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Abstrak :
[ABSTRAK
Latar Belakang.Pekerja yang terkena paparan panas selama bekerja dapat menyebabkan kelelahan jika asupan cairan tidak cukup. Pekerja laki-laki di bagian fabrikasi dan persiapan bahan terpapar panas dalam bekerja sehingga berisiko mengalami kelelahan.Memastikan bahwa pekerja dalam lingkungan panas cukup terhidrasi dengan baik adalah salah satu cara yang paling efektif untuk melindungi kesehatan dan keselamatan kerja, serta meningkatkan produktivitas.Penelitian ini bertujuan mengkaji pengaruh konsumsi minimal 2 liter air minum dalam 8 jam terhadap penurunan kelelahan kerja akibat terpapar tekanan panas. Metode Penelitian.Desain penelitian one group before and after design, dengan intervensi pemberian air minum minimal 2 liter dalam 8 jam kerja pada pekerja. Subjek berjumlah 34 orang. Subyek mempunyai kriteria inklusi masa kerja ≥ 1 tahun dan tidak mempunyai riwayat penyakit diabetes, paru, ginjal, darah dan jantung. Kriteria ekslusinya adalah tidak dalam kondisi sakit ≤ 1 bulan terakhir. Pengumpulan data dilakukan dengan wawancara menggunakan kuesioner, pengamatan intervensi, dan kelelahan diukur menggunakan alat reaction timer. Hasil. Hasil pengukuran tekanan panas rata-rata pada bagian fabrikasi dan persiapan bahan yaitu 32,9OC ISBB, RH 61,8%. Rerata kecepatan waktu reaksi sebelum bekerja adalah 253,6 mili detik sedangkan rerata kecepatan waktu reaksi setelah bekerja adalah 235.3 mili detik. Hal ini menunjukkan adanya penurunan. Dari hasil analisis perbedaan kecepatan reaksi sebelum dan sesudah intervensi menggunakan Wilcoxon test, didapat hasil signifikan (0,011 < 0,005). Untuk mengetahui penurunan kelelahan akibat intervensi dianalisis dengan Rank Pearson test, didapat hasil signifikan dengan kekuatan korelasi sedang (p=0,000, r= -0,616). Kesimpulan.Hipotesis terbukti bahwa pemberian air minum minimal 2 liter dalam 8 jam memberikan efek positif terhadap penurunan kelelahan kerja pada pekerja laki-laki di PT.P. Perusahaan perlu menyediakan air minum dalam kuantitas cukup dan pekerja disarankan minum air mineral lebih dari 2 liter dalam 8 jam untuk mengganti cairan yang hilang karena lingkungan panas.

