Electronic Theses and Dissertation

Otitis Media Supuratif Kronik (OMSK) merupakan infeksi kronis telinga tengah dengan perforasi membran timpani dan keluarnya sekret lebih dari dua bulan. Salah satu tatalaksana OMSK tipe aman adalah timpanoplasti yang bertujuan memperbaiki pendengaran dan meningkatkan kualitas hidup pasien. Keberhasilan perbaikan kualitas hidup pasca operasi dipengaruhi oleh berbagai faktor seperti usia, jenis kelamin, pendidikan, tipe timpanoplasti, jarak pasca operasi, adanya otore, dan perbaikan pendengaran. Penelitian ini bertujuan mengetahui faktor-faktor yang berhubungan dengan kualitas hidup pasien OMSK tipe aman pasca timpanoplasti di RSUD dr. Zainoel Abidin Banda Aceh. Penelitian menggunakan desain observasional analitik dengan pendekatan cross-sectional pada 36 pasien yang memenuhi kriteria inklusi. Kualitas hidup diukur menggunakan kuesioner Chronic Otitis Media Outcome Test-15 (COMOT-15). Hasil penelitian menunjukkan sebagian besar responden berusia dewasa muda (75%), perempuan (52.8%), berpendidikan rendah (36.1%), menjalani timpanomastoidektomi (66.7%), jarak pasca operasi >12 bulan (66.7%), tidak ada otore (77.8%), dan tidak mengalami perbaikan pendengaran (69.4%). Analisis Chi-Square menunjukkan hubungan signifikan antara kualitas hidup dan usia (p=0.02), tingkat pendidikan (p=0.016), adanya otore (p=0.002), serta perbaikan pendengaran (p=0.006). Sementara itu, jenis kelamin (p=0.412), tipe timpanoplasti (p=0.129), dan jarak pasca operasi (p=0.188) tidak menunjukkan hubungan yang signifikan. Kesimpulannya, usia, tingkat pendidikan, otore, dan perbaikan pendengaran merupakan determinan kualitas hidup pasien OMSK tipe aman pasca timpanoplasti di RSUDZA Banda Aceh.

Chronic Suppurative Otitis Media (CSOM) is a chronic middle ear infection characterized by tympanic membrane perforation and persistent otorrhea lasting more than two months. One of the main treatments for safe-type CSOM is tympanoplasty, which aims to restore hearing and improve patients’ quality of life. Postoperative quality-of-life improvement can be influenced by several factors, including age, sex, education level, type of tympanoplasty, postoperative duration, presence of otorrhea, and hearing improvement. This study aimed to identify the factors associated with the quality of life of patients with safe-type CSOM after tympanoplasty at dr. Zainoel Abidin General Hospital Banda Aceh. This analytical observational study used a cross-sectional design involving 36 postoperative patients who met the inclusion criteria. Quality of life was assessed using the Chronic Otitis Media Outcome Test-15 (COMOT-15). The results showed that most respondents were young adults (75%), female (52.8%), had low education levels (36.1%), underwent tympanomastoidectomy (66.7%), had postoperative duration >12 months (66.7%), had no otorrhea (77.8%), and did not experience hearing improvement (69.4%). Chi-Square analysis indicated significant associations between quality of life and age (p=0.02), education level (p=0.016), presence of otorrhea (p=0.002), and hearing improvement (p=0.006). Meanwhile, sex (p=0.412), type of tympanoplasty (p=0.129), and postoperative duration (p=0.188) showed no significant association. In conclusion, age, education level, presence of otorrhea, and hearing improvement are determinants of quality of life in patients with safe-type CSOM after tympanoplasty at RSUDZA Banda Aceh