scholarly journals Determinan Kepatuhan Berobat Pasien Hipertensi Pada Fasilitas Kesehatan Tingkat I

Author(s):  
Iche Andriyani Liberty ◽  
Pariyana Pariyana ◽  
Eddy Roflin ◽  
Lukman Waris

Abstrak Puskesmas merupakan Fasilitas Kesehatan Tingkat Pertama yang berfungsi menjaga kesinambungan pelayanan kesehatan secara paripurna. Hingga saat ini penyakit tidak menular yang masih merupakan tantangan besar di Puskesmas dalam menurunkan angka morbiditas hipertensi adalah adalah tatalaksana hipertensi salah satunya adalah tingkat kepatuhan mengkonsumsi obat antihipertensi bagi penderita masih sangat rendah. Penelitian ini bertujuan untuk menganalisis determinan kepatuhan pasien menjalani pengobatan hipertensi dan pengaruhnya terhadap kendali tekanan darah pasien hipertensi. Metode penelitian observasional analitik dengan pendekatan cross sectional. Penelitian dilakukan di kota Palembang pada bulan Agustus sampai Oktober 2017. Sampel adalah pasien yang berobat ke Puskesmas Karyajaya, Kenten, Plaju, Sei Baung, dan Kampus. Sampel yang memenuhi kriteria inklusi sebanyak 90 pasien. Analisis data dengan analisis univariat dan bivariat dengan Chi Square Test. Determinan yang berpengaruh terhadap kepatuhan pasien hipertensi dalam mengkonsumsi obat adalah lama menderita hipertensi: POR: 0,11, nilai p =0,04 (CI 95% 0,02-0,52).Determinan jenis kelamin, usia, tingkat pendidikan, jenis pekerjaan, Indeks Massa Tubuh, keikutansertaan BPJS, dan riwayat hipertensi dalam keluarga tidak berpengaruh secara signifikan terhadap kepatuhan berobat pasien hipertensi. Kepatuhan pasien dalam menjalani pengobatan hipertensi juga merupakan determinan yang berpengaruh terhadap kendali tekanan darah responden. Keberhasilan terapi hipertensi di tingkat pelayanan pertama bisa meningkat, maka disarankan bagi tenaga kesehatan memperhatikan lama atau riwayat menderita hipertensi pasien dalam memberikan pelayanan. Abstract Puskesmas is a First Level Health Facility Until now, the management of non-communicable diseases which is still a big challenge in Puskesmas is hypertension. One effort that can be done to reduce the morbidity rate of hypertension is the consumption of antihypertensive, but still few patients who adhere to this treatment.This study aims to analyze the determinants of adherence in patients undergoing treatment of hypertension and how it affects blood pressure control of hypertensive patients. This research is an observational analytic research with cross sectional approach. This research was conducted in Palembang city from August to October 2017. The samples were patients who went to Puskesmas Karyajaya, Kenten, Plaju, Sei Baung, and Campus which fulfilled the inclusion criteria with a total sample of 90 patients. Data analysis in this research was univariate and bivariate analysis with Chi Square Test. Determinant which influence to adherence in this research was duration of hypertension with POR 0,11 with CI 95% 0,02-0,52 (p value = 0,04). While other determinants of gender, age, education level, occupation, Body Mass Index, BPJS participation, and family history of hypertension have no significant effect on hypertension patient’s treatment compliance. Compliance of patients in undergoing treatment of hypertension is also a determinant that affects the control of blood pressure of respondents. The determinants that affect the adherence in this study are duration of hypertension, thus health workers at first-level facility is very necessary attention to a history of hypertension patients in order to improve therapeutic efficacy.

