Pengaruh Kebisingan Terhadap Tekanan Darah dan Nadi pada Pekerja Pabrik Kayu PT. Muroco Jember

DOI: https://doi.org/10.14710/jkli.17.2.112-118
Copyright (c) 2018 JURNAL KESEHATAN LINGKUNGAN INDONESIA
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Submitted: 30-01-2018
Published: 01-10-2018
Section: Research Articles
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Latar belakang: Kebisingan merupakan bunyi yang memiliki intensitas di atas batas normal dan dapat mengganggu kesehatan pada orang yang terpapar. Paparan kebisingan terjadi dalam proses produksi pada industri pabrik kayu, sehingga pekerja menjadi pihak utama yang terdampak. Dampak yang terjadi utamanya pada sistem kardiovaskular. Penelitian ini bertujuan untuk menganalisis pengaruh kebisingan terhadap tekanan darah dan denyut nadi pada pekerja pabrik kayu PT. Muroco Jember.   

Metode: Penelitian ini berjenis analitik observasional dengan desain penelitian cross sectional. Responden penelitian berjumlah 24 orang yang diambil dengan teknik total sampling. Pengukuran kebisingan menggunakan alat sound level meter. Pengumpulan data karakteristik pekerja menggunakan kuesioner. Responden penelitian diukur sebelum dan setelah bekerja, dengan menggunakan sphygmomanometer air raksa untuk tekanan darah dan penghitungan manual denyut nadi pada arteri brachialis. Analisis data menggunakan uji komparasi paired t-test pada level signifikansi 5%.  

Hasil: Intensitas kebisingan dari 4 sektor kerja menunjukkan hasil yang beragam. Intensitas kebisingan terendah pada sektor produksi A yaitu 82,9 dB(A), sedangkan tertinggi pada sektor sawmill B yaitu 98,1 dB(A). Sebagian besar responden (66,7%) berusia 29-40 tahun dengan masa kerja responden (62,5%) kurang dari 2 tahun. Sebanyak 91,7% responden tidak memakai APT pada saat bekerja. Berdasarkan uji komparasi paired t-test, didapatkan pengaruh paparan kebisingan akut antara sebelum dan setelah bekerja terhadap tekanan darah sistolik (p= <0,001), diastolik (p=0,049), dan denyut nadi (p=0,020).

Simpulan: Terdapat peningkatan yang signifikan terhadap tekanan darah sistolik, diastolik, denyut nadi antara sebelum dan setelah bekerja dalam paparan kebisingan akut pada pekerja pabrik kayu PT. Muroco Jember. Diperlukan penelitian dengan mengendalikan variabel lain yang mengganggu untuk kesempurnaan penelitian selanjutnya.

 

ABSTRACT

Title: The Effect of Noise on Blood Pressure and Pulse Rate in Workers at PT. Muroco Jember Wood Factory

Background: Noise is a sound that has an intensity above the normal limit and may interfere with the health of the exposed person. Exposure to noise often occurs in the production process at the wood processing factory, so that workers become the main person affected. The impact mainly occurs in cardiovascular system. This study aims to analyze the effect of noise on blood pressure and pulse rate in workers at PT. Muroco Jember wood factory.

Method: This is an observational analytic research with cross sectional design. The respondents amounted to 24 people taken with total sampling technique. The measurement of noise intensity was using sound level meter. Data collecting of worker characteristics was using questionnaires. Respondents were measured before and after work, using a mercury sphygmomanometer for blood pressure and manual palpation of pulse rate in the brachial artery. Data was analyzed with paired t-test comparative at 5% significance level.

Result: The noise intensity of 4 sectors of the factory showed diverse results. The lowest noise intensity is in production sector A, 82.9 dB (A), while the highest is in sawmill B sector, 98.1 dB (A). Most of the respondents (66.7%) were 29-40 years old with respondents working period (62.5%) were less than 2 years. As many as 91.7% of respondents did not use ear protection device while working. Based on paired t-test, there was an effect of acute exposure between before and after working on systolic blood pressure (p < 0,001), diastolic (p = 0.049), and pulse rate (p = 0.020)

Conclusion: There was a significant increase in systolic, diastolic blood pressure, and pulse rate between before and after work in an acute noise exposure in worker at PT. Muroco Jember wood factory. Further research is required by controlling other disturbing variables for a better research.

