PERBEDAAN PEMERIKSAAN TEKANAN DARAH MENGGUNAKAN SPYGMOMANOMETER AIR RAKSA DAN TENSIMETER DIGITAL
Abstract
Penyakit tekanan darah tinggi atau hipertensi telah membunuh 9,4 juta warga dunia setiap tahunnya. Prevalensi hipertensi pada penduduk umur 18 tahun ke atas di Indonesia adalah sebesar 31,7%. DIY mempunyai prevalensi hipertensi lebih tinggi dari angka nasionalyaitu 35,8%. Spygmomanometer air raksa merupakan “gold standart†pada pengukuran tekanan darah dan memerlukan alat bantu stetoskop. Kesulitan ini menyebabkan timbulnya metode yang lebih praktis menggunakantensimeter digital tetapi keakuratan pengukuran tensimeter digital bergantung pada daya tahan baterai. Tujuan Penelitian ini untuk mengetahui perbedaan pemeriksaan tekanan darah menggunakan Spygmomanometer air raksa dan tensimeter digital. Metode penelitian yang digunakan adalah penelitian analitik dengan rancangan cross sectional. Subyek penelitian adalah pendudukberumur 40 tahun keatas yang berkunjung di Posbindu Dusun Kopat, Desa Karangsari, Kecamatan Pengasih, Kabupaten Kulon Progo. Teknik pengambilan sampel menggunakan metode accidental sampling.Jumlah sampel sebanyak100 orang. Analisis data menggunakan uji paired t-test. Alat pengukuran tekanan darah menggunakan tensimeter digital dibandingkan dengan spygmomanometer air raksa diperoleh nilai sensitivitas 88%, spesifisitas 86%, positif prediktif value (PPV) 87%, negatif prediktif value (NPV) 93%. Hasil uji paired t-test didapatkan nilai p-value=0,000 untuk sistol dan p-value=0,043 untuk diastol (p< 0,05). Terdapat perbedaan yang bermakna dari hasil pengukuran tekanan darah menggunakan pygmomanometer air raksa dan tensimeter digital
Kata Kunci: tekanan darah, spygmomanometer air raksa, tensimeter digital
High blood pressure or hypertension has killed 9.4 million people worldwide every year. The prevalence of hypertension in residents aged 18 years and over in Indonesia is 31.7%. DIY has a higher prevalence of hypertension than the national figure of 35.8%. Mercury Spygmomanometer is a "gold standard" in blood pressure measurements and requires a stethoscope aid. This difficulty causes the emergence of more practical methods using digital tensimeter but the accuracy of digital tensimeter measurements depends on battery. Objectives of this research was to determine the differences in blood pressure checks using a mercury and digital tensimeter sphygmomanometer. This research used analytical research with cross sectional design. The research subjects were 40-year-old residents and above who visited Posbindu in Kopat Hamlet, Karangsari Village, Pengasih District, Kulon Progo Regency. The sampling technique uses the accidental sampling method. The total sample is 100 people. Data analysis using paired t -test. Blood pressure measuring devices using digital tensimeter compared to mercury spygmomanometer obtained a sensitivity value of 88%, 86% specificity, positive predictive value (PPV) 87%, negative predictive value (NPV) 93%. The paired t -test results obtained p-value = 0,000 for systole and p-value = 0.043 for diastole (p <0.05). There are significant differences from the results of blood pressure measurements using a mercury and digital tensimeter sphygmomanometer.
Keywords: blood pressure, mercury spygmomanometer, digital tensimeter
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Kementrian Kesehatan RI. (2012). Petunjuk Teknis Penyelenggaraan Pengendalian Penyakit Tidak Menular Di Puskesmas. Jakarta: Direktorat Jenderal Pengendalian Penyakit dan Penyehatan Lingkungan.
Kementrian Kesehatan RI. (2013a). Panduan Peringatan Hari Kesehatan Sedunia “Waspadai Hipertensi, Kendalikan Tekanan Darah (Blood Pressure Take Control). Jakarta: Pusat Promosi Kesehatan.