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ABSTRACT
Background. Workers who are exposed to heat exposure during work can cause fatigue if fluid intake is not sufficient. Male workers at the fabrication and preparation of materials exposed to heat in the work so that risk of fatigue. Ensuring that workers in hot environments pretty well hydrated is one of the most effective ways to protect the health and safety, and increase productivity. This study aimed to assess the effect of consumption of drinking at least 2 liters of water in 8 hours to decrease fatigue caused by exposure to heat stress. Research Methods. The study design one group before and after design, with intervention giving at least 2 liters of drinking water within 8 hours of work on workers exposed to heat stress. Subject totaling 34 people. Subject inclusion criteria have tenure ≥ 1 year and had no history of diabetes, lung, kidney, blood and heart. Ekslusinya criteria is not in a state hospital last month ≤ 1. Data was collected through interviews using questionnaires, observations of the intervention, and fatigue were measured using a reaction timer. Results. The results of measurements of the average heat stress on the fabrication and preparation of materials WBGT is 32.9 OC, 61.8% RH. The mean speed of reaction time before the work is 253,6 milli seconds while the average speed of the reaction time after work is 235,3 milliseconds. This indicates a decrease. From the analysis of the reaction speed difference before and after the intervention using the Wilcoxon test, the result was significant (0.011 <0.005). To determine the reduction in fatigue due to the intervention were analyzed with Pearson Rank test, the results obtained with the strength of the correlation was significant (p = 0.000, r = -0.595). Conclusion. Hypothesis proved that the administration of at least 2 liters of drinking water within 8 hours giving a positive effect on the reduction in fatigue work on male workers in PT.P. Companies need to provide drinking water in sufficient quantity and workers are advised to drink mineral water more than 2 liters in 8 hours to replace fluids lost due to environmental heat. ;Background. Workers who are exposed to heat exposure during work can cause fatigue if fluid intake is not sufficient. Male workers at the fabrication and preparation of materials exposed to heat in the work so that risk of fatigue. Ensuring that workers in hot environments pretty well hydrated is one of the most effective ways to protect the health and safety, and increase productivity. This study aimed to assess the effect of consumption of drinking at least 2 liters of water in 8 hours to decrease fatigue caused by exposure to heat stress. Research Methods. The study design one group before and after design, with intervention giving at least 2 liters of drinking water within 8 hours of work on workers exposed to heat stress. Subject totaling 34 people. Subject inclusion criteria have tenure ≥ 1 year and had no history of diabetes, lung, kidney, blood and heart. Ekslusinya criteria is not in a state hospital last month ≤ 1. Data was collected through interviews using questionnaires, observations of the intervention, and fatigue were measured using a reaction timer. Results. The results of measurements of the average heat stress on the fabrication and preparation of materials WBGT is 32.9 OC, 61.8% RH. The mean speed of reaction time before the work is 253,6 milli seconds while the average speed of the reaction time after work is 235,3 milliseconds. This indicates a decrease. From the analysis of the reaction speed difference before and after the intervention using the Wilcoxon test, the result was significant (0.011 <0.005). To determine the reduction in fatigue due to the intervention were analyzed with Pearson Rank test, the results obtained with the strength of the correlation was significant (p = 0.000, r = -0.595). Conclusion. Hypothesis proved that the administration of at least 2 liters of drinking water within 8 hours giving a positive effect on the reduction in fatigue work on male workers in PT.P. Companies need to provide drinking water in sufficient quantity and workers are advised to drink mineral water more than 2 liters in 8 hours to replace fluids lost due to environmental heat. , Background. Workers who are exposed to heat exposure during work can cause fatigue if fluid intake is not sufficient. Male workers at the fabrication and preparation of materials exposed to heat in the work so that risk of fatigue. Ensuring that workers in hot environments pretty well hydrated is one of the most effective ways to protect the health and safety, and increase productivity. This study aimed to assess the effect of consumption of drinking at least 2 liters of water in 8 hours to decrease fatigue caused by exposure to heat stress. Research Methods. The study design one group before and after design, with intervention giving at least 2 liters of drinking water within 8 hours of work on workers exposed to heat stress. Subject totaling 34 people. Subject inclusion criteria have tenure ≥ 1 year and had no history of diabetes, lung, kidney, blood and heart. Ekslusinya criteria is not in a state hospital last month ≤ 1. Data was collected through interviews using questionnaires, observations of the intervention, and fatigue were measured using a reaction timer. Results. The results of measurements of the average heat stress on the fabrication and preparation of materials WBGT is 32.9 OC, 61.8% RH. The mean speed of reaction time before the work is 253,6 milli seconds while the average speed of the reaction time after work is 235,3 milliseconds. This indicates a decrease. From the analysis of the reaction speed difference before and after the intervention using the Wilcoxon test, the result was significant (0.011 <0.005). To determine the reduction in fatigue due to the intervention were analyzed with Pearson Rank test, the results obtained with the strength of the correlation was significant (p = 0.000, r = -0.595). Conclusion. Hypothesis proved that the administration of at least 2 liters of drinking water within 8 hours giving a positive effect on the reduction in fatigue work on male workers in PT.P. Companies need to provide drinking water in sufficient quantity and workers are advised to drink mineral water more than 2 liters in 8 hours to replace fluids lost due to environmental heat. ]

