Beberapa Faktor yang Berpengaruh terhadap Kejadian Penyakit Dekompresi pada Penyelam Tradisional (Studi Kasus di Karimunjawa)

*Halena Isrumanti Duke  -  Kantor Kesehatan Pelabuhan Kelas II Semarang, Indonesia
Suharyo Hadisaputro  -  Universitas Diponegoro, Indonesia
Sofa Chasani  -  Dr. Kariadi Hospital, Indonesia
Anies Anies  -  Universitas Diponegoro, Indonesia
Munasik Munasik  -  Universitas Diponegoro, Indonesia
Published: 7 Feb 2016.
Open Access License URL: http://creativecommons.org/licenses/by-sa/4.0

Citation Format:
Abstract

Background : Decompression sickness is caused by the release and development of gas bubbles in the late phase of blood or tissue due to the rapid pressure drop in the vicinity. Risk factors affected to decompression sympton such as depth, long dive, smoking habit, obesity, alcohol consumption, dehydration, and anemia. The purpose of this study to explain the magnitude of the effect of risk factors on the incidence of decompression sickness in divers traditional.

Methods : This is mixed methode study that used a case-control study design is strengthened with indepth interview. Subject of respondents 46 were chosen, including 23 cases and 23 controls were taken by purposive sampling. Research instrument was a questionnaire interview. Analysis of the data using univariate, bivariate (chi-square) and multivariate (logistic regression).

Result : Variables that proved to be a risk factor for decompression is the depth of the dive ≥
30 meters (OR = 6.62, 95% CI 1059-41390, p = 0.043), longer dives ≥ 2 hours (OR = 61 680,
95% CI = 3.687-1031.93, p = 0.004) and anemia (OR = 14,453, 95% CI = 2146-97346, p =
0.006). Variables that are not proven to be a risk factor for decompression is smoking, alcohol consumption, and obesity.

Conclusions : Factors that influence the incidence of decompression, depth of dive ≥ 30 m, long dive ≥ 2 hours, and anemia with probability 94,45%.

Keywords: decompression; risk factors; depth; long dive; anemia

Article Metrics:

  1. Auliarahman. 2011. Caisson Disease. Available from: http://www.dokterirga. com/caisson- disease/.
  2. Wahab, Budiningsih, and M. Guritno. 2008. Decompression Sickness among Moroami Diving Fisherman in Jakarta. Med.J. Indonesia:17(3): pp.197-201.
  3. Kunaefi. 2010. Study Popullation Attribute pada Lingkungan Kerja Penyelam. Yogyakarta: Universitas Gajah Mada.
  4. Germompre, P. 2006. The Medical Risk of Underwater Diving and Their Control. International SportMed Journal: 7(2).
  5. PKHI. 2002. Kumpulan Makalah Konggres Nasional ke II.
  6. Thalman. 2003. American Hyperbaric Medicine Navy Dive Tables for Mixed-Gas Diving.
  7. Sukmajaya, A. 2010. Faktor yang Ber- hubungan dengan Penyakit Dekom- presi pada Penyelam Profesional dan Penyelam Tradisional di Gili Matra Kabupaten Lombok Utara Propinsi NTB. Yogyakarta: Universitas Gajah Mada.
  8. Hargberg M, O.H. 2003. Incident and Risk Factor for Symptoms of Decompression Sickness Among Male and Female Dive Master and Instructure. UHM: 30(2).
  9. Mitchell, S. 2005. The Mechanisms of Decompression Illness Part 1. DAN S.E.Asia. Pasific.
  10. Fahlman A, D.D. 2006. Dehydration Effects on The Risk of Severe Decompression Sickness ia a Swine.