PERILAKU PENCEGAHAN DAN PENGENDALIAN HIPERTENSI : STUDI PENGETAHUAN, SIKAP, PERILAKU (PSP) DAN KESEHATAN LINGKUNGAN PADA WANITA PASCA MENOPAUSE DI KOTA BOGOR

Studi Kualitatif pada Wanita Pasca Menopause di Kota Bogor

  • Woro Riyadina National Institute of Health Research and Development, Ministry of Health
  • Evi Martha Fakultas Kesehatan Masyarakat Universitas Indonesia Depok
  • Athena Anwar
Keywords: Hipertensi, menopause, faktor perilaku, pengontrolan tekanan darah, Hypertension, menopause, behavioral factors, control of blood pressure

Abstract

ABSTRACT

Half of the women (48%) had hypertension at the age of menopause and the majority of hypertension was uncontrolled. For hipertensive patients, behavioral factors (knowledge, attitude and practice) and environment related to the prevention and control of blood pressure. This study explored further from the research data " The Dynamics of Change in Body Mass Index and Blood Pressure in Postmenopausal Women in Bogor on 2011-2014, focus on knowledge, attitude and practice of preventing and controlling hypertension in Bogor City. Data collection was carried out with indepth interviews on key informants responsible for health program and Focus Group Discussion (FGD) for 4 groups of hypertensive and normotensive informants, respectively. The qualitiative data analyzed using theme analysis, triangulation was carried out for data validation. Analysis of drinking water quality data was done by independent t test. The majority of postmenopausal women were 55 years old and senior high school education. Most of them already have good knowledge and attitudes in the prevention and control of blood pressure, but are still lacking in practice. Aluminum and lead (Pb) contamination in drinking water has exceeded the standard value and has the potential to increase blood pressure. For hypertensive patient, health workers should have a strategy to increase the motivation to practice the prevention and control of blood pressure with various counseling methods that are more innovative and applicative to specific local potential and routine monitoring of drinking water sources to maintain good drinking water quality.

Keywords: Hypertension, menopause, behavioral factors, control of blood pressure

 

ABSTRAK

Separuh wanita (48%) mengalami hipertensi saat memasuki usia menopause dan mayoritas hipertensi tidak terkontrol. Bagi penderita hipertensi, faktor perilaku dan lingkungan berhubungan dengan pencegahan dan pengontrolan tekanan darah. Penelitian ini adalah eskplorasi lebih lanjut dari data penelitian “Dinamika Perubahan Indeks Massa Tubuh dan Tekanan Darah pada Wanita Pasca Menopause di Kota Bogor, tahun 2011-2014 tentang Pengetahuan Sikap dan Perilaku (PSP) dan lingkungan wanita pasca menopause dalam mencegah dan mengendalikan hipertensi. Pengumpulan data PSP dilakukan dengan wawancara mendalam terhadap informan kunci penanggung jawab program kesehatan, dan Diskusi Kelompok Terpadu (DKT) pada 4 kelompok informan hipertensi dan 4 kelompok normotensi. Pengumpulan data lingkungan fisik dilakukan dengan observasi dan mengukur kualitas air dengan pemeriksaan parameter kimiawi air minum. Analisis data kualitatif menggunakan analisis tematik, sedangkan analisis data kualitas air minum dengan uji beda mean (independent t test). Hasil menunjukkan  bahwa mayoritas wanita pasca menopause yang normotensi dan hipertensi berumur 55 tahun dan pendidikan SMA, sebagian besar sudah memiliki pengetahuan dan sikap yang baik dalam pencegahan dan pengontrolan tekanan darah, tetapi masih kurang dalam prakteknya. Cemaran aluminium dan timbal (Pb) dalam air minum sudah melebihi nilai baku mutu dan berpotensi meningkatkan tekanan darah. Disarankan bagi petugas kesehatan sebaiknya mempunyai strategi peningkatan motivasi praktek pencegahan dan pengontrolan tekanan darah dengan berbagai metode konseling yang lebih inovatif dan aplikatif berbasis potensi lokal spesifik dan monitoring rutin sumber air minum untuk menjaga kualitas air minum tetap baik.

