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Perbedaan Kadar Trigliserida dan Indeks Massa Tubuh Antara Akseptor Pil Kombinasi dengan DMPA
Helti Lestari Sitinjak(1*)
(1) STIKes Merangin
(*) Corresponding Author
Abstract
More than six million women worldwide use contraceptive injection and the popular contraceptive method used is contraceptive pill. Combined pill contraceptives have side effects, which are increased triglyceride and total cholesterol levels and changes in carbohydrate metabolism while the DMPA is irregular menstruation / amenorrhea, weight changes and lipid changes. The purpose of this study was to determine differences in triglycerides and body mass index of family planning family planning combined pills with DMPA. This research is an observational with Cross Sectional Comparative approach to 36 combination pill acceptor and 36 DMPA acceptor. This study was conducted ini the area of Andalas and Lubuk Buaya Health Center. The sampling method used in this research was simple random sampling method. The analysis was used T-Independent test and Chi Square test. The results showed that triglyceride levels combined contraceptive pill (157,52 ± 49,25 mg/dl) vs DMPA (115,23 ± 31,84 mg/dl), p = 0,00. Body Mass Index levels of overweight combined contraceptive pill acceptor higher than DMPA (p = 0,08). Results of this study concluded that there was significant difference in average of triglyceride levels and Body Mass Index in the combined contraceptive pill and DMPA acceptor and statistically the difference was significant in triglyceride levels.
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Lebih dari enam juta wanita di seluruh dunia menggunakan Keluarga Berencana suntik dan metode kontrasepsi yang populer digunakan akseptor Keluarga Berencana adalah pil. Efek samping dari kontrasepsi pil kombinasi adalah meningkatkan kadar trigliserida, kolesterol total dan perubahan metabolisme karbohidrat dan Depo Medroksiprogesteron Asetat (DMPA) adalah menstruasi yang tidak teratur/amenore, perubahan berat badan dan perubahan lipid. Tujuan penelitian ini adalah mengetahui perbedaan trigliserida dan indeks massa tubuh akseptor keluarga berencana pil kombinasi dengan DMPA. Penelitian ini bersifat observasional analitik dengan pendekatan Cross Sectional Comparative terhadap 36 akseptor pil kombinasi dan 36 akseptor DMPA. Tempat penelitian di wilayah kerja Puskesmas Andalas dan Lubuk Buaya. Pengambilan sampel penelitian secara simple random sampling. Analisis data yang digunakan yaitu uji T-Independen dan uji Chi Square. Hasil penelitian menunjukkan bahwa pada DMPA kadar trigliserida pil kombinasi (157,52 ± 49,25 mg/dl) vs DMPA (115,23 ± 31,84 mg/dl), p = 0,00. Indeks Massa Tubuh (IMT) pada kelompok obesitas akseptor pil kombinasi lebih tinggi dibandingkan DMPA (p=0,08). Kesimpulkan penelitian ini adalah terdapat perbedaan kadar trigliserida dan Indeks Massa Tubuh antara akseptor Keluarga Berencana pil kombinasi dengan DMPA namun secara statistik kadar trigliserida yang terdapat perbedaan.
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