59
BAB V KESIMPULAN DAN SARAN
A. Kesimpulan
Berdasarkan hasil dari penelitian maka kesimpulan penelitian hipertensi sebagai berikut:
1. Proporsi prevalensi hipertensi, tingkat kesadaran akan hipertensi, terapi hipertensi
serta pengendalian tekanan darah responden 40-75 tahun di Kecamatan Kalasan, Sleman, Yogyakarta masing-masing adalah 357 responden, 25,8 91 responden,
12,8 45 responden dan 1,1 4 responden 2.
Kelompok responden usia 60-75 tahun berpengaruh terhadap prevalensi hipertensi di Kecamatan Kalasan, Sleman, Yogyakarta p=0,01 dengan nilai OR 2,75 95
CI: 2,01-3,77. Kelompok responden yang berpenghasilan ≤UMR berpengaruh
terhadap kesadaran p=0,02 dengan nilai OR 0,55 95 CI: 0,32-0,94 dan terapi responden hipertensi p=0,03 dengan nilai OR 0,48 95 CI: 0,25-0,93.
B. Saran
Berdasarkan hasil penelitian, pembahasan dan kesimpulan penelitian, beberapa saran sebagai bahan pertimbangan antara lain:
1. Dilakukan penyuluhan kesehatan untuk meningkatkan perilaku pola hidup
sehat sehingga masyarakat lebih memiliki kesadaran untuk melakukan pengecekan tekanan darah secara rutin untuk mengetahui penyakit hipertensi
lebih awal
2. Peneliti selanjutnya perlu dilakukan pengukuran lebih dari satu kali pada hari
yang berbeda untuk mengetahui tekanan darah persisten pada masing-masing responden.
DAFTAR PUSTAKA
Abed, Y., Abu-Haddaf, S., 2013, Risk Factors of Hypertension at UNRWA Primary Health Care Centers in Gaza Governorates, ISRN Epidemiology, pp.1-9.
AHA, 2014, American Heart Association Recommendations for Physical Activity in Adults,
American Heart Association, http:www.heart.orgHEARTORGGettingHealthyPhysicalActivityFitnessB
asicsAmerican-Heart-Association-Recommendation-for-Physical-Activity-in- Adults_UCM_307976_Article.jsp, diakses pada tanggal 6 September 2015.
Ahm, S., Smith, M.L., Cho, J., Barley, J.E., and Ory, M.G., 2013, Hypertension, Awareness and Associated Factors among Older Chinese Adults, Front Public
J Health , 1,1-7
Anggara, F.H., Prayitno, N., 2013, Faktor-Faktor yang Berhubungan dengan Tekanan Darah di Pumah sakit Telaga Murni, Cikarang Barat Tahun 2012, Jurnal
Ilmiah Kesehatan , 51, 20-25.
Aram, V.C. M.D., 2009, The Hypertension Paradox : More Uncontrolled Disease Despite Improved Therapy, N Engl J Med, 361, 878-887.
Arifin, J., 2008, Statistika Bisnis Terapan dengan Microsoft Excel 2007, PT.Alex Media Komputindo, Jakarta, hal. 70.
Atat, E., Aneja, A., McFarlane S, Sowersj. 2003, Obesity in Developing Countries, NEngl Med
, 1514-1516. Budiarto, E., 2004, Metodologi Penelitian Kedokteran, Buku Kedokteran EGC,
Jakarta, hal.53. Central of Disease Control and Prevention, 2015, Quitting Smoking,
http:www.cdc.govtobaccodata_statisticsfact_sheetscessationquitting, diakses pada tanggal 1 Desember 2015.
Danon, H.N., Marques, V.P., Bovet, P., Chiolero, A., Paccaud, F., Pecoud, A., et al., 2009, Prevalence, Awareness, Treatment, and Control of High Blood Pressure
in a Swiss City General Population: The Colaus Study, Euro Soc of Cardiology
, 16, 66-72. Dahlan, S., 2014, Statistika untuk Kedokteran dan Kesehatan, Epidemiologi
Indonesia, Jakarta, hal. 13-14, 91-93, 172-173. Davey, P., 2005, At a Glance Medicine, diterjemahkan oleh Rahmalia, A., Novianty,
C., Erlangga Medical Series, Jakarta, hal 68. Depkes RI, 2007, Prevalensi Hipertensi dan Determinannya di Indonesia, Maj Kedokt
Indon , 5912: 583.
