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All Journal Global Medical and Health Communication Jurnal Abdi Insani Jurnal Integrasi Kesehatan dan Sains Jurnal Riset Kedokteran JKKI : Jurnal Kedokteran dan Kesehatan Indonesia Bandung Conference Series : Medical Science
Rio Dananjaya
Department Of Biochemistry, Faculty Of Medicine, Universitas Islam Bandung, Bandung
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Analisis Parameter Sindrom Metabolik pada Pasien Diabetes Melitus Tipe II di Rumah Sakit Al-Islam Bandung Muhammad Faiz Fadlurahman Ibrahim Adji; Rio Dananjaya; Yani Triyani
Bandung Conference Series: Medical Science 1143-1150
Publisher : UNISBA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/bcsms.v6i1.22508

Abstract

Abstract. Type II diabetes mellitus is a chronic metabolic disease with an increasing prevalence and is frequently accompanied by metabolic syndrome as a cluster of risk factors that may worsen clinical outcomes. This study aimed to analyze the profile of metabolic syndrome parameters, including body mass index, blood pressure, low-density lipoprotein (LDL), and triglyceride levels among patients with type II diabetes mellitus at Al-Islam Hospital, Bandung. An analytical observational study with a cross-sectional design was conducted using medical record data. The results showed that most patients were elderly, predominantly female, had elevated blood pressure, and high LDL levels, with triglyceride levels ranging from normal to high. However, statistical analysis revealed no significant association between individual metabolic syndrome parameters or metabolic syndrome diagnosis as a whole and the occurrence of type II diabetes mellitus. These findings suggest that in patients already diagnosed with diabetes, metabolic syndrome parameters represent accompanying comorbid conditions rather than predictors of disease occurrence. Abstrak. Diabetes melitus tipe II merupakan penyakit metabolik kronis dengan prevalensi yang terus meningkat dan sering disertai sindrom metabolik sebagai kumpulan faktor risiko yang dapat memperburuk kondisi klinis pasien. Penelitian ini bertujuan untuk menganalisis gambaran parameter sindrom metabolik, meliputi indeks massa tubuh, tekanan darah, kadar low-density lipoprotein (LDL), dan trigliserida pada pasien diabetes melitus tipe II di Rumah Sakit Al-Islam Bandung. Penelitian menggunakan desain observasional analitik dengan pendekatan potong lintang berbasis data rekam medis pasien. Hasil penelitian menunjukkan bahwa mayoritas pasien berusia 61–70 tahun, berjenis kelamin perempuan, memiliki tekanan darah tinggi serta kadar LDL yang meningkat, dengan kadar trigliserida berkisar antara 38–372 mg/dL, yang mencakup kategori normal hingga tinggi.Namun, analisis statistik menunjukkan tidak terdapat hubungan yang signifikan antara masing-masing parameter sindrom metabolik maupun diagnosis sindrom metabolik secara keseluruhan dengan kejadian diabetes melitus tipe II. Temuan ini mengindikasikan bahwa pada populasi pasien yang telah terdiagnosis diabetes, parameter sindrom metabolik lebih mencerminkan kondisi komorbid yang menyertai perjalanan penyakit dibandingkan sebagai prediktor kejadian diabetes.
Gambaran Derajat Merokok dan Aktivitas Fisik dengan Derajat Hipertensi di Puskesmas Cimenyan Carina Rizkiana; Sadiah Achmad; Rio Dananjaya
Bandung Conference Series: Medical Science 1377-1384
Publisher : UNISBA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/bcsms.v6i1.22636

Abstract

Abstract. Hypertension is one of the non-communicable diseases that remains a major public health problem due to its high prevalence and the risk of serious complications. Various risk factors contribute to the development of hypertension, including smoking habits and levels of physical activity. This study aimed to analyze the relationship between smoking habits and physical activity levels with the degree of hypertension among patients at Cimenyan Public Health Center, West Java. This study employed an observational analytic design with a cross-sectional approach. 265 hypertensive patients were selected using a consecutive sampling technique based on the inclusion and exclusion criteria. Data were collected through questionnaires and medical records and analyzed using the Fisher Exact Test to determine the relationship between independent variables and the degree of hypertension. The results showed a statistically significant association between physical activity level and the degree of hypertension (p = 0.02; α < 0.05). In contrast, no significant association was found between smoking habits and the degree of hypertension (p = 0.549; α < 0.05). Most hypertensive patients had a light level of physical activity, totaling 156 individuals (80.41%), followed by moderate physical activity in 4 individuals (8.7%) and vigorous physical activity in 7 individuals (15.2%). Furthermore, the majority of respondents were classified as light smokers, totaling 35 individuals (76.1%), followed by moderate smokers in 4 individuals (8.7%) and heavy smokers in 7 individuals (15.2%). In conclusion, physical activity level is significantly associated with the degree of hypertension, whereas smoking habits do not show a significant association. Abstrak. Hipertensi merupakan salah satu penyakit tidak menular yang menjadi masalah kesehatan masyarakat karena prevalensinya yang tinggi serta risiko komplikasi serius yang ditimbulkannya. Berbagai faktor risiko berperan dalam terjadinya hipertensi, di antaranya kebiasaan merokok dan tingkat aktivitas fisik. Penelitian ini bertujuan untuk menganalisis hubungan kebiasaan merokok dan tingkat aktivitas fisik dengan derajat hipertensi pada pasien di Puskesmas Cimenyan, Jawa Barat. Penelitian ini menggunakan desain observasional analitik dengan pendekatan cross sectional. Sampel penelitian berjumlah 265 pasien hipertensi yang dipilih menggunakan teknik consecutive sampling sesuai dengan kriteria inklusi dan eksklusi. Data dikumpulkan melalui kuesioner dan rekam medis, kemudian dianalisis menggunakan Fisher Exact Test untuk menilai hubungan antara variabel independen dengan derajat hipertensi. Hasil analisis menunjukkan terdapat hubungan yang bermakna antara tingkat aktivitas fisik dengan derajat hipertensi (p = 0,02; α < 0,05). Sebaliknya, tidak ditemukan hubungan yang bermakna antara kebiasaan merokok dengan derajat hipertensi (p = 0,549; α < 0,05). Mayoritas pasien hipertensi memiliki tingkat aktivitas fisik ringan yaitu sebanyak 156 orang (80,41%), diikuti aktivitas fisik sedang sebanyak 4 orang (8,7%) dan aktivitas fisik berat sebanyak 7 orang (15,2%). Sementara itu, sebagian besar responden merupakan perokok ringan sebanyak 35 orang (76,1%), diikuti perokok sedang sebanyak 4 orang (8,7%) dan perokok berat sebanyak 7 orang (15,2%). Kesimpulan penelitian ini menunjukkan bahwa tingkat aktivitas fisik berhubungan dengan derajat hipertensi, sedangkan kebiasaan merokok tidak menunjukkan hubungan yang bermakna.
Hubungan Tingkat Stres dengan Derajat Hipertensi pada Pasien di RS Ciremai Ayu Syahreymedi Makhmud Pratidina; Nugraha Sutadipura; Rio Dananjaya
Bandung Conference Series: Medical Science 1469-1476
Publisher : UNISBA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/bcsms.v6i1.23123

