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All Journal Al-Insyirah Midwifery : Jurnal Ilmu Kebidanan (Journal of Midwifery Sciences) IPSSJ
Sinta Rahmah Sari
Unknown Affiliation
Economics, Econometrics & Finance Education Health Professions Languange, Linguistic, Communication & Media Public Health Social Sciences

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HUBUNGAN DURASI PENGGUNAAN KONTRASEPSI ORAL DENGAN TEKANAN DARAH AKSEPTOR KONTRASEPSI DI WILAYAH KERJA PUSKESMAS HARAPAN RAYA PEKANBARU TAHUN 2020 Ratih Ayuningtiyas; Sinta Rahmah Sari
Jurnal Ilmu Kebidanan Vol 10 No 1 (2021): Al-Insyirah Midwifery: Jurnal Ilmu Kebidanan (Journal of Midwifery Sciences)
Publisher : STIKes Al-Insyirah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (716.96 KB) | DOI: 10.35328/kebidanan.v10i1.1521

Abstract

Each year, 63% of all deaths in the world is caused by non-communicable diseases (NCDs), including coronary heart disease hypertension. Based on the cause, hypertension is divided into two types, i.e. primary or essential hypertension, whereas one of the causes is a genetic factor, and secondary hypertension, whereas one of the causes is the use of oral contraception. Family planning participants who actively use oral contraception or pills in Pekanbaru reached 45,600 people. Determine of this study was the correlation between duration of oral contraception or pill use and blood pressure in contraception acceptors within the working area of Harapan Raya Community Health Center, Bukit Raya, Pekanbaru. The type of this study was analytical observation with a cross-sectional approach. Samples were obtained by stratified random sampling. Spearman test results showed that the correlation coefficient of systolic blood pressure was 0.310 with a p-value of 0.000 (p < 0.01), and diastolic blood pressure was 0.298 with a p-value of 0.000 (p < 0.01). There was a correlation between the use of oral contraception or pills and systolic or diastolic blood pressure in contraception acceptors. Keywords: blood pressure, duration, oral contraception or pills
Comorbidity Burden and Functional Impairment in Chronic Heart Failure: Mapping the Link to NYHA Class in Outpatient Care Ajeng Dwi Mega Sarie; Sinta Rahmah Sari
Integrative Perspectives of Social and Science Journal Vol. 3 No. 07 Juli (2026): Integrative Perspectives of Social and Science Journal
Publisher : PT Wahana Global Education

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Abstract

Background, heart failure places substantial burden on health systems worldwide, and its trajectory is shaped by cumulative comorbidity. Although the New York Heart Association classification remains a standard clinical tool, how it correlates with comorbidity burden in the Indonesian primary care setting has received limited empirical attention. This study examined the relationship between the age-adjusted Charlson Comorbidity Index and NYHA functional class among HF outpatients. Methods, this cross-sectional study was conducted at Klinik Pratama Paus Medika, Pekanbaru, Indonesia, from January to June 2025. Consecutive sampling identified 150 adult outpatients with chronic HF across all phenotypes. Comorbidity burden was quantified using the age-adjusted CCI; NYHA class I–IV was the primary outcome. Spearman's rank correlation, Kruskal-Wallis testing, and multivariable ordinal logistic regression—adjusted for age, sex, and HF etiology—were performed. Results, of 150 patients (mean age 63.1 ± 10.5 years; 54.7% male), most were in NYHA Class II (36.7%) or Class III (32.0%). Hypertension (74.7%), type 2 diabetes mellitus (42.0%), and chronic kidney disease (28.7%) yielded a median aCCI of 5 (IQR 4–7). Comorbidity burden showed a strong monotonic association with NYHA class (Spearman's ρ = 0.712; p < 0.001), and each one-point aCCI increase independently predicted higher NYHA class (aOR 1.95; 95% CI 1.67–2.28; p < 0.001), with the proportional odds assumption satisfied (p = 0.234). Conclusion, comorbidity burden, measured by the age-adjusted CCI, showed a strong, independent cross-sectional association with functional impairment severity in chronic HF. Incorporating multimorbidity profiling into HF care pathways may refine risk stratification and guide individualized, guideline-directed therapy.
Co-Authors Ajeng Dwi Mega Sarie Ratih Ayuningtiyas