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Blood Pressure Control Efforts in Hypertension Patients: An Exploratory Study Rika Irma Rasmi; Basri Aramico; Maidar Maidar; Asnawi Abdullah; Fahmi Ichwansyah
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6929

Abstract

Non-communicable diseases (NCDs), especially hypertension, are the leading cause of premature death worldwide, with a high prevalence in low- and middle-income countries. In Indonesia, hypertension poses a major health challenge, particularly in coastal areas where diets are high in sodium. This study aims to explore the efforts made by individuals with hypertension in managing their blood pressure. A qualitative study with a case study approach was conducted in Kluet Selatan, South Aceh, in November 2024. Data were collected through in-depth interviews and focus group discussions (FGDs) involving 12 participants, including hypertension patients, family members, health workers, and community leaders. Data were recorded, transcribed verbatim, and analyzed using thematic analysis to identify patterns and key themes related to hypertension management. The results revealed that patients had initiated dietary changes, increased physical activity, and practiced stress management. However, they encountered challenges such as financial limitations, ingrained eating habits, and restricted access to health facilities. Family involvement and the use of traditional remedies were found to support hypertension control. Despite these efforts, persistent social, cultural, and economic barriers hinder sustainable behavior change. Limited health education and lack of access to specialized care also affect long-term hypertension management in this setting.
Hypertension Treatment Seeking Patterns and Healthcare Facility Accessibility Ena Eppirta; Maidar Maidar; Asnawi Abdullah; Hermansyah Hermansyah; Fahmi Ichwansyah
Indonesian Journal of Global Health Research Vol. 7 No. 6 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i6.353

Abstract

The World Health Organization (WHO) estimates that by 2025, approximately 29% of the global population will experience hypertension. The prevalence of hypertension in Aceh Province has increased by 21.5%. The Aceh Jaya District Health Office reported significant fluctuations in hypertension incidence at Krueng Sabee Community Health Center (Puskesmas), an area characterized by limited accessibility to health facilities due to varied topography, including highland, midland, and lowland regions. This study aimed to analyze the treatment-seeking patterns for hypertension and healthcare accessibility in the area, based on a population of 2,759 hypertensive patients registered at Krueng Sabee Puskesmas. Using a cross-sectional observational design, 335 respondents were selected through proportional random sampling. Data analysis was conducted using chi-square tests and spatial analysis. The results demonstrated significant associations between treatment-seeking patterns and factors such as age, hypertension status, education, occupation, income, and ease of transportation and information, while gender and distance showed no significant relationship. Among these factors, ease of transportation (OR = 12.591) was the most influential determinant of treatment-seeking behavior. Spatial analysis indicated that the distribution of health facilities was random (T = 1.212, p = 0.089). This study concludes that demographic and socioeconomic factors, along with transportation accessibility, significantly affect hypertension treatment-seeking patterns, whereas gender and distance do not. The random spatial distribution of health facilities suggests potential barriers to healthcare access in this region.
Faktor Faktor Yang Berhubungan Dengan Tingkat Kecemasan Ibu Pada Masa Menopause Di Desa Krueng Meuriam Kecamatan Tangse Kabupaten Pidie Ayu Mukarramah; Fahmi Ichwansyah; Ghazali Amin
Journal of Health and Medical Science Volume 1 Nomor 3 Juli 2022
Publisher : CV. Pusdikra Mitra Jaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51178/jhms.v1i3.866