Kata kunci: Hipertensi, menopause, faktor perilaku, pengontrolan tekanan darah

References

Almas, A., Godil, S. S., Lalani, S., Samani, Z. A. and Khan, A. H. (2012) ‘Good knowledge about hypertension is linked to better control of hypertension; A multicentre cross sectional study in Karachi, Pakistan’, BMC Res Notes, 5(1), p. 579. Available at: http://www.biomedcentral.com/1756-0500/5/579.

Ammar, T. (2015) ‘Effects of aerobic exercise on blood pressure and lipids in overweight hypertensive postmenopausal women’, Journal of Exercise Rehabilitation, 11(3), pp. 145–150.

Armilawaty, Amalia, H. and Amiruddin, R. (2007) Hipertensi dan Faktor Risikonya dalam Kajian Epidemiolog. Available at: http;//www.CerminDuniaKedokteran.com/in dex.php?option=com_content&task=view&id =38&Itemid=12). .

Barabasz, W., Albinska, D., Jaskowska, M. and Lipiec, J. (2002) ‘Ecotoxicology of Aluminium’, Polish Journal Environmentak Studies, 11(3), pp. 199–203.

Bharmal, N. Ha. (2012) ‘Acculturation and religiosity as moderators of Cardiovascular disease risk factors among south asian in the united states’, dissertasion, XXXIII(2), pp. 81–87. doi: 10.1007/s13398-014-0173-7.2.

Bravata, D., Smith-Spangler, C., Sundaram, V., Gienger, A., Lin, N. and R Lewis, et al (2007) ‘Using pedometers to increase physical activity and improve health: a systematic review’, JAMA, 298, p. 2296–304 [PubMed: 18029834].

Chan, C. C., Yang, H. J., Chen, T. H., Chiu and Al, Y. H. (2007) ‘Association Between Hypertension and Drinking WSater Quality’, Epidemiology, 18(5).

Chung, K. H., Shin, K. O., Yoon, J. a. and Choi, K. S. (2011) ‘Study on the obesity and nutrition status of housewives in Seoul and Kyunggi area’, Nutrition Research and Practice, 5(2), pp. 140–149. doi: 10.4162/nrp.2011.5.2.140.

Clement, Y. (2007) ‘Perceived efficacy of herbal remedies by users accesing primary healthcare in Trinidad’, BMC Complementary and Alternative Medicine, February. Available at: http://www.biomedcentral.com/content/pdf/1472-6882-7-4.pdf.

Coyle, caitlin e (2014) ‘The Effects of Loneliness and Social Isolation on Hypertention in Later Life : Including Risk, Diagnosis and Management of The Chronic Condition. T Dissertation Presented by CAITLIN E . COYLE Submitted to the Office of Graduate Studies , University of Mas’, dissertasion, (June).

Darmono, S. (1995) Logam Dalam Sistem Biologi Makhluk Hidup. Jakarta: UI Press.

Dennison, C. R., Peer, N., Steyn, K., Levitt, N. S. and Hill, M. N. (2007) ‘Determinants of hypertension care and control among peri-urban Black South Africans: The HIHI study’, Ethnicity and Disease, 17(3), pp. 484–491.

Depkes (2003) ‘Kebijakan dan Strategi Nasional Pencegahan dan Penanggulangan Penyakit Tidak Menular’.

Flora, S., Mittal, M. and Mehta, A. (2008) ‘Heavy metal induced oxidative stress & its possible reversal by chelation therapy’, Indian J Med Res 128: 501–523., 128, pp. 501–523.

Gusmira, S. (2012) ‘Evaluasi penggunaan antihipertensi konvensional dan kombinasi konvensional-bahan alam pada pasien hipertensi di puskesmas wilayah depok’, Makara, Kesehatan, 16(2), pp. 77–83.

