Merokok dan anemia: studi pada pasien rawat inap di Rumah Sakit Paru Respira, Yogyakarta

https://doi.org/10.22146/bkm.39696

Ledy Vinantika(1), Solikhah Solikhah(2*)

(1) Fakultas Kesehatan Masyarakat, Universitas Ahmad Dahlan
(2) Fakultas Kesehatan Masyarakat, Universitas Ahmad Dahlan
(*) Corresponding Author

Abstract


Smoking and anemia: study in hospitalized patients at Respira Lung Hospital, Yogyakarta

Purpose: This study aimed to explore anemia in hospitalized patients at Respira Lung Hospital in Yogyakarta which includes tuberculosis, nutritional status, age, sex, education, and smoking habits.

Methods: A cross-sectional design using secondary data from medical records at Respira Lung Hospital was used in this study. Of all medical records, 90 inpatients in 2017 were taken with consecutive sampling techniques. The Chi-square test was conducted to analyze this study.

Results: Patients who had anaemia were 52,2%. The proportion of people who had anaemia in thin people was 1,613 greater than those who are not thin (RP=1,613; 95%CI=1,078-2,414; p=0,031). Disease, age, sex, education, and smoking habits were not significantly related to anaemia. However, pulmonary tuberculosis (TB) (RP=1,395; 95%CI=0,951-2,047); no education (RP=1,257; 95%CI=0,765-2,066); and smoking habits (RP=1,142; 95%CI=0,730-1,785) were risk factors for anaemia in hospitalized patients at Respira Lung Hospital.

Conclusions: Nutritional status was significantly associated with anemia, while pulmonary TB, age, gender, education, and smoking habits were not significantly related to anemia. Furthermore, increasing awareness of pulmonary tuberculosis sufferers with poor nutritional status, smoker, and low education was concerned by the health department because it raised the risk of anemia and complication of the disease.