Author(s):  
Y. Widyastuti Y. Widyastuti

ABSTRACT Preeclampsia is a disease with signs of hypertension, edema, and protein urine due to pregnancy. In Indonesia preeclampsia is still one of the cause of maternal death, range 1,5 % - 2,5 %. The purpose of this study is to determine the relationship between maternal disease and a history of gravida with severe preeclampsia incidience in the General Hospital Center Dr. Mohammad Hoesin Palembang in 2012. The method used in this reserch is Analytical research with Cross Sectional Design. The Population in this research is a case of delivering mothers with severe preeclampsia and control mothers with lower preeclampsia. The number of samples is 242 maternal, 181 maternal with weight preeclampsia and 61 maternal with lower preeclampsia. The data analysis conducted univariate and bivariate statistics with Chi-Square test with significance level α = 0,05. For the univariate analysis of 242 maternal, 181 mothers ( 74,8 % ) with  severe preeclampsia.which belong to the category of mother with primigravida as much as 131 people ( 72,3 % ) and maternal with history of genetic maternal illnes of 90 people ( 49,7 % ) . while the results of the bivariate analysis, Chi-square statistical test showed that there was sifnificant association between gravida status with weight preeclampsia accident where ( p value = 0,008 ) and also significant relationship between history of genetic maternal illnes with weight preeclampsia accident where ( p value = 0,012 ). We hope this research can be turn of weight preeclampsia accident Suggestion with prevention, early diagnose and prompt treatment with Antenatal Care Consistenly.   ABSTRAK  Preeklampsia adalah penyakit dengan tanda-tanda hipertensi, edema, dan protein urine akibat kehamilan. Diindonesia preeklampsia berat masih merupakan salah satu penyebab kematian ibu berkisar antara 1,5% - 2,5 %.. Tujuan penelitian ini adalah untuk mengetahui hubungan antara status gravida dan riwayat penyakit genetik pada ibu hamil dengan kejadian preeklampsia berat di Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang Tahun 2012. Metode yang digunakan dalam penelitian ini adalah Survei Analitik dengan pendekatan Cross Sectional. Populasi dalam penelitian ini adalah kasus ibu hamil dengan preeklampsia berat dan kontrol yaitu ibu hamil dengan preeklampsia ringan. Jumlah sampel yang diperoleh sebanyak 242 ibu hamil, terdapat 181 ibu yang menderita Preeklampsia berat dan 61 ibu menderita preeklampsia ringan. Analisa data dilakukan secara univariat dan bivariat dengan uji statistik Chi-Square melalui tingkat kemaknaan α = 0,05. Untuk hasil analisa univariat dari 242 ibu hamil, 181 ibu ( 74,8 % ) menderita preeklampsia berat. Yang termasuk kategori ibu dengan primigravida sebanyak 131 orang ( 72,3 % ) dan ibu yang mempunyai riwayat penyakit genetik sebanyak 90 orang ( 49,7 % ). Sedangkan hasil dari analisa bivariat, uji statistik Chi-Square menunjukan bahwa ada hubungan yang bermakna antara status gravida dan kejadian preeklampsia berat dimana ( p value = 0,008 ) dan ada hubungan yang bermakna antara riwayat penyakit genetik dengan kejadian preeklampsia berat dimana ( p value = 0,012 ). Hasil penelitian ini diharapkan dapat menurunkan angka kejadian preeklampsia berat tentunya dengan melakukan pencegahan dan deteksi dini melalui pemeriksaan secara  teratur.  


