scholarly journals PENGARUH METODE KONTRASEPSI, LAMA PENGGUNAAN KONTRASEPSI TERHADAP KEJADIAN HIPERTENSI PADA IBU PASANGAN USIA SUBUR DIPUSKESMAS PULO BRAYAN TAHUN 2020

2021 ◽  
Vol 6 (1) ◽  
pp. 25-35
Author(s):  
Debora Lestari Simamora ◽  
Elfalini Warnelis

Based on data from Puskesmas Pulo Brayan Medan, the number of hypertension sufferers in the last 3 years has increased. In 2018 the number of hypertension sufferers was 378 people, in 2019 there were 384 people, and in 2020 there were 394 people. Of the 394 patients with hypertension, 214 were women of PUS. There are many factors that are thought to be the cause of hypertension in women with PUS, such as the use of contraceptives. The aim of this study was to analyze the effect of duration of use of contraceptives, contraceptive methods, duration of use of contraception, on the incidence of hypertension in women with fertility. This research is an analytical research and is quantitative in nature with a case control design (case control). The research was conducted in the area of ​​Pulo Brayan Health Center, Medan. The study population was 8,547 people and the sample was obtained as many as 166 people who were divided into 2 groups, each 83 people. Data analysis used univariate analysis, bivariate analysis with chi-square. The results showed that the duration of use of contraception, the method of contraception, the duration of use of contraception, had an effect on the incidence of hypertension in PUS mothers in the Pulo Brayan Public Health Center, Medan, p <0.05. The variable with the greatest influence in this study was the variable body mass index (BMI) which had a value of Exp (B) = 20.639 (95% CI = 5.850-72.823). It is recommended to the Head of Puskesmas Pulo Brayan Medan to inform PUS mothers who use hormonal contraceptives such as pills and injections to carry out routine blood pressure checks at the puskesmas so that early detection of other complications that can accompany an increase in blood pressure.  

2021 ◽  
Vol 4 (1) ◽  
pp. 30-37
Author(s):  
Sonataelina Togatorop ◽  
Arifah Devi Fitriani ◽  
Razia Begum Suroyo

Approval of medical action is the consent obtained by the doctor after the patient is given information and explanation prior to the procedure.. The purpose of this study was to determine the influence of characteristics and access to informed consent at the Sambas Health Center, Sibolga City. This type of research is a cross sectional design approach. This research was carried out by the Sambas Health Center, Sibolga City. The study population was outpatients and was given medical approval at the Sambas Health Center, Sibolga City. Samples were obtained using a total sampling of 32 people. Data were analyzed by univariate, bivariate (Chi Square), Multivariate (logistic regression).Based on the results of the study, it was found that from 33 respondents, the majority aged 21-40 years 51.5%, the majority were female 51.5%, the majority had high school education 57.6%, the majority did not work 39.4%, the majority were Muslim 78.8 %, the majority of the dominant ethnic group is Batak 81.8%. Bivariate analysis found that there was an effect of education (p= 0.054), occupation (p= 0.050) and access to information (p= 0.016) on informed consent. Multivariate analysis of the variables that have the greatest influence on Informed Consent is access to information with a value of 0.016 and Exp (B) 10.500. Based on these results, it was concluded that there was an effect of education, employment and access to information on Informed Consent. The research suggestion is that the delivery of information must be adjusted to the characteristics of the approver, especially those related to the level of education, so that if things happen that are not desirable after the medical action, it is hoped that the patient or family will be ready to accept them because before the medical action was carried out, the doctor had already received an explanation.


