scholarly journals ANALISIS FAKTOR RISIKO MODIFIKASI PENYAKIT JANTUNG KORONER DI RSU HAJI SURABAYA TAHUN 2019

2021 ◽  
Vol 10 (1) ◽  
pp. 47
Author(s):  
Citra Rachmawati ◽  
Santi Martini ◽  
Kurnia Dwi Artanti
Keyword(s):  
Physical Activity ◽  
Diabetes Mellitus ◽  
Risk Factors ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
Smoking Behavior ◽  
World Health ◽  
P Value ◽  
Health Organization ◽  
Diabetes Melitus

ABSTRAKLatar Belakang: Pola penyakit saat ini mengalami transisi epidemiologi, salah satunya dibuktikan oleh perkembangan dari penyakit tidak menular yaitu penyakit jantung. Penyakit jantung khususnya jantung koroner ini termasuk penyakit yang menduduki tingkat nomor satu di dunia.. Diperkirakan angka kematian akibat penyakit Jantung Koroner akan mengalami peningkatan hingga 23,3 juta pada tahun 2030 (World Health Organization 2013). Penelitian ini membahas mengenai faktor risiko PJK yaitu hipertensi, diabetes melitus, aktivitas fisik, dan perilaku merokok.Tujuan: Penelitian ini bertujuan untuk menganalisis faktor risiko hipertensi, diabetes melitus, aktivitas fisik, dan perilaku merokok pada pasien penyakit jantung koroner di Rsu Haji Surabaya tahun 2019.Metode: Penelitian ini merupakan penelitian observasional dan bersifat analitik. Desain penelitian yang digunakan adalah case control.Hasil: Penelitian ini menunjukkan bahwa variabel hipertensi memiliki hubungan (p-value = 0,0 ; p<0,05) terhadap penyakit jantung koroner, variabel diabetes melitus memiliki hubungan (p-value= 0,00 ; p<0,05) terhadap penyakit jantung koroner dan variabel aktifitas fisik memiliki hubungan yang signifikan (p-value = 0,017; OR = 0,184; 95%CI =0,039-0,861) dengan kejadian penyakit jantung koroner. Sedangkan hasil yang tidak beruhubungan yaitu pada variabel perilaku merokok (p-value = 0,250; OR = 1,463; 95%CI=0,764-2,802) terhadap penyakit jantung koroner. Kesimpulan: Berdasarkan hasil dan pembahasan dapat disimpulkan bahwa hipertensi, diabetes melitus, dan aktifitas fisik memiliki hubungan dan termasuk faktor risiko kejadian penyakit jantung koroner. Sedangkan perilaku merokok tidak menunjukkan adanya hubungan yang signifikan dengan kejadian penyakit jantung koroner. Kata kunci: Penyakit jantung, jantung koroner dan faktor risiko ABSTRACTBackground: The pattern of disease is currently undergoing an epidemiological transition, one of which is evidenced by the development of non-communicable diseases, namely heart disease. Heart disease, especially coronary heart disease, is a disease that ranks number one in the world. It is estimated that the death rate due to coronary heart disease will increase to 23.3 million in 2030 (World Health Organization 2013). This study discusses the risk factors for CHD, namely hypertension, diabetes mellitus, physical activity, and smoking behavior. Purpose: The purpose of this study was to analyze the risk factors for hypertension, diabetes mellitus, physical activity, and smoking behavior in coronary heart disease patients at Rsu Haji Surabaya in 2019. Methods: This study was an observational and analytical study. The research design used was case-control. Results: The results of this study indicate that the hypertension variable has a relationship (p-value = 0.00; p <0.05) on coronary heart disease, the diabetes mellitus variable has a relationship (p-value = 0.00; p <0.05) on coronary heart disease and the activity variable physical had a significant relationship (p-value = 0.017; OR = 0.184; 95% CI=0.039-0.861) with the incidence of coronary heart disease. While the results that were not related were the smoking behavior variable (p-value = 0.250; OR = 1.463; 95% CI=0.764-2.802) on coronary heart disease.Conclusion: Based on the results and discussion, it can be concluded that hypertension, diabetes mellitus, and physical activity have a relationship and include risk factors for coronary heart disease. Meanwhile, smoking behavior does not show a significant relationship with the incidence of coronary heart disease. Keywords: Cardiovascular diseas, coronary heart and  risk factors.

