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Ratia Radiani; Pembimbing: Anwar Hassan; Penguji: Besral, Dian Ayubi, Rina Hasriana, Heni Rudiyanti
Abstrak:
Meningkatnya jumlah penderita hipertensi dan belum diketahui bagaimana pengendalian hipertensi di wilayah Puskesmas Telagasari, dapat menimbulkan permasalahan kesehatan yang sangat serius dan berdampak besar pada kualitas hidup apabila tidak mendapatkan perhatian dan penanganan yang intensif. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang berhubungan dengan kepatuhan penderita hipertensi dalam pengendalian tekanan darah di wilayah Puskesmas Telagasari Kabupaten Karawang. Penelitian ini merupakan penelitian kuantitatif dengan desain studi cross sectional. Sampel penelitian sebanyak 125 penderita hipertensi yang diambil dengan teknik consecutive sampling. Pengumpulan data dilakukan melalui wawancara dengan kuesioner. Hasil penelitian menunjukkan sebanyak (59,2%) responden memiliki tingkat kepatuhan yang buruk. Ada hubungan yang bermakna antara keterpaparan informasi (p=0,001) dan pengetahuan (p=0,016) dengan kepatuhan penderita hipertensi dalam pengendalian tekanan darah. Faktor yang paling dominan berhubungan dengan kepatuhan adalah keterpaparan informasi. Penderita hipertensi dengan keterpaparan informasi yang tinggi berpeluang untuk memiliki tingkat kepatuhan yang baik sebesar 2,7 kali lebih besar dibandingkan penderita hipertensi dengan keterpaparan informasi rendah setelah dikontrol dengan variabel pengetahuan dan dukungan keluarga (95% CI; 1,13-6,26). Dari hasil penelitian ini perlu peningkatan upaya promosi kesehatan untuk meningkatkan kepatuhan dalam pengendalian tekanan darah serta perlu kerjasama dengan lintas sektor lainnya termasuk swasta. Kata kunci : Kepatuhan, penderita hipertensi, pengendalian tekanan darah The increased number of patients with hypertension and the lack of information to control hypertension in Telagasari Public Health Center can lead to serious health problems and will give a big impacts on quality of life if there is no serious concern and intensive treatment. The purpose of this research is to analyze the factors related to the adherence of the patience with hypertension in controling blood pressure in Telagasari Public Health Center. Quantitative method and crosssectional design were used to analyze the data. The writer using consecutive sampling methods by interviewing 125 the respondents with hypertension using questionaire. The results showed that (59.2%) respondents were having poor adherence. There was a significant correlation between exposure of information (p = 0,001) and knowledge (p = 0,016) with adherence of hypertension patient in blood pressure control. The most dominant factor associated with adherence is the exposure of information. Hypertensive patients with high information exposure has an opportunity to have a good adherence level of 2.7 times greater than hypertensive patients with lower information exposure after controlling for the variables of knowledge and family support (95% CI; 1,13-6,26). The result of this research shows that it need to improve health promotion efforts in order to improve adherence in controlling blood pressure and need good cooperation with other cross-sector including private. Keywords: Adherence, hypertension, blood pressure control
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T-4980
Depok : FKM-UI, 2017
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Citra Ayu Budi Arifa; Pembimbing: Ratu Ayu Dewi Sartika; Penguji: Sandra Fikawati, Faika Rachmawati
Abstrak:
