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PENGARUH ASUPAN PROTEIN DAN ASUPAN GARAM TERHADAP KEJADIAN HIPERTENSI PADA WANITA USIA SUBUR DENGAN OBESITAS DI WILAYAH KERJA PUSKESMAS PATUMBAK TAHUN 2017 Ginting, Wira Maria; Sudaryati, Etti; Sarumpaet, Sorimuda
Jurnal Muara Sains, Teknologi, Kedokteran dan Ilmu Kesehatan Vol 2, No 2 (2018): Jurnal Muara Sains, Teknologi, Kedokteran dan Ilmu Kesehatan
Publisher : Universitas Tarumanagara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24912/jmstkik.v2i2.1024

Abstract

Hipertensi bisa disebabkan oleh tubuh orang yang gemuk, jantungnya bekerja lebih keras untuk memompa darah. Kondisi ini bisa disingkat naiknya tekanan darah. Obesitas dan hipertensi adalah masalah kesehatan yang ada di Indonesia bahkan di kalangan wanita usia produktif. Salah satu faktor risiko yang dapat menyebabkan hipertensi pada obesitas adalah diet dan aktivitas fisik. Tujuan penelitian untuk mengetahui pengaruh diet dan aktivitas fisik pada kejadian obesitas dengan hipertensi pada WUS. Penelitian ini menggunakan desain case control. Sampel dalam penelitian ini adalah 104 WUS obesitas (52 kasus dan 52 kontrol). Pengambilan data menggunakan penimbangan, tinggi badan, dan tekanan darah. Analisis bariariat (regresi logistik sederhana) asupan protein (0,003) dan asupan garam (0,000). Multivariat (regresi logistik berganda) terdapat pengaruh yang signifikan antara asupan protein (p = 0,009, OR = 27,66, CI 95% = 0,762-73,65), dan asupan garam (p = 0,000, OR = 977, CI 95 % = 41,58-22965). Disarankan bagi WUS untuk mengontrol berat badan dan memeriksa tekanan darah secara teratur juga mengikuti edukasi tentang diet.Hypertension might be the result of obesity, where the heart works harder to pump blood. This condition is also known as high blood pressure. Obesity and hypertension are health problems that exist in Indonesia even among women of childbearing age. One of the risk factors that can cause hypertension in obesity is diet and physical activity. The purpose of this study is to determine the effect of diet and physical activity on the incidence of obesity with hypertension in women of childbearing age. This study uses case control design. The sample in this study were 104 obese women of childbearing age (52 cases and 52 controls). Data collection methods include measuring weight, height, and blood pressure. Bariatric analysis (simple logistic regression) protein intake (0.003) and salt intake (0,000). Multivariate (multiple logistic regression) there was a significant effect between protein intake (p = 0.009, OR = 27.66, 95% CI = 0.762-73.65), and salt intake (p = 0.000, OR = 977, 95% CI = 41.58-22965). It is recommended for women of childbearing age to control body weight and check blood pressure regularly as well as to attend education on diet. 
PENGARUH INDEKS MASSA TUBUH (IMT) TERHADAP KEJADIAN HIPERTENSI PADA WANITA USIA SUBUR (WUS) DI WILAYAH PUSKESMAS PULO BRAYAN MEDAN TAHUN 2017 Simamora, Debora Lestari; Santosa, Heru; Sarumpaet, Sorimuda
Jurnal Muara Sains, Teknologi, Kedokteran dan Ilmu Kesehatan Vol 3, No 1 (2019): Jurnal Muara Sains, Teknologi, Kedokteran dan Ilmu Kesehatan
Publisher : Universitas Tarumanagara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24912/jmstkik.v3i1.1538

