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Marcel Elian Suwito
Peningkatan Tekanan Darah Pasca Prosedur Histerektomi = Blood Pressure Elevation Timing Following Hysterectomy
"Latar belakang: Histerektomi merupakan tindakan operasi non-obstetrik terbanyak dengan prevalensi menurut CDC tahun 2011-2015 sebesar 3,2% pada perempuan usia <45 tahun. Uterus berperan baik secara langsung ataupun tidak langsung dalam produksi prostasiklin. Prostasiklin yang dihasilkan bersifat sebagai agen vasodilator pembuluh darah yang bersifat kardioprotektif. Prosedur histerektomi dengan atau tanpa konservasi ovarium mempengaruhi kadar konsentrasi prostasiklin secara sistemik sehingga meningkatkan risiko penyakit kardiovaskular. Oleh karena itu prosedur histerektomi khususnya pada perempuan usia <45 tahun perlu dipertimbangkan.
Tujuan: Penelitian ini bertujuan untuk mengetahui perubahan tekanan darah sistolik, diastolik dan mean arterial pressure (MAP) pasca prosedur histerektomi.
Metode: Studi ini merupakan studi kohort prospektif terhadap pasien yang dilakukan prosedur histerektomi total dengan atau tanpa konservasi ovarium di RSCM selama Juli 2018-Juli 2020. Data klinis diambil melalui rekam medis, wawancara dan pemeriksaan fisik pada pasien. Sampel kemudian dikelompokkan menjadi kelompok pasien histerektomi total (HT) atau dengan konservasi ovarium (HTSOU) dan kelompok pasien histerektomi salfingo-ooforektomi bilateral (HTSOB), dan dibagi menjadi kelompok usia <40 tahun dan 40-45 tahun. Setelah itu data karakteristik pasien disajikan dalam bentuk karakteristik, sedangkan uji bivariat dilaksanakan menggunakan uji t-tes berpasangan apabila data tersebar normal dan uji Wilcoxon apabila data tersebar secara tidak normal.
Hasil: Dari jumlah sampel 80 pasien, didapatkan peningkatan bermakna dalam 12 bulan pasca tindakan pada kelompok pasien HT/HTSOU terhadap tekanan darah sistolik (p=0.012), diastolik (p=0.004), MAP (p=0.002) , sedangkan peningkatan bermakna sudah dapat dilihat dalam 6 bulan pada kelompok pasien HTSOB (sistolik p=<0.001, diastolik p=<0.001, MAP p=<0.001). Pada kelompok usia <40 tahun , didapatkan peningkatan bermakna dalam 12 bulan pasca tindakan pada kelompok pasien HT/HTSOU terhadap tekanan darah sistolik (p=0.006), diastolik (p=0.023), MAP (p=0.01) sedangkan pada kelompok HTSOB peningkatan bermakan sudah terlihat dalam 6 bulan (sistolik p=0.001, MAP p=0.032).
Simpulan: Didapatkan peningkatan bermakna tekanan darah sistolik, diastolik dan MAP pada kelompok pasien HTSOB dalam 6 bulan dan kelompok HT/HTSOU dalam 12 bulan.
Background: Hysterectomy is the most common non-obstetric surgery in adult, reproductive age women. Hysterectomy with or without ovarian conservation is known to increase the risk of cardiovascular disease. However, only a few studies regarding its immediate and short-term effect on hypertension are available. This study aimed to determine changes in blood pressure after a hysterectomy procedure.
Methods: This study is a prospective cohort study of patients who underwent a total hysterectomy procedure with or without ovarian conservation at Cipto Mangunkusumo Hospital, Indonesia, from July 2018 to July 2020. Samples were grouped into patients with total hysterectomy only or hysterectomy with ovarian conservation (HT/HTSOU) and bilateral salpingo-oophorectomy hysterectomy (HTSOB). Statistical analysis was done using paired t-test and Wilcoxon test.
Results: There were 80 patients included in this study (40 for each group). A significant increase in all blood pressure components was observed at 12 months after the procedure in the HT/HTSOU patient group (p < 0.05), while a significant increase was already observed at 6 months after the procedure in the HTSOB group (p < 0.05).
Conclusion: There was a significant increase in all blood pressure components in the HTSOB group at 6 months and the HT/HTSOU group at 12 months following hysterectomy.
Keywords : diastolic, Hysterectomy, mean arterial pressure, Hypertension, systolic"
Depok: Fakultas Kedokteran Universitas Indonesia, 2021
T-pdf
UI - Tesis Membership  Universitas Indonesia Library
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Elfa Silvia Dewi
Hubungan tidur tidak adekuat dengan peningkatan tekanan darah pada mahasiswa program s1 reguler di perguruan tinggi negeri x di Depok = Relationship between inadequate of sleep quantity with the elevation of blood pressure among bachelor students in university x in Depok
"Berbagai penelitian menunjukkan individu dengan waktu tidur yang singkat mengalami pengurangan waktu pemulihan dan pembaharuan sel yang mendasari terjadinya peningkatan tekanan darah sistemik. Penelitian ini bertujuan untuk mengidentifikasi hubungan antara waktu tidur tidak adekuat dengan peningkatan tekanan darah pada usia dewasa awal. Desain penelitian yang digunakan adalah deskriptif korelasi dengan pendekatan cross sectional dan menggunakan teknik purposive sampling serta melibatkan 89 sampel yang merupakan mahasiswa program S1 reguler. Instrumen penelitian yang digunakan adalah kuesioner Pittsburg Sleep Quality Index untuk mengukur kuantitas dan kualitas tidur responden.
