1. Peneliti Utama Nama : dr. Julia Maria Sari NIP :- GolPangkat :- Jabatan : PPDS THT-KL FK-USU (Asisten Ahli) Fakultas : Kedokteran Perguruan Tinggi : Universitas Sumatera Utara Bidang Keahlian : Ilmu Kesehatan THT, Bedah Kepala dan Leher Waktu Disediaka

PERSONALIA PENELITIAN

  1. Peneliti Utama Nama : dr. Julia Maria Sari NIP : - Gol/Pangkat : - Jabatan : PPDS THT-KL FK-USU (Asisten Ahli) Fakultas : Kedokteran Perguruan Tinggi : Universitas Sumatera Utara

Bidang Keahlian : Ilmu Kesehatan THT, Bedah Kepala dan

  Leher Waktu Disediakan : 12 jam/minggu

2. Anggota Peneliti/Pembimbing

  

A. Nama : Prof.DR.dr.Abd.Rachman S, Sp.THT-KL(K)

NIP : 19471130198003 1 002 Gol/Pangkat : IV/d, Pembina Utama Madya

Jabatan : Guru Besar, Ketua Departemen THT-KL

  FK.USU/RSUP H.Adam Malik Medan. Kepala Divisi Departemen THT-KL FK . USU/RSUP H.Adam, Malik, Medan. Fakultas : Kedokteran Perguruan Tinggi : Universitas Sumatera Utara Bidang Keahlian : Ilmu Kesehatan THT, Bedah Kepala dan Leher Waktu Disediakan : 5 jam/minggu

  B. Nama : dr. Ida Sjailandrawati Harahap, SpTHT-KL NIP : 195206031979122001 Gol/Pangkat : Pembina Tingkat I/IVb

Jabatan : Staf Divisi Faringolaringologi Departemen

  THT-KL FK.USU/RSUP H.AMalik Medan Fakultas : Kedokteran Perguruan Tinggi : Universitas Sumatera Utara

Bidang Keahlian : Ilmu Kesehatan THT, Bedah Kepala dan

Leher Waktu Disediakan : 5 jam/minggu

  C. Nama : dr. Harry A.Asroel,M.Ked, SpTHT-KL NIP : 197008121999031002 Gol/Pangkat : III/d, Penata Tingkat I Jabatan : Staf Divisi Otologi Departemen THT- KL

  FK USU/RSUP HAM Sekretaris Program Studi THT- KL FK USU/RSUP H.Adam Malik Medan. Fakultas : Kedokteran Perguruan Tinggi : Universitas Sumatera Utara

Bidang Keahlian : Ilmu Kesehatan THT, Bedah Kepala dan

Leher

  Waktu Disediakan : 5 jam/minggu

  LAMPIRAN 1

Lampiran Data Sampel Penelitian

8 Nurhayati/ Pr/45thn

  3

  2

  3 √

  11 Tamrin keliat/ Lk/ 44thn

  3 41.29.08/2009

  1

  2

  3

  2

  1

  4

√

  10 Irfandi doa s LK/21thn

  11

  3

  3 53.76.79/2012

  1

  2

  3

  2

  2

  3 √

  3 45.25.76/2010 No Nama / MR Umur/JK Keluhan Lokasi Etiologi Pola Penyakit Terapi Hasil Komplikasi P R PF S kuman Penyerta Terapi

  1

  1

  1

  2

  1

  1

  2

  3

  1

  2

  3

  7

  2

  4 √

  14 Baharudin/ LK/23thn

  3 32.70.23/2007

  1

  2

  6

  1

  3

  4 √

  13 Marangkup/ LK/29thn

  2 41.75.02/2010

  2

  1

  3

  9

  1

  5

√

  12 Risky PR/14thn

  3 41.74.04/2010

  2

  1 √

  No Nama / MR Umur/JK Keluhan Lokasi Etiologi Pola Penyakit Terapi Hasil Komplikasi _{P R PF S} kuman Penyerta Terapi