Author(s):  
Debora Lestari Simamora ◽  
Heru Santosa ◽  
Sorimuda Sarumpaet

Berdasarkan data Puskesmas Pulo Brayan Medan bahwa jumlah penderita hipertensi selama 3 tahun terakhir mengalami peningkatan. Tahun 2014  jumlah penderita hipertensi 378 orang, tahun 2015 sebanyak 384 orang, dan  tahun 2016 sebanyak 394 orang. Dari 394 penderita  hipertensi tersebut, sebanyak 214 orang adalah WUS Banyak faktor yang diduga menjadi penyebab hipertensi pada WUS, salah satunya indeks massa tubuh (IMT). Tujuan penelitian ini untuk menganalisis pengaruh indeks massa tubuh terhadap kejadian hipertensi pada WUSPenelitian ini adalah penelitian analitik dan bersifat kuantitatif dengan rancangan kasus kontrol (case control). Penelitian dilakukan di wilayah Puskesmas Pulo Brayan Medan. Populasi penelitian sebanyak 8.547 orang dan sampel diperoleh sebanyak 166 orang yang dibagi menjadi 2 kelompok, masing-masing 83 orang. Analisis data menggunakan analisis univariat, analisis bivariat dengan chi-square dengan tingkat kepercayaan 95% (=0,05). Hasil penelitian menunjukkan bahwa indeks massa tubuh kelompok kasus dalam kategori obesitas (69,9%), pada kelompok kontrol, responden yang obesitas (7,2%). Variabel indeks massa tubuh (IMT) berpengaruh terhadap kejadian hipertensi pada WUS di wilayah Puskesmas Pulo Brayan Medan, p < 0,05. Disarankan kepada Kepala Puskesmas Pulo Brayan Medan untuk menginformasikan kepada WUS agar menjaga pola makan dan melakukan gaya hidup sehat serta melakukan pemeriksaan tekanan darah secara rutin di puskesmas agar diketahui  sejak dini komplikasi lain yang dapat menyertai  peningkatan tekanan darah. Based on data from the Medan Pulo Brayan Puskesmas that the number of hypertensive sufferers over the past 3 years has increased. In 2014 there were 378 people with hypertension, in 2015 there were 384 people, and in 2016 there were 394 people. Of the 394 people with hypertension, 214 people are WUS. Many factors are thought to be the cause of hypertension in WUS, one of them is body mass index (BMI). The purpose of this study was to analyze the effect of body mass index on the incidence of hypertension in WUS. This study is an analytical and quantitative study with a case control design. The study was conducted in the area of Pulo Brayan Puskesmas Medan. The study population was 8,547 people and the sample was 166 people divided into 2 groups, 83 people each. Data analysis used univariate analysis, bivariate analysis with chi-square with a confidence level of 95% ( = 0.05). The results showed that the body mass index of the case group was in the obesity category (69.9%), in the control group, respondents were obese (7.2%). Body mass index (BMI) variable influences the incidence of hypertension in WUS in the Pulo Brayan Puskesmas area, p <0.05. It is recommended to the Head of the Pulo Brayan Medan Puskesmas to inform WUS to maintain a healthy diet and lifestyle and to carry out routine blood pressure checks at the puskesmas so that other complications can be identified early on that can accompany an increase in blood pressure.


2020 ◽  
Vol 5 (1) ◽  
pp. 36-42
Author(s):  
Yeviza Puspitasari

Hyperbilirubinemia is one of the clinical phenomena most often found in neonates occurring in the first week of life, which is also one of the factors causing infant death is influenced by the immature liver function of the baby to process erythrocytes (red blood cells), resulting in the accumulation of bilirubin. The purpose of this study was to determine the relationship of birth weight of infants with the incidence of hyperbilirubinemia in RSUD dr. Ibnu Soetowo Baturaja Ogan Komering Ulu Regency in 2019. This study uses analytic methods with a cross-sectional approach. The study population was all infants aged 0-7 days in the neonatal room at RSUD dr. Ibnu Soetowo Baturaja Ogan Komering Ulu Regency in 2019, with a random sampling. Data analysis uses univariate analysis and bivariate analysis using distribution tables and Chi-Square statistical tests, with a 95% confidence level. In the univariate analysis, of 203 respondents found 26.5% had hyperbilirubinemia and those without hyperbilirubinemia 72.5%, 24.6% of infants with LBW and non-LBW infants 75.4%. Bivariate analysis showed that there was an LBW relationship with the incidence of hyperbilirubinemia (p-value 0,000).


