Perubahan Frankel Score pada Pasien Hernia Nucleus Pulposus Pasca Terapi Konservatif di Rumah Sakit Al Islam Bandung Periode 2014-2015

Ihsan Luthfi Abdillah, Dadang Rukanta, Nurruhyuliawati W

Abstract


Abstract: Herniated Nucleus Pulposus is one major problem worldwide especially in developing countries, including Indonesia. Many risk factors that play a role in the incidence of HNP in Indonesia as a job lot of heavy lifting, obesity, intake nutrition inadequate and smoking habits. Data in Al Islam General Hospital Bandung in the years 2014-2015 showed there were 351 patients who were diagnosed HNP and having conservative therapy. The purpose of this research is to look at neurological improvements after conservative therapy were seen from the Frankel Score changes. Materials of this research are secondary data extracted from medical records of patients with HNP and performed conservative treatment in Al Islam General Hospital Bandung in period 2014-2015. The design of the research is a descriptive observational cohort study design. The research was conducted in March-June, 2016. From the results obtained 31 patients with HNP as outpatient for conservative treatment at least 4 times therapy in Al Islam General Hospital Bandung. Based on this research, it is known that patients afterconservative therapythere were improvements in Frankel Score, where the majority is group of Frankel D that from 11 to 16 people (51.61%). There are improvement in the Frankel score changes in patients with Herniated Nucleus Pulposus at the Al Islam Bandung Hospital period 2014-2015.

Abstrak: Hernia Nukleus Pulposus merupakan salah satu masalah utama di seluruh dunia terutama di negara berkembang termasuk di Indonesia. Banyak faktor resiko yang berperan dalam kejadian HNP di Indonesia seperti pekerjaan yang banyak mengangkat beban berat, obesitas, juga asupan nutrisi yang kurang dan kebiasaan merokok. Data di RS Al Islam Bandung tahun 2014-2015 menunjukan terdapat 351 penderita yang terdiagnosis HNP dan melakukan terapi konsevatif. Tujuan dari penelitian ini adalah untuk melihat perbaikan neurologis setelah melakukan terapi konservatif yang dilihat dari berubahan Frankel Score. Bahan penelitian ini berupa data sekunder yang diambil dari data rekam medis pasien penderita HNP dan dilakukan terapi konservatif di RS Al Islam Bandung periode tahun 2014-2015. Rancangan penelitian yang digunakan adalah observasional deskriptif dengan rancangan cohort study. Penelitian dilakukan pada bulan Maret-Juni 2016. Dari hasil penelitian didapatkan 31 penderita HNP yang melakukan rawat jalan untuk terapi konservatif dengan sedikitnya melakukan 4 kali terapi di RS Al Islam Bandung. Berdasarkan penelitian ini, diketahui bahwa penderita setelah menjalani terapi konservatif terdapat perbaikan Frankel Score, dimana mayoritas adalah kelompok Frankel D yaitu dari 11 orang menjadi 16 orang (51.61%). Terdapat perbaikan perubahan frankel scorepada pasien Hernia Nukleus Pulposus di Rumah Sakit Al Islam Bandung periode 2014-2015.Terdapat perbaikan perubahan frankel score pada pasien Hernia Nukleus Pulposus di Rumah Sakit Al Islam Bandung periode 2014-2015.


Keywords


Herniated Nucleus Pulposus, Conservative Therapy, Frankel Score

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