Abstract

In 2020, Indonesia only reached 14 million menopausal women or 7.4% of the total population. When a woman has entered the menopause stage, the levels of estrogen and progesterone gradually drop so that they also affect other hormones. This condition is closely related to women's anxiety during menopause. The purpose of this study was to determine the factors associated with maternal anxiety levels during menopause in Krueng Meuriam Village, Tangse District, Pidie Regency in 2021. Methods: This research is an analytic with a cross sectional approach. The population in this study were 145 postmenopausal women in Krueng Meuriam Village, Tangse District, Pidie Regency in 2021. Sampling in this study was carried out by proportional sampling by determining the number of samples using the Slovin formula so that a sample of 60 samples was obtained. Data collection was carried out from December 02 - 08 by using a questionnaire through interviews. Data analysis using Chi-Square test with SPSS 21 . program. Results: The results showed that 40% of respondents who experienced normal anxiety during menopause, 56.7% of respondents with good knowledge, 55% of respondents with positive attitudes, 56.7% of respondents who had family support, and 56.7% of respondents who experienced mild physical changes by 45%.. Conclusion: Based on the results of the study, it was concluded that the results of bivariate research with chi-square test showed that there was a relationship between knowledge p = 0.021, there was a relationship betwee attitudes p = 0.032, there was a relationship between family support p = 0.004, and there was a relationship between physical changes p = 0.040 with maternal anxiety during menopause.
Determinan Pemanfaatan Layanan Kesehatan Peserta BPJS Penerima Bantuan Iuran di Puskesmas Piyeung Kabupaten Aceh Besar 2024 Nira Una; Fahmi Ichwansyah; Mira Gusweni
INSOLOGI: Jurnal Sains dan Teknologi Vol. 4 No. 3 (2025): Juni 2025
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/insologi.v4i3.5230

Abstract

Piyeung Health Center is recorded as the health center with the 5th lowest number of visits out of 28 health centers in Aceh Besar District. This is a concern because, although Piyeung Health Center has provided health services for BPJS Kesehatan participants in the PBI category, the low number of visits indicates that there are obstacles that hinder the optimization of the use of these services. This study aims to see the factors that cause the low number of visits at Piyeung Health Center. This study used a quantitative design with a cross-sectional approach. The study population was 3,394, and samples were taken using the accidental sampling technique of 100 respondents. Data analysis was carried out using the Chi-square test using SPSS version 30 with a significance level of 95%. The results of the univariate analysis showed that 88.0% of respondents had a good level of knowledge, 71.0% of respondents had easy accessibility, and 80.0% of respondents reported good health facilities. Meanwhile, 77.0% of respondents considered the actions of officers to be less than good, and 57.0% of respondents felt good family support. Bivariate analysis showed that officer actions (p-value 0.044), accessibility (p-value 0.002), and health facilities (p-value 0.006) had a significant relationship with the utilization of health services, while the level of knowledge (p-value 0.140), employment (p-value 0.222) and family support (p-value 0.078) did not show a significant relationship with the utilization of health services.
HUBUNGAN BERMAIN GAME ONLINE DENGAN KUALITAS TIDUR PADA SISWA DI SMA NEGERI 11 BANDA ACEH CINDY CINTA SARI; FAHMI ICHWANSYAH; RIZA SEPTIANI
Journal of Nursing and Public Health Vol 13 No 1 (2025)
Publisher : UNIVED Press, Universitas Dehasen Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/jnph.v13i1.8505