Hasil uji Chi Square menunjukkan tidak terdapat hubungan yang signifikan antara kuantitas waktu tidur tidak adekuat dengan peningkatan tekanan darah (P value = 0,68), namun terdapat hubungan yang signifikan antara jenis kelamin dengan peningkatan tekanan darah (P value = 0,00). Hasil penelitian juga menunjukkan mahasiswa yang mengalami peningkatan tekanan darah sebanyak 29,2%. Saran untuk penelitian selanjutnya adalah untuk memperluas cakupan penelitian dengan meneliti hubungan jenis kelamin dan kualitas tidur dengan peningkatan tekanan darah serta faktor-faktor lain yang dapat menyebabkan peningkatan tekanan darah pada usia dewasa awal.
Several researches revealed that people with short sleep duration tend to have shorter recovery time and cells renewal which could lead to increase systemic blood pressure. This research aims to identify the relationship between inadequate of sleep quantity with the elevation of blood pressure in early adults, especially among bachelor students. This study used descriptive correlative design and cross sectional method. This study recruited 89 samples of regular program students with using purposive sampling technique. The instrument used in this study was Pittsburg Sleep Quality Index questionnaire and the samples were also measured blood pressure.
The result of Chi Square test showed that there was no significant relationship between quantity of sleep and the elevation of blood pressure among respondents (P value = 0,68), but there was significant relationship between gender and the elevation of blood pressure. This study also showed the elevation of blood pressure occured to 29,20 % respondents. It is recommended for further research to extend the area including the relationship between gender and the elevation of blood pressure and also the risk factors that can trigger the elevation of blood pressure in early adults, especially among bachelor students."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2014
S57415
UI - Skripsi Membership  Universitas Indonesia Library
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Sang Arifianto Fajar Adi Kusuma
Kajian pemulihan fungsi berkemih pada pasien kanker serviks pasca histerektomi radikal di RSUPN Cipto Mangunkusumo = Post operative recovery assessment of urinary tract dysfunction following radical hysterectomy for cervical cancer patients
"ABSTRAK
Tujuan: Menilai masa pemulihan disfungsi saluran kemih setelah histerektomi radikal pada pasien kanker serviks di RSUPN Ciptomangunkusumo. Metode: Studi survei dilakukan di RSUPN Cipto Mangunkusumo dari September 2016 hingga Mei 2017. Subjek penelitian terdiri dari pasien kanker serviks stadium IA2 hingga IIA2 yang menjalani histerektomi radikal. Kateter suprapubik SPC digunakan sebagai alat untuk memantau produksi urin pasca operasi. Pasien diinstruksikan untuk mengikuti protokol bladder training yaitu melalui prosedur menutup dan membuka kateter. Rasa sensasi ingin berkemih dan berkemih spontan. Pengukuran residu volume urin pasca berkemih dibawah 100mL dianggap merupakan indikator pemulihan disfungsi saluran kemih. Rata-rata hari dari setiap fase kemudian dihitung. Hasil: Dua puluh sembilan subjek didapatkan selama penelitian. Namun, hanya 21 subjek yang dapat mengikuti protocol bladder traning dan dicatat perkembangan pemulihannya. Rata-rata hari yang diperlukan untuk merasakan sensasi berkemih dan berkemih spontan adalah 7,57 4.78 hari median 5 hari, minimum 3 hari, dan maksimum 22 hari dan 8 5.21 hari. median 6 hari, minimum 3 hari dan maksimum 23 hari Rata-rata hari untuk mencapai residu urin di bawah 100 mL adalah 21.42 18 median 18 hari, minimum 7 hari, dan maksimum 74 hari . Kesimpulan: Setelah prosedur histerektomi radikal, pencatatan masa pemulihan penting untuk dipantau untuk memastikan pemulihan lengkap. Rata-rata hari yang diperlukan untuk pemulihan adalah 21.42 18 hari median 18 hari, minimum 7 hari, dan maksimum 74 hari .
