scholarly journals HUBUNGAN TINGKAT KECEMASAN DENGAN PENINGKATAN TEKANAN DARAH PADA PASIEN PRAOPERASI ELEKTIF DIRUANG BEDAH

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).

2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Muhamad Nurmansyah ◽  
Rina Kundre

Abstrack Hypertension is a condition where a person experiences a rise in blood pressure either slowly or suddenly. Hypertension sufferers are currently experiencing an increase, especially in the age stage of the elderly. One of the factors that influence hypertension is difficulty in controlling emotions, which can increase the levels of adrenaline hormone which results in increased blood pressure. The purpose was to identify the relationship of emotional intelligence with hypertension degrees in the elderly. The design study is cross sectional. Samples is 69 respondents with a purposive sampling technique. Data collection uses a questionnaire consisting of 30 questions and observation sheets. Results used Chi Square test with 95% significance level obtained a significant value of p = 0.003 or smaller than 0.05. Conclusion there is a relationship between emotional intelligence and hypertension degrees in the elderly at public health center of Ranotana Weru .Keywords: Hipertertension, Emotional inteligence and hipertension degreesAbstrak : Hipertensi merupakan suatu kondisi dimana seseorang mengalami kenaikan tekanan darah baik secara lambat maupun mendadak. Penderita hipertensi saat ini mengalami peningkatan, apalagi pada tahap usia lansia. Salah satu faktor yang mempengaruhi hipertensi adalah kesulitan dalam mengendalikan emosi, di mana dapat meningkatkan kadar hormone adrenalin yang emngakibatkan tekanan darah meningkat. Tujuan untuk mengetahui hubungan kecerdasan emosional dengan derajat hipertensi pada lansia. Metode penelitian menggunakan cross sectional. Teknik sampling dalam penelitian ini adalah purposive sampling, yang terdiri dari 69 responden. Pengumpulan data menggunakan kuesioner yang terdiri dari 30 pertanyaan dan lembar observasi . Hasil penelitian dengan menggunakan uji Chi Square pada tingkat kemaknaan 95 % diperoleh nilai signifikan p = 0.003 atau lebih kecil dari 0.05. Kesimpulan ada hubungan kecerdasan emosional dengan derajat hipertensi pada lansia di Puskesmas Ranotana Weru.Kata Kunci : Hipertensi, Kecerdasan Emosional, Derajat Hipertensi


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.


2021 ◽  
Vol 1 (1) ◽  
pp. 24-33
Author(s):  
Laksmita Chandra Dewi ◽  
Amir Fauzi ◽  
Tri Suciati

Association Between Flamm Geiger Score And The Success Of Vaginal Delivery. Vaginal Birth After Cesarean (VBAC) is vaginal delivery on woman with history of cesarean delivery. A statement by Cragin (1916),  “Once a cesarean, always a cesarean”, has been a growing paradigm in the community which makes VBAC not a common practice. Flamm Geiger Scoring System is used to predict the likelihood of success in VBAC. The purpose of this research was to find out the association between Flamm Geiger score and the success of vaginal delivery. This research was an analytic observational study with cross sectional design. The population of this research were all patients that underwent delivery in dr. Mohammad Hoesin General Hospital Palembang from January to December  2014 and  the sample were all delivering patient with history of cesarean delivery.The data were taken from patient’s medical record and analyzed using Chi Square test or its alternative test (Fisher’s Exact Test). From 92 samples, there were 25 patients (27,2%) succeeded in undergoing VBAC and 67 patients (72,8%) delivered with repeated cesarean. There was an increasing probability for a successful VBAC ranging from 0% in samples with a score of 0-2 to 100% in samples with a score of 8-10. The result showed that there was an association between Flamm Geiger score and the success of vaginal delivery (p=0,000). There is association between Flamm Geiger score and the success of vaginal delivery in dr. Mohammad Hoesin General Hospital Palembang from January to December  2014.


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):  
N. Juni Triastuti ◽  
Intan Kusuma Dewi

Background: The rate of anxiety in students of the Faculty of Medicine, University of Muhammadiyah Surakarta is still high at 57.1% for moderate anxiety, while those including mild anxiety levels are 36.7% and severe anxiety levels are 6.1%. Tranquility in the soul can be obtained from listening to religious music and reading the Qur'an (recitations). This study aims to determine the relationship of listening to religious music and reading the Qur'an (recitations) to the level of anxiety.Methods: This study was an analytic observational study with a cross sectional approach. Samples were taken by purposive sampling. This study uses the TMAS questionnaire to assess anxiety. The number of samples is 54. Analysis of the data used is Chi-square and Logistic Regression.Results: The results of Chi-Square test about the relationship listening to religious music to anxiety levels showed p = 0.000 and the relationship of reading Al-Qur'an (tilawah) to anxiety showed p = 0.000 which p<0.05 present a significant correlation between two variables. Logistic Regression test results of listening to religious music to anxiety levels showed p = 0.008 and OR = 7.164 and the relationship of reading Al-Qur'an (tilawah) to anxiety levels showed p = 0.002 and OR = 8.244.Conclusions: There is a significant correlation between listening to religious music and reading the Qur'an (tilawah) with the level of anxiety of students in the Faculty of Medicine, Muhammadiyah University of Surakarta. Students who listen to religious music and often read the Qur'an (recitations) will reduce the risk of anxiety. Reading the Qur'an (recitations) is more influential on reducing the level of anxiety than listening to religious music.


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.


2019 ◽  
Vol 8 (2) ◽  
pp. 159
Author(s):  
Nurul Hikmah Annisa

The husband feels anxious when accompanying a maternity wife who is influenced by several factors associated with anxiety levels. The purpose of this study was to determine the relationship of anxiety factors with anxiety levels. This research uses analytic research design with cross sectional approach. Sampling using accidental sampling. This research was conducted at Polindes Gerung Utara. Data analysis used chi square test. The results of the majority of respondents aged 31-35 years as many as 25 people (48.1%), the majority of high school education 32 people (61.5%), the majority of respondents earn Rp. 1000,000.00-Rp. 2000,000.00 as many as 29 people (55.8%). the majority of wife and fetal safety factors influence 40 people (76.1%), the majority sex expectation influences 27 people (51.9%), the financial responsibility factor has no influence of 28 people (53.8%) and on the factor of child birth defects there is the influence of 31 people (59.6%). Conclusion there is a relationship between the safety factor of the wife and the fetus with the level of anxiety (p = 0.04), there is a relationship between the sex expectation factor and the level of anxiety (p = 0.025), there is no relationship between the financial responsibility factor and the level of anxiety (p = 0.254), there is a relationship between birth defects and anxiety levels (p = 0.004). The results there are 3 factors that are associated with the level of anxiety of the husband.


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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