Penegakan Diagnosa Keperawatan pada Pasien Gastroesofagus Reflux Disease dengan Aplikasi Sistem Pakar Forward Chaining
Abstract
This study aimed to see the use of a computer-based expert system with the forward channeling method for detecting Gastroesophageal Reflux Disease and its application in nursing. The research method used in writing this literature review is based on 25 literature in 2018-2022. This expert system is run with PHP and MYSQL programs. The results of this study are that the Forward Chaining Expert System program will detect gastroesophageal reflux disease based on the symptoms inputted into the system and display an intervention plan that can be carried out like an expert. Still, this system cannot show 100% appropriate disease diagnosis because it requires a series of other tests that still need to be put in the system. In conclusion, with this expert system technology, health workers and users are increasingly assisted and shorten the time required for disease diagnosis and treatment.
Keywords: Expert System, Forward Chaining, Gastroesophageal Reflux Disease
References
Ansari, V., & Prianto, E. (2021). Ciptakan Rumah Ramah Lingkungan dengan Material Dinding Limbah Fly Ash dan Bottom Ash (FABA). Prosiding Seminar Nasional Sains dan Teknologi, 1-6. https://publikasiilmiah.unwahas.ac.id/index.php/PROSIDING_SNST_FT/article/download/4972/3827
Cahyana, M. A. K., & Simanjuntak, P. (2020). Aplikasi Sistem Pakar untuk Mendiagnosis Penyakit Kusta dengan Metode Forward Chaining. Computer and Science Industrial Engineering (COMASIE), 3(1), 31–37. https://ejournal.upbatam.ac.id/index.php/comasiejournal/article/view/1703
Dewantika, P., Lubis, A. P., & Putri, P. (2022). Penerapan Teknik Forward Chaining dan Certainty Factor untuk Mendeteksi Penyakit Gastroesophageal Reflux Disease (GERD). Building of Informatics, Technology and Science (BITS), 3(4), 696–703. https://doi.org/10.47065/bits.v3i4.1439
Elyta, T., Oxyandi, M., & Cahyani, R. A. (2022). Penerapan Teknik Relaksasi Nafas Dalam terhadap Penurunan Intensitas Nyeri pada Asuhan Keperawatan Pasien Gastritis. Jurnal Kesehatan : Jurnal Ilmiah Multi Sciences, 11(2), 136–147. https://doi.org/10.52395/jkjims.v11i2.335
Ferguson, T. D. (2018). Gastroesophageal Reflux: Regurgitation in the Infant Population. Critical Care Nursing Clinics of North America, 30(1), 167–177. https://doi.org/10.1016/j.cnc.2017.10.015
Gyawali, C. P., Kahrilas, P. J., Savarino, E., Zerbib, F., Mion, F., Smout, A. J. P. M., Vaezi, M., Sifrim, D., Fox, M. R., Vela, M. F., Tutuian, R., Tack, J., Bredenoord, A. J., Pandolfino, J., & Roman, S. (2018). Modern diagnosis of GERD: the Lyon Consensus. Gut, 67(7), 1351–1362. https://doi.org/10.1136/gutjnl-2017-314722
Hamzah, H., & Erjinyuare, T. A. (2016). Rancang Bangun Sistem Dokumentasi Asuhan Keperawatan Bagi Tenaga Perawat dalam Mendiagnosa Pasien. Jurnal Ilmiah Teknologi Infomasi Terapan, 2(3), 206–212. https://doi.org/10.33197/jitter.vol2.iss3.2016.109
Kurniadi, D., Mulyani, A., & Rahayu, S. (2021). Implementasi Metode Forward Chaining Pada Sistem Pakar Diagnosis Keperawatan Penyakit Stroke Infark. Aiti, 17(2), 104–117. https://doi.org/10.24246/aiti.v17i2.104-117
