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HUBUNGAN KEBIASAAN MEROKOK PEKERJA KONSTRUKSI TERHADAP CHRONIC OBSTRUCTIVE PULMONARY DISEASE Sholihah, Puput Mar'atus; Setyawan, Yuswanto
Menara Medika Vol 8, No 1 (2025): VOL 8 NO 1 SEPTEMBER 2025
Publisher : Fakultas Kesehatan Universitas Muhammadiyah Sumatera Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31869/mm.v8i1.6431

Abstract

Pendahuluan: Penyakit paru obstruktif kronis (Chronic Obstructive Pulmonary Disease/COPD) merupakan salah satu penyebab kematian utama di dunia, dengan beban penyakit yang semakin meningkat terutama pada kelompok pekerja berisiko tinggi. Pekerja konstruksi termasuk populasi yang rentan karena terpapar debu, polusi, dan faktor gaya hidup seperti kebiasaan merokok, di mana data WHO menunjukkan lebih dari 80% kasus COPD berkaitan langsung dengan paparan asap rokok. Di Indonesia, prevalensi merokok pada pekerja usia produktif, termasuk di sektor konstruksi, tetap tinggi, sehingga risiko terjadinya COPD semakin besar. Penelitian ini bertujuan untuk menganalisis hubungan antara kebiasaan merokok dan kejadian COPD pada pekerja konstruksi di Sidoarjo, serta mengukur kekuatan dan arah hubungan tersebut berdasarkan nilai signifikansi dan koefisien korelasi. Metode: penelitian ini menggunakan desain cross-sectional deskriptif dengan metode purposive sampling, mengumpulkan data menggunakan Lung Function Questionnaire (LFQ), dan dianalisis menggunakan uji Chi-Square serta uji Korelasi Spearman melalui SPSS pada 200 responden (100 perokok dan 100 bukan perokok). Hasil: penelitian menunjukkan adanya hubungan signifikan antara kebiasaan merokok dan kejadian COPD (Chi-Square, p 0,05) dengan nilai koefisien korelasi Spearman r = 0,426 yang termasuk kategori sedang dengan arah positif, menunjukkan bahwa semakin tinggi intensitas merokok, semakin besar risiko terjadinya COPD. Diskusi: Secara rinci, pekerja berusia 40–49 tahun mengalami gejala COPD 15% lebih sering dibanding kelompok usia lainnya, lama merokok 10–20 tahun meningkatkan risiko COPD sebesar 22%–38%, dan konsumsi lebih dari 5 batang rokok per hari meningkatkan risiko COPD sebesar 22,5%–27,5% dibanding yang tidak merokok. Penelitian selanjutnya disarankan menggunakan spirometri sebagai alat ukur tambahan serta mempertimbangkan faktor genetik yang dapat memengaruhi kerentanan terhadap COPD.
CORRELATION BETWEEN DAILY SODIUM INTAKE AND SYSTOLIC BLOOD PRESSURE IN ELDERLY PATIENTS WITH ESSENTIAL HYPERTENSION Basudewa, I Nyoman Arhi; Setyawan, Yuswanto
Abdi Dosen : Jurnal Pengabdian Pada Masyarakat Vol. 9 No. 2 (2025): JUNI
Publisher : LPPM Univ. Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/abdidos.v9i2.2862

Abstract

Hypertension remains a major global public health problem, particularly among the elderly. This study aims to analyze the correlation between daily sodium intake and systolic blood pressure in older adults with essential hypertension. A cross-sectional study was conducted on 127 elderly respondents using a validated Semi-Quantitative Food Frequency Questionnaire (SQ-FFQ) to assess daily sodium intake and a calibrated Omron HEM-7121 digital sphygmomanometer to measure systolic blood pressure. Data were analyzed using Spearman’s rank correlation test. The results showed a significant positive correlation between daily sodium intake and systolic blood pressure (r = 0.423; p < 0.001). Respondents who consumed more than 4000 mg of sodium per day tended to have systolic blood pressure above 160 mmHg. This finding suggests that excessive sodium intake contributes significantly to elevated systolic pressure in elderly individuals with essential hypertension. The study highlights the urgent need for sodium reduction interventions tailored to the elderly population as part of community-based hypertension control programs.
PETS AS THERAPY: THE ROLE OF CATS AND DOGS IN REDUCING STRESS AND BLOOD PRESSURE Indratiawati, Indratiawati; Setyawan, Yuswanto
Abdi Dosen : Jurnal Pengabdian Pada Masyarakat Vol. 9 No. 3 (2025): SEPTEMBER
Publisher : LPPM Univ. Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/abdidos.v9i3.2909