  1

  4 Amran dasuki/ Lk/52thn 1 v

  3 39.44.07/2011

  1

  2

  3

  3

  1

  4 √

  3 Yudha LK/12thn

  3 45.85.60/2011

  1

  3

  4

  4

  1

  1

√

  2 Eka Erliani Lbs Pr/ 45thn

  3 37.92.39/2009

  1

  1

  3

  4

  1

  1

√

  1 Nurliani 47thn/Pr

  1

  1

  1 45.45.91/2010

  4

  2

  1

  1

  4

  1

  6 √

  7 Ahmat Buldan/ LK/38thn

  3 45.79.66/2011

  2

  1

  1

  5

  1

  1 √

  6 Zubaidah Pr/51thn

  3 45.37.34/2010

  1

  1

  1

  2

  5

  3 √

  5 Ngapul Ginting/ Lk/53thn

  3 53.48.74/2012

  1

9 Siti Hasanah/ Pr/20thn

  39.95.17/2009

  15 Yususf Siregar/ LK/21thn

  3

  2

  9

  3

  2

  1

  3 √ 39.97.70/2009

  16 Mardiansyah/ LK/7thn

  1

  5

  10

  3

  1

  1

  3 √ 35.39.81/2008

  17 Piona/ PR/22thn

  6

  5

  10

  3

  2

  1

  3 √ 31.81.00/2007

  Lokasi Pola Penyakit Hasil

No Nama / MR Umur/JK Keluhan Etiologi Terapi Komplikasi

P R PF S kuman Penyerta Terapi

  18 Pengarapan sembiring Lk/35thn

  6

  1

  3

  3

  1

  1

  3

√

32.67.75/2007

  19 Eben Bangun/ Lk/43thn

  4

  2

  9

  3

  1

  1

  3 √ 31.37.30/2006

  20 Perdinan H LK/52thn

  1

  1

  3

  3

  1

  1

  3

√

33.68.31/2007

  21 Ahmad S LK/24thn

  6

  1

  10

  3

  1

  1

  3 √ 05.93.25/2008

  22 Walman S LK/55thn

  1

  1

  3

  3

  1

  1

  3

√

/34.58.64/2008

  23 Widari/ PR/23thn

  4

  2

  10

  3

  2

  1

  3 √ 32.79.46/2007

  24 Rahmat dani/ LK/25

  1

  1

  8

  3

  1

  1

  3

√

42.36.53/2010

  25 Samiran/ Lk/53thn

  4

  2

  10

  3

  2

  1

  3 √ 36.82.22/2008

  26 Lasmiran/ LK/42thn

  1

  1

  8

  3

  1

  1

  3

√

42.34.84/2010

  27 Gazali Daud/ LK/56thn

  1

  1

  5

  3

  1

  1

  3

√

41.18.72/2009

  28 Kiki Kardo/ LK/20thn

  6

  2

  11

  3

  1

  1

  3 √ 40.15.67/2009

  Lokasi Pola Penyakit Hasil

No Nama / MR Umur/JK Keluhan Etiologi Terapi Komplikasi

P R PF S kuman Penyerta Terapi

29 Poltak S LK/43thn

  4

  5

  11

  3

  2

  1

  3 √

  /42.36.67/2010

  30 Togi Siregar/ LK/24thn 4 v

  4

  10

  3

  2

  1

  3 31.88.58/2007

  31 Rosmina S Pr/39thn

  4

  1

  11

  3

  2

  1

  3 √ 33.71.60/2007

  32 Surani/ Pr/52thn

  1

  1

  10

  3

  1

  1

  3

√

35.30.38/2008

  33 Nuriah ritonga/ Pr/ 56thn

  4

  5

