Faktor Risiko yang Mempengaruhi Kejadian Stroke

2019 ◽  
Vol 11 (4) ◽  
pp. 251-260
Author(s):  
Putra Agina Widyaswara Suwaryo ◽  
Wahyu Tri Widodo ◽  
Endah Setianingsih

Stroke adalah suatu penyakit cerebrovascular dimana terjadinya gangguan fungsi otak yang berhubungan dengan penyakit pembuluh darah yang mensuplai darah ke otak. Seperempat dari seluruh kejadian stroke adalah stroke. Faktor yang mempengaruhi stroke diantaranya kebiasaan meminum kopi, perilaku merokok, kurangnya aktifitas fisik, tidak melakukan kontrol tekanan darah secara rutin,  dan stres. Tujuan penelitian ini untuk mengetahui faktor-faktor risiko yang mempengaruhi kejadian stroke di RS PKU Muhammadiyah Sruweng. Penelitian ini menggunakan metode korelasional dengan pendekatan cross-sectional. Sampel dalam penelitian ini adalah 38 pasien yang diambil secara simple random sampling. Instrumen berupa lembar kuesioner. Data dianalisa menggunakan analisa deskriptif dan korelatif menggunakan uji chi square. Hasil penelitian didapatkan tidak ada pengaruh kebiasaan meminum kopi dan merokok dengan kejadian stroke. Ada pengaruh pengaruh aktifitas fisik, kontrol tekanan darah secara rutin, dan stres dengan kejadian stroke. Penelitian selanjutnya dapat dikembangkan dengan melakukan penelitian intervensi seperti memberikan penyuluhan terkait cara meningkatkan aktifitas fisik, dan menurunkan stres serta keteraturan minum obat.  Kata kunci: faktor risiko, aktifitas fisik, tekanan darah, stres, stroke THE RISK FACTORS THAT INFLUENCE THE INCIDENCE OF STROKE   ABSTRACT Stroke is a cerebrovascular disease in which the occurrence of brain function disorders associated with vascular disease that supplies blood to the brain. A quarter of all stroke events are strokes. Factors affecting stroke include coffee drinking habits, smoking behavior, lack of physical activity, not exercising routine blood pressure control, and stress. The purpose of this study was to determine the risk factors that influence the incidence of stroke in PKU Muhammadiyah Sruweng Hospital. This study uses a correlational method with a cross-sectional approach. The sample in this study was 38 patients taken by simple random sampling. The instrument was in the form of a questionnaire sheet. Data were analyzed using descriptive and correlative analysis using chi square test. The results showed there was no effect of the habit of drinking coffee and smoking with the incidence of stroke. There is an influence of physical activity, routine blood pressure control, and stress with the incidence of stroke. Further research can be developed by conducting intervention studies such as providing counseling related to how to increase physical activity, and reduce stress and regular medication.  Keywords: risk factors, physical activity, blood pressure, stress, stroke

2013 ◽  
Vol 113 (3) ◽  
pp. 908-920 ◽  
Author(s):  
Jay Lewis ◽  
Grace Ma ◽  
Freda Patterson ◽  
Min Qi Wang

This cross-sectional study was designed to identify correlates of blood pressure control behaviors, including participation in physical activity, maintaining a healthy diet, limiting alcohol and tobacco use, discussing blood pressure with a doctor, and getting screened for blood pressure. The study sample included 116 Korean American men and women aged 42 to 77 years ( M = 58.7) who resided in the greater Philadelphia area. Intention to exercise, comfort exercising in the neighborhood, and confidence in the ability to find time to exercise were positively correlated with participating in physical activity. Knowledge about the benefits of a healthy diet and confidence in the ability to maintain a healthy diet were positively correlated with maintaining a healthy diet. Intention to visit a doctor, having a regular doctor, satisfaction with the doctor, having confidence in the doctor, and confidence in the ability to ask doctors about health issues were positively correlated with medical adherence (including adhering to medication regimen and seeing a doctor regularly).


2018 ◽  
Vol 9 (1) ◽  
Author(s):  
Delly Amansyah Tohari ◽  
Umdatus Soleha

Overview of the regularity of blood pressure control in hypertensive patients Patient with hypertension in the PHC Kedurus obtained control blood pressure every 3 months diligently, and at several other patient are rarely control. Regularity in controlling blood pressure can prevent the recurrence of hypertension. The purpose of this study to determine the regularity Overview blood pressure control in hypertensive patient at the health center Kedurus Surabaya. The study used descriptive design. The population involved 83 peoples with hypertension one stadium in the PHC Kedurus Surabaya. Researh sample 69 taken use Probability sampling techniques of sampling with simple random sampling technique. Variable research is regularity control blood pressure in hypertensive patient collect data used observation sheet. The result showed that 69 respondents almost all (85,5%) have a regular degree of regularity when their blood pressure checked. Results Chi-Square obtained, meaning the picture order to control blood pressure in hypertensive patients in PHC Kedurus Surabaya. Regular blood pressure control could prevent the recurrence of hypertension and lowers effectively. Patients are expected to take medication regularly to lower blood pressure.


BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e037618
Author(s):  
Remya Sudevan ◽  
Damodaran Vasudevan ◽  
Manu Raj ◽  
Rajesh Thachathodiyl ◽  
Maniyal Vijayakumar ◽  
...  

ObjectivesThe primary objective of the study was to report the compliance to secondary prevention strategies for coronary artery disease (CAD), such as smoking cessation, weight management, low-density lipoprotein (LDL) cholesterol control, blood pressure control, glycaemic control, physical activity and cardiovascular drug therapy from a resource-limited setting.DesignAnalytical cross-sectional survey with data collection using questionnaire administered by study personnel.SettingInstitutional—two tertiary care hospitals and two cardiology clinics.ParticipantsPatients in the age group of 30–80 years with documented CAD with a minimum of 1 year and a maximum of 6 years of follow-up after diagnosis.Main outcome measuresThe main outcome measures were the prevalence of individual compliance to secondary prevention strategies for CAD such as smoking cessation, weight management, LDL cholesterol control, blood pressure control, glycaemic control, physical activity and cardiovascular drug therapy. The secondary outcomes were the association of secondary prevention strategies with age, sex, domicile, socioeconomic status, insurance and type of treatment.ResultsWe recruited a total of 1206 patients among whom 879 (72.9%) were males. The median age of patients was 62 (14) years. The compliance to smoking cessation was 93.86% (95% CI 91.66% to 96.06%), ideal body mass index was 63.76% (95% CI 61.05% to 66.47%), blood pressure control was 65.11% (95% CI 62.42% to 67.80%), LDL compliance was 36.50% (95% CI 33.18% to 39.82%), diabetes control was 51.23% (95% CI 46.10% to 56.36%) and adequate physical activity was 39.22% (95% CI 36.46% to 41.98%)respectively. Reported compliance for cardiovascular drugs therapy was 96% for antiplatelets, 89.4% for statins, 68.2% for beta blockers, 37.7% for renin angiotensin aldosterone system blockers, 81.28% for oral hypoglycaemic agents and 22% for insulin therapy.ConclusionCompliance to secondary prevention strategies for CAD in resource limited settings are moderate. This needs further improvement for better outcomes related to CAD in future.


2022 ◽  
Vol 1 (1) ◽  
pp. 156-172
Author(s):  
Naryati Naryati ◽  
Nur Nabila Putri Priyono