ABSTRACT
Objectives To assess the length of recovery phase in urinary tract dysfunction following radical hysterectomy for cervical cancer patients in Ciptomangunkusumo Hospital. Methods This survey study was conducted in Cipto Mangunkusumo Hospital from September 2016 to May 2017. Subjects were cervical cancer patients from stage IA2 to IIA2 underwent radical hysterectomy. Suprapubic catheter SPC was inserted to observe the urine production after procedure. Patients were then directed for bladder training protocol involving clamping and opening SPC. Sensation of bladder fullness followed by spontaneous micturition were recorded. Measurement of post voiding residual PVR urine volume after spontaneous micturition until less than 100 mL was considered as resolution of urinary tract dysfunction. The average days of every achieved phase were then calculated. Results Twenty nine subjects underwent radical hysterectomy during observation period. But only 21 subjects continued the bladder training protocol and recorded for the recovery phases. The average time needed to obtain sensation of bladder fullness and spontaneous micturition were 7.57 4.78 days median 5 days, minimum 3 days, maximum 22 days and 8 5.21 days median 6 days, minimum 3 days, maximum 23 days . The objective PVR urine became less than 100mL was obtained after 21.42 18 days median 18 days, minimum 7 days, maximum 74 days . Conslusion Following radical hysterectomy, recording the recovery phase of urinary tract dysfuction is essential to ensure complete resolution. Complete resolution of the urinary dysfunction is achieved after 21.4218 days in average median 18 days, minimum 7 days, maximum 74 days ."
2017
T-Pdf
UI - Tesis Membership  Universitas Indonesia Library
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Tres Silowati
Peningkatan Latihan: Senam Jantung Sehat sebagai Intervensi Menurunkan Tekanan Darah pada Keluarga Bapak A dengan Masalah Risiko Ketidakstabilan Tekanan Darah = Improved Exercise: Healthy Heart Gymnastics as an Intervention Reducing Blood Pressure in Mr A's Family with Risk of Blood Pressure Instability
"Globalisasi berdampak terhadap peningkatan jumlah penduduk perkotaan. Hal tersebut diakibatkan adanya arus urbanisasi yang semakin melesat. Urbanisasi memberi pengaruh positif dan negatif terhadap kesehatan. Dampak negatif akibat globalisasi dan urbanisasi yaitu gaya hidup yang tidak sehat seperti gaya hidup monoton, kurang olahraga, mudah stress, dan merokok. Hal tersebut dapat berdampak terhadap timbulnya masalah penyakit kronik seperti hipertensi. Ibu S mengalami hipertensi sejak 5 tahun yang lalu. Faktor risiko hipertensi pada Ibu S diantaranya kurangnya latihan fisik, dan riwayat keluarga. Tekanan darah Ibu S saat pertama kali kunjungan yaitu 158/90 mmHg. Tujuan dari penulisan karya ilmiah ini yaitu untuk menggambarkan pelaksanaan asuhan keperawatan dengan menerapkan latihan senam jantung sehat (SJS) sebagai intervensi yang diunggulkan pada keluarga Bapak A dengan masalah risiko ketidakstabilan tekanan darah. Kunjungan dilakukan sebanyak 17 kali. Diagnosis keperawatan yang utama yaitu risiko ketidakstabilan tekanan darah. Intervensi yang dilakukan cukup berhasil. Latihan SJS dapat menurunkan tekanan darah Ibu S setelah dilakukan intervensi 12 kali dalam waktu 4 minggu dengan frekuensi 3 kali per minggu. Penurunan tekanan darah sistolik 10 mmHg dan tekanan darah diastolik 3 mmHg. Intervensi keperawatan latihan SJS perlu dikombinasikan dengan penerapan DASH, pembatasan natrium, dan keteraturan konsumsi obat supaya dapat mendapatkan penurunan tekanan darah yang optimal. Dukungan dan keterlibatan keluarga penting untuk memberikan perawatan pada anggota keluarga yang mengalami hipertensi.

 

Globalization has an impact on increasing urban population. This was caused by the flow of  urbanization that was increasingly shot up. Urbanization has positive and negative effects on health. The negative effects of globalization and urbanization are unhealthy lifestyles such as monotonous lifestyle, lack of exercise, stress, and smoking. This can have an impact on the emergence of problems of chronic diseases such as hypertension. Ms. S has hypertension since five years ago. Risk faktors in Mrs. S include a lack of physical exercise, and family history. Mrs. S blood pressure during the first visit was 158/90 mmHg. The purpose of writing this paper is to describe the implementation of nursing care by implementing healthy heart gymnastics as a superior intervention in Mr. A family with the problem of risk of blood pressure instability. Visit were made 17 times. The main nursing diagnosis is the risk of blodd pressure intability. The intervention carried out was quite successful. Gymnastics can reduce Mrs. S blood pressure after intervention 12 times in 4 weeks with a frequency of 3 times per week. Decreased systolic blood pressure reaches 10 mmHg and diastolic blood pressure 3 mmHg. Healthy heart gymnastics intervention needs to be accompanied by the application of DASH diet, sodium restriction, and regular comsuption of drugs in order to obtain optimal blood pressure reduction. Family support and involvement is important to provide care for family members who have hypertension."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2019
PR-pdf
UI - Tugas Akhir  Universitas Indonesia Library
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Woro Riyadina
Dinamika perubahan indeks massa tubuh dan tekanan darah pada wanita pasca menopause di Kota Bogor, tahun 2011-2014 = The Dynamics of change in body mass index and blood pressure in postmenopausal women in Bogor on 2011-2014
"ABSTRAK
Disertasi ini menilai dinamika perubahan IMT dan tekanan darah pada wanita pasca menopausedi Kota Bogor, dengan desain studi longitudinal dan kualitatif. Analisis data panel dilakukanpada data sekunder dari ldquo;Studi Kohor Faktor Risiko Penyakit Tidak Menular rdquo; dengan follow up2. Hasil penelitian pada wanita pasca menopause antara lain prevalensi hipertensi 66,1 daninsiden rate 5 kasus per 100 orang-tahun. Model fixed effect menemukan hubungan bermaknaantara perubahan IMT dengan perubahan sistolik dan diastolik. Dinamika IMT dengan sistolikdengan R2 within 2 . Setelah disesuaikan dengan tingkat aktifitas fisik, peningkatan 1 kg beratbadan pada normotensi telah meningkatkan tekanan darah sistolik 1,5 mmHg dan diastolik 0,9mmHg, pada hipertensi terkendali sistolik 2,7 mmHg dan diastolik 1,3 mmHg, pada hipertensitidak terkendali sistolik 3,7 mmHg dan diastolik 1,3 mmHg. Setelah disesuaikan dengan derajatmerokok, penurunan dinamika IMT 1 telah menurunkan sistolik sekitar 2-3 mmHgdibandingkan IMT stabil. Trigliserida berpotensi menjadi marker lipid baru, sedangkan faktorpsikososial dan merokok berkontribusi pada pengendalian hipertensi.