Abstract

Pet ownership, particularly of cats and dogs, has been increasingly recognized as contributing to human health and well-being. Globally, cardiovascular disease and stress-related disorders remain significant health burdens, including in Indonesia where the prevalence of hypertension continues to rise. This study analyzed the relationship between keeping cats and dogs with stress reduction and blood pressure levels among 150 adult respondents in Sidoarjo using chi-square and Spearman correlation tests. The findings demonstrated that individuals who owned or interacted regularly with pets showed significantly lower levels of stress and better cardiovascular responses compared to those without pets. This suggests that cats and dogs can play a complementary role in community-based health promotion strategies by providing natural, non-pharmacological support to mental and physical health. The results further highlight the potential integration of animal-assisted approaches in public health programs, emphasizing their accessibility and sustainability. Future research is encouraged to explore long-term impacts and differences across demographic groups to strengthen the application of pet-assisted health interventions.
Hubungan Obesitas dan Psikosomatis pada Orang Dewasa di Indonesia: The Relationship between Obesity and Psychosomatic Disorders in Adults in Indonesia Setyawan, Yuswanto
Journal of Holistics and Health Sciences Vol. 7 No. 2 (2025): Journal of Holistics and Health Sciences (JHHS), September
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat, Universitas Ngudi Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35473/jhhs.v7i2.540

Abstract

Obesity is one of the psychosomatic disorders influenced by complex psychosocial factors that affect its clinical management. The prevalence of obesity in Indonesia in 2023 was 23.4% among individuals aged over 18 years (adults). Among people with obesity, experiences of bullying often stemming from social rejection gradually reduce activity levels and negatively affect communication behavior. The novelty of this study lies in its focus: while previous research examined obesity-related stigma and its impact on individuals and society, this study specifically investigates the relationship between obesity and psychosomatic mental disorders. One of the consequences of this process is social isolation, which disrupts interpersonal relationships.The objective of this study is to explore the relationship between obesity and psychosomatic complaints among obese adults over the age of 18, including both males and females in Indonesia. This research employed a quantitative descriptive method using SPSS software, with Chi-square and Spearman correlation tests. Data were collected using purposive sampling from obese adults, measured using Body Mass Index (BMI), and assessed through the Psychosomatic Symptoms Questionnaire. The population in this study included all obese adults weighing between obesity type 1 and type 2, and a total sample of 200 individuals experiencing psychosomatic symptoms was selected.The analysis showed that the p-values were below 0.05, indicating a significant relationship. The most frequently reported symptom was confusion or brain fog (19.5%), while the strongest correlation was found between obesity and symptoms of stomach pain and nausea, with a Spearman correlation coefficient of 0.884. These findings demonstrate that obesity is not only associated with physical health issues but is also strongly related to the emergence of various psychosomatic symptoms, including neurological, cognitive, and gastrointestinal manifestations. The study concludes that obesity is significantly associated with psychosomatic conditions among adults in Indonesia. ABSTRACT Obesity is one of the psychosomatic disorders influenced by complex psychosocial factors that affect its clinical management. The prevalence of obesity in Indonesia in 2023 was 23.4% among individuals aged over 18 years (adults). Among people with obesity, experiences of bullying often stemming from social rejection gradually reduce activity levels and negatively affect communication behavior. The novelty of this study lies in its focus: while previous research examined obesity-related stigma and its impact on individuals and society, this study specifically investigates the relationship between obesity and psychosomatic mental disorders. One of the consequences of this process is social isolation, which disrupts interpersonal relationships.The objective of this study is to explore the relationship between obesity and psychosomatic complaints among obese adults over the age of 18, including both males and females in Indonesia. This research employed a quantitative descriptive method using SPSS software, with Chi-square and Spearman correlation tests. Data were collected using purposive sampling from obese adults, measured using Body Mass Index (BMI), and assessed through the Psychosomatic Symptoms Questionnaire. The population in this study included all obese adults weighing between obesity type 1 and type 2, and a total sample of 200 individuals experiencing psychosomatic symptoms was selected.The analysis showed that the p-values were below 0.05, indicating a significant relationship. The most frequently reported symptom was confusion or brain fog (19.5%), while the strongest correlation was found between obesity and symptoms of stomach pain and nausea, with a Spearman correlation coefficient of 0.884. These findings demonstrate that obesity is not only associated with physical health issues but is also strongly related to the emergence of various psychosomatic symptoms, including neurological, cognitive, and gastrointestinal manifestations. The study concludes that obesity is significantly associated with psychosomatic conditions among adults in Indonesia.
Hubungan Konsumsi Kerang Dengan Tekanan Darah Pada Masyarakat Pesisir Basudewa, I Nyoman Arhi; Setyawan, Yuswanto
JUKEJ : Jurnal Kesehatan Jompa Vol 4 No 2 (2025): JUKEJ: Jurnal Kesehatan Jompa
Publisher : Yayasan Jompa Research and Development