scholarly journals BODY MASS INDEX DAN KAITANNYA DENGAN DIABETES MELITUS PADA UMUR > 15 TAHUN DI INDONESIA, STUDI DATA INDONESIAN FAMILY LIFE SURVEY V

2018 ◽  
Vol 5 (1) ◽  
Author(s):  
Purwo Setiyo Nugroho ◽  
Anisa Catur Wijayanti
Keyword(s):  
Diabetes Mellitus ◽  
Body Mass Index ◽  
World Health Organization ◽  
Family Life ◽  
World Health ◽  
P Value ◽  
Cross Sectional ◽  
Indonesian Family Life Survey ◽  
Health Organization ◽  
Diabetes Melitus

World Health Organization memprediksi bahwa jumlah penderita diabetes di Indonesia akan menduduki peringkat ke lima pada tahun 2025 dengan prediksi jumlah penderita sebanyak 12,4 jiwa. Indeks masa tubuh merupakan salah satu indikator obesitas dengan diabetes melitus pada penduduk Indonesia. Penelitian ini bertujuan untuk mengetahui kaitan obesitas dengan diabetes mellitus pada responden survei Indonesian Family Life Survey V. Penelitian ini merupakan penelitian analisis data sekunder Indonesian Family Life Survei V yang dilakukan dengan pendekatan Cross Sectional. Populasi pada penelitian ini sejumlah 48.139 responden, namun setelah data di cleaning dengan tujuan untuk menghapus data yang missing maka didapatkan jumlah responden sebanyak 30.133 dengan kelompok penelitian berdasarkan usia diatas 15 tahun. Hasil analisis Chisquare  menyatakan bahwa terdapat hubungan antara obesitas dengan diabetes melitus dengan nilai p value 0,000 dan nilai POR 3,377; CI 95% 2,602–4,383. Dapat disimpulkan bahwa obesitas memiliki peluang untuk terjadinya sakit diabetes melitus sebesar 3,377 kali dibandingkan dengan orang yang tidak menderita obesitas. Faktor obesitas merupakan salah satu faktor prediposisi untuk meningkatkan gula darah yang merupakan sebuah indikator diabetes melitus. Secara patologi hal ini dikarenakan se-sel beta pulau Langerhans menjadi kurang peka terhadap rangsangan akibat kadar gula darah dan kegemukan (obesitas) akan menekan jumlah reseptor insulin pada sel-sel seluruh tubuh.

scholarly journals Coronary Heart Disease: Diagnosis and Therapy

2021 ◽  
Vol 1 (2) ◽  
pp. 74
Author(s):  
Iin Novita Nurhudayati Mahmuda ◽  
Nanda Nurkusumasari ◽  
Fakhri Nofaldi ◽  
Prihatin Puji Astuti ◽  
Ferika Dian Syafitri ◽  
...  
Keyword(s):  
Risk Factors ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
Communicable Disease ◽  
Developed Countries ◽  
Disease Diagnosis ◽  
Lifestyle Changes ◽  
World Health ◽  
Coronary Syndrome ◽  
Health Organization