Penyakit kardiovaskular dikaitkan dengan sekelompok gangguan pada jantung dan pembuluh darah yang menjadi penyebab utama kematian di seluruh dunia. Kematian akibat penyakit kardiovaskular dapat dicegah dengan mengobati hipertensi dan mencegah tekanan darah tidak terkendali. Puskesmas Kemiri Muka memiliki angka penderita hipertensi yang tinggi. Penelitian bertujuan untuk mengetahui hubungan kualitas tidur dan faktor lainnya dengan pengendalian tekanan darah pada pasien hipertensi. Penelitian ini merupakan penelitian kuantitatif menggunakan desain studi cross-sectional dengan menganalisis data penelitian primer berjudul “Hubungan Kebiasaan Minum Kopi dan Faktor Lainnya dengan Pengendalian Tekanan Darah Pasien Hipertensi di Wilayah Kerja Puskesmas Kemiri Muka Tahun 2023”. Sampel penelitian adalah 156 pasien hipertensi usia 18 tahun atau lebih. Analisis data dilakukan secara univariat dan bivariat (chi-square). Hasil penelitian menyatakan 68,6% pasien hipertensi memiliki tekanan darah tidak terkendali. Terdapat hubungan antara durasi tidur (p-value 0,003) dan efisiensi tidur (p-value 0,026) dengan pengendalian tekanan darah. Tidak terdapat hubungan antara kualitas tidur keseluruhan, kualitas tidur subjektif, latensi tidur, gangguan tidur, penggunaan obat tidur, disfungsi di siang hari, aktivitas fisik, stres, indeks massa tubuh, dan kepatuhan minum obat dengan pengendalian tekanan darah pada pasien hipertensi. Perlu adanya kerjasama antara masyarakat dengan petugas kesehatan dalam menggalakkan program Prolanis sebagai upaya pencegahan komplikasi hipertensi.
Cardiovascular disease is associated with a group of disorders affecting the heart and blood vessels, which are the leading causes of death worldwide. Deaths from cardiovascular disease can be prevented by treating hypertension and preventing uncontrolled blood pressure. Kemiri Muka Health Center has a high number of hypertension cases. This study aims to determine the relationship between sleep quality and other factors with blood pressure control in hypertensive patients. This research is a quantitative study using a cross-sectional study design by analyzing primary research data titled 'Relationship Between Coffee Drinking Habits and Other Factors with Blood Pressure Control in Hypertensive Patients in the Working Area of Kemiri Muka Health Center in 2023'. The research sample consisted of 156 hypertensive patients aged 18 years or older. Data analysis was conducted using univariate and bivariate (chi-square) methods. The results of the study indicate that 68.6% of hypertensive patients have uncontrolled blood pressure. There is a relationship between sleep duration (p-value 0.003) and sleep efficiency (p-value 0.026) with blood pressure control. There is no relationship between overall sleep quality, subjective sleep quality, sleep latency, sleep disturbances, use of sleep medication, daytime dysfunction, physical activity, stress, body mass index, and medication adherence with blood pressure control in hypertensive patients. Cooperation between the community and health workers is needed to promote the Prolanis program as an effort to prevent hypertension complications.
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Cardiovascular disease is associated with a group of disorders affecting the heart and blood vessels, which are the leading causes of death worldwide. Deaths from cardiovascular disease can be prevented by treating hypertension and preventing uncontrolled blood pressure. Kemiri Muka Health Center has a high number of hypertension cases. This study aims to determine the relationship between sleep quality and other factors with blood pressure control in hypertensive patients. This research is a quantitative study using a cross-sectional study design by analyzing primary research data titled 'Relationship Between Coffee Drinking Habits and Other Factors with Blood Pressure Control in Hypertensive Patients in the Working Area of Kemiri Muka Health Center in 2023'. The research sample consisted of 156 hypertensive patients aged 18 years or older. Data analysis was conducted using univariate and bivariate (chi-square) methods. The results of the study indicate that 68.6% of hypertensive patients have uncontrolled blood pressure. There is a relationship between sleep duration (p-value 0.003) and sleep efficiency (p-value 0.026) with blood pressure control. There is no relationship between overall sleep quality, subjective sleep quality, sleep latency, sleep disturbances, use of sleep medication, daytime dysfunction, physical activity, stress, body mass index, and medication adherence with blood pressure control in hypertensive patients. Cooperation between the community and health workers is needed to promote the Prolanis program as an effort to prevent hypertension complications.
