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ABSTRAK

Struma adalah suatu pembengkakan pada leher oleh karena pembesaran


kelenjar tiroid akibat kelainan glandula tiroid dapat berupa gangguan fungsi atau
perubahan susunan kelenjar dan morfologinya. Berdasarkan hasil survei nasional
tahun 2003 PR struma pada anak sekolah dasar di Indonesia sebesar 11,1 % dan
PR struma di Provinsi Sumatera adalah sebagai berikut Sumatera Utara 5,3 %,
Sumatera Barat 5,8 %, Riau 1,7 %, Jambi 5,5 %, Sumatera Selatan 9,9 %,
Bengkulu 2,5 %, dan Lampung 13,2 %. Terdapat 155 penderita Struma di RS
Santa Elisabeth tahun 2005-2009.
Untuk mengetahui karakteristik penderita struma rawat inap di Rumah Sakit
Santa Elisabeth Medan tahun 2005-2009 dilakukan penelitian deskriptif dengan
desain case series. Polulasi dan sample berjumlah 155 orang (total sampling).
Data diperoleh dari rekam medik, analisa data dengan uji Chi-square dan
Anova.
Hasil penelitian didapat kenaikan trend menurut garis persamaan Y=
14,8+5,4x. Proporsi tertinggi penderita struma pada kelompok umur 20-40 tahun
28,9%, jenis kelamin perempuan (80,0%), suku Batak (72,6%), agama Kristen
Protestan (49,7%), pekerjaan karyawan/pegawai swasta (39,8%), status
perkawinan menikah (98,7%), jenis struma non toksik 60,0%, penatalaksanaan
medis non bedah (56,8%), lama rawatan rata-rata 7,63 hari (8 hari), pulang
berobat jalan (89,1%). Tidak ada perbedaan yang bermakna antara umur
berdasarkan jenis struma (p=0,691). Tidak ada perbedaan yang bermakna antara
jenis kelamin berdasarkan jenis struma (p=0,059). Tidak ada perbedaan yang
bermakna antara status perkawinan berdasarkan jenis struma (p=0,161).
Proporsi penatalaksanaan medis bedah secara bermakana lebih tinggi pada
struma non toksik dibandingkan struma toksik (63,9% vs 36,1%; χ2 = 16,72; p =
0,000). Tidak ada perbedaan lama rawatan berdasarkan keadaan sewaktu pulang
(p=0,302)
Pihak RS Santa Elisabeth Medan diharapkan untuk melengkapi pencatatan
rekam medis misalnya suku, pekerjaan dan status perkawinan. Kepada dokter dan
perawat RS Santa Elisabeth Medan agar memberikan pemahaman kepada pasien
dalam penatalaksanaan medis yang sesuai dengan jenis struma.

Kata kunci : Struma, Karakteristik

Universitas Sumatera Utara


ABSTRACT

Goiter is a swelling of the neck because of the enlargement of the thyroid


gland as a glandula thyroid disfunction or change the arrangement of glands and
morfology. Based on the results of a national survey in 2003 prevalence rate
goiter in elementary school children in Indonesia is 11,1% and prevalence rate
goiter in Sumatra following the North Sumatera 5,3%, West Sumatera 5,8%, Riau
1,7%, Jambi 5,5%, South Sumatra 9,9%, Bengkulu 2,5%, and Lampung 13,2%.
There are 155 patients with goiter in a hospital in Santa Elisabeth 2005-2009.
To determine the characteristic of struma patients hospitalized at Santa
Elisabeth Hospital Medan in 2005-2009 conducted a descriptive study with a
case series design. Population and sample amounted to 155 persons (total
sampling). Data collected from medical records, analyzed the data using Chi-
square test and Anova.
The results obtained by increasing trend line equation Y = 14,8+ 5,4 x.
The highest proportion of patients with goiter in the age group 20-40 years
28,9%, with female (80,0%), Batak ethnic (72,6%), Protestant (49,7%), private
officials (39,8%), married (98,7%), non-toxic goiter of 60,0%, non-surgical
management of medic (5,8%, ), duration of treatment on average 7,63 days (8
days), clinical stage (89,1%) . There was no significant difference between the
age based on the type of goiter (p = 0,691). There were no significant difference
between sex based on the type of goiter (p = 0,059). There was no significant
difference between the status of marriage based on the type of goiter (p = 0,161).
Proportion of surgical procedure in which medical treatment significance was
higher in toxic non goiter compared with toxic goiter (63,9% vs 36,1%, χ2 =
16,72, p = 0,000 ). There was no significant difference between duration of
treatment on average based on condition out of hospital (p = 0,302).
Santa Elisabeth Hospital Medan are expected to complete the posting
medical record such ethnic, employment and marriage status. To the doctor and
nurse Santa Elisabeth Hospital Medan give understanding to the management
medic of patient which represents the type of goiter.

Key words: Goiter, characteristics

Universitas Sumatera Utara

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