HUBUNGAN DERAJAT HIPERTENSI TERHADAP KADAR KREATININ SERUM PADA PASIEN PESERTA PROLANIS HIPERTENSI DI PUSKESMAS KEDIRI III TABANAN

Yanti, Ni Kadek Ari Darma (2026) HUBUNGAN DERAJAT HIPERTENSI TERHADAP KADAR KREATININ SERUM PADA PASIEN PESERTA PROLANIS HIPERTENSI DI PUSKESMAS KEDIRI III TABANAN. Diploma thesis, Poltekkes Kemenkes Denpasar Jurusan Teknologi Laboratorium Medis 2026.

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Abstract

THE RELATIONSHIP BETWEEN THE DEGREE OF HYPERTENSION AND SERUM CREATININE LEVELS IN PROLANIS HYPERTENSIVE PATIENTS AT KEDIRI III PUBLIC HEALTH CENTER, TABANAN ABSTRACT Background: Hypertension is a chronic disease that can cause target organ damage, particularly the kidneys. Renal dysfunction due to hypertension is indicated by increased serum creatinine levels. Objective: This study aimed to determine the relationship between the degree of hypertension and serum creatinine levels among Prolanis hypertension patients at Puskesmas Kediri III Tabanan. Methods: This was an analytic observational study with a cross - sectional design. A total of 33 respondents were selected using consecutive sampling based on the Yamane formula. Data were obtained from blood pressure measurements and serum creatinine examination using the enzymatic colorimetry method. Data were analyzed using the Fisher - Freeman - Halton Exact Test. Results: Most respondents were aged 56 - 65 years (45.5 %) and female (60.6 %). Grade II hypertension was most common (39.4 %), followed by grade I (36.4 %), isolated systolic hypertension (15.2%), and grade III (9.1 %). Most respondents had normal creatinine levels (72.7 %), while 27.3% were elevated. Statistical analysis showed p = 0.326 (p > 0.05). Conclusion: There is no significant relationship between hypertension grade and serum creatinine levels. Keywords: hypertension, serum creatinine, prolanis HUBUNGAN DERAJAT HIPERTENSI TERHADAP KADAR KREATININ SERUM PADA PASIEN PESERTA PROLANIS HIPERTENSI DI PUSKESMAS KEDIRI III TABANAN ABSTRAK Latar belakang: Hipertensi merupakan penyakit kronis yang dapat menyebabkan kerusakan organ target, terutama ginjal. Gangguan fungsi ginjal akibat hipertensi ditandai dengan peningkatan kadar kreatinin serum. Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan derajat hipertensi terhadap kadar kreatinin serum pada pasien peserta Prolanis hipertensi di Puskesmas Kediri III Tabanan. Metode: Penelitian ini merupakan analitik observasional dengan desain cross sectional. Sampel sebanyak 33 responden dipilih menggunakan teknik consecutive sampling dan dihitung menggunakan rumus Yamane. Data diperoleh dari pengukuran tekanan darah dan pemeriksaan kadar kreatinin serum dengan metode enzymatic colorimetry. Analisis data menggunakan uji Fisher - Freeman - Halton Exact Test. Hasil: Hasil penelitian menunjukkan sebagian besar responden berusia 56 - 65 tahun (45,5 %) dan berjenis kelamin perempuan (60,6 %). Derajat hipertensi terbanyak adalah derajat dua (39,4 %), diikuti derajat satu (36,4 %), HST (15,2 %), dan derajat tiga (9,1 %). Sebagian besar responden memiliki kadar kreatinin normal (72,7 %) dan 27,3 % mengalami peningkatan. Hasil uji statistik menunjukkan nilai p = 0,326 (p > 0,05). Simpulan: Tidak terdapat hubungan yang signifikan antara derajat hipertensi dengan kadar kreatinin serum pada pasien Prolanis hipertensi di Puskesmas Kediri III Tabanan. Kata Kunci: hipertensi, kreatinin serum, prolanis.

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