Abstract

ABSTRAK Bronkopneumonia adalah peradangan akut pada paru-paru yang mengenai satu atau beberapa lobus.

Bronkopneumonia merupakan penyumbang kematian balita di dunia sekitar 1,6-2,2 juta balita dengan proporsi 19%. Untuk mengetahui karakteristik penderita bronkopneumonia rawat inap di Rumah Sakit Santa Elisabeth Medan tahun 2005-2009, dilakukan penelitian deskriptif dengan desain case series. Populasi penelitian adalah seluruh balita yang di rawat inap di Rumah Sakit Santa Elisabeth Medan Tahun 2005-2009 sebanyak 293 orang, jumlah sampel adalah seluruh populasi. Analisa statistik dilakukan dengan uji Chi-Square dan t-test. Hasil penelitian diperoleh trend kunjungan penderita bronkopneumonia berdasarkan data tahun 2005-2009 menunjukkan penurunan dengan persamaan garis Y= 16,6-X. Proporsi berdasarkan sosiodemografi yaitu kelompok umur 2-11 bulan 48,5%, sex ratio168%, dan Kota Medan 71,0%. Bronkopneumonia berat 28,0%, jumlah kunjungan berulang satu kali 94,1%, gizi buruk 4,2%, imunisasi tidak lengkap 82,9%, pendidikan ayah dan ibu SLTA dan Akademi/PT masing –masing 42,9% dan 42,1%, pekerjaan ayah pegawai swasta 39,1%, ibu rumah tangga 45,5%, jumlah anak orang tua tiga 60,0%, anak ke tiga 60,0%, lama rawatan rata-rata 4,70 hari, dan meninggal 4,8%. Tidak ada perbedaan proporsi yang bermakna antara umur berdasarkan derajat bronkopneumonia (p=0,213), jenis kelamin berdasarkan derajat bronkopneumonia (p=0,500), status imunisasi berdasarkan derajat bronkopneumonia (p=0,604), derajat bronkopneumonia berdasarkan keadaan sewaktu pulang (p=0,423). Proporsi derajat bronkopneumonia sedang secara bermakna lebih tinggi pada status gizi baik dibandingkan bronkopneumonia berat (79,7% vs 65,4% ; χ2=6,471 ; p=0.039. Lama rawatan rata-rata penderita bronkopneumonia berat secara bermakna lebih lama daripada bronkopneumonia sedang (5,40 hari vs 4,43 hari; t=-2,909; p=0,004). Pihak rumah sakit memberikan pengarahan tentang bronkopneumonia serta faktor-faktor yang mempengaruhinya kepada orang tua.

Kata Kunci : Bronkopneumonia, Karakteristik Balita Penderita

Universitas Sumatera Utara

degree of bronchopneumonia based on the circumstances when the home (p=0.5%.1%. Proportion based on sociodemographic 2-11 months in the age group 48.0%. Population and sample amounted to 293 toddler (total sampling).70 days.1%.9%. housewives 45. p=0. incomplete immunization 82.6 to 2.8%. Keywords: Bronchopneumonia.039).1%.604). private employee’s father 39. mother and father education high school and the Academy/PT respectively 42.ABSTRACT Bronchopneumonia is an acut inflammation of the lung. Result obtained by decreasing trend line equation Y=61. t=-2. the third children 60. and Medan city 71.2%.7% vs 65. severe malnutrition 4.6-X. To determine the characteristic of bronchopneumonia patient hospitalized at Santa Elisabeth Hospital Medan in 2005-2009. Data collected from medical records analyzed the data using Chi-Square test and t-test.004) The hospital is expected to provide guidance about bronchopneumonia and the factors influencing it to parents.0%.500). parents of three children 60. χ2=6. Bronchopneumonia is a contributor to toddler mortality in the world around 1.4%. p=0.423). the number of visit over onetime 94. conducted the a descriptive study with a Case Series design. the immunization status based on the degree of bronchopneumonia (p=0.0%. and died 4.43 days. Propotion medium bronchopneumonia was significant very advanded in good nutrient than severe bronchopneumonia (79.471 .0%. Duration of treatment an average weight of patient with severe bronchopneumonia was significant longer than was medium bronchopneumonia (5. sex ratio 168%.5%. treatment on average 4. Toddler Patient Characteristics Universitas Sumatera Utara .2 million toddler with proportion 19%. Severe bronchopneumonia 28.9% and 42.909. which is affected several lobes. There was significant difference in proportion between the ages based on the degree of bronchopneumonia (p=0.40 days vs 4.

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