Abstrak :
ABSTRAK Latar Belakang : Bagi para pekerja yang beraktivitas diluar ruangan dan siang hari tentu akan rentan terhadap keadaan yang disebut Heat Stress akibat pajanan panas. Jika kemampuan tubuh berkurang dalam rangka menurunkan suhu inti tubuh, maka akan membuat beberapa gangguan kesehatan bagi para pekerja. Asupan cairan yang cukup akan membuat pekerja lebih tahan terhadap dampak Heat Stress. Salah satu cara melihat kecukupan cairan tubuh adalah dengan melihat Status Hidrasi. Status Hidrasi dapat dilihat dengan mengukur Berat Jenis Urin. Penelitian ini bertujuan untuk melihat Status Hidrasi pada pekerja Land Seismic serta melihat faktor-faktor yang mempengaruhi Status Hidrasi serta ketaatan pekerja terhadap kebijakan perusahaan mengenai konsumsi air selama bekerja. Metode : Penelitian ini menggunakan desain Cross Sectional dengan jumlah sampel sebanyak 68 orang yang dipilih berdasarkan total sampel (1unit pekerja). Pengumpulan data dilakukan dengan cara wawancara, kuesioner, pemeriksaan fisik (Tinggi dan Berat Badan), pengukuran suhu lingkungan, dan pengukuran Berat Jenis Urin di akhir shift kerja. Pengukuran Berat Jenis Urin dilakukan dengan menggunakan Hand Refractometer. Analisis data dilakukan dengan menggunakan Chi Square. Hasil : Prevalensi Status Hidrasi yang TIDAK BAIK pada pekerja di akhir shift sebesar 42%. Faktor-faktor yang mempengaruhi status hidrasi (Umur, Indeks Masa Tubuh, Asupan Cairan, Lama Kerja) yang diteliti tidak memiliki hubungan yang signifikan dengan Status Hidrasi. Selain itu, tingkat kepatuhan pekerja terhadap kebijakan perusahaan sangat rendah yaitu hanya 1,2% pekerja yang patuh terhadap kebijakan perusahaan.

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ABSTRACT Background : For workers who work outdoors and during the day would be prone to a condition called Heat stress due to heat exposure. If the ability of the body is reduced in order to lower the body's core temperature, it will create some health problems for workers. Adequate fluid intake will make workers more resistant to the effects of Heat Stress. One way to look at the adequacy of body fluids is to look Hydration Status. Hydration status can be seen by measuring Urine Specific Gravity. This study aims to look at Land seismic workers' hydration status and look at factors that affect the hydration status and also want to see workers adherences against company policy regarding the consumption of water during work. Methode : This research using Cross Sectional design with 68 samples (total samples) . Data collected by interview, quesioners, physical check (body weight and Height), working enviroment temperature measurement, and Urin specific gravity measurement. Measurement of urine specific gravity using Hand- refractometer. Data analysed using Chi Square. Result : The prevalence of hydration status is that classified as NOT GOOD (≥1.020) at end of shift at 42%. Factors that affect the hydration status (age, body mass index, intake of liquids, work time status) studied did not have a significant relation with the hydration status. In addition, the level of compliance of workers against company policy is very low at only 1.2% of workers who adhere to company policies.

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ABSTRAK
Penelitian ini bertujuan menganalisis pengaruh tekanan panas terhadap fisiologis dan psikologis pekerja di PT XYZ Tahun 2016. Unit usaha utama PT XYZ yakni part otomotif dengan kegiatan press & welding. Respon fisiologis pekerja welding terhadap tekanan panas yakni peningkatan suhu, denyut nadi dan perubahan nilai berat jenis urine. Nilai Indeks tekanan panas dengan ISBB melebihi nilai ambang. Nilai Indeks Thermal Work Limit berada pada area tidak berbahaya. Analisis data dengan uji t dependent dan independent, didapatkan nilai p< 0,005. Keluhan subyektif pekerja welding sebagai respon psikologis. Yakni adanya rasa haus, kulit berkeringat/lembab, adanya biang keringat, kejang/kram otot selaras dengan hasil pengukuran yakni adanya peningkatan denyut nadi, suhu dan berat jenis urin

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ABSTRACT
This study aimed to analyze the effect of heat stress on the physiological and psychological workers at PT XYZ Year 2016. The business unit of PT XYZ namely automotive parts with the activities of the press and welding. Welding worker's physiological response to heat stress that an increase in temperature, pulse and urine specific gravity value changes. Heat stress index value with WBGT exceeds the threshold value. Thermal Work Limit Value Index is in the area is not dangerous. Data were analyzed by dependent and independent t test, p value <0.005. Subjective complaints of workers welding as a psychological response. Namely their thirst, skin sweat / moisture, their prickly heat, cramps / muscle cramps in tune with the measurement results to an increase in pulse rate, temperature and specific gravity of urine.