S-11746
Depok : FKM UI, 2024
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Rizka Nur Azizah Purwanto; Pembimbing: Ratu Ayu Dewi Sartika; Penguji: Nurul Dina Rahmawati, Firlia Ayu Arini
Abstrak:
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Pengendalian tekanan darah adalah kondisi yang menggambarkan tekanan darah sistolik dan diastolik pasien hipertensi. Kondisi tersebut dapat berasal dari kepatuhan ataupun ketidakpatuhan pasien hipertensi dalam menjalankan modifikasi gaya hidup dan terapi farmakologis. Suatu penelitian menemukan bahwa tingkat pengendalian tekanan pasien hipertensi di Indonesia kurang dari 25%. Cakupan layanan kesehatan dan prevalensi minum obat antihipertensi pada pasien hipertensi pun masih rendah. Jika keadaan tersebut dibiarkan terus menerus dan tidak terdapat penanganan yang tepat maka dapat meningkatkan risiko morbiditas dan mortalitas pada pasien hipertensi. Tujuan dari adanya penelitian ini, yaitu mengetahui hubungan antara asupan natrium dan faktor lainnya dengan pengendalian tekanan darah pasien hipertensi di wilayah kerja Puskesmas Kemiri Muka Kota Depok tahun 2023. Penelitian ini merupakan penelitian sekunder yang bersumber dari penelitian primer dengan judul “Hubungan Kebiasaan Minum Kopi dan Faktor Lainya dengan Pengendalian Tekanan Darah pada Pasien Hipertensi di Puskesmas Kemiri Muka Tahun 2023”. Penelitian ini bersifat kuantitatif dengan desain studi cross-sectional pada 156 pasien hipertensi berusia ≥ 18 tahun di wilayah kerja UPTD Puskesmas Kemiri Muka Kota Depok. Analisis data pada penelitian ini dilakukan dengan metode uji chi square dan regresi logistik ganda. Hasil penelitian ini menemukan bahwa terdapat 68,6% pasien hipertensi memiliki tekanan darah tidak terkendali. Analisis uji chi square menemukan bahwa tidak terdapat hubungan yang signifikan antara asupan natrium, aktivitas fisik, durasi tidur, kepatuhan minum obat, pengetahuan mengenai hipertensi, jenis kelamin, pendapatan, status gizi, serta dukungan sosial (p-value > 0,05) dengan pengendalian tekanan darah pasien hipertensi. Namun, terdapat hubungan yang signifikan antara usia (p-value 0,001) dengan pengendalian tekanan darah pasien hipertensi. Sementara itu, analisis regresi logistik ganda menemukan bahwa tidak terdapat hubungan yang signifikan antara asupan natrium dengan pengendalian tekanan darah pasien hipertensi. Namun, pengendalian tekanan darah pasien hipertensi dipengaruhi oleh usia (p-value 0,000) dan durasi tidur (p-value 0,048) setelah dikontrol oleh variabel confounding, yaitu aktivitas fisik, kepatuhan minum obat, pengetahuan hipertensi, pendapatan rumah tangga, dan status gizi. Oleh karena itu, disarankan untuk melakukan intervensi dan tatalaksana hipertensi pada pasien hipertensi dengan menekankan kategori pasien hipertensi yang lebih berisiko memiliki tekanan darah tidak terkendali, yaitu berusia dewasa dan durasi tidur pendek. Namun, tetap memperhatikan asupan natrium, aktivitas fisik, kepatuhan minum obat, pengetahuan mengenai hipertensi, status gizi, dan dukungan sosial yang baik.