ABSTRACT
This study aims at evaluating the dynamics of change in BMI and blood pressure ofpostmenopausal women in Bogor by using both longitudinal data and qualitative study.Analyzing the 2 years follow up panel data of A Cohort Study of Non Communicable Diseases rsquo Risk Factors rdquo , this study showed that the prevalence of hypertension in postmenopausal womenis 66.1 , while the incidence rate reaches 5 cases per 100 person years. The fixed effectestimations confirmed that changes in systolic and diastolic pressure would follow changes inBMI. Moreover, after controlling with a physical activity, this study still found that there isstrong correlation between dynamics of BMI and systolic pressure, Normotensive patientsexperienced 1 kg of weight gain will increase their systolic pressure by 1.5 mmHg, theirdiastolic pressure by 0.9 mmHg. Furthermore, patients with under controlled hypertension whoare experienced 1 kg of weight gain will increase their systolic pressure by 2.7 mmHg, diastolicpressure by 1.3 mmHg. In contrast, patients with uncontrolled hypertension would have highersystolic pressure 3.7 mmHg and diastolic pressure around 1.3 mmHg. By controlling smokingactivity, 1 reduction in dynamic BMI would lower a systolic pressure as much as 2 3 mmHgcompared to a stabilized BMI. Other findings of this study are that triglyceride serves apotential of new lipid marker,while psychosocial factors and smoking behavior could contributeto controlled hypertension."
2017
D2298
UI - Disertasi Membership  Universitas Indonesia Library
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Hasan Basri, 1967-
Perbaikan pola sirkadian tekanan darah donor ginjal dengan ambulatory blood pressure monitoring pada 12 minggu pasca nefrektomi = Normalization of blood pressure circadian rhythm in kidney donors within 12 weeks post nephrectomy
"[ABSTRAK
Latar Belakang : Isu yang berkembang pada donor ginjal hidup adalah penurunan fungsi ginjal dan terjadinya hipertensi setelah dilakukan nefrektomi. Satu minggu setelah nefrektomi pola tekanan darah sirkadian berubah menjadi non dipper. Selanjutnya terjadi kompensasi sehingga fungsi ginjal akan stabil dalam 12 minggu. Namun belum diketahui apakah perbaikan fungsi ginjal akan diikuti oleh pola tekanan darah sirkadian kembali menjadi dipper.
Tujuan : Untuk mengetahui perubahan pola sirkadian tekanan darah donor ginjal hidup setelah 12 minggu nefrektomi unilateral.
Metode Penelitian : Studi Pre-experimental dengan before and after design. Subyek sebanyak 18 orang donor ginjal hidup sehat yang berusia 18-50 tahun . Peneltian dilakukan di RSCM pada bulan Januari 2015 sampai dengan Mei 2015. Tekanan darah diukur dengan 24 jam ABPM . Pemeriksaan kreatinin darah, eLFG epi dan uACR dilakukan sebelum nefrektomi, pada 1 minggu dan 12 minggu setelah nefrektomi.
Hasil :Terdapat 18 subyek yang memiliki pola dipper sebelum dilakukan nefrektomi unilateral. Tujuh belas subyek mengalami pola non dipper setelah 1 minggu nefrektomi. Pada 12 minggu setelah nefrektomi 16 diantaranya kembali menjadi pola dipper yang bermakna secara statistik (p<0.001).
Simpulan : Terdapat perubahan pola sirkadian tekanan darah non dipper kembali menjadi pola dipper pada donor ginjal hidup 12 minggu setelah nefrektomi unilateral.ABSTRACT Background : The issue of post nephrectomy in living kidney donor is kidney function decrease and hypertension. One week after nephrectomy circadian pattern of blood pressure becomes non dipper. Then there will be a compensatory of renal function that becomes stable within 12 weeks after nephrectomy. However, whether the improvement of renal function is followed by the circadian pattern of blood pressure becomes dipper is still unknown.