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PT. Cibaliung Sumberdaya PT. CSD merupakan perusahaan tambang bawah tanah underground dalam bidang pertambangan emas. Salah satu hazard di tambang ini adalah heat stress tekanan panas yang bersumber dari alat-alat dan mesin yang digunakan, proses produksi, metabolik pekerja, dan lingkungan. Hasil penilaian Basic Thermal Risk Assessment yang dilakukan peneliti diperoleh bahwa nilai skor Basic Thermal Risk Assessment Heat Stress underground PT.CSD > 60 lebih dari 60 , dengan demikian underground PT. CSD berada dalam kategori dengan rekomendasi 'timbulnya penyakit akibat panas sangat mungkin dan tindakan harus diambil sesegera mungkin untuk menerapkan kontrol' AIOH, 2013 . Dilakukan kajian untuk menilai keberhasilan pengendalian Heat Stress dan menilai apakah pengendalian yang dilakukan telah sesuai dengan standar yang ada. Desain penelitian yang digunakan adalah deskriptif kualitatif dimana pengumpulan data penelitian menggunakan pengumpulan data primer dan data sekunder. Penelitian ini menggambarkan Pengendalian Teknik Engineering Control yang dilakukan belum ideal, belum memadai, dan atau belum dapat menanggulangi Heat Stress. Dalam Pengendalian Administrasi Administratif Control , belum dilakukan aklimatisasi dan pelatihan. Perlu segera dilakukan perbaikan kondisi ventilasi tambang sebagai satu-satunya upaya Engineering Control dan kontrol utama pengendalian Heat Stress dan rekomendasi untuk dapat dibuat program khusus pengendalian Heat Stress. ......PT. Cibaliung Sumberdaya PT CSD is an underground mining company in the field of gold mining. Heat stress is one of hazard that comes from the tools and machinery used, production process, worker 39 s metabolism, and the working environment. The result of Basic Thermal Risk Assessment found that underground PT. CSDs are in the category with recommendations on the incident of Heat Strain Heat Related Injury is very possible and action should be taken as soon as possible to implement the control, because the result Basic Thermal Risk Assessment score more than 60 point AIOH, 2013 . A review was conducted to assess the success of Heat Stress control and assess whether the controls were in accordance with existing standards. The research design used is qualitative descriptive with data collection using primary data and secondary data. This research describes the Engineering Control that is done not yet ideal, not yet adequate, and or not yet able to cope with Heat Stress. In Administrative Control, there has been no acclimatization and training. Needs to be done immediately improvement in mine ventilation conditions as an Engineering Control as the main control of Heat Stress and recommendation to create a special program for control Heat Stress.

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Proyek konstruksi tidak terhindarkan dengan risiko pajanan panas pada setiap aktivitasnya. Berdasarkan hasil investigasi kecelakaan yang terjadi, disebabkan karena pekerja tidak fokus dan lelah saat bekerja pada siang hari. Studi ini menganalisis faktor kelelahan dan kewaspadaan akibat panas dengan potensi kecelakaan kerja yang timbul dari tindakan tidak aman saat panas pada proyek konstruksi PT X. Desain penelitian yang digunakan dalam penelitian ini adalah cross sectional. Populasi berjumlah 150 pekerja, sampel yang diambil adalah random sampling dengan total 121 pekerja. Pengumpulan data responden menggunakan kuesioner. Analisis data menggunakan uji Chi-Square. Hasil penelitian ini adalah 51% pekerja berpotensi mengalami kecelakaan atau cidera akibat tindakan tidak aman saat terik. Beban kerja, kejadian tekanan panas, keluhan subyektif berhubungan dengan kelelahan akibat panas (p value 0,05). Dari penelitian ini dapat disimpulkan Kelelahan dan kewaspadaan berhubungan dengan potensi kecelakaan (p value <0,05). Diharapkan manajemen perusahaan melakukan harus menetapkan instruksi kerja pengendalian pajanan panas yang meliputi identifikasi risiko, rencanan pengendalian, pemenuhan sarana dan prasarana pengendalian pajanan panas dan edukasi pekerja secara rutin. ...... Construction projects are unavoidable with the risk of heat exposure in every activity.Based on accident investigation, the accidents was caused by workers not being focused and tired while working during the day. This study analyzes the factors of fatigue and alertness due heat stress with potential accidents arising from unsafe actions when heat exposure on Dam construction project PT. X. The research design used in this study is cross-sectional. The population is 150 workers, and sample taken is random sampling with 121 workers . Respondent data collection using a questionnaire. Data analysis used the Chi-Square test. The results of this study are that 51% of workers have the potential to accidents or injuries due to unsafe actions when exposed to heat. Workload, heat stress events, subjective complaints related to fatigue (p value 0.05). From this study it can be concluded that fatigue and alertness are associated with potential accidents (p value <0.05). Management of the company must establish work instruction for controlling heat exposure which includes risk identification, control plans, control facilities and infrastructure, and routine education project workers.