Abstract

Pendahuluan: Fenomena game online membuat remaja kecanduan hingga menghabiskan waktu istirahat untuk bermain game online, sehingga menimbulkan masalah kualitas tidur remaja. Jika kualitas tidur menjadi buruk, dampaknya akan menimbulkan gangguan kesehatan fisik dan mental pada remaja. Tujuan dari penelitian ini adalah untuk mengetahui hubungan bermain game online dengan kualitas tidur pada siswa SMA Negeri 11 Banda Aceh. Metode: Penelitian menggunakan pendekatan kuantitatif dengan desain cross-sectional. Populasi penelitian 277 siswa diperoleh sampel menggunakan purposive sampling sebanyak 73 siswa di SMA Negeri 11 Banda Aceh. Analisis spss menggunakan uji chi-square. Hasil dan Pembahasan: Hasil analisis univariat menunjukkan bahwa 39,73% siswa SMA Negeri 11 Banda Aceh memiliki kualitas tidur yang baik, sementara 60,27% mengalami kualitas tidur yang buruk. Sebagian besar siswa (78,08%) bermain game dalam waktu lama, dengan 75,34% bermain di rumah dan 75,34% memiliki gadget pribadi. Analisis bivariat menunjukkan adanya hubungan signifikan antara lama waktu bermain game (P-Value = 0,001) dan status kepemilikan gadget (P-Value = 0,033) dengan kualitas tidur siswa. Namun, tempat bermain game tidak menunjukkan hubungan signifikan dengan kualitas tidur (P-Value = 0,637). Kesimpulan : Penelitian ini menemukan bahwa lama waktu bermain game dan kepemilikan gadget pribadi berhubungan signifikan dengan kualitas tidur siswa, di mana durasi bermain game yang panjang dan kepemilikan gadget pribadi cenderung menurunkan kualitas tidur. Namun, tidak ada hubungan signifikan antara tempat bermain game dan kualitas tidur. Orang tua perlu membatasi penggunaan gadget anak, terutama di malam hari, sementara sekolah dapat berperan dalam edukasi kesehatan tidur melalui kebijakan dan program yang mendukung pola tidur sehat.
Faktor Risiko Hipertensi Diwilayah Kerja Puskesmas Meuraxa Kecamatan Meuraxa Kota Banda Aceh Tahun 2022 M. Merza Nurshahab, Fahmi Ichwansyah, Agustina
Journal of Health and Medical Science Volume 1 Nomor 4 Oktober 2022
Publisher : CV. Pusdikra Mitra Jaya