Blood pressure control refers to a condition that describes the systolic and diastolic blood pressure of hypertensive patients. This condition can result from the compliance or non-compliance of hypertensive patients with lifestyle modifications and pharmacological therapy. A study found that the rate of blood pressure control among hypertensive patients in Indonesia is less than 25%. The coverage of hypertension healthcare services and the prevalence of taking antihypertensive medication are also low. If this situation persists without proper intervention, it can increase the risk of morbidity and mortality in hypertensive patients. This study aims to determine the relationship between sodium intake and other factors with blood pressure control among hypertensive patients in the working area of UPTD Puskesmas Kemiri Muka, Depok City in 2023. This study is secondary research deriving from a primary study titled “Relationship between Coffee Drinking Habits and Other Factors with Blood Pressure Control in Hypertensive Patients at the Kemiri Muka Public Health Center 2023”. This study is quantitative with a cross-sectional study design involving 156 hypertensive patients aged ≥ 18 years in the working area of UPTD Puskesmas Kemiri Muka, Depok in 2023. Data analysis in this study was conducted using the chi-square test and multiple logistic regression method. The result of this study found that 68,6% of hypertensive patients had uncontrolled blood pressure. The chi-square test analysis found no significant relationship between sodium intake, physical activity, sleep duration, medication adherence, knowledge about hypertension, sex, household income, nutritional status, and social support (p-value > 0,05) with blood pressure control among hypertensive patients. However, there was a significant relationship between age (p-value 0,001) with blood pressure control among hypertensive patients. Meanwhile, multiple logistic regression analyses found that there was no significant relationship between sodium intake with blood pressure control among hypertensive patients. However, the blood pressure control in hypertensive patients is influenced by age (p-value 0,000) and sleep duration (p-value 0,048) after being controlled by confounding variables, namely physical activity, medication adherence, knowledge about hypertension, household income, and nutritional status. Therefore, it is recommended to implement intervention and management for hypertensive patients by emphasizing hypertensive patient categories at higher risk of having uncontrolled blood pressure, namely adults and those with short sleep duration. However, attention should still be given to other factors such as adequate sodium intake, sufficient physical activity, strong medication adherence, comprehensive knowledge about hypertension, optimal nutritional status, and good social support.
S-11773
Depok : FKM UI, 2024
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Apriany; Pembimbing: Evi Martha; Penguji: Besral, Tri Krianto, Sundari, Sakri Sabatmaja
Abstrak:
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Hipertensi menjadi masalah kesehatan yang setiap tahunnya mengalami peningkatan prevalensi. Komplikasi akibat hipertensi meningkatkan angka kecacatan, kesakitan, kematian dan menjadi beban yang masih sulit diatasi di Indonesia. Di Indonesia, prevalensi hipertensi untuk usia 18 tahun mencapai 34,1%, di DKI Jakarta mencapai angka 33,43%. Berdasarkan data dinas kesehatan Provinsi DKI tahun 2021, Jakarta Selatan merupakan daerah penderita hipertensi terbanyak kedua di DKI Jakarta (216.137) dan di tahun 2022 (197.744). Kecamatan tertinggi prevalensi hipertensi tahun 2021 di Jakarta Selatan adalah Pasar Minggu. RS Angkatan Laut Marinir Cilandak Pasar Minggu tahun 2020 melaporkan data kunjungan pasien hipertensi sebesar 4187, tahun 2021 sebesar 4221, tahun 2022 sebesar 3875 sejalan dengan data provinsi DKI yang mengambarkan tingginya penderita hipertensi di kota Jakarta Selatan. Tingginya