Hubungan Sarkopenia dengan Skor COPD Assessment Test (CAT) pada Pasien PPOK di Rumah Sakit Umum Siloam Karawaci

Setiadi, Stanley Andy Setiadi (2020) Hubungan Sarkopenia dengan Skor COPD Assessment Test (CAT) pada Pasien PPOK di Rumah Sakit Umum Siloam Karawaci. Bachelor thesis, Universitas Pelita Harapan.

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Abstract

Latar Belakang: Sarkopenia adalah suatu kondisi degenerasi otot yang mengakibatkan kelemahan dan berkurangnya massa otot dengan bertambahnya usia. Sarkopenia dapat disebabkan oleh berbagai hal, salah satunya adalah PPOK. Sudah ada beberapa penelitan mengenai hubungan sarkopenia dengan skor CAT, namun hal ini belum pernah dilakukan di Rumah Sakit Umum Siloam Karawaci. Tujuan: Untuk mengetahui hubungan antara penderita sarkopenia dengan skor CAT di Rumah Sakit Umum Siloam Karawaci Metode Penelitian: Penelitian ini menggunakan studi desain cross sectional. Sampel penelitian subjek berjumlah 51 subjek yang merupakan pasien Rumah Sakit Umum Siloam Karawaci menggunakan teknik purposive sampling. Pengambilan data menggunakan kuesioner CAT, SARC-F dan IPAQ-SF dalam periode Januari – Februari 2020. Hasil penelitian diolah dengan analisa Chi-Square menggunakan program IBM SPSS versi 23.0. Hasil: Dari 51 responden penderita PPOK, terdapat 8 orang mendapatkan skor CAT rendah, 24 orang mendapatkan skor CAT sedang, 18 orang mendapatkan skor CAT tinggi dan 1 orang mendapatkan skor CAT sangat tinggi. Sebanyak 14 orang (27,5%) menderita sarkopenia dan 37 orang (72,5%) tidak menderita sarkopenia. Penderita sarkopenia cenderung untuk mendapatkan skor CAT tinggi dan sangat tinggi yang menandakan bahwa PPOK memiliki pengaruh cukup buruk terhadap kualitas kehidupan sehari-hari. Kesimpulan: Terdapat hubungan yang signifikan antara sarkopenia dengan skor CAT tinggi dan sangat tinggi (p<0,05 (0,001), OR tertinggi 32, terendah 1,273). Prevalensi sarkopenia pada pasien PPOK sebesar 27,5%. Usia, malnutrisi, aktivitas fisik dan status merokok bukan merupakan variabel perancu dalam hubungan antara sarkopenia dengan skor CAT. Kata Kunci: Sarkopenia, COPD Assessment Test, CAT / Background: Sarcopenia is a condition of muscle degeneration that results in muscle weakness and decreased muscle mass as people gets older. Sarcopenia is caused by various things, COPD is one of them. There have been several studies about relations between Sarcopenia and CAT Scoring, but these studies haven’t been done in Siloam Karawaci General Hospital. Aim: To identify the relationship between sarcopenia patients and CAT Scoring at Siloam Karawaci General Hospital. Method: Cross sectional study is chosen as the method used in this research. Samples of 51 people would be taken from Siloam General Hospital Karawaci by using purposive sampling. The data would be collected by using CAT, SARC-F and IPAQ-SF questionnaire between the time interval of January – February 2020. The result of this research would be processed under the Chi – Square analytic method using the program of IBM SPSS 23.0 version. Results: Of the 51 respondents analyzed there were 8 people get low score of CAT, 24 people get medium score of CAT, 18 people get high score of CAT and 1 person get very high score of CAT. A total of 14 people (27.5%) had sarcopenia and 37 people (72.5%) didn’t suffers sarcopenia. People who had sarcopenia tend to get high and very high score of CAT which means COPD have a significant bad impact towards their quality of life. Conclusion: There is a significant relationship between sarcopenia and CAT scoring (p<0,05 (0,001), Highest OR 32, Lowest OR 1.273). Prevalence of sarcopenia was 27.5% in COPD patients. Age, malnutrition, physical activity, and smoking status are not confounding variables in the relationship between sarcopenia and CAT scoring. Keywords: Sarcopenia, COPD Assessment Test, CAT

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