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Kontribusi Kepatuhan Konsumsi Obat Antihipertensi dan Terkendalinya Tekanan Darah Pasien Hipertensi di Puskesmas Cisauk, Kabupaten Tangerang, Banten Shirley I Moningkey; Iegreat Aprilyanri; I Gusti AN Hirania; Lidia Arita; Wahyuni L Atmodjo
Journal of Medicine and Health Vol 5 No 1 (2023)
Publisher : Universitas Kristen Maranatha

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.28932/jmh.v5i1.6097

Hipertensi merupakan masalah kesehatan dengan tingkat prevalensi tertinggi di dunia. WHO mencatat bahwa terdapat 1 dalam 5 orang dengan hipertensi yang terkontrol disebabkan kepatuhan penderita hipertensi dalam mengonsumsi obat yang masih kurang. Walaupun beberapa penelitian melaporkan mengenai pengaruh kepatuhan mengonsumsi obat antihipertensi dengan terkendalinya tekanan darah tinggi, namun masih terdapat perbedaan pada kebermaknaan pada hasil penelitiannya. Tujuan penelitian ini adalah untuk membuktikan kontribusi kepatuhan konsumsi obat antihipertensi dengan terkendalinya tekanan darah pada penderita hipertensi. Penelitian ini menggunakan metode studi potong lintang terhadap 78 penderita tekanan darah tinggi di Puskesmas Cisauk yang memenuhi kriteria penelitian. Data kepatuhan meminum obat antihipertensi diamati dengan kuesioner Morrisky Medication Adherence Scale 8 (MMAS-8). Hasil penelitian menunjukkan 47 (60,3%) subyek hipertensi tidak patuh terhadap pengobatan hipertensi, sedangkan 56 (71,8%) subyek memiliki tekanan darah yang tidak terkendali yaitu >140/90. Hubungan antara kedua variabel pada penderita hipertensi di Puskesmas Cisauk yang dianalisa dengan metode chi-square menunjukkan kebermaknaan dengan p<0,0001 dan OR=5,35. Penelitian ini menyimpulkan apabila pasien tidak patuh minum obat antihipertensi maka kemungkinan akan mengalami hipertensi 5,35 kali lebih besar.

Difference Disease Knowledge Level in Type 2 Diabetes Mellitus Patients at Siloam Lippo Village General Hospital Moningkey, Shirley Ivonne; Aprilyanri, Iegreat; Atmodjo, Wahyuni Lukita
Medicinus Vol 13, No 2 (2024): February
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v13i2.8105

Background: In Indonesia, Diabetes Mellitus (DM) with complications is the third leading cause of death. Risk of complication increases tremendously in uncontrolled diabetes. The level of knowledge is one of the factors affect glycaemic control. However, little study has been done regarding the difference in disease knowledge level in type 2 DM patients. This study aims to find out the difference between the level of DM knowledge and glycaemic control in type 2 diabetes mellitus patients at Siloam Lippo Village General Hospital.Methods: Analytical observational with a cross-sectional study was conducted. 46 type 2 diabetes mellitus patients qualified for the inclusion criteria and were given the self-administered Michigan Diabetes Knowledge Test (MDKT) for General Knowledge Part (GKP) questionnaire and HbA1c test results taken in the past six months to evaluate glycaemic control. Purposive sampling method was used in this study for data collection. Student T-test was done to measure the difference with 95% significancy.Result: In 46 samples were shown that 60.90% women, a majority in the 50-59 age group, and 65.20% with more than 5 years of DM history. Among 46 samples, 26 have uncontrolled glycaemic with a mean score of 6.65 ± 1.83 in knowledge, and 20 have controlled glycaemic with a mean score 7.80 ± 1.61. Student T-test showed significant difference in level of knowledge between controlled and uncontrolled glycaemic levels with p = 0.032.Conclusions: It is concluded that there is a difference in disease knowledge level in type 2 DM patients at Siloam Lippo Village General Hospital.

Role of Light Physical Activity Towards Stress in the Elderly in Nursing Homes Nesia, Waynhena Sarawa; Atmodjo, Wahyuni Lukita; Moningkey, Shirley Ivonne
Medicinus Vol 13, No 1 (2023): October
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v11i2.7526

Introduction: It was reported that one in five adults and four out of five adolescents around the world did not do enough physical activity, especially the elderly tend not to do physical activity that is classified as active. Less physical activity can inhibit the release of ACTH and decrease cortisol secretion so that it can cause stress. Although it has been reported about the relationship between physical activity and stress levels at the age of 23-54 years, there has not been much research on the relationship in the elderly. Many elderly people aged over 60 years, especially those living in nursing homes experience stress due to lack of physical activity. Thus, further research is needed regarding the relationship between light physical activity and stress levels in the elderly at the Nursing Home.Methods: It was an unpaired categorical comparative analytic study. Elderly respondents at the Nursing Home aged 60-74 years will fill out the PASE questionnaire to assess physical activity and the PSS-10 to assess stress levels. The data obtained will be processed using Microsoft Excel and analyzed with the Pearson Chi-Square test using the SPSS-25 program.Result: Of the 40 respondents, 30 did light physical activity and 10 did heavy physical activity. It was also found that 14 experienced mild stress and 26 experienced severe stress. The results from Pearson ChiSquare show p-value <0.001 and OR = 16.000.Conclusions: The results of this study states that there is a significant relationship between light physical activity and stress levels in the elderly aged 60-74 years who live in nursing homes.

