Menurunkan CVD (Cardio Vaskuler Disease) Risk Karyawan PT Putra Perkasa Abadi Site PT Makmur Lestari Primatama Sebesar 50% dengan Program Heart Health Heroes

Authors

  • Ashthofi Zainati PT Putra Perkasa Abadi, Indonesia
  • Fikri Fahmi A PT Putra Perkasa Abadi, Indonesia
  • Akhmad Maulana Ibrahim PT Putra Perkasa Abadi, Indonesia

DOI:

https://doi.org/10.20961/jaht.v3i2.1969

Keywords:

Framingham Risk Score, Cardiovascular Disease, Risk Factors, Heart Health Heroes Program

Abstract

Cardiovascular Disease (CVD) is the leading cause of death worldwide, including in Indonesia. According to WHO, CVD accounts for an estimated 17.9 million deaths annually. In the Western Pacific region, CVD contributes to 40% of deaths, approximately 5.7 million cases. This trend is projected to rise by 91.2% between 2025 and 2050. In Indonesia, the prevalence of CVD reached 0.85%, or approximately 877,531 cases, in 2023. PT Putra Perkasa Abadi (PPA) Site MLP faces similar challenges with an increasing risk of CVD among its employees. Between 2022 and 2023, two cases of CVDrelated fatalities occurred in the workplace, and data showed a 30% increase in employees at risk of CVD compared to the previous year. The highest risk factors include active smoking (45%), BMI >30 (14%), high cholesterol (13%), elevated triglycerides (11%), hypertension (4%), and diabetes (2%). This study aims to reduce the risk of CVD among employees by 50% through the implementation of the Heart Health Heroes Program. The program's targets include a 100% reduction in high- and mediumrisk categories and a 50% reduction in the low-risk category, with the ultimate goal of achieving zero cases of CVD-related fatalities by 2024. Additionally, the program seeks to improve employee health levels by reducing the Crude Mortality Rate (CMR) and Absence Severity Rate (ASR). The research utilizes an Experimental Factorial Design method with a quantitative approach. Data were collected from the employees' Medical Check-Up (MCU) records for 2022 and 2023. CVD risk was categorized using the Framingham Risk Score (FRS) into three categories: low risk (FRS <10%), medium risk (FRS 10–19%), and high risk (FRS >20%). The data analysis technique employed is quantitative data analysis. The results showed a significant reduction in cardiovascular disease (CVD) risk across all categories, with the highest reduction observed in the High Risk category, which decreased by 75%. Overall, there was a 40% reduction in CVD risk among all employees at PT Putra Perkasa Abadi Site MLP. Key risk factor reductions included hypertension (71%), diabetes (50%), active smoking (42%), BMI >30 and cholesterol (36%), and triglycerides (29%). These results demonstrate the effectiveness of the program in managing CVD risk factors. 

References

[1] World Health Organization. Cardiovascular Disease. Geneva. 2024.

[2] World Heart Federation. World Heart Report 2024. Geneva. 2024.

[3] Goh RSJ, Chong B, Jayabaskaran J, Jauhari SM, Chan SP, Kueh MTW, Shankar K, Li H, Chin YH, Kong G, Anand VV, Chan KA, Sukmawati I, Toh SA, Muthiah M, Wang JW, Tse G, Mehta A, Fong A, Chew NWS. The burden of cardiovascular disease in Asia from 2025 to 2050: a forecast analysis for East Asia, South Asia, South-East Asia, Central Asia, and high-income Asia Pacific regions. The Lancet Regional Health - Western Pacific, 2024:49.

[4] Kemenkes RI. Laporan SKI TEMATIK 2023. 2023.

[5] Clemente G, Giorgini M, Della PN, Cerbara L, Liuzzi R, Cipriano P, Riccardi G, Vaccaro O. Effectiveness on major cardiovascular risk factors of an educational program to promote a Mediterranean type of diet among the employees of the company FCA Italia S.p.A. Diabetes Research and Clinical Practice. 2021:179.

[6] Meily KL. Intervensi Faktor Risiko Penyakit Jantung Koroner di Tempat Kerja: A Systematic Review. Keselamatan dan Kesehatan Kerja. 2024;8(1).

[7] Subiyanto I, Hayati T, Syam FS, Putri TR, Maylina V, Ningsih WB, Iksan RR.8 Efektifitas Edukasi Penyakit Jantung Koroner dalam Upaya Prepentif di RW 01 Pejaten Timur Jakarta Selatan.MAHESA: Malahayati Health Student Journal. 2024;4(5): 1853–1862.

[8] Amriani A, Puspa NR, Ahmadi A, Andriani DS. Konseling dan Edukasi Penyakit Kardiovaskular untuk Meningkatkan Kesehatan Masyarakat Desa Tanjung Pering Indralaya Utara. Ash-Shihhah: Journal of Health Studies. 2023;1(2).

[9] Harris JE, Balk JL, Mobley CM, Heyne K. The Liver That Cured Christmas: Case Report of Orthotopic Liver Transplant in a Patient with Hemophilia B. Case Reports in Transplantation. 2020:1–3

[10] Marieta A, Lestari K. Narrative Review: Rokok Dan Berbagai Masalah Kesehatan Yang Ditimbulkannya. 2020.

[11] Casas R, Castro-Barquero S, Estruch R, Sacanella E. Nutrition and cardiovascular health. MDPI AG: International Journal of Molecular Sciences. 2018;19(12).

[12] Haris RM. Diet pasien penyakit jantung koroner. Kedokteran Syiah Kuala. 2020;22(4):376–379.

[13] Khatun T, Hoque A, Anwar KS, Sarker MR, Ara F, Maqbool D. Dietary habits of patients with coronary artery disease in a tertiary-care hospital of Bangladesh: a case-controlled study. Journal of Health, Population and Nutrition. 2021;40(1).

[14] Bergum H, Sandven I, Klemsdal TO. Long-term effects (> 24 months) of multiple lifestyle intervention on major cardiovascular risk factors among highrisk subjects: a meta-analysis. BMC Cardiovascular Disorders. 2021;21(1).

[15] Cardiovascular Disease and Risk Management: Standards of Care in Diabetes. Diabetes Care. 2024;47(1):179–218.

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Published

2024-12-30

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