Perbedaan blood pressure variability (BPV) pada perawat shift dan non-shift di Rumah Sakit Umum Siloam Karawaci

Natalia, Jennifer (2020) Perbedaan blood pressure variability (BPV) pada perawat shift dan non-shift di Rumah Sakit Umum Siloam Karawaci. Bachelor thesis, Universitas Pelita Harapan.

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Abstract

Blood Pressure Variability atau BPV berhubungan erat terhadap kejadian kardiovaskular sehingga peningkatan BPV dapat menghasilkan efek negatif pada kesehatan pekerja dalam jangka panjang. BPV dipengaruhi oleh banyak faktor dan salah satunya adalah peningkatan kerja sistem saraf simpatetik. Pekerja shift memiliki risiko tinggi untuk gangguan tidur dan gangguan kesehatan lainnya dalam hal sistem sirkadian dan saraf simpatetik. Namun oleh karena metode pengukuran BPV yang berbeda-beda, tujuan penelitian ini adalah untuk mengetahui ada atau tidaknya perbedaan BPV jangka sangat pendek antara perawat yang bekerja shift dan perawat yang bekerja non-shift di Siloam Hospitals Lippo Village. Penelitian ini menggunakan desain studi potong lintang dan metode analitik dimana pengukuran tekanan darah dilakukan 3 kali dengan jarak 5 menit menggunakan tensimeter digital. Pengukuran BPV dilakukan dengan menghitung nilai delta, ARV, dan COV tekanan darah. Analisis data dengan uji T independen menggunakan Statistical Program for Social Science (SPSS 23.0). Dalam hasil penelitian 68 sampel perawat shift dan non-shift di Siloam Hospitals Lippo Village ini terdapat perbedaan BPV sistolik pada perawat shift dan non-shift dimana perawat shift memiliki BPV sistolik lebih tinggi. Terdapat hasil signifikan pada variabel sistolik delta (p=0,006), ARV (p=0,015), dan COV (p=0,008). Terjadi peningkatan yang tidak signifikan pada variabel BPV diastolik. Penelitian ini menunjukkan bahwa BPV sistolik perawat shift lebih tinggi daripada perawat non-shift. / Blood Pressure Variability or BPV is closely related to cardiovascular events so that an increase in BPV can produce negative effects on the health of workers. BPV is influenced by many factors and one of them is the work of sympathetic nervous system. Shift workers are especially prone to develop sleep disorders and other health problems in terms of the circadian system and sympathetic nerve system. However, due to different BPV measurement methods, the aim of this study is to determine whether or not there is a very short term difference in BPV between nurses who work shifts and nurses who work non-shifts at Siloam Hospitals Lippo Village. This study uses a cross-sectional study design and analytical method in which blood pressure measurements are performed 3 times with a course of 5 minutes using an automatic blood pressure monitor. BPV measurements were done by calculating the delta, ARV, and COV blood pressure. The data is then analyzed using the T-independent test by Statistical Program for Social Science (SPSS 23.0). The result of 68 samples of shift and non-shift nurses at Siloam Hospitals Lippo Village is that there are differences in systolic BPV between shift and nonshift nurses where shift nurses have higher systolic BPV. There were significant results on the systolic delta (p = 0.006), ARV (p = 0.015), and COV (p = 0.008). No significant result in BPV diastolic. This study shows that the systolic BPV of shift nurses is higher than that of non-shift nurses.

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