Analisa Penggunaan Alat Kontrasepsi Hormonal Terhadap Tekanan Darah

2019 ◽  
Vol 8 (1) ◽  
pp. 54-57
Author(s):  
Eva Santi Hutasoit ◽  
Yessi Azwar

Hypertension is a condition when blood pressure in blood vessels increases chronically (Suiraoka, 2012). The risk of increasing this blood pressure is related to race, family history of hypertension, obesity, diet / food intake, smoking and the length of time the combination hormonal contraceptive is used. Family acceptors who use hormonal contraception over a period of time often complain of health problems, one of the health problems that are often experienced by hormonal contraceptive acceptors is hypertension or high blood pressure. Hormonal contraception can cause high blood pressure (hypertension) in approximately 4-5% of women who have normal blood pressure before taking the drug, and can increase blood pressure in 9-16% of women who have suffered hypertension before. The type of research used in this study is quantitative, with analytic research design and with a cross sectional approach, namely research conducted simultaneously. The number of samples is 54 mothers who are KB KBtor. From the results of the study, it was found that respondents who used hormonal contraception experienced an increase in blood pressure by 37 people (84.1%), while those who did not experience a rise in blood pressure were 7 people (15.9%). Respondents who did not use hormonal contraception experienced an increase in blood pressure by 5 people (50.0%), while those who did not experience an increase in blood pressure were 5 people (50.0%). From the Chi-square test results obtained a value of 0,045 (Pvalue 0,045 <α 0,05) and OR 5,286. This shows that Ha is accepted which means that there is a relationship between the use of hormonal contraception and an increase in blood pressure. OR = 5,286 showed that the use of hormonal contraception 5 times was associated with increased blood pressure.

Author(s):  
Ika Avrilina Haryono ◽  
Adriana Palimbo ◽  
Difa Okti Al Kautsar

ABSTRAKLatar Belakang : Kanker payudara merupakan salah satu penyebab kematian utama pada wanita di dunia. Sejauh ini, kanker payudara paling sering diderita oleh wanita dengan perkiraan 43,3% juta kasus kanker baru yang didiagnosis pada tahun 2012. Angka kejadian kanker payudara bervariasi secara global dimana terjadi peningkatan insiden di negara berkembang tetapi cenderung menurun dinegara maju, dengan kasus pada negara berkembang (883.000 kasus) negara maju (794.000 kasus). Tujuan: Menganalisis faktor resiko yang berhubungan dengan kejadian kanker payudara meliputi faktor umur, umur pertama menstruasi, menopause, umur pertama kali menikah, riwayat penggunaan kontrasepsi hormonal, riwayat pemberian ASI, da riwayat kanker payudara pada keluarga.Metode: Penelitian ini adalah penelitian kuantitatif menggunakan metode survey analitik dengan rancangan cross sectional. Populasi dalam penelitian ini berjumlah 760 orang dengan sampel 88 orang. Teknik pengumpulan data primer, teknik analisa data yang digunakan adalah uji chi square dan uji regresi berganda.Hasil: Hasil Uji Chi Square menunjukan bahwa terdapat hubungan signifikan antara umur (p=0.000) dan penggunaan kontrasepsi hormonal (p=0.002) dengan hasil uji regresi berganda (p-value0.05) menunjukan bahwa tidak ada pengaruh faktor risiko terhadap kejadian kanker payudara.Simpulan: Ada hubungan antara umur dan riwayat penggunaan kontrasepsi hormonal dengan kejadian kanker payudara. Tidak ada pengaruh faktor resiko terhadap kejadian kanker payudara. Kata Kunci: kanker payudara, riwayat penggunaan kontrasepsi hormonal, umur Risk Factors Related to Breast Cancer IncidenceIn the Edelweis Room of Ulin Hospital Banjarmasin AbstractBackground: Breast cancer is one of the leading causes of death in women in the world. So far, breast cancer most often affects women with an estimated 43.3% of new cancer cases diagnosed in 2012. The incidence of breast cancer varies globally where there is an increase in incidents in developing countries but tends to decrease in developed countries, with cases in the country developing (883,000 cases) developed countries (794,000 cases).Objective: Analyzing risk factors associated with breast cancer events include age, age at first menstruation, menopause, age at first marriage, history of use of hormonal contraception, history of breastfeeding, and history of breast cancer in the family.Method: This study is a quantitative study using analytical survey method with cross sectional design. The population in this study amounted to 760 people with a sample of 88 people. Primary data collection techniques, data analysis techniques used are chi square test and multiple regression test.Results: Chi Square test results showed that there was a significant relationship between age (p = 0,000) and hormonal contraceptive use (p = 0.002) with the results of multiple regression tests (p-value 0.05) indicating that there was no effect of risk factors on breast cancer incidence.Conclusion: There is a relationship between age and history of hormonal contraceptive use with the incidence of breast cancer. There is no effect of risk factors on the incidence of breast cancer. Keywords: breast cancer, history of hormonal contraceptive use, age