Kontribusi Kepatuhan Konsumsi Obat Antihipertensi dan Terkendalinya Tekanan Darah Pasien Hipertensi di Puskesmas Cisauk, Kabupaten Tangerang, Banten Shirley I Moningkey; Iegreat Aprilyanri; I Gusti AN Hirania; Lidia Arita; Wahyuni L Atmodjo
Journal of Medicine and Health Vol 5 No 1 (2023)
Publisher : Universitas Kristen Maranatha

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.28932/jmh.v5i1.6097

Hipertensi merupakan masalah kesehatan dengan tingkat prevalensi tertinggi di dunia. WHO mencatat bahwa terdapat 1 dalam 5 orang dengan hipertensi yang terkontrol disebabkan kepatuhan penderita hipertensi dalam mengonsumsi obat yang masih kurang. Walaupun beberapa penelitian melaporkan mengenai pengaruh kepatuhan mengonsumsi obat antihipertensi dengan terkendalinya tekanan darah tinggi, namun masih terdapat perbedaan pada kebermaknaan pada hasil penelitiannya. Tujuan penelitian ini adalah untuk membuktikan kontribusi kepatuhan konsumsi obat antihipertensi dengan terkendalinya tekanan darah pada penderita hipertensi. Penelitian ini menggunakan metode studi potong lintang terhadap 78 penderita tekanan darah tinggi di Puskesmas Cisauk yang memenuhi kriteria penelitian. Data kepatuhan meminum obat antihipertensi diamati dengan kuesioner Morrisky Medication Adherence Scale 8 (MMAS-8). Hasil penelitian menunjukkan 47 (60,3%) subyek hipertensi tidak patuh terhadap pengobatan hipertensi, sedangkan 56 (71,8%) subyek memiliki tekanan darah yang tidak terkendali yaitu >140/90. Hubungan antara kedua variabel pada penderita hipertensi di Puskesmas Cisauk yang dianalisa dengan metode chi-square menunjukkan kebermaknaan dengan p<0,0001 dan OR=5,35. Penelitian ini menyimpulkan apabila pasien tidak patuh minum obat antihipertensi maka kemungkinan akan mengalami hipertensi 5,35 kali lebih besar.

Role of Light Physical Activity Towards Stress in the Elderly in Nursing Homes Nesia, Waynhena Sarawa; Atmodjo, Wahyuni Lukita; Moningkey, Shirley Ivonne
Medicinus Vol. 13 No. 1 (2023): October
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v11i2.7526

Introduction: It was reported that one in five adults and four out of five adolescents around the world did not do enough physical activity, especially the elderly tend not to do physical activity that is classified as active. Less physical activity can inhibit the release of ACTH and decrease cortisol secretion so that it can cause stress. Although it has been reported about the relationship between physical activity and stress levels at the age of 23-54 years, there has not been much research on the relationship in the elderly. Many elderly people aged over 60 years, especially those living in nursing homes experience stress due to lack of physical activity. Thus, further research is needed regarding the relationship between light physical activity and stress levels in the elderly at the Nursing Home.Methods: It was an unpaired categorical comparative analytic study. Elderly respondents at the Nursing Home aged 60-74 years will fill out the PASE questionnaire to assess physical activity and the PSS-10 to assess stress levels. The data obtained will be processed using Microsoft Excel and analyzed with the Pearson Chi-Square test using the SPSS-25 program.Result: Of the 40 respondents, 30 did light physical activity and 10 did heavy physical activity. It was also found that 14 experienced mild stress and 26 experienced severe stress. The results from Pearson ChiSquare show p-value <0.001 and OR = 16.000.Conclusions: The results of this study states that there is a significant relationship between light physical activity and stress levels in the elderly aged 60-74 years who live in nursing homes.

Difference Disease Knowledge Level in Type 2 Diabetes Mellitus Patients at Siloam Lippo Village General Hospital Moningkey, Shirley Ivonne; Aprilyanri, Iegreat; Atmodjo, Wahyuni Lukita
Medicinus Vol. 13 No. 2 (2024): February
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v13i2.8105

Background: In Indonesia, Diabetes Mellitus (DM) with complications is the third leading cause of death. Risk of complication increases tremendously in uncontrolled diabetes. The level of knowledge is one of the factors affect glycaemic control. However, little study has been done regarding the difference in disease knowledge level in type 2 DM patients. This study aims to find out the difference between the level of DM knowledge and glycaemic control in type 2 diabetes mellitus patients at Siloam Lippo Village General Hospital.Methods: Analytical observational with a cross-sectional study was conducted. 46 type 2 diabetes mellitus patients qualified for the inclusion criteria and were given the self-administered Michigan Diabetes Knowledge Test (MDKT) for General Knowledge Part (GKP) questionnaire and HbA1c test results taken in the past six months to evaluate glycaemic control. Purposive sampling method was used in this study for data collection. Student T-test was done to measure the difference with 95% significancy.Result: In 46 samples were shown that 60.90% women, a majority in the 50-59 age group, and 65.20% with more than 5 years of DM history. Among 46 samples, 26 have uncontrolled glycaemic with a mean score of 6.65 ± 1.83 in knowledge, and 20 have controlled glycaemic with a mean score 7.80 ± 1.61. Student T-test showed significant difference in level of knowledge between controlled and uncontrolled glycaemic levels with p = 0.032.Conclusions: It is concluded that there is a difference in disease knowledge level in type 2 DM patients at Siloam Lippo Village General Hospital.

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