Author(s):  
Wahyu Ida Muliana Wahyu Ida Muliana

ABSTRACT [Preeclampsia is a disease with signs of hypertension, edema, and protein urine due to pregnancy. In Indonesia preeclampsia is still one of the cause of maternal death, range 1,5 % - 2,5 %. Until recently, the cause of severe preeclampsia is unknown. Some risk factors include severe preeclampsia parity, age mother, gravida status, history of preeclampsia in the family, history of Genetic maternal illness and others. The purpose of this study is to determine the relationship between parity and age maternal disease weight preecklampsia mother with genesis in the General Hospital Center Dr. Mohammad Hoesin Palembang in 2012. The method used in this reserch is Analytical research with Cross Sectional Design. The Population in this research is a all maternal three semester. The number of samples is 157 maternal, 90 maternal with weight preeclampsia and 67 maternal that happen’t weight preeclampsia . The data analysis conducted univariate and bivariate statistics with Chi-Square test with significance level α = 0,05. For the univariate analysis of 157 maternal, 90 maternal (57,3%) with weight preeclampsia. Which belong to the category of mother with high resico parity as 60 maternal (38,2%), and mother with low resico parity as 97 maternal (61,8%). Mother with high resico age  as 84 maternal (53,5%), and mother with low age as 73 maternal (46,5%) . While the results of the bivariate analysis, Chi-square statistical test showed that there was sifnificant association between parity with weight preeclampsia accident where (p value=0,007) and also significant relationship between    age   maternal   with    weight      preeclampsia    accident      where. (p value = 0,000). We hope this research can be turn of weight preeclampsia accident Suggestion with prevention, early diagnose and prompt treatment with Antenatal Care Consistenly.     ABSTRAK Preeklampsia adalah penyakit dengan tanda-tanda hipertensi, edema, dan protein urine akibat kehamilan. Di Indonesia preeklampsia berat masih merupakan salah satu penyebab kematian ibu berkisar antara 1,5% - 2,5 %. Sampai saat ini penyebab terjadinya preeklampsia berat belum diketahui, beberapa faktor resiko terjadinya preeklampsia berat antara lain paritas, usia ibu, status gravida, riwayat preeklampsi dalam keluarga, riwayat penyakit genetik ibu, dsb. Tujuan penelitian ini adalah untuk mengetahui hubungan antara paritas dan usia ibu hamil dengan kejadian preeklampsia berat pada ibu hamil di Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang Tahun 2012. Metode yang digunakan dalam penelitian ini adalah Survei Analitik dengan pendekatan Cross Sectional. Populasi dalam penelitian ini adalah seluruh ibu hamil trimester III yang pernah di rawat di Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang. Jumlah sampel yang diperoleh sebanyak 157 ibu hamil, terdapat 90 ibu hamil yang mengalami preeklampsia berat dan 67 ibu hamil yang tidak mengalami preeklampsia berat. Analisa data dilakukan secara univariat dan bivariat dengan uji statistik Chi-Square melalui tingkat kemaknaan α = 0,05. Untuk hasil analisa univariat dari 157 ibu hamil, 90 ibu hamil (57,3%) menderita preeklampsia berat. Yang termasuk kategori ibu dengan paritas resiko tinggi sebanyak 60 ibu hamil (38,2%), dan ibu dengan paritas resiko rendah sebanyak 97 ibu hamil (61,8%). Ibu yang mempunyai usia resiko tinggi sebanyak 84 ibu hamil (53,5%), dan ibu yang mempunyai usia resiko rendah sebanyak 73 (46,5%). Sedangkan hasil dari analisa bivariat, uji statistik Chi-Square menunjukan bahwa ada hubungan yang bermakna antara paritas dan kejadian preeklampsia berat dimana (p value = 0,007) dan ada hubungan yang bermakna antara usia ibu hamil dengan kejadian preeklampsia berat dimana (p value = 0,000). Hasil penelitian ini diharapkan dapat menurunkan angka kejadian preeklampsia berat tentunya dengan melakukan pencegahan dan deteksi dini melalui pemeriksaan secara  teratur.    


2018 ◽  
Vol 1 (1) ◽  
pp. 34
Author(s):  
Ni Nyoman Novita ◽  
Gusman Arsyad

Implementation of IMD in hospitals has decreased from the previous year and has not reached the target set by the government. Some IMD implementation processes have not been carried out according to applicable standards. So that babies do not get an IMD in accordance with existing SOPs. The purpose of this study was to determine the determinant factors associated with the implementation of the IMD by midwives in the Midwifery and Maternity Room Emergency Room (IGD) at the Anutapura General Hospital in Palu. This research method is analytical with cross sectional approach. The population of this study was that all midwives in the obstetrics emergency room and maternity room at Anutapura Palu Hospital were 37 respondents. The sample in this study is total sampling. The analysis used was univariate, and bivariate analysis using the chi square test with a confidence level of 95% (α = 0.05). The results of statistical tests on variable knowledge of midwives with the implementation of IMD p value: 0.018 (p value <0.05). APN training with the implementation of IMD p value: 0.697 (p value> 0.05). length of work with the implementation of IMD p value: 0.029 (p value <0.05). and peer support with the implementation of IMD p value: 0.007 (p value <0.05). Conclusions there is a relationship between knowledge, length of work, peer support with the implementation of the IMD, and training factors that have nothing to do with IMD implementation. The strongest factor in the relationship is peer support. It is recommended that the Anutarapura Palu Hospital be able to motivate midwives so that they can further enhance their role in the implementation and provide support to their colleagues so that the implementation of the IMD can be carried out in accordance with applicable standards.Keywords: Knowledge, APN Training, Duration of work, Implementation of IMD


2021 ◽  
Vol 1 (1) ◽  
pp. 1
Author(s):  
Eti Cahya Fitrianti ◽  
Sintha Fransiske Simanungkalit

High blood pressure is defined as systolic blood pressure that is equal to or above 140 mm Hg or diastolic blood pressure equal to or above 90 mm Hg (JNC VIII, 2013). In 2018, the prevalence of hypertension in Indonesia is based on the characteristics of the age 45-75 years and above with an average of 58.33% (Riskesdas, 2018). The aimed of this study was to determine of fiber intake, stress levels, and physical activity with blood pressure in pre elderly and elderly at RW 03 Lubang Buaya and RW 09 Kampung Tengah, East Jakarta. This research method is observational with cross sectional approach followed by 80 respondents with simple random sampling technique Data collection was taken, namely blood pressure measurement using a Sphygmomanometer, fiber intake using the Food Recall form 2 x 24 hours (Weekend and Weekday), stress levels with the DASS-14 questionnaire, and physical activity with the Baecke questionnaire. Data processing was analyzed by univariate and bivariate using Chi-Square test. The results of bivariate analysis with chi-square test showed a significant relationship between fiber intake (p value = 0.007), stress level (p value = 0,000), and physical activity (p value = 0.022) with blood pressure. There is a relationship between fiber intake, stress level, and physical activity with blood pressure in the elderly and elderly in Lubang Buaya and Kampung Tengah.


