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The Association Between Discontinuation of Antihypertensive Medication and Perceived Side Effects Among Hypertensive Patients at Kaliangkrik Public Health Center Kusumaningsih, Faiza Windiari; Sarwono, Bambang; sunarmi, sunarmi
Midwifery and Nursing Research Vol. 7 No. 2 (2025): SEPTEMBER 2025
Publisher : Poltekkes Kemenkes Semarang

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

Abstract

Background: Hypertension is a chronic disease that requires long-term management through pharmacological treatment and lifestyle modifications. Consistency in taking antihypertensive medication is essential to prevent complications. However, this contrasts with some patients who discontinue medication due to assumptions about experienced side effects. This study aims to examine the relationship between discontinuation of antihypertensive medication and assumptions about side effects among hypertensive patients at Kaliangkrik Public Health Center.Methods: This research employed a quantitative method with a cross-sectional approach. Sampling was conducted using accidental sampling with a total of 100 respondents. The instrument used was a questionnaire consisting of respondent characteristics, assumptions about medication side effects, and decisions to continue or stop taking the medication. Univariate analysis was used to describe the data distribution, while bivariate analysis employed the Chi-Square test.Results: The majority of respondents (81%) reported having assumptions of experiencing side effects, with most assuming they experienced headaches (86%). A total of 55 respondents had stopped taking their medication. There was a significant relationship between assumptions about side effects and the decision to stop medication, with a p-value of 0.005 (p < 0.05). The Odds Ratio (OR) value of 4.6 indicates that respondents who assumed they experienced side effects were 4.6 times more likely to stop taking the medication. The Relative Risk (RR) value of 2.3 shows that these respondents had a 2.3 times higher risk of stopping medication compared to those without such assumptions.Conclusion: Negative assumptions about medication side effects influence patients’ decisions to discontinue antihypertensive medication. Education regarding medication use and potential side effects should be provided to hypertensive patients during consultations and at the time of medication dispensing.
A STUDY OF SEDIMENT DELIVERY RATIO USING AVSWAT-X IN THE CATCHMENT AREA OF PACAL RESERVOIR OF BOJONEGORO Bambang Sarwono; Nadjadji Anwar; Zulis Erwanto
Journal of Civil Engineering Vol. 30 No. 2 (2010)
Publisher : Institut Teknologi Sepuluh Nopember (ITS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12962/j20861206.v30i2.7535

Abstract

Recently, the flood intensity that brought by tributary rivers in the catchment area of Pacal reservoir has increased, both in the quantity of runoff and sediment volume. The research aims to set up erosion rate modeling and find the formulation of the Sediment Delivery Ratio (SDR) at Pacal reservoir. The research used USLE and MUSLE methods as comparator to find sediment yield accuracy at Pacal reservoir, by applying ArcView SWAT-X software. Total average annual erosion rate in the catchment area of Pacal reservoir which has area 82 Km2 calculated using USLE and MUSLE methods are 159,31 ton/ha/yr and 582 ton/ha/yr respectively. MUSLE method resulted SDR which is most closely to SDRobservation if it is compared to USLE method. In this research, MUSLE - Sediment-Discharge Rating Curve method has evaluation values MSE = 0,08; RMSE = 0,29; and Nash = 0,75. Furthermore, Sediment Delivery Ratio at catchment area of Pacal reservoir can be formulated as 0,29 3,83. DAS Waduk Pacal SDR A with value of SDRZulis = 0,27 and sediment yield obtained from MUSLE method equal to 157,40 ton/ha/yr, while from USLE method equal to 43,09 ton/ha/yr. Evaluate sediment yield of MUSLE from SDRZulis to formulation of SDR of former researcher was value of Nash = 0,89; MAE = 0,01. Based on the research result, it is expected that the institution which has responsibility in managing the catchment area of Pacal reservoir would pay high attention to zonation map of erosion risk level and can overcome sedimentation in Pacal reservoir.
FAKTOR RISIKO POLA SEKSUALITAS PADA WANITA LESI SERVIK Bambang Sarwono; Pramono Giri Kriswoyo
Juru Rawat. Jurnal Update Keperawatan Vol 2 No 1 (2022): Juni 2022
Publisher : Prodi Keperawatan Tegal Program Diploma III Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/juk.v2i1.8786

Abstract

Latar belakang. Insiden lesi serviks yang dapat berlanjut menjadi kanker serviks diperkirakan mencapai 100 per 100.000 penduduk. Pada tahun 2013, kanker serviks merupakan penyakit kanker terbanyak di Indonesia (0,8%). Kejadian kanker serviks di Kab Magelang pada tahun 2018 mencapai 2.3%, lebih tinggi daripada kejadian di Provinsi Jawa Tengah. Penelitian ini bertujuan untuk mengetahui  besarnya faktor risiko kejadian lesi serviks karena pola seksualitas di wilayah Kabupaten Magelang.Tujuan dalam penelitian ini adalah untuk mengetahui beberapa faktor risiko kejadian lesi servik serta mengetahui faktor apa yang paling berpengaruh pada kejadian tersebut di Kab Magelang tahun 2020. Dengan mengetahu faktor-faktor risiko masyarakat tahu untuk mengatisipasinyaMetode Penelitian. Penelitian ini menggunakan Survey analitik. Populasi penelitian ini adalah seluruh wanita yng memiliki pasangan di usia subur. Sampel diambil menggunkan Accidental sampling yaitu  pasien yang melakukan pemeriksaan IVA di bidan praktik mandiri di wilayah Kab Magelang.Hasil penelitian faktor yang tidak berpengaruh terhadap kejadian lesi servik antara lain umur responden, pengalaman pertama hubungan sek (p 0,548), metode KB (p 0,451) dan hygiene alat kelamin (p 0,512) Adapun faktor yang berkontribusi kejadian lesi servik adalah jumlah pasangan seksual (p 0,164, OR 0,378), penggunaan alat bantu (p 0,000, OR 8,634) dan frekuensi sek (p 0,000, OR 2,888)Kata Kunci : Seksual, Lesi Servik