<p>Coronary heart disease (CHD), is one of the non-communicable diseases that has a tendency to increase every year and have an impact not only on developed countries, but also in developing countries. According to the World Health Organization (WHO), in 2012 there were 56 million deaths worldwide caused by non-communicable disease and heart disease contributed 46.2% or caused 17.5 million deaths. This review article to give brief explanation about CHD from risk factors, diagnosed criteria, management therapy and prognosis. Risk factors for CHD can be distinguished into major risk factors and minor risk factors. Symptoms of CHD are discomfort in the chest ranging from pain crushed during activity and improved with rest to continuous chest pain. The diagnosis of CHD is established based on anamnesis, physical examination, and laboratory examination. The CHD classification consists  of Stable Angina Pectoris (APS) and Acute Coronary Syndrome (ACS). Lifestyle changes accompanied<em> </em>by right medication can reduce complications caused             by CHD.</p>

scholarly journals Hubungan Motivasi dengan Efikasi Diri Pada Pasien Diabetes Mellitus di Klinik Diabetes Dharma Medan

2019 ◽  
Vol 1 (1) ◽  
pp. 11-16
Author(s):  
Muflih Ngadino
Keyword(s):  
Diabetes Mellitus ◽  
World Health Organization ◽  
World Health ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Health Organization ◽  
Diabetes Melitus

Diabetes Mellitus adalah suatu gangguan metabolisme karbohidrat, protein dan lemak akibat dan ketidakseimbangan antara ketersediaan insulin dengan kebutuhan insulin. Menurut World Health Organization (WHO) memeperkirakan lebih dari 346 juta orang di seluruh dunia mengidap diabetes. WHO memprediksi kenaikan jumlah penyandang DM di Indonesia lebih dari 8,4 juta pada tahun 2000 menjadi 21,3 juta pada tahun 2030. Penelitian ini bertujuan untuk mengetahui Hubungan Motivasi Dengan Efikasi Diri Pada Pasien Diabetes Mellitus Di Klinik Diabetes Dharma Medan. Penelitian ini menggunakan desain penelitian survei analitik dengan pendekatan cross sectional dan menggunakan uji chi-square. Populasi dalam penelitian ini adalah pasien Diabetes Mellitus berjumlah 115 responden, sedangkan sampel yang digunakan adalah sampling aksidental dengan rumus slovin yaitu sebanyak 53 responden. Jenis data yang digunakan adalah data primer, data sekunder, dan data tertier, sedangkan analisa data yang digunakan yaitu analisa univariat dan analisa bivariat. Dari hasil penelitian ini dengan uji atatistik pearson chi-square, menunjukkan bahwa hasil P value sebesar 0,001. Dimana nilai tertentu lebih kecil dari nilai α sebesar 0,05, maka ada hubungan antara motivasi dengan efikasi diri pada pasien diabetes melitus di Klinik Diabetes Dharma Medan. Kesimpulan dalam penelitian ini menunjukkan bahwa secara statistik ada hubungan yang signifikan antara motivasi dengan efikasi diri pada pasien diabetes mellitus di Klinik Diabetes Dharma Medan. Disarankan perlu dilakukan penelitian lebih lanjut tentang motivasi dengan efikasi diri pada pasien diabetes mellitus, dengan menggunakan lokasi penelitian dan metode penelitian yang berbeda

scholarly journals Determinan Penyakit Stroke

2013 ◽  
Vol 7 (7) ◽  
pp. 324 ◽  
Author(s):  
Woro Riyadina ◽  
Ekowati Rahajeng
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
Economic Status ◽  
Baseline Data ◽  
Main Determinant ◽  
Regression Test ◽  
Logistic Regression Test ◽  
Diabetes Melitus