Aims : To know the changes circadian pattern of blood pressure among living kidney donors 12 weeks after unilateral nephrectomy.
Methods : A pre-experimental study with before and after design. The subjects were 18 healthy living kidney donors aged 18 to 50 years old , conducted in RSCM hospital between January 2015 to May 2015. Blood pressure was measured by 24 hours ABPM. Serum creatinine, e-GFR epi and uACR were taken before nephrectomy, 1 week and 12 weeks after nephrectomy.
Results : There were 18 subjects had dipper pattern before unilateral nephrectomy. Seventeen of them exhibited a pattern became non dipper on one week after nephrectomy. Sixteen subjects showed the pattern returned to dipper after 12 weeks nephrectomy that statistically significant (p<0.01)
Conclusions : The circadian pattern of blood pressure returned to dipper from non dipper on living kidney donors after 12 weeks unilateral nephrectomy., Background : The issue of post nephrectomy in living kidney donor is kidney function decrease and hypertension. One week after nephrectomy circadian pattern of blood pressure becomes non dipper. Then there will be a compensatory of renal function that becomes stable within 12 weeks after nephrectomy. However, whether the improvement of renal function is followed by the circadian pattern of blood pressure becomes dipper is still unknown.
Aims : To know the changes circadian pattern of blood pressure among living kidney donors 12 weeks after unilateral nephrectomy.
Methods : A pre-experimental study with before and after design. The subjects were 18 healthy living kidney donors aged 18 to 50 years old , conducted in RSCM hospital between January 2015 to May 2015. Blood pressure was measured by 24 hours ABPM. Serum creatinine, e-GFR epi and uACR were taken before nephrectomy, 1 week and 12 weeks after nephrectomy.
Results : There were 18 subjects had dipper pattern before unilateral nephrectomy. Seventeen of them exhibited a pattern became non dipper on one week after nephrectomy. Sixteen subjects showed the pattern returned to dipper after 12 weeks nephrectomy that statistically significant (p<0.01)
Conclusions : The circadian pattern of blood pressure returned to dipper from non dipper on living kidney donors after 12 weeks unilateral nephrectomy.]"
Fakultas Kedokteran Universitas Indonesia, 2015
SP-PDF
UI - Tugas Akhir  Universitas Indonesia Library
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Dhian Luluh Rohmawati
Faktor Biopsikososiospiritual yang Mempengaruhi Terjadinya Peningkatan Tekanan Darah Intradialisis pada Pasien Hemodialisis = Biopsychosociospiritual Factors Associated with Increasing Intradialytic Blood Pressure in Hemodialysis Patients.
"ABSTRAK
Gagal ginjal terminal membutuhkan terapi pengganti ginjal, salah satunya adalah hemodialisis. Hemodialisis merupakan terapi yang aman namun dapat menimbulkan komplikasi salah satunya adalah hipertensi intradialisis. Perawat perlu mengetahui penyebab lain dari hipertensi intradialisis sehingga dapat menurunkan angka mortalitas dan morbiditas. Oleh karena itu diperlukan penelitian untuk menganalisis faktor biopsikososiospiritual yang mempengaruhi terjadinya peningkatan tekanan darah intradialisis pada pasien hemodialisis. Desain yang digunakan adalah analitik komparatif kategorik dengan pendekatan cross-sectional. Teknik pengambilan sampel dilakukan dengan non probability sampling jenis consecutive sampling dengan jumlah sampel sebesar 90 responden. Analisis data menggunakan chi square dan regresi logistik. Hasil menunjukkan bahwa faktor yang berpengaruh terhadap peningkatan tekanan darah intradialisis antara lain gangguan tidur p=0,001 , penyakit penyebab p=0,021 , tingkat stres p=0,010 , dukungan sosial p=0,048 dan tingkat spiritualitas p=0,004 . Faktor yang berpengaruh dominan adalah gangguan tidur. Penelitian selanjutnya perlu diteliti terkait dengan faktor fisiologis pola nutrisi, riwayat merokok tekanan darah interdialisis , faktor psikologis ansietas dan depresi , faktor religious dan spiritual. Selain itu juga dapat diteliti mengenai intervensi misalnya mengatasi gangguan tidur, menurunkan tingkat stres, dan meningkatkan spiritualitas sehingga dapat menurunkan hipertensi intradialisis.