Keywords

Noise; blood pressure; pulse rate; wood factory

  1. Wahyu Ikhwan Nanda Mukhlish 
    Fakultas Kedokteran Universitas Jember, Jember, Indonesia
  2. Yohanes Sudarmanto 
    Fakultas Kedokteran Universitas Jember, Jember, Indonesia
  3. Muhammad Hasan 
    Fakultas Kedokteran Universitas Jember, Jember, Indonesia
  1. Ismaila SO, Odusote A. Noise exposure as a factor in the increase of blood pressure of workers in a sack manufacturing industry. Beni-Suef University Journal of Basic and Applied Sciences 2014, 3(2): 116-121.
  2. Laad M. The study of the effect of sounds of constant frequency and varying intensity levels on systolic blood pressure, diastolic blood pressure and heart rate of healthy individuals. International Journal of Engineering 2011, 9(3): 107-109.
  3. Bridger RS. Introduction to Ergonomics. New York: McGraw-Hill Book Corporation; 1995.
  4. Keputusan Menteri Negara Lingkungan Hidup Nomor KEP-48/MENLH/11/1996. Baku Tingkat Kebisingan. Jakarta; 1996.
  5. Assunta C, Ilaria S, Simone DS, Gianfranco T, Teodorico C, Carmina S, Anastasia S, Roberto G, Francesco T, Valeria RM. Noise and cardiovascular effects in workers of the sanitary fixtures industry. International Journal of Hygiene and Environmental Health 2014, 218 (1): 163-168.
  6. Leather P, Beale D, Sullivan L. Noise, psychosocial stress and their interaction in the workplace. Journal of Environmental Psychology 2003, 23(2): 213-222.
  7. Stokholm ZA, Hansen AM, Grynderup MB, Bonde JP, Christensen KL, Frederiksen TW, Lund SP, Vestergard JM, Kolstad HA. Recent and long-term occupational noise exposure and salivary cortisol level. Psychoneuroendocrinology 2013, 39(1): 21-32.
  8. Attarchi M, Dehghan F, Safakhah F, Nojomi M, Moham S. Effect of exposure to occupational noise and shift working on blood pressure in rubber manufacturing company workers. Ind Health 2012, 50(3): 205-213.
  9. Gopinath B, Thiagalingam A, Teber E, Mitchell P. Exposure to workplace noise and the risk of cardiovascular disease events and mortality among older adults. Preventive Medicine 2011, 53(6): 390-394.
  10. Jin SG, Kim MJ, Park SY, Park SN. Stress hormonal changes in the brain and plasma after acute noise exposure in mice. Auris Nasus Larinx 2016, 44(3): 272-276.
  11. Siswati, Adriyani R. Hubungan pajanan kebisingan dengan tekanan darah dan denyut nadi pada pekerja industri kemasan semen. Jurnal Kesehatan Lingkungan Indonesia 2017, 16 (1): 29-36.
  12. Chang TY, Lai YA, Hsieh HH, Lai JS, Liu CS. Effects of environmental noise exposure on ambulatory blood pressure in young adults. Environmental Research 2009, 109(7): 900-905.
  13. Zeeb H, Hegewald J, Schubert M, Wagner M, Droge P, Swart E, Seidler A. Traffic noise and hypertension – results from a large case-control study. Environment Research 2017, 157(1): 110-117.
  14. Lusk SL, Arbor A, Hagerty BM, Ziemba RA. Acute effects of noise on blood pressure and heart rate. Environmental Health 2004, 59(8): 392-399.
  15. Lionakis N, Mendrinos, Dimitrios, Sanidas, Elias, Favatas. Hypertension in the elderly. World Journal of Cardiology 2012, 4(5): 135-147.
  16. Hastuti E. Faktor-Faktor Risiko Kenaikan Tekanan Darah pada Pekerja yang Terpajan Kebisingan di Bandara Ahmad Yani Semarang. Tesis. Semarang; 2005.
  17. Aaronson PI, Ward J. The Cardiovascular System at a Glance. Third Edition. England: Blackwell Publishing Ltd. Terjemahan oleh J. Surapsari. 2008. At a Glance Sistem Kardiovaskular. Edisi Ketiga. Jakarta; 2007.
  18. Walker ED, Brammer A, Cherniack MG, Laden F, Cavallari JM. Cardiovascular and stress responses to short-term noise exposures – A panel study in healthy males. Environmental Research 2016, 150(1): 391-397.
  19. Peraturan Menteri Tenaga Kerja dan Transmigrasi Nomor PER.13/MEN/X/2011 Tahun 2011. Nilai Ambang Batas Faktor Fisika dan Faktor Kimia di Tempat Kerja. 28 Oktober 2011. Jakarta; 2011.
  20. Humas Pemkab Jember. 2014. Potensi Perkebunan dan Kehutanan. https://jemberkab.go.id/potensi-perkebunan-dan-kehutanan/. [Diakses pada 26 September 2017].
  21. Guyton AC, Hall JE. Textbook of Medical Physiology. Eleventh Edition. Singapore: Elsevier’s Health Science Rights Department. Terjemahan oleh Irawati et al. Buku Ajar Fisiologi Kedokteran. Edisi Kesebelas. Jakarta; 2006.