Electronic Theses and Dissertation

Stroke merupakan penyebab utama kematian dan kecacatan di Indonesia, dengan faktor risiko seperti hipertensi, obesitas, dan merokok yang umum ditemukan pada kelompok nelayan. Penelitian ini bertujuan mengetahui tingkat risiko stroke dan distribusi faktor risikonya pada nelayan di PPS Kutaraja, Banda Aceh. Penelitian deskriptif kuantitatif dengan desain cross sectional ini melibatkan 109 orang nelayan yang dipilih melalui accidental sampling. Data dikumpulkan melalui wawancara serta pemeriksaan tekanan darah, kolesterol, gula darah sewaktu, tinggi dan berat badan serta tingkat aktivitas fisik diukur menggunakan kuesioner IPAQ. Hasil menunjukkan bahwa berdasarkan Stroke Risk Score Card, responden berada pada kategori risiko tinggi sebesar 43,1%, risiko rendah 33,9%, dan risiko sedang 22,9%. Pada variabel tekanan darah, responden berada pada kategori prehipertensi sebesar 35,8%, hipertensi 34,9%, dan normal 29,4%. Responden yang tidak memiliki riwayat diabetes melitus sebanyak 86,2%, sementara 13,8% telah terdiagnosis. Seluruh responden tidak memiliki riwayat fibrilasi atrium (100%). Responden dengan kadar kolesterol total yang berada pada kategori normal sebesar 80,7%, borderline tinggi 16,5%, dan tinggi 2,8%. Perokok aktif sebanyak 83,5% dan tidak merokok 16,5%. Responden dengan indeks massa tubuh normal sebesar 40,4%, obesitas 35,8%, dan overweight 23,9%. Responden dengan tingkat aktivitas fisik pada kategori berat sebesar 70,6%, sedang 22%, dan rendah 7,3%. Responden yang tidak memiliki riwayat stroke keluarga sebesar 90,8% sementara 9,2% melaporkan adanya riwayat tersebut. Peningkatan tekanan darah, kebiasaan merokok, dan IMT yang tinggi pada responden diakibatkan oleh kondisi kerja berat, paparan lingkungan ekstrem, pola makan tidak teratur, stres dan kualitas tidur yang buruk mengganggu regulasi vaskular dan metabolisme tubuh. Kombinasi faktor biologis, gaya hidup, dan beban kerja ini mempercepat terjadinya disfungsi pembuluh darah dan peningkatan risiko penyakit kardiovaskular seperti stroke.

Stroke is a leading cause of death and disability in Indonesia, with risk factors such as hypertension, obesity, and smoking commonly found among fishermen. This study aimed to determine the level of stroke risk and the distribution of its contributing factors among fishermen at PPS Kutaraja, Banda Aceh. This descriptive quantitative study with a cross-sectional design involved 109 fishermen selected through accidental sampling. Data were collected through interviews and measurements of blood pressure, cholesterol, random blood glucose, height, weight, and physical activity level assessed using the IPAQ questionnaire. The results showed that based on the Stroke Risk Score Card, respondents were categorized as high risk (43.1%), low risk (33.9%), and moderate risk (22.9%). Regarding blood pressure, 35.8% were classified as prehypertensive, 34.9% hypertensive, and 29.4% normal. A total of 86.2% of respondents had no history of diabetes mellitus, while 13.8% had been diagnosed. All respondents reported no history of atrial fibrillation (100%). Total cholesterol levels were normal in 80.7% of respondents, borderline high in 16.5%, and high in 2.8%. Active smokers accounted for 83.5%, while 16.5% were non-smokers. Normal BMI was found in 40.4% of respondents, while 35.8% were obese and 23.9% overweight. Physical activity levels were categorized as high (70.6%), moderate (22%), and low (7.3%). A total of 90.8% reported no family history of stroke, while 9.2% did. The elevated blood pressure, smoking habits, and high BMI observed among respondents are influenced by heavy workloads, exposure to extreme environments, irregular eating patterns, stress, and poor sleep quality, all of which disrupt vascular regulation and metabolic balance. The combination of biological factors, lifestyle behaviors, and occupational demands accelerates vascular dysfunction and increases the risk of cardiovascular diseases such as stroke.