PERBEDAAN KADAR KREATININ SERUM BERDASARKAN KARAKTERISTIK PADA LANSIA PENDERITA HIPERTENSI DI RSUD TABANAN

Amandari, Ni Putu Chandra Sri (2025) PERBEDAAN KADAR KREATININ SERUM BERDASARKAN KARAKTERISTIK PADA LANSIA PENDERITA HIPERTENSI DI RSUD TABANAN. Diploma thesis, Poltekkes Kemenkes Denpasar Jurusan Teknologi Laboratorium Medis 2025.

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Abstract

DIFFERENCES IN SERUM CREATININE LEVELS BASED ON CHARACTERISTICS OF ELDERLY PATIENTS WITH HYPERTENSION AT TABANAN REGIONAL HOSPITAL ABSTRACT Background: hypertension in the elderly has a high risk of triggering impaired renal function. This condition is influenced by the characteristics of individuals with hypertension. In Tabanan region, the prevalence of hypertension is high, but the level of health care is still low. Serum creatinine is used as a specific indicator to assess kidney function. Purpose: this study was conducted to determine differences in serum creatinine levels based on characteristics in elderly people with hypertension at Tabanan Regional Hospital. Methods: analytic observational research, with a cross-sectional approach. Data were analyzed with Shapiro Wilk and Levene's statistical tests, followed by Mann-Whitney U test, Kruskal-Wallis test and post hoc test. Results: there are significant differences in serum creatinine levels based on characteristics consisting of age, gender, duration of hypertension, and compliance with drug consumption in elderly people with hypertension as evidenced by the Mann-Whitney U test, Kruskal-Wallis test with a Sig value. 0.000 (p < 0.05). In the post hoc follow-up test on the variables of age and duration of hypertension, there were no significant differences in creatinine levels in the 60-69 years - ≥70 years age group, and in the 2-5 years - > 5 years hypertension group. Conclusion: there are differences in serum creatinine levels based on the characteristics of the elderly with hypertension in RSUD Tabanan. Keywords: Serum Creatinine, Hypertension. PERBEDAAN KADAR KREATININ SERUM BERDASARKAN KARAKTERISTIK PADA LANSIA PENDERITA HIPERTENSI DI RSUD TABANAN ABSTRAK Latar Belakang: hipertensi pada lansia berisiko tinggi memicu terjadinya gangguan fungsi ginjal. Kondisi ini dipengaruhi oleh karakteristik individu penderita hipertensi. Di wilayah Tabanan, prevelensi hipertensi tergolong tinggi, namun tingkat penanganan kesehatannya masi rendah. Kreatinin serum digunakan sebagai indikator khusus untuk menilai fungsi ginjal. Tujuan: penelitian ini dilakukan untuk mengetahui perbedaan kadar kreatinin serum berdasarkan karakteristik pada lansia penderita hipertensi di RSUD Tabanan. Metode: penelitian observasional analitik, dengan pendekatan cross-sectional. Data dianalisis dengan uji statistik Shapiro Wilk dan levene’s, dilanjutkan dengan uji Mann-Whitney U, uji Kruskal-Wallis dan uji post hoc. Hasil: terdapat perbedaan signifikan kadar kreatinin serum berdasarkan karakteristik yang terdiri atas usia, jenis kelamin, lama menderita hipertensi, dan kepatuhan konsumsi obat pada lansia penderita hipertensi yang dibuktikan melalui uji Mann-Whitney U, uji Kruskal-Wallis dengan nilai Sig. 0.000 (p < 0.05). Pada uji lanjutan post hoc terhadap variabel usia dan lama menderita hipertensi, tidak ditemukan perbedaan kadar kreatinin yang signifikan pada kelompok usia 60 – 69 tahun - ≥70 tahun, dan pada kelompok lama menderita hipertensi 2-5 tahun - > 5 tahun. Simpulan: terdapat perbedaan kadar kreatinin serum berdasarkan karakteristik pada lansia penderita hipertensi di RSUD Tabanan. Kata kunci: Kreatinin Serum, Hipertensi.

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