Hermanto, J. (2014) ‘Pengaruh Pemberian Meditasi terhadap Perununan Tekanan Darah Pada Lansia dengan Hipertensi di Unit Sosial Rehabilitasi Pucang Gading Semarang’, Jurnal Keperawatan, 1(9).

Jaishankar, M., Tseten, T., Anbalagan, N. and Blessy B. Mathew, K. N. B. (2014) ‘Toxicity, mechanism and health effects of some heavy metals’, Interdiscip Toxicol, 7(2), pp. 60–72. doi: Doi:10.2478/intox-2014-0009.

Kemenkes RI (2008) Laporan Nasional Riset Kesehatan Dasar Tahun 2007. Jakarta: Badan Peneliian dan Pengembangan Kesehatan.

Kemenkes RI (2014) Laporan Nasional Riset Kesehatan Dasar Tahun 2013. Jakarta: Badan Peneliian dan Pengembangan Kesehatan.

Kemenkes RI (2015) ‘Rencana Aksi Program Pengendalian Penyakit dan Penyehatan Lingkungan Tahun 2015-2019’. Jakarta: Direktorat Jenderal Pengendlaian Penyakit dan Penyehatan Lingkungan.

KL, M., R, D., J, L., C, M., ET, H., Jr, B. D. and DL, T. (2001) ‘Increasing daily walking lowers blood pressure in postmenopausal women’, Medicine & Science in Sports & Exercise, 33(11), pp. 1825–31.

Legido-Quigley, H., Lopez, P. A. C., Balabanova, D., Perel, P., Lopez-Jaramillo, P., Nieuwlaat, R., Schwalm, J. D., McCready, T., Yusuf, S. and McKee, M. (2015) ‘Patients’ knowledge, attitudes, behaviour and health care experiences on the prevention, detection, management and control of hypertension in Colombia: A qualitative study’, PLoS ONE, 10(4), pp. 1–16. doi: 10.1371/journal.pone.0122112.

Lloyd-Sherlock, P., Beard, J., Minicuci, N., Ebrahim, S. and Chatterji, S. (2014) ‘Hypertension among older adults in low- and middle-income countries: prevalence, awareness and control.’, International Journal of Epidemiology, 43(1), pp. 116–28. doi: 10.1093/ije/dyt215.

Martati S, H. dan J. (2013) ‘Faktor-faktor yang Berhubungan dengan Hipertensi pada Lansia di Desa Sigaol Simbolon Kabupaten Samosir tahun 2013’, 1(4), pp. 1453–1461.

Notoatmodjo, S. (2010) Ilmu Perilaku Kesehatan. Jakarta: PT Rineka Cipta.

Park, J. B., Kario, K. and Wang, J.-G. (2015) ‘Systolic hypertension: an increasing clinical challenge in Asia’, Hypertension Research. Nature Publishing Group, 38(4), pp. 227–236. doi: 10.1038/hr.2014.169.

Pradono, J., Indrawati, L. and Murnawan, T. (2013) ‘Permasalahan dan Faktor Risiko yang Berhubungan dengan Terjadinya Hipertensi di Kabupaten Bogor Provinsi Jawa Barat’, Buletin Penelitian Kesehatan, 41(2), pp. 61–71.

Pradono, J., Riyadina, W. and Kristanti, D. (2018) Uncontrolled Hypertension: A Prospective Cohort Study on Risk Factor of Non-Communicable Diseases in Bogor (Unpublished).

Prawirohardjo, S. (2008) Ilmu Kebidanan. Jakarta: Yayasan Bina Pustaka Sarwono Prawirohardjo.

Radji, M. (2005) ‘Peranan bioteknologi dan mikroba endofit dalam pengembangan obat herbal’, Majalah Ilmu Kefarmasian, 2(3), pp. 113–126.

Riyadina, W. (2014) Dinamika Perubahan Indeks Massa Tubuh dan Tekanan Darah pada Wanita Pasca Menopause di Kota Bogor, Tahun 2100-2014. Universitas Indonesia.

