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Fahmi Ichwansyah
Magister Kesehatan Masyarakat, Pascasarjana Universitas Muhammadiyah AcehBanda Aceh, 23245
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The relationship between diabetes mellitus (DM) risk factors and random blood sugar levels (RBSL) in managerial and non-managerial positions in the local government of Bener Meriah Regency Hajjah, Hajjah; Ichwansyah, Fahmi; Zahara, Meutia; Aramico, Basri; Abdullah, Asnawi
Science Midwifery Vol 13 No 6 (2026): February: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i6.2259

Abstract

Fasting Blood Sugar Level (FBSL) as one of the efforts to detect DM. The study aims to determine the risk factors of DM on FBSL in managerial and non-managerial positions (civil servants) in Bener Meriah Regency. The study used a cross-sectional design. The research sample consisted of 81 managerial and 102 non-managerial respondents. Purposive sampling was used. The study period was from February 20 to June 7, 2024. Data collection involved measurements (height, weight to calculate BMI), blood pressure checks, and KGDS. A questionnaire (IPAQ) was used for interviews on physical activity, and a questionnaire (Riskesdas) from 2018 was used for interviews on risk factors for low fiber consumption and high sugar, salt, and fat consumption. Analysis of Mann Whitney Test and Multiple Logistic Regression data. The results showed that there was a relationship between KGDS and BMI (OR= 2.48; 95%CI=2.48; p-value=0.007). There was no relationship between KGDS and blood pressure (OR= 1.66; 95%CI=0.82-3.35; p-value=0.1520). There is no relationship between KGDS and physical inactivity (OR=1.80; 95% CI=0.82-3.93 p-value=0.1307). There is no relationship between KGDS and low fiber consumption (OR=1.15; 95% CI=0.50-2.61 p-value=0.74). There was no association between KGDS and high sugar, salt, and fat intake (OR=0.90; 95% CI=0.41-1.94; p-value=0.7828). There was no association between group and KGDS occurrence (OR=1.39; 95% CI=0.76-2.53 p-value=0.272). There was no association between random blood glucose levels (KGDS) and blood pressure, physical activity, and dietary patterns. Regular KGDS testing and the implementation of physical activity and balanced nutrition are still recommended.
Analisis Faktor Self Care Management Hipertensi pada Pra Lansia Sampai Lansia di Wilayah Terpencil Kepulauan Nias Sumatera Utara Silviana, Rina; Ichwansyah, Fahmi; Abdullah, Asnawi; Hermansyah, Hermansyah; Hafnidar, Hafnidar; Zahara, Amelia
Malahayati Nursing Journal Vol 8, No 3 (2026): Volume 8 Nomor 3 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i3.24333