Depkes, RI, 2009, Masalah Hipertensi di Indonesia, Departemen Kesehatan RI, http:www.depkes.go.idindex.php?vw=2id=1909
,
diakes pada tanggal 15
April 2015. Depkes, RI, 2013, Riset Kesehatan Dasar, Badan Penelitian dan Pengembangan
Kesehatan Kementrian Kesehatan RI, Jakarta, hal.88-89. Dipiro, J.T., Talbert, R.L., Yee, G.C., Matzke, G.R., Wells, B.G., Posey, L.M., 2008,
Pharmacoterapy : A Pathophysiologic Approach , Seventh Edition, The
McGraw-Hill Companies, United States of America, pp. 111-142. Dong, C., Ge, P., Ren, X., Fan, H., Yan, X., 2013, Prevalence, Awareness, Treatment
and Control of Hypertension Among Adults in Rural North-Western China a Cross-sectional Population Survey: Finding from J Int Med Res, 414:1291-
1300.
Gunawan, L., 2007, Hipertensi: Tekanan Darah Tinggi, Kanisius, Yogyakarta, hal. 17-19.
Gu, D., Reynolds, K., Wu, X., Chen, J., Duan, X., Muntner, P., et al, 2002 Prevalence, Awareness, Treatment, and Control of Hypertension in China,
American Heart Association, Inc ., 920-927.
Gulliford, M.C., Mahabir, D., and Rocke, B., 2004, Sosioeconomic Inequility in Blood Pressure and Its Determinants: Cross-Sectional Data from Trinidad and
Tobago, J Han Hypertens, 18 1, 61-70. Grotto, I., Huerta, M., Sharabi, Y., 2008, Hypertension and Socioeconomic Status,
Curr Opin Cardiol , 234, 335-343.
Hastono, S.P., 2006, Analisis Data, http:www.scribd.comdoc140072124105452 73-Analisis-Data-SPSS-Sutanto-FKM-UI-2006, diakses pada tanggal 17
Agustus 2015. Hooker, R.C., Cowap, N., Freeman, G.K., 1999, Better by Half: Hypertension in the
Elderly and the “Rule of Halves”: A Primary Care Audit of the Clinical Computer Record as a Springboard to Improving Care, Fam Pract., 16 2:
123.
Jennings, J., 2012, Hypertension in Primary Care,
http:www.mediacalobserver.com.aunewshypertension-in-primary-care, diakses pada tanggal 20 Agustus 2015.
Julianti, E.N., 2005, Bebas Hipertensi dengan Terapi Jus, Puspa Suara, Jakarta, hal. 37-39.
Kaplan, N.M., 2002, Clinical Hypertension, 8
th
edition, Lippincott: Williams and Wilkins, USA.
Kaplan, N. M., and Weber, M. A., 2010, Hypertension Essentials, 2
nd
edition, Jones and Bartlett Publisher, United Kingdom, p.2.
Kementrian Kesehatan RI, 2014, Profil Kesehatan Indonesia Tahun 2013, Kementrian Kesehatan Republik Indonesia, Jakarta, hal. 7.
Kimberlin, C.L., Winterstein, A,G., 2008, Validity and Reliability of Meansurement Instruments Used in Research, Am J Health Syst Pharm, vol. 65, pp. 2276-
2284. Kristiaji, C.W., 2009, Schaums Easy Outlines: Statistik untuk Bisnis, Erlangga,
Jakarta, hal. 4. Kumar, V., Abbas, A.K., and Fausto N., 2005, Hypertensive Vascular Disease.
Dalam: Robn and Cotran Pathologic Basis of Disease , 7th ed., Elsevier
Saunder, Philadelpia, pp.528-529. Kutnikar, J.V., Basavegowda, M., Kokkada, V., Ashok, N.C., 2014, Prevalence of
Hypertension and Assessment of “Rule of Halves” in Rural Population of Bsavanapura Village, Nanjangud Taluk, South India, Heart India, 24, 99-
103.