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57218/jkj.Vol4.Iss2.1839

Abstract

Shellfish are an important source of nutrition for coastal communities but may also pose potential health risks if consumed excessively. The aim of this study was to analyze the association between shellfish consumption and blood pressure as well as cardiovascular profile among coastal communities. Methods: This research employed an observational analytic design with a cross-sectional approach. The study population consisted of coastal residents aged 25–60 years, with a total sample of 135 respondents selected using purposive sampling. The independent variable was shellfish consumption, while the dependent variable was blood pressure. Data were collected through structured interviews and blood pressure measurement using a sphygmomanometer. Data analysis was performed using the Chi-Square test for categorical associations and Spearman correlation for continuous variables. Results showed a significant relationship between frequency of shellfish consumption and blood pressure (p < 0.05), indicating that moderate shellfish consumption was associated with a more stable blood pressure profile. Conclusion: Shellfish consumption may provide cardiovascular benefits; however, the frequency and quantity of intake should be carefully considered to avoid hypertension risks due to high sodium content. Keywords: Shellfish, Consumption, Blood Pressure, Hypertension, Cardiovascular
ANALYSIS OF DETERMINANTS OF SMOKING BEHAVIOR IN ADOLESCENTS BASED ON HEALTH BELIEF MODEL THEORY Deddi, Rhandy Bane Umbu Dongu; Setyawan, Yuswanto
HEARTY Vol 13 No 5 (2025): OKTOBER
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v13i5.20971

Abstract

Smoking behavior among adolescents remains a pressing public health concern due to its long-term health implications. This study aims to analyze the determinants of smoking behavior among senior high school students using the Health Belief Model (HBM) framework. A descriptive quantitative method was employed with a survey approach, and data were collected through a structured questionnaire. The sample consisted of 300 senior high school students selected through purposive sampling. The findings revealed that 40% of respondents were active smokers. A total of 63.4% demonstrated high perceived susceptibility to the health risks of smoking, while 36.6% showed low or uncertain risk perception. Additionally, 26.7% of students exhibited low self-efficacy in resisting cigarette offers from peers. These results indicate that perceived susceptibility and self-efficacy are critical factors influencing smoking behavior among adolescents. Health education interventions that enhance these two psychological aspects are essential to reduce smoking prevalence in this vulnerable age group.
Analisis hubungan pola konsumsi all you can eat dengan keluhan pencernaan Wargiati, Wargiati; Setyawan, Yuswanto
Holistik Jurnal Kesehatan Vol. 19 No. 7 (2025): Volume 19 Nomor 7
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i7.1435