Abstract

Berdasarkan data Puskesmas Pulo Brayan Medan bahwa jumlah penderita hipertensi selama 3 tahun terakhir mengalami peningkatan. Tahun 2014  jumlah penderita hipertensi 378 orang, tahun 2015 sebanyak 384 orang, dan  tahun 2016 sebanyak 394 orang. Dari 394 penderita  hipertensi tersebut, sebanyak 214 orang adalah WUS Banyak faktor yang diduga menjadi penyebab hipertensi pada WUS, salah satunya indeks massa tubuh (IMT). Tujuan penelitian ini untuk menganalisis pengaruh indeks massa tubuh terhadap kejadian hipertensi pada WUSPenelitian ini adalah penelitian analitik dan bersifat kuantitatif dengan rancangan kasus kontrol (case control). Penelitian dilakukan di wilayah Puskesmas Pulo Brayan Medan. Populasi penelitian sebanyak 8.547 orang dan sampel diperoleh sebanyak 166 orang yang dibagi menjadi 2 kelompok, masing-masing 83 orang. Analisis data menggunakan analisis univariat, analisis bivariat dengan chi-square dengan tingkat kepercayaan 95% (=0,05). Hasil penelitian menunjukkan bahwa indeks massa tubuh kelompok kasus dalam kategori obesitas (69,9%), pada kelompok kontrol, responden yang obesitas (7,2%). Variabel indeks massa tubuh (IMT) berpengaruh terhadap kejadian hipertensi pada WUS di wilayah Puskesmas Pulo Brayan Medan, p < 0,05. Disarankan kepada Kepala Puskesmas Pulo Brayan Medan untuk menginformasikan kepada WUS agar menjaga pola makan dan melakukan gaya hidup sehat serta melakukan pemeriksaan tekanan darah secara rutin di puskesmas agar diketahui  sejak dini komplikasi lain yang dapat menyertai  peningkatan tekanan darah. Based on data from the Medan Pulo Brayan Puskesmas that the number of hypertensive sufferers over the past 3 years has increased. In 2014 there were 378 people with hypertension, in 2015 there were 384 people, and in 2016 there were 394 people. Of the 394 people with hypertension, 214 people are WUS. Many factors are thought to be the cause of hypertension in WUS, one of them is body mass index (BMI). The purpose of this study was to analyze the effect of body mass index on the incidence of hypertension in WUS. This study is an analytical and quantitative study with a case control design. The study was conducted in the area of Pulo Brayan Puskesmas Medan. The study population was 8,547 people and the sample was 166 people divided into 2 groups, 83 people each. Data analysis used univariate analysis, bivariate analysis with chi-square with a confidence level of 95% ( = 0.05). The results showed that the body mass index of the case group was in the obesity category (69.9%), in the control group, respondents were obese (7.2%). Body mass index (BMI) variable influences the incidence of hypertension in WUS in the Pulo Brayan Puskesmas area, p <0.05. It is recommended to the Head of the Pulo Brayan Medan Puskesmas to inform WUS to maintain a healthy diet and lifestyle and to carry out routine blood pressure checks at the puskesmas so that other complications can be identified early on that can accompany an increase in blood pressure.
Factors Associated with Breast Cancer in Women of Reproductive Age at Dr. Pirngadi Hospital, Medan, North Sumatera Sari, Mila Trisna; Sarumpaet, Sorimuda; Siregar, Fazidah Aguslina
Journal of Maternal and Child Health Vol. 6 No. 1 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Breast cancer has the highest prevalence in Indonesia. The objective of the research was to analyze the risk factors which influenced the incidence of breast cancer in women of reproductive age.Subjects and Method: This was a case-control study conducted at Dr. Pirngadi Hos
PENGARUH ASUPAN PROTEIN TERHADAP KEJADIAN HIPERTENSI PADA WANITA USIA SUBUR DENGAN OBESITAS DI PUSKESMAS PATUMBAK TAHUN 2017 Wira Maria Ginting; Etti Sudaryati; Sorimuda Sarumpaet
Jurnal Ilmiah Keperawatan IMELDA Vol. 4 No. 1 (2018): Jurnal Ilmiah Keperawatan IMELDA
Publisher : Program Studi S1/DIII-Keperawatan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikeperawatan.v4i1.278

Abstract

Hipertensi dapat diakibatkan karena kondisi tubuh orang yang gemuk, Obesitas dan hipertensi adalah masalah kesehatan yang ada di masyarakat Indonesia bahkan dikalangan wanita usia subur. Tujuan penelitian: untuk mengetahui asupan protein dan asupan garam terhadap kejadian Hipertensi pada WUS obesitas di Patumbak. Metode penelitian case control. Sampel dalam penelitian ini adalah 104 WUS (52 kasus dan 52 kontrol). Pengambilan data menggunakan penimbangan berat badan, tinggi badan, tekanan darah dan wawancara recall konsumsi. Analisis bivariate (regresi logistik sederhana) asupan protein (0,003), ada pengaruh signifikan antara asupan protein. Saran: WUS agar mengontrol berat badan dan memeriksakan tekanan darah secara teratur dan mengikuti edukasi tentang pola makan.
Hubungan Komponen Health Belief Model (HBM) Dengan Peng-gunaan Kondom Pada Anak Buah Kapal (ABK) Di Pelabuhan Be-lawan Linda Mayarni Sirait; Sorimuda Sarumpaet
Pre Cure Vol 1 (2013)
Publisher : Pre Cure

