Hubungan Penggunaan Helm dengan Beratnya Cedera Kepala Akibat Kecelakaan Lalu Lintas Darat di RSUD Ulin Bulan Mei - Juli 2013

Inas Tsurayya Fadilla Lahdimawan, Agus Suhendar, Siti Wasilah

Abstract


ABSTRACT: Head injury is one of the leading cause of morbidity and mortality in the world and the seventh cause of mortality in Indonesia . Head injury is one of the most top 10 diseases in Ulin General Hospital. The increasing number of motorcycle leading head injury to occur more often, considering that road traffic accidents are the most frequent cause of head injury. Lack of public awareness in helmet use leads it to be the primary factor of head injury. The objective of the research is to identify the relationship between helmet use and head injury severity caused by road traffic accidents. The method of the research is descriptive analytical with cross-sectional approach and it took place at Ulin General Hospital from May – July 2013. Total samples of 73 people taken based on inclusion criteria. The most frequently age group was between the age 15-24 (41,1%). Males frequently injured than female with male to female ratio was 1,9:1. Most of them were non-helmeted motorcyclist (53,4%). The most frequent head injury severity was mild head injury (64,4%). The data were statistically analyzed by Chi-square test showed p = 0.041 (α = 0.05). Based on the research there is a significant relationship between helmet usage and the severity of head injury caused by road traffic accidents.

 

Keywords: head injury, helmet, road traffic accidents

 

ABSTRAK: Cedera kepala merupakan salah satu penyebab kesakitan dan kematian di dunia dan ke-7 di Indonesia. Cedera kepala termasuk 10 penyakit terbesar di RSUD Ulin Banjarmasin. Meningkatnya angka kendaraan bermotor menyebabkan cedera kepala semakin sering terjadi, mengingat salah satu penyebab tersering cedera kepala adalah kecelakaan lalu lintas. Kurangnya kesadaran masyarakat dalam menggunakan helm menjadi faktor utama terjadinya cedera kepala. Penelitian bertujuan untuk mengetahui apakah terdapat hubungan antara penggunaan helm dengan beratnya cedera kepala akibat kecelakaan lalu lintas darat. Penelitian ini merupakan penelitian deskriptif analitik dengan pendekatan cross-sectional bertempat di RSUD Ulin bulan Mei – Juli 2013. Jumlah sampel sebanyak 73 orang  diambil berdasarkan kriteria inklusi. Kelompok usia terbanyak yaitu 15-24 tahun (41,1%). Jenis kelamin laki-laki banyak mengalami cedera kepala daripada perempuan dengan perbandingan 1,9:1. Status penggunaan helm terbanyak adalah tidak menggunakan helm (53,4%). Beratnya cedera kepala terbanyak adalah cedera kepala ringan (64,4%). Data dianalisis statistik dengan uji Chi-square menunjukkan p = 0,041 (α = 0,05). Berdasarkan penelitian yang dilakukan dapat diambil kesimpulan bahwa terdapat hubungan bermakna antara penggunaan helm dengan beratnya cedera kepala akibat kecelakaan lalu lintas darat.

 

Kata-kata kunci: cedera kepala, helm, kecelakaan lalu lintas darat


Full Text:

PDF

References


Sastrodiningrat A. Traumatic brain injury. Dalam: Neurosurgery Lecture Notes. Medan: USU Press, 2012. Hal. 125-199.

Wahjoepramono EJ. Cedera kepala. Lippo Karawaci: Fakultas Kedokteran Universitas Pelita Harapan, 2005.

Faul M, Xu L, Wald MM, Coronado VG. Traumatic brain injury in the united states: emergency department visits, hospitalizations and deaths 2002 – 2006. Atlanta (GA): Centers for Disease Control and Prevention, National Center for Injury Prevention and Control, 2010.

National Trauma Data Bank Annual Report 2012; (online), (http://www.facs.org/trauma/ntdb/pdf/ntdb-annual-report-2012.pdf, diakses pada 9 April 2013, 18:14).

Profil Kesehatan Indonesia 2007. Jakarta: Departemen Kesehatan RI, 2008. Hal. 26-28.

Laporan tahunan Instalasi Gawat Darurat RSUD Ulin. Banjarmasin: RSUD Ulin, 2012.

Peden Margie, Richard S, David S, et al. World report on road traffic injury prevention. Jenewa: World Health Organization, 2004.

Lulie Y, Hatmoko JT. Analisis hubungan kecepatan dengan tebal helm yang direkomendasikan. Jurnal Teknik Sipil 2006; 6: 171-184.

Yu WY, Chen CY, Chiu WT, et al. Effectiveness of different types of motorcycle helmets and effects of their improper use on head injuries. Int J Epidemiol 2011; 1–10.

Hooten KG, Murad G. Helmeted vs nonhelmeted: a retrospective review of outcomes from 2 wheeled vehicle accidents at a level 1 trauma center. Clin Neurosurg 2012; 59: 126-130.

Badan Standarisasi Nasional: Pengendara motor wajib menggunakan helm SNI; (online), (http://www.bsn.go.id/news_detail.php?news_id=1650 diakses pada 25 Desember 2012, 17:27).

Undang-undang no. 22 Tahun 2009 tentang lalu lintas; (online), (http://www.depdagri.go.id/media/documents/2009/06/22/UU_No.22-2009. doc diakses pada 22 Desember 2012, 16:23).

