Gambaran Tingkat Risiko Penyakit Kardiovaskular di Wilayah Kerja Puskesmas Mlati Sleman Yogyakarta
Vania Elysia Septiani(1), Anggi Lukman Wicaksana(2*), Eri Yanuar Akhmad Budi Sunaryo(3)
(1) Program Studi Ilmu Keperawatan, Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan, Universitas Gadjah Mada
(2) Departemen Keperawatan Medikal Bedah, Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan, Universitas Gadjah Mada
(3) Rumah Sakit Akademik Universitas Gadjah Mada Yogyakarta
(*) Corresponding Author
Abstract
Background: Cardiovascular disease is the cause of global death. A cardiovascular-diseases diagnosed person has a risk for non-lethal and lethal incidents, ranging from heart attack, stroke, and even death.
Objective: This research was aimed to obtain an overview of the risk level of cardiovascular-disease in the working area of Mlati Community Health Center Sleman, Yogyakarta.
Methods: A cross-sectional research was conducted in the working area of Mlati Community Health Center Sleman, Yogyakarta from September until October 2017. Samples were taken using a multistage cluster sampling technique with the overall subjects of 107 patients. Respondents were patients diagnosed with cardiovascular disease and aged from 40 to 79 years. The research employed WHO/ISH risk prediction chart for Indonesia (South-East Asia Region B). The prediction of cardiovascular risk level was obtained through interview concerning on demographic data, blood pressure, and cholesterol level. The results were analyzed and presented in descriptive and central tendency.
Result: Respondents were mostly female patients with an average age of 59,15 (±9,73) years. The level variances of cardiovascular risk in the next ten years were i.e. low-risk 50,47%; moderate risk 13,08%; high risk 14,02%; and very high risk 22,43%.
Conclusion: Most respondents have a low risk to experience non-lethal and lethal incidents of cardiovascular events in the next ten years.
ABSTRAK
Latar Belakang: Penyakit kardiovaskular merupakan penyebab kematian global. Individu yang terdiagnosa penyakit kardiovaskular memiliki risiko mengalami kejadian non-fatal maupun fatal, mulai dari serangan jantung, strok, dan bahkan kematian.
Tujuan: Tujuan penelitian adalah untuk mengetahui gambaran tingkat risiko penyakit kardiovaskular di wilayah kerja Puskesmas Mlati, Sleman, Yogyakarta.
Metode: Penelitian ini merupakan penelitian cross-sectional yang dilakukan di wilayah kerja Puskesmas Mlati Sleman Yogyakarta pada bulan September hingga Oktober 2017. Sampel penelitian diperoleh melalui teknik multistage cluster sampling dengan total subjek penelitian sejumlah 107 orang. Responden penelitian ini yaitu pasien yang terdiagnosis penyakit kardiovaskular dan berusia 40-79 tahun. Tingkat risiko kardiovaskular diukur menggunakan diagram WHO/ISH risk prediction chart wilayah Indonesia (South-East Asia Region B). Data yang diperlukan untuk mengisi diagram prediksi risiko kardiovaskular diperoleh melalui wawancara karakteristik responden, pengukuran tekanan darah dan kolesterol. Hasil penelitian dianalisis dan disajikan dalam tabel distribusi frekuensi.
Hasil: Responden penelitian didominasi oleh perempuan dengan rata-rata usia responden yaitu 59,15 tahun (±9,73). Tingkat risiko kardiovaskular dalam kurun waktu sepuluh tahun yang akan datang yaitu risiko rendah 50,47%; risiko sedang 13,08%; risiko tinggi 14,02%; dan risiko sangat tinggi 22,43%.
Kesimpulan: Mayoritas responden memiliki risiko rendah mengalami kejadian non-fatal dan fatal penyakit kardiovaskular dalam kurun waktu sepuluh tahun yang akan datang.
Keywords
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- Kementerian Kesehatan RI. Infodatin Pusat Data dan Informasi Kementerian Kesehatan RI: Situasi Kesehatan Jantung [Internet]. 2014. Diakses dari: http://www.depkes.go.id/download.php?file= download/pusdatin/
infodatin/infodatin-jantung.pdf - Dinas Kesehatan Daerah Istimewa Yogyakarta. Profil Kesehatan Daerah Istimewa Yogyakarta Tahun 2018.. 2018. Diakses dari: http://www.depkes.go.id.