ABSTRACT
End stage renal disease requires kidney replacement therapy, one of which is hemodialysis. Hemodialysis is a life saving therapy, however it may cause several complications, one of them is intradialytic hypertension. Nurses must to know the influencing factors of intradialytic hypertension reduce mortality and morbidity. This research is analyzed biopsychosociospiritual factors that cause of intradialytic hypertension in hemodialysis HD patients. This study used comparative analytic design with a cross sectional. A total of 90 HD patients recruited by non probability sampling consecutive sampling. Data analysis using chi square and logistic regression. The results showed that the influencing factors of increasing intradialytic blood pressure were sleep disorder p 0,001 , past medical history p 0,021 , stress level 0,010 , social support p 0,048 and spirituality level p 0,004 and the most influential is sleep disorder. Suggestions for further research are identify the other factors such us physiological factors nutrition patterns, smoking history interdialysis blood pressure , psychological factors anxiety and depression , religious and spiritual factors. It also can be examined on appropriate interventions such as overcoming sleep disorders, reduce stress levels, and increase spirituality that can reduce the intradialytic hypertension."
2017
T46692
UI - Tesis Membership  Universitas Indonesia Library
cover
Mamonto, Verra Yunita
Pengaruh lama kerja terhadap kejadian peningkatan tekanan darah pada nelayan tradisional di Pelabuhan Merak Banten = The Influence of Length of Work on Increased Incidence of Blood Pressure At Traditional Fishermen in Port Merak Banten
"ABSTRAK
Nelayan merupakan pekerjaan yang memiliki banyak risiko kesehatan namun masih belum terlalu diperhatikan. Lama kerja nelayan lebih panjang dari lama kerja normal serta waktu bekerja yang berbeda yaitu pada malam hari. Jika hipertensi tidak ditangani secara tepat maka dapat menyebabkan terjadinya komplikasi yang lebih serius seperti serangan jantung mendadak yang dapat terjadi kapan saja ketika para nelayan tersebut sedang melakukan pekerjaannya ditengah laut. Tujuan penelitian ini adalah diketahuinya masalah peningkatan tekanan darah pada nelayan tradisional dan pengaruhnya dengan faktor pekerjaan dalam hal ini lama kerja guna meningkatkan derajat kesehatan pada nelayan di Pelabuhan Merak Banten.Penelitian ini menggunakan disain kasus kontrol, dimana dilakukan pemeriksaan tekanan darah serta wawancara terhadap responden. Pengambilan sampel menggunakan teknik consecutive sampling. Jumlah sampel dalam penelitian sebanyak 120 orang yang terdiri dari 60 kasus dan 60 kontrol.
Hasil penelitian didapatkan adanya pengaruh lama kerja dengan kejadian peningkatan tekanan darah pada nelayan tradisional di Pelabuhan Merak Banten OR =1,2;p=0,023 . Faktor lain yang memiliki pengaruh signifikan terhadap kejadian peningkatan tekanan darah yaitu faktor asupan garam OR=4,5;p=0,000 dan kualitas tidur OR=4,2;p=0,001 . Faktor yang tidak memiliki pengaruh signifikan yaitu faktor asupan lemak OR=4,5;p=0,053 , riwayat keluarga OR=4,97;p=0,035 , status gizi OR=0,73;p=0,610 dan aktifitas fisik OR=3,72;p=0,008 .Hasil analisis multivariat didapatkan faktor yang paling dominan yang mempengaruhi kejadian peningkatan tekanan darah yaitu faktor faktor asupan garam OR=4,5;p= 0,000 , dan kualitas tidur OR=4,2;p=0,001 . Lama kerja panjang memiliki risiko 1,2x lipat lebih besar terhadap kejadian peningkatan tekanan darah pada nelayan tradisional. Diperlukan penyuluhan mengenai hipertensi dan faktor ndash; faktor yang mempengaruhinya untuk mencegah komplikasi lebih lanjut. Kata kunci : Hipertensi, Peningkatan tekanan darah Nelayan, Jam kerja panjang.
ABSTRACT
Fisherman is a job that has many health risks but still not too concerned. The length of work of the fishermen is longer than the normal length of work and the different working hours at night. If hypertension is not handled properly it can lead to more serious complications such as sudden cardiac arrest that can occur anytime when the fishermen are doing their work in the middle of the sea. The purpose of this study is to know the problem of increasing blood pressure in traditional fishermen and its influence with the work factor in this case the length of work in order to improve the degree of health to the fishermen in the Port Merak Banten.This study used case control design, where the blood pressure was tested and interviews of the respondents. Sampling using consecutive sampling technique. The number of samples in the study were 120 people consisting of 60 cases and 60 controls.