  11

  3

  2

  1

  3 √ 50.97.58/2012

  34 Kamin/ Lk/59thn

  1

  1

  10

  3

  1

  1

  3

√

50.90.57/2012

  35 Parmin Lk/53thn

  1

  1

  10

  3

  1

  1

  3

√

/50.60.12/2012

  36 Reza faisal/ Lk/26thn

  4

  4

  11

  3

  2

  1

  3

√

51.22.87/2012

  37 Fitriadi LK/26thn

  6

  5

  11

  3

  1

  1

  1 √ 36.72.25/2008

  38 Samsul bahri/ Lk/36thn

  4

  1

  11

  3

  2

  2

  2

√

40.71.97/2009

  Lokasi Pola Penyakit Hasil

No Nama / MR Umur/JK Keluhan Etiologi Terapi Komplikasi

P R PF S kuman Penyerta Terapi

  39 Zubaidah NST/ Pr/51thn

  1

  1

  11

  3

  1

  1

  2

√

45.79.66/2011

  40 Eka erliani Lbs/ Pr/45thn

  1

  1

  1

  3

  2

  1

  2

√

45.85.60/2011 Keterangan P: Abses peritonsil Keluhan : 1.bengkak leher Pola Kuman:

  1.Klebsiella ozaenae R: Abses retrofaring

  2. Nyeri Leher

  2.Staphylococcus aureus PF: Abses parafaring

  3.Sulit menelan

  3.Klebsiella pneumonia S: Abses submandibula

  4. Sakit Menelan

  4. Pseudomonas Aeruginosa

  5. Demam

  5. Clostridium perfringens (An aerob)

  6. Trismus (sulit membuka Etiologi: mulut)

  6. Escherictia coli

  1. Infeksi gigi

  7.Nyeri tenggorok

  7. Streptoccus viridans

  2.Tonsilitis

  8. Streptococus α-haemolytikus

  3.TB. Paru Penyakit Penyerta:

  1. DM

  9. Streptococus β-haemolytikus

  4. Faringitis

  2.TB

  10. Tidak dijumpai pertumbuhan kuman

  5.Tidak jelas

  3.Tidak ada

  11.Tidak dilakukan pemeriksaan Komplikasi : Terapi:

  1.Medikamentosa + Operatif Hasil Terapi:

  1. Sembuh

  1.Sumbatan jalan nafas

  2. Medikamentosa

  2. Meninggal

  2. Sepsis

  3. Tidak ada komplikasi

  LAMPIRAN 2

UJI STATISTIK

  Frequencies Statistics

  Ruang yang terlibat N Valid

  40 Missing Mean

  2.88 Median

  4.00 Std. Deviation 1.381 Variance 1.907 Range

  3 Ruang yang terlibat Cumulative

  Frequency Percent Valid Percent Percent Valid Abses peritonsil

  13

  32.5

  32.5

  32.5 Abses retrofaring

  1

  2.5

  2.5

  35.0 Abses parafaring

  4

  10.0

  10.0

  45.0 Abses submandibula

  22

  55.0 55.0 100.0 Total 40 100.0 100.0

  Crosstabs

Kelompok Umur * Jenis Kelamin * Ruang yang terlibat Crosstabulation

  Jenis Kelamin Ruang yang terlibat Laki-laki Perempuan Total Abses Kelompok >10 - 20 Count