Penyakit stroke merupakan penyebab kematian dan kecacatan kronik yang paling tinggi pada kelompok umur diatas usia 45 tahun terbanyak di Indonesia. Tujuan penelitian ini untuk mengidentifikasi determinan utama yang berhubungan dengan penyakit stroke pada masyarakat di kelurahan Kebon Kalapa Bogor. Analisis lanjut terhadap 1.912 responden subset baseline data penelitian “Studi Kohort Faktor Risiko Penyakit Tidak Menular” Data dikumpulkan dengan metode wawancara pada penduduk tetap di kelurahan Kebon Kalapa, Kecamatan Bogor Tengah, Bogor tahun 2012. Diagnosis stroke berdasarkan anamnesis dan pemeriksaan dokter spesialis syaraf. Variabel independen meliputi karakteristik sosiodemografi, status kesehatan dan perilaku berisiko. Data dianalisis dengan uji regresi logistik ganda. Penyakit stroke ditemukan pada 49 (2,6%) orang. Determinan utama stroke meliputi hipertensi (OR = 4,20; IK 95% = 2,20 – 8,03), penyakit jantung koroner (OR = 2,74; IK 95% = 1,51 – 4,99), diabetes melitus (OR = 2,89; IK 95% = 1,47 – 5,64), dan status ekonomi miskin (OR = 1,83 ; IK 95% = 1,03 – 3,33). Pencegahan penyakit stroke dilakukan dengan peningkatan edukasi (kampanye/penyuluhan) melalui pengendalian faktor risiko utama yaitu hipertensi dan pencegahan terjadinya penyakit degeneratif lain yaitu penyakit jantung koroner dan diabetes melitus.Stroke disease is the leading cause of death and chronic disabi lity in most over the age of 45 years in Indonesia. The aim of study was to identify the major determinants of stroke disease in Kebon Kalapa community in Bogor. A deep analyze was conducted in 1.912 respondents based on the subset of baseline data “Risk Factors Cohort Study of Non Communicable Diseases.” Data was collected by interviews on Kebon Kalapa community, Bogor in 2012. Stroke diagnosis was determined by anamnesis and neu-rological examination with specialist. Independent variables were sociodemographic characteristics, health status and risk behavior. Data analysis was performed by multiple logistic regression test. This study revealed that stroke disease was found in 49 people (2.6%). The main determinant of stroke included hypertension (OR = 4.20; 95% CI = 2.20 – 8.03), coronary heart disease (OR = 2.74; 95% CI = 1.51 – 4.99), diabetes mellitus (OR = 2.89; 95% CI = 1.47 – 5.64), and low economic status (OR = 1.83; 95% CI = 1.03 – 3.33). Prevention of stroke should be done by increasing education (campaign) through the control of major risk factors of hypertension and prevention of other degenerative diseases are coronary heart disease and diabetes mellitus.

scholarly journals ANALISIS FAKTOR-FAKTOR YANG MEMPENGARUHI TERHADAP TERJADINYA PENYAKIT JANTUNG KORONER DI POLI JANTUNG RSUD PIRNGADI MEDAN TAHUN 2017

2018 ◽  
Vol 3 (1) ◽  
pp. 41
Author(s):  
Siti Aisyah Safrul ◽  
Daniel Ginting ◽  
Janno Sinaga
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
Smoking Habit ◽  
Healthy Diet ◽  
P Value ◽  
Factors Affecting ◽  
High Fiber ◽  
Heart Patients

Various risk factors are suspected to encourage the occurrence of CHD, some may be modified but some are not. The purpose of this study is to analyze the factors that affect the occurrence of Coronary Heart Disease In Cardiovascular Poly Pirngadi Medan Year 2017. Case population in this study is all heart patients Coroner who came to treatment at Pirngadi Hospital 2017 in 2017 amounted to 491 people. From the results of this calculation then the researchers set the number of samples as many as 83 people. The results showed that there was Based on the results obtained that the sex effect on coronary heart events with p value = 0.023, age affects coronary heart events, Smoking Habit affect coronary heart events. Hypertension to coronary heart events. Diabetes (DM) against coronary heart events. Obesity has an effect on coronary heart event. Physical activity has an effect on coronary heart event. Suggested efforts to prevent non-communicable diseases, especially coronary heart disease in women more useful done from adolescence, so that risk factors can be controlled early, especially controlling obesity and healthy diet through physical activity and healthy diet; high fiber, low fat, low salt and sugar.Keywords: Factors Affecting Against Coronary Heart Disease

scholarly journals Lack of association between peroxisome proliferator-activated receptor-gamma-2 gene variants and the occurrence of coronary heart disease in patients with diabetes mellitus