The result of the research shows that there is influence of working duration with the incidence of blood pressure increase in traditional fisherman at Merak Port of Banten OR 1,2 p 0,023 . Other factors that have a significant influence on the incidence of increased blood pressure are salt intake factor OR 4.5, p 0,000 and sleep quality OR 4,2 p 0.001 . Factors that did not have significant influence were fat intake factor OR 4,5, p 0,053 , family history OR 4,97 p 0,035 , nutritional status OR 0,73 p 0,610 and Physical activity OR 3,72 p 0,008 .The result of multivariate analysis showed that the most dominant factors influencing the incidence of blood pressure increase were salt intake factor OR 4,5, p 0,000 , and sleep quality OR 4,2 p 0,001 . Longer labor has a 1.2 fold greater risk of increased blood pressure in traditional fishermen. There is a need for counseling on hypertension and the factors that influence it to prevent further complications. Keywords Hypertension, Increased blood pressure, Fisherman, Long working hours."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2017
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UI - Tesis Membership  Universitas Indonesia Library
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Gabriella Al-Jareh
Perbandingan Penurunan Kadar Hemoglobin dan Peningkatan Kadar Leukosit antara Pasca Pembedahan Histerektomi Total Vaginal dan Abdominal = Comparison of Hemoglobin and Leukocyte Levels Post Total Vaginal Hysterectomy Vs Total Abdominal Hysterectomy Surgery
"Latar Belakang Histerektomi merupakan salah satu tindakan pembedahan yang paling sering dilakukan pada bidang ginekologi di dunia dengan komplikasi yang cukup beragam. Data dari beberapa penelitian sebelumnya menunjukkan bahwa pada pembedahan histerektomi abdominal terdapat kehilangan jumlah darah intraoperatif yang lebih banyak dibandingkan pada pembedahan histerektomi vaginal. Sedangkan, secara teori histerektomi vaginal memiliki risiko infeksi yang lebih tinggi. Peneliti ingin mengetahui perbedaan perdarahan dan infeksi antara kedua rute histerektomi pada pasien di Indonesia. Dengan demikian, peneliti membandingkannya dengan cara tidak langsung yaitu dengan menggunakan parameter kadar hemoglobin dan leukosit. Metode Penelitian ini menggunakan desain potong lintang dengan data elektronik rumah sakit dari rekam medik di RSUPN Dr. Cipto Mangunkusumo. Penurunan kadar hemoglobin dan peningkatan kadar leukosit antara kedua rute histerektomi diuji menggunakan uji Mann-Whitney dan uji statistik Bayesian. Perbandingan proporsi transfusi darah dan pemberian antibiotik tambahan antara kedua rute histerektomi diuji menggunakan Fischer Exact Test. Perbandingan rerata lama pemberian antara kedua rute dianalisis dengan T-Test. Hasil Rerata penurunan kadar hemoglobin untuk pembedahan histerektomi total abdominal lebih tinggi dibandingkan dengan histerektomi total vaginal (AH: .919. VH: .477; nilai P 0.049). Rerata peningkatan kadar leukosit antara kedua rute tidak memiliki perbedaan yang signifikan nilai P .985 (BF01: 4.806). Perbandingan proporsi transfusi darah antara kedua rute menunjukan bahwa histerektomi total abdominal memiliki persentase lebih tinggi untuk transfusi darah (AH: 26.9%, VH: 0.0%; P Value 0.01). Persentase pasien yang diberikan antibiotik pasca pembedahan tidak memiliki perbedaan yang bermakna (AH: 80.77%, VH: 88.46%; nilai P .703). Lama pemberian antibiotik juga tidak terdapat perbedaan yang bermakna (AH: 2.38 (±0.647), VH: 2.81(±0.283); nilai P .553). Kesimpulan Pembedahan histerektomi total vaginal memiliki penurunan kadar hemoglobin yang lebih rendah dan tidak memiliki perbedaan dalam peningkatan leukosit dibandingkan histerektomi total abdominal.
Introduction Hysterectomy is one of the most frequently performed surgical procedures in the field of gynecology in the world. Post-hysterectomy complications vary depending on the type of hysterectomy performed. Data from several previous studies show that in abdominal hysterectomy surgery there is a greater amount of intraoperative blood loss than in total vaginal hysterectomy surgery. Meanwhile, in theory vaginal hysterectomy has a higher risk of infection. We conducted this study to find the difference in blood loss and infection in the two routes of hysterectomy in Indonesia. Thus, this study was conducted to compare the blood loss and risk of infection indirectly between the two hysterectomy routes using hemoglobin and leukocyte level as parameters. Method This study was conducted with a cross-sectional study design that uses electronic hospital data from medical records at RSUPN Dr. Cipto Mangunkusumo. Data analysis for the decrease in hemoglobin and increase in leukosit levels were conducted using the Mann-Whitney test and Bayesian statistic test. Proportion of patients needing perioperative blood transfusion was analysed using the Fischer Exact test. Proportion of given antibiotic treatment after surgery was analysed using the Fischer Exact test and the comparison of mean antibiotic treatment time was analysed using T-Test. Results It was found that the mean decrease in hemoglobin levels for total abdominal hysterectomy surgery was higher compared to total vaginal hysterectomy (AH: .919. VH: .477; P value 0.049). While the mean increase in leukocyte levels between the two routes did not have a significant difference with a P value of .985 (BF01: 4.806). Comparison of the proportion of blood transfusions between the two routes showed that total abdominal hysterectomy had a higher proportion (AH: 26.9%, VH: 0.0%; P value 0.01). Comparison of proportion of antibiotic treatment (AH: 80.77%, VH: 88.46%; P value.703) and length of treatment in days (AH: 2.38 (±0.647), VH: 2.81(±0.283); P value .553) after the surgery for the two route showed no statistical difference. Conclusion Total vaginal hysterectomy has a decrease of hemoglobin post surgery that is lower than total abdominal hysterectomy. Also, there is no significant difference in terms of increased levels of leukocyte between the two types of hysterectomy. Keywords: Total Abdominal Hysterectomy, Total Vaginal Hysterectomy, Leukocytes, Hemoglobin, Peripheral Blood. "