2015 ◽  
Vol 10 (2) ◽  
pp. 344
Author(s):  
Sutarman 01

This study aimed to examine the extent to which the relationship variables (gender, age, level of education and class) to the discipline of civil servants in the General Section of the Regional Secretariat Bengkayang, to analyze the factors that have a positive and significant relationship with the discipline in General District Secretariat Office Bengkayang. The sample in this study population using all Civil Servants in the General Section Regional Secretariat Bengkayang of 60 people (saturated sampling technique). The analytical method used was a bivariate analysis with chi square test (χ2) and the hypothesis testing. Based on the analysis results of the chi square test showed that four factors have a positive and significant relationship with the discipline of civil servants, namely Gender, the value of χ2 count = 6173> Asymp. sig. (1-sided) = 0.013. Age to calculate χ2 = 23.741> Asymp.Sig. (1-sided) = 0.000. Education level with χ2 count = 11 507> Asymp.Sig. (1-sided) = 0.009. and a group with a value of χ2 count = 10 446> Asymp. sig. (1-sided) = 0.005.


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.


2021 ◽  
Vol 2 (6) ◽  
pp. 723-732
Author(s):  
Amran Sebayang

In patients with mental disorders, almost all patients experience recurrence repeatedly. Data from medical records at the Sepatan Health Center, the presentation of recurrence of mental illness patients at the Sepatan Health Center in 2019 was 26.8%. The same was true for the Kedaung Barat Puskesmas at 22%. To determine the relationship between the level of control adherence and the recurrence rate of mental disorders clients at the Sepatan Public Health Center and the Kedaung Barat Tangerang Public Health Center in 2020. Including an analytical survey with a cross sectional approach. The population in this study were all schizophenia patients at the Sepatan Health Center and the Kedaung Barat Health Center, Tangerang Regency in 2020, as many as 109 people. Samples were taken based on the slovin as many as 109 respondents. This study used univariate and bivariate analysis with the Chi Square test. Based on univariate analysis of 109 people, the majority with mental disorders clients who did not relapse were 58 people (53.2%), and the adherence level of adherent controls was 61 people (56%). The results of the bivariate analysis with the chi square test found that there was a relationship between control compliance (p-value 0.000), with mental disorders client recurrence. There is a relationship between the level of control adherence with the recurrence rate of mental disorders clients, with a possible rate of 29,871. It is hoped that it can provide information and be able to provide education on nursing services, especially for the client's family of mental disorders to motivate clients with mental disorders to comply with control.


2019 ◽  
Vol 1 (3) ◽  
pp. 103-110
Author(s):  
Evalina Joana Doutel ◽  
Intje Picauly ◽  
Johny A. R. Salmun

Toddlers are vulnerable groups that must be considered especially the fulfillment of nutritional intake. Balanced nutrition in infancy plays an important role in increasing human resources in the future, but malnutrition in infancy affects the growth and development of children's brains that are irreversible or unable to recover. The problem of malnutrition is still a major problem in Indonesia despite the many efforts and prevention programs that have been made. This study aims to analyze the determinant of toddler nutrition status in farmer's families in Halilulik Health Center Belu District in 2019. This research used an analytic survey with a cross-sectional design. The sample in this research were 94 toddlers who were in the Halilulik Health Center Community. Data analysis used was univariate analysis, bivariate analysis and multivariate analysis with chi-square and multiple logistic regression tests. The results of this research showed that the variables of mother's knowledge (ρ=0.032), level adequacy of energy (ρ = 0,000), level adequacy of protein (ρ=0,000) and history of infectious disease (ρ=0,002) have correlation with Toddler Nutrition Status, while families food processing habits (ρ=0,739) and families eating restrictions (ρ=0,617) did not have any correlation with Toddler Nutrition Status. The dominant factor that most influences the nutritional status of toddlers is the level adequacy of energy followed by the level adequacy of protein. Nutrition toddlers have less levels of energy and protein intake compared to toddlers with good nutritional status. Consumption of foods that are diverse and varied needs to be considered, especially foods that are sourced with energy, protein, and fat to reduce the problem of malnutrition in infants.