ABSTRACT: FACTORS AFFECTING BLOOD PRESSURE CONTROL IN HYPERTENSION PATIENTS IN RW 03 KELURAHAN JAGAKARSA SOUTH JAKARTA Introduction: Blood pressure control is controlling blood pressure with systolic <140 mmHg and diastolic <90 mmHg. Controlling blood pressure in people with hypertension can be done by losing weight, exercising, adjusting a low-salt diet, improving unhealthy lifestyles, and pharmacological therapy. Blood pressure control is influenced by several factors, such as attitudes, knowledge, family support, and medication adherence.Objective: The purpose of this study was to determine the factors that influence blood pressure control in hypertension sufferers in RW 03 Jagakarsa Village, South Jakarta.Methods: The research design used was descriptive-analytic with a cross sectional approach. The number of samples involved were 42 respondents using the Z formula. The results of the study used Chi-Square statistical test analysis.Results: The results of this study obtained factors related to controlling blood pressure in patients with hypertension, namely attitude (p-value = 0.047), knowledge (p-value = 0.040), family support (p-value = 0.025), and medication. compliance (p-value = 0.040).Conclusion: Suggestions from this study are health services, especially in the community, to find out the factors that influence blood pressure control in hypertension sufferers, one of which can be overcome by developing health education programs for the community, both at the puskesmas and at the posyandu. Thus, blood pressure control can be carried out optimally for a better life. Keywords: Hypertension, Blood Pressure Control, Attitude, Knowledge  INTISARI: FAKTOR-FAKTOR YANG MEMPENGARUHI PENGONTROLAN TEKANAN DARAH PADA PENDERITA HIPERTENDI DI RW 03 KELURAHAN JAGAKARSA JAKARTA SELATAN Pendahuluan: Pengontrolan tekanan darah merupakan tekanan darah yang terkontrol dengan sistole <140 mmHg dan diastole <90 mmHg. pengontrolan tekanan darah pada penderita hipertensi dapat dilakukan dengan cara penurunan berat badan, olahraga, pengaturan diet rendah garam, memperbaiki gaya hidup yang kurang sehat, dan terapi farmakologis. Pengontrolan tekanan darah dipengaruhi oleh beberapa faktor, seperti sikap, pengetahuan, dukungan keluarga dan kepatuhan pengobatan.Tujuan: Tujuan penelitian ini adalah untuk Mengetahui faktor-faktor yang mempengaruhi pengontrolan tekanan darah pada penderita hipertensi di RW 03 Kelurahan Jagakarsa Jakarta Selatan.Metode: Desain penelitian yang digunakan adalah deskriptif-analitik dengan pendekatan cross-sectional. Jumlah sampel yang dilibatkan sebanyak 42 responden dengan menggunakan rumus Z. Hasil penelitian menggunakan analisis uji statistic Chi-Square.Hasil: Hasil dari penelitian ini diperoleh faktor yang berhubungan dengan pengontrolan tekanan darah pada penderita hipertensi yaitu sikap (p-value = 0,047), pengetahuan (p-value = 0,040), dukungan keluarga (p-value = 0,025), dan kepatuhan pengobatan (p-value = 0,040).Kesimpulan: Saran dari penelitian ini adalah pelayanan kesehatan khususnya di masyarakat untuk mengetahui bahwa faktor-faktor yang mempengaruhi pengontrolan tekanan darah pada penderita hipertensi dapat diatasi salah satunya dengan mengembangkan program penyuluhan kesehatan bagi masyarakat baik di internal puskesmas maupun dilakukan di posyandu. Sehingga, pengontrolan tekanan darah dapat dilakukan secara optimal untuk menjalankan hidup yang lebih baik. Kata Kunci : Hipertensi, Pengontrolan Tekanan Darah, Sikap, Pengetahuan


2019 ◽  
Vol 1 (1) ◽  
pp. 50
Author(s):  
Priscillia Merylin Saluy

The purpose of this research is to know the relationship of primary hypertension with the occurrence of risk factors. Design research using a cross sectional with test statistic chi-square. The sample in this research totaled 46 respondents. Results of the study there is no significant relationship between genetic risk factors with primary hypertension with significant value. 403 > 0.05. There is no significant relationship between the risk factors of age with primary hypertension with significant value. 340 > 0.05. There is no significant relationship between the risk factors of smoking with a primary hypertension with significant value. 763 > 0.05. There is no significant relationship between risk factors consume alcohol with primary hypertension with significant value. 235 > 0.05. There is a significant relationship between the risk factors of physical activity/sport with primary hypertension with significant value. 038 < 0.05. There is no significant relationship between risk factors consume saturated fat with primary hypertension with significant value. 856 > 0.05. There is no significant relationship between risk factors consume salt with primary hypertension with significant value. 285 > 0.05. Conclusion of this research only to the lack of risk factors of exercise/physical activity showed a significant relationship against the incidence of hypertension. The recommendations are very important for patients with hypertension or who have not got the disease so doing physical activity/exercise at least 30 minutes each day like jogging or brisk walking in lowering blood pressure or stabilize normal blood pressure.


2017 ◽  
Vol 5 (2) ◽  
pp. 174 ◽  
Author(s):  
Destiara Hesriantica Zaenurrohmah ◽  
Riris Diana Rachmayanti

Hypertension is a main cause of morbidity and mortality in Indonesia, thus the treatment of this disease commonly done in every level of health facilities. Based on Riskesdas 2013 the most diseases toward elderly is Hypertention up to 57.6% followed by arthritis (51.9%) and stroke (46.1%). Based on blood pressure measurement in Posyandu Melati known most of elderly have prehypertension. This research aimed to analyze the relationship between knowledge, hypertention history and blood pressure control of elderly in Posyandu Melati, Ampel sub district, Semampir distric, Surabaya City. This research was an observational research with cross sectional approach. Subjects of the research were drawn from the population using total population with inclusive criteria was elderly that had come to the Posyandu Melati. Number of samples obtained was 50 elderies. Primary data were collected using questionnaires. Analysis data has done using univariate and bivariate analysis. After being analyzed, data processed by chi square statistical test. The result of bivariate analysis was found that variables associated with hypertension history and blood pressure control (p = 0.019). The conclusion which could be drawn were knowledge was unassociated with blood pressure control. Hypertension history has low associated with blood pressure control. There is needs of education or health promotion for elderlies through counseling and medias.Keywords: knowledge, hypertension history, blood pressure control


2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Emefa Modey Amoah ◽  
Darlene Esinam Okai ◽  
Adom Manu ◽  
Amos Laar ◽  
Joseph Akamah ◽  
...  