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Tingginya dampak fisiologis akibat tekanan panas telah terjadi pada pekerja Proyek Jabodebek LRT Depo Jatimulya salah satunya adalah gangguan pada fungsi organ tertentu dalam tubuh (heat related illness) dimana pekerja mengeluhkan cuaca panas jika di siang hari yang menyebabkan 7 (tujuh) pekerja diantaranya pusing dan 3 (tiga) pekerja lainnya mengeluhkan cepat haus. Penelitian ini bertujuan untuk menganalisis hubungan antara tekanan panas dan keluhan subjektif pada pekerja proyek LRT Jabodebek Depo Jatimulya, baik outdoor (area lintasan) maupun indoor (OCC Building) sebanyak 185 responden. Penelitian ini bersifat kuantitatif dengan menggunakan desain studi cross sectional dan menggunakan data sekunder yang dikumpulkan selama periode Agustus-Desember 2021. Hasil penelitian didapatkan bahwa mayoritas responden bekerja dengan nilai WBGT lebih dari NAB (67,0%) dan mengalami keluhan subyektif berat (73,5%). Dimana variabel temperatur udara (p-value = 0,000), kelembaban udara (p-value = 0,000), beban kerja (p-value = 0,001), pakaian kerja (p-value = 0,001), dan indeks tekanan panas (pvalue = 0,000), memiliki hubungan yang signifikan dengan keluhan subyektif. Sedangkan kecepatan aliran udara (p-value = 0,240) tidak memiliki hubungan yang signifikan dengan keluhan subyektif. Didukung dengan hasil pemodelan akhir, bahwa variabel indeks tekanan panas merupakan faktor yang paling dominan berhubungan dengan keluhan subyektif (OR 4,191). Diharapkan kedepannya perusahaan melakukan pengendalian teknik, pengendalian administratif, dan pengendalian personal, untuk meminimalisir risiko kejadian keluhan subyektif kepada para pekerja ......Heat stress has had a large physiological impact on workers in Jabodebek Depo Jatimulya Light Rail Transit (LRT) Construction Project, one of which is a disruption in the function of certain organs in the body, where workers complain of hot weather during the day, which leads 7 (seven) workers had dizziness and 3 (three) other workers complain of thirst.The purpose of this study is to examine the association between workers' subjective complaints due to heat exposure among 185 workers, both outdoors and indoors. This study is quantitative research using a cross-sectional study design, primary and secondary data gathered between August and December 2021.The results showed that the majority of respondents worked with WBGT values of more than threshold values (67.0%) and experienced severe subjective complaints (73.5%). The air temperature (p-value = 0,000), air humidity (p-value = 0,000), workload (p-value = 0.001), workwear (p-value = 0.001), and heat pressure index (p-value = 0,000) have a significant relationship with subjective complaints, while the velocity of air flow (p-value = 0.240) does not. It is supported by the results of the final modeling that the heat pressure index variable is the most dominant factor related to subjective complaints (OR 4,191).It is hoped that in the future, the corporation will implement technical, administrative, and personal controls to reduce the likelihood of subjective complaints from employees.