  1

  1

  2 peritonsil Umur thn % within Jenis Kelamin 11.1% 25.0% 15.4%

  >20 - 30 Count

  3

  1

  4 thn % within Jenis Kelamin 33.3% 25.0% 30.8%

  >30 - 40 Count

  1

  1 thn % within Jenis Kelamin .0% 25.0% 7.7%

  >40 - 50 thn Count

  3

  1

  4 % within Jenis Kelamin 100.0% 100.0% 100.0%

  Abses submandibula Kelompok Umur

  >10 - 20 thn Count

  1

  1 % within Jenis Kelamin .0% 12.5% 4.5%

  >20 - 30 thn Count

  4

  4 % within Jenis Kelamin 28.6% .0% 18.2%

  >30 - 40 thn Count

  3 % within Jenis Kelamin 21.4% .0% 13.6%

  Total Count

  >40 - 50 thn Count

  1

  4

  5 % within Jenis Kelamin 7.1% 50.0% 22.7%

  >50 - 60 thn Count

  6

  3

  9 % within Jenis Kelamin 42.9% 37.5% 40.9%

  Total Count

  14

  8

  3

  2 % within Jenis Kelamin 33.3% 100.0% 50.0%

  3

  1

  3 % within Jenis Kelamin 33.3% .0% 23.1%

  >50 - 60 thn Count

  2

  1

  3 % within Jenis Kelamin 22.2% 25.0% 23.1%

  Total Count

  9

  4

  13 % within Jenis Kelamin 100.0% 100.0% 100.0%

  Abses retrofaring Kelompok Umur

  >20 - 30 thn Count

  1 % within Jenis Kelamin 100.0% 100.0%

  1

  Total Count

  1

  1 % within Jenis Kelamin 100.0% 100.0%

  Abses parafaring Kelompok Umur 0 - 10 thn Count

  1

  1 % within Jenis Kelamin 33.3% .0% 25.0%

  >10 - 20 thn Count

  1

  1 % within Jenis Kelamin 33.3% .0% 25.0%

  >20 - 30 thn Count

  1

  22 % within Jenis Kelamin 100.0% 100.0% 100.0%

  Chi-Square Tests

  4 .042 Likelihood Ratio 12.380 4 .015 Linear-by-Linear Association .380 1 .537 N of Valid Cases

  3.50 Std. Deviation 1.860 Variance 3.461 Range

  3.03 Median

  40 Missing Mean

  Keluhan N Valid

  Frequencies Statistics

  d. 9 cells (90,0%) have expected count less than 5. The minimum expected count is ,36.

  c. 6 cells (100,0%) have expected count less than 5. The minimum expected count is ,25.

  b. No statistics are computed because Kelompok Umur and Jenis Kelamin are constants.

  22 a. 10 cells (100,0%) have expected count less than 5. The minimum expected count is ,31.

  d

  Ruang yang terlibat Value df Asymp. Sig.

  4 Abses submandibula Pearson Chi-Square 9.900

  2 .513 Likelihood Ratio 1.726 2 .422 Linear-by-Linear Association .818 1 .366 N of Valid Cases

  c

  1 Abses parafaring Pearson Chi-Square 1.333

  N of Valid Cases

  b

  13 Abses retrofaring Pearson Chi-Square .

  4 .406 Likelihood Ratio 4.958 4 .292 Linear-by-Linear Association .275 1 .600 N of Valid Cases

  a

  (2-sided) Abses peritonsil Pearson Chi-Square 4.002

  5

  Keluhan

  Cumulative Frequency Percent Valid Percent Percent

  Valid Bengkak leher

  16

  40.0

  40.0

  40.0 Sulit menelan

  4

  10.0

  10.0

  50.0 Sakit Menelan

  13

  32.5

  32.5

  82.5 Demam

  1

  2.5

  2.5

  85.0 Trismus (sulit membuka mulut)

  6

  15.0 15.0 100.0 Total 40 100.0 100.0

  Crosstabs

Keluhan * Ruang yang terlibat Crosstabulation

  Ruang yang terlibat Abses Abses Abses Abses peritonsil retrofaring parafaring submandibula Total

  Keluhan Bengkak leher Count

  1

  15

  16 % within Ruang .0% .0% 25.0% 68.2% 40.0% yang terlibat

  Sulit menelan Count

  4

  4 % within Ruang 30.8% .0% .0% .0% 10.0% yang terlibat

  Sakit Menelan Count

  6

  1

  2

  4

  13 % within Ruang 46.2% 100.0% 50.0% 18.2% 32.5% yang terlibat

  Demam Count

  1

  1 % within Ruang .0% .0% .0% 4.5% 2.5% yang terlibat

  Trismus (sulit Count

  3

  1

  2

  6 membuka % within Ruang 23.1% .0% 25.0% 9.1% 15.0% mulut) yang terlibat

  Total Count

  13

  1

  4

  22

  40 % within Ruang 100.0% 100.0% 100.0% 100.0% 100.0% yang terlibat

  Chi-Square Tests Asymp. Sig.