Introduction. Despite efforts to combat hypertension by pharmacotherapy, hypertension control rates remain low. Lifestyle modifications of individuals diagnosed with hypertension have prospects for the prevention and control of hypertension. This study assessed the effect of modifiable lifestyle factors on blood pressure control among adults in urban Accra. Methods. In this cross-sectional study, 360 diagnosed hypertensive patients who were ≥18 years old, selected from two secondary-level referral hospitals in the Greater Accra Region, were interviewed. Demographic information, diet components, and exercise assessments as well as blood pressure measurements were taken. Chi-squared tests and binomial logistic regression were used to determine the association between demographic and lifestyle factors with blood pressure control. Area under the receiver-operator curves (AUROC) was used to identify lifestyle factors predicting optimal blood pressure control among patients diagnosed with hypertension. Results. Approximately 54.2% of participants had no knowledge of either causes or complications of hypertension. Similarly, 52.5% of patients that had not achieved blood pressure control lacked knowledge of causes or complications of hypertension. Longer time since diagnosis of 2–5 years (AOR = 0.08 (95% CI: 0.01–0.47)) and 6–10 years (AOR = 0.08 (95% CI: 0.01–0.50)) and diets, mainly composed of meat (AOR = 0.13 (95% CI: 0.02–0.70)) and starch (AOR = 0.14 (95% CI: 0.03–0.79)), predicted poor blood pressure control compared to patients diagnosed within a year and diets without meat and starch as main components, respectively. Additionally, engaging in some physical activity of 30 minutes to one hour (AOR = 5.64 (95% CI: 2.08–15.32)) and more than an hour (AOR = 11.38, 95% CI: 2.01–64.47)) predicted blood pressure control. Conclusion. The study concludes that increased physical activity, abstaining from alcohol and smoking, increased intake of fruits and vegetables, and reduced intake of carbohydrates, meat, and fat have a positive influence on blood pressure control. Lifestyle modifying factors have a key role in complementing pharmacotherapy in hypertension control.


JKEP ◽  
2020 ◽  
Vol 5 (1) ◽  
pp. 61-73
Author(s):  
Ni Luh Putu Ekarini ◽  
Jathu Dwi Wahyuni ◽  
Dita Sulistyowati

Hypertension is a non-communicable disease with an increasing number of events every year. There are two risk factors for hypertension, namely risk factors that cannot be modified, such as age, sex and genetics, and modifiable risk factors such as obesity, smoking, lack of physical activity, excessive salt consumption, dyslipidemia, alcohol consumption and psychososis and stress. This study aims to obtain an overview of the factors associated with hypertension in adulthood. The research design used was descriptive analytic research with cross-sectional studies. The number of samples is 70 people with simple random sampling technique. Data analysis used univariate, bivariate (chi square) and multivariate (multiple logistic regression) component analyzes. Multivariate analysis showed that the variable that was significantly related to the occurrence of hypertension was the age variable (pvalue = 0.009). Variable overweight and physical activity as confounding variables. The analysis results obtained OR from the age variable is 2.9, meaning that patients in middle to upper adult age will experience hypertension 2.9 times higher than young adult patients after being controlled by obesity and physical activity variables. Recommendations from the results of this study are expected to be able to provide health care institutions that emphasize the promotive and preventive aspects of patients who have a history of hypertension.


1970 ◽  
Vol 29 (1) ◽  
Author(s):  
James Osei-Yeboah ◽  
William Owiredu ◽  
Gameli Norgbe ◽  
Christian Obirikorang ◽  
Sylvester Lokpo ◽  
...  

BACKGROUND: Physical activity (PA) offers considerable health benefits for diabetic patients. However, extensive high levels of inactivity has been reported among diabetic patients. This study sought to assess the patterns of physical activity and its relationship with two management-relevant outcomes (glycaemic and blood pressure control)among people living with diabetes in the Ho Municipality, Ghana.METHODS: A hospital-based cross-sectional study was carried out from January 2017 to April 2017 among 150 purposively recruited diabetic patients who were receiving care at the diabetes clinics of the Volta Regional Hospital and the Ho Municipal Hospital. A semi structured questionnaire was used in capturing socio-demographic information. Physical activity was assessed using the International Physical Activity Questionnaire Short Form. Glycaemic and blood pressure control were evaluated within a three-month period from patients’ records.RESULTS: Physical activity estimates among participants were 21.33%, 48% and 30.67% for high, moderate and low PA respectively. Glycaemic control among the study participants was 33.33% and blood pressure control was 58.67%. Both glycaemic and blood pressure control were significantly associated with PA.CONCLUSION:In this group of PLWD in the Ho Municipality, high levels of inactivity, uncontrolled glycaemia and blood pressure exist. However, glycaemic and blood pressure control may be modulated by moderate-intensity physical activity.


