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Ditemukan 3 dokumen yang sesuai dengan query
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Pandan Enggarwati, examiner
Analisis praktik klinik keperawatan kesehatan masyarakat perkotaan pada pasien kanker payudara pasca mastektomi + tram flap di ruang rawat bedah Gedung A RSUPN Cipto Mangunkusumo Jakarta = The analysis of the clinical practice of urban health nursing Patient with Post Mastectomy following breast cancer + TRAM Flap in the surgical ward Building A RSUPN Cipto Mangunkusumo Jakarta
"[ABSTRAK
Kanker payudara merupakan masalah kesehatan yang semakin meningkat di daerah urban. Mastektomi radikal modifikasi (MRM) merupakan upaya pengangkatan kanker payudara yang dapat menimbulkan komplikasi berupa kekakuan bahu, penurunan rentang gerak lengan, dan limfedema. Transverse Rectus Abdominis Modification (TRAM) flap merupakan rekonstruksi payudara menggunakan sebagian besar otot abdomen yang berpotensi menyebabkan penurunan kemampuan otot perut dan hernia. Latihan gerak pada lengan dan abdomen bertujuan meningkatkan rentang gerak sehingga tidak terjadi kekakuan lengan dan abdomen, serta mencegah limfedema dan hernia. Perawat perlu mengedukasi latihan rentang gerak lengan dan abdomen pasca MRM dan TRAM flap agar kualitas hidup semakin meningkat.ABSTRACT Breast cancer is a health problem that the prevalence is increasing in urban areas. Modified radical mastectomy (MRM) is the treatment of breast cancer that can cause complications such as shoulder stiffness, decreased range of motion of the arms, and lymphedema. Modification transverse rectus abdominis (TRAM) flap is a breast reconstruction using abdominal muscles that potentially can cause a decrease in the ability of the abdominal muscle and hernia. The exercise of motion in the arm and abdomen aims to improve the range of motion in order to avoid stiffness of the arms and abdomen, as well as to prevent lymphedema and hernia. Nurses need to promote the range of motion exercises for the arms and abdomen following MRM and TRAM flap to improve the quality of life.;Breast cancer is a health problem that the prevalence is increasing in urban areas. Modified radical mastectomy (MRM) is the treatment of breast cancer that can cause complications such as shoulder stiffness, decreased range of motion of the arms, and lymphedema. Modification transverse rectus abdominis (TRAM) flap is a breast reconstruction using abdominal muscles that potentially can cause a decrease in the ability of the abdominal muscle and hernia. The exercise of motion in the arm and abdomen aims to improve the range of motion in order to avoid stiffness of the arms and abdomen, as well as to prevent lymphedema and hernia. Nurses need to promote the range of motion exercises for the arms and abdomen following MRM and TRAM flap to improve the quality of life., Breast cancer is a health problem that the prevalence is increasing in urban areas. Modified radical mastectomy (MRM) is the treatment of breast cancer that can cause complications such as shoulder stiffness, decreased range of motion of the arms, and lymphedema. Modification transverse rectus abdominis (TRAM) flap is a breast reconstruction using abdominal muscles that potentially can cause a decrease in the ability of the abdominal muscle and hernia. The exercise of motion in the arm and abdomen aims to improve the range of motion in order to avoid stiffness of the arms and abdomen, as well as to prevent lymphedema and hernia. Nurses need to promote the range of motion exercises for the arms and abdomen following MRM and TRAM flap to improve the quality of life.]"
Fakultas Farmasi Universitas Indonesia, 2015
PR-PDF
UI - Tugas Akhir  Universitas Indonesia Library
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Muhammad Imran Thahir
Prediksi perubahan nilai hemoglobin pascaoperasi berdasarkan asupan cairan dan perdarahan pada Modified Radical Mastectomy (MRM) di RSUPN Cipto Mangunkusumo = Prediction of postoperative hemoglobin level changes based on fluid intake and blood loss in Modified Radical Mastectomy (MRM) at Cipto Mangunkusumo Hospital
"[ABSTRAK
Latar Belakang: Nilai hemoglobin masih dijadikan parameter dalam menentukan transfusi atau tidak walaupun tidak mengabaikan pertimbangan klinis. Namun, pada kenyataannya pemeriksaan nilai hemoglobin pascaoperasi sulit dilakukan karena keterbatasan alat dan membutuhkan waktu yang cukup lama sehingga ketika hasil pemeriksaan nilai hemoglobin didapatkan sudah tidak sesuai dengan kondisi terkini. Oleh karena itu dibutuhkan pendekatan berupa perkiraan dalam menetukan nilai hemoglobin pascaoperasi. Nilai perkiraan hemoglobin selama ini hanya terpaku dengan berapa jumlah perdarahan yang terjadi, padahal ada faktor lain yang memengaruhi, salah satunya pemberian cairan intraoperasi.
