Prastika, Yuniar Dwi
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Faktor Risiko Kualitas Hidup Lansia Penderita Hipertensi Prastika, Yuniar Dwi; Siyam, Nur
Indonesian Journal of Public Health and Nutrition Vol 1 No 3 (2021): Special Issue
Publisher : Center for Public Health Nutrition Studies, Universitas Negeri Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/ijphn.v1i3.47984

Abstract

Background: The Bandarharjo Primary Healthcare Center was become primary healthcare center with the highest cases of hypertension in Semarang City until November 2020. The working area of Bandarharjo primary healthcare center consisted of 4 villages with cases of hypertension in the elderly on January-February 2021 was 400 cases. The aim of the research was to determine the factors that affect the quality of life in elderly people with hypertension. Methods: The type of this research was observational analytics with cross sectional design. The research sample were 85 using purposive sampling. The instruments used were the WHOQOL-BREF questionnaire, the IPAQ Short Form questionnaire, and the MMAS-8 questionnaire. Data were analyzed with chi square test, fisher test, and logistic regression. Results: Variables that associated to the quality of life in the elderly with hypertension in this study were employment status variables (p=0.007), comorbidities (p=0.022), physical activity (p=0.021), and medication adherence (p=0.038). The factors that most influenced the quality of life in elderly people with hypertension were work status, comorbidities, and medication adherence. Conclusion: Occupational status, comorbidities, and medication adherence were the factors that most influence the quality of life in elderly people with hypertension.
Exploration of longitudinal data based on integrated elderly health care for developing predictive health status in Semarang, Indonesia Rosha, Putri Tiara; Oksidriyani, Safrina; Siyam, Nur; Meisyaroh, Indriani; Amalia, Laila; Fakhira, Azradina; Indah Setyowati, Florensia; Prastika, Yuniar Dwi
BKM Public Health and Community Medicine Vol 40 No 08 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i08.12504

Abstract

Purpose: This study aims to explore and describe vital sign measurements in the 20 periods. Methods: This study used data from a database of integrated elderly healthcare at PHC Kedungmundu, focusing on 20 periods from January 2022 to August 2023, and employed a cross-sectional study design. In total, 715 participants were included in the 20 periods. Demographic and vital sign measurement data were merged with those of the respondents. The essential sign measurements were analyzed by age group (45-59, 60-74, and >75) for males and females, and by period using a box plot. Data was analyzed descriptively (proportion, mean, median) using Stata 13. Results: A total of 2,930 participants were included in the 20 periods. Most participants were female (88%) and were between 60 and 74 years old (52%). Healthcare professionals regularly record blood pressure every month, but not all participants provided data on BMI, waist circumference, blood sugar levels, uric acid levels, and cholesterol levels. SBP and DBP were higher in females, especially 60-74 years old (SBP= 141 mmHg, DBP=83 mmHg). BMI (26.04 kg/m2) and waist circumference (87.94 cm) were higher in females than males. Blood sugar (169 mg/dL), uric acid (7.3 mg/dL), and cholesterol (230 mg/dL) data are also higher in females than in males, especially among those aged 45-49 years old. Conclusion: Investigated the health status of the elderly over 20 months, gender and age-related differences in health metrics, and chronic disease risk factors. Tailored health interventions and regular monitoring are crucial for effectively managing and mitigating the risk factors that affect long-term health outcomes and quality of life.
EARLY DETECTION OF HYPERTENSION RISK: A SURVIVAL ANALYSIS OF BLOOD PRESSURE IN AGING POPULATIONS IN SEMARANG Rosha, Putri Tiara; Rahadiyanti, Ayu; Ningrum, Dina Nur Anggraini; Qudsyiah, Novia Fariqothul; Ghassanie, Firly Azra; Artanti, Emilia Indri; Himmah, Irna Mufidatul; Setyowati, Florensia Indah; Prastika, Yuniar Dwi
The Indonesian Journal of Public Health Vol. 21 No. 1 (2026): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijph.v21i1.2026.153-167

Abstract

Introduction: It is estimated that two-thirds of hypertension cases occur in Low-Middle Income Countries (LMICs), and 46% of individuals with hypertension are unaware of their condition. Early detection and effective management of hypertension are crucial for reducing its burden. Aims: This study aims to determine the progression time, the status of hypertension, and the factors that influence it. Methods: This study employed a longitudinal design. Secondary data was collected by 5 Poksila at the Kedungmundu Public Health Center in Semarang. This data was taken from January 2022 to August 2023 as 20 periods and analyzed using survival analysis. Results: A total of 332 participants were included in the analysis. Most of the participants were women (88.66%),  aged 45-59 years old (47.29%), obese (40.6%), and at risk due to waist circumference (77.01%). As many as 66.27% of participants experienced an increase in hypertension status from the previous month. The transition from normal blood pressure to pre-hypertension was the most significant, occurring in 61.82% of participants. The survival rate was 50% in the elderly male group (7.31±4.82 months) and in the female group (5.75±4.25 months). Multivariate Cox regression analysis indicated that sex was associated with the progression of hypertension (HR 95% CI = 1.67 (1.03-2.69), p=0.03). Conclusion: Elderly males had a longer survival rate compared to females. Females are at higher risk of progression of hypertension. These findings highlight the need for targeted interventions to manage hypertension effectively based on sex and other risk factors. Routine monitoring for the elderly is essential as a primary preventive measure for hypertension.