Abstract

Background: The phenomenon of all-you-can-eat (AYCE) restaurants has grown rapidly worldwide, particularly in developed countries, offering a convenient dining experience at a fixed price. Overeating at AYCE restaurants can impact digestive health. Purpose:  To analyze the relationship between all-you-can-eat consumption patterns and digestive complaints. Method: This quantitative cross-sectional study was conducted from March to May 2025 in Sidoarjo, East Java, specifically in areas with a diverse restaurant population, including AYCE restaurants. A total of 200 respondents were selected using a purposive sampling technique. The criteria were residing in Sidoarjo for at least two years, having dined at an AYCE restaurant at least once in the past month, and willingness to participate. Results: The most frequently consumed foods were meat and seafood (60%), while the average portion size per visit ranged from 4–6 servings (50%). This indicates a fairly dense consumption pattern, particularly for foods high in protein and fat. The most frequently reported digestive complaint was bloating (50%). These results suggest a potential correlation between overeating at AYCE restaurants and mild to moderate gastrointestinal complaints. Respondents mostly visited AYCE restaurants 3–4 times per month (45%). Conclusion: Excessive and unbalanced AYCE consumption, particularly low fruit and vegetable intake, may contribute to an increased risk of gastrointestinal disorders. AYCE consumption is not only associated with overeating but also has a significant impact on digestive health. Suggestion:  Further research should expand the scope of variables by measuring fiber intake, dietary fat content, and eating habits before and after visiting AYCE. Longitudinal analysis is needed to identify the long-term effects of AYCE consumption on digestive health.   Keywords: All You Can Eat; Digestive Complaints.   Pendahuluan: Fenomena restoran all you can eat (AYCE) telah berkembang pesat di seluruh dunia, terutama di negara-negara maju karena menawarkan pengalaman makan tanpa batas dengan harga tetap. Pola makan berlebihan di restoran AYCE dapat memengaruhi kesehatan pencernaan Tujuan: Untuk menganalisis hubungan pola konsumsi all you can eat dengan keluhan pencernaan. Metode: Penelitian ini bersifat kuantitatif dengan desain cross-sectional, dilaksanakan pada bulan Maret–Mei 2025 di Sidoarjo, Jawa Timur,  khususnya yang memiliki berbagai restoran, termasuk konsep AYCE. Sebanyak 200 responden dipilih menggunakan teknik purposive sampling dengan kriteria seperti berdomisili minimal dua tahun di Sidoarjo, pernah mengonsumsi makanan di restoran AYCE minimal sekali dalam sebulan terakhir, dan bersedia menjadi partisipan. Hasil: Jenis makanan yang paling sering dikonsumsi adalah daging dan seafood dengan persentase (60%), sedangkan rata-rata porsi yang dikonsumsi per kunjungan berkisar 4–6 porsi dengan persentase (50%). Hal ini menunjukkan pola konsumsi yang cukup padat, terutama pada jenis makanan tinggi protein dan lemak. Keluhan pencernaan yang paling sering dilaporkan adalah kembung (50%). Hasil ini menunjukkan adanya korelasi potensial antara pola konsumsi berlebih di restoran AYCE dengan keluhan gastrointestinal ringan hingga sedang. Responden sebagian besar mengunjungi restoran AYCE, 3–4 kali per bulan dengan persentase (45%). Simpulan: Konsumsi AYCE yang berlebihan serta kurang seimbang, khususnya rendahnya asupan sayuran dan buah dapat berkontribusi terhadap meningkatnya risiko gangguan gastrointestinal. Gaya konsumsi AYCE tidak hanya berkaitan dengan pola makan berlebih, tetapi juga berdampak nyata terhadap kesehatan sistem pencernaan. Saran: Penelitian lanjutan sebaiknya memperluas cakupan variabel dengan mengukur asupan serat, kadar lemak makanan, serta kebiasaan makan sebelum dan sesudah mengunjungi AYCE. Analisis longitudinal diperlukan untuk mengidentifikasi efek jangka panjang konsumsi AYCE terhadap kesehatan pencernaan.   Kata Kunci: All You Can Eat; Keluhan Pencernaan; Pola Konsumsi.
Kebiasaan Hidrasi dan Kaitannya dengan Luaran Klinis pada Pasien dengan Diabetes Insipidus (DI) Indratiawati, Indratiawati; Setyawan, Yuswanto
Malahayati Nursing Journal Vol 7, No 10 (2025): Volume 7 Nomor 10 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i10.22094

Abstract

ABSTRACT Diabetes insipidus (DI) is a rare water balance disorder characterized by polyuria and polydipsia, potentially leading to dehydration, hypernatremia, and reduced quality of life. Adequate hydration is crucial to prevent complications and improve clinical outcomes. This study aimed to determine the relationship between hydration habits and clinical outcomes in DI patients.A cross-sectional study was conducted involving 150 DI patients at RS X in Surabaya from January to June 2025. Hydration habits were measured using a validated structured questionnaire, while clinical outcomes were assessed from serum sodium levels, urine osmolality, and hospitalization frequency. Data analysis used Chi-square and Spearman’s correlation tests with a significance level of p < 0.05.Patients with good hydration habits had a lower incidence of hypernatremia (12.5% vs. 47.8%) and fewer hospitalizations (mean 0.6 vs. 2.1 times/year) compared to those with poor hydration (p = 0.004). Spearman’s correlation showed a significant positive correlation between hydration scores and clinical outcomes (r = 0.642, p < 0.001). Good hydration habits are significantly associated with improved clinical outcomes in DI patients, supporting the importance of patient education and continuous hydration monitoring. Keywords: Diabetes Insipidus, Hydration Habits, Clinical Outcomes, Hypernatremia  ABSTRAK  Diabetes insipidus (DI) merupakan kelainan keseimbangan cairan yang jarang terjadi, ditandai dengan poliuria dan polidipsia, yang dapat mengakibatkan dehidrasi, hipernatremia, dan penurunan kualitas hidup. Kebiasaan hidrasi yang memadai sangat penting untuk mencegah komplikasi dan meningkatkan luaran klinis. Penelitian ini bertujuan mengetahui hubungan antara kebiasaan hidrasi dengan luaran klinis pada pasien DI.Penelitian potong lintang dilakukan pada 150 pasien DI di RS X Surabaya periode Januari–Juni 2025. Kebiasaan hidrasi diukur menggunakan kuesioner terstruktur yang telah divalidasi, sedangkan luaran klinis dinilai dari kadar natrium serum, osmolaritas urin, dan frekuensi rawat inap. Analisis data menggunakan uji Chi-square dan korelasi Spearman dengan tingkat signifikansi p < 0,05.Pasien dengan kebiasaan hidrasi baik memiliki kejadian hipernatremia lebih rendah (12,5% vs. 47,8%) dan frekuensi rawat inap lebih sedikit (rata-rata 0,6 vs. 2,1 kali/tahun) dibandingkan dengan kebiasaan hidrasi buruk (p = 0,004). Korelasi Spearman menunjukkan hubungan positif yang signifikan antara skor hidrasi dan luaran klinis (r = 0,642; p < 0,001).Kebiasaan hidrasi yang baik berhubungan signifikan dengan perbaikan luaran klinis pada pasien DI, sehingga edukasi pasien dan pemantauan hidrasi berkelanjutan sangat diperlukan.  Kata Kunci: Diabetes Insipidus, Kebiasaan Hidrasi, Luaran Klinis, Hipernatremia
Frekuensi Konsumsi Es Kepal Milo Dan Kecenderungan Hiperglikemia Pada Remaja Alfia, Nur Laili; Setyawan, Yuswanto
Jurnal Riset Kesehatan Nasional Vol. 9 No. 2 (2025)
Publisher : Institute Teknologi dan Kesehatan (ITEKES) Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37294/jrkn.v9i2.756