Riyadina, W. (2017) Dinamika Perubahan Indeks Massa Tubuh dan Tekanan Darah pada Wanita Pasca Menopause di Kota Bogor, Tahun 2100-2014. Universitas Indonesia.

Sartika, H. dan W. (2014) ‘Terkontrolnya Tekanan Darah Penderita Hipertensi Berdasarkan Pola Diet Dan Kebiasaan Olah Raga di Padang tahun 2011’, 8(1), pp. 8–14.

Sayon-orea, C., Bes-rastrollo, M., Gea, A., Zazpe, I., Martinez-gonzalez, M. A. and Sofia, H. R. (2014) ‘Paper No . BJN-2014-020983 Title : Reported Fried Food Cosumption and The Incidence of Hypertention in a Spanish Cohort. Setiawan & dkk (2008) Care Your Self, Hipertensi. Cetakan I. Jakarta: Penerbit Penebar Plus.

Sirait, A. M. and Riyadina, W. (2013) ‘DI KELURAHAN KEBON KALAPA BOGOR ( Hipertension Incidence in Prospective Cohort Study in Kebon Kalapa Village Bogor City )’, pp. 99–107.

Siringoringo, M., Hiswani and Jemadi (2013) ‘Faktor-faktor yang Berhubungan dengan Hipertensi pada Lansia di Desa Sigaol Simbolon Kabupaten Samosir tahun 2013’, Jurnal USU, 2(6).

Sneed, R. S. and Cohen, S. (2014) ‘Negative social interactions and incident hypertension among older adults.’, Health psychology : official journal of the Division of Health Psychology, American Psychological Association, 33(6), pp. 554–65. doi: 10.1037/hea0000057.

Soroush, A., Ananian, C. Der, Ainsworth, B., Belyea, M., Poortvliet, E. and Swan PD, et al (2013) ‘Effects of a 6- Month Walking Study on Blood Pressure and Cardiorespiratory Fitness in U.S. and Swedish Adults: ASUKI Step Study’, Asian J Sports Med, 4, pp. 114–24.

Sugiharto, A. and Dkk (2003) Faktor-faktor Resiko Hipertensi Grade II Pada Masyarakat (Studi Kasus di Kabupaten Karang Anyar). Available at: http://www.eprints.undip.ac.id. (Accessed: 20 January 2006).

Thürmer, K., Williams, E. and Reutt-Robey, J. (2002) ‘Autocatalytic oxidation of lead crystallite surfaces’, Science, 297(5589), pp. 2033–2035.

Titi (2014) Hubungan antara kegemukan dengan hipertensi pada wanita post menopause di kelurahan Kebon Kalapa Bogor. Baseline data studi kohor faktor risiko penyakit tidak menular. Universitas Indonesia.

Ventura, D. D. A., Fonseca, V. D. M., Ramos, E. G., Marinheiro, L. P. F., Souza, R. A. G. De, Chaves, C. R. M. D. M. and Peixoto, M. V. M. (2014) ‘Association between quality of the diet and cardiometabolic risk factors in postmenopausal women.’, Nutrition journal, 13(1), p. 121. doi: 10.1186/1475-2891-13-121.

Yang L, X, X., J, Y., W, Y., X, T. and Wu H, et al (2014) ‘Analysis on associated factors of uncontrolled hypertension among elderly hypertensive patients in Southern China: a community-based, cross-sectional survey’, BMC Public Health [Internet], 14(903).
Published
2019-03-11
How to Cite
Riyadina, W., Martha, E. and Anwar, A. (2019) “PERILAKU PENCEGAHAN DAN PENGENDALIAN HIPERTENSI : STUDI PENGETAHUAN, SIKAP, PERILAKU (PSP) DAN KESEHATAN LINGKUNGAN PADA WANITA PASCA MENOPAUSE DI KOTA BOGOR”, JURNAL EKOLOGI KESEHATAN, 17(3), pp. 182-196. doi: 10.22435/jek.17.3.666.182-196.