Keywords


anaemia; hospitalized patients; Respira lung hospital

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References

  1. World Health Organization. The Global Prevalence of Anaemia in 2011. Geneva: World Health Organization. Geneva; 2015;
  2. World Health Organization. Nutritional Anaemias: Tools for Effective Prevention and Control. Geneva; 2017;
  3. Website [Internet]. [cited 22 Jul 2019]. Available: Kassebaum, Nicholas J. 2016. The Global Burden of Anemia. Hematol Oncol Clin N Am. 30 (2016): 247-308. http://dx.doi.org/10.1016/j.hoc.2015.11.002.
  4. Barkley, J.S., Kendrick, K.L., Codling, K., Muslimatun, S., Pachon, H. Anaemia Prevalence Over Time in Indonesia: Estimates from The 1997, 2000, and 2008 Indonesia Family Life Surveys. Asia Pac J Clin Nutr. 2015;24: 452–455.
  5. Eisele L, on behalf of the Heinz Nixdorf Recall Study Investigative Group, Dürig J, Broecker-Preuss M, Dührsen U, Bokhof B, et al. Prevalence and incidence of anemia in the German Heinz Nixdorf Recall Study [Internet]. Annals of Hematology. 2013. pp. 731–737. doi:10.1007/s00277-013-1697-1
  6. Kiswari R. Hematologi & Transfusi. Jakarta: Erlangga; 2014.; 160–162.
  7. Nagu TJ, Spiegelman D, Hertzmark E, Aboud S, Makani J, Matee MI, et al. Anemia at the Initiation of Tuberculosis Therapy Is Associated with Delayed Sputum Conversion among Pulmonary Tuberculosis Patients in Dar-es-Salaam, Tanzania [Internet]. PLoS ONE. 2014. p. e91229. doi:10.1371/journal.pone.0091229
  8. Website [Internet]. [cited 22 Jul 2019]. Available: Minchella, P.A., Simon Donkor, Olumuyiwa Owolabi, Jayne S. Sutherland, Joann M. McDermid. 2015. Complex Anemia in Tuberculosis: The Need to Consider Causes and Timing When Designing Interventions. Clinical Infectious Diseases, Volume 60, Issue 5, 1 March 2015, Pages 764-772, https://doi.org/10.1093/cid/ciu945
  9. Oliveira MG, Delogo KN, de Oliveira HM de MG, Ruffino-Netto A, Kritski AL, Oliveira MM. Anemia in hospitalized patients with pulmonary tuberculosis [Internet]. Jornal Brasileiro de Pneumologia. 2014. pp. 403–410. doi:10.1590/s1806-37132014000400008
  10. Isanaka S, Mugusi F, Urassa W, Willett WC, Bosch RJ, Villamor E, et al. Iron Deficiency and Anemia Predict Mortality in Patients with Tuberculosis [Internet]. The Journal of Nutrition. 2012. pp. 350–357. doi:10.3945/jn.111.144287
  11. Thakur N, Chandra J, Pemde H, Singh V. Anemia in severe acute malnutrition [Internet]. Nutrition. 2014. pp. 440–442. doi:10.1016/j.nut.2013.09.011
  12. Contreras-Manzano A, De la Cruz V, Villalpando S, Rebollar R, Shamah-Levy T. Anemia and iron deficiency in Mexican elderly population. Results from the Ensanut 2012 [Internet]. Salud Pública de México. 2015. p. 394. doi:10.21149/spm.v57i5.7619
  13. Sahin S, Tasar PT, Simsek H, Çicek Z, Eskiizmirli H, Aykar FS, et al. Prevalence of anemia and malnutrition and their association in elderly nursing home residents [Internet]. Aging Clinical and Experimental Research. 2016. pp. 857–862. doi:10.1007/s40520-015-0490-5
  14. Lee SW, Kang YA, Yoon YS, Um S-W, Lee SM, Yoo C-G, et al. The Prevalence and Evolution of Anemia Associated with Tuberculosis [Internet]. Journal of Korean Medical Science. 2006. p. 1028. doi:10.3346/jkms.2006.21.6.1028
  15. Saathoff E, Villamor E, Mugusi F, Bosch RJ, Urassa W, Fawzi WW. Anemia in Adults with Tuberculosis is Associated with HIV and Anthropometric Status in Dar es Salaam, Tanzania. Int J Tuberc Lung Dis. 2011;15: 925–932.
  16. Briawan D, Hardinsyah H. Non-food risk factors of anemia among child-bearing age women (15-45 years) in Indonesia (faktor risiko non-makanan terhadap kejadian anemia pada perempuan usia subur [15-45 tahun] di Indonesia). Penelitian Gizi dan Makanan 2010;33. doi:10.22435/pgm.v33i2.3114.
  17. Safitri RN, Syahrul F. The Risk of Exposure to Cigarette Smoke in Anemia During Pregnancy. Jurnal Berkala Epidemiologi. 2015;3: 327–339.