2002 ◽  
pp. 545-551 ◽  
Author(s):  
M Bluher ◽  
T Klemm ◽  
T Gerike ◽  
H Krankenberg ◽  
G Schuler ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
Multiple Logistic Regression Analysis ◽  
Peroxisome Proliferator ◽  
Haemoglobin A1c ◽  
Peroxisome Proliferator Activated Receptor ◽  
Patients With Diabetes ◽  
Reduced Risk

OBJECTIVE: Recent evidence indicates that peroxisome proliferator-activated receptor-gamma (PPARgamma) is expressed at high levels in foam cells of atherosclerotic lesions, that PPARgamma agonists may directly modulate vessel wall function and that mutations in the PPARgamma-2 gene are associated with a reduced risk of coronary artery disease. METHODS: We investigated whether known variants in the PPARgamma-2 gene are associated with the occurrence of coronary heart disease (CHD) in 365 patients with type 2 diabetes, prospectively characterised for the presence or absence of CHD. The Pro115Gln, Pro12Ala, Pro467Leu, Val290Met mutations and two polymorphisms C478T and C161T of the PPARgamma-2 gene were examined using PCR, denaturing gradient gel electrophoresis and direct sequencing. RESULTS: The distribution of the Pro12Ala, Ala12Ala, C161T and T161T variants was not significantly different between patients with and without CHD, independent of the gender. The Pro12Ala (P=0.011) and the Ala12Ala (P=0.006) variant were associated with a higher body mass index (BMI) compared with the Pro12Pro genotype. A multiple logistic regression analysis introducing the typical risk factors for CHD (age, sex, hypertension, smoking, BMI >26 kg/m2, elevated low density lipoprotein cholesterol and haemoglobin A1c >7%) identified age >60, male gender, hypertension and a higher BMI, but not the PPARgamma-2 variants, as significant risk factors for CHD in our study groups. CONCLUSION: The PPARgamma-2 genotype was not associated with an increased or reduced risk of the occurrence of CHD and can therefore not be regarded as an independent risk factor for CHD in patients with diabetes mellitus.

Prevalence of and factors associated with insufficient physical activity among adolescents: evidence from a nationwide survey in Bangladesh

2021 ◽  
pp. 1-14
Author(s):  
Md Mokbul Hossain ◽  
Fahmida Akter ◽  
Abu Abdullah Mohammad Hanif ◽  
Md Showkat Ali Khan ◽  
Abu Ahmed Shamim ◽  
...  
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
World Health Organization ◽  
Adolescent Girls ◽  
World Health ◽  
Factors Associated ◽  
Adolescent Girls And Boys ◽  
The World ◽  
Insufficient Physical Activity ◽  
Health Organization

Abstract The World Health Organization set a target of a 15% relative reduction in the prevalence of insufficient physical activity (IPA) by 2025 among adolescents and adults globally. In Bangladesh, there are no national estimates of the prevalence of IPA among adolescents. The aim of this study was to estimate the prevalence of and risk factors associated with IPA among adolescent girls and boys. Data for 4865 adolescent girls and 4907 adolescent boys, collected as a part of a National Nutrition Surveillance in 2018–19, were analysed for this study. A modified version of the Global Physical Activity Questionnaire (GPAQ) was used to collect physical activity data. The World Health Organization recommended cut-off points were used to estimate the prevalence of IPA. Bivariate and multivariable logistic regression was performed to identify factors associated with IPA. Prevalences of IPA among adolescent girls and boys were 50.3% and 29.0%, respectively, and the prevalence was significantly higher among early adolescents (10–14 years) than late adolescents (15–19 years) among both boys and girls. The IPA prevalence was highest among adolescents living in non-slum urban areas (girls: 77.7%; boys: 64.1%). For both boys and girls, younger age, non-slum urban residence, higher paternal education and increased television viewing time were significantly associated with IPA. Additionally, residing in slums was significantly associated with IPA only among the boys. Higher maternal education was associated with IPA only among the girls. This study identified several modifiable risk factors associated with IPA among adolescent boys and girls in Bangladesh. These factors should be addressed through comprehensive public health interventions to promote physical activity among adolescent girls and boys.