Abstract

Abstrak Penelitian ini bertujuan untuk menganalisis hubungan antara frekuensi konsumsi es kepal Milo dan kecenderungan hiperglikemia pada remaja di salah satu SMA Negeri di Kabupaten Pasuruan. Penelitian observasional analitik dengan pendekatan potong lintang dilaksanakan pada Mei–Juli 2025 dengan sampel sebanyak 205 siswa berusia 15–18 tahun. Data frekuensi konsumsi diperoleh melalui kuesioner yang telah tervalidasi, sementara kadar glukosa darah puasa diukur menggunakan glucometer yang telah dikalibrasi. Analisis statistik menggunakan uji Chi-square dan korelasi Spearman. Hasil menunjukkan terdapat korelasi positif signifikan antara frekuensi konsumsi es kepal Milo dengan peningkatan kadar glukosa darah puasa (r = 0,218; p = 0,002). Remaja yang sering mengonsumsi es kepal Milo berisiko lebih tinggi mengalami hiperglikemia (OR = 2,87; p = 0,006). Temuan ini menunjukkan perlunya edukasi gizi dan intervensi kebijakan untuk mengurangi konsumsi minuman bergula pada remaja guna mencegah gangguan metabolik.   Kata kunci: minuman, hiperglikemia, remaja, perilaku gizi
Smart Screening Technology for Diabetes Risk: FFQ and FINDRISC Integration in a Digital Platform Setyawan, Yuswanto
Jurnal Teknokes Vol. 18 No. 3 (2025): September
Publisher : Jurusan Teknik Elektromedik, Politeknik Kesehatan Kemenkes Surabaya, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Diabetes mellitus (DM) is a growing metabolic and autoimmune-related disease whose early onset is increasingly observed among young adults, including the university students in Indonesia. The existing screening models are either costly, invasive, or fail to integrate lifestyle data, leaving a gap for practical yet scalable solutions in this population. This study introduces a smart screening technology that combines the Food Frequency Questionnaire (FFQ) and the Finnish Diabetes Risk Score (FINDRISC) within a digital platform to capture both dietary patterns and individual risk factors. A cross-sectional design was applied to 110 undergraduates, chosen to reflect young adults most vulnerable to lifestyle-related DM risks. Data were collected entirely online to ensure feasibility and low-cost scalability in campus and public health programs. Multiple linear regression revealed that both individual factors (age, gender, BMI, physical activity, family history) and dietary patterns were significant predictors of DM risk (β = 0.312; β = 0.389; p < 0.001), explaining 37.4% of the variance. Compared to prior studies that relied solely on clinical or genetic markers, this integration highlights the added predictive value of dietary data in digital risk screening. With 70.9% of respondents at moderate and 25.5% at high risk, the findings underscore the urgent need for early intervention among Indonesian students. The proposed model offers practical applications through university health centers, mobile apps for student lifestyle monitoring, and peer-based preventive education. Future work should extend to biomarker validation and adaptive algorithms to enhance predictive accuracy and applicability across diverse populations.