scholarly journals Kajian Literatur: Faktor Risiko Hipertensi pada Remaja di Indonesia

2019 ◽  
Vol 29 (2) ◽  
pp. 115-122
Author(s):  
Nur Rahmah Fadilah Shaumi ◽  
Engkus Kusdinar Achmad

Abstract Hypertension is one of the non communicable disease which has become a serious problem lately and is one of the ten highest chronic diseases in America. Generally, hypertension occurs in the elderly, but studies have found that hypertension can appear since adolescent and its prevalence has increased in recent years. Hypertension that is not recognize in adolescent could continue into adulthood and increase the risk of morbidity and mortality. The purpose of this literature review is to analyze the effects of various risk factors on the incidence of hypertension in adolescent in Indonesia. The design of this study is a literature review. The articles obtained through search engine are cross sectional research articles respondents aged 11-19 years. The selected inclusion criteria were adolescent with hypertension, aged between 11-19 years, and in the territory of Indonesia. The results showed that poor sleep quality had significantly affected 4.1 times the incidence of hypertsion in adolescent, and also the Body Mass Index (BMI) 4.85 times, and a family history 3.9 times. The conclusion of this study is poor sleep quality, excessive nutritional status (high BMI), and family history of hypertension could increase the risk adolescents experiencing hypertension. Abstrak Hipertensi merupakan salah satu penyakit tidak menular (PTM) yang menjadi masalah serius belakangan ini dan masuk ke dalam sepuluh penyakit kronis tertinggi di Amerika. Umumnya, hipertensi terjadi pada usia lanjut, tetapi penelitian menemukan hipertensi dapat muncul sejak remaja dan prevalensinya meningkat beberapa tahun terakhir. Hipertensi yang tidak disadari pada usia remaja dapat berlanjut hingga usia dewasa dan meningkatkan risiko morbiditas dan mortalitas. Tujuan dari kajian literatur ini adalah menganalisa pengaruh berbagai faktor risiko terhadap kejadian hipertensi pada remaja di Indonesia. Desain penelitian ini merupakan literature review. Artikel-artikel yang diperoleh melalui search engine merupakan artikel penelitian cross sectional dengan responden berusia 11-19 tahun. Kriteria inklusi artikel yang dipilih adalah remaja dengan hipertensi, responden berusia antara 11-19 tahun, dan di wilayah Indonesia. Hasil penelitian menunjukkan kualitas tidur, indeks massa tubuh menurut umur (IMT/U), dan riwayat hipertensi keluarga memiliki hubungan yang bermakna terhadap kejadian hipertensi. Kualitas tidur yang buruk memiliki risiko 4,1 kali lebih besar, IMT/U yang tinggi memiliki risiko 4,85 kali lebih besar, dan riwayat hipertensi keluarga memiliki risiko 3,9 kali lebih besar untuk mengalami hipertensi. Kesimpulan dari penelitian ini adalah kualitas tidur yang rendah, status gizi berlebih (IMT tinggi), dan adanya riwayat hipertensi keluarga dapat meningkatkan risiko remaja mengalami hipertensi.

2018 ◽  
Vol 10 (11) ◽  
pp. 3918 ◽  
Author(s):  
Lovro Štefan ◽  
Vlatko Vučetić ◽  
Goran Vrgoč ◽  
Goran Sporiš

The main purpose of the present study was to explore the associations of sleep duration and sleep quality with self-rated health. In this cross-sectional study, participants were 894 elderly individuals. Self-rated health, sleep duration, and sleep quality were self-reported. The associations were examined using multiple logistic regression analyses.After adjusting for sex, physical activity, smoking consumption, alcohol consumption, psychological distress, socioeconomic status, and chronic disease/s, sleeping <6 h (OR (Odds ratio) = 3.21; 95% CI (95 percent confident interval) 1.61 to 6.39), 6–7 h (OR = 2.47; 95% CI 1.40 to 4.36), 8–9 h (OR = 3.26; 95% CI 1.82 to 5.83), and >9 h (OR = 3.62; 95% CI 1.57 to 8.34) and having ‘poor’ sleep quality (≥5 points; OR = 2.33; 95% CI 1.46 to 3.73) were associated with ‘poor’ self-rated health. When sleep duration and sleep quality were entered simultaneously into the model, the same associations remained. Our findings provide evidence that both ‘short’ and ‘long’ sleep and ‘poor’ sleep quality are associated with ‘poor’ self-rated health. Thus, interventions that promote healthy sleep hygiene in the elderly are warranted.