scholarly journals Diabetes Mellitus and Its Associated Risk Factors among adult Population in Bisha Province, Southwest of Saudi Arabia

2016 ◽  
Vol 9 (6) ◽  
pp. 22 ◽  
Author(s):  
Abdullah M. Al-Shahrani ◽  
Mohammed A. Al-Saleem ◽  
Mohamed O’haj ◽  
Faleh Th. Mohammed ◽  
Mutasim E. Ibrahim
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Healthy Lifestyle ◽  
Adult Population ◽  
Cross Sectional Study ◽  
World Health ◽  
Cross Sectional ◽  
Married Individuals ◽  
Health Organization ◽  
Associated Risk Factors

OBJECTIVES: To determine the prevalence and associated risk factors of diabetes mellitus (DM) among the adult population in Bisha province, Saudi Arabia.METHODS: A cross sectional study was conducted during December, 2015 using the World Health Organization STEPS wise approach for data collection. Blood glucose level and anthropometric measurements of blood pressure, height, weight, and waist circumference were performed per standard methods.  Logistic regression analysis was used to assess the prevalence and risk of diabetes.RESULTS: Of 542 adult individuals included in the study, 13.3% (72) had diabetes, of which 8.1% were previously diagnosed and 5.2% represented new cases. The proportions of DM were 14.7% for men and 10.8% for women. Diabetes was significantly higher among married compared to unmarried individuals (19.3% vs 5.5 %; p<0.001) and among individuals aged ≥40 years old compared to those <40 years (31.3% vs 9.3%; p<0.001). The risk of diabetes was significantly increased with older age (Odds Ratio=4.470; 95% CI 2.264-7.614), married individuals (OR=4.097; 95% CI 2.188-7.672), weight/obesity (OR=2.827; 95% CI 1.567-5.072), hypertension (OR=4.383; 95% CI 2.085-9.214) and having a job (OR=2.327; 95% CI 1.347-4.02). The independent risk factors predicted diabetes were hypertension (Adjusted OR=2.897; 95% CI 1.269-66.13) and job patterns (Adjusted OR=2.793; 95% CI 1.064-7.329).CONCLUSION: Different risk factors alarming diabetes among adult population in Bisha province were detected.  Strategies aimed to improving a healthy lifestyle are necessary to reduce the burden of the disease. 

scholarly journals Hubungan Antara Aktivitas Fisik Dan Riwayat Keluarga Dengan Kejadian Penyakit Jantung Koroner Di Puskesmas Banjarsari Kota Metro

2021 ◽  
Vol 3 (2) ◽  
pp. 181-191
Author(s):  
Rika Yulendasari ◽  
Usastiawaty Cik Ayu Saadiah Isnainy ◽  
Rima Ary Pradisca
Keyword(s):  
Physical Activity ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
Family History ◽  
Self Care ◽  
Care Quality ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test