2018 ◽  
Vol 4 (2) ◽  
pp. 67
Author(s):  
Maftuchah Maftuchah ◽  
Anita Indra Afriani ◽  
Agustin Maulida

Kecenderungan para ibu untuk tidak menyusui bayinya secara eksklusif semakin besar. Hal ini dapat dilihat dengan besarnya jumlah ibu menyusui yang memberikan makanan tambahan atau susu formula lebih awal sebagai pengganti ASI. Berbagai alasan dikemukakan oleh ibu-ibu sehingga dalam pemanfaatan ASI secara eksklusif kepada bayinya rendah, antara lain adalah pengaruh iklan/promosi pengganti ASI, ibu bekerja, lingkungan sosial budaya, pendidikan, pengetahuan yang rendah serta dukungan suami yang kurang. Salah satu puskesmas dengan cakupan ASI Eksklusif terendah tahun 2015 yaitu di Puskesmas Tlogosari Wetan Kota Semarang sebesar 55,30 % . Meskipun mengalami peningkatan di tahun 2016 namun pencapaian ASI Eksklusif di Puskesmas Tlogosari Wetan yaitu 16,4 % belum mencapai target renstra Kota Semarang yaitu 65 % . Tehnik sampling yang digunakan adalah total sampling. Uji analisis yang digunakan adalah analisis univariat dan analisis bivariat menggunakan Chi Square. Hasil penelitian menunjukkan bahwa  ada hubungan pengetahuan dan pekerjaan dengan penggunaan susu formula sebagai pengganti ASI eksklusif (p value 0.031 dan 0,015). Sedangkan pendidikan dan peran petugas kesehatan tidak ada hubungan dengan penggunaan susu formula sebagai pengganti ASI eksklusif di Kelurahan Penggaron Kidul-Semarang (p value 0.303 dan 0.846). Saran bagi masyarakat diharapkan tetap memberikan ASI eksklusif kepada anaknya meskipun ditinggal bekerja. Kata Kunci : Susu Formula; ASI Eksklusif  FACTORS AFFECTING THE USE OF FORMULA MILK AS AN ALTERNATIVE EXCLUSIVE BREASTFEEDING. ABSTRACT The tendency of mothers  who do not breastfeed exclusively the babies are growing. It can be seen by the large number of nursing mothers who provide formula milk as breast milk alternative. The various reasons are put forward by the mothers so that the use of exclusive breast milk is low. These reasons include, the influence of advertisement / breastfeed altenatives, working mother, socio-cultural environment, education, low knowledge, and lack of husband support. One of public health center with the lowest coverage exclusive breastfeeding by 55.30% in 2015 is Tlogosari Wetan Health Center at Semarang City. Although in 2016 it has been incerased by 16,4%, however, that number has not fulfilled the strategic plan target of Semarang City as much as 65%. The sampling technique was used Total Sampling. The analysis test was used univariate analysis and Bivariate analysis using Chi-Square. The result showed that there is a relationship between the knowledge and the occupation with the use of formula milk as an alternative for exclusive breastfeeding (p value 0.031 and 0.015). while education and the role of health practitioner have no relation with the use of formula milk as an alternative for exclusive breastfeeding (p value 0.303 and 0.846). The mothers are expected to continue giving exclusive breastfeeding to the babies even if left to work. Keywords: Formula Milk; Exclusive breastfeeding


2015 ◽  
Vol 4 (2) ◽  
Author(s):  
Afifah Muthmainnah ◽  
Masrul Masrul ◽  
Asril Zahari