Lestari, D. A. (2018). Aplikasi Pendeteksi Penyakit Lambung Menggunakan Metode Forward Chaining. Universitas Teknologi Yogyakarta. http://eprints.uty.ac.id/id/eprint/933
Mohammad, S., Chandio, B., Soomro, A. A., Lakho, S., Ali, Z., Soomro, Z. A., & Shaukat, F. (2019). Depression and Anxiety in Patients with Gastroesophageal Reflux Disorder with and Without Chest Pain. Cureus, 11(11), 8–11. https://doi.org/10.7759/cureus.6103
Momma, E., Koeda, M., Tanabe, T., Hoshikawa, Y., Hoshino, S., Kawami, N., Kawagoe, T., Tatsuguchi, A., Kaise, M., & Iwakiri, K. (2021). Relationship between Gastroesophageal Reflux Disease (Gerd) and Constipation: Laxative Use is Common in Gerd Patients. Esophagus, 18(1), 152–155. https://doi.org/10.1007/s10388-020-00770-5
N, S., Das, C., Michael, J., & Vincent, J. (2021). Smoking, Diabetes Mellitus, and Obesity as Risk Factors of Gastroesophageal Reflux Disease and Extraesophageal Symptoms of Gastroesophageal Reflux Disease: A Case-Control Study. National Journal of Physiology, Pharmacy and Pharmacology, 12(1), 1. https://doi.org/10.5455/njppp.2022.12.08277202106082021
Nur, M. P. (2021). Penerapan Asuhan Keperawatan Keluarga pada Pasien Gastritis dalam Pemenuhan Kebutuhan Rasa Nyaman. Alauddin Scientific Jurnal of Nursing, 2(2), 75-83. https://doi.org/10.24252/asjn.v2i1.20199
Nurjannah, I., Pamungkas, D R., & Warsini, S. (2017). Perbandingan antara Diagnosis yang Sering Ditegakkan dan Possible Diagnosis yang Diprediksikan oleh Perawat pada Klien dengan Gangguan Jiwa. Jurnal Keperawatan Klinis dan Komunitas, 1(1), 8–15. https://doi.org/10.22146/jkkk.29011
Ota, K., Takeuchi, T., Kojima, Y., Sugawara, N., Nishida, S., Iwatsubo, T., Kawaguchi, S., Harada, S., Tokioka, S., & Higuchi, K. (2021). Outcomes of Endoscopic Submucosal Dissection for Gastroesophageal Reflux Disease (ESD-G) for Medication-Refractory Gastroesophageal Reflux Disease: 35 Cases Underwent ESD-G Including 15 Cases Followed more Than 5 Years. BMC Gastroenterology, 21(1), 1–9. https://doi.org/10.1186/s12876-021-02022-x
Otaki, F., & Iyer, P. G. (2021). Gastroesophageal Reflux Disease and Barrett Esophagus in the Elderly. Clinics in Geriatric Medicine, 37(1), 17–29. https://doi.org/10.1016/j.cger.2020.08.003
Putra, H. W. (2019). Sistem Pakar Diagnosis Penyakit Ginjal dengan Metoda Forward Chaining. Jurnal Sains dan Informatika, 5(1), 7. https://doi.org/10.22216/jsi.v5i1.4081
Putri, C. N. A. (2021). Hubungan antara Intensitas Sholat dan Kecemasan pada Pasien Gastroesophageal Reflux Disease (GERD). Universitas Islam Indonesia. https://dspace.uii.ac.id/handle/123456789/31722
Ramadhani, T. F., Fitri, I., & Handayani, E. T. E. (2020). Sistem Pakar Diagnosa Penyakit ISPA Berbasis Web dengan Metode Forward Chaining. JOINTECS (Journal of Information Technology and Computer Science), 5(2), 81. https://doi.org/10.31328/jointecs.v5i2.1243
Sandhu, D. S., & Fass, R. (2018). Current Trends in the Management of Gastroesophageal Reflux Disease. Gut and Liver, 12(1), 7–16. https://doi.org/10.5009/gnl16615
Suryagustina, S., Tambunan, L. N., & Awan, R. V. (2019). Efektifitas Asuhan Keperawatan Gawat Darurat Terintegrasi Berbasis Aplikasi Web Sistem Pakar terhadap Ketepatan dan Kelengkapan Dokumentasi. Dinamika Kesehatan Jurnal Kebidanan dan Keperawatan, 10(2), 867–881. https://doi.org/10.33859/dksm.v10i2.482