ABSTRACT: RELATIONSHIP BETWEEN PHYSICAL ACTIVITY AND FAMILY HISTORY WITH CORONARY HEART DISEASE AT PUSKESMAS  BANJARSARI METRO Introduction: Based on data in coronary heart events Metro City 2018 total which is 1,309 new cases. For new diseases 190 men and 22 for women cases,  for old cases 369 men and 528 women in 2019 have a very drastic decrease, with total of new and old 229 patients with heart disease , for new diseases which is 32 men and 57 cases and women, for an old cases which is 60 cases for men and 80 cases for women.Purpose:  to known relations between physical activity and family history with coronary heart disease at Puskesmas Banjarsari Metro in 2020.Method: quantitative research type, analytical survey research plan with cross sectional approach, population and sample in research patients with heart failure are22 respondents. Univariate and bivariate data analysis used chi square test.Result : From 23 respondents, 13 respondents (56,5%) with low activity, families at risk which is 14 respondents (55,0%),  12 respondent (52,2%) with coronary heart, results of statistical tests using the chi square test obtained p-value = 0,022(< 0.05) , p-value = 0,006(< 0.05).Conclusion : Results of using the chi square test obtained p-value = 0,022(< 0.05) that means there is a relations between physical actiivity with occurrence coronary heart disease in Puskesmas Banjarsari Kota Metro 2020. Results of using the chi square test obtained p-value = 0,006(< 0.05) that means there is a relations between history of family with occurrence coronary heart disease in Puskesmas Banjarsari Kota Metro 2020. For peoples who risk of coronary heart disease (CHD) to behave healthy living by maintaining a diet by consuming foods that conform to diet coronary heart patients, avoid smoking, not consuming alcohol beverages, maintain weight stability and exercise regulary. Keywords : Knowledge, Self Care, Quality of life.       INTISARI:HUBUNGAN ANTARA AKTIVITAS FISIK DAN RIWAYAT KELUARGA DENGAN KEJADIAN PENYAKIT JANTUNG KORONER DI PUSKESMAS RAWAT INAP BANJARSARI KOTA METRO  Pendahuluan: Berdasarkan data kejadian jantung koroner di Kota Metro tahun 2018 pada berdasarkan jumlah kasus baru dan lama  sebanyak 1.309 dengan pembagian penyakit baru, laki-laki sebanyak 190 orang, perempuan sebanyak 22 orang, dan kasus lama, laki-laki sebanyak 369 orang, perempuan sebanyak 528 orang, pada tahun 2019 mengalami penurunan yang sangat drastis, yaitu total pasien jantung baru dan lama sebanyak 229 orang, dengan pembagian penyakit baru, laki-laki sebanyak 32 orang, perempuan sebanyak 57 orang, dan kasus lama, laki-laki sebanyak 60 orang, perempuan sebanyak 80 orang.Tujuan: Diketahui hubungan antara aktivitas fisik dan riwayat keluarga dengan kejadian penyakit jantung koroner di Puskesmas Banjarsari Kota Metro Tahun 2020.Metode: Jenis penelitian kuantitatif, rancangan penelitian survey analitik dengan pendekatan cross sectional, populasi dan sampel dalam penelitian ini adalah pasien gagal jantung sebanyak 22  responden, Analisa data menggunakan univariat dan bivariat menggunakan uji chi square.Hasil : Dari 23 responden dengan aktivitas kurang sebanyak 13 responden (56,5%), riwayat keluarga beresiko sebanyak 14 responden (55,0%),  jantung koroner sebanyak 12 responden (52,2%), Hasil uji statistik menggunakan uji chi square didapat nilai p-value = 0,022 (< 0.05) , p-value = 0,006 (< 0.05).Kesimpulan : Hasil uji statistik menggunakan uji chi square didapat nilai p-value = 0,022 (< 0.05) yang artinya terdapat hubungan antara aktivitas fisik dengan kejadian penyakit jantung koroner di Puskesmas Banjarsari Kota Metro Tahun 2020. Hasil uji statistik menggunakan uji chi square didapat nilai p-value = 0,006 (< 0.05) yang artinya terdapat hubungan antara riwayat keluarga dengan kejadian penyakit jantung koroner di Puskesmas Banjarsari Kota Metro  Tahun 2020Bagi seseorang yang mempunyai resiko terhadap terjadinya Penyakit Jantung Koroner (PJK) untuk berperilaku hidup sehat dengan jalan menjaga pola makan dengan jalan mengkonsumsi makanan yang sesuai dengan pola diit penderita PJK, menghindari merokok, tidak mengkonsumsi minuman beralkohol, menjaga kestabilan berat badan dan berolah raga secara teratur. Kata Kunci      : Pengetahuan, Self Care, Kualitas Hidup 

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