- Rantner, B., Kollerits, B., Pohlhammer, J., Stadler, M., Lamina, C., Peric, S., et al. The Fate of Patients with Intermittent Claudication in The 21st Century Revisited – Results from The CAVASIC Study. Scientific Reports. 2017; 7: 45833. http://doi.org/10.1038/srep45833
- WHO. Prevention of Cardiovascular Disease; Guidelines for Assessment and Management of Cardiovascular Risk [Internet]. 2007a. Diakses dari: www.who.int/cardiovascular_diseases/guidelines/Full text.pdf
- WHO. Prevention of Cardiovascular Disease; Pocket Guidelines for Assessment and Management of Cardiovacular Risk. 2007b. Diakses dari: http://ish-world.com/downloads/activities/PocketGL_ENGLISH_SEAR-B-D.pdf
- Ofori, S. N., Odia, O.J. Risk Assessment in The Prevention of Cardiovascular Disease in Low-Resource Settings. Indian Heart Journal. 2015;68(3):391–398. DOI: http://doi.org/10.1016/j.ihj.2015.07.004
- Kementerian Kesehatan RI. Data Dasar Puskesmas. 2013. Diakses dari: http://www.depkes.go.id/
resources/download/pusdatin/data-dasar-puskesmas/00.%20Data%20Dasar%20Puskesmas%20-%20
Pengantar.pdf - Badan Pusat Statistik Kabupaten Sleman. Banyaknya Penduduk Menurut Jenis Kelamin dan Sex Rasio per Kecamatan di Kabupaten Sleman, 2015. 2017 [diakses pada 25 Februari 2017]. Diakses dari: https://slemankab.bps.go.id/linkTabelStatis/view/id/7
- Pemerintah Kabupaten Sleman. Karakteristik Wilayah [Internet]. 2017 [diakses pada 9 Juli 2017]. Diakses dari https://www.slemankab.go.id/profil-kabupaten-sleman/geografi/karakteristik-wilayah
- Amu, D.A. Faktor-faktor yang Berhubungan dengan Hipertensi di Wilayah Perkotaan dan Pedesaan Indonesia tahun 2013 [Internet]. 2015. Diakses dari http://repository.uinjkt.ac.id/dspace/bitstream/123456789/38070/1/
dina%20adlina%20amu-fkik.pdf - Dahlan, M.S. Besar Sampel dalam Penelitian Kedokteran dan Kesehatan (Edisi 4). Jakarta, Indonesia: Salemba Medika; 2016.
- North, B.J., Sinclair, D. A. The Intersection between Aging and Cardiovascular Disease. Circulation Research. 2012;110(8):1097–1108. DOI: http://doi.org/10.1161/circresaha.111.246876
- HEART UK- The Cholesterol Charity. Risk Factors for Coronary Heart Disease (CHD). Diakses dari https://heartuk.org.uk/files/uploads/documents/huk_fs_mfsI_riskfactorsforchd.pdf. 2014. (6-7).
- Yang, L., Li, L., Millwood, I. Y., Peters, S. A. E., Chen, Y., Guo, Y., ... Chen, Z. Age at Menarche and Risk of Major Cardiovascular Diseases: Evidence of Birth Cohort Effects from a Prospective Study of 300,000 Chinese Women. International Journal of Cardiology. 2017; 227: 497-502. DOI: 10.1016/j.ijcard.2016.10.115
- Sunita, P., Pattanayak, S. P. Phytoestrogens in Postmenopausal Indications: A Theoretical Perspective. Pharmacognosy Reviews. 2011; 5(9):41–47. DOI: http://doi.org/10.4103/0973-7847.79098
- Kubota, Y., Heiss, G., MacLehose, R. F., Roetker, N. S., Folsom, A. R. Association of Educational Attainment with Lifetime Risk of Cardiovascular Disease: The Atherosclerosis Risk in Communities Study. JAMA Internal Medicine. 2017; 177(8):1165-1172. DOI: 10.1001/jamainternmed.2017.1877.
