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Caroline
Faktor prediktor luaran buruk maternal dan perinatal pada kehamilan dengan hipertensi = Predictors of maternal and perinatal outcome in pregnancy with hypertension
"Latar belakang: Hipertensi pada kehamilan merupakan salah satu penyebab utama morbiditas dan mortalitas maternal dan perinatal. Ketersedian sarana yang terbatas pada pelayanan kesehatan mengharuskan diketahuinya faktor prediktor luaran maternal dan perinatal kasus hipertensi pada kehamilan.
Tujuan: Mengetahui faktor prediktor luaran buruk maternal dan perinatal pada kehamilan dengan hipertensi.
Metode: Penelitian ini merupakan studi analitik observasional dengan desain potong lintang pada ibu hamil dengan hipertensi yang melahirkan di RSUP Persahabatan periode Januari 2014 hingga Desember 2018. Pengambilan sampel secara total sampling. Usia ibu, usia hamil, tekanan darah sistolik, tekanan darah diastolik, kadar asam urat, kadar platelet, kadar SGOT, kadar SGPT, kadar ureum, kadar kreatinin, kadar LDH, dan kadar albumin merupakan variabel bebas berskala kategorik yang diperoleh dari rekam medik. Variabel terikat adalah luaran buruk maternal yaitu eklamsia, sindrom HELLP dan edema pulmonal. Sedangkan luaran buruk perinatal yaitu kelahiran preterm, skor APGAR <7, dan kecil masa kehamilan. Pasien dengan perubahan pada variabel independen akibat kondisi lainnya dieksklusi dari penelitian.
Hasil: Didapatkan sebanyak 631 subjek yang memenuhi kriteria inklusi dan eksklusi. Faktor prediktor luaran buruk secara umum adalah kadar albumin < 3,2 g/dL (p = 0,038 OR = 1,43 IK95% 1,02 – 2,01), faktor prediktor luaran buruk perinatal adalah kadar albumin < 3,2 g/dL (p = 0,025 OR 1,48 IK95% 1,05 – 2,07) dan kadar ureum > 11 mg/dL (p = 0,041 OR 1,45 IK95% 1,01 – 2,0), dan faktor prediktor luaran buruk maternal adalah kadar albumin < 3,2 g/dL (p = 0,046 OR 2,26 IK95% 1,02 – 5,06).
Simpulan: Albumin merupakan faktor prediktor independen terjadinya luaran buruk maternal dan/atau perinatal pada kasus hipertensi pada kehamilan.
Background: Hypertension in pregnancy is one of the main causes of morbidity and mortality in pregnancy and childbirth. Limited resources in health centers make it necessary to know the most important predictors of maternal and/or perinatal outcomes in pregnancy with hypertension.
Aim: This study aims to determine the predictors for adverse maternal and/or perinatal outcomes in pregnancy with hypertension.
Method: This is a cross-sectional observational-analytic study whose subjects are pregnant women who gave birth at Persahabatan General Hospital in January 2014 until December 2018. Data of maternal age, pregnant age, systolic and diastolic blood pressure, uric acid, platelet, SGOT, SGPT, ureum, creatinine, LDH, and albumin levels are independent variables retrieved by medical records. Maternal adverse outcomes in this study were eclampsia, HELLP syndrome, and pulmonary edema, while perinatal adverse outcomes were preterm birth, APGAR score <7, and small-for-gestasional-age infant. Patients with documented changes in the independent variables because of other problems were excluded from the study.
Result: Data collected were categorized and analyzed using bivariate and multivariate analysis. There were 631 subjects met the subject criteria. Predictor(s) for general adverse outcomes is albumin levels <3.2 g/dL (p=0.038 OR=1.43 IK95% 1.02 – 2.01), for perinatal outcomes are albumin levels <3.2 g/dL (p=0.025 OR=1.48 IK95% 1.05 – 2.07) and ureum levels > 11 mg/dL (p = 0.041 OR=1.45 IK95% 1.01 – 2.0), and for maternal outcomes is albumin level <3.2 g / dL (p = 0.046 OR=2.26 IK95% 1.02 – 5.06).
Conclusion: Albumin is an independent predictive factor for adverse maternal and/or perinatal outcome in pregnancy complicated by hypertension."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2020
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UI - Tugas Akhir  Universitas Indonesia Library
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Amad Syarifudin
Hubungan antara faktor sosiodemografik dan gaya hidup dengan kejadian hipertensi pada polisi laki-laki di Kabupaten Purworejo, Jawa Tengah 2012 = Relationship between sosiodemographic factor and lifestyle to hypertension among policemen in Purworejo Regency, Central Java 2012
"Tujuan dari penelitian ini adalah untuk mengetahui hubungan antara sosiodemografi (umur, riwayat hipertensi keluarga, IMT, persen lemak tubuh, lingkar pinggang, status dan pernikahan) dan gaya hidup (aktivitas fisik, merokok, stres, asupan karbohidrat, protein, lemak, natrium dan kalium) terhadap hipertensi pada polisi laki-laki di Purworejo, Jawa Tengah. Penelitian ini merupakan penelitian kuantitatif dengan desain penelitian cross sectional. Pada penelitian ini melibatkan 139 polisi laki-laki di Purworejo.
