NUR'AENI, Siti and Martini, Martini and Suhartono, Suhartono (2023) ANALISIS FAKTOR RISIKO KEJADIAN HIPERTENSI PADA KEHAMILAN DI RSUD BAYU ASIH KABUPATEN PURWAKARTA PROVINSI JAWA BARAT. Masters thesis, UNIVERSITAS DIPONEGORO.

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Abstract

Latar belakang : Hipertensi selama kehamilan bertanggung jawab atas 5-15% komplikasi kehamilan dan merupakan salah satu dari tiga penyebab kematian dan kesakitan ibu. Sementara itu, mortalitas dan morbiditas hipertensi selama kehamilan di Indonesia masih cukup tinggi. Tujuan penelitian ini untuk menganalisis faktor risiko hipertensi pada kehamilan berdasarkan usia, paritas, pendidikan, asuhan kebidanan, riwayat hipertensi dan stres di wilayah kerja RSUD Bayu Asih Kabupaten Purwakarta.
Metode Penelitian : Sebuah desain Case Control digunakan sebagai desain penelitian. Penelitian ini melibatkan seluruh populasi pasien hipertensi hamil yang melakukan pemeriksaan kehamilan ke Rumah Sakit Umum Daerah Bayu Asih Kabupaten Purwakarta. sampel menggunakan seluruh populasi diambil dengan menggunakan teknik total sampling. Pengumpulan data melalui teknik wawancara melalui kuesioner dan rekam medis. Analisis data dilakukan dengan menggunakan univariat untuk melihat distribusi frekuensi dan bivariat untuk melihat hubungan menggunakan uji (chi-square) dan ukuran faktor risiko.
Hasil Penelitian : Menunjukan bahwa tidak ada hubungan antara Umur , Paritas , Pendidikan, Riwayat Hipertensi , Antenatal Care, Stress dan Riwayat Hipertensi Keluarga dengan Hipertensi pada Kehamilan. didapat hasil Umur (p-value = 0.010 OR=3.077 95% CI : 1.369-6.914 ), Paritas (p-value =0.761 OR=1.460 95% CI : 433-4.921 ), Pendidikan (p-value =1.000 OR=1.110 95% CI : 454-2.716), Antenatal Care (p-value =0.812 OR=795 95% CI : 311-2.036 ), Riwayat Hipertensi (p-value =0.215 OR=2.129 95% CI : 776-5.844), stress (p-value =1.000 OR=1.084 95% CI :494-2.377), Riwayat Hipertensi Keluarga (p-value =1.000 OR=1.117 95% CI: 444-2.808).
Kesimpulan: Telah disarankan bahwa rumah sakit dalam studi harus meningkatkan konseling bagi ibu hamil tentang bahaya tekanan darah tinggi selama kehamilan.
Kata kunci : Hipertensi Pada Kehamilan , Ibu Hami, Umur, Paritas, Pendidikan, Antenal Care, Riwayat Hipertensi, Stress, Riwayat Hipertensi Keluarga, Case Control

Hypertension during pregnancy accounts for 5-15% of pregnancy complications and is one of the top three causes of maternal mortality and morbidity. Mortality and morbidity from hypertension during pregnancy in Indonesia are still very high.
A case-control design was used as the study design. The study included an entire cohort of pregnant hypertensive patients undergoing pregnancy testing at Bayu Asi Regional General Hospital, Purwakarta Regency. Samples used for the entire population were drawn using the total sampling method. Data collection by interview methods such as questionnaires and charts. Data analysis was performed using univariate to confirm frequency distributions and bivariate to confirm relationships using tests (chi-square) and risk factor measures.
The results showed no association between age, prenatal history, education, history of hypertension, prenatal care, stress, family history of hypertension and hypertension during pregnancy. Age (p-value = 0.010 OR=3.077 95% CI : 1.369-6.914 ), Parity (p-value =0.759 OR=1.460 95% CI : 433-4.921 ), education (p-value =1.000 OR=1.110 95% CI : 454-2.716), Antenatal care (p-value =0.811 OR=795 95% CI : 311-2.036 ), history of hypertension (p-value =0.215 OR=2.129 95% CI : 776-5.844), stress (p-value =1.000 OR=1.084 95% CI :494-2.377), family history of hypertension (p-value =1.000 OR=1.117 95% CI: 444-2.808).
It was suggested that research clinics should increase counseling of pregnant women about the risks of hypertension during pregnancy.
Keyword:Hypertension in Pregnancy, Pregnancy, Age, Childbirth History, Education, Prenatal Care, History of Hypertension, Stress, Family History of Hypertension, Case control

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