- Zagozdzon, P., Zaborski, L., & Ejsmont, J. Survival and Cause-Specific Mortality among Unemployed Individuals in Poland during Economic Transition. Journal of Public Health. 2008; 31(1): 138–146. DOI: https://doi.org/10.1093/pubmed/fdn061
- Badan Pusat Statistik. Sensus Penduduk 2010: Umur Penduduk. 2018. Diakses pada 23 Mei 2018, dari https://sp2010.bps.go.id/
- Diniz, M. A., Tavares, D. M. S. Risk Factors for Cardiovascular Disease in Aged Individuals in A City in The State of Minas Gerais. Text Context Nursing, Florianopolis. 2013; 22 (4): 885-92
- WHO. The atlas of heart disease and stroke. Geneva: Author; 2004. DOI: https://doi.org/9241562768
- Lemstra, M., Rogers, M., Moraros, J. Income and Heart Disease: Neglected Risk Factor. Canadian Family Physician. 2015; 61(8): 698–704
- Yan, R., Li, W., Yin, L., Wang, Y., Bo, J. Cardiovascular Diseases and Risk-Factor Burden in Urban and Rural Communities in High-, Middle-, and Low-Income Regions of China: A Large Community-Based Epidemiological Study. Journal of The American Heart Association. 2017; 6. DOI: 10.1161/jaha.116.004445
- Balitbang Kemenkes RI. Riset Kesehatan Dasar. [www.depkes.go.id ]. Jakarta, Indonesia: Kementerian Kesehatan RI; 2013. Diakses dari www.depkes.go.id/resources/download/general/hasil riskesdas 2013.pdf
- Imes, C. C., Lewis, F. M. Family History of Cardiovascular Disease (CVD), Perceived CVD Risk, and Health-Related Behavior: A Review of The Literature. The Journal of Cardiovascular Nursing. 2014; 29(2):108–129. DOI: http://doi.org/10.1097/JCN.0b013e31827db5eb
- Labarthe, D. R. Epidemiology and Prevention of Cardiovascular Disease: A global challenge - 2nd ed. Jones and Bartlett Publishers. 2011
- Yamagishi, S. Cardiovascular Disease in Recent Onset Diabetes Mellitus. Journal of Cardiology. 2011;57(3):257-262. DOI: https://doi.org/10.1016/j.jjcc.2011.01.011
- American Heart Association. Cardiovascular Disease & Diabetes. [http://www.heart.org]. 2015. Diakses dari: http://www.heart.org/heartorg/conditions/more/diabetes/whydiabetesmatters/cardiovascular-disease-diabetes_
ucm_313865_article.jsp#.ws8whihubiv - Alageel, S., Wright, A. J., Gulliford, M. C. Changes in Cardiovascular Disease Risk and Behavioural Risk Factors before The Introduction of A Health Check Programme in England. Preventive Medicine. 2016;91:158-163. DOI: https://doi.org/10.1016/j.ypmed.2016.08.025
- Rapsomaniki, E., Timmis, A., George, J., Pujades-Rodriguez, M., Shah, A.D, Denaxas, S., …, Hemingway, H. Blood Pressure and Incidence of Twelve Cardiovascular Diseases: Lifetime Risks, Healthy Life-Years Lost, and Age-Specific Associations in 1.25 million people. Lancet. 2014; 383: 1899–1911. DOI: https://doi.org/10.1016/S0140-6736(14)60685-1
- Miller, M. Dyslipidemia and Cardiovascular Risk: the Importance of Early Prevention. QJM: An International Journal of Medicine. 2009;102(9):657–667. DOI: http://doi.org/10.1093/qjmed/hcp065
- Long, G. H., Cooper, A. J. M., Wareham, N. J., Griffin, S. J., Simmons, R. K. Healthy Behaviour Change and Cardiovascular Outcomes in Newly Diagnosed Type 2 Diabetes Patients - addition-Cambridge Cohort Study. Diabetes Care. 2014;37(6):1712–1720. DOI: http://doi.org/10.2337/dc13-1731
- Bansal, P., Chaudhary, A., Wander, P., Satija, M., Sharma, S., Girdhar, S., …, Gupta, V. K. Cardiovascular Risk Assessment using WHO/ISH Risk Prediction Charts in a Rural Area of North India. Journal of Research in Medical and Dental Science. 2016;4(2):127-131. DOI: 10.5455/jrmds.20164210
- Otgontuya, D., Oum, S., Buckley, B. S., Bonita, R. Assessment of Total Cardiovascular Risk using WHO/ISH Risk Prediction Charts in Three Low and Middle Income Countries in Asia. BMC Public Health. 2013;13(539):1–12. DOI: 10.1186/1471-2458-13-539.
- Smantummkul, C. Tingkat Kepatuhan Penggunaan Obat Antihipertensi pada Pasien Hipertensi di Instalasi Rawat Jalan Rumah Sakit X pada Tahun 2014. Fakultas Farmasi Universitas Muhammadiyah Surakarta. 2014. Diakses dari http://eprints.ums.ac.id/32110/9/naskah%20publikasi.p
DOI: https://doi.org/10.22146/jkkk.44259
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