Dari penelitian ini didapat prevalensi hipertensi pada polisi laki-laki sebesar 54,7 %. Terdapat hubungan yang signifikan antara lingkar pinggang dengan hipertensi (p = 0,025 OR=2,306 95 % CI : 1,166-4,564) dan jumlah rokok yang dihisap setiap hari dengan hipertensi (p = 0,024). Tidak ada hubungan yang signifikan antara umur, riwayat hipertensi keluarga, IMT, persen lemak tubuh, status dan pernikahan, aktivitas fisik, merokok, stres, asupan karbohidrat, protein, lemak, natrium dan kalium dengan hipertensi.
Prevalensi hipertensi pada polisi laki-laki di Purworejo termasuk tinggi. Untuk itu, polisi-laki-laki harus berwaspada terhadap hipertensi karena hipertensi merupakan silent killer. Polisi perlu melakukan cek tekan darah secara teratur untuk mengontrol tekanan darah. Polisi sebaiknya mengurang kebiasaan merokok dan melakukan aktivitas yang dapat mengurangi kegemukan.
Objective of this study was to know the relationship between sosiodemography (age, family history of hypertension, body mass index, percent body fat, waist circumference, marital status) and lifestyle (physical activity, cigarettes smoking, stress, carbohydrat intake, protein intake, fat intake, sodium intake and potasium intake) to hypertension on policemen in Purworejo, Central Java. This was a quantitative study using cross sectional as study design. 139 policemen were included as respondents.
This study found that hypertension prevalency policemen Purworejo was 54,7 %. There were significant relationship between waist circumference with hypertension (p = 0,025 OR=2,306 95 % CI : 1,166-4,564), number of cigarettes smoked per day and hypertension (p = 0,024). There were no significant relationship betwen age, family history of hypertension, body mass index, body fat percent, marital status, physical activity, smoking status, stress, carbohydrat intake, protein intake, fat intake, sodium intake and potasium intake with hypertension.
The prevalency of hypertension on policemen was categorized as high. Policemen should be aware with hypertension because hypertension is a silent killer. They need to check their blood pressure regularly to control their blood pressure. Policemen also should reduce cigarettes smoking and do activities that can reduce obesity."
Depok: Fakultas Kesehatan Masyarakat Universitas Indonesia, 2012
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UI - Skripsi Open  Universitas Indonesia Library
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Model intervensi Hipertensi di Kabupaten Lebak Provinsi Banten
"Background: Increasing blood pressure often has no symptoms, people are not aware the incidenee of hypertension.
Various studies have shown the prevalence of hypertension continues to rise and tend at younger age groups, thus causing hypertension is public health problems. The purpose of this study is to determine risk factors related to hypertension and develop intervention model for hypertension. Methods: The study was conducted in Lebak district, Banten Province. It design was analyses of secondary data from the Baseline Health Research (Riskesdas) 2007 and qualitative study Results: The analysis shows, the intervention model for Lebak districts needs to focus on healthy behavior and environmental pollution. Health behavior is reflected in the emotional disorders, abdominal circumference at risk. Although the factors of age and marital status were contribute to increased blood pressure. Statistic model is -3.025 + 0.993* Age 35-60 year + 0.663* Marrital status + 0.881 * mental disorder + 0,679* obese central + 0.429* environmental exposure. Qualitative results showed a lack of knowledge about the causes, symptoms, prevention, and how to detect or treat of hypertension that require long and continuous. This is supported from the implementing recognition programs, the placement of non-communicable diseases program which is a huge umbrella of prevention of hypertension remains unclear. So in the implementation of prevention is still passive. Availability for drugs at health facilities for treatment of non-communicable diseases is not enough; this is a problem in the program to reduce the prevalence of hypertension diseases. So it needs the support of decree of the issue of hypertension by Ministry of Health on inter-sector coordination."
BULHSR 15:2 (2012)
Artikel Jurnal  Universitas Indonesia Library
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Yulestari
Hubungan obesitas sentral dengan kejadian hipertensi berdasarkan rasio lingkar perut tinggi badan pada penduduk dewasa di Pulau Jawa tahun 2013 (analisis data Riskesdas 2013) = Relations central obesity with hypertension based on waist to height ratio for adults in java indonesia data analysis riskesdas 2013
"Hipertensi atau sering juga disebut the silent killer adalah suatu peningkatan tekanan darah arteri diatas normal dan menjadi penyebab kematian tertinggi di Indonesia. Hipertensi pada penduduk dewasa bisa berakibat rendahnya produktivitas dan kualitas hidup terkait dengan morbiditas. Obesitas sentral adalah salah satu faktor risiko hipertensi yang berhubungan dengan gaya hidup yang tidak sehat.
