Hubungan frekuensi dan intensitas tinitus subjektif dengan kualitas hidup pasien

Abstract

Latar belakang: Tinitus subjektif menimbulkan stres, depresi, kecemasan, dan penurunan kualitashidup. Frekuensi dan intensitas tinitus dilaporkan berhubungan dengan beratnya gangguan pada pasien.Hubungan frekuensi dan intensitas tinitus dengan kualitas hidup pasien menggunakan kuisioner TinnitusHandicap Inventory (THI) belum pernah dilaporkan di Indonesia. Tujuan: Menganalisis hubunganfrekuensi dan intensitas tinitus subjektif dengan kualitas hidup pasien. Metode: Desain penelitian potonglintang . Sampel penelitian adalah pasien tinitus subjektif yang datang ke klinik THT-KL RSUP Dr. Kariadi.Frekuensi dan intensitas tinitus diperiksa pitch-matching dan loudness-matching dengan audiometernada murni. Kualitas hidup dinilai menggunakan skor THI. Analisis data dengan uji korelasi. Hasil:Subjek penelitian sebanyak 31 pasien, laki-laki 15 orang (48,4%) dan perempuan 16 orang (51,6%),dengan rentang umur 25-60 tahun. Pasien dengan pendengaran normal sebanyak 18 orang (58,1%) dankurang pendengaran sebanyak 13 orang (41,9%). Gangguan kualitas hidup pasien terbanyak didapatkangangguan sedang, sebanyak 12 (38,7%). Frekuensi tinitus berhubungan dengan kualitas hidup pasien(p=0,005) dengan tingkat korelasi sedang (r=0,491). Intensitas tinitus berhubungan dengan kualitas hiduppasien (p=0,043) dengan tingkat korelasi lemah (r=0,365). Kesimpulan: Frekuensi dan intensitas tinitusberhubungan dengan kualitas hidup pasien. Kata kunci: tinitus subjektif, kualitas hidup, Tinnitus Handicap InventoryABSTRACT Background: Subjective tinnitus causes stress, depression, anxiety, and decrease quality of life. Thefrequency and intensity of tinnitus has been reported to have correlation with patients discomfort.Correlation between frequency and intensity of tinnitus with quality of life using Tinnitus HandicapInventory (THI) questionnaires has never been reported in Indonesia. Objective: To analize correlationbetween frequency and intensity of subjective tinnitus with quality of life. Method: Cross sectionalstudy was used in this research. Samples of the study were subjective tinnitus patients who attendedOtolaryngologic clinic Kariadi Hospital. Frequency and intensity of tinnitus was examined by pitchloudnessmatching using pure tone audiometry. Quality of life was assessed by THI scores. Correlationtest used to analize the data. Results: Subject of the study were 31 patients, consisted of 15 (48,4%)males and 16 (51,6%) females, age range between 25-60 years old. Eighteen (58,1%) patients had normalhearing and 13 (41,9%) with hearing loss. The highest disturbance of quality of life obtained in patientswas moderate handicap in 12 (38,7%) patients. Correlation between frequency of tinnitus with qualityof life was statistically significant (p=0,005) with moderate level of correlation (r=0,491). Correlationbetween intensity of tinnitus with quality of life was statistically significant (p=0,043) with weak level ofcorrelation (r=0,365). Conclusion: Frequency and intensity of subjective tinnitus had correlation withquality of life. Keywords: subjective tinnitus, quality of life, Tinnitus Handicap Inventory

Tinnitus Profile in Dr. Soetomo Hospital, Surabaya

“…2 The results of the above study are strengthened by the results of research conducted at the Department of Otorhinolaryngology-Head Neck Surgery, Faculty of Medicine, Diponegoro University Semarang / RSUP Dr.Kariadi in 2015, the results of complaints of unilateral tinnitus were more dominant with 25 patients and bilateral with 4 patients. 4 Results of the study are consistent with this retrospective study. In this retrospective study , there were 398 unilateral tinnitus complaints (94.7%) and bilateral complaints with 22 patients (5.3%).…”

“…2,10 In several studies found tinnitus was closely related to conduction type hearing loss than sensorineural types, such as examples of otitis media, otosclerosis and presbycusis. [2][3][4]9…”

“…Data from the United Kingdom national study of hearing states the prevalence of tinnitus patients wass 15.8% of the total UK population. 3,4 Patient visit data to the Outpatient unit of Otorhinolaryngology-Head Neck Cipto mangunkusumo hospital from June 2008 to June 2009 found 256 cases of tinnitus with various etiological backgrounds. 1 The incidence of tinnitus in the outpatient unit of Neurotology Otorhinolaryngology-Head Neck Dr. Soetomo hospital Surabaya had been not yet found completely recorded.…”

“…Objective tinnitus is very rare, on the contrary, subjective tinnitus is most commonly found in the practice of daily life. 4,5 Tinnitus can be associated with increased stress, depression, a history of stroke, angina and better living conditions. Can also be associated with problems of hearing loss, tympanic membrane perforation, and balance problems.…”

“…Can also be associated with problems of hearing loss, tympanic membrane perforation, and balance problems. [3][4][5] In tinnitus, there was an electrical activity in the auditory area that causes a feeling of sound, but the impulses that come not from an external sound that is transformed, but from the source of abnormal impulses in the patient's own body. Abnormal impulses can be caused by various ear disorders and tinnitus can occur in various intensities.…”