Kesehatan Kementerian RI. (2013b). Riset Kesehatan Dasar (Riskesdas). Badan Penelitian dan Pengembangan Kesehatan. [Online] Tersedia di http://www.depkes.go [Diakses 19 Februari
Sekarani, R. (2017). Dinkes Kulonprogo Berupaya Turunkan Prevalensi Hipertensi. [Online] Tersedia di http://www.harianjogja.com [Diakses 19 Februari 2018]
Buchanan, S. (2009). The Accuracy of Alternatives to Mercury Sphymomanometer. Chicago: University Illinois Chicago
Departemen Kesehatan RI. (2006). Pedoman Teknis Penemuan Dan Tatalaksana Penyakit Hipertensi. Jakarta: Direktorat Pengendalian Penyakit Tidak Menular.
Zunnur, N., Adrianto, A., Basyar, E. (2017). Kesesuaian Tipe Tensimeter Air Raksa dan Tensimeter Digital Terhadap Pengukuran Tekanan Darah Pada Usia Dewasa. Jurnal Kedokteran Diponegoro, Volume 6, No 2.
Nelson D, Kennedy B, Regnerus C, Schweinle A. (2008). Accuracy of Automated Blood Pressure Monitors. Journal of Division of Health Sciences, Summer; 82(4):35. Epub 2008 Jul 1.
A'Court C., Stevens R., Sanders S., Ward A., McManus R., Heneghan C. (2011). Type And Accuracy Of Sphygmomanometers In Primary Care: A Cross Sectional Observational Study. Br J Gen Pract. 61(590):e598-603
Ogedegbe, G., & Pickering, T. (2010). Principles and Techniques of Blood Pressure Measurement. Cardiology clinics, 28(4), 571-586. doi: 10.1016/j.ccl.2010.07.006.
Shahbabu, B., Dasgupta, A., Sarkar, K., & Sahoo, S. K. (2016). Which is More Accurate in Measuring the Blood Pressure? A Digital or an Aneroid Sphygmomanometer. Journal of Clinical and Diagnostic Research : JCDR, 10(3), LC11-LC14. doi: 10.7860/jcdr/2016/14351.7458
Anisa Putripratama, A., Endah Rahayuningsih, S., Abdul Hamied, L. I., Sofiatin, Y., & Roesli, R. (2015). Mean Differences between Digital and Mercury Sphygmomanometer in Community-Based Setting. Journal of Hypertension. Vol. 33,doi: 10.1097/01.hjh.0000469844.01070.05
Ostchega,Y., Zhang, G., Sorlie, P., Hughes, J., Debra S., Nwankwo, T., Yoon, S. (2012). Blood Pressure Randomized Methodology Study Comparing Automatic Oscillometric and Mercury Sphygmomanometer Devices: National Health and Nutrition Examination Survey, 2009–2010. National Health Statistics Reports, Number 59, October 5. [Online] Tersedia di https://www.cdc.gov/nchs/data/nhsr/nhsr059.pdf [diakses pada 20 Februari 2018].
Chen, Z., Wang, X., Wang, Z., Zhang, L., Hao, G., Dong, Y., Zhu, M., Gao, R. (2017). Assessing the Validity of Oscillometric Device for Blood Pressure Measurement in a Large Population-based Epidemiologic study. Journal of the American Society of Hypertension, 11(11), 730-736.e734. doi: 10.1016/j.jash.2017.09.004
Cheng, H.-M., Sung, S.-H., Chuang, S.-Y., Pearson, A., Tufanaru, C., White, S., Yu, WC., Chen, C.-H. (2014). Diagnostic Performance of a Stand-Alone Central Blood Pressure Monitor: Application of Central Blood Pressure in the Diagnosis of High Blood Pressure. American Journal of Hypertension, 27(3), 382-391. doi: 10.1093/ajh/hpt2
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