Author(s):  
Karina Kaptelova ◽  
Elena Pysanka

The purpose of this research is to establish whether or not coffee has an adverse impact on blood pressure. Analytic observation was used in this kind of study, which was carried out utilizing a cross-sectional methodology and analytic observation. The findings were similar with individuals who had never experienced hypertension. Also, the proportion of healthy individuals was greater. A research shows that coffee consumption raises blood pressure. The research comprised 42 people who drank coffee three times or more per day and had high blood pressure (80.7 of the time) The chi-square test revealed that coffee consumption raises blood pressure by p = 0.000


2017 ◽  
Vol 2 (1) ◽  
pp. 31
Author(s):  
Anik Inayati

Preoperative nursing action is an action performed by the nurse in order to prepare the patient for surgical measures in order to ensure the safety of intraoperative patients. When faced with surgery actions that are not hypertensive patients may increase their blood pressure temporarily due to the two most common factors of pain, and anxiety. This study aims to determine the relationship of anxiety levels with increased blood pressure in elective preoperative patients. This research using cross sectional approach, accidental sampling sampling method. The sample of this study were 30 elective preoperative patients with no history of hypertension. Measurement of anxiety using Hamilton Anxiety Rating Scale and blood pressure using Spymomanometer. Chi square test results showed that there is a significant relationship between anxiety levels with an increase in blood pressure (pvalue = 0.023).


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.


2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Deviwanti Batara ◽  
Widdhi Bodhi ◽  
Billy J. Kepel

Abstract: Obesity is one of the global health problem which is often found. Indonesia is a developing country with high incident of obesity. Adolescents are the age group with high levels of obesity risk. The increasing of obesity followed by increasing co-morbidity the potential to be disease in a later time. Obesity increasing the risk of high blood pressure. Hypertension in adolescents already many found. Hypertension in adolescents is problem because it can be continued in adults. one important factor which play a role in obesity is physical activity. Objective: This research to determine the relationship of obesity with blood pressure and physical activity in adolescents in Bitung. Methodology: This study was observational analytic cross sectional design. Results: There were 60 subjekts as the subject of study that meets the inclusions kriteria which have been measured. Consisted of 21 boys and 39 girls. Of 60 obese adolescents are 34 adolescents with high blood pressure, 26 adolescent with normal blood pressure, 52 adolescent with moderate physical activity, 8 adolescents with low physical activity, there is no a significant relationship with blood pressure (Chi Square Test p=0,120), and there is no a significant relationship with physical activity (Chi Square Test: p=0,486. Conclusion: There is no a relationship between obesity with blood pressure and physical activity in adolescents in Bitung.Keywords: obesity, blood pressure and physical activity.Abstrak: Obesitas merupakan salah satu masalah kesehatan dunia yang semakin sering ditemukan. Indonesia merupakan salah satu negara berkembang dengan tingkat obesitas yang tinggi. Remaja merupakan kelompok umur dengan tingkat risiko obesitas yang tinggi. Peningkatan obesitas disertai dengan peningkatan ko-morbiditas yang berpotensi menjadi penyakit degeneratif di kemudian hari. Obesitas meningkatkan resiko terjadinya penyakit tekanan darah tinggi. Hipertensi pada remaja sudah banyak ditemukan. Hipertensi pada remaja merupakan suatu masalah karena dapat berlanjut hingga usia dewasa. Salah satu faktor penting yang berperan pada obesitas adalah aktivitas fisik. Obesitas. Tujuan: Untuk mengetahui hubungan obesitas dengan tekanan darah dan aktivitas fisik pada remaja di kota Bitung. Metode: Penelitian ini merupakan penelitian observasional analitik. Hasil: Terdapat 60 subjek yang memenuhi kriteria inklusi yang telah diukur. Terdiri dari 39 perempuan dan 21 laki-laki dan 39 perempuan. Dari 60 remaja obes tersebut, 34 remaja dengan tekanan darah tinggi, 26 remaja dengan tekanan darah normal, 52 dengan aktivitas fisik sedang, 8 dengan aktivitas fisik rendah, tidak terdapat hubungan bermakna dengan tekanan darah (Uji Chi Square : p=0,120), dan dengan aktivitas fisik (Uji Chi Square : p=0,486). Simpulan: Tidak terdapat hubungan antara obesitas dengan tekanan darah dan aktivitas fisik pada remaja di kota Bitung.Kata kunci: obesitas, tekanan darah, aktivitas fisik


