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Published: 2014-03-09

Kajian Kelompok Risiko Tinggi: Studi Pendahuluan Pengembangan Model Pengendali Prevalensi Penyakit Kardiovaskular

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Wiwit Nurwidyaningtyas

Nursing Science - STIKes Kendedes Malang

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Siti Kholifah

Nursing Science - STIKes Kendedes Malang
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Aditya Rahma

Nursing Science - STIKes Kendedes Malang
FRS 10 Years PKV Risiko Tinggi PKV

Abstract

Peningkatan kasus penyakit kardiovaskular (PKV) baik pada kelompok penyakit jantung koroner atau Cerebrovascular Attack (CVA) perlu mendapat perhatian mengingat kecenderungan pergeseran usia serangan. Tindakan pencegahan perlu dilakukan sedini mungkin. Penelitian deskriptif eksplorasi ini mengkaji kelompok risiko tinggi untuk dikategorikan derajat risikonya dengan  Framingham Risk Score (FRS) 10 years. Kajian ini dilakukan pada 25 orang responden yang termasuk kelompok berisiko di Malang Raya.Terdapat  64% yang termasuk dalam kategori risiko sangat rendah, 20% risiko sedang, dan masing-masing 8% kategori risiko rendah dan tinggi mengalami serangan PKV dalam 10 tahun yang akan datang. Fakor risiko PKV hampir selalu melekat dengan gaya hidup masyarakat yang berlangsung lama, tidak disadari, dan sulit untuk diubah  dan dikondisikan dengan belum terbiasanya istilah  identifikasi kelompok risiko melalui FRS 10 Years. Penting dibentuk model kepemimpinan komunitas yang kuat di masyarakat untuk mengidentifikasi faktor risiko, bekerjasama dengan tenaga kesehatan untuk melakukan manajemen faktor risiko sehingga prevalensi PKV dapat ditekan. Hal ini akan berimplikasi pada penghematan biaya hospitalisasi akibat PKV. 

Abstract

High Risk Group Study: a Preliminary Study for Developing Model for Controlling Cardiovascular Disease. The increasing cases of Cardiovascular Disease (CVD) both of coroner attack or Cerebrovascular Attack (CVA) needs more attention since there is a tendency the occurance of onset shift based on age, which are always based on lifestyle. This disease can be identified with Framingham Risk Score 10 years. The aim of this study was to explore non healthy life style and to identify risk group categories with the  FRS 10 years  approach. This research was conducted in a  risk group of 25 respondents in Malang region selected using accidental sampling technique. 64 % respondents of high risk group were categorized as very low risk of CVD onset tendency for the next 10 years; 20 % respondents were in the medium category, whereas 8% of each was categorized in low and high risk category of CVD onset tendency for the next 10 years. CVD risk factors were in line with people’s lifestyle in a long period. It was not recognized and it was hard to be changed. Yet, it was in line with unfamiliar phenomenon of  risk group identification through FRS 10 years. Therefore it is important to build strong community leadership models in the community to identify the risk factors and together with health workers perform its management to prevent  the prevalence of CVD risk factors so that the costs of hospitalization due to CVD can be reduced.

 

Keywords: FRS 10 Years, Leadership, CVD

References

  1. AHA. (2013). Overweight & obesity. American Heart Association & American Stroke Association. Dallas, Texas: American Heart Association, Inc. Diperoleh dari http://www.heart.org.
  2. Chia, Y.C. (2011). Review of tools of cardiovascular disease risk stratification: Interpretation, customisation and application in clinical practice. Singapore Med J, 52 (2), 116–123.
  3. George, S.J., & Johnson, J. (2010). Atherosclerosis: Molecular and cellular mechanisms. Weinheim: WILEY-VCH Verlag GmbH & Co.KgaA.
  4. Golbidi, S., Mesdaghinia, A., & Laher, I. (2012). Exercise in the metabolic syndrome. Oxidative medicine and cellular longevity, 2012.
  5. Kemenkes RI. (2014). Pusat data dan informasi Kementrian Kesehatan RI: Situasi kesehatan jantung. Jakarta: Kemenkes.
  6. Kim, J., Peterson, K.E., Scanlon, K.S., Fitzmaurice, G.M., Must, A., & Oken, E. (2006). Trends in overweight from 1980 through 2001 among preschool-aged children enrolled in a health maintenance organization. Obesity (Silver Spring), 14 (7), 1107–1112.
  7. Kuklina, E. V., Yoon, P. W., & Keenan, N. L. (2010). Prevalence of coronary heart disease risk factors and screening for high cholesterol levels among young adults, United States, 1999-2006. Ann Fam Med, 8(4), 327-333. doi: 10.1370/afm.1137
  8. Mosca, C.L., Marshall, J.A., Grunwald, G.K., Cornier, M.A., & Baxter, J. (2004). Insulin resistance as a modifier of the relationship between dietary fat intake and weight gain. Int J Obes Relat Metab Disord, 28 (6), 803–812. doi:10.1038/sj.ijo.0802621.
  9. Napoli, C., Lerman, L. O., de Nigris, F., Gossl, M., Balestrieri, M. L., & Lerman, A. (2006). Rethinking primary prevention of atherosclerosis-related diseases. Circulation, 114(23), 2517-2527.
  10. Nurwidyaningtyas. (2013). Rasio EPC dan CEC sebagai prediktor disfungsi endotel pada kelompok risiko tinggi berdasarkan FRS 10 years. Jurnal Kardiologi Indonesia, 34, I, 14–19.
  11. Rabelink, T.J., de Boer, H.C., & van Zonneveld, A.J. (2010). Endothelial activation and circulating markers of endothelial activation in kidney disease. Nat Rev Nephrol, 6 (7), 404–414. doi: 10.1038/nrneph.2010.65.
  12. Sabatier, F., Camoin-Jau, L., Anfosso, F., Sampol, J., & Dignat-George, F. (2008). Circulating endothelial cells, microparticles and progenitors: Key players towards the definition of vascular competence. J Cell Mol Med, 13 (3), 454–471. doi: 10.1111/j.1582-4934.2008.00639.x.
  13. Scottish Intercollegiate Guidelines Network. (2007). Risk estimation and the prevention of cardiovascular disease: A national clinical guideline. UK: NHS Quality Improvement Scotland. ISBN: 1899893997. Diperoleh dari http://www.sign.ac.uk/pdf/sign97.pdf
  14. Taylor, J.A., Hand, G.A., Johnson, D.G., Seals, D.R. (1992). Augmented forearm vasoconstriction during dynamic exercise in healthy older men. Circulation, 86 (6) 1789–1799. doi: 10.1161/01.CIR.86.6.1789.
  15. WHO. (2007). Prevention of cardiovascular disease: Guidelines for assessment and management of total cardiovascular risk. Switzerland: World Health Organization Press. ISBN: 9789241547178. Diperoleh dari http://ish-world.com.
  16. Wiwit, N., Siti, K., Aditya, R., Rani, R., (2014). Let’s be Survivor Cardio for Our family, ISBN. 978-602-70349-0-7

How to Cite

Nurwidyaningtyas, W., Kholifah, S., & Rahma, A. (2014). Kajian Kelompok Risiko Tinggi: Studi Pendahuluan Pengembangan Model Pengendali Prevalensi Penyakit Kardiovaskular. Jurnal Keperawatan Indonesia, 17(1), 18–24. https://doi.org/10.7454/jki.v17i1.369