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Tujuan. Menguji bagaimana hubungan konsep Health Belief Model (HBM) dengan tindakan penggunaan kondom pada ABK pelanggan PSK di Pelabuhan Belawan.Metode. Penelitian ini merupakan penelitian survei dengan desain cross sec-tional. Jumlah Sampel adalah 95 orang secara (consecutive sampling). Data dianalisis dengan menggunakan Uji chi square.Hasil. Bahwa proporsi penggunaan kondom pada ABK masih rendah (23,2%). Uji statistik chi-square menunjukkan bahwa ada 6 komponen HBM yang ber-hubungan signifikan dengan perilaku penggunaan kondom yaitu dorongan PSK (p=0,004; PR=1,424), pengetahuan (p=0,033; PR=1,309), persepsi risiko tertular (p=0,032; PR=1,377), persepsi keseriusan (p=0,047; PR=1,290), persepsi positif kondom (p=0,000; PR=1,617), dan persepsi kemampuan diri (p=0,000; PR=1,550).Kesimpulan dan Saran. Bahwa Persepsi positif kondom merupakan faktor yang paling dominan.Untuk meningkatkan penggunaan kondom pada ABK, disarankan untuk mensosialisasikanpenggunaan kondom, menngawasi dan mengevaluasi pemakaian kondom serta meningkatkan kemampuan PSK dalam negosiasi penggunaan kondom.
KARAKTERISTIK ANAK YANG MENDERITA LEUKEMIA AKUT RAWAT INAP DI RSUP H. ADAM MALIK MEDAN TAHUN 2011-2012 Sulatriana Pakpahan; Prof. dr. Sorimuda Sarumpaet, MPH; Drs. Jemadi,M.Kes
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 2, No 6 (2013): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Acute leukemia (AL) is a disease indicated by abnormal accumulation of leukocytes, malignant and excessive amounts, cause death if not treated. The number of children who suffer AL at RSUP H. Adam Malik Medan in 2011-2012 was 174 people.To determine the characteristics of children who suffer AL at RSUP H. Adam Malik Medan in 2011-2012, it has conducted a descriptive study with case series design. Population is all data of children who suffer AL at RSUP H. Adam Malik Medan in 2011-2012, as many as 174 people. Data sample is children who suffer LA at RSUP H. Adam Malik Medan in 2011-2012 ( total sampling ). Data Source is data obtained from the card status of children who suffer AL recorded in medical records and analyzed statistically using Chi -square test and t-test, it was presented in tabular form distribution proportion, line charts, pie charts, and narrative .The results showed a decrease trend line according to the equation Y = 100,5-3.8 x. The largest proportion of children suffering from acute leukemia is 0-4 years of age (36.8%), male gender (52.9%), Islam (66.1%), residence outside the city of Medan (77.6% ), pale complaints (43.7%), type of leukemia ALL (78.2%), chemotherapy (57.3%), outpatient home (71.3%), average length of stay (8.5 days), and free medical treatment (46.0%). There was no significant differences between age by type AL (p = 0.998), there was no significant difference gender between the type of AL (p = 0.688) and there was no significant difference the average treatment time between the type of AL( p=0,188).To RSUP H. Adam Malik Medan was expected to complete the recording such as ethnicity, family history, and add time AL was diagnosed. To the families of children who suffered AL were expected to take the patient to follow the treatment prodecure until finished. And the public was expected to avoid or protect themselves from exposure pesticides, chemical substances, and radiation that constantly.Keywords: Acute Leukemia, Characteristics of children
KARAKTERISTIK PENDERITA STROKE ISKEMIK ≤ 60 TAHUN YANG RAWAT INAP DI RUMAH SAKIT UMUM DELI MEDAN TAHUN 2014-2016 Nurholijah Nasution; Sorimuda Sarumpaet; Sri Novita Lubis
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 2 (2017): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