Lam, C.S., 2011, The Socioeconomics of Hypertension How 50.000 May Buy a Drop in Blood Pressure, Hypertension, 58 2, 140-1.
Lloyd-Sherlock, P., Beard, J., Minicuci, N., Ebrahim, S., Chatterji, S., 2014, Hypertension Among Older Adult in Low- And Middle-Income Countries:
Prevalence, Awareness and Control, Int J of Epidemology, 43, 116-128. Mancia, G., Fagard, R., Narkiewiez, K., Redon, J., Zanchetti, A., Bohm, M., et al.,
2013, The Task Force for The Management of Arterial Hypertension of The European Society of Hypertension ESH and of the European Society of
Cardiology ESC, J Hypertens, 31, 1281-1357.
Mendes, T.A., Goldbaum, M., Segn, N.J., Barros, M.B., César, C.L., and Carandina, L., 2013, Factors Associated with The Prevalence of Hypertension and Control
Practices among Elderly Resadents of Sáo Poulo City, Brazil, Cad. Saúde Pública
, 2911, 2275-2286. MHRA, 2013, Blood Pressure Measurement Devices, Medicines and Healthcare
Products Regulatory Agency, p.5. Morton, R.F., Hebel, J.R., McCarter, R.J., 2001, A Study Guide to Epidemiology and
Biostatistic , 5
th
Edition, diterjemahkan oleh Apriningih S.K., Buku Kedokteran EGC, Jakarta, hal. 135.
Musinguzi, G., Nuwaha, F., 2013, Prevalence, Awareness and Control of Hypertension in Uganda: Findings from Journals PLoS ONE, 84, pp.1-7.
Noor, J., 2011, Metodologi Penelitian: Skripsi, Tesis, Disertasi dan Karya Ilmiah, Edisi Pertama, Kencana, Jakarta, hal. 149, 150, 178.
Notoadmodjo, S., 2005, Metodologi Penelitian Kesehatan, Buku Kedokteran EGC, Jakarta, hal. 188.
Nurgiyantoro, B., Gunawan, Marzuki, 2009, Statistik Terapan, Gajah Mada University Press, Yogyakarta, hal.180-250.
Oliviera, G.F., Olivera, T.R., Ikejiri, A.T., Andraus, M.P., Galvao, T.F., Silva, M.T., et al
., 2014, Prevalence of Hypertension and Associated Factors in an Indigenous Community of Central Brazil: A Population-based Study, PLoS
One , 91, 1-6.
Ostchega, Y., Zhang, G., Sorlie, P., Hughes, J., Reed-Gillette, D.S., Nwankwo, et al, 2012, Blood Pressure Randomized Methodology Study Comparing Automatic
Oscillometric and Mercury Sphygmomanometer Devices: National Health and Nutrition Examination Survey, 2009–2010, N Health Statistics Reports, 59, 1-
15.
Peck, R., Olsen C., Devore, J., 2011, Introduction to Statistics and Data Analysis, 4
th
edition, BooksCole Cengage Learning, USA, p. 33. Peraturan Daerah Provinsi Yogyakarta, 2014, Upah Minimum KabupatenKota di
Daerah Istimewa Yogyakarta , Yogyakarta, hal. 1-3.
Peraturan Pemerintah Republik Indonesia, 2008, Peraturan Pemerintah Republik Indonesia No. 47 Tahun 2008Tentang Wajib Belajar
, Jakarta, hal.1-12. Riset Kesehatan Dasar, 2007, Pedoman Pengukuran dan Pemeriksaan, Badan
Penelitian dan Pengembangan Kesehatan Departemen Kesehatan RI, Jakarta, hal. 19-20.
Rosjidi, C.H., Isro’in, L., 2014, Perempuan Lebih Rentan Terserang Penyakit Kardiovaskular, J Florence, 71, 1-10.
Saseen, J.J., and Maclaughun, E.J., 2008, Pharmacotherapy: A Pathophysiologic Approach,
7
th
edition, McGraw Hill Companies, Inc, USA, pp. 140-141. Sacks, F.M.D., Campos, H., 2010, Dietary Therapy in Hypertension, The New
England Journal of Medicine, N Engl J Med , 362, 2101-2112.
