The Impact of Workload During the Productive Age on Hypertension in Elderly Patients at Lisna YPK PLN Clinic Lampung
DOI:
https://doi.org/10.54832/phj.v7i2.1284Keywords:
Workload, hypertension, Productive age, elderly, NASA-TLX, Logistic Regression, Mann WhitneyAbstract
Introduction : Hypertension is often compared to a silent ticking clock in the body, striking unexpectedly with cardiovascular disease. Among its many triggers, occupational workload during productive years is often overlooked, though it may leave scars that surface as hypertension in later life. Objectives : This study assessed the association between past workload and hypertension among elderly patients at Klinik Lisna YPK PLN Lampung. Methods : A cross-sectional quantitative study was carried out in June 2025. From 215 elderly patients, 140 were purposively selected. Workload history was measured using the NASA-TLX questionnaire, while hypertension status was obtained from medical records and blood pressure checks. The dataset was examined through Mann–Whitney U testing and logistic regression, adopting a significance level of 0.05. Results : Most respondents reported high workload (62.86%), followed by very high (24.29%) and moderately high (12.86%). Hypertension was found in 50% of participants. A significant association was observed (p = 0.000274). Logistic regression showed that high workload increased hypertension risk 4.128 times (p = 0.020), and very high workload 4.118 times (p = 0.031), compared to moderate workload. Conclusion : Workload in productive years is like a shadow that follows into old age, shaping the risk of hypertension. Incorporating occupational history into screening may open the door to earlier detection and better prevention for the elderly.
Downloads
References
Andini, F. A. D. and S. (2024). Work Hours and the Risk of Hypertension: The Case of Indonesia. BMC Public Health, 24(1).
Aswardi. (2023). Hajj and aging: Considerations for elderly pilgrims. Ministry of Health. https://ayosehat.kemkes.go.id/berhaji-dan-lansia
Badan Pusat Statistik (BPS), UNFPA, & Ministry of National Development Planning (PPN). (2019). Demographic outlook of Indonesia, 2015–2045. BPS.
Daryanti, Y., & Inayah, Z. (2023). Occupational burden and blood pressure changes among SMK Assa’adah Bungah Gresik teachers. Journal of Public Health Science Research, 4(1). https://doi.org/10.30587/jphsr.v1i1.1178
Fadhilah, K. N. (2021). Workload and hypertension incidence in Purwodadi Public Market, Central Java. Journal of Nursing Science, 6(1). http://ejournal.annurpurwodadi.ac.id
Fitri, A., & others. (2023). Foundations of statistical reasoning for health research. Yayasan Kita Menulis.
Hart, S. G., & Staveland, L. E. (1988). NASA-TLX development: Empirical and theoretical insights. In Advances in Psychology (Vol. 52, pp. 139–183). Elsevier. https://doi.org/10.1016/S0166-4115(08)62386-9
Husnunnisa, I. A. (2024). Employee workload: Typologies, metrics, and practical examples. Ruang Kerja. https://www.ruangkerja.id/blog/beban-kerja-karyawan-definisi-jenis-indikator-contohnya
Imaduddin, M. F., Maulani, H., & Taufik, I. H. (2022). Validity and reliability assessment of Arabic learning instruments. Arabi: Journal of Arabic Studies, 7(2), 198–207. https://doi.org/10.24865/ajas.v7i2.523
Manuaba, I. A. (2000). Ergonomics and occupational productivity: Concepts and applications. Gadjah Mada University Press.
Ministry of Health RI. (2024). Hypertension: Risks, Prevention, and Control.
Muhid, A. (2019). Practical statistical analysis using SPSS, Vol. 2. Zifatama Jawara.
National Institute of Health Research, & Development, M. of H. R. I. (2013). Basic Health Survey (Riskesdas) 2013. Ministry of Health.
National Institute of Health Research, & Development, M. of H. R. I. (2018a). National Riskesdas Report 2018. Ministry of Health.
National Institute of Health Research, & Development, M. of H. R. I. (2018b). Riskesdas Lampung Province 2018: Epidemiological summary. Ministry of Health.
Notoatmodjo, S. (2010). Health research methodology: Principles and practice. Rineka Cipta.
Priharto, S. (2021). Workload analysis: Efficiency tips and practical applications. Kledo. https://kledo.com/blog/analisis-beban-kerja
Rakhman, A. F. (2022). Validity and reliability testing: Concepts and formulas. https://rakhman.net/ilmu-pengetahuan/uji-validitas-dan-reliabilitas
Susilo, Y., & Wulandari, A. (2011). Practical strategies for hypertension management. Andi Offset.
Tarwaka, Bakri, S. H. A., & Sudiajeng, L. (2004). Occupational ergonomics for safety, health, and productivity. Harapan Press.
Vanchapo, A. R. (2020). Occupational and workload-related stress: Concepts and practices. Qiara Medika.
World Health Organization. (2021a). Guideline for pharmacological management of hypertension in adults. WHO. https://www.who.int/publications/i/item/9789240033986
World Health Organization. (2021b). Long working hours and cardiovascular mortality: WHO/ILO briefing. WHO. https://www.who.int/news/item/17-05-2021-long-working-hours-increasing-deaths-from-heart-disease-and-stroke-who-ilo
World Health Organization. (2023a). Global hypertension impact and mitigation strategies: First report. https://www.who.int/news/item/19-09-2023-first-who-report-details-devastating-impact-of-hypertension-and-ways-to-stop-it
World Health Organization. (2023b). Hypertension fact sheet: Key data and insights. https://www.who.int/news-room/fact-sheets/detail/hypertension