Metode: Penelitian ini merupakan desain analitik retrospektif dengan pengambilan data dari status pasien yang menjalani prosedur Modified Radical Mastectomy (MRM) di RSUPN Cipto Mangunkusumo sejak 1 Januari 2012 sampai 31 Desember 2014. Dilakukan pencatatan berupa identitas, umur, jenis kelamin, berat badan, nilai hemoglobin praoperasi, jumlah perdarahan intraoperasi, jumlah cairan intraoperasi, jumlah urin output intraoperasi, dan nilai hemoglobin pascaoperasi. Dilakukan analisis bivariat untuk masing-masing variabel dan kemudian akan dilanjutkan dengan analisis multivariat regresi linier.
Hasil: Dari 103 sampel penelitian didapatkan hubungan bermakna antara asupan cairan intraoperasi dengan perubahan nilai hemoglobin pascaoperasi (p=0.208, r=0.035) dan jumlah perdarahan intraoperasi dengan perubahan nilai hemoglobin pascaoperasi (p=0.297, r=0.002). Pada uji ANOVA didapatkan nilai p sebesar 0.039. Sebenarnya rumus layak untuk dibuat. Namun nilai Adjusted R square sebesar 3 % yang artinya persamaan yang diperoleh hanya mampu menjelaskan perubahan nilai hemoglobin pascaoperasi sebesar 3 %.
Simpulan: Perubahan nilai hemoglobin pascaoperasi tidak dapat dapat diprediksi dari asupan cairan dan perdarahan pada Modified Radical Mastectomy (MRM) di RSUPN Cipto Mangunkusumo.
ABSTRACT
Background: Hemoglobin level is still a valid parameter to help decision in blood transfusion, eventhough its use is in conjunction with clinical decision. In reality, postoperative hemoglobin level is difficult to be done because of two reasons: the limitation of the tools and time consuming. At the moment the result is obtained, its result is different with current clinical condition. Therefore, we need tools to predict postoperative hemoglobin level. At present, hemoglobin prediction level is only looks at bleeding volume, eventhough there is still other factor such as intraoperative fluid intake.
Methods: This study is a retrospective analytic design using data from medical record of the patients undergo the Modified Radical Mastectomy (MRM) procedure at Cipto Mangunkusumo hospital since January 1, 2012 to December 31, 2014. We record the identity, age, sex, weight, preoperative hemoglobin level, the volume of intraoperative blood loss, the volume of intraoperative fluids, the volume of intraoperative urine output, and postoperative hemoglobin level. Each variable will be analyzed using bivariate analysis, and then continued with multivariate linear regression analysis.
Results: Data from 103 samples showed a significant relationship between intraoperative fluid intake with the value of the postoperative hemoglobin (p = 0.208, r = 0.035), and the number of intraoperative blood loss with the value of the postoperative hemoglobin (p = 0.297, r = 0.002). ANOVA shows p value of 0.039. Eventhough the formula could be made, the Adjusted R square value of 3%, means the equation only could explain 3%changes in postoperative hemoglobin level.
Conclusions: Postoperative hemoglobin value changes can not predicted with fluid intake and blood loss in Modified Radical Mastectomy (MRM) at Cipto mangunkusumo hospital., Background: Hemoglobin level is still a valid parameter to help decision in blood transfusion, eventhough its use is in conjunction with clinical decision. In reality, postoperative hemoglobin level is difficult to be done because of two reasons: the limitation of the tools and time consuming. At the moment the result is obtained, its result is different with current clinical condition. Therefore, we need tools to predict postoperative hemoglobin level. At present, hemoglobin prediction level is only looks at bleeding volume, eventhough there is still other factor such as intraoperative fluid intake.
