HUBUNGAN KEPATUHAN MENGONTROL FAKTOR RISIKO DENGAN KEJADIAN INFARK MIOKARD AKUT RECURRENT DI RSUD DR. SAIFUL ANWAR MALANG

Abdul Qodir, Setyawati Soeharto, Heri Kristianto

Abstract


ABSTRAK

 

Infak miokard akut recurrent banyak terjadi terutama pada 1 tahun setelah serangan pertama. Pasien yang pernah mengalami serangan infark miokard akut 50% kemungkinan akan mengalami infark miokard akut recurrent akibat pasien tidak patuh mengontrol faktor risiko. Tujuan penelitian ini adalah untuk mengetahui hubungan kepatuhan mengontrol faktor risiko dengan kejadian infark miokard akut recurrent. Penelitian dilakukan dengan mengunakan desain case control. Teknik pengambilan sampel yaitu consecutive sampling. Jumlah sampel penelitian 90 pasien infark miokard akut yang terdiri dari 45 pasien kasus (recurrent) dan 45 pasien kontrol (tidak recurrent). Analisis statistik yang digunakan adalah uji Chi Square dan regresi logistik ganda. Hasil penelitian mcnunjukan bahwa terdapat hubungan yang signifikan antara kepatuhan mengontrol tekanan  (p=0,000), kepatuhan mengontrol gula darah (p=0,000), dan kepatuhan mengontrol kolesterol (p=0,001), terhadap kejadian infark miokard akut recurrent, sedangkan kepatuhan olahraga (p=0,14), kepatuhan tidak merokok (p=0,75), dan kepatuhan mengontrol berat badan (p=0,39) tidak berhubungan dengan kejadian infark miokard akut recurrent, Kepatuhan mengontrol tekanan darah merupakan faktor risiko yang paling dominan berhubungan kejadian infark miokard akut recurrent (OR=25,070). Kesimpulan penelitian ini adalah terdapat hubungan yang signifikan antara kepatuhan mengontrol faktor risiko dengan kejadian infark miokard akut recurrent.

 

Kata-kata Kunci : Kepatuhan, Fakfor Risiko, Infark Miokard Akut Recurrent

 

ABSTRACT

 

Recurrent of acute myocardial infarction especially accurring 1 year after the prior one. Patiens who has experience myocardial infarction had risk 50% to recurrent. The aim of this study was to identify the relation of adherence to control risk factors with recurrent of acute myocardial infarction occurance. Case control study design was used in this study. Samples were selected by consecutive sampling technique. The samples size were 90 patients consisted of 45 cases (recurrent) and 45 controls (no recurrent). Chi Square and a multiple logistic regression were used to examine the relation of adherence to control riskfactors with recurrent of myocardial infarction occurrence. The result showed that there was a significant corelation of adherence to control blood pressure (p=0,000), adherence to control blood glucose (p=0,000), and adherence to control cholesterol with recurrent of acute myocardial infarction, whereas adherence to physical exercise (p=0,14), adherence to quit smoking (p=0,75), and adherence to control weight had no significant corelation of with recurrent of myocardial infarction occurrence. adherence to control blood pressure was the most dominant factor related to recurrent of acute myocardial infarction (OR=25,070). It is concluded that there was a significant corelation between adherence to control risk factors and recurrent of acute myocardial infarction.

 

Keywords: Adherence, Risk Factors, Recurrent of Acute Myocardial Infarction


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DOI: http://dx.doi.org/10.20527/dk.v2i2.3085

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