Studi ini bertujuan untuk menilai hubungan obesitas sentral dengan kejadian hipertensi berdasarkan rasio lingkar perut tinggi badan pada penduduk dewasa di Pulau Jawa Tahun 2013. Penelitian ini menggunakan data Riskesdas 2013 dengan disain penelitian cross sectional dan jumlah sampel 175.374 orang. Status obesitas sentral ditentukan dengan analisis kurva ROC untuk mencari cut off point rasio lingkar perut tinggi badan terhadap hipertensi.
Studi ini menggunakan uji statistik Regresi Cox. Hasil penelitian menemukan prevalensi hipertensi pada penduduk dewasa sebesar 27,8% dan hubungan obesitas sentral terhadap kejadian hipertensi lebih dipengaruhi oleh wilayah tempat tinggal. Penduduk umur 19-29 tahun yang obesitas sentral dan tinggal diperkotaan memiliki risiko 2,1 kali (95%CI:1,969-2,247) untuk menderita hipertensi setelah dikontrol umur, wilayah tempat tinggal, pendidikan, pekerjaan, status merokok, aktifitas fisik dan stres.
Saran dari studi ini adalah memberikan intervensi berupa promosi kesehatan tentang pengetahuan tentang hipertensi dan faktor risikonya pada usia remaja terutama diperkotaan sebagai pencegahan dini dengan prilaku hidup sehat untuk menurunkan prevalensi hipertensi di masa mendatang.
Hypertension, often called the silent killer is an increase in arterial blood pressure above normal and the cause of death in Indonesia. Hypertension in the adult population could be low productivity and influence quality of life associated with morbidity. Central obesity is risk factor for hypertension associated with an unhealthy lifestyle.
This study aimed to assess the association of central obesity with hypertension based on waist-to-height ratio in the adult population in Java 2013.
This study uses Riskesdas data 2013 with cross sectional study design and sample size 175.374 respondents. Central obesity status was determined by ROC curve analysis to looking for the cut off point waist-to-height ratio to hypertension and used Cox regression multivariate statistical test. Results of the study found the prevalence of hypertension in the adult population was 27.8% and the relationship of central obesity with hypertension is more influenced by the region of residence. People aged 19-29 years old who live in urban and central obesity have a risk 2.1 (PR=2.1, 95% CI: 1.969 to 2.247) of developing hypertension after controlling for age, region of residence, education, occupation, smoking status, physical activity and stress.
Suggestions of this study is to providing health promotion interventions in the form of knowledge about hypertension and its risk factors in adolescence especially in urban areas as early prevention with healthy lifestyle behaviors to decrease the prevalence of hypertension in the future."
Depok: Fakultas Kesehatan Masyarakat Universitas Indonesia, 2015
T44415
UI - Tesis Membership  Universitas Indonesia Library
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Fitri Rahmawati
Manajemen stres hipnosis lima jari sebagai intervensi asuhan keperawatan keluarga dengan masalah kesehatan hipertensi di Kelurahan Sukamaju Baru Kecamatan Tapos Depok = Stress management five fingers hypnosis as a the nursing intervention for hypertension in Kelurahan Sukamaju Baru Kecamatan Tapos Depok
"[ABSTRAK
Hipertensi merupakan salah satu masalah kesehatan perkotaan yang terjadi pada
usia dewasa. Hal ini dipengaruhi oleh perubahan gaya hidup masyarakat
perkotaan. Individu yang sering mengalami stress dan ketegangan pikiran yang
berlarut-larut akan berisiko untuk mengalami hipertensi. Di Kelurahan Sukamaju
Baru ditemukan keluarga dengan dewasa yang menderita hipertensi karena
mengalami stress. Diagnosis keperawatan yang ditegakkan adalah
ketidakefektifan manajemen kesehatan: hipertensi. Intervensi keperawatan yang
diberikan adalah manajemen stres: hipnosis lima jari pada penderita hipertensi.