prevalensi menunjukkan masih kurang baiknya pengendalian tekanan darah. Menurut Riskesdas 2018 penderita hipertensi tidak minum obat disebabkan merasa sehat (59,8%). Banyak penderita hipertensi yang tidak menyadari mengalami hipertensi dan tidak mendapatkan pengobatan. Hal ini menunjukkan bahwa persepsi mempengaruhi perilaku seseorang dalam melakukan upaya kesehatan. Penelitian ini bertujuan untuk identifikasi determinan yang berhubungan dengan kepatuhan penderita hipertensi dalam pengendalian tekanan darah melalui konstruk Health Belief Model di Rumah Sakit Angkatan Laut Marinir Cilandak. Pengumpulan data dilakukan dengan pengisian kuesioner melalui wawancara pada pasien penderita hipertensi sebanyak 125 responden. Hasil Penelitian menunjukan sebanyak 76,0% responden dengan kepatuhan baik dan 24,0% responden memiliki tingkat kepatuhan yang kurang. Hasil analisis Multivariat, terdapat hubungan yang bermakna antara variabel pendidikan (aOR: 10,22), pekerjaan (aOR:0,16), pengetahuan (aOR:4,41), dan keterpaparan informasi (aOR:0,22) dengan kepatuhan penderita hipertensi dalam pengendalian tekanan darah. Variabel pendidikan adalah yang paling dominan berhubungan dengan kepatuhan penderita hipertensi dalam melakukan pengendalian tekanan darah. Dalam Health Belief Model, pengetahuan yang baik dapat meningkatkan kepatuhan penderita hipertensi dalam pengendalian tekanan darah. Peningkatan pendidikan kesehatan dapat menjadi intervensi yang baik pada perubahan perilaku kepatuhan penderita hipertensi dalam pengendalian tekanan darah di RS Angkatan Laut Marinir Cilandak.
Hypertension is a health problem that has an increasing prevalence every year. Complications due to hypertension increase the rate of disability, morbidity and mortality and are a burden that is still difficult to overcome in Indonesia. In Indonesia, the prevalence of hypertension for those aged 18 years reached 34.1%, in DKI Jakarta it reached 33.43%. Based on data from the DKI Provincial Health Office for 2021, South Jakarta is the area with the second most hypertension sufferers in DKI Jakarta (216,137) and in 2022 (197,744). The district with the highest prevalence of hypertension in 2021 in South Jakarta is Pasar Minggu. Cilandak Pasar Minggu Marine Naval Hospital in 2020 reported data on visits of hypertensive patients of 4187, in 2021 it was 4221, in 2022 it was 3875 which is in line with DKI provincial data which illustrates the high prevalence of hypertension in the city of South Jakarta. The high prevalence indicates that blood pressure is not well controlled. According to Riskesdas 2018, people with hypertension do not take medication because they feel healthy (59.8%). Many people with hypertension are not aware that they have hypertension and do not get treatment. This shows that perception influences a person's behavior in making health efforts. This study aims to identify the determinants associated with compliance with hypertension in controlling blood pressure through the Health Belief Model construct at the Cilandak Marine Naval Hospital. Data collection was carried out by filling out questionnaires through interviews with 125 respondents with hypertension. The results of the study showed that 76.0% of respondents had good compliance and 24.0% of respondents had poor compliance. The results of the multivariate analysis showed that there was a significant relationship between the variables of education (aOR: 10,22), work (aOR:0,16), knowledge (aOR:4,41), and information exposure (aOR:0,22) with compliance hypertension patient in blood pressure control. The education variable is the most dominantly related to compliance with hypertension in controlling blood pressure. In the Health Belief Model, good knowledge can improve compliance with hypertension in controlling blood pressure. Improving health education can be a good intervention in changing compliance behavior of hypertension sufferers in controlling blood pressure at the Cilandak Marine Naval Hospital.
