DWIE CHOIRUNNISA, SHEVIA (2023) FAKTOR–FAKTOR YANG MEMENGARUHI LAMA RAWAT PASIEN PASCA LAPAROTOMI DI RSUD KOTA CILEGON. S1 thesis, UNIVERSITAS SULTAN AGENG TIRTAYASA.
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Abstract
Introduction Length of stay (LOS) is an indicator for assessing the quality and efficiency of hospital services. The ideal length of stay is around 6-9 days, however, patients who perform major surgical operations such as laparotomy are associated with a longer length of stay. A long LOS is considered to be inefficient in providing health services and causing increased costs. The length of stay for post-laparotomy patients varies depending on various factors. This study aims to determine the relationship between age, postoperative complications, and comorbidities with the length of stay of post-laparotomy patients at Cilegon City Hospital. Method The design of this study was cross-sectional using medical records data of post-laparotomy patients at Cilegon City Hospital. Total respondents were 48 patients who were taken using consecutive sampling technique by fulfilling the inclusion criteria. Univariate analysis using the frequency distribution and bivariate analysis using Fisher's test. Result The results of the bivariate analysis showed that there was a significant relationship between comorbidities and the length of stay of post-laparotomy patients (p=0.001), whereas there was no association between age (p=0.055) and postoperative complications (p=0.108) and the length of stay of post-laparotomy patients. Conclusion More intensive attention and care is needed as well as aggressive management of laparotomy patients with co-morbidities and postoperative complications so that length of stay is not prolonged. Keywords: Laparotomy, length of stay, age, pascaoperative complications, comorbidities
| Item Type: | Thesis (S1) | |||||||||
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| Additional Information: | Latar Belakang Lama rawat atau Length of Stay (LOS) merupakan salah satu indikator penilaian mutu dan efisiensi pelayanan rumah sakit. Lama rawat yang ideal berkisar 6–9 hari, namun pasien yang melakukan tindakan operasi bedah mayor seperti laparotomi memiliki kaitan dengan lama rawat yang memanjang. LOS yang memanjang dinilai tidak efisiensinya pelayanan kesehatan yang diberikan dan menyebabkan biaya yang dikeluarkan meningkat. Lama rawat pasien pasca laparotomi bervariasi tergantung dengan berbagai faktor. Penelitian ini bertujuan untuk mengetahui hubungan faktor usia, komplikasi pascaoperasi, dan penyakit penyerta dengan lama rawat pasien pasca laparotomi di RSUD Kota Cilegon. Metode Desain penelitian ini cross sectional menggunakan data rekam medis pasien pasca laparotomi di RSUD Kota Cilegon. Total responden berjumlah 48 pasien yang diambil menggunakan teknik consecutive sampling dengan memenuhi kriteria inklusi. Analisis univariat menggunakan distribusi frekuensi dan analisis bivariat menggunakan uji Fisher. Hasil Hasil analisis bivariat menunjukan adanya hubungan bermakna antara penyakit penyerta dengan lama rawat pasien pasca laparotomi (p=0,001), sedangkan tidak didapatkan hubungan antara usia (p=0,055), dan komplikasi pascaoperasi (p=0,108) dengan lama rawat pasien pasca laparotomi. Kesimpulan Diperlukan perhatian dan perawatan yang lebih intensif serta tatalaksana yang agresif pada pasien laparotomi dengan penyakit penyerta dan komplikasi pascaoperasi sehingga tidak terjadi pemanjangan lama rawat. Kata Kunci: Laparotomi, Lama rawat, Usia, Komplikasi pasca operasi, Penyakit penyerta | |||||||||
| Uncontrolled Keywords: | Laparotomy, length of stay, age, pascaoperative complications, comorbidities Laparotomi, Lama rawat, Usia, Komplikasi pasca operasi, Penyakit penyerta | |||||||||
| Subjects: | R Medicine > RD Surgery | |||||||||
| Divisions: | 07-Fakultas Kedokteran > 11201-Prodi Kedokteran 07-Fakultas Kedokteran |
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| Depositing User: | Mrs. Shevia Dwie Choirunnisa | |||||||||
| Date Deposited: | 17 Jul 2023 10:04 | |||||||||
| Last Modified: | 17 Jul 2023 12:35 | |||||||||
| URI: | http://eprints.untirta.ac.id/id/eprint/26563 |
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