Uki Noviana
Departemen Keperawatan Jiwa Dan Komunitas, Fakultas Kedokteran, Kesehatan Masyarakat, Dan Keperawatan, Universitas Gadjah Mada

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Simplified AHA/ACC ASCVD risk score implementation in a community-driven approach to initiate statin primary prevention Adhikara, Imam Manggalya; Noviana, Uki; Thahadian, Harik Firman; Putra, Yasjudan Rastrama; Handayaningsih, Anastasia Evi; Adyarini, Dwita Dyah; Akhmadi, Akhmadi; Sujalmo, Puwardi; Widyaningsih, Andhika; Rachmawati, Annisa; Rahman, Rahma Azzalia; Meirizka, Fathina; Anggraeni, Vita Yanti
Journal of Community Empowerment for Health Vol 8, No 1 (2025)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.99182

Abstract

Introduction: One of the objectives of the third Sustainable Development Goal is to lower the prevalence of non-communicable diseases (NCD). Cardiovascular disease (CVD) is one of the NCDs that remains the primary cause of mortality in Indonesia and the rest of the world. The most common CVD is coronary artery disease (CAD). It is crucial to perform risk factor assessments on individuals to facilitate early intervention and prevention. A simple instrument to stratify the population's CVD risk factor is the atherosclerotic cardiovascular disease (ASCVD) Risk Score. This study aims to determine the CAD risk stratification through screening using the ASCVD Risk Score in the Sumberadi, Mlati, Sleman, Yogyakarta populations.Methods: A descriptive study screening for CAD was conducted in a population of Sumberadi aged >15 years, especially aged 40-75 years old. The instrument used in this study was the simplified ASCVD Risk Score. The risk factors for CAD, including blood pressure, blood glucose, and cholesterol, were measured with Indonesian-standard instruments. Data was collected by Posbindu cadres with the aid of the research team. Data was analyzed univariately and presented in the form of a descriptive table.Results: This study's sample is mainly female (87%), and the age average is 48.4 ± 9.6 years old. The samples mostly have normal random blood glucose(RBG) levels (82.6%) with a mean of 117.9 ± 55.2 mg/dL. Meanwhile, the total cholesterol level of the samples is mainly normal (51.6%) with a mean of 201.4 ± 40.2 mg/dL. Four samples of people aged>75 years old needed expert consultation. The remaining 403 samples were classified based on the statin requirements (no statin required, moderate-intensity statin, and high-intensity statin). The 148 samples require moderate-intensity statin, and 64 require high-intensity statin.Conclusion: Half of the subjects in this study were included in the statin-required group. And none of them received statin as CAD primary prevention strategy. Most CAD risk factors are conditions that have no symptoms and remain neglected in the population. Therefore, screening CAD risk in the population with simple and easy instruments is still needed to detect individual CAD-risk profiling early. The screening program enables delegates to the Posbindu's cadres who the expertise had trained. 
Hubungan antara Persepsi Penyakit dengan Manajemen Diri pada Penderita Hipertensi Hamiidah, Shofia Nurmalita; Noviana, Uki; Haryani, Haryani
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 8, No 1 (2024)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.95062

Abstract

Background: Hypertension is suffered widely in national and global communities. Implementing hypertension self-management is one of the method to maintain blood pressure level. One of the factors in maintaining self-management compliance in people with hypertension is by examining the illness perception. However, there are differences in research results which scrutinize the correlation between illness perception and the level of self-management in patients with hypertension.Objective: To determine the correlation between illness perception and self-management in patients with hypertension in the working area of the Mlati II Public Health Center, Sleman, Yogyakarta.Methods: This research was quantitative research using cross sectional analytical design. The sample in this study amounted to 121 respondents who were selected using proportionate stratified random sampling method to determine the number of respondents from each village and purposive sampling to determine respondents. The inclusion criteria in this study were people with hypertension in the working area of the Mlati II Public Health Center, aged 18-64 years, and had a blood pressure of ≥140/90 mmHg. This study used the Brief Illness Perception-Questionnaire (BIP-Q) questionnaire to measure illness perception and the Hypertension Self-Management Behavior Questionnaire (HSMBQ) to measure self-management in people with hypertension. The Spearman rank test was used to determine the correlation between illness perception and self-management in people with hypertension. Results: Among respondents, there were people who had a positive illness perception as much as (34,7%), and had a high level of self-management as much as (50,4%). Spearman rank test result was r = 0,055 with p value = 0,551.Conclusion: There is no correlation between illness perception and self-management in patients with hypertension in the working area of the Mlati II Public Health Center, Sleman, Yogyakarta. There might be another factors that affect self-management in patients with hypertension.INTISARILatar belakang: Hipertensi banyak diderita oleh masyarakat secara nasional maupun global. Upaya dalam menjaga tekanan darah, salah satunya dengan menerapkan manajemen diri hipertensi. Salah satu faktor dalam menjaga kepatuhan manajemen diri pada penderita hipertensi adalah persepsi penyakit. Namun, terdapat perbedaan hasil penelitian sebelumnya mengenai hubungan antara persepsi penyakit dengan tingkat manajemen diri pada penderita hipertensi.Tujuan: Penelitian ini bertujuan untuk menganalisis hubungan antara persepsi penyakit dengan manajemen diri pada penderita hipertensi di wilayah kerja Puskesmas Mlati II, Sleman, Yogyakarta.Metode: Penelitian ini merupakan penelitian kuantitatif dengan desain analitik cross sectional. Sampel pada penelitian ini berjumlah 121 responden yang dipilih menggunakan metode proportionate stratified random sampling untuk menentukan jumlah responden dari setiap desa dan consecutive sampling untuk menentukan responden. Kriteria inklusi pada penelitian ini adalah penderita hipertensi di wilayah kerja Puskesmas Mlati II, berusia 18-64 tahun, dan memiliki tekanan darah ≥ 140/90 mmHg. Persepsi penyakit diukur menggunakan kuesioner Brief Illness Perception-Questionnaire (BIP-Q) dan manajemen diri pada penderita hipertensi diukur menggunakan Hypertension Self-Management Behavior Questionnaire (HSMBQ). Uji Spearman Rank digunakan untuk mengetahui hubungan antara persepsi penyakit dengan manajemen diri pada penderita hipertensi.Hasil: Sebanyak 40,5% responden penelitian memiliki persepsi positif terhadap penyakitnya dan sebanyak 50,4% responden memiliki tingkat manajemen diri dengan kategori tinggi. Hasil uji Spearman Rank didapatkan nilai r = 0,055 dan nilai p = 0,551.Simpulan: Tidak ada hubungan antara persepsi penyakit dengan manajemen diri pada penderita hipertensi di wilayah kerja Puskesmas Mlati II, Sleman, Yogyakarta. Hal ini kemungkinan karena adanya faktor lain yang memengaruhi manajemen diri pasien hipertensi.