Author(s):  
Brain Guntoro ◽  
Kasih Purwati

Hypertension is one of the number one causes of death and disability in the world. Hypertension contributes nearly 9.4 million deaths from cardiovascular disease each year. Hypertension can cause undesirable effects, it needs good handling, one of them is by doing a hypertension diet. To carry out a hypertension diet requires knowledge, lack of knowledge can increase risk factors for hypertension. This study aims to determine the relationship of the level of knowledge about hypertension diet to the incidence of hypertension in the elderly at the Baloi Permai Public Health Center Batam City. This research method is an analytic observational with a cross-sectional approach conducted at the Baloi Permai Public Health Center Batam City 2018. Sampling technique is a total sampling with a sample of 64 people in 2018 determined by inclusion and exclusion criteria. The results of the study were analyzed with frequency distribution and then tested with the Chi-square test. Based on the results of this study indicate that of the 64 respondents found elderly who have a good level of knowledge are 41 people (64.1%), 48 people (75.0%) have an age range between 60-70 years. 27 people (42.2%) elderly have the last high school education and 40 people (62.5%) have jobs as entrepreneurs. Elderly people who have normal blood pressure are 40 people (62.5%), and those affected by hypertension are 24 people (37.5%). The elderly who have a family history of hypertension is 21 people (32.8%) and those who do not have a history of hypertension are 43 people (67.2%). Chi-Square Test analysis results show the significance value p = 0.009. This number is significant because the p-value is smaller than the significance level (α) ≤ 5% (0.05), so H0 is rejected and Ha is accepted. Therefore it can be concluded that there is a significant relationship about the level of knowledge about the hypertension diet to the incidence of hypertension in the elderly. From the results of this study it was concluded that there was a relationship between the level of knowledge about the hypertension diet and the incidence of hypertension in the elderly at the Baloi Permai Public Health Center Batam City in 2016.


2021 ◽  
Vol 2 (2) ◽  
pp. 158
Author(s):  
Ahmad Zubairi ◽  
Nova Seftiana

Introduction: Early marriage that occurs cannot be separated from parental support, they have the perception that marrying off their children at an early age to keep their children safe, and put pressure on children not to continue their education due to low economics. Methods: To find out how the relationship between parenting families with the perception of early marriage in adolescents, Knowing the description of parenting patterns for early marriage in adolescents. Research Methods: This study is a quantitative study, with a descriptive correlation type of design. Samples were taken through random sampling with a cross sectional approach. Results: From the results of bivariate analysis using the chi square test, the p-value of 0.038 (<0. 05) can be concluded so that it can be concluded that there is a relationship between family parenting patterns and perceptions of early marriage in adolescents in Senior High School 1 Plus Computer Nerwork Engineering in 2021. Conclusion: The results of the respondents were 50 female students and 30 male students. The results of the respondents' parenting in the family were 42.5% good, 57.5% good enough, and 0 bad parenting


2020 ◽  
Vol 4 (3) ◽  
pp. 100-111
Author(s):  
Vita Camelia ◽  

Stunting is a children growth problem that occurs a result of chronic malnutrition in the first 1000 days of life. The indicator of stunting is using the height measurement according to age HFA (Height for Age) under -2 SD based on the WHO growth standard curve according to sex. The impacts of stunting are the occurrence of growth disorders, barriers to development and the risk of metabolic disorders in adulthood. One of the risk factors for stunting is history of quality and quantity Antenatal Care (ANC). This study aimed to determine the relationship between quality and quantity history of ANC visits and stunting in toddlers aged 24-59 years in Pujon District Malang Regency. The method used in this research was observational analytic by using cross-sectional design. The population of this study was all mothers who have children aged 24-59 months that were conducted in January 2020. Ninety eight respondents taken by purposive sampling as the sample of the research. The data was obtained by filling out questionnaires and KIA books, then analyzed with chi-square test (α = 0.05). The results showed that there was a significant relationship in quality (p-value = 0.004) and quantity (p-value = 0.003) toward stunting.