Abstrak :
Kombinasi dari faktor lingkungan kerja, faktor pekerjaan, faktor pakaian, serta faktor karakteristik individu dapat menyebabkan tekanan panas (heat stress) bagi pekerja water blasting dan AFR di area preheater industri semen PT.X. Tekanan panas memiliki potensi untuk menyebabkan gangguan kesehatan (heat related disorders) yang diawali respon fisiologis tubuh (heat strain) berupa gejala yang dirasakan secara subjektif oleh responden. Penelitian ini menggunakan metode observasional dengan pendekatan cross-sectional. Dari hasil penelitian ini diketahui bahwa terdapat 24 pekerja (100%) water blasting dan 19 pekerja AFR (52,8%) mengalami tekanan panas. Hasil penelitian juga menunjukkan bahwa terdapat 7 keluhan yang dirasakan oleh >50% responden yaitu banyak mengeluarkan keringat (100%), merasa cepat haus (100%), kulit terasa panas (83,3%), merasa cepat lelah (66,7%), lemas (66,7%), tidak nyaman (65%), dan merasa pusing atau berkunang-kunang (51,7%). Berdasarkan hal tersebut, perlu dilakukan pengendalian baik secara teknis, administratif, maupun personal untuk meminimalisasi keluhan dan risiko kesehatan akibat tekanan panas. ......The combination of environment and work factor, clothing, and individual's characteristic could generate heat stress for water blasting and AFR workers at preheater industry cement PT.X. Heat stress has the potential to cause heat related disorders which started with physiological responses (heat strain) manifested in workers`s subjective complaints. This study used observational method with cross sectional study design. This study showed that 24 water blasting workers (100%) and 19 AFR workers (52,8%) experienced heat stress. The study also showed that seven complaints felt by >50% are sweating (100%), feeling thirsty gradually (100%), skin feels hot (83,3%), feeling tired (66,7%), limp (66,7%), feel uncomfortable while working (65%) and dizziness (51,7%). Therefore, effort such as engineering control, administrative control, and personal protective equipment are needed to minimize the subjective complaints and adverse health effect of heat stress.

Abstrak :
Konstruksi adalah salah satu pekerjaan paling berisiko yang dipengaruhi oleh gangguan dengan paparan stres panas. Stres akibat panas berasal dari kombinasi suhu lingkungan tempat kerja, metabolisme tubuh pekerja, pakaian kerja, dan karakteristik pekerja. Penelitian ini adalah penelitian kuantitatif dengan studi cross-sectional yang dilakukan pada bulan April-Mei 2019 dengan 181 responden. Hasilnya menunjukkan bahwa indeks WBGT luar ruangan berkisar antara 25,3°C hingga 36,8°C. Setelah dibandingkan dengan PERMENKES nomor 70 pada tahun 2016, ditemukan bahwa 100% pekerja mengalami stres akibat panas. Hasil kuesioner menunjukkan 174 responden (96%) mengalami setidaknya satu keluhan kesehatan, dengan keluhan tertinggi banyak berkeringat (92,3%). Hasil pengukuran efek fisiologis menunjukkan bahwa ada hubungan yang signifikan antara tekanan darah, denyut nadi, saturasi oksigen, dan suhu tubuh antara sebelum bekerja dengan setelah bekerja (nilai p <0,05). Berdasarkan hasil, manajemen proyek disarankan untuk melakukan berbagai upaya dalam mengendalikan stres panas, untuk meminimalkan dampak gangguan panas pada pekerja. ......Construction is one of the most risky jobs that is affected by interference with heat stress exposure. Stress due to heat comes from a combination of workplace environmental temperature, worker's metabolism, work clothes, and worker characteristics. This research is a quantitative study with a cross-sectional study conducted in April-May 2019 with 181 respondents. The results show that the outdoor WBGT index ranges from 25.3°C to 36.8°C. After comparing with PERMENKES number 70 in 2016, it was found that 100% of workers experienced heat stress. The results of the questionnaire showed 174 respondents (96%) experienced at least one health complaint, with the highest number of complaints sweating (92.3%). The results of measurement of physiological effects showed that there was a significant relationship between blood pressure, pulse, oxygen saturation, and body temperature between before work and after work (p value <0.05). Based on the results, project management is advised to make various efforts in controlling heat stress, to minimize the impact of heat disruption on workers.

