PERSENTASE KEBERHASILAN WAKTU PENUNDAAN PEMERIKSAAN SAMPEL DARAH EDTA PADA INDEKS ERITROSIT

Authors

  • Irodatus Sholihah Teknologi Laboratorium Medis, Politeknik Kesehatan Kementrian Kesehatan Surabaya
  • Dwi Krihariyani Teknologi Laboratorium Medis, Politeknik Kesehatan Kementrian Kesehatan Surabaya
  • Wisnu Istanto Teknologi Laboratorium Medis, Politeknik Kesehatan Kementrian Kesehatan Surabaya
  • Syamsul Arifin Teknologi Laboratorium Medis, Politeknik Kesehatan Kementrian Kesehatan Surabaya

DOI:

https://doi.org/10.51878/healthy.v4i3.7061

Keywords:

Waktu Penundaan Pemeriksaan, MCV, MCH, MCHC

Abstract

A total of 70% of laboratory test results form the basis for medical decision-making. Approximately 61% of all laboratory errors are caused by pre-analytical procedures, including the length of time the test is delayed. K3EDTA is the anticoagulant used in this study. One important test for making a diagnosis is the assessment of erythrocyte indices. In this study, EDTA blood samples were evaluated immediately and after delays of two, four, and six hours to determine the success rate of erythrocyte index testing (MCV, MCH, and MCHC). This study used an analytical design and observational research methodology. Purposive sampling was used to identify 45 sixth-semester students from the Diploma Three program in Medical Laboratory Technology at the Surabaya Ministry of Health Polytechnic as the research population. This study was conducted in May 2025. The research data consisted of primary data obtained directly from laboratory test results. The data analysis techniques used were the Shapiro-Wilk normality test, homogeneity test, and parametric One-Way ANOVA test. The results of this study showed that delaying the EDTA blood sample examination did not affect the erythrocyte index values, with a success rate of 100%.

ABSTRAK
Sebanyak 70% hasil pemeriksaan laboratorium menjadi dasar dalam pengambilan keputusan medis. Sekitar 61% dari semua kesalahan laboratorium disebabkan oleh prosedur pra-analitik, diantaranya adalah lama waktu penundaan pemeriksaan. K3EDTA adalah antikoagulan yang digunakan dalam penelitian ini. Salah satu tes penting untuk membuat diagnosis adalah penilaian indeks eritrosit. Dalam studi ini, sampel darah EDTA dievaluasi secara langsung dan setelah penundaan dua, empat, dan enam jam untuk menentukan tingkat keberhasilan pemeriksaan indeks eritrosit (MCV, MCH, dan MCHC). Penelitian ini menggunakan desain analitis dan metodologi penelitian observasional. Sampling purposive digunakan untuk mengidentifikasi 45 mahasiswa program Diploma Tiga jurusan Teknologi Laboratorium Medis semester keenam di Politeknik Kesehatan Kementerian Kesehatan Surabaya yang menjadi populasi penelitian. Penelitian ini dilakukan pada bulan Mei 2025. Data penelitian ini berupa data primer yang didapatkan langsung dari hasil pemeriksaan laboratorium. Teknik analisis data yang digunakan adalah uji normalitas menggunakan uji Shapiro-Wilk , uji homogenitas, dan uji parametrik One Away ANOVA. Hasil penelitian ini menunjukkan bahwa penundaan waktu pemeriksaan sampel darah EDTA tidak memengaruhi nilai indeks eritrosit, dengan tingkat keberhasilan mencapai 100%.

References

Aliviameita, et al. (2024). Optimization of complete blood count results with variations in specimen handling and whole blood secondary homogenization techniques. Jurnal Kesehatan, 15(2), 319–324. https://doi.org/10.26630/jk.v15i2.4578

Caesaria, A., et al. (2023). Stabilitas whole blood control tiga level yang disimpan pada suhu 2-8oc menggunakan alat hematology analyzer. Jurnal Analis Kesehatan, 12(1), 25. https://doi.org/10.26630/jak.v12i1.3492

Caldo?Silva, A., et al. (2023). Empowering frail older adults: Multicomponent elastic-band exercises and bcaa supplementation unleash physical health and preserve haematological biomarkers. Frontiers in Sports and Active Living, 5. https://doi.org/10.3389/fspor.2023.1171220

Daniels, J. R., et al. (2019). Stability of the human plasma proteome to pre-analytical variability as assessed by an aptamer-based approach. Journal of Proteome Research, 18(10), 3661. https://doi.org/10.1021/acs.jproteome.9b00320

Fitriyah, L. (2019). Perbedaan hasil pemeriksaan jumlah eritrosit dan indeks eritrosit pada sampel darah edta yang ditunda 24 jam dibanding 2 jam [Diploma thesis, Universitas Muhammadiyah Surabaya]. http://repository.um-surabaya.ac.id/id/eprint/5683

Monaghan, J. F., et al. (2023). Effect of pre-analytical variables on raman and ftir spectral content of lymphocytes. The Analyst, 148(21), 5422. https://doi.org/10.1039/d3an00686g

Muslim, A. (2015). Pengaruh waktu simpan darah k2edta dan na2edta pada suhu kamar terhadap kadar hemoglobin. Jurnal Analis Kesehatan, 4(2).