2020 ◽  
Vol 20 (3) ◽  
pp. 1043
Author(s):  
Elsi Setiandari L.O ◽  
Ari Widyarni ◽  
Aulia Azizah

Hypertension is a condition in which a person has an increase in blood pressure above normal as indicated by the systolic and diastolic numbers on blood pressure checks using a blood pressure measuring device. The incidence of hypertension in Southeast Asia is 24.7% and 23.3% of Indonesia's population. The results of the initial survey of blood pressure measurements and interviews obtained the results of blood pressure checks from 30 community members with the criteria not suffering from hypertension as many as 3 people and those suffering from pre-hypertension were 9 people and those suffering from hypertension were 18 people. The purpose of this study was to determine the analysis of the relationship between family history and physical activity with the incidence of hypertension in Indrasari Village, Banjar Regency. This research was conducted with an analytic observational research design and method cross sectional. The population in this study were all hypertension sufferers in Indrasari who met the criteria as many as 87 people. Data analysis used univariate analysis using frequency distribution and bivariate analysis using chi-square test. The results showed that from the results of the chi square test, there was correlation between family history, physical activity and the incidence of hypertension , the value was obtained p = 0.001 <α 0.005 and the value obtained p = 0.001 <α 0.005 was. Based on the results of the research analysis, it can be concluded that there is a relationship between family history and physical activity with the incidence of hypertension in Indrasari Village, Banjar Regency.


Author(s):  
Etienne Belinga ◽  
Isidore Tompeen ◽  
Claude Cyrille Noa Ndoua ◽  
Junie Metogo Ntsama ◽  
Sandrine Mendibi ◽  
...  

Background: Uterine synechiae refers to a total or partial union of the inner walls of the uterus resulting from endometrial trauma. It is a cause of reproductive failure. Until now, synechia was not optimally treated and has remained understudied in Cameroon. Objective of present study was to Evaluate the diagnostic, therapeutic and prognostic aspects of uterine synechiae treated by hysteroscopy.Methods: We conducted a descriptive cross-sectional study with an analytical component from January 1st 2015 to July 31st 2017 at Yaounde. All patients diagnosed with uterine synechiae and treated with hysteroscopy were our sample. Sampling was consecutive. The chi-square test was used for the comparison of qualitative variables and Fisher's test for ANOVA variance analysis. The comparison of the averages was made by the Student's test. P-value less than 0.05 was considered as statistically significant.Results: Hysteroscopies were indicated for uterine synechiae in 14.50%. Nulliparous were 56.67%. A history of curettage/aspiration was present in 66.66%. All of the patients had a form of infertility and 83.33% had menstrual disorders. Hysterosalpingography showed a better sensitivity (88%). After hysteroscopic treatment, 63.30% had a complete anatomical restitution. There is a significant correlation between the stage of severity of synechia and anatomical restitution (p=0.008; Spearman correlation coefficient=-0.477).Conclusions: Uterine synechiae represent one-sixth of all indications for hysteroscopy and present clinically as menstrual disorder associated with infertility. A past history of uterine curettage is common. Hysterosalpingography has a better preoperative diagnostic sensitivity. Hysteroscopy allows optimal treatment.


2016 ◽  
Vol 1 (2) ◽  
Author(s):  
Eti Kurniawati

<p>Ascariasis incidence in children under five in the region work of Puskesmas Olak Kemang still a health problem that needs to be addressed, with a percentage of 51.0% is higher than in other wilayh. The disease is not lethal but can undermine the health of the human body so that the resulting decline in nutritional status, decreased intelligence and brain power or immune health in children.</p><p>               This research is a quantitative study using descriptive analytic method with cross sectional study design that aims to determine the relationship between the independent variables and the dependent variable. The population in this research that all children under five in the area of Puskesmas Olak Kemang, samples in this study were 75 children under five. Data were analyzed using analysis Univariate and Bivariate analysis with Chi-Square Test.</p><p>               The results showed that 78.0% of mothers of children under five who are not air personal hygiene, 60.4% of mothers of children under five unusual CTPS, 82.1% of respondents who did not state house meliliki latrine / WC. The results of the bivariate analysis showed that there was a significant relationship between personal hygiene (p-value = 0.000), customs CTPS (p-value = 0.001), latrine ownership (p-value = 0.000) with the incidence of intestinal worms in Puskesmas Olak Kemang Jambi.</p><p>               In connection with the results obtained, that the danger of de- worming is dependent on the cleanliness of his mother in serving as personal hygiene, CTPS and Owners toilets in every home. Thus the researchers suggested that the health center may be able to provide information to the public education about the dangers of de- worming to create a healthy society.</p><p> </p>Keyword                     :  Behavior, Children Events


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