Hasil intervensi menunjukkan bahwa manajemen stres: hipnosis lima jari berhasil
mengurangi stress, memberikan kenyamanan, dan ketenangan sehingga dapat
menurunkan tekanan darah. Perawatan tersebut diharapkan dapat membantu
keluarga dalam melakukan perawatan mandiri pada keluarga dengan masalah
kesehatan hipertensi.ABSTRACT Hypertension is one of the common health problems that occur in adults, as the
result of the lifestyle of urban communities. Individuals who often experience
stress and prolonged tension of mind is at risk for hypertension. It was found in
Kelurahan Sukamaju Baru that family with adult who suffered from hypertension
because of the stress. Ineffectiveness health management: hypertension was
became the priority of nursing diagnostic. The nursing intervention provided was
stress management: five fingers hypnosis. The results showed that stress
management: five fingers hypnosis could reduce the stress, provided comfort,
quietness, and therefore reduce the blood pressure. Those treatment were expected
to help family in performing self-care in the family with health problems of
hypertension.;Hypertension is one of the common health problems that occur in adults, as the
result of the lifestyle of urban communities. Individuals who often experience
stress and prolonged tension of mind is at risk for hypertension. It was found in
Kelurahan Sukamaju Baru that family with adult who suffered from hypertension
because of the stress. Ineffectiveness health management: hypertension was
became the priority of nursing diagnostic. The nursing intervention provided was
stress management: five fingers hypnosis. The results showed that stress
management: five fingers hypnosis could reduce the stress, provided comfort,
quietness, and therefore reduce the blood pressure. Those treatment were expected
to help family in performing self-care in the family with health problems of
hypertension., Hypertension is one of the common health problems that occur in adults, as the
result of the lifestyle of urban communities. Individuals who often experience
stress and prolonged tension of mind is at risk for hypertension. It was found in
Kelurahan Sukamaju Baru that family with adult who suffered from hypertension
because of the stress. Ineffectiveness health management: hypertension was
became the priority of nursing diagnostic. The nursing intervention provided was
stress management: five fingers hypnosis. The results showed that stress
management: five fingers hypnosis could reduce the stress, provided comfort,
quietness, and therefore reduce the blood pressure. Those treatment were expected
to help family in performing self-care in the family with health problems of
hypertension.]"
Fakultas Ilmu Keperawatan Universitas Indonesia, 2015
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UI - Tugas Akhir  Universitas Indonesia Library
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Bima Suryaatmaja
Efek latihan pernapasan sebagai adjuvan latihan fisik terhadap tekanan sistolik arteri pulmoner pada pasien pascabedah katup mitral dengan hipertensi pulmoner = The effect of respiratory training as adjuvant exercise training in pulmonary hypertension post mitral valve surgery
"Latar Belakang : Hipertensi pulmoner (HP) merupakan faktor independen kematian, kematian kardiovaskular, dan gagal jantung pada pengamatan 4 tahun pasien pascabedah katup mitral. Masalah pasien pascabedah thoraks adalah menurunnya fisiologi dan mekanik paru yang menyebabkan gangguan ventilasi perfusi dan hypoxia induced pulmonary vasoconstriction sehingga perbaikan HP pascabedah menjadi lambat.
Tujuan Penelitian : Menilai efek latihan pernapasan sebagai adjuvan latihan fisik yang terstruktur terhadap penurunan tekanan sistolik arteri pulmoner (TSAP) pada pasien pascabedah katup mitral dengan hipertensi pulmoner.
Metode : Penelitian ini merupakan studi eksperimental acak tersamar ganda dan prospektif. Kelompok perlakuan diberikan latihan pernapasan 50% volume inspirasi maksimal (VIM) sebagai adjuvan latihan fisik atau plasebo pada kelompok kontrol selama rehabilitasi fase 2. Sampel diambil secara konsekutif dari populasi terjangkau pascaoperasi katup mitral yang memenuhi kriteria inklusi dan eksklusi. Didapatkan 43 subyek yang terbagi dalam 2 kelompok yakni 21 orang kelompok perlakuan dan 22 orang kelompok kontrol. TSAP dinilai dengan ekokardiografi sebelum dan sesudah program latihan.
Hasil Penelitian : Didapatkan nilai TSAP sesudah latihan pada kelompok kontrol lebih rendah secara signifikan (35 (29-39) mmHg vs 43 (40-51) mmHg;P<0.001) dan ∆TSAP kelompok perlakuan lebih besar secara signifikan (16 (12-30) mmHg vs 3.5 (2-4) mmHg;P<0.001) bila dibandingkan dengan kelompok kontrol.
Kesimpulan : Terdapat penurunan TSAP yang lebih besar pada kelompok yang mendapatkan latihan pernapasan 50% VIM dibanding kelompok plasebo.
Background: Pulmonary hypertension is an independent factor for mortality, cardiovascular mortality, and heart failure in four years observation of patients underwent mitral valve operation. In patient with open chest surgery, lung physiology and mechanic function deteriorates. This leads to ventilation perfusion mismatch and hypoxia induced pulmonary vasoconstriction, causing problems in recovery post operatively.
Objectives: To study the effect of respiratory training as an adjuvant to structured physical exercise in the decrease of pulmonary artery systolic pressure in patient with pulmonary hypertension post mitral valve surgery.