2021 ◽  
Vol 5 (2) ◽  
pp. 65-72
Author(s):  
Siti Roziah Ria Famuji ◽  
Abdul Malik Setiawan ◽  
Achdiat Agoes

Hypertension affects approximately 26% of the adult population and it is a leading cause of death in up to 13.5% worldwide. Hypertension is a disease with the highest prevalence in Indonesia, so good treatment and prevention are needed. Several studies suggest that there is a correlation between hypertension risk factors and the disturbance of sleep quality. Therefore, it is necessary to develop preventive and promotive efforts to obtain optimum blood pressure in patients with hypertension to avoid complications or even death. This study aims to find out the correlation between sleep quality and the value of blood pressure in the elderly ?60 years old in Batu City. A cross-sectional study was conducted in Batu City in 2020. Stratified random sampling was performed to select the respondents. A validated PSQI questionnaire and sphygmomanometer were used to assess sleep quality and blood pressure, respectively. A Chi-Square test was used to test the hypothesis. There were 391 respondents involved in this study. Most of the respondents have poor sleep quality, 205 respondents (52,43%) of which 41 respondents (20%) have normal blood pressure, and 164 respondents (80%) have high blood pressure. The statistical analysis shows a significant correlation (p=0,000) between sleep quality and blood pressure. In conclusion, hypertension is associated with poor sleep quality in the geriatric population in Batu City.


BMJ Open ◽  
2020 ◽  
Vol 10 (7) ◽  
pp. e036401
Author(s):  
Zhao Hu ◽  
Xidi Zhu ◽  
Atipatsa Chiwanda Kaminga ◽  
Tingting Zhu ◽  
Yu Nie ◽  
...  

ObjectivesTo examine the association between the prevalence of poor sleep quality and depression symptoms among the elderly in the nursing homes of Hunan province in China.Design, Setting and participantsThis was a cross-sectional study investigating 817 elderly people from 24 nursing homes in China’s Hunan province.Main outcome measuresSleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI) such that poor sleep quality was defined as PSQI Score >5. In addition, depression symptoms were assessed using the Geriatric Depression Scale (GDS). Linear regression models and binary logistic regression models were used to analyse the relationship between the prevalence of poor sleep quality and depression symptoms.ResultsThe mean PSQI Score was 8.5±4.9, and the prevalence of poor sleep quality was 67.3%. Additionally, the mean GDS Score was 9.8±7.5, and the prevalence of depression symptoms was 36.0%. Elderly people with poor sleep quality had increased GDS Score (mean difference=2.54, 95% CI 1.66 to 3.42) and increased risk of depression symptoms (OR=3.19, 95% CI 2.04 to 4.98) after controlling for demographics, chronic disease history, lifestyle behaviours, social support, activities of daily living and negative life events.ConclusionsThe prevalence of poor sleep quality was relatively high, and this was associated with increased depression symptoms. Therefore, poor sleep quality could be speculated as a marker of current depression symptoms in the elderly.


2012 ◽  
Vol 20 (6) ◽  
pp. 1100-1108 ◽  
Author(s):  
Thalyta Cristina Mansano-Schlosser ◽  
Maria Filomena Ceolim

OBJECTIVE: to evaluate the characteristics of sleep and the factors associated with the quality of sleep in elderly patients receiving outpatient chemotherapy treatment. METHOD: cross-sectional study with 140 elderly patients (51.2% female, average age 69.8 years) with stage III or stage IV cancer (67.9%), undertaken in a university hospital in the state of São Paulo in 2010. The following instruments were used: sociodemographic and clinical characterization questionnaire, validated by specialists; Pittsburgh Sleep Quality Index; Piper Fatigue Scale-reviewed; and a scale for the subjective measurement of pain. RESULTS: the majority of the elderly (62.9%) had a score compatible with poor sleep quality. On average, the duration of sleep was 388.0 minutes, latency was 44.6 minutes and efficiency of 83.8%. Through multiple logistic regression analysis, an increase of 21% in the probability of having poor sleep quality was observed for each single-point increase in the intensity of the pain. CONCLUSION: nursing interventions aiming to promote better sleep quality for elderly patients with cancer must include measures for pain control.