Methods: This study is a retrospective analytic design using data from medical record of the patients undergo the Modified Radical Mastectomy (MRM) procedure at Cipto Mangunkusumo hospital since January 1, 2012 to December 31, 2014. We record the identity, age, sex, weight, preoperative hemoglobin level, the volume of intraoperative blood loss, the volume of intraoperative fluids, the volume of intraoperative urine output, and postoperative hemoglobin level. Each variable will be analyzed using bivariate analysis, and then continued with multivariate linear regression analysis.
Results: Data from 103 samples showed a significant relationship between intraoperative fluid intake with the value of the postoperative hemoglobin (p = 0.208, r = 0.035), and the number of intraoperative blood loss with the value of the postoperative hemoglobin (p = 0.297, r = 0.002). ANOVA shows p value of 0.039. Eventhough the formula could be made, the Adjusted R square value of 3%, means the equation only could explain 3%changes in postoperative hemoglobin level.
Conclusions: Postoperative hemoglobin value changes can not predicted with fluid intake and blood loss in Modified Radical Mastectomy (MRM) at Cipto mangunkusumo hospital.]"
Fakultas Kedokteran Universitas Indonesia, 2015
SP-PDF
UI - Tugas Akhir  Universitas Indonesia Library
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Sonar Soni Panigoro
Peran beberapa faktor prognosis terhadap kekambuhan kanker payudara stadium I/II pasca mastektomi radikal di RSUPN Cipto Mangunkusumo Jakarta
"Ruang lingkup dan Cara penelitian : Dilakukan penelitian terhadap 114 penderita kanker payudara stadium I dan II di Bagian Bedah Onkologi/HNB FKUI/RSUPNCM Jakarta dalam kurun waktu 1989-1996. Setelah dibuktikan secara histopatologi suatu keganasan, penderita selanjutnya dilakukan mastektomi radikal. Bila kelenjar getah bening terdapat penyebaran sel kanker maka diberikan terapi ajuvan berupa radiasi dan atau kemoterapi. Selanjutnya penderita diikuti sampai terjadi suatu kekambuhan, hilang dari pengamatan atau sampai penelitian berakhir.
Hasil dan kesimpulan : Rerata umur penderita 45 tahun dengan rentang 22-64 dan terdapat 15% kekambuhan yang terjadi balk lokal maupun metastasis jauh. Kekambuhan terbanyak mengenai paru sebesar 32% kemudian hati dan tulang masing-masing 25%. Rerata lama pengamatan 519 hari (median 191 dan modus 39 ). Probabilitas babas penyakit sebesar 51% pada 1500 hari.
Kelompok umur kurang 35 tahun dan kelompok 35-50 tahun mempunyai risiko untuk kambuh masing-masing 4 dan 6.3 kali dibanding kelompok lebih 50 tahun. Adanya penyebaran ke kelenjar getah bening meningkatkan risiko kekambuhan sebesar 6.9 kali. Ukuran tumor 2-5 cm dibanding kurang 2 cm mempunyai risiko kekambuhan 2.8 kali. Dan tipe Ca ductal Invasif mempunyai risiko yang sangat tinggi untuk kambuh dibanding tipe lainnya. Tetapi yang berrnakna secara statistik hanya penyebaran ke kelenjar getah bening dan tipe histopatologi.
The Role of Clinical Prognostic Factors for Stage I and II Breast Cancer Recurrence in Cipto Mangunkusumo Hospital JakartaScope and Method of study : The objective of this study is to find out the role of several prognostic factors in breast cancer recurrence for patients underwent radical mastectomy on stage I and II in Cipto Mangunkusumo Hospital Jakarta. 114 patients entered this study during the period of 1989 to 1996. The patients with positive axillary node received adjuvant therapy i.e external radiation or chemotherapy. Survival analysis were used to analyze data.
Results and conclusions : The mean age was 45 years(range 22-64 yrs). Cumulative incidence of recurrence was 15% with disease free survival 51 % at 1500 days. The most frequent site of metastasis was lung 32% then liver and bone 25% each. The mean follow up time was 519 days (median 191, mode 30).
Age group below 35 years and between 35-50 years had higher risk for a relapse, 4 and 6.3 times than group above 50 years. Positive axillary node and tumor size above 2 cm increased risk 6.9 and 2.8 times respectively. Ductal invasive type had a very high risk to recur. But only axillary node involvement and ductal invasive type were statistically significant."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 1997
T5782
UI - Tesis Membership  Universitas Indonesia Library