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

Abstract

Hipertensi merupakan salah satu penyakit kardiovaskular yang paling umum dan paling banyak disandang masyarakat. Hipertensi sekarang jadi masalah utama kita semua, tidak hanya di Indonesia tapi di dunia, karena hipertensi ini merupakan salah satu pintu masuk atau faktor risiko penyakit seperti jantung, gagal ginjal, diabetes, stroke. Hipertensi disebut sebagai the silent killer karena sering tanpa keluhan, sehingga penderita tidak mengetahui dirinya menyandang hipertensi dan baru diketahui setelah terjadi komplikasi. Data Dinas Kesehatan Kota Banda Aceh Tahun 2021, dari 11 Puskesmas yang ada di Kota Banda Aceh kasus penyakit hipertensi tertinggi yaitu di Puskesmas Meuraxa berjumlah 6,277 kasus. Dari hasil wawancara dengan para penderita hipertensi, pasien dengan rerata tekanan darah antara 150/90 mmHg sampai 180/100 mmHg, para pasien mengatakan tidak mengetahui penyebab pasti meningkatnya tekanan darah mereka. Desain penelitian descriptive analitik dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah semua pasien hipertensi yang berjumlah 5.864 di Puskesmas Meuraxa Kecamatan Meuraxa Kota Banda Aceh tahun 2022. Sampel dalam penelitian ini sebanyak 98 responden. Penetapan jumlah sampel minimum menggunakan rumus Slovin. Pengumpulan data yang dilakukan dari tanggal 27 Juli – 02 Agustus 2022 dengan menggunakan kuesioner melalui wawancara. Analisis data menggunakan uji Chi-Square dengan program SPSS 21. Hasil penelitian menunjukan terdapat responden dengan diagnosis hipertensi stage 2 sebesar 32,7%, responden dengan umur dewasa akhir sebesar 53,15, responden dengan jenis kelamin perempuan sebesar 58,2%, responden dengan riwayat hipertensi di keluarga sebesar 52,0%, responden perokok aktif sebesar 51,0% dan responden dengan aktivitas fisik ringan sebesar 45,9%. Hasil uji chi-square diperoleh bahwa ada hubungan antara umur dengan hipertensi p = 0,001, ada hubungan antara jenis kelamin dengan hipertensi p = 0,021, ada hubungan antara riwayat keluarga dengan hipertensi p = 0,028, ada hubungan antara pemeriksaan kesehatan dengan hipertensi p = 0,024, ada hubungan antara kebiasaan merokok dengan hipertensi p = 0,009 dan ada hubungan antara aktivitas fisik dengan hipertensi p = 0,000. Berdasarkan penelitian yang dilakukan dapat disimpulkan bahwa kelima variabel tersebut memiliki hubungan dengan hipertensi di Puskesmas Meuraxa Kecamatan Meuraxa Kota Banda Aceh tahun 2022.
Co-Authors Abidah Nur Abidah Nur Ahmad Fauzan Ahmad Fauzan Ali Abubakar Amelia Zahara Amin, Fauzi Ali Amiruddin Amiruddin ar, aiyup Aripin Ahmad Ariscari, Putri Ariscasari, Putri Aryandi Darwis Asnawi Abdullah Asnawi Abdullah Asnawi Abdullah Asnawi Abdullah Asnawi Abdullah Asnawi Abdullah Asnawi Abdullah Asnawi Abdullah Asri Jumadewi Aulina Adamy Ayu Mukarramah Azkia, Nisa Ulfa Azwar, Eddy Baharuddin, Dharina Basri Aramico Basri Aramico Basri Aramico, Basri CINDY CINTA SARI Citra, Mulia Cut Badriya Cut Nasrulsyah Dasrin Dasrin Debri Rizki Faisal Dedi Andria Desiana, Cut Rahmah Dewi Ariani Dian Ayu Irhamna Eka Fitria Eka Fitria Eka Fitria Ena Eppirta Erlinawati Erlinawati, Erlinawati Fahdhiene, Farrah Faisal Abdurahman Faisal, Debri Rizki Farrah Fahdhienie Finisa Balkis Fitriasih, Desi Ghazali Amin Hafnidar Hafnidar Hafnidar Hafnidar Halimatussakdiah Halimatussakdiah Harbiyah, Harbiyah Hasnur, Hanifah Hermansyah Hermansyah Hermansyah Hermansyah Ida Ayu Putu Sri Widnyani Iin Fitraniar Indra Gunawan Irwan Saputra Irwana Wahab, Irwana Jontari Jontari M. Marthoenis Maidar Maidar Maidar Maidar Maidar Maidar Maidar Maidar Maidar, Maidar Maidar, Maidar Maifrizal Maifrizal Mainita, Mainita Maulida, Suci Maulidya, Rizki Mega Fatimah Rosana Melania Hidayat Melania Hidayat Meutia Zahara Mira Gusweni Muhammad Syam Siddiq AR Munawir Munawir Murniati Murniati Naimah Naimah Nazlia Nazlia Nelly Marissa Nelly Marissa Nelly Marissa Nira Una Nisak, Khairun Niswatul Khaira Novianti, Hernia Nur Ramadhan, Nur Nurjannah Nurjannah Nurjannah Nurma Nurma Nurul Ananda Onetusfifsi Putra Rachmatilllah.YS, Rafif Radhiah Zakaria Radhiah Zakaria Rahmat, Said Muhakikin Raisuli Ramadhan Ramadhan, Raisuli Raudhatul Jannah Razali Razali Rika Irma Rasmi Rina Silviana Riza Septiani Sahayati Windy Afreli Said Usman Said Usman Saputra, Irwan Saripah Nur Septiani, Riza Serly Riski Amanda Shella Novia Siska Riani syarifuddin anwar Tahara Dilla Santi Tati Suryati Teuku Reza Ferasyi Tiarasari, Intan Tisha Lazuana Ulfa, Lisa Mutia Ulfina Usman, Said Yanti, Cut Aini Fauzi Yossi Ismardiani Yusnidar Yusnidar Zahara, Amelia Zakaria, Radhiah Zakaria, Radiah Zulfan Zulfan