ABSTRACT Stroke is non communicable disease leading to emergency and body disability. According to Riskesdas 2013, North Sumatera is in the top 20 regions of high prevalence that is 10.3 per 1000 population. Prevalence of ischemic stroke is around 80-85% of all stroke cases. This research is descriptive with case series design using secondary data. Population and sample are 128 patients. Univariate data was analyzed descriptively while bivariate was analyzed by using chi-square, mann whitney and kruskall wallis tests. The result shows the highest proportion are in 56-60 years old group (48.4%), men (73.4%), Buddhism (73.4%), Tionghoa (76.6%), married (91.4%), educational status not recorded (48.4%), entrepreuner (48.4%), Medan (61.7%), limb disruption (40.6%), hypertension (53.1%), hemiparesis sinistra (48.4%), average length of stay 5 days, general cost source (79.7%), home treatment (82.0%), and Case Fatality Rate (10.2%). There is no significant difference between age group based on sex (p = 0.540) age group based on risk factor (p = 0.371), sex based on risk factor (p = 0.419), average length of stay based on age group (p = 0.145), average length of stay based on risk factor (p = 0.276), average length of stay based on paralysis location (p = 0.766), and average length of stay based on cost source (p = 0.399). Recommended to pay attention on healthy lifestyle from early age to prevent risk factors of stroke. For patients with history of hypertension to perform regular blood pressure checks and healthy lifestyle to prevent subsequent stroke. Keywords: Patient Characteristics, Ischemic Stroke, Deli Medan Hospital
Proporsi karakteristik penderita rinosinusitis kronis dengan kultur jamur positif Siska Indriany; Delfitri Munir; Andrina Yunita Murni Rambe; Adlin Adnan; Rina Yunita; Sorimuda Sarumpaet
Oto Rhino Laryngologica Indonesiana Vol 46, No 1 (2016): Volume 46, No. 1 January - June 2016
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (394.737 KB) | DOI: 10.32637/orli.v46i1.144

Abstract

Latar belakang: Rinosinusitis dengan infeksi jamur atau disebut juga rinosinusitis jamur adalahinflamasi mukosa sinus paranasal yang disebabkan oleh infeksi jamur. Gejala klinik rinosinusitis jamurmirip dengan rinosinusitis kronis. Apabila rinosinusitis tidak mengalami perbaikan sesudah terapimedikamentosa maksimal, perlu dipikirkan kemungkinan infeksi jamur.Tujuan: Mengetahui proporsikarakteristik penderita rinosinusitis kronis dengan kultur jamur positif.Metode: Penelitian observasionaldeskriptif terhadap 74 kasus rinosinusitis kronis tahun 2013-2015.Hasil: Dari 74 kasus rinosinusitis kronisyang dilakukan tindakan bedah sinus endoskopi fungsional, terdapat 30 positif jamur (40,5%). Dari 30kasus rinosinusitis dengan kultur jamur positif, 60% pada umur 20-40 tahun, 53,3% laki-laki, keluhanutama hidung tersumbat (66,6%). Hasil kultur 50% Aspergillus fumigatus. Uji statistik Fisher Exact Testp>0,05 tidak terdapat perbedaan hasil kultur jamur berdasarkan umur dan jenis kelamin pada penderitarinosinusitis kronis.Kesimpulan: Pada laporan ini penderita rinosinusitis kronis dengan kultur jamurpositif tahun 2013-2015 sebanyak 30 kasus. Rinosinusitis kronis dengan kultur jamur positif terjadi lebihbanyak pada laki-laki dengan rentang usia 20-40 tahun dan keluhan yang ditemukan hampir sama denganrinosinusitis kronis. Beberapa jenis jamur ditemukan pada hasil kultur, tetapi yang terbanyak Aspergilusfumigatus. Secara statistik tidak didapat perbedaan hasil kultur jamur berdasarkan umur dan jenis kelaminpada penderita rinosinusitis kronis. Pemberian antijamur tidak dapat diberikan pada rinosinusitis kronisdengan kultur jamur positif, karena antijamur hanya diindikasikan pada rinosinusitis jamur invasif. Kata kunci: Rinosinusitis kronis, kultur jamur positif, rinosinusitis jamur invasif ABSTRACTBackground: Fungal infection in paranasal sinuses were mostly undetected. The clinical symptomsof fungal rhinosinusitis were very similar to bacterial chronic rhinosinusitis. When maximal medicaltherapy remained unsuccessful, we must consider the possibility of fungal infection. Objective: To findout the characteristic proportion of positive fungal cultures in chronic rhinosinusitis patients. Methods:Descriptive observational study in 74 cases of chronic rhinosinusitis between 2013-2015. Results: From 74cases of chronic rhinosinusitis who underwent FESS, there were 30 positive fungal cultures (40,5%). Fromthese 30 cases, 60% were between 20-40 years old, 53,3% males, with nasal blockage (66,6%) and facialpain (16,7%) as the main complaints. Result of the cultures were 50% Aspergillus fumigatus. StatisticalFisher Exact Test p>0.05 showed that there were no differences in the results of fungal culture based onthe age and sex of patients with chronic rhinosinusitis. Conclusion: In our study, positive fungal culturein chronic rhinosinusitis cases occurred more frequently in 20-40 years of age males, and the clinicalcomplaints were similar to chronic rhinosinusitis. Several types of fungus were found on culture results,mostly were Aspergillus fumigatus. Statistically there were no differences of fungal culture based on ageand sex in chronic rhinosinusitis patients. Antifungal could not be prescribed in chronic rhinosinusitiswith positive fungal culture only. It is indicated only for invasive fungal rhinosinusitis. Keywords: Chronic rhinosinusitis, positive fungal culture, invasive fungal rhinosinusitis
Analisis Faktor yang Memengaruhi Pemberian ASI Eksklusif di Wilayah Puskesmas Polonia Medan Novita Hasiani Simanjuntak; Putri Rahmi Maharani; Sorimuda Sarumpaet
ANATOMICA MEDICAL JOURNAL | AMJ Vol 2, No 3 (2019)
Publisher : Universitas Muhammadiyah Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (398.476 KB) | DOI: 10.30596/anatomica