Safrudin, 2009, Faktor-Faktor yang Berhubungan dengan Kepatuhan Lansia Hipertensi dalam Melanjutkan Pengobatan Hipertensi secara Rutin di PTSW
Budhi Mulya , UMJ, Jakarta Timur, hal.7-9.
Salim, O., 1999, Distribusi Normal, J Kedokteran Trisakti, 182: 107-111. Setiati, S., et al., 2005, Prevalence of Hypertension without Anti-hypertensive
Medications and Its Association with Social Demographic Characteristics among 40years and Above Adult Population in Indonesia, Acto Med Indones-
Indones J Intern Med , 31.
Sigarlaki, H.J., 2006, Karakteristik dan Faktor Berhubungan dengan Hipertensi di Desa Bocor, Kecamatan Bulus Pesantren, Kabupaten Kebumen, Jawa Tengah,
Tahun 2006, Makara Kesehatan, 10 2, 78-88. Strom, B.L., Kimmel, S.E., Hennessy, S., Eds, 2013, Texbook of
Pharmacoepidemology, 2
nd
edition, Wiley Blackweel, UK, p.3. Swarjana, I. K., 2012, Metodologi Penelitian Kesehatan, ANDI, Yogyakarta, hal. 98,
102. Thawornchaisit, P., Looze, F., Reid, C.M., Seubsman, S., Sleigh, A., 2013, Health-
Risk Factors and the Prevalence of Hypertension: Cross Sectional Findings from a National Cohort, Thai Open University Students, Global Jour of
Health Scie, 54, 1916-1936.
Tiengo, A., Avogaro, A., 2001, Cardiovascular disease, Bjorntorp Per.editor, International textbook of obesity, John Wiley Sons Ltd, UK, pp.3-29.
Tsutsumi, A., Kabaya, K., Tsutsumi, K., Igarashi, M., 2001, Association Between Job Strain and Prevalence of Hypertension: A Cross Sectional Analysis in a
Japanesse Working Population with a Wide Range of Ocupations: The Jichi Medical School Cohort Study, Occup Environ Med,58, 367-373.
U.S. Departement of Agriculture USDA, U.S Departement of Health and Human Services HHS, 2010, Dietary Guideline for America, 7
th
edition, U.S. Government Printing Office, Washington D.C., p.21.
Usman, H., Akbar, S.P.R., 2000, Pengantar Statistika, Bumi Aksara, Jakarta, hal. 32. WHO, 2004, Appropriate Body Mass Index for Asian Populations and Its
Implications for Policy and Intervention Strategies , The Lancet, pp. 157-163.
WHO, 2011, Hypertension Guideline Committee, Guidelines of the Management of Hypertension, J Hyper, 2111: 92.
LAMPIRAN Lampiran 1. Surat Izin Penelitian
Lampiran 2. Ethical Clearence
Lampiran 3. Inform Consent LEMBAR PENJELASAN KEPADA CALON SUBJEK
Kami dari tim peneliti yang diketuai oleh Nonitha Viana Susilo dari Fakultas Farmasi Universitas Sanata Dharma akan melakukan penelitian yang berjudul “Prevalensi,
Kesadaran, Terapi, dan Pengendalian Responden Hipertensi di Kecamatan Kalasan” Kajian Faktor Risiko Kesehatan dan Sosiodemografi”. Penelitian ini bertujuan
untuk 1.
Melakukan evaluasi berdasarkan tingkat prevalensi hipertensi, kesadaranresponden terhadap hipertensi, dan pengendalian tekanan darah yang
terjadi.
2. Melakukan evaluasi terhadap pengaruh umur dan 8 faktor BMI, jeniskelamin,
olahraga, diet, merokok, pekerjaan, penghasilan, dan pendidikanterhadap prevalensi, kesadaran, dan terapi hipertensi, serta pengendaliantekanan darah
responden. Tim peneliti mengajak bapakibusaudarai untuk ikut serta dalam penelitian ini.
Penelitian ini membutuhkan sekitar 800 responden penelitian.Waktu penelitian diperkirakan 30 menit untuk masing-masing responden.
A. Keikutsertaan untuk Ikut Penelitian