Author(s):  
Lelly Aprilia Vidayati

Menopause is permanent cessation of menstruation after preceded by amenorhea for at least one year. Menopausal age in women can occur at age 45-50 years but in some circumstances can occur early or late. Age of menopause is influenced by several factors one them the use of hormonal contraception. The purpose of this study is to determine the relationship of contraceptive use in women with age of menopause in Polindes Tebul Kec. Kwanyar. This research use Analytical design with Cross Sectional approach. The independent variable is Contraception method and Dependent variable is age of menopause. The total population of 48 postmenopausal women from the study sample was 43 menopausal women. Sampling using simple random sampling technique. The instrument used is questionnaire. Univariate data analysis using frequency and bivariate distribution using chi square test with significant level α 0.05. The results showed that almost all menopausal women 43 people had a history of using hormonal contraception that is 24 people (55.8%). While 21 men (48.9%) of menopausal women had normal menopause, respondents who had a history of using hormonal contraceptives nearly half had normal menopause (48.9%). After chi square test with significant level α 0.05 obtained ρ Value: 0,008 <α: 0,05 so that H0 is rejected. This suggests that there is a relationship of contraceptive use in women with menopausal age. The conclusion of this study is that there is a relationship between contraceptive use in women with menopausal age, therefore it is advisable to menopause women to follow posyandu elderly to increase knowledge about menopause.


2020 ◽  
Vol 2 (2) ◽  
pp. 152-170
Author(s):  
Amalia Nurazizah ◽  
Ading Pradana ◽  
Afani Nur Fauziyyah

Abstract Hypertension is one of the number one causes of death globally. There are manyrisk factors for hypertension, one of which is stress that occurs through workload.The purpose of this study was to see if there was a relationship between workloadand high blood pressure among employee of PT X. This study uses a quantitativeresearch design with correlational quantitative research methods. The populationin this study were all employees of PT X which amounted to 352 people. From thispopulation, 52 samples were taken representing each department of PT. X Thisresearch was conducted using a cross sectional approach. The data analysistechnique used the Chi Square Test. Based on the results of this study it was foundthat the workload factor did not have a significant relationship with high bloodpressure (hypertension) in the employees of PT X (sig. = 0.610 0.05). The resultsof the study can be used as a consideration regarding the use of workloadvariables on high blood pressure and to conduct further studies to find othervariables that have the potential to have a relationship with high blood pressurein employees. AbstrakHipertensi merupakan salah satu penyebab kematian nomor satu secara global.Terdapat banyak faktor risiko hipertensi, salah satunya ialah stres yang timbulmelalui beban kerja. Tujuan penelitian ini untuk mengetahui apakah terdapathubungan antara beban kerja dan tekanan darah tinggi pada karyawan PT X.Penelitian ini menggunakan desain penelitian kuantitatif dengan metode penelitian kuantitatif korelasional. Populasi dalam penelitian adalah seluruh karyawan PT X yang berjumlah 352 orang. Dari populasi tersebut, diambil sampel 52 orang yang mewakili masing-masing departemen PT X. Penelitian in dilakukan dengan menggunakan pendekatan Cross Sectional. Teknik analysis data menggunakan Uji Chi Square. Berdasarkan hasil penelitian ini ditemukan bahwa faktor beban kerja tidak mempunyai hubungan yang bermakna dengan tekanan darah tinggi (hipertensi) pada karyawan PT X (sig. = 0,610 0,05). Hasil penelitian dapat digunakan sebagai pertimbangan terkait penggunaan variabel beban kerja terhadap tekanan darah tinggi dan melakukan studi lebih lanjut guna mencari variabel lain yang berpotensi memiliki hubungan terhadap tekanan darah tinggi pada karyawan.


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.