  18. Knight-Madden JM, Barton-Gooden A, Weaver SR, Reid M, Greenough A. Mortality, Asthma, Smoking and Acute Chest Syndrome in Young Adults with Sickle Cell Disease [Internet]. Lung. 2013. pp. 95–100. doi:10.1007/s00408-012-9435-3
  19. Nasution SD. Malnutrisi dan Anemia Pada Penderita Tuberkulosis Paru. Jurnal Majority. 2015;4: 29–26.
  20. Bakta IM. Hematologi Klinik Ringkas. Jakarta: Penerbit Buku Kedokteran EGC; 2016. pp. 11–12.
  21. Permaesih D, Herman S. FAKTOR-FAKTOR YANG MEMPENGARUHI ANEMIA PADA REMAJA. Buletin Penelitian Kesehatan. 2005;33. doi:10.22435/bpk.v33i4 Des.219.
  22. Listiana A. Analisis Faktor-Faktor yang Berhubungan Dengan Kejadian Anemia Gizi Besi pada Remaja Putri di SMKN 1 Terbanggi Besar Lampung Tengah [Internet]. Jurnal Kesehatan. 2016. p. 455. doi:10.26630/jk.v7i3.230
  23. Rokim KF, Yudhanto E, Wahyudi F. HUBUNGAN USIA DAN STATUS NUTRISI TERHADAP KEJADIAN ANEMIA PADA PASIEN KANKER KOLOREKTAL [Internet]. other, Faculty of Medicine Diponegoro University. 2014. Available: http://eprints.undip.ac.id/44812/1/Khoirul_Fahrizal_R_22010110110113_Bab0KTI.pdf
  24. Joosten E, Lioen P. Iron deficiency anemia and anemia of chronic disease in geriatric hospitalized patients: How frequent are comorbidities as an additional explanation for the anemia? [Internet]. Geriatrics & Gerontology International. 2015. pp. 931–935. doi:10.1111/ggi.12371
  25. Bakta IM. Pendekatan terhadap pasien anemia. Buku Ajar Ilmu Penyakit Dalam. Pusat Penerbitan Ilmu Penyakit Dalam FK UI edisi IV jilid II; 2006.
  26. Vanasse GJ, Berliner N. Anemia in Elderly Patients: An Emerging Problem for the 21st Century [Internet]. Hematology. 2010. pp. 271–275. doi:10.1182/asheducation-2010.1.271
  27. Jansari J, Nur IS, Firlia AA. Faktor-Faktor yang Mempengaruhi Terjadinya Anemia Defisiensi Besi pada Golongan Lanjut Usia di Kelurahan Pela Mampang Jakarta Selatan. Prosiding: Pertemuan Ilmiah Tahunan Nasional Epidemiologi III (PITNAS Epid III). 2014. pp. 42–50.
  28. Kurniasih SA, Setiani O, Nugraheni SA. Faktor-faktor yang Terkait Paparan Pestisida dan Hubungannya dengan Kejadian Anemia pada Petani Hortikultura di Desa Gombong Kecamatan Belik Kabupaten Pemalang Jawa Tengah. JURNAL KESEHATAN LINGKUNGAN INDONESIA. Diponegoro University; 2013;12: 132–137.
  29. Maharani II, Hardinsyah H, Sumantri B. APLIKASI REGRESI LOGISTIK DALAM ANALISIS FAKTOR RISIKO ANEMIA GIZI PADA MAHASISWA BARU IPB [Internet]. Jurnal Gizi dan Pangan. 2007. p. 36. doi:10.25182/jgp.2007.2.2.36-43
  30. Marques MR, De Oliveira E Silva LMM, Dos Santos Beserra Pessoa ML, Da Mota Araújo MA, Dos Reis Moreira-Araújo RS. Risk and Prevalence of Anemia among Women Attending Public and Private Universities [Internet]. Ecology of Food and Nutrition. 2015. pp. 520–528. doi:10.1080/03670244.2015.1037442
  31. Sihombing M, Riyadina W. FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN ANEMIA PADA PEKERJA DI KAWASAN INDUSTRI PULO GADUNG JAKARTA. Media Penelitian dan Pengembangan Kesehatan. 2009;19. doi:10.22435/mpk.v19i3 Sept.777.
  32. Purwandari A, Lumy F, Polak F. Faktor-Faktor Yang Berhubungan Dengan Kejadian Anemia. JIDAN (Jurnal Ilmiah Bidan). 2016;4: 62–68.
  33. Amelia R, Nasrul E, Basyar M. Hubungan Derajat Merokok Berdasarkan Indeks Brinkman dengan Kadar Hemoglobin. Jurnal Kesehatan Andalas. 2016;5. Available: http://jurnal.fk.unand.ac.id/index.php/jka/article/view/587
  34. Wibowo DV, Pangemanan DHC, Polii H. Hubungan Merokok dengan Kadar Hemoglobin dan Trombosit pada Perokok Dewasa. eBiomedik. 2017;5. doi:10.35790/ebm.5.2.2017.18510
  35. Leifert JA. Anaemia and cigarette smoking [Internet]. International Journal of Laboratory Hematology. 2008. pp. 177–184. doi:10.1111/j.1751-553x.2008.01067.x



DOI: https://doi.org/10.22146/bkm.39696

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