Methods: a double blind randomized trial was done, dividing 2 groups of subjects. It company the effect of respiratory training of 50% of maximum inspiratory volume (MIV) as an adjuvant intervention to the current phase 2 rehabilitation program in intervention group vs control group. Sample was taken consecutively in patient underwent mitral valve operation and fulfilled inclusion criteria. 43 subjects were divided in 2 groups. 21 patients were given respiratory training and 22 patients were in the placebo group. Systolic pulmonary artery pressure (sPAP) was measured by echocardiography before and after intervention was performed.
Result: sPAP and ∆sPAP in the intervention group were significantly lower compare to the placebo group; (35 (29-39) mmHg vs 43 (40-51) mmHg; p<0.001) and (16 (12-30) mmHg vs 3.5 (2-4) mmHg; p<0.001).
Conclusion: The decrease of sPAP was found to be significantly higher in the intervention group than placebo."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2015
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UI - Tugas Akhir  Universitas Indonesia Library
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Nasution, Fitriyani
Tata laksana nutrisi pada pasien stroke iskemia dengan hipertensi dan dislipidemia = Nutrition management in ischemic stroke with hypertension and dyslipidemia
"ABSTRAK
Pendahuluan:
Stroke iskemia menyebabkan cedera pada otak yang dapat menyebabkan malnutrisi dan disfagia. Risiko stroke meningkat jika ditemukan hipertensi dan dislipidemia. Tujuan tata laksana nutrisi adalah mencegah malnutrisi, menurunkan faktor risiko, dan mencegah risiko stroke berulang dan komplikasi pada pasien dengan faktor risiko.
Presentasi Kasus:
Pasien dalam serial kasus terdiri dari tiga pasien laki-laki dan satu pasien perempuan berusia antara 39-54 tahun yang didiagnosis stroke iskemia. Kasus pertama dan kedua memiliki faktor risiko hipertensi, sedangkan kasus kedua dan keempat memiliki faktor risiko dislipidemia. Hasil skrining gizi dengan MST pada pasien pertama adalah skor 2 dan diagnosis khusus, sedangkan tiga kasus lain termasuk dalam diagnosis khusus. Kebutuhan nutrisi dihitung dengan persamaan Harris-Benedict dengan faktor stres 1,5 pada kasus pertama karena terdapat ulkus dekubitus, sedangkan faktor stres tiga kasus lain adalah 1,3. Target pemberian protein adalah 1,3-1,5 g/kg BB/hari. Selama pemantauan, pemberian protein mencapai 1,3-1,4 g/kg BB/hari. Kasus kedua dan keempat mengalami disfagia, tetapi terdapat perbaikan disfagia pada pasien keempat sehingga jalur nutrisi diubah melalui oral, sedangkan pada kasus kedua tidak terdapat perbaikan disfagia sehingga pasien pulang dengan NGT. Terdapat riwayat hiponatremia berulang pada kasus pertama, sehingga dilakukan koreksi natrium dan restriksi cairan.
Hasil:
Terdapat perbaikan klinis pada keempat kasus dan perbaikan kapasitas fungsional, kecuali kapasitas fungsional kasus pertama.
Kesimpulan:
Tata laksana nutrisi adekuat pada pasien stroke iskemia dengan mempertimbangkan komorbiditas dapat menunjang perbaikan klinis dan kapasitas fungsional pasien.
ABSTRACT
Background:
Ischemic stroke cause cerebral insult results in malnutrition and dysphagia. Risk factors of stroke are hypertension and dyslipidemia. The aim of nutrition management is malnutrition prevention, lowering the risk factors, and preventing of recurrent stroke and complication.
Case Presentation:
The four patients included in this serial case were three males and one female, 39-54 years old, diagnosed with ischemic stroke. The first and second case had history of hypertension and the third and fourth case had dyslipidemia. The result of MST score of first case was 2 and special diagnosed, whereas the other three cases were special diagnosed. Energy needs was based on Harris-Benedict equation with 1,5 of factor stress for first case (with pressure ulcers) and 1,3 for the other three cases. The target of protein needs is 1,3-1,5 g/kg. The protein intake during monitoring were 1,3-1,4 g/kg. Dysphagia were found at second and fourth case, but then the fourth case had recovery of dysphagia and nutrition route was transitioned to oral, while the second case did not had recovery of dysphagia during monitoring and discharged with NGT. Natrium correction and fluid restriction were done at first case due to history of repeated hyponatremia.
Result:
There were improvement of clinical outcome and functional capacity, except functional capacity of first case.
Conclusion:
Adequate nutritional management for ischemic stroke patients could support the recovery of clinical outcome and functional capacity and should consider patients? comorbidities."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2016
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UI - Tugas Akhir  Universitas Indonesia Library
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Wilia Candra
Gambaran kadar fibrin monomer pada gestational hypertension dan preeklampsia = Description of fibrin monomer levels in gestational hypertension and preeclampsia
"ABSTRAK
Hipertensi merupakan kelainan yang umum dijumpai pada kehamilan.