Abstract

Abstract. Hypertension remains a significant health challenge with high prevalence but low control rates in Indonesia, including Cirebon City. While physical factors are commonly studied, psychosocial contributions such as stress are often overlooked in clinical management, necessitating local empirical evidence to support holistic intervention strategies. This quantitative study aims to analyze the association between psychological stress levels and the grade of hypertension at the Internal Medicine Polyclinic of Ciremai Hospital in 2025 using a cross-sectional approach. A sample of 61 respondents was selected through consecutive sampling. Research instruments included blood pressure observation sheets and the Perceived Stress Scale (PSS-10) questionnaire, with data analyzed using the Fisher’s Exact Test test. Results showed that the majority of respondents were in Grade 1 hypertension. In the mild stress group, most respondents (66.7%) had Grade 1 hypertension, whereas all respondents with moderate to high stress (100%) were categorized into Grade 2 hypertension. Statistical analysis confirmed a significant association between psychological stress levels and the grade of hypertension (p < 0.001). In conclusion, higher levels of perceived stress are associated with more severe grades of hypertension. Stress management should be integrated into hypertension control programs to prevent disease progression. Abstrak. Hipertensi memiliki prevalensi tinggi namun pengendaliannya rendah di Indonesia, termasuk Kota Cirebon. Meski faktor fisik umum dipelajari, kontribusi psikososial seperti stres sering terabaikan dalam manajemen klinis, sehingga diperlukan bukti empiris lokal untuk mendukung strategi intervensi yang holistik. Penelitian kuantitatif ini bertujuan menganalisis hubungan tingkat stres psikologis dengan derajat hipertensi di Poliklinik Penyakit Dalam RS Ciremai Kota Cirebon tahun 2025 melalui pendekatan cross-sectional. Sampel sebanyak 61 responden dipilih menggunakan teknik consecutive sampling. Instrumen penelitian menggunakan lembar observasi tekanan darah dan kuesioner Perceived Stress Scale (PSS-10), dengan analisis data melalui uji Fisher’s Exact Test. Hasil menunjukkan mayoritas responden berada pada hipertensi derajat 1. Pada kelompok stres ringan, sebagian besar responden (66,7%) mengalami hipertensi derajat 1, sedangkan seluruh responden dengan stres sedang dan tinggi (100%) berada pada kategori hipertensi derajat 2. Uji statistik mengonfirmasi adanya hubungan signifikan antara tingkat stres psikologis dengan derajat hipertensi (p < 0,001). Dapat disimpulkan bahwa terdapat hubungan signifikan di mana semakin tinggi tingkat stres, semakin berat derajat hipertensi yang dialami. Manajemen stres perlu diintegrasikan dalam pengendalian hipertensi guna mencegah progresivitas penyakit.
Co-Authors Arief Budi Yulianti Ayu Syahreymedi Makhmud Pratidina Carina Rizkiana Efendi, Mochammad Nauval Asraf Ermina Widyastuti Fajar Awalia Haq, Is Asmaul Herry Garna Kenjy, Muhammad Lisa Adhia Garina M. Nurhalim Shahib Mahendra Wisnu Wijaya Mia Kusmiati Muhammad Faiz Fadlurahman Ibrahim Adji Muhammad Kenjy Syarifuddin Nugraha Sutadipura Primal Sudjana Raden Nadhifa Khansa Aziza Putribenardi Rosady, Dony Septriana Rudi Wisaksana Sadiah Achmad Santun Bhekti Rahimah Sheirin Alifiandini Shelly Iskandar Siska Nia Irasanti Wida Purbaningsih Wisnu, Mahendra Yani Triyani Yudi Feriandi