Abstrak :

Tekanan panas dapat mempengaruhi fungsi tubuh manusia, seperti tekanan darah, kecepatan denyut jantung ataupun nadi, ketahanan fisik, dan daya konsentrasi. Pada waktu melakukan pekerjaan fisik, darah akan mendapatkan beban tambahan karena harus membawa oksigen ke bagian otot yang sedang bekerja. Selain itu juga harus membawa panas dari dalam tubuh ke permukaan kulit. Hal tersebut merupakan beban tambahan bagi jantung harus memompa darah lebih banyak lagi. Penelitian ini betujuan untuk menganalisis tekanan panas, karakteristik (usia, masa kerja, durasi kerja, riwayat keturunan tekanan darah tinggi, indeks masa tubuh, aktivitas fisik), dan perilaku pekerja (penggunaan APD, kebiasaan merokok, kebiasaan minum alkohol, status hidrasi) dengan tekanan darah tinggi. Rancangan penelitian yang digunakan dalam penelitian adalah cross sectional pada 60 responden di unit water pump. Hasil uji chi square menunjukkan bahwa terdapat hubungan yang signifikan antara tekanan panas (P value 0,012 ; OR 9,545 ; 95% CI 1,627-55,989) dan riwayat keturunan tekanan darah dengan tekanan darah tinggi (P value 0,001 ; OR 25,8 ; 95% CI 2,785-238,985).

Kata Kunci:Tekanan Panas, Tekanan Darah Tinggi, Iklim Kerja

 

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Heat stress can affect human body functions, such as blood pressure, heart rate or pulse, physical endurance, and concentration. When workers are doing physical endurance, blood will geat an additional burden because they have to carry oxygen to the muscles that are working. It also carry heat from the body to the surface of the skin. This is an additional burden for the heart to pump more more blood. This study aims to analyze heat stress, characteristics (age, work period, work duration, history of hereditary high blood pressure, body mass index, and physical activity) and worker behavior (personal protective equipment, smoking habits, alcohol drinking habits, hyration status) with high blood pressure. The research design used a cross-sectional on the 60 workers at Water Pump. Chi square test results showed that there was a significant relationship between heat stress (P value 0,012 ; OR 9,545 ; 95% CI 1,627-55,989) and heritary history of blood pressure with blood pressure  (P value 0,001 ; OR 25,8 ; 95% CI 2,785-238,985).

Keyword: Heat Stress, High Blood Pressure, Work Climate

 

Abstrak :
ABSTRAK
Dunia industri erat dengan kegiatan proses produksi yang berhubungan dengan mesin dan ruangan kerja yang menghasilkan panas. Pajanan terhadap pekerja yang terus berlanjut, akan mengakibatkan penurunan produktifitas kerjadan terjadi peningkatan resiko gangguan kesehatan. Penelitian ini bertujuan menganalisis pengaruh tekanan panas terhadap kondisi fisiologis dan psikologis pada pekerja di PT. XYZ tahun 2017. PT. XYZ bergerak di bidang pertambangan emas bawah tanah. Respon fisiologis pekerja PT. XYZ terhadap tekanan panas dilihat berdasarkan adanya peningkatan suhu, denyut nadi dan perubahan nilai berat jenis urin dan respon psikologis pekerja dilihat dari keluhan subyektif yang muncul. Hasil pengukuran indeks tekanan panas diketahui sebanyak 62 responden 73.8 mengalami tekanan panas dan sisanya sebanyak 22 responden 26.2 tidak mengalami tekanan panas. Hasil uji statistik chi-square dengan p value>0,05 diketahui tekanan panas tidak memiliki hubungan yang bermakna dengan peningkatan suhu tubuh (p=0,785), peningkatan denyut nadi (p=0.867), statushidrasi (p=0.280) dan keluhan subyektif (p=0.221).

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ABSTRACT
The industrial world is closely linked to the production-related manufacturing processes associated with heat-generating machines and workspaces. Continuous exposure of heat stress to workers will lead to decrease in work productivity and increased risk of heat related illness. This study aims to analyze the effect of heat stress on physiological and psychological conditions on PT. XYZ worker's in 2017. PT. XYZ is engaged in underground gold mining. The physiological response of PT. XYZ workers to heat stress is seen based on body temperature increase, pulse rate and urine gravity change. Psychological response of workers seen from subjective complaints that arise. The result of heat stress index measurement is known as 62 respondents (73.8%) suffering heat pressure and the remaining 22 respondents (26.2%) did not suffering heat pressure. The result of chi-square statistic test with p value> 0,05 known that hot pressure has no significant correlation with increase of body temperature (p=0,785), increase of pulse rate (p=0,867), hydration status (p=0,280) and subjective complaint (P=0.221).