Sekitar 70% wanita hamil mengalami gestational hypertension dan preeklampsia.
Disfungsi endotel pada preeklampsia menyebabkan permukaan endotel yang
nontrombogenik menjadi trombogenik sehingga dapat terjadi aktivasi koagulasi.
Preeklampsia meningkatkan keadaan hiperkoagulabel yang sudah ada pada
kehamilan normal. Gestational hypertension pada wanita hamil adalah hipertensi
yang tidak memenuhi kriteria preeklampsia. Hampir setengah dari pasien dengan
gestational hypertension akan berkembang menjadi preeklampsia. Fibrin
monomer merupakan petanda aktivasi koagulasi yang digunakan pada keadaan
pretrombotik oleh karena terbentuk terlebih dahulu pada keadaan hiperkoagulabel
daripada D-dimer yang terbentuk setelah fibrinolisis. Tujuan penelitian adalah
mendapatkan gambaran fibrin monomer pada gestational hypertension dan
preeklampsia. Penelitian ini adalah penelitian potong lintang pada 30 wanita
hamil gestational hypertension dan 30 wanita hamil preeklampsia yang dilakukan
pada Oktober sampai November 2015. Pemeriksaan FM menggunakan reagen
STA-Liatest memakai koagulometer STA Compact Analyzer. Kadar fibrin
monomer pada gestational hypertension didapatkan mean 4,61 µg/mL dengan
standar deviasi 0,86 µg/mL. Kadar fibrin monomer pada preeklampsia didapatkan
median 10,5 µg/mL dengan mean 11.99 µg/mL dan rentang 6,12 ? 23,26 µg/mL.
Didapatkan perbedaan bermakna kadar fibrin monomer pada gestational
hypertension dan preeklampsia dengan nilai p<0,001.
ABSTRACT
Hypertension is a common disorder in pregnancy. Approximately 70% of
pregnant women is gestational hypertension and preeclampsia. Endothelial
dysfunction in preeclampsia causes the endothelial surface of the nonthrombogenic
be thrombogenic so it can activated coagulation. Preeclampsia
increase hypercoagulability state in normal pregnancy. Gestational hypertension is
a hypertension in pregnancy who do not meet the criteria of preeclampsia. Nearly
half of patients with gestational hypertension develop into preeclampsia. Fibrin
monomers are used for coagulation activation marker on the prethrombotic state
therefore formed before on hypercoagulability state hiperkoagulabel than D-dimer
formed after fibrinolysis. The objective of this study is to gain description of
fibrin monomer levels and it was a cross-sectional study 30 pregnant women with
gestational hypertension and 30 pregnant women with preeclampsia. The study
was conducted in October and November 2015. Examination of fibrin monomer
using the reagent STA-Liatest and analyzer STA Compact. Mean of fibrin
monomer in gestational hypertension was 4.61 µg/mL with standard deviation
was 0.86 µg/mL. Median of fibrin monomer in preeclampsia was 10.5 µg / mL
with range was 6.12 to 23.26 µg/mL. Fibrin monomer levels found significant
differences in gestational hypertension and preeclampsia with p <0.001.
;Hypertension is a common disorder in pregnancy. Approximately 70% of
pregnant women is gestational hypertension and preeclampsia. Endothelial
dysfunction in preeclampsia causes the endothelial surface of the nonthrombogenic
be thrombogenic so it can activated coagulation. Preeclampsia
increase hypercoagulability state in normal pregnancy. Gestational hypertension is
a hypertension in pregnancy who do not meet the criteria of preeclampsia. Nearly
half of patients with gestational hypertension develop into preeclampsia. Fibrin
monomers are used for coagulation activation marker on the prethrombotic state
therefore formed before on hypercoagulability state hiperkoagulabel than D-dimer
formed after fibrinolysis. The objective of this study is to gain description of
fibrin monomer levels and it was a cross-sectional study 30 pregnant women with
gestational hypertension and 30 pregnant women with preeclampsia. The study
was conducted in October and November 2015. Examination of fibrin monomer
using the reagent STA-Liatest and analyzer STA Compact. Mean of fibrin
monomer in gestational hypertension was 4.61 µg/mL with standard deviation
was 0.86 µg/mL. Median of fibrin monomer in preeclampsia was 10.5 µg / mL
with range was 6.12 to 23.26 µg/mL. Fibrin monomer levels found significant
differences in gestational hypertension and preeclampsia with p <0.001.