2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Ahmad Assiddiqy

Poor sleep quality can change the stress hormone cortisol and the sympathetic nervous system so that it can increase blood pressure in the elderly. The purpose of this study was to determine the relationship of sleep quality with blood pressure in the elderly at PosyanduLansia RW II Kedungkandang Health Center, Malang. The study design used a correlational design with a cross sectional approach. The population of the study was 158 people, the determination using purposive sampling so that the research sample was 32 respondents. To determine the correlation of data collection techniques using a questionnaire. Data analysis method used is the spearmen rank test obtained p value = 0.001, <0.050 so that Ho is rejected, meaning that there is a relationship between sleep quality and blood pressure in the elderly in the Posyandu Elderly RW II Kedungkandang Health Center Malang. Poor sleep quality can change the stress hormone cortisol and the sympathetic nervous system, resulting in an increase in blood pressure. The results of the analysis found that most 18 (56.2%) respondents experienced poor sleep quality in the elderly and most 19 (59.4%) respondents had hypertension blood pressure between 140/90 mmHg to <160/90 mmHg in the elderly. From this study it is expected that the elderly need to get enough sleep for  6 hours to reduce blood pressure. The next researcher is expected to be able to relate the factors that affect sleep quality with blood pressure and the importance of the elderly's participation in Posyandu. Keywords: sleep quality, elderly, blood pressure Abstrak : Kualitas tidur yang buruk dapat mengubah hormone stress kortisol dan system saraf simpatik sehingga bias meningkatkan tekanan darah pada lansia. Tujuan penelitian untuk mengetahui hubungan kualitas tidur dengan tekanan darah pada lansia di Posyandu Lansia RW II Puskesmas Kedungkandang Kota Malang. Desain penelitian mengunakan desain korelasional dengan pendekatan cross sectional. Populasi penelitian sebanyak 158 orang, penentuan menggunakan purposive sampling sehingga sampel penelitian sebanyak 32 responden.Untuk mengetahui korelasi teknik pengumpulan data menggunakan kuesioner. Metode analisa data yang di gunakan yaitu uji spearmen rank didapatkan nilai p = 0,001 < 0,050 sehingga Ho ditolak, artinya ada hubungan antara kualitas tidur dengan tekanan darah pada lansia di Posyandu Lansia RW II Puskesmas Kedung kandang Kota Malang. Kualitas tidur yang buruk dapat mengubah hormon stress kortisol dan system syaraf simpatik, sehingga terjadi peningkatan tekanan darah. Hasil analisis didapatkan sebagian besar 18 (56,2%) responden mengalami kualitas tidur buruk pada lansia dan sebagian besar 19 (59,4%) responden memiliki tekanan darah hipertensi antara140/90 mmHg sampai< 160/90 mmHg pada lansia.  Dari penelitian ini diharapkan lansia perlu mencukupi tidur malam > 6 jam guna menurunkan tekanan darah. Untuk peneliti selanjutnya diharapkan dapat menghubungkan dengan faktor-faktor yang mempengaruhi kualitas tidur dengan tekanan darah serta pentingnya keikutsertaan lansia keposyandu. Kata Kunci: Kualitas Tidur, Lansia, Tekanan Darah.


2021 ◽  
Vol 5 (7) ◽  
pp. OR1-OR4
Author(s):  
Yashika Kaushal ◽  
Ratibha Kausal ◽  
Isha Sharma ◽  
Sheenab Mittal

INTRODUCTION: Among the elderly, sleep problems are quite prevalent and can lead to many adverse health consequences. AIM: To assess the quality of sleep among the elderly residing in rural population and factors related to it, and provide necessary recommendations for its prevention. MATERIALS AND METHOD: In this cross-sectional study, elderly aged above 60 years residing in Patiala were taken and were interviewed separately using the modified version of the Pittsburgh Sleep Quality Index (PSQI), which was pre-tested and pre-validated prior to commencement of the study. Data recorded was divided into seven components and each component had an individual range of 0 (no difficulty) to 3 (severe difficulty) points and added to obtain a combined score of the individual with a range of 0(no difficulty)-21(severe difficulty) points. Based on the combined score,  elderly obtaining a total score of 5 or greater was classified as having  “poor sleep quality”. Statistics were applied using SPSS version 22.0, using the student’s t- test, and multivariate analysis. A p value < 0.05 was considered as significant. RESULTS: Out of 108 elderly people, most of the participants (62.9%) belonged to the age group of 60-75 years, out of which the majority (65.7%) were males. Most elderly reported having “fairly good” subjective sleep quality (53.7%, p=0.01) and was found to be significant with a global PQSI score of 7.22±4.31. Multivariate analysis revealed that significant “poor sleep quality” was observed in elderly aged above 75 years (OR:1.25, p=0.01) followed by elderly who were Immobilized (wheelchair/Bed ridden) (OR: 1.87, p=0.01). CONCLUSION: Efforts should be directed towards proper education of not only the elderly, but their children as well as colleagues and guardians to improve the sleep score of the elderly population.


