolean operators. Selection of studies was done by three reviewers. Studies which fulfilled the inclusion and exclusion criteria underwent full-text review. For every selected full text, we extracted the following data if available: patients demographics, types of antimuscarinics used, placebo, dose, follow-up period, and Mini-Mental State Examination (MMSE) total score.
Results: A total of 8 studies from an initial 146 publications were selected. There were 8 antimuscarinic agents evaluated in the studies, including Oxybutynin, Darifenacin, Tolterodine, Trospium, Imidafenacin, Propiverine hydrochloride, Fesoterodine, and Solifenacin. Oxybutynin was shown to have largest effect towards the decline of MMSE score [Mean difference: -2.90; 95% CI: -4.07, -1.73]. Darifenacin and Tolterodine were also shown to be significant in the decline of total MMSE score, although still inferior to Oxybutynin.
Conclusion: The use of most antimuscarinics medication has little to no effect towards the cognitive function in the management of overactive bladder in elderly patients. However, Oxybutynin, Darifenacin, and Tolterodine was shown to have significant decrease in cognitive functions, as shown in the decline of total MMSE score.
"
Jakarta: Fakultas Teknik Universitas Indonesia, 2023
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UI - Tugas Akhir  Universitas Indonesia Library
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Andi Rinaldi
"ABSTRAK
Latar belakang:Berdasarkan International Continence Society(ICS), inkontinensia urin merupakan keluhan dari kebocoran urin sebagai hasil dari abnormalitas fungsi saluran kemih bagian bawah atau sekunder dari penyakit tertentu yang dapat mengganggu kehidupan perempuan secara fisik, psikologis, dan sosial. Pada tahun 2003, prevalensi inkontinensia urin pada perempuan di seluruh dunia sebesar 17-50% dengan jenis yang paling sering adalah jenis tekanan (50%). Hipermobilitas leher kandung kemih merupakan salah satu dasar patologi dari inkontinensia tipe tekanan. Kondisi hipermobilitas leher kandung kemih dan uretra dapat membantu lebih memahami patofisiologi dari inkontinensia urin tipe tekanan yang terjadi. Penelitian ini ditujukan untuk menilai hubungan profil pergerakan leher kandung kemih dengan prolaps kompartemen anterior vagina pada pasien dengan inkontinensia urin jenis tekanan pada pasien dengan prolaps organ panggul.
Metode:Studi ini memiliki desain potong lintang pada 112 subjek dengan riwayat POP yang memenuhi kriteria inklusi dan eksklusi. Data yang diambil pada penelitian ini adalah bladder neck descent(BND), retrovesical angle(RVA), Rotational urethra(RoU), funneling, titik Aa dan Ba pada POP-Q.
Hasil:Data penelitian menunjukan inkontinensia tipe tekanan terjadi pada 50% subjek dengan POP. Pada analisis data didapatkan perbedaan yang signifikan antara funneling, sudut RVA dan sudut RoU dengan kejadian inkontinensia urin. Cutoff sudut RVA didapatkan bernilai 130.570dengan sensitivitas 64,3% dan spesifisitas 55.4%. Cutoff sudut RoU didapatkan bernilai 41.560dengan sensitivitas 76,8% dan spesifisitas 67,9%. Hasil yang didapatkan menunjukan hubungan yang bermakna pada analisis multivariat.
Kesimpulan:Terdapat perbedaan yang bermakna antara sudut RVA, sudut RoU, dan riwayat funneling terhadap inkontinensia urin tipe tekanan pada perempuan dengan POP. Tidak terdapat perbedaan nilai penurunan Titik Aa, titik Ba, dan penurunan leher kandung kemih antara perempuan kontinensia dengan inkontinensia jenis tekanan. Sudut RVA, sudut RoU, dan riwayat funneling dapat digunakan untuk memprediksi terjadinya inkontinensia tipe tekanan pada subjek dengan POP.

ABSTRACT
Background:Stress type urinary incontinence is a pressure induced urinary leakage caused by functional abnormality of lower urinary tract or other disease that cause physical, psychological, and social disturbance in female. The prevalence of urinary incontinence is 17-50% around the world with 50% of them are stress type urinary incontinence. Bladder neck mobility is one of the main pathology of stress type urinary incontinence. Observation of bladder neck mobility and urethra in stress type incontinence may increase the understanding of the urinary incontinence pathophysiology. This study is aimed to quantify the relation between bladder neck mobility profile and anterior compartment vaginal prolapse with stress-type urinary incontinence in patient with pelvic organ prolapse.
