AbstrakKurang pendengaran sensorineural (KPSN) dapat terjadi pada kasus gagal ginjal kronik (GGK) yang dilakukan hemodialisis (HD). KPSN akibat HD terjadi pada berbagai frekuensi. Faktor yang diduga dapat memengaruhi adalah usia, hipertensi, dan diabetes melitus (DM
Latar belakang: Tinitus subjektif menimbulkan stres, depresi, kecemasan, dan penurunan kualitashidup. Frekuensi dan intensitas tinitus dilaporkan berhubungan dengan beratnya gangguan pada pasien.Hubungan frekuensi dan intensitas tinitus dengan kualitas hidup pasien menggunakan kuisioner TinnitusHandicap Inventory (THI) belum pernah dilaporkan di Indonesia. Tujuan: Menganalisis hubunganfrekuensi dan intensitas tinitus subjektif dengan kualitas hidup pasien. Metode: Desain penelitian potonglintang . Sampel penelitian adalah pasien tinitus subjektif yang datang ke klinik THT-KL RSUP Dr. Kariadi.Frekuensi dan intensitas tinitus diperiksa pitch-matching dan loudness-matching dengan audiometernada murni. Kualitas hidup dinilai menggunakan skor THI. Analisis data dengan uji korelasi. Hasil:Subjek penelitian sebanyak 31 pasien, laki-laki 15 orang (48,4%) dan perempuan 16 orang (51,6%),dengan rentang umur 25-60 tahun. Pasien dengan pendengaran normal sebanyak 18 orang (58,1%) dankurang pendengaran sebanyak 13 orang (41,9%). Gangguan kualitas hidup pasien terbanyak didapatkangangguan sedang, sebanyak 12 (38,7%). Frekuensi tinitus berhubungan dengan kualitas hidup pasien(p=0,005) dengan tingkat korelasi sedang (r=0,491). Intensitas tinitus berhubungan dengan kualitas hiduppasien (p=0,043) dengan tingkat korelasi lemah (r=0,365). Kesimpulan: Frekuensi dan intensitas tinitusberhubungan dengan kualitas hidup pasien. Kata kunci: tinitus subjektif, kualitas hidup, Tinnitus Handicap InventoryABSTRACT Background: Subjective tinnitus causes stress, depression, anxiety, and decrease quality of life. Thefrequency and intensity of tinnitus has been reported to have correlation with patients discomfort.Correlation between frequency and intensity of tinnitus with quality of life using Tinnitus HandicapInventory (THI) questionnaires has never been reported in Indonesia. Objective: To analize correlationbetween frequency and intensity of subjective tinnitus with quality of life. Method: Cross sectionalstudy was used in this research. Samples of the study were subjective tinnitus patients who attendedOtolaryngologic clinic Kariadi Hospital. Frequency and intensity of tinnitus was examined by pitchloudnessmatching using pure tone audiometry. Quality of life was assessed by THI scores. Correlationtest used to analize the data. Results: Subject of the study were 31 patients, consisted of 15 (48,4%)males and 16 (51,6%) females, age range between 25-60 years old. Eighteen (58,1%) patients had normalhearing and 13 (41,9%) with hearing loss. The highest disturbance of quality of life obtained in patientswas moderate handicap in 12 (38,7%) patients. Correlation between frequency of tinnitus with qualityof life was statistically significant (p=0,005) with moderate level of correlation (r=0,491). Correlationbetween intensity of tinnitus with quality of life was statistically significant (p=0,043) with weak level ofcorrelation (r=0,365). Conclusion: Frequency and intensity of subjective tinnitus had correlation withquality of life. Keywords: subjective tinnitus, quality of life, Tinnitus Handicap Inventory
Background: Smoking is an unhealthy lifestyle causing health problems that may lead to high morbidity and mortality rates. One way to stop smoking habit is by replacing conventional cigarettes with electric cigarettes. Cigarette smoke exposure can trigger an inflammatory reaction that can be measured using Neutrophil Lymphocyte Ratio (NLR). Aim: Proving of NLR in electric smoker are higher than conventional smoker. Method: The research used descriptive analytic design. The number of samples were 34 people, divided into 17 people each group (conventional smoker and electric smoker). The subjects were asked to fill out a questionnaire and their blood samples were taken by 3 cc. Then, the blood samples were tested in a laboratory to obtain NLR values. The data was then analyzed using unpaired T-test. Result: NLR mean in the conventional smoker group is 1,364 ± 0,28 and 1,791 ± 0,49 in the electric smoker group. The unpaired T-test indicates there is significant difference in the value of NLR between conventional smoker and electric smoker (p=0,005). Conclusion: NLR in electric smoker are higher than conventional smoke.
Latar belakang : Kehilangan pendengaran merupakan komplikasi otitis media kronik (OMSK) yang paling sering, jenis kehilangan pendengaran yang tersering adalah tuli konduktif, yang disebabkan oleh adanya air bone gap (ABG), ABG pada pasien OMSK mempunyai variasi yang berbeda-beda dan karakter yang khas berdasarkan faktor risiko. Tujuan : Menganalisis hubungan faktor risiko dengan ABG pada penderita OMSK. Metode : Penelitian desain observational analitik retrospektif di RSUP Dr Kariadi Semarang pada bulan September 2018 - Januari 2019. Data diambil dari rekam medis. jumlah sampel ditentukan sebanyak 100. Analisis data dengan uji chi-square. Hasil : Jenis kelamin laki-laki 46 orang, wanita 54 orang, rerata usia 32 tahun. Status osikula, lama sakit, kolesteatom, luas perforasi membran telinga berhubungan terhadap ABG (p <0,05). Kesimpulan : Faktor risiko (status osikula, lama sakit, kolesteatom, perforasi membran timpani) berhubungan dengan air bone gap pada penderita OMSK. Kata kunci : Air bone gap, faktor risiko, otitis media supuratif kronik. Background: Hearing loss is the most frequent complication of chronic otitis media (CSOM), hearing loss is usually caused by conductive deafness caused by the presence of an air bone gap (ABG). ABG in CSOM patients has different variations and distinctive characters based on the factors. Objective: To analyze the relationship of risk factors ABG in CSOM patients. Methods: Observational analytic study with a retrospective observational analytic design at Dr. Kariadi Hospital Semarang in September 2018 - January 2019. Subjects were 100 patients. Data retrieval is done based on medical records about history taking, physical examination and investigation. Data were analyzed by Chi-square test. Results: A total male 46 and female. Avarage age 32 years. Oscular status, duration of illness, cholesteatom, area of ??ear membrane perforation associated with ABG (p <0.05). Conclusion: Risk factors (osicular status, duration of illness, cholesteatom, tympanic membrane perforation) associated with air bone gap in CSOM patients. Keywords: Chronic supurative otitis media, air bone gap, risk factors
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