2021 ◽  
Vol 3 (2) ◽  
pp. 160
Author(s):  
Ziah Datul Kamilah ◽  
Budi Utomo ◽  
Baksono Winardi

Abstrak Latar Belakang: Premenstrual syndrome merupakan munculnya gejala yang dirasakan baik fisik, emosi maupun perilaku sehingga berakibat adanya stres yang dapat berulang setiap adanya fase sebelum menstruasi. Efek dari PMS tersebut dapat sampai mengganggu aktivitas dan konsentrasi belajar terutama pada siswi yang masih sekolah. Studi pendahuluan yang sudah dilakukan di SMP Negeri 29 Surabaya diketahui data dari catatan perbulan UKS bahwa terdapat siswi yang masuk UKS dikarenakan mengeluh sakit perut, pusing dan mual sebelum menstruasi, setelah dilakukan wawancara sebanyak 15 siswi terdapat 15 yang mengalami gejala premenstrual syndrome dengan tingkatan yang berbeda-beda. Penelitian ini bertujuan untuk mempelajari hubungan antara aktivitas fisik dan usia menarche dengan kejadian premenstrual syndrome. Metode: Penelitian ini adalah penelitian analitik observasional dengan pendekatan cross sectional. Jumlah sampel sebanyak 206 siswi sesuai dengan kriteria inklusi. Sampling dilakukan dengan simple random sampling. Variabel independen dalam penelitian ini adalah aktivitas fisik dan usia menarche, sedangkan variabel dependennya adalah kejadian premenstrual syndrome. Cara mengetahui tingkat signifikan, data yang sudah terkumpul diuji dengan uji statistik Chi-square pada tingkat kemaknaan α = 0,05. Hasil penelitian yang didapatkan bahwa sebesar 57,6% remaja putri melakukan aktivitas fisik dengan kategori rendah, 29,8% remaja putri mengalami menarche dini, dan sebesar 71,2% remaja putri mengalami premenstrual syndrome ringan. Hasil: Hasil penelitian setelah dilakukan uji Chi-square diperoleh untuk aktivitas fisik nilai p = 0,030 (p≤0,05) yang berarti ada hubungan antara aktivitas fisik dengan kejadian premenstrual syndrome, dan untuk usia menarche nilai p = 0,073 (p≥0,05) yang berarti tidak ada hubungan antara usia menarche dengan kejadian premenstrual syndrome. Kesimpulan: Kebiasaan untuk beraktivitas fisik yang tepat dan rutin serta mengurangi stres dapat mengatasi dan mengurangi keluhan premenstrual syndrome yang dialami.Abstract Background: Premenstrual syndrome (PMS) is the symptoms that are felt both physically and emotionally as well as behaviorally, resulting in stress that can recur at every phase before menstruation. The effects of PMS can interfere in learning activity and concentration of female students who are still at school. Preliminary studies conducted at SMP Negeri 29 Surabaya and monthly data records from its UKS revealed that there were students who entered UKS because they experienced abdominal pain, dizziness and nausea before menstruation. After conducting an interview to 15 female students, there were 15 students who experienced symptoms of premenstrual syndrome at different levels. This research aims to study the relationship between physical activity and age of menarche with premenstrual syndrome. Method: This study was an observational analytic study with a cross sectional approach. The total sample was 206 students according to the inclusion criteria. Sampling is done by using simple random sampling. The independent variable in this research is physical activity and age of menarche, while the dependent variable is the phenomena of premenstrual syndrome. The significant level can be found out by testing the collected data using Chi-square statistical test with the significant level α = 0.05. The results showed that 57.6% of female adolescents did physical activity in a low category, 29.8% of female adolescents had early menarche, and 71.2% of female adolescents had mild premenstrual syndrome. Results: The results of the Chi-square test showed that physical activity’s value p = 0.030 (p≤0.05) means that there is a relationship between physical activity and the phenomena of premenstrual syndrome, and age of menarche’s value p = 0.073 (p≥0, 05) means that there is no relationship between age of menarche and the phenomena of premenstrual syndrome. Conclusion: Habits for proper and routine physical activity and reducing stress can overcome and reduce the symptoms of premenstrual syndrome. 


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