Author(s):  
Dyah Widiastuti ◽  
Dwi Priyanto

Leptospirosis is associated with occupations which exposed workers to contaminated environments. The risk of leptospirosis exposure in the market as a gathering place for many people needs to be assessed, to obtain the basis for decision making to anticipate leptospirosis transmission. This study aimed to determine the relationship between market environmental conditions including market sanitation conditions, the level of rat density and the presence of leptospira-positive rats  toward the history of leptospirosis exposure among market workers (traders and janitors). A cross sectional study conducted in 35 markets in Banjarnegara and 175 market workers randomly selected. Blood samples analysed using ELISA against 40 Kda pathogenic Leptospira protein. Rat trapping  conducted in each market for two days with 100 traps. The caught mice examined with Polymerase Chain Reaction (PCR) to detect the presence of Leptospira bacteria in their kidneys. Leptospirosis exposure was spread in 17 markets in Banjarnegara. The PCR examination showed that the pathogenic Leptospira infected rats were spread in four markets in Banjarnegara. Chi square test showed that the hygene condition in market area was significantly associated with the leptospirosis exposure. Markets workers (traders and janitors) were at risk for leptospirosis proved by high seroprevalence of leptospirosis in this study.


2021 ◽  
Vol 10 (1) ◽  
pp. 72
Author(s):  
Melvanda Gisela Putri ◽  
Roedi Irawan ◽  
Indri Safitri Mukono

ABSTRAKLatar Belakang: Stunting merupakan suatu istilah yang menggambarkan kondisi pertumbuhan tinggi badan kurang berdasarkan umur disesuaikan dengan Z-Score (<-2SD). Stunting pada balita dapat diakibatkan oleh kurangnya asupan zat gizi yang diperlukan bagi pertumbuhan anak. Penelitian dilakukan untuk mengetahui hubungan suplementasi vitamin A, pemberian imunisasi dan riwayat penyakit infeksi yakni diare dan ISPA terhadap kejadian stunting.Tujuan: Mengetahui hubungan suplementasi vitamin A, pemberian imunisasi, dan penyakit infeksi terhadap stunting pada anak usia 24-59 bulan di Puskesmas Mulyorejo, Surabaya.Metode: Penelitian ini merupakan penelitian analitik observasional dengan metode cross sectional. Besar sampel adalah 107 anak usia 24-59 bulan di Puskesmas Mulyorejo, Surabaya. terdiri dari 25 anak kelompok stunting dan 82 anak kelompok non- stunting. Cara pengambilan data melalui data sekunder posyandu dan wawancara langsung orang tua anak dengan pengisian kuisioner. Data dianalisis menggunakan uji Chi-Square, Fisher Exact, dan Mann Whitney.Hasil: Penelitian ini menunjukkan hasil terdapat hubungan suplementasi vitamin A dengan stunting (p=0,000), tidak ada hubungan antara pemberian imunisasi terhadap stunting (p=0,332). Dalam riwayat penyakit infeksi, frekuensi diare dan ISPA ditemukan tidak ada hubungan dengan  stunting (p=0,053 dan p=0,082), begitu pula pada lama diare dan lama ISPA tidak berhubungan dengan stunting (p= 0,614 dan p=0,918).Kesimpulan: Suplementasi vitamin A berhubungan signifikan dengan stunting yang diamati pada anak usia 24-59 bulan di Puskesmas Mulyorejo, Surabaya. Kata kunci: kejadian stunting, vitamin A, imunisasi, penyakit infeksi, anak usia 24-59 bulanABSTRACTBackground: Stunting is a term that describes condition of lower height-for-age Z-Score (<-2SD). Stunting among children can be caused by a lack of nutrients needed for children's growth. This study was conducted to determine the relationship between vitamin A supplementation, immunization and a history of infectious diseases, namely diarrhea and ARI to the incidence of stunting.Objectives: To determine the relationship between vitamin A supplementation, immunization, and history of infectious disease with the incidence of stunting in children aged 24-59 months at Puskesmas Mulyorejo, Surabaya.Methods: This study was an observational analytic study with cross sectional method. The sample size was 107 children aged 24-59 months at Puskesmas Mulyorejo, Surabaya. This study consisted of 25 children in the stunting group and 82 children in the non-stunting group. The method of data collection was through secondary data from posyandu and direct interviews with parents by filling out questionnaires. Data were analyzed using the chi-square test, fisher exact, and Mann Whitney.Results: The results of this study indicated that there was a relationship between vitamin A supplementation and with stunting (p = 0.000). There was no relationship between immunization and stunting (p = 0.332). In the history of infectious diseases, the frequency of diarrhea and ARI was found to have no relationship with stunting (p = 0.053 and p = 0.082), as well as the duration of diarrhea and duration of ARI there was no association with the stunting (p = 0.614 and p = 0.918).Conclusion: Vitamin A supplementation has significant relationship with stunting in children aged 24-59 months at Puskesmas Mulyorejo, Surabaya.


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