;Hypertension is a common disorder in pregnancy. Approximately 70% of
pregnant women is gestational hypertension and preeclampsia. Endothelial
dysfunction in preeclampsia causes the endothelial surface of the nonthrombogenic
be thrombogenic so it can activated coagulation. Preeclampsia
increase hypercoagulability state in normal pregnancy. Gestational hypertension is
a hypertension in pregnancy who do not meet the criteria of preeclampsia. Nearly
half of patients with gestational hypertension develop into preeclampsia. Fibrin
monomers are used for coagulation activation marker on the prethrombotic state
therefore formed before on hypercoagulability state hiperkoagulabel than D-dimer
formed after fibrinolysis. The objective of this study is to gain description of
fibrin monomer levels and it was a cross-sectional study 30 pregnant women with
gestational hypertension and 30 pregnant women with preeclampsia. The study
was conducted in October and November 2015. Examination of fibrin monomer
using the reagent STA-Liatest and analyzer STA Compact. Mean of fibrin
monomer in gestational hypertension was 4.61 µg/mL with standard deviation
was 0.86 µg/mL. Median of fibrin monomer in preeclampsia was 10.5 µg / mL
with range was 6.12 to 23.26 µg/mL. Fibrin monomer levels found significant
differences in gestational hypertension and preeclampsia with p <0.001.
;Hypertension is a common disorder in pregnancy. Approximately 70% of
pregnant women is gestational hypertension and preeclampsia. Endothelial
dysfunction in preeclampsia causes the endothelial surface of the nonthrombogenic
be thrombogenic so it can activated coagulation. Preeclampsia
increase hypercoagulability state in normal pregnancy. Gestational hypertension is
a hypertension in pregnancy who do not meet the criteria of preeclampsia. Nearly
half of patients with gestational hypertension develop into preeclampsia. Fibrin
monomers are used for coagulation activation marker on the prethrombotic state
therefore formed before on hypercoagulability state hiperkoagulabel than D-dimer
formed after fibrinolysis. The objective of this study is to gain description of
fibrin monomer levels and it was a cross-sectional study 30 pregnant women with
gestational hypertension and 30 pregnant women with preeclampsia. The study
was conducted in October and November 2015. Examination of fibrin monomer
using the reagent STA-Liatest and analyzer STA Compact. Mean of fibrin
monomer in gestational hypertension was 4.61 µg/mL with standard deviation
was 0.86 µg/mL. Median of fibrin monomer in preeclampsia was 10.5 µg / mL
with range was 6.12 to 23.26 µg/mL. Fibrin monomer levels found significant
differences in gestational hypertension and preeclampsia with p <0.001.
;Hypertension is a common disorder in pregnancy. Approximately 70% of
pregnant women is gestational hypertension and preeclampsia. Endothelial
dysfunction in preeclampsia causes the endothelial surface of the nonthrombogenic
be thrombogenic so it can activated coagulation. Preeclampsia
increase hypercoagulability state in normal pregnancy. Gestational hypertension is
a hypertension in pregnancy who do not meet the criteria of preeclampsia. Nearly
half of patients with gestational hypertension develop into preeclampsia. Fibrin
monomers are used for coagulation activation marker on the prethrombotic state
therefore formed before on hypercoagulability state hiperkoagulabel than D-dimer
formed after fibrinolysis. The objective of this study is to gain description of
fibrin monomer levels and it was a cross-sectional study 30 pregnant women with
gestational hypertension and 30 pregnant women with preeclampsia. The study
was conducted in October and November 2015. Examination of fibrin monomer
using the reagent STA-Liatest and analyzer STA Compact. Mean of fibrin
monomer in gestational hypertension was 4.61 µg/mL with standard deviation
was 0.86 µg/mL. Median of fibrin monomer in preeclampsia was 10.5 µg / mL
with range was 6.12 to 23.26 µg/mL. Fibrin monomer levels found significant
differences in gestational hypertension and preeclampsia with p <0.001.
"
Fakultas Kedokteran Universitas Indonesia, 2016
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Santi Ayu Lestari
Asuhan keperawatan pada lansia dengan masalah risiko kerusakan fungsi kardiovaskuler melalui swedish massage = Nursing care in elderly at risk for impaired cardiovascular function through swedish massage / Santi Ayu Lestari
"ABSTRAK
Masalah risiko kerusakan fungsi kardiovaskuler semakin meningkat pada lansia yang tinggal di area perkotaan. Lansia di institusi perawatan jangka panjang termasuk populasi yang memiliki risiko tinggi terhadap masalah kardiovaskuler. Studi kasus ini bertujuan untuk menggambarkan hasil intervensi swedish massage yang dilakukan pada lansia dengan masalah risiko kerusakan fungsi kardiovaskuler. Pemberian intervensi swedish massage dilakukan sebanyak 12 sesi selama 5 minggu dalam durasi 10 menit. Hasil intervensi menunjukkan terjadi penurunan pada tekanan darah sistolik dan diastolik sebanyak 6 dan 5,8 mmHg. Hal ini menunjukkan bahwa swedish massage merupakan intervensi yang efektif, aplikatif, berbiaya efisien, dan aman yang dapat digunakan dalam menurunkan tekanan darah pada lansia dengan risiko kerusakan fungsi kardiovaskuler. Studi ini menyarankan untuk pengaplikasian swedish massage dalam mengoptimalkan perawatan lansia dengan hipertensi di institusi perawatan jangka panjang.