  Value df (2-sided)

  a

  Pearson Chi-Square 24.726 12 .016 Likelihood Ratio 30.383 12 .002 Linear-by-Linear Association 9.280 1 .002 N of Valid Cases

  40

  a. 17 cells (85,0%) have expected count less than 5. The minimum expected count is ,03.

  Frequencies Statistics

  Etiologi N Valid

  40 Missing Mean

  2.00 Median

  1.00 Std. Deviation 1.485 Variance 2.205 Range

  4 Etiologi Cumulative

  Frequency Percent Valid Percent Percent Valid Infeksi gigi

  23

  57.5

  57.5

  57.5 Tonsilitis

  8

  20.0

  20.0

  77.5 TB. Paru

  1

  2.5

  2.5

  80.0 Faringitis

  2

  5.0

  5.0

  85.0 Tidak jelas

  6

  15.0 15.0 100.0 Total 40 100.0 100.0

  Crosstabs

Etiologi * Ruang yang terlibat Crosstabulation

  Ruang yang terlibat Abses Abses Abses Abses peritonsil retrofaring parafaring submandibula Total

  Etiologi Infeksi gigi Count

  3

  1

  19

  23 % within Ruang 23.1% .0% 25.0% 86.4% 57.5% yang terlibat

  Tonsilitis Count

  7

  1

  8 % within Ruang 53.8% .0% 25.0% .0% 20.0% yang terlibat

  TB. Paru Count

  1

  1 % within Ruang .0% 100.0% .0% .0% 2.5% yang terlibat

  Faringitis Count

  2

  2 % within Ruang .0% .0% .0% 9.1% 5.0% yang terlibat

  Tidak jelas Count

  3

  2

  1

  6 % within Ruang 23.1% .0% 50.0% 4.5% 15.0% yang terlibat

  Total Count

  13

  1

  4

  22

  40 % within Ruang 100.0% 100.0% 100.0% 100.0% 100.0% yang terlibat

  Chi-Square Tests Asymp. Sig.

  Value df (2-sided)

  a

  Pearson Chi-Square 65.494 12 .000 Likelihood Ratio 37.408 12 .000 Linear-by-Linear Association 3.811 1 .051 N of Valid Cases

  40

  Chi-Square Tests Asymp. Sig.

  Value df (2-sided)

  a

  Pearson Chi-Square 65.494 12 .000 Likelihood Ratio 37.408 12 .000 Linear-by-Linear Association 3.811 1 .051 N of Valid Cases

  40

  a. 18 cells (90,0%) have expected count less than 5. The minimum expected count is ,03.

  Frequencies Statistics

  Pola Kuman N Valid

  40 Missing Mean

  7.05 Median

  8.50 Std. Deviation 3.573 Variance 12.767 Range

  10 Pola Kuman Cumulative

  Frequency Percent Valid Percent Percent Valid Klebsiella ozaenae

  1

  2.5

  2.5

  2.5 Staphylococcus aureus

  5

  12.5

  12.5

  15.0 Klebsiella pneumonia

  4

  10.0

  10.0

  25.0 Pseudomonas Aeruginosa

  5

  12.5

  12.5

  37.5 Clostridium perfringens

  1

  2.5

  2.5

  40.0 Escherictia coli

  1

  2.5

  2.5

  42.5 Streptoccus viridans

  1

  2.5

  2.5

  45.0 Streptococus hemolitikus

  2

  5.0

  5.0

  50.0 Streptococus hemolitikus

  3

  7.5

  7.5

  57.5 Tidak dijumpai pertumbuhan

  9

  22.5

  22.5

  80.0 kuman Tidak dilakukan pemeriksaan

  8

  20.0 20.0 100.0 Total 40 100.0 100.0

  Crosstabs

Pola Kuman * Ruang yang terlibat Crosstabulation

  Ruang yang terlibat Abses Abses Abses Abses peritonsil retrofaring parafaring submandibula Total