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2024
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UI - Skripsi Membership  Universitas Indonesia Library
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Izzuddin Fathoni
Penurunan Tekanan Darah dan Mean Arterial Pressure (MAP) Pasca Bersepeda Luar Ruangan dan Beberapa Faktor yang Berhubungan = Reduction in Blood Pressure and Mean Arterial Pressure (MAP) Post Outdoor Cycling and Some Related Factors
"[Latar belakang: Hidup aktif sangat penting untuk meningkatkan kesehatan dan kebugaran. Aktivitas sepeda bersama, telah menjadi gaya hidup sebagian masyarakat perkotaan. Banyak penelitian pada atlet di laboratorium menunjukkan adanya efek penurunan tekanan darah sesudah melakukan latihan fisik aerobik berupa latihan treadmill atau sepeda statis. Aktivitas aerobik bersepeda yang dilakukan oleh komunitas bukan atlet di luar ruangan (outdoor) umum dijumpai di daerah perkotaan Indonesia. Tujuan: Mengetahui dampak bersepeda luar ruangan terhadap penurunan tekanan darah dan MAP sesudah bersepeda serta beberapa faktor yang berhubungan. Metode: Subyek adalah 33 pesepeda bukan atlet (20-30) tahun. Sebelum bersepeda, diukur berat badan dan tinggi badan, dan tekanan darah. Sesudah bersepeda sejauh 7 km, dilakukan pengisian kuesioner kebiasaan bersepeda dan pengukuran tekanan darah pada meni tke 5-30 pada masa pemulihan. Hasil: Rerata penurunan tekanan darah sistolik adalah 8,36±5,41 mmHg, tekanan darah diastolik 1,82±3,94 mmHg dan MAP 4,00±3,09 mmHg. Tidak terdapat hubungan antara jender, usia, IMT, kebiasaan bersepeda dan penurunan tekanan darah sistolik sesudah bersepeda. Kesimpulan: Terdapat penurunan yang bermakna pada tekanan darah dan MAP pasca bersepeda luar ruangan. Bersepeda luar ruangan terbukti dapat menurunkan tekanan darah pada subyek normotensi tanpa membedakan jender, usia, IMT dan kebiasaan bersepeda. Kata Kunci: Aerobik, bersepeda luar ruangan, penurunan tekanan darah sesudah latihan fisik.;Background: Active Living is very important to improve health and fitness. Cycling together, have become part of the urban lifestyle. Many studies have been conducted on athletes in the laboratory showed that after aerobic exercise training on a treadmill or stationary bike has lowering effect of the blood pressure. Cycling as aerobic activities undertaken by non- athlete community outdoors commonly found in urban areas in Indonesia. Purpose: To determine the impact of outdoor cycling to blood pressure and MAP reduction after cycling and several related factors. Methods: The subjects in this study were 33 non-athletes cyclists (20-30) years old. Body weight and height, and blood pressure was measured before cycling. After 7 km cycling, filling out the questionnaire of cycling habitsand blood pressure measurements in 5-30 minutes of recovery time. Results: The mean reduction in systolic blood pressure was 8.36 ± 5.41 mmHg, diastolic blood pressure was 1.82 ± 3.94 mmHg and MAP was 4.00 ± 3.09 mmHg. There was no relationship between genders, age, BMI, cycling habits with systolic blood pressure reduction after cycling. Conclusion: There was a significant reduction in blood pressure and MAP after outdoor cycling. Outdoor cycling is proven to reduce blood pressure in normotensive subject regardless of gender, age, BMI and cycling habits., Background: Active Living is very important to improve health and fitness. Cycling together, have become part of the urban lifestyle. Many studies have been conducted on athletes in the laboratory showed that after aerobic exercise training on a treadmill or stationary bike has lowering effect of the blood pressure. Cycling as aerobic activities undertaken by non- athlete community outdoors commonly found in urban areas in Indonesia. Purpose: To determine the impact of outdoor cycling to blood pressure and MAP reduction after cycling and several related factors. Methods: The subjects in this study were 33 non-athletes cyclists (20-30) years old. Body weight and height, and blood pressure was measured before cycling. After 7 km cycling, filling out the questionnaire of cycling habitsand blood pressure measurements in 5-30 minutes of recovery time. Results: The mean reduction in systolic blood pressure was 8.36 ± 5.41 mmHg, diastolic blood pressure was 1.82 ± 3.94 mmHg and MAP was 4.00 ± 3.09 mmHg. There was no relationship between genders, age, BMI, cycling habits with systolic blood pressure reduction after cycling. Conclusion: There was a significant reduction in blood pressure and MAP after outdoor cycling. Outdoor cycling is proven to reduce blood pressure in normotensive subject regardless of gender, age, BMI and cycling habits.]"
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2014
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UI - Tugas Akhir  Universitas Indonesia Library
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