Abstract

Tahun 2016 prevalensi cakupan pemberian ASI eksklusif di wilayah Puskesmas Polonia Medan kurang dari 21%. Rendahnya prevalensi tersebut mengakibatkan puskesmas ini belum mencapai target yang diberikan oleh Kementerian Kesehatan Republik Indonesia, sehingga penting untuk mengetahui faktor apa saja yang dapat memengaruhi pemberian ASI eksklusif di Puskesmas Polonia Medan. Penelitian ini bertujuan untuk mengetahui faktor yang memengaruhi pemberian ASI eksklusif di wilayah Puskesmas Polonia Medan. Penelitian ini merupakan penelitian analitik dengan desain case control yaitu ibu yang memberikan ASI eksklusif sebagai kelompok case dan ibu yang tidak memberikan ASI eksklusif sebagai kelompok kontrol. Jumlah sampel yaitu 40 orang untuk setiap kelompok dan dipilih dengan metode consecutive sampling. Data diperoleh dengan menggunakan kuesioner. Hasil penelitian diperoleh proporsi yang lebih tinggi pada kelompok ASI eksklusif dibanding kelompok tidak ASI eksklusif yaitu sosioekonomi rendah (52,5%), inisiasi menyusui dini (55,0%), persalinan normal (65,0%), pengetahuan baik (70,0%), dukungan keluarga (75,0), dukungan suami (90,0%). Pada analisis multivariat variabel yang memiliki pengaruh signifikan dengan pemberian ASI eksklusif adalah dukungan suami (OR = 9,26), dukungan keluarga (OR = 8,22), dan inisiasi menyusui dini (OR = 3,97), dimana dukungan suami merupakan variabel yang paling kuat pengaruhnya.
Factors Associated with the Use of HIV Screening in the PMTCT Program by Pregnant Women Mardohar Tambunan; Sorimuda Sarumpaet; Syarifah
International Archives of Medical Sciences and Public Health Vol. 1 No. 1 (2020)
Publisher : Pena Cendekia Insani

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Abstract

Introduction: The Government continues to expand the number ofVCT services (KTHIV) in order to increase HIV testing coverage, asmandated by Ministry of Health Decree No. 74 of 2014 on theimplementation of HIV counseling and testing guidelines. Thepurpose of this study is to ascertain the factors that influence the useof HIV testing in health centers participating in the PMTCT programin the City of Medan in 2015. Method: The study used anobservational design in conjunction with explanatory research and apurposive sampling technique. This research sampled as many as 91pregnant women's. The results of this study will be analyzedmultivariate using the multiple logistic regression test. Result : Thefindings indicate that employment of pregnant women (p = 0.031),knowledge (p = 0.001), attitude (p = 0.001), and family support (p =0.003) are all associated with pregnant women's actions during HIVexaminations. Pregnant women's employment (p = 0.027),knowledge (p = 0.039), attitude (p = 0.004), and support from healthcare providers (p = 0.023) all influence the steps pregnant motherstake to obtain an HIV test. The primary factor preventing pregnantwomen from conducting HIV tests at the Padang Bulan public healthoffice is their negative attitude toward HIV testing (Exp = 7.167).Conlusion: The research findings indicate that Padang Bulan publichealth office prenatal care and HIV testing services should beenhanced. Padang Bulan public health office makes people feel atease and cared for, which is why those who have previously used theprenatal care and HIV testing services will return to perform theexamination. As a responsible program, the Medan City HealthDepartment's Prevention of HIV Transmission from Mother to Childshould establish collaborations with non-governmental organizations(NGOs) that work on HIV / AIDS.