  Pola Kuman Klebsiella Count

  1

  1 ozaenae % within Ruang .0% .0% .0% 4.5% 2.5% yang terlibat

  Staphylococcu Count

  3

  2

  5 s aureus % within Ruang 23.1% .0% .0% 9.1% 12.5% yang terlibat

  Klebsiella Count

  1

  3

  4 pneumonia % within Ruang .0% .0% 25.0% 13.6% 10.0% yang terlibat

  Pseudomonas Count

  5

  5 Aeruginosa % within Ruang .0% .0% .0% 22.7% 12.5% yang terlibat

  Clostridium Count

  1

  1 perfringens % within Ruang .0% .0% .0% 4.5% 2.5% yang terlibat

  Escherictia coli Count

  1

  1 % within Ruang .0% 100.0% .0% .0% 2.5% yang terlibat

  Streptoccus Count

  1

  1 viridans % within Ruang .0% .0% 25.0% .0% 2.5% yang terlibat

  Streptococus Count

  2

  2 hemolitikus % within Ruang .0% .0% .0% 9.1% 5.0% yang terlibat Streptococus hemolitikus Count

  2

  40

  a

  30 .000 Likelihood Ratio 36.597 30 .189 Linear-by-Linear Association 2.820 1 .093 N of Valid Cases

  40

  a. 44 cells (100,0%) have expected count less than 5. The minimum expected count is ,03.

  Frequencies Statistics

  Penyakit Penyerta Komplikasi Terapi Hasil Terapi N Valid

  40

  40

  Value df Asymp. Sig.

  40 Missing Mean

  3.58

  2.80

  1.40

  1.10 Median

  4.00

  3.00

  1.00

  (2-sided) Pearson Chi-Square 67.071

  Chi-Square Tests

  1

  Count

  3 % within Ruang yang terlibat

  15.4% .0% .0% 4.5% 7.5% Tidak dijumpai pertumbuhan kuman

  Count

  3

  2

  4

  9 % within Ruang yang terlibat

  23.1% .0% 50.0% 18.2% 22.5% Tidak dilakukan pemeriksaan

  5

  100.0% 100.0% 100.0% 100.0% 100.0%

  3

  8 % within Ruang yang terlibat

  38.5% .0% .0% 13.6% 20.0% Total Count

  13

  1

  4

  22

  40 % within Ruang yang terlibat

  1.00 Std. Deviation 1.035 .516 .496 .304 Variance 1.071 .267 .246 .092

  Statistics

  4

  15.0 Tidak ada

  34

  85.0 85.0 100.0 Total 40 100.0 100.0

  Komplikasi

  Frequency Percent Valid Percent Cumulative

  Percent Valid Sumbatan jalan nafas

  2

  5.0

  5.0

  5.0 Sepsis

  10.0

  2.5

  10.0

  15.0 Tidak ada komplikasi

  34

  85.0 85.0 100.0 Total 40 100.0 100.0

  Terapi

  Frequency Percent Valid Percent Cumulative

  Percent Valid Medikamentosa + Operatif

  24

  60.0

  60.0

  2.5

  1

  Penyakit Penyerta Komplikasi Terapi Hasil Terapi N Valid

  1.00

  40

  40

  40

  40 Missing Mean

  3.58

  2.80

  1.40

  1.10 Median

  4.00

  3.00

  1.00 Std. Deviation 1.035 .516 .496 .304 Variance 1.071 .267 .246 .092 Range

  12.5 TB

  3

  2

  1

  1 Frequency Table

  Penyakit Penyerta

  Frequency Percent Valid Percent Cumulative

  Percent Valid DM

  5

  12.5

  12.5

  60.0 Medikamentosa

  16

  40.0 40.0 100.0 Total 40 100.0 100.0

  Hasil Terapi

  Cumulative Frequency Percent Valid Percent Percent

  Valid Sembuh

  36

  90.0

  90.0

  90.0 Meninggal

  4

  10.0 10.0 100.0 Total 40 100.0 100.0