Karakteristik Pasien Gagal Jantung Kongestif Dengan Riwayat Rawat Inap Ulang di RSUP Haji Adam Malik Medan Tahun 2012

ABSTRAK
Latar Belakang : Rehospitalisasi menjadi salah satu faktor yang menentukan prognosis gagal
jantung kongestif.. Menurut NICOR tahun 2011, di eropa 18,43% pasien gagal jantung kongestif
mengalami rehospitalisasi dalam 1 tahun. Di Yogjakarta, prevalensi pasien gagal jantung
kongestif yang menjalani rawat inap ulang dalam satu tahun sebesar 52.21% sementara yang
dirawat ulang lebih dari satu kali dalam waktu satu tahun sebesar 44.79% (Majid, 2010). Di
Medan belum ada gambaran tentang rehospitalisasi pasien gagal jantung kongestif.
Tujuan : Mengetahui karakteristik pasien gagal jantung kongestif yang menjalani rawa
inap ulang di RSUP H. Adam Malik Medan tahun 2012.
Metode : Penelitian ini bersifat deskriptif dengan desain cross sectional. Peneliti
melakukan analisis terhadap data rekam medis di RSUP H. Adam Malik Medan.
Pemilihan sampel secara total sampling dengan jumlah sampel 64 orang.
Hasil : Prevalensi rehospitalisasi pasien gagal jantung kongestif ialah 11,02% dengan
durasi rata-rata 11 hari. Penyebab tersering gagal jantung kongetif ialah CAD
(31,3%) sedangkan penyebab tersering rehospitalisasi ialah Pneumonia (15,6%).
Distribusi karakteristik pasien rehospitalisasi gagal jantung kongestif ialah usia 41-60
tahun (50%), laki-laki (59,4%), Wiraswasta (32,8%), Stage III (64,1%), hasil akhir
klinis dapat berobat jalan (85,9%).
Kesimpulan : Penelitian selanjutnya diharapkan menganalisis faktor-faktor yang
mempengaruhi kejadian rehospitalisasi pasien gagal jantung kongestif
Kata Kunci : Gagal Jantung Kongestif, Rehospitalisasi, Karakteristik


Universitas Sumatera Utara

ABSTRACT
Introduction : Rehospitalization is one of the prognostic factor of congestive heart
failure (CHF). In 2011, Based on NICOR in Europe, prevalence of rehospitalization
of congestive heart failure in a year was 18,43%. In Yogjakarta, prevalence of once
rehospitalization of congestive heart failure in a year was 52,21% and prevalence of more
than once rehospitalization of congestive heart failure in a year was 44.79%. There wasn’t a
current description of congestive heart failure patient with rehospitalization.
Objective : to determine the characteristic of rehospitalized patient with congestive
heart failure in RSUP Haji Adam Malik Hospital during 2012.
Methods : this study is a descriptive study with cross sectional design. Data were
collected from medical record in Haji Adam Malik Hospital. 64 samples were
collected by total sampling.
Result : The prevalence of rehospitalization of CHF patient was 11,02% with
duration of rehospitalization were 11 days. The most common cause of CHF was
CAD (31,3%) and the most common cause of rehospitalization was pneumonia
(15,6%). The characteristic of rehospitalization of CHF patient were 41-60 years old
(50%), Male (59,4%), enterpriser (32,8%), Stage III (64,1%), outpatient (85,9%).

Conclusion : In further studies, recommended to analyzed factors associated with
rehospitalization of CHF.
Keywords : Congestive Heart Failure, Rehospitalization, Characteristics

Universitas Sumatera Utara