2019 ◽  
Vol 2 (2) ◽  
pp. 211-220
Author(s):  
Ahmed Waqas ◽  
Aqsa Iftikhar ◽  
Zahra Malik ◽  
Kapil Kiran Aedma ◽  
Hafsa Meraj ◽  
...  

AbstractObjectivesThis study has been designed to elucidate the prevalence of stress, depression and poor sleep among medical students in a Pakistani medical school. There is a paucity of data on social support among medical students in Pakistan; an important predictor of depressive symptoms. Therefore, this study was also aimed to demonstrate the direct and indirect impact of social support in alleviating depressive symptoms in the study sample.MethodsThis observational cross-sectional study was conducted in Lahore, Pakistan, where a total of 400 students at a medical school were approached between 1st January to 31st March 2018 to participate in the study. The study sample comprised of medical and dental students enrolled at a privately financed Pakistani medical and dental school. The participants responded to a self-administered survey comprising of five parts: a) demographics, b) Pittsburgh Sleep Quality Index (PSQI), c) Patient Health Questionnaire-9 (PHQ-9), d) Multidimensional Scale of Perceived Social Support (MSPSS) and e) Perceived Stress Scale-4 (PSS-4). All data were analysed using SPSS v. 20. Linear regression analysis was used to reveal the predictors of depression.ResultsIn total, 353 medical students participated, yielding a response rate of 88.25%. Overall, poor sleep quality was experienced by 205 (58.1%) students. Mild to severe depression was reported by 83% of the respondents: mild depression by 104 (29.5%), moderate depression by 104 (29.5%), moderately severe depression by 54 (15.3%) and severe depression by 31 (8.8%) respondents. Subjective sleep quality, sleep latency, daytime dysfunction and stress levels were significantly associated with depression symptoms. Social support was not significantly associated with depressive symptoms in the regression model (Beta = -0.08, P < 0.09); however, it acted as a significant mediator, reducing the strength of the relationship between depressive symptoms and sleep quality and stress.ConclusionsAccording to our study, a large proportion of healthcare (medical and dental) students were found to be suffering from mild to moderate depression and experienced poor sleep quality. It is concluded that social support is an important variable in predicting depressive symptomatology by ameliorating the effects of poor sleep quality and high stress levels.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hongyan Wang ◽  
Xiaoling Dai ◽  
Zichuan Yao ◽  
Xianqing Zhu ◽  
Yunzhong Jiang ◽  
...  

Abstract Introduction To explore the prevalence of depressive symptoms and the associated risk factors in frontline nurses under COVID-19 pandemic. Methods This cross-sectional study was conducted from February 20, 2020 to March 20, 2020 and involved 562 frontline nurses. The effective response rate was 87.68%. After propensity score matched, there were 498 participants left. Extensive characteristics, including demographics, dietary habits, life-related factors, work-related factors, and psychological factors were collected based on a self-reported questionnaire. Specific scales measured the levels of sleep quality, physical activity, depressive symptoms, perceived organization support and psychological capital. Adjusted odds ratios and 95% confidence intervals were determined by binary paired logistic regression. Results Of the nurses enrolled in the study, 50.90% had depressive symptoms. Three independent risk factors were identified: poor sleep quality (OR = 1.608, 95% CI: 1.384–1.896), lower optimism of psychological capital (OR = 0.879, 95% CI: 0.805–0.960) and no visiting friend constantly (OR = 0.513, 95% CI: 0.286–0.920). Conclusions This study revealed a considerable high prevalence of depressive symptoms in frontline nurses during the COVID-19 outbreak, and identified three risk factors, which were poor sleep quality, lower optimism of psychological capital, and no visiting friend constantly. Protecting mental health of nurses is important for COVID-19 pandemic control and their wellbeing. These findings enrich the existing theoretical model of depression and demonstrated a critical need for additional strategies that could address the mental health in frontline nurses for policymakers.


Sign in / Sign up

Export Citation Format

Share Document