KUALITAS HIDUP PENDERITA OTITIS MEDIA SUPURATIF KRONIK SEBELUM DAN SESUDAH OPERASIMASTOIDEKTOMI

Margaretha Yayu Indah Anugrahny, dr. D. A. Edhie Samodra, Sp. THT-K(LK)

2013 | Tesis | S2 Ilmu Penyakit THT

Latar belakang : Otitis media supuratif kronis (OMSK) adalah penyakit yang persisten dan mempunyai 2 tipe klinis yaitu tanpa kolesteatom dan kolesteatom. Manifestasi klinis kedua tipe tersebut adalah adanya otorea, penurunan pendengaran, perforasi membran timpani, dapat juga disertai tinnitus, telinga terasa penuh, nyeri telinga, nyeri kepala yang dapat berpengaruh pada kualitas hidup. Pengukuran kualitas hidup berguna untuk memahami dampak OMSK yang sesungguhnya pada pasien. Tujuan penelitian : Penelitian ini bertujuan menentukan rerata skor Chronic Otitis Media Outcome Test – 15 (COMOT-15) penderita OMSK sebelum dan sesudah operasi mastoidektomi. Metode : Before and after. Dari 41 sampel yang diambil secara berurutan (consecutive sample). Laki—laki 19 orang, perempuan 22 orang antara 18-65 tahun yang mengisi kuesioner COMOT-15 sebelum dan 2 bulan sesudah operasi mastoidektomi. Analisis statistik : Uji t berpasangan dan Wilcoxon test. Hasil : Penilaian skoring COMOT-15 untuk gangguan telinga (GT) preterapi 56.0766±20.84 dan 2 bulan 28.1122±20.55 dengan nilai p<0,001, fungsi pendengaran (FP) preterapi 52.9883±30.32 dan 2 bulan 37.8746±32.06 p<0,001, status mental (ST) preterapi 52.0732±27.06 dan 2 bulan 35.2439±31.56 p<0,001, skor total (ST) 53.1707±20.80 dan 2 bulan 32.5512±23.44 p<0,001. Kesimpulan : Kualitas hidup penderita OMSK sesudah mastoidektomi lebih baik dibanding sebelum mastoidektomi.

Background : Chronic suppurative otitis media (CSOM) is a persistent disease and has two clinical type, non cholesteatoma and cholesteatoma. The clinical manifestation of two type is otorrhea, hearing loss, and tympanic membrane perforation, and can also accompanied by tinnitus, the fullness sensation in ear, ear pain, headache that can influence quality of life. Quality of life measurement is useful to understand the real impact of CSOM on patients. Objective : This study aimed to determine the average score of Chronic Otitis Media Outcome Test - 15 (COMOT-15) on CSOM patients before and after mastoidectomy surgery. Design of study : before and after. Method : Before and after. Forty one samples that were taken in sequentially (consecutive sample), 19 males, 22 females, the samples age were between 18-65 years who filled out COMOT-15 questionnaires before and 2 months after mastoidectomy surgery. Statistical analysis : Paired t test and Wilcoxon test Result : COMOT-15 assessment scoring for pretheraphy ear simptom (ES) was 56.0766±20.84 and after 2 month 28.1122±20.55 p<0,001, pretheraphy Hearing Function (HF) was 52.9883±30.32 and after 2 month 37.8746±32.06 p<0,001, pretheraphy Mental Health (MH) was 52.0732±27.06 and after 2 month 35.2439±31.56 p<0,001, pretheraphy overall score (OS) was 53.1707±20.80 and after 2 month 32.5512±23.44 p<0,001. Conclusion : CSOM patients quality of life after mastoidectomy is better than before mastoidectomy

Kata Kunci : Otitis media supuratif kronik, COMOT-15; Chronic suppurative otitis media, COMOT-15