Tesis

Hubungan gangguan mental emosional dengan indeks aterogenik plasma pada pekerja di rumah sakit umum pusat di Jakarta = The relationship between emotional mental disorder and atherogenic index of plasma in workers at general hospital in Jakarta.

Pendahuluan: Penyakit kardiovaskular (PKV) merupakan penyebab utama kematian di dunia. Indeks aterogenik plasma (IAP) dapat memprediksi risiko PKV lebih akurat dibanding indeks lainnya. Pekerja di rumah sakit (RS) berisiko mengalami gangguan mental emosional (GME) yang dapat berdampak pada kadar lipid darah dan meningkatkan risiko PKV. Ada beberapa faktor lain yang dapat berpengaruh. Belum ada penelitian yang secara khusus menyelidiki hubungan ini di Indonesia, terutama yang melibatkan IAP pada pekerja di RS. Penelitian ini bertujuan menentukan hubungan antara GME dan faktor lainnya dengan IAP pada pekerja di RS. Metode: Penelitian dengan desain potong lintang ini menggunakan data sekunder dari rekam medis medical check-up (MCU) pekerja di RS Umum Pusat (RSUP) Persahabatan tahun 2024 yang memenuhi kriteria inklusi dan eksklusi. Analisis dilakukan dengan SPSS menggunakan uji univariat, bivariat dan multivariat. Penelitian telah memperoleh izin etik dari Fakultas Kedokteran Universitas Indonesia (FKUI) dan RSUP Persahabatan. Hasil: Penelitian ini melibatkan 392 pekerja di RS. Median usia pekerja 38 tahun (20-64) dan mayoritas berjenis kelamin perempuan (70,92%). Mayoritas pekerja memiliki IAP risiko rendah terjadinya PKV (79,34%). GME ditemukan sebanyak 13,78%, namun tidak berhubungan dengan IAP. Analisis multivariat menunjukkan faktor yang berpengaruh secara signifikan dengan IAP adalah gender (p < 0,001), jenis ketenagaan (p = 0,001) dan indeks massa tubuh (IMT, p < 0,001). Kesimpulan: Tidak ditemukan hubungan yang signifikan antara GME dengan IAP. Faktor yang berpengaruh secara signifikan adalah gender, jenis ketenagaan dan IMT.
Kata Kunci: gangguan mental emosional, indeks aterogenik plasma, penyakit kardiovaskular, pekerja rumah sakit


Introduction: Cardiovascular diseases (CVD) are the leading cause of death worldwide. The atherogenic index of plasma (AIP) can predict the risk of CVD more accurately than other indices. Hospital workers are at risk of experiencing emotional mental disorders (EMD) which may affect blood lipid levels and increase the risk of CVD. There are several other factors that could have an impact. No studies have specifically investigated these relationship in Indonesia, especially with the AIP in hospital workers. This study aims to determine the relationship between EMD and other factors with the AIP in hospital workers. Methods: This cross-sectional study collects data from the medical check-up (MCU) records of workers at Persahabatan General Hospital in 2024, who met the inclusion and exclusion criteria. The analysis was performed using SPSS with univariate, bivariate and multivariate tests. The study has received ethical approval from the Faculty of Medicine Universitas Indonesia and Persahabatan General Hospital. Results: The study involved 392 hospital workers. The median of age was 38 years old (20-64) and most workers were female (70.92%). Most workers had a low risk of CVD (79.34%) based on the AIP. EMD were found in 13.78% of the workers, but were not associated with the AIP. Multivariate analysis showed that the factors significantly associated with the AIP were gender (p < 0,001), type of workforce (p = 0,001) and body mass index (BMI, p < 0,001 ). Conclusion: No significant association was found between EMD and the AIP. Factors that significantly associated with the AIP were gender, type of workforce and BMI.
Keywords: atherogenic index of plasma, cardiovascular disease, emotional mental disorders, hospital workers