Nakanishi, R., et al. (2024). Effects of storage time and temperature on coagulation factor and natural anticoagulant activities. Research Square. https://doi.org/10.21203/rs.3.rs-5314705/v1

Octavia, F., et al. (2018). Analisis indeks eritrosit darah simpan packed red cells di bank darah rsup dr. wahidin sudirohusodo makassar. Indonesian Journal of Clinical Pathology and Medical Laboratory, 23(3), 269–274.

Puspayani, N. P., et al. (2025). Hubungan gaya hidup dan pola makan dengan kejadian hipertensi pada masyarakat tabanan di wilayah kerja puskesmas kediri i. HEALTHY Jurnal Inovasi Riset Ilmu Kesehatan, 4(1), 43. https://doi.org/10.51878/healthy.v4i1.4454

Puspitasari, A. A., et al. (2022). Stabilitas sampel darah terhadap profil hematologi dengan metode otomatis. The Journal of Muhammadiyah Medical Laboratory Technologist, 1(5), 1–7. https://doi.org/10.33084/bjmlt.v6i2.5876

Sandlin, R. D., et al. (2017). Preservative solution that stabilizes erythrocyte morphology and leukocyte viability under ambient conditions. Scientific Reports, 7(1). https://doi.org/10.1038/s41598-017-05978-7

Sari, D. P., et al. (2022). Hematological parameters in individuals with beta thalassemia trait in south sumatra, indonesia. Anemia, 2022, 1. https://doi.org/10.1155/2022/3572986

Shamoun, M., et al. (2021). Red blood cell stiffness driving patient symptoms: A study of red blood cell population rigidity in sickle cell patient genotype sc relation to overlooked clinical symptoms. medRxiv. https://doi.org/10.1101/2021.06.11.21257671

Suci, N., et al. (2019). Manajemen laboratorium klinik seri x total quality management in laboratory to support snars accreditation. https://doc-pak.undip.ac.id/id/eprint/5522

Susanto, Z. A., et al. (n.d.). Pemeriksaan indeks eritrosit menggunakan alat mindray bc-5150 di laboratorium rsud aws. Jurnal Teknologi Laboratorium Medis. https://doi.org/10.35728/jutelmo.v2i1.1073

Tangmahakul, N., et al. (2023). Investigation of red blood cell and platelet indices in adult dogs suffered from myxomatous mitral valve disease with and without pulmonary hypertension. Frontiers in Veterinary Science, 10. https://doi.org/10.3389/fvets.2023.1234768

Tuwini, T., et al. (2025). Pengaruh angka bebas jentik (abj) terhadap kejadian kasus dbd di kelurahan kariangau kota balikpapan. CENDEKIA Jurnal Ilmu Pengetahuan, 5(1), 109. https://doi.org/10.51878/cendekia.v5i1.4079

Utami, A. P., et al. (2019). Waktu simpan darah antikoagulan k2edta dan k3edta terhadap parameter eritrosit. Jurnal Riset Kesehatan Poltekkes Depkes Bandung, 11(2). https://doi.org/10.34011/juriskesbdg.v11i2.743

Wahdaniah, S. T. (2018). Perbedaan penggunaan antikoagulan k2edta dan k3edta terhadap hasil pemeriksaan indeks eritrosit. Jurnal Laboratorium Khatulistiwa, 1(2), 114–118. https://doi.org/10.30602/jlk.v1i2.147

Yoshida, T., & Shevkoplyas, S. S. (2019). Red blood cell storage lesion: Causes and potential clinical consequences. Transfusion Medicine Reviews, 33(1), 35-42.

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Published

2025-09-27

How to Cite

Sholihah, I., Krihariyani, D. ., Istanto, W. ., & Arifin, S. . (2025). PERSENTASE KEBERHASILAN WAKTU PENUNDAAN PEMERIKSAAN SAMPEL DARAH EDTA PADA INDEKS ERITROSIT. HEALTHY : Jurnal Inovasi Riset Ilmu Kesehatan, 4(3), 272-281. https://doi.org/10.51878/healthy.v4i3.7061

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