Tarigan, R., & Pratomo, B. (2019). Analisis Faktor Risiko Gastroesofageal Refluks di RSUD Saiful Anwar Malang. Jurnal Penyakit Dalam Indonesia, 6(2), 78. https://doi.org/10.7454/jpdi.v6i2.306
Wang, L., Wang, G., Li, L., Fan, X., Liu, H., Sun, Z., Han, H., Li, B., Ding, R., & Wu, W. (2020). Relationship between Laryngopharyngeal Reflux Disease and Gastroesophageal Reflux Disease Based on Synchronous Esophageal and Oropharyngeal Dx-pH monitoring. American Journal of Otolaryngology - Head and Neck Medicine and Surgery, 41(3), 102441. https://doi.org/10.1016/j.amjoto.2020.102441
Cahyana, M. A. K., & Simanjuntak, P. (2020). Aplikasi Sistem Pakar untuk Mendiagnosis Penyakit Kusta dengan Metode Forward Chaining. Computer and Science Industrial Engineering (COMASIE), 3(1), 31–37. https://ejournal.upbatam.ac.id/index.php/comasiejournal/article/view/1703
Dewantika, P., Lubis, A. P., & Putri, P. (2022). Penerapan Teknik Forward Chaining dan Certainty Factor untuk Mendeteksi Penyakit Gastroesophageal Reflux Disease (GERD). Building of Informatics, Technology and Science (BITS), 3(4), 696–703. https://doi.org/10.47065/bits.v3i4.1439
Elyta, T., Oxyandi, M., & Cahyani, R. A. (2022). Penerapan Teknik Relaksasi Nafas Dalam terhadap Penurunan Intensitas Nyeri pada Asuhan Keperawatan Pasien Gastritis. Jurnal Kesehatan : Jurnal Ilmiah Multi Sciences, 11(2), 136–147. https://doi.org/10.52395/jkjims.v11i2.335
Ferguson, T. D. (2018). Gastroesophageal Reflux: Regurgitation in the Infant Population. Critical Care Nursing Clinics of North America, 30(1), 167–177. https://doi.org/10.1016/j.cnc.2017.10.015
Gyawali, C. P., Kahrilas, P. J., Savarino, E., Zerbib, F., Mion, F., Smout, A. J. P. M., Vaezi, M., Sifrim, D., Fox, M. R., Vela, M. F., Tutuian, R., Tack, J., Bredenoord, A. J., Pandolfino, J., & Roman, S. (2018). Modern diagnosis of GERD: the Lyon Consensus. Gut, 67(7), 1351–1362. https://doi.org/10.1136/gutjnl-2017-314722
Hamzah, H., & Erjinyuare, T. A. (2016). Rancang Bangun Sistem Dokumentasi Asuhan Keperawatan Bagi Tenaga Perawat dalam Mendiagnosa Pasien. Jurnal Ilmiah Teknologi Infomasi Terapan, 2(3), 206–212. https://doi.org/10.33197/jitter.vol2.iss3.2016.109
Kurniadi, D., Mulyani, A., & Rahayu, S. (2021). Implementasi Metode Forward Chaining Pada Sistem Pakar Diagnosis Keperawatan Penyakit Stroke Infark. Aiti, 17(2), 104–117. https://doi.org/10.24246/aiti.v17i2.104-117
Lestari, D. A. (2018). Aplikasi Pendeteksi Penyakit Lambung Menggunakan Metode Forward Chaining. Universitas Teknologi Yogyakarta. http://eprints.uty.ac.id/id/eprint/933
Mohammad, S., Chandio, B., Soomro, A. A., Lakho, S., Ali, Z., Soomro, Z. A., & Shaukat, F. (2019). Depression and Anxiety in Patients with Gastroesophageal Reflux Disorder with and Without Chest Pain. Cureus, 11(11), 8–11. https://doi.org/10.7759/cureus.6103
Momma, E., Koeda, M., Tanabe, T., Hoshikawa, Y., Hoshino, S., Kawami, N., Kawagoe, T., Tatsuguchi, A., Kaise, M., & Iwakiri, K. (2021). Relationship between Gastroesophageal Reflux Disease (Gerd) and Constipation: Laxative Use is Common in Gerd Patients. Esophagus, 18(1), 152–155. https://doi.org/10.1007/s10388-020-00770-5