Method:The study is a cross-sectional study with 112 subjects with history of pelvic organ prolapse and suits inclusion and exclusion criteria. Data obtained in this study are bladder neck descent (BND), retrovesical angle (RVA), rotational urethra (RoU), funneling, point Aa and Ba from POP-Q.
Results:This study found stress-type urinary incontinence in 50% subjects with POP. In this study, significant difference found in funneling, RVA, and RoU between female with and without urinary incontinence. Cutoff of RVA obtained from this study are 130.570with 64.3% sensitivity and 55.4% specificity. Cutoff of RoU obtained from this study are 41.560with 76,8% sensitivity and 67,9% specificity. Cutoff result shows significant correlation with stress type urinary incontinence on multivariate analysis.
Conclusion:There are significant difference in RVA, RoU, and funneling between female with and without stress type urinary incontinence. There are no significant difference in point Aa, point Ba, and bladder neck descent between female with and without urinary incontinence. Funneling, RVA, and RoU can predict incidence of stress type urinary incontinence in female with POP. "
[, , ]: 2019
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UI - Tugas Akhir  Universitas Indonesia Library
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Nathania Amanda Nugraha
"Inkontinensia urin atau hilangnya kontrol kandung kemih, sangat umum terjadi akibat perubahan terkait usia. Perubahan terkait usia ini dapat mempengaruhi fungsi berkemih pada lansia. Seiring bertambahnya usia, hipertrofi otot kandung kemih dan penebalan dinding kandung kemih mengganggu kemampuan kandung kemih untuk mengembang. Saat kandung kemih meregang mencapai kapasitas maksimum, detrusor berkontaksi dan dapat menyebabkan inkontinensia urin. Prompted voiding merupakan intervensi dimana perawat atau caregiver secara konsisten dalam interval waktu tertentu mengajak dan membantu lansia untuk berkemih. Prompted voiding memiliki tiga prinsip utama yaitu prompt, puji, dan monitor. Prompt dilakukan untuk mendorong dan membantu lansia menggunakan toilet secara berkala. Pujian artinya pengasuh memberikan pujian saat lansia mampu menahan urin sampai jadwal selanjutnya. Serta monitor secara berkala apakah pasien perlu menggunakan toilet dan intake cairan lansia. Tujuan karya ilmiah ini adalah untuk memberikan gambaran mengenai penerapan prompted voiding pada pasien dengan inkontinensia urin. Hasil yang didapatkan selama lima belas hari melakukan intervensi, menunjukan adanya penurunan skor Incontinence Scale Index (ISI) dari 8 menjadi 3. Sehingga terdapat penurunan skor inkontinensia urin sebesar 62,5%. Tingkat keparahan klien menurun dari inkontinensia parah menjadi inkontinensia sedang. Intervensi ini dapat di terapkan pada lansia yang tinggal di panti werdha sebagai intervensi untuk menurunkan tingkat keparahan inkontinensia urin pada lansia.

Urinary incontinence or loss of bladder control, is very common as a result of age-related changes. These age-related changes can affect urinary function in the elderly. As people age, bladder muscle hypertrophy and bladder wall thickening will impair the bladder's ability to expand. When the bladder is stretched to its maximum capacity, the detrusor contracts and can cause urinary incontinence. Prompted voiding is an intervention where the nurse or caregiver consistently invites and helps the elderly to urinate. Prompted voiding has three main principles prompt, praise, and monitor. Prompts are carried out to encourage and help the elderly to use the toilet regularly. Praise means that caregivers give praise when the elderly are able to hold urine until the next schedule. Last, monitor regularly whether the patient needs to use the toilet and the elderly fluid intake. This scientific paper aimed to provide an overview of prompted voiding application in elderly with urinary incontinence. The results obtained after fifteen day intervention, showed a decrease in the Incontinence Scale Index (ISI) score from 8 to 3. So there was a decrease in urinary incontinence score by 62.5%. The severity of the client decreased from severe incontinence to moderate incontinence. Therefore, this intervention can be applied to the elderly living in nursing homes to reduce the severity of urinary incontinence in the elderly."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2022
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UI - Tugas Akhir  Universitas Indonesia Library
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