AbstrakHemoroid adalah dilatasi varikosus vena dari pleksus hemoroidal inferior atau superior yang disebabkan oleh berbagai faktor. Sumatera Barat menempati urutan kedua terendah konsumsi serat di seluruh provinsi Indonesia. Tujuan penelitian ini adalah untuk menentukan apakah terdapat peranan diet rendah serat terhadap timbulnya hemoroid di RSUP. Dr. M. Djamil Padang. Penelitian ini bersifat analitik observasional dengan menggunakan desain case control yang dilakukan pada 44 orang, terdiri dari 22 kasus dan 22 kontrol. Data primer dikumpulkan dengan mencatat hasil anamnesis berdasarkan kuesioner dan FFQ (Food Frequency Questionnaire) dan diolah dengan menggunakan Nutrisurvey untuk FFQ, dan aplikasi komputer dengan menggunakan analisis univariat dan bivariat dengan uji statistik Chi-square disertai derajat kepercayaan 95%. Hasil analisis univariat menunjukkan bahwa hemoroid lebih banyak diderita oleh pasien yang berumur diatas 40 tahun. Hasil analisis bivariat menunjukkan tidak adanya peranan diet rendah serat terhadap timbulnya hemoroid (OR tidak ditemukan), namun terdapat faktor lain yang berperan terhadap timbulnya hemoroid yaitu jenis pekerjaan (OR=6,5). Diet rendah serat, riwayat hemoroid dalam keluarga, dan kebiasaan posisi BAB bukan merupakan faktor risiko hemoroid dalam penelitian ini. Jenis pekerjaan merupakan faktor risiko hemoroid.Kata kunci: hemoroid, diet rendah serat, FFQAbstractHemorrhoid are the dilated veins of the plexus hemoroidal varicose inferior or superior due to various factors. West Sumatra ranks second lowest fiber consumption in all provinces of Indonesia. The objective of this study was to determine the role of low-fiber diet in the occurrence of hemorrhoid in RSUP. Dr. M. Djamil Padang. This research was an analytic observational uses case control design that conducted on 44 people, consisting of 22 cases and 22 controls. Primary data were collected by recording the results of history by questionnaire and FFQ (Food Frequency Questionnaire) and processed using Nutrisurvey for FFQ and computer software using univariate and bivariate analysis with Chi-square test statistic with 95% confidence level. The results of univariate analysis showed that more hemorrhoid suffered by patients aged over 40 years. The results of the bivariate analysis showed no role of low-fiber diet in the occurrence of hemorrhoid (OR not found), but there was another factor associated with the occurrence of hemorrhoid, that is the type of work (OR = 6.5). Low-fiber diet, hemorrhoid history in the family, and habits of defecate position are not the risk factor for hemorrhoid in this research. The type of work is a risk factor for hemorrhoid.Keywords: hemorrhoid, low-fiber diet, FFQ


2020 ◽  
Vol 2 (1) ◽  
pp. 1-11
Author(s):  
Harsismanto J ◽  
Juli Andri ◽  
Tirta Dwi Payana ◽  
Muhammad Bagus Andrianto ◽  
Andry Sartika

The purpose of this study was to determine the relationship of sleep quality with changes in blood pressure in elderly hypertension at Tresna Werdha Social Home (PSTW) Bengkulu Province. This type of research is quantitative research in the form of an analytic survey with a cross-sectional research design. Univariate analysis results showed blood pressure in hypertensive elderly at Tresna Werdha Social Home (PSTW), which is 12 respondents (54.5%) had mild hypertension, ten respondents (45.5%) had moderate hypertension. Sleep quality experienced by elderly hypertension, 11 respondents (50%) experienced good sleep quality, and 11 other respondents (50%) experienced poor sleep quality. The results of bivariate analysis using chi-square test obtained ρ value = 0,000 and C value = 0.674. In conclusion, there is a significant relationship between sleep quality and changes in blood pressure in hypertensive elderly at Tresna Werdha Social Home (PSTW) in 2019. Poor sleep quality affects changes in elderly blood pressure.   Keywords: Sleep Quality, Elderly, Blood Pressure


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