N, S., Das, C., Michael, J., & Vincent, J. (2021). Smoking, Diabetes Mellitus, and Obesity as Risk Factors of Gastroesophageal Reflux Disease and Extraesophageal Symptoms of Gastroesophageal Reflux Disease: A Case-Control Study. National Journal of Physiology, Pharmacy and Pharmacology, 12(1), 1. https://doi.org/10.5455/njppp.2022.12.08277202106082021
Nur, M. P. (2021). Penerapan Asuhan Keperawatan Keluarga pada Pasien Gastritis dalam Pemenuhan Kebutuhan Rasa Nyaman. Alauddin Scientific Jurnal of Nursing, 2(2), 75-83. https://doi.org/10.24252/asjn.v2i1.20199
Nurjannah, I., Pamungkas, D R., & Warsini, S. (2017). Perbandingan antara Diagnosis yang Sering Ditegakkan dan Possible Diagnosis yang Diprediksikan oleh Perawat pada Klien dengan Gangguan Jiwa. Jurnal Keperawatan Klinis dan Komunitas, 1(1), 8–15. https://doi.org/10.22146/jkkk.29011
Ota, K., Takeuchi, T., Kojima, Y., Sugawara, N., Nishida, S., Iwatsubo, T., Kawaguchi, S., Harada, S., Tokioka, S., & Higuchi, K. (2021). Outcomes of Endoscopic Submucosal Dissection for Gastroesophageal Reflux Disease (ESD-G) for Medication-Refractory Gastroesophageal Reflux Disease: 35 Cases Underwent ESD-G Including 15 Cases Followed more Than 5 Years. BMC Gastroenterology, 21(1), 1–9. https://doi.org/10.1186/s12876-021-02022-x
Otaki, F., & Iyer, P. G. (2021). Gastroesophageal Reflux Disease and Barrett Esophagus in the Elderly. Clinics in Geriatric Medicine, 37(1), 17–29. https://doi.org/10.1016/j.cger.2020.08.003
Putra, H. W. (2019). Sistem Pakar Diagnosis Penyakit Ginjal dengan Metoda Forward Chaining. Jurnal Sains dan Informatika, 5(1), 7. https://doi.org/10.22216/jsi.v5i1.4081
Putri, C. N. A. (2021). Hubungan antara Intensitas Sholat dan Kecemasan pada Pasien Gastroesophageal Reflux Disease (GERD). Universitas Islam Indonesia. https://dspace.uii.ac.id/handle/123456789/31722
Ramadhani, T. F., Fitri, I., & Handayani, E. T. E. (2020). Sistem Pakar Diagnosa Penyakit ISPA Berbasis Web dengan Metode Forward Chaining. JOINTECS (Journal of Information Technology and Computer Science), 5(2), 81. https://doi.org/10.31328/jointecs.v5i2.1243
Sandhu, D. S., & Fass, R. (2018). Current Trends in the Management of Gastroesophageal Reflux Disease. Gut and Liver, 12(1), 7–16. https://doi.org/10.5009/gnl16615
Suryagustina, S., Tambunan, L. N., & Awan, R. V. (2019). Efektifitas Asuhan Keperawatan Gawat Darurat Terintegrasi Berbasis Aplikasi Web Sistem Pakar terhadap Ketepatan dan Kelengkapan Dokumentasi. Dinamika Kesehatan Jurnal Kebidanan dan Keperawatan, 10(2), 867–881. https://doi.org/10.33859/dksm.v10i2.482
Tarigan, R., & Pratomo, B. (2019). Analisis Faktor Risiko Gastroesofageal Refluks di RSUD Saiful Anwar Malang. Jurnal Penyakit Dalam Indonesia, 6(2), 78. https://doi.org/10.7454/jpdi.v6i2.306
Wang, L., Wang, G., Li, L., Fan, X., Liu, H., Sun, Z., Han, H., Li, B., Ding, R., & Wu, W. (2020). Relationship between Laryngopharyngeal Reflux Disease and Gastroesophageal Reflux Disease Based on Synchronous Esophageal and Oropharyngeal Dx-pH monitoring. American Journal of Otolaryngology - Head and Neck Medicine and Surgery, 41(3), 102441. https://doi.org/10.1016/j.amjoto.2020.102441
