Tesis

Analisa Hubungan Profil Risiko Penyakit Kardiovaskular Aterosklerosis dan Profil Okupasi terhadap WHO Cardiovascular Risk Chart for South-East Asia (WHO CRC-INA) 2019 Pada Pekerja Industri Migas = Analysis of the Relationship between Atherosclerotic Cardiovascular Disease Risk Profile and Occupational Profile to the WHO Cardiovascular Risk Chart for South-East Asia (WHO CRC-INA) 2019 in Oil and Gas Industry Workers.

Latar Belakang: Telah dilaporkan beberapa kasus kematian karena PKVA selama tahun 2022 di perusahaan migas. Saat ini, perusahaan fokus pada Program Illness Fatality Prevention untuk menghindari hal tersebut berulang, namun perhitungan risiko PKVA 10 tahun mendatang menggunakan metode sederhana, murah dan efisien sebagai upaya pencegahan belum tersedia. Terdapat metode perhitungan yang memenuhi kriteria tersebut yaitu menggunakan sistem skor dan warna pada WHO CRC-INA sesuai yang direkomendasikan WHO dan PERKI, namun penilaian hubungan profil PKVA dan okupasi terhadap WHO CRCINA belum tersedia. Penelitian ini bertujuan untuk menilai hubungan antara profil risiko PKVA dan profil okupasi terhadap WHO CRC-INA pada pekerja industri migas. Metode: Penelitian menggunakan desain potong lintang, pengambilan data dilakukan dalam satu waktu dan metode analisisnya dilakukan secara analitik untuk melihat hubungan antara profil PKVA dan profil okupasi dengan prediksi risiko kardiovaskular aterosklerotik 10 tahun menggunakan WHO CRC-INA. Data analisis menggunakan uji Chi-Square dan regresi logistik, dengan level signifikan p < 0,05. Sampel penelitian menggunakan metode total sampling berjumlah 240 orang dari data sekunder MCU tahun 2022 di perusahaan migas. Instrumen pengukuran resiko PKVA menggunakan skor akhir dari WHO CRC-INA yang dikelompokkan menjadi resiko rendah dan sedang-tinggi. Hasil: Profil okupasi mempunyai hubungan dengan WHO CRC-INA terlihat pada analisa bivariat dengan shift kerja (p=0,018; OR=2,045) serta tipe pekerjaan (p=0,018; OR=2,045) . Analisa multivariat menunjukkan shift kerja merupakan faktor yang dominan (p=0,012; aOR=2,17) terhadap WHO CRC-INA. Kesimpulan: Terdapat hubungan antara profil okupasi kerja shift terhadap WHO CRC-INA pada pekerja di industri migas
Kata kunci: profil risiko PKVA, profil okupasi, Indonesia, WHO CRC-INA


Background: Several cases ofdeaths due to Atherosclerotic Cardiovascular Disease(ASCVD) have been reported during 2022 in an oil and gas company. Currently, companies are focusing on Illness Fatality Prevention Program to avoid this from repeating, but the calculation of ASCVD risk in the next 10 years using simple, cheap and efficient methods as a prevention effort is not yet available in this company. There is a calculation method that meets these criteria, namely using the score and color system on WHO CRC-INA as recommended by WHO and Indonesian Heart Association (IHA), but the assessment of the relationship between ASCVD and occupational profiles to WHO CRC-INA is not yet available. This study aims to assess the relationship between ASCVD risk profile and occupational profile against WHO CRC-INA in oil and gas industry workers Method: The study used a cross-sectional design; data collection was carried out at one time and the analysis method was carried out analytically to see the relationship between ASCVD profile and occupational profile with prediction of atherosclerotic cardiovascular risk 10 years using WHO CRC-INA. The analysis data used Chi-Square test and logistic regression, with a significant level of p < 0.05. The research sample using the total sampling method amounted to 240 people from secondary data on MCU in 2022 in oil and gas companies. The ASCVD risk measurement instrument uses the final score from WHO CRC-INA which is grouped into low and medium-high risk. Results: Occupational profiles have a relationship with WHO CRC-INA seen in bivariate analysis shift work (p=0.018; OR=2,045), and work type (p=0.018; OR=2,045) have a relationship with WHO CRC-INA. Multivariate analysis showed that shift work was the dominant factor (p=0,012; aOR=2.17) for WHO CRC-INA. Conclusion: There is a relationship between occupation profile shift work with WHO CRCINA for workers in the oil and gas industry
Keywords: Ateroschlerotic Cardiovascular Disease (ASCVD), risk profile, occupational profile, Indonesia, WHO CRC-INA