Hipertensi dikenal dengan the silent killer atau penyakit mematikan secara diam-diam karena tidak memiliki tanda dan gejala yang spesifik. Konsumsi kopi secara historis dinilai memiliki efek negatif pada tubuh dan sering dihubungkan sebagai faktor yang dapat menimbulkan terjadinya tekanan darah tinggi. Tujuan penelitian ini untuk melihat hubungan konsumsi kopi dengan tekanan darah pada pasien hipertensi. Desain pada penelitian ini menggunakan cross-sectional studi. Responden penelitian ini berjumlah 36, diambil menggunakan tekhnik sampling yaitu purposive sampling dengan kriteria inklusi: mengkonsumsi kopi dan bersedia menjadi responden; dan eksklusi: memiliki riwayat penyakit kronis lain seperti gangguan endokrin. Pengumpulan data menggunakan kuesioner dan uji statistik korelasi spearman. Hasil penelitian menunjukan terdapat hubungan antara konsumsi kopi dengan tekanan darah, responden mengkonsumsi kopi paling banyak pada kategori ringan dan sedang dengan mayoritas tekanan darah adalah hipertensi stage 1. Hasil uji korelasi spearman disimpulkan bahwa terdapat hubungan antara konsumsi kopi dengan tekanan darah pada pasien hipertensi. Korelasi koefisien (r) penelitian ini menunjukan hasil yang positif yaitu 0,424 yang berarti terdapat hubungan cukup kuat antara konsumsi kopi dan tekanan darah. Semakin bertambah frekuensi kopi akan semakin menambah peningkatan tekanan darah pada pasien hipertensi.
Background: a recurrence of stroke, is a matter of concern because it can worsen the situation, increase the treatment costs, and increase death risk. Stroke recurrence caused by multifactorial cases. The objective of this study is to analyze the factors associated with stroke recurrence in the university of muhammadiyah malang hospital. Methods: This study used a cross-sectional observation analytic study. A total sample of 64 people was collected using the purposive sampling technique. The dependent variable in this study was stroke recurrence. The independent variables were the factors that cause stroke recurrence (family history of the disease, comorbidities, physical activity, stress, and knowledge). This study used the Global Physical Activity Questionnaire(GPAQ), the International Stress Management Association(ISMA), and socio-demographic questionnaire to collect the data. The data were analyzed using the Chi-Square test. Results: a total of 47 patients (73.43%) had stroke recurrence, the majority of the second recurrence. Most types of stroke were ischemic stroke (81.25%). The risk factor significantly associated with stroke recurrence was hypertension (sig 0.026 <0.05). Conclusion: Uncontrolled hypertension increases the process of atherosclerosis that can lead to bleeding and brain infarction.
Obstructive sleep apnea (OSA) is a health problem that can cause various negative impacts on health, but society considers OSA to be normal. This research aims to determine how the patient's perception and efforts reduce OSA risk. A qualitative study with a phenomenological approach was conducted. Inclusion criteria were experiencing OSA symptoms such as snoring, sleepiness during the day, and often waking up at night. Purposive and snowball sampling techniques took seven participants who met these criteria. Data were collected through interviews, Epworth Sleepiness Scale (ESS), and the STOP-BANG questionnaire (SBQ). The method and time triangulation were used in this study. Data were analyzed using thematic analysis from the Colaizzi approach. Based on the SBQ, all participants have a high risk of OSA but perceived it as a normal complaint. Three themes were found in this study: participants perceive OSA as a usual complaint, perceive that OSA does not endanger health, and do not take action to reduce OSA. It is hoped that this study's results can increase nurses' awareness to provide education about sleep problems to the community because sleep problems have not received much attention in Indonesia
Background: Hypoglycemia occurs when the blood sugar level is <70 mg / dl in the presence of clinical symptoms. This is an acute complication of diabetes mellitus. (Riskesdes 2014), obtained the data that diabetes type 2 is 90% of all diabetes. In 2017, diabetes mellitus in Indonesia increased by 1.4%. As many as 10% -30% had hypoglycemia with a mortality rate of 3% -4% (Diabetes mellitus type 1). Meanwhile, 1.2% incidence in type 2 diabetes mellitus. Therefore, the aim is to investigate the factors that influence the incidence of hypoglycemia in type 2 diabetes mellitus patients. In order to further help improve the optimal management of hypoglycemia. Method: Literature study from 16 international journals with the inclusion criteria of ages 45-90 years, full text journals, and ranges for the years 2016-2020, hypoglycemia, type 2 diabetes. Data based on data published article by NCBI and Google Scholar. Data were analyzed with descriptive analysis. Results: Age, Gender, Use of Sulfonylurea, Knowledge, Body Mass Index, Kidney Function, History of Hypoglycemia, Exercise / Physical Activity, Diet and Diabetes Duration were factors that the researchers found. Conclusion: Data obtained on several factors hypoglycemia. These factors include age, gender, use of sulfonylureas, knowledge of hypoglycemia, body mass index, decreased kidney function, history of hypoglycemia, exercise / physical activity, diet (delaying or skipping meals), and duration of diabetes.
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