Abstract

ABSTRACT Hypertension is a chronic disease that has characteristics in unsTabel bloodpressure, so it needs a long treatment that can even be up to a lifetime and requiresconsiderable medical expenses. Hypertension is a condition in which systolic bloodpressure is equal to or higher than 140 mmHg and diastolic blood pressure is higher than 90 mmHg. This study aimed to analyze the factors associated with hypertension self-care management among pre-elderly and elderly individuals living in remote areas of Nias Regency, North Sumatra. This quantitative study employed a cross-sectional design. Data were collected over one month, from May 30 to June 30, 2024, through face-to-face interviews using a structured questionnaire. The study population comprised all hypertensive patients aged 45–74 years, categorized as pre-elderly and elderly, within the working area of Ehosakhozi Public Health Center. A total of 80 respondents were selected using random sampling. Data were analyzed using cross-sectional analysis with STATA version 14.0. The results showed that 50% of pre-elderly and elderly respondents had poor self-care management. Poor self-care management was predominantly found among the elderly group (75%) compared to the pre-elderly group (25%) (OR = 15.55; 95% CI = 3.29–73.41; p = 0.001). Insufficient family support increased the risk of poor self-care management by nearly four times (OR = 3.74; 95% CI = 1.12–12.51; p = 0.032). Gender, educational level, marital status, smoking history, alcohol consumption, and self-efficacy were also significantly associated with hypertension self-care management. Educational level was identified as the most dominant factor associated with hypertension self-care management among pre-elderly individuals. It is expected that healthcare providers will encourage and assist family members in supporting the care of pre-elderly and elderly individuals with hypertension. Keywords: Hypertension, Pre-elderly, Elderly, Self Care Management   ABSTRAK Hipertensi merupakan penyakit kronis yang memiliki karakteristik pada tekanan darah yang tidak stabil, sehingga perlu dilakukan pengobatan yang lama bahkan bisa sampai seumur hidup dan membutuhkan biaya pengobatan yang cukup besar. Untuk menganalisis faktor Self Care management hipertensi pada pra lansia sampai lansia di wilayah terpencil, Kabupaten Nias Sumatera Utara. Penelitian ini bersifat kuantitatif dengan rancangan Cross-Sectional. Pengumpulan data dilakukan selama sebulan sejak 30 Mei sampai dengan 30 Juni 2024 dengan wawancara langsung menggunakan kuesioner. Populasi dalam penelitian ini ada seluruh pasien yang mengalami hipertensi dari rentan usia 45-74 tahun dengan kategori pra lansia sampai lansia yang berada di wilayah kerja Puskesmas Ehosakhozi. Sampel yang diambil sebanyak 80 orang dengan teknik random sampling dan dianalisis dengan uji Cross-Sectional menggunakan aplikasi STATA 14.0. Hasil penelitian menunjukkan bahwa sebanyak 50% pra lansia dan lansia memiliki Self Care management kurang baik. Pra lansia dan lansia yang memiliki Self Care management kurang baik mayoritas pada kelompok lansia 75% dibandingkan dengan kelompok pra lansia 25% (OR=15,55; 95%CI=3,29-73,41; p=0,001). Dukungan keluarga yang kurang berisiko hampir 4 kali mengalami Self Care management kurang baik (OR=3,74; 95%CI=1,12-12,51; p=0,032). Jenis kelamin, pendidikan, status perkawinan, riwayat merokok, konsumsi alkohol dan Self Efficacy juga berhubungan dengan Self Care management hipertensi. Pendidikan menjadi faktor yang paling dominan berhubungan dengan Self Care management hipertensi pada pra lansia. Diharapkan petugas kesehatan dapat menghimbau dan membantu anggota keluarga untuk dapat merawat pra lansia sampai lansia dengan hipertensi. Kata Kunci: Hipertensi, Pra Lansia, Lansia, Self Care Management.
Co-Authors . Zulfan Abidah Nur Abidah Nur Ahmad Fauzan Ahmad Fauzan Ali Abubakar Ali Muktadin, Rahmat Amin, Fauzi Ali Amin, Ghazali Amiruddin Amiruddin Ananda, Nurul ar, aiyup Arbi, Anwar Aripin Ahmad Aripin Ahmad, Aripin Ariscari, Putri Ariscasari, Putri Ariska, Tasya Aryandi Darwis Asnawi Abdullah Asnawi Abdullah Asnawi Abdullah Asnawi Abdullah Asnawi Abdullah Asnawi Abdullah Asnawi Abdullah Asri Jumadewi Aulina Adamy Azkia, Nisa Ulfa Azwar, Eddy Baharuddin, Dharina Basri Aramico Basri Aramico, Basri Cholila, Cholila Citra, Mulia Cut Badriya Cut Nasrulsyah Dasrin Dasrin Debri Rizki Faisal Dedi Andria Desiana, Cut Rahmah Dewi Ariani Dorista, Eva Eka Fitria Eka Fitria Eka Fitria Erlinawati Erlinawati, Erlinawati Fahdhiene, Farrah Faisal Abdurahman Faisal Faisal Faisal, Debri Rizki Farrah Fahdhienie Finisa Balkis Fitriasih, Desi Hafnidar Hafnidar Hafnidar, Hafnidar Hajjah, Hajjah Halimatussakdiah Halimatussakdiah Harbiyah, Harbiyah Hasnur, Hanifah Hermansyah Hermansyah Hermansyah Hermansyah Ida Ayu Putu Sri Widnyani Iin Fitraniar Indra Gunawan Irhamna, Dian Ayu Irwan Saputra Irwana Wahab, Irwana Jontari Jontari Khaira, Niswatul M. Marthoenis Maidar Maidar Maidar Maidar Maidar Maidar Maidar, Maidar Maidar, Maidar Maifrizal Maifrizal Mainita, Mainita Mairani, Tiara Maulida, Suci Maulidya, Rizki Melania Hidayat Melania Hidayat Meutia Zahara Mira Gusweni Muhammad Syam Siddiq AR Mukarramah, Ayu Munawir Munawir Murniati Murniati Naimah Naimah Naimah Naimah Nazlia Nazlia Nelly Marissa Nelly Marissa Nelly Marissa Nira Una Nisak, Khairun Novianti, Hernia Nur Ramadhan, Nur Nurjannah Nurjannah Nurjannah Nurma Nurma Onetusfifsi Putra Rachmatilllah.YS, Rafif Radhiah Zakaria Radhiah Zakaria Rafiqa, Urwatur Rahmadiana, Rahmadiana Rahmat, Said Muhakikin Raisuli Ramadhan Ramadhan, Raisuli Rasmi, Rika Irma Raudhatul Jannah Razali Razali Sahayati Windy Afreli Said Usman Saputra, Irwan SARI, CINDY CINTA Saripah Nur Septiani, Riza Serly Riski Amanda Shella Novia Silviana, Rina 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