Permana, Dwi Jendra. Implementasi kebijakan program safety riding untuk menekan angka kecelakaan di Kota Surabaya. Skripsi. Surabaya: Universitas Pembangunan Nasional “Veteran”, 2010.

Ilyas KK. Gambaran glasgow coma scale pada pasien trauma kapitis di RSUP Haji Adam Malik Medan pada tahun 2009. Karya Tulis Ilmiah. Medan: Universitas Sumatera Utara, 2010.

American College of Surgeon Committe on Trauma. Cedera kepala. Dalam: Advanced Trauma Life Support for Doctors. Ikatan Ahli Bedah Indonesia, penerjemah. Komisi trauma IKABI, 1997.

Jennet B, Teasdale G. Assessment and prognosis of coma after head injury. Acta Neurochirurgica 1976; 34: 45-55.

Sutarto. Pengaruh pemakaian helm dan kecepatan kendaraan terhadap tingkat beratnya trauma akibat kecelakaan lalu lintas pada pengemudi sepeda motor. Tesis. Semarang: Universitas Diponegoro, 2003.

Thompson DC, Rivara F, Thompson R. Helmets for preventing head and facial injuries in bicyclists. The Cochrane Collaboration, 2009.

Badan Standarisasi Nasional: Informasi Penerapan standar wajib helm SNI; (online), (http://www.bsn.go.id/news_detail.php?news_id=1581 diakses pada 25 Desember 2012, 17:36).

Peek Asa C, McArthur DL, Kraus JF. The prevalence of non-standard helmet use and head injuries among motorcycle riders. Accid Anal Prev 1999; 31: 229-233.

Mahon Bosmon R, Church E. Traumatic brain injury due to motor vehicle crashes in the young. University of Minessota, 2006; (online), (http://www.enhs.umn.edu/current/6120/brain/risks.html diakses pada 1 Januari 2013, 11.15).

Oktaviana, Firma. Pola cedera kecelakaan lalu lintas pada kendaraan bermotor roda dua berdasarkan data RSUPN Cipto Mangunkusumo Jakarta Tahun 2003-2007. Karya Tulis Ilmiah. Jakarta: Universitas Indonesia, 2008.

Nicholl J, WC LaFrance. Neuropsychiatric sequelae of traumatic brain injury. Seminars in Neurology 2009; 29(3): 247-255.

Azwar, Muhammad. Gambaran cedera kepala dengan komplikasi perdarahan epidural di RSU Dokter Soedarso Pontianak tahun 2010. Skripsi. Pontianak: Universitas Tanjungpura, 2010.

Nura M. Hubungan penggunaan helm dengan kejadian cedera kepala pada korban kecelakaan sepeda motor di RSUD Sleman Yogyakarta. Jurnal Medika Respati 2012; 7 (4).

Riskiansah, Anna. Analisis pola tingkah laku pengendara sepeda motor di Kota Surabaya dengan driver behavior questionnaire (DBQ). Skripsi. Surabaya: Institut Teknologi Sepuluh November, 2012.

Bruns J, WA Hauser. The epidemiology of traumatic brain injury: a review. Epilepsia 2003; 44: 2-10.

Crandon IW, HE Harding, SO Cawich, et al. The impact of helmets on motorcycle head trauma at a tertiary hospital in Jamaica. BMC Research Notes 2009; 2: 172.

Sharma BR, AK Sharma, S Sharma et al. Fatal road traffic injuries in Northern India: can they be prevented. Trends in medical research 2007; 2(3): 142-148.

Motorcycle-related road traffic crashes in Kenya facts & figures. World Health Organization, 2011.

Helmets: a road safety manual for decision-makers and practitioners. Jenewa, World Health Organization, 2006.

Wahyudi S. Faktor risiko yang berhubungan dengan tingkat keparahan cedera kepala (studi kasus pada korban kecelakaan lalu lintas pengendara sepeda motor di RSUD Karanganyar). Unnes Journal of Public Health 2012; 2(1): 40-48.

Tondok MS, Ficky A, Ayuni, Intensi kepatuhan menggunakan helm pada pengendara sepeda motor: aplikasi teori perilaku terencana. Jurnal Sains Psikologi 2012; 2(2):96-112.

Conrad P, YS Bradshaw, R Lamsudin, et al. Helmets, injuries and cultural definitions: motorcycle injury in urban Indonesia. Accid Anal Prev 1996; 28(2):193-200.

Suraji A, Ngudi Tjahjono, Muhammad Cakrawala, dkk. Indikator faktor manusia terhadap kecelakaan sepeda motor. Jurnal Transportasi 2010; 10(2): 125-134.

Liu BC, Ivers R, Norton R, et al. Helmets for preventing injury in motorcycle riders. Cochrane Database of Syst Rev 2008; (1).

Jana B, A MacLeo, JC DiGiacomo, et al. An evidence-based review: helmet efficacy to reduce head injury and mortality in motorcycle crashes: EAST practice management guidelines. The Journal of Trauma Injury, Infection, and Critical Care 2010; 69(5): 1101-1111.




DOI: http://dx.doi.org/10.20527/jbk.v10i12.958

Article Metrics

Abstract view : 2217 times
PDF - 0 times

Refbacks

  • There are currently no refbacks.


Copyright (c) 2016 Jurnal Berkala Kedokteran

Indexed by :

          

 

 

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

joomla
visitors View My Stats