T-6825
Depok : FKM-UI, 2023
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Nur Annisa Fauziah; Pembimbing: Ratu Ayu Dewi Sartika; Penguji: Nurul Dina Rahmawati, Yuliani
Abstrak:
Tingginya jumlah penderita hipertensi di wilayah Puskesmas Kemirimuka dapat menjadi permasalahan kesehatan yang serius. Berdasarkan teori Health Belief Model, terdapat beberapa faktor yang memengaruhi perilaku pasien yang sedang sakit agar sembuh. Penelitian ini bertujuan untuk mengetahui hubungan antara kebiasaan minum kopi dan faktor lainnya dengan pengendalian tekanan darah pada pasien hipertensi di Puskesmas Kemirimuka tahun 2023. Penelitian ini merupakan penelitian kuantitatif dengan desain studi cross sectional. Metode sampling yang digunakan adalah purposive sampling dengan jumlah sampel sebanyak 156 responden. Pengumpulan data dilakukan pada bulan November 2023 melalui pengukuran tekanan darah, berat badan, dan tinggi badan serta wawancara menggunakan kuesioner. Penelitian ini menggunakan analisis bivariat menggunakan chi square dan analisis multivariat regresi logistik ganda. Hasil penelitian menunjukkan sebanyak 68,6% responden memiliki tekanan darah tidak terkendali. Berdasarkan hasil uji statistik, didapatkan tidak adanya hubungan signifikan antara kebiasaan minum kopi (p = 0,086) dengan pengendalian tekanan darah. Berdasarkan hasil uji regresi logistik ganda, usia memengaruhi hubungan antara kebiasaan minum kopi dengan pengendalian tekanan darah setelah dikontrol oleh variabel kepatuhan minum obat dan dukungan keluarga. Penderita hipertensi lansia berisiko 10,492 kali lebih besar memiliki tekanan darah tidak terkendali dibandingkan dengan penderita hipertensi dewasa. Berdasarkan hasil penelitian, diperlukan adanya pemberian edukasi kepada para penderita hipertensi dan keluarga penderita agar dapat memahami dampak hipertensi jika tidak ditangani secara serius.
The high number of hypertensive patients in Kemirimuka Community Health Center can be a serious health problem. Based on Health Belief Model Theory, there are several factors that influence a patient’s sick-behavior to recover. This research aims to determine the relationships between coffee drinking habits and other factors with blood pressure control in hypertensive patients at the Kemirimuka Community Health Center 2023. It is a quantitative research with a cross sectional study design. The purposive sampling is used for the sampling method with total sample of 156 respondents. The sources of data are taken in November 2023 through blood pressure, body weight, and height measurement and interviews using questionnaires. This research used chi square for bivariate analysis and multiple logistic regression for multivariate analysis. This research shows that 68,6% respondents had uncontrolled blood pressure. There is no relationship between coffee drinking habits (p = 0,086) and blood pressure control in the statistical analysis. Based on multiple logistic regression, age affects the relationship between drinking coffee habits and blood pressure control after being controlled with medication adherence and family support. Elderly hypertensive patients are 10,492 times more likely to have uncontrolled blood pressure compared to adult hypertensive patients. This research summarizes that it is necessary to provide education to hypertensive patients and their family so that they can understand the impact of hypertension if it is not treated properly.
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The high number of hypertensive patients in Kemirimuka Community Health Center can be a serious health problem. Based on Health Belief Model Theory, there are several factors that influence a patient’s sick-behavior to recover. This research aims to determine the relationships between coffee drinking habits and other factors with blood pressure control in hypertensive patients at the Kemirimuka Community Health Center 2023. It is a quantitative research with a cross sectional study design. The purposive sampling is used for the sampling method with total sample of 156 respondents. The sources of data are taken in November 2023 through blood pressure, body weight, and height measurement and interviews using questionnaires. This research used chi square for bivariate analysis and multiple logistic regression for multivariate analysis. This research shows that 68,6% respondents had uncontrolled blood pressure. There is no relationship between coffee drinking habits (p = 0,086) and blood pressure control in the statistical analysis. Based on multiple logistic regression, age affects the relationship between drinking coffee habits and blood pressure control after being controlled with medication adherence and family support. Elderly hypertensive patients are 10,492 times more likely to have uncontrolled blood pressure compared to adult hypertensive patients. This research summarizes that it is necessary to provide education to hypertensive patients and their family so that they can understand the impact of hypertension if it is not treated properly.
S-11750
Depok : FKM UI, 2024
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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