Abstract

Talasemia adalah penyakit kelainan darah akibat kekurangan atau penurunan produksi hemoglobin. Jumlah penderita talasemia di Yayasan Talasemia Indonesia cabang Banyumas terus meningkat. Tujuan penelitian ini untuk mendeskripsikan karakteristik penderita talasemia di Yayasan Talasemia Indonesia cabang Banyumas tahun 2012. Penelitian kuantitatif dengan desain penelitian cross sectional ini dilakukan terhadap 64 sampel yang diambil dengan teknik proportionate stratified random sampling . Data dikumpulkan meliputi melalui wawancara terstruktur menggunakan kuesioner. Metode analisis yang digunakan adalah analisis deskriptif univariat. Hasil penelitian menunjukkan bahwa penderita talasemia rata-rata berusia 12,28 tahun, berjenis kelamin laki-laki (51,6%), sedang sekolah SD (40,6%), bukan angkatan kerja (92,2%), talasemia β-mayor (90,6%), tidak splenektomi (84,4%), jaminan kesehatan masyarakat (Jamkesmas) (73,4%), kadar feritin ≥ 2000 ng/mL (90,4%), kelasi deferioprone, vitamin C, dan deferioksamin (81,2%), tinggal di Kabupaten Banyumas (79,7%), trans-fusi darah di Rumah Sakit Umum Daerah (RSUD) Banyumas (95,3%), rata-rata terdiagnosis usia 3,7 tahun, usia rata-rata mulai transfusi darah adalah 3,78 tahun. Frekuensi transfusi darah 1 bulan 1 kali (87,5%), dan frekuensi terapi kelasi zat besi mengonsumsi vitamin C 30 kali dalam 1 bulan (95,3%).

Thalassaemia is blood disorder caused by deficiency or decrease in production/formation of hemoglobin. Number of thalassaemia patients in Yayasan Talasemia Indonesia (Indonesian Thalassemia Foundation) Banyumas branch countinue to increase. The research purpose is to describe the characteristics of thalassemia patients in YTI Banyumas. The research type is a quantitative approach with cross sectional research design. Sample of 64 people taken by proportionate stratified random sampling. Data collected includes characteristics of the respondents based on the variables of people, places, and time was obtained through interviews using a questionnaire. The univariate descriptive analysis were use to describe the characteristics of the respondents. The results showed that thala-ssaemia patients at YTI Banyumas have several characteristics: average age of 12,28 years, male (51,6%), elementary students (40,6%), the labor force (92,2%), b-thalassemia major (90,6%), no splenectomy (84,4%), Jamkesmas (73,4%), ferritin levels ≥ 2000 ng/mL (90,4%), sailor deferio-prone, vitamin C, and deferioksamin (81,2%), live in Banyumas (79,7%), blood transfusions in hospitals Banyumas (95,3%), the average age of diagnosis of 3,7 years, the average age of starting a blood transfusion was 3,78 years. Once a month blood transfusion (87,5%), and the frequency of iron chelation therapy by consuming vitamin C 30 times in one month (95,3%).

References

1. Mehta A, Hoffbrand AV. Alih bahasa: Hartanto H. Hematology at a glance. Jakarta: Erlangga; 2008

2. Catlin AJ. Thalassemia: the fact and the controversies. Pediatric Nursing. 2003; 29 (6): 447-51.

3. Shivashankara AR, Jailkhani R, Kini A. Hemoglobinopathies in Dharwad, North Karnataka: a hospital-based study. Journal of Clinical and Diagnostic Research. 2008 ; 2: 593-9.

4. Anggraini N, Riyanti E, Chemiawan E. Description of upper intermolar dental arch size in thalassemia beta mayor aged 9-14 years old based on gender. Padjajaran Journal of Dentistry. 2009; 21 (1): 61-4.

5. Aryuliana D, Muslim C, Manaf S, Winarni EW. Biologi. Jakarta: Erlangga; 2004.

6. Bulan S. Faktor-faktor yang berhubungan dengan kualitas hidup anak thalassaemia beta mayor [tesis]. Semarang: Program Pascasarjana Magister Ilmu Biomedik dan Program Pendidikan Dokter Spesialis Ilmu Kesehatan Anak Universitas Dipenogoro; 2009. Tidak dipublikasikan.

7. Sacher RA, McPherson RA. Alih bahasa: Pednit BU, Wulandari D. Tinjauan klinis hasil pemeriksaan laboratorium. Jakarta: EGC; 2004.

8. Atiek S, Husna A, Purnaan J. Kapita selekta kedokteran. Jakarta: Media Aesculapius; 2008.

9. Kementerian Kesehatan Republik Indonesia. Pedoman pelaksanaan jaminan kesehatan masyarakat (jamkesmas). Jakarta: Kementerian Kesehatan Republik Indonesia; 2010.

10. Made A, Ketut A. Profil pertumbuhan, hemoglobin pre-transfusi, kadar feritin, dan usia tulang anak pada thalassemia mayor. Seri Pediatri. 2011; 13 (4): 299-304.

11. Agouzal M, Arfaoui A, Quyou A, Khattab M. Characteristics of chelation therapy among beta thalassaemia patients in Nort of Morocco. Academic Journals. 2010; 2 (1): 1-7.

12. Rahim F, Keikhaei B, Zandian K, Soltani A. Diagnosis and treatment of cord compression secondary to extramedullary hematopoiesis in patients with beta-thalassemia intermedia. Journal of Clinical and Diagnostic Research. 2008; 2 (2): 643-7.

13. Hoffbrand AV, Pettit JE. Alih bahasa: Darmawan I. Hematologi (essential hematology). Jakarta: EGC; 1996.

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