ABSTRACT
The risk for impaired cardiovascular function increased in elderly in urban areas. Elderly in long term care institutions including populations at high risk for cardiovascular problems. This case study aims to describe the results of swedish massage interventions conducted in the elderly with the risk of impaired cardiovascular function. This intervention performed a total of 12 sessions over 5 weeks in duration of 10 minutes. The results of the intervention showed a decrease in systolic and diastolic blood pressure by 6 and 5.8 mmHg. This findings revealed that the swedish massage is an effective, applicable, cost efficient, and safe intervention, which can be used to lower blood pressure in older adults with risk for impaired cardiovascular functions. This study suggested for the application of swedish massage in optimizing treatment for the elderly with hypertension in long-term care institutions."
2016
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Hanifah Ardiani
Risk factors of hypertension in menopausal women in Rejomulyo, Madiun
"Hypertension is a state of blood pressure ≥140 mmHg (systolic) or ≥90 mmHg (diastolic). Incidence of women
hypertension in Rejomulyo from January to November 2013 reached 28.4%, in which 87% were menopausal. Risk
factors increased since early menopausal period. The aim of the study was to analyze risk factors of hypertension in
menopausal women in Rejomulyo, Madiun. An observational analysis was conducted with cross-sectional study design.
Samples were 90 menopausal women aged 50-80 years using stratified random sampling. Bivariate analysis showed
association between obesity (p=0.023;CI: 1.4-116.8), abdominal obesity (p=0.002;CI: 1.8-24.9), family history
suffering of hypertension (p=0.018;CI: 1.2-7.1), elderly age (p =0.028;CI: 1.2-12.9), high stress level (p=0.001;CI: 2.9-
19.4) and often natrium consumption (p=0.001;CI: 2.4-15.2). Multivariate analysis showed that risk factors of
hypertension were abdominal obesity (POR adj=9.2 CI: 1.7-50.9), elderly age or >65 years old (POR adj=8.6;CI: 1.6-
45.1), high stress level (POR adj=8.6;CI: 2.6-28.3) and often natrium consumption (POR adj=6.4;CI: 1.9-20.5). This
study found that risk factors of hypertension were abdominal obesity, elderly age (>65 years old), high stress level, and
high natrium consumption. Tawangrejo Health Center should be in collaboration with relevant sectors such as the PKK
and health cadres.
Faktor Risiko Hipertensi pada Wanita Menopause di Rejomulyo, Madiun. Hipertensi merupakan keadaan dimana
tekanan darah ≥140 mmHg (sistolik) atau ≥90 mmHg (diastolik). Kejadian hipertensi pada wanita di Rejomulyo pada
bulan Januari-November 2013 mencapai 28,4%, dimana 87% dari jumlah tersebut merupakan wanita menopause.
Faktor risiko meningkat sejak periode awal menopause. Tujuan dari penelitian ini adalah untuk menganalisis faktorfaktor
risiko hipertensi pada wanita menopause di Rejomulyo, Madiun. Analisis pengamatan dilakukan dengan desain
studi cross-sectional. Sampel studi adalah 90 wanita menopause berusia 50-80 tahun yang dipilih dengan stratified
random sampling. Analisis bivariat menunjukkan adanya hubungan antara obesitas (p=0,023;CI: 1,4-116,8), obesitas
abdominal (p=0,002;CI: 1,8-24,9), riwayat keluarga dengan hipertensi (p=0,018;CI: 1,2-7,1), usia lanjut (p=0,028;CI:
1,2-12,9), tingkat stres yang tinggi (p = 0,001;CI: 2,9-19,4), dan konsumsi natrium yang tinggi (p=0,001 CI: 2,4-15,2).
Analisis multivariat menunjukkan bahwa faktor risiko hipertensi adalah obesitas abdominal (POR adj=9,2;CI: 1,7-50,9),
usia tua atau >65 tahun (POR adj=8,6;CI: 1,6-45,1), tingkat stres tinggi (POR adj=8,6;CI: 2,6-28,3) dan konsumsi
natrium yang tinggi (POR adj=6,4;CI: 1,9-20,5). Studi ini menemukan bahwa faktor risiko hipertensi adalah obesitas
abdominal, usia tua (>65 tahun), tingkat stres yang tinggi, dan konsumsi natrium yang tinggi. Pusat Kesehatan
Tawangrejo harus bekerja sama dengan berbagai sektor relevan seperti PKK dan kader kesehatan."
Universitas Diponegoro. Faculty of Public Health, 2015
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