Berbagai Faktor yang Berpengaruh Terhadap Kualitas Hidup Penyelam Tradisional Penderita Penyakit Dekompresi

*Sri Rahayu Widyastuti -  Kantor Kesehatan Pelabuhan Kelas II Semarang, Indonesia
Suharyo Hadisaputro -  Universitas Diponegoro, Indonesia
Munasik Munasik -  Universitas Diponegoro, Indonesia
Published: 3 Mar 2019.
Open Access
Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Background: Decompression sickness is thought to have an effect on health-related quality of life (HRQL), however, not yet known factors that affect the quality of life on traditional divers with decompression sickness.

Methods: This research was a mix methods research with case-control study design which strengthened by FGD. The participants were 66 volunteers, consist of  33 cases dan 33 controls. The data obtained from the study were analyzed using bivariate and multivariate analysis.

Results: Variables that had been proven to affect poor quality of life were history of hypertension  comorbid (p = 0.010; OR = 65.476; 95% CI = 2.735 – 1,568), diving depth ≥ 30 meters (p = 0.014; OR = 38.410; 95% CI = 2.114 – 698.028), history of loss of consciousness during diving (p = 0.009; OR = 12.456, 95% CI = 1.884 – 82.363), diving duration ≥ 2 hours (p = 0.021; OR = 9.860; 95% CI = 1.410 – 68.943), suffering from anemia (p = 0.024; OR = 8.837; 95% CI = 1.332 – 58.632), frequency of decompression sickness history > 1 time (p = 0.020; OR = 8.834; 95% CI = 1.404 – 55.584).

Conclusion: Factors that had been proven to affect poor quality of life on traditional diver with decompression sickness were the history of hypertension comorbid, diving depth ≥ 30 meters, history of loss of consciousness during diving, diving duration ≥ 2 hours, suffering from anemia, the frequency of previous decompression sickness > 1 time.

Other format:

Quality of life; Decompression sickness; HRQ; SF-36

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  1. Macdiarmid, J.I., Ross, J.A.S., Taylor, C.L., Watt, S.J., Adie, W., Osman, L.M., et al. 2005. Co-ordinated Investigation into The Possible Long Term Health Effects of Diving at Work. Examination of The Long Term Health Impact of Diving: The ELTHI Diving Study.
  2. Vann, R.D., Butler, .FK., Mitchell, S.J., Moon, R.E. 2011. Decompression Illness. The Lancet;377(9760).pp.153-164.
  3. Commander NSSC. 2017. Manual US navy diving. Revision 7. US Navy.
  4. Wahab, C., Budiningsih, S., Guritno, M. 2008. Decompression Sickness Among Moroami Diving Fishermen in Jakarta. Medical Journal of Indonesia; 17(3).pp.197.
  5. McQueen, D., Kent, G., Murrison, A. 1994. Self-Reported Long-Term Effects of Diving and Decompression Illness in Recreational Scuba Divers. British Journal of Sports Medicine; 28(2).pp.101-104.
  6. Kemenkes RI. 2013. Profil Pengendalian Penyakit dan Penyehatan Lingkungan Tahun 2012. Jakarta: Direktorat Jenderal Pengendalian Penyakit dan Penyehatan Lingkungan.
  7. Laurens, E., Howle, P.W., Weber, Ethan, A., Hada, Richard, D., Vann, Denoble, P.J. 2017. The Probability and Severity of Decompression Sickness. PLoS ONE;12 (3).
  8. Richard, H.J.D., Geoff, F., Bridget, D.C., Andrew, F., Andrea, J.B. 2015. A 10-Year Estimate of The Incidence of Decompression Illness in A Discrete Group of Recreational Cave Divers in Australia. Decompression Illness in Cave Divers.
  9. Peter, G. 2006. The Medical Risks of Underwater Diving and Their Control. International Sport Med Journal; 7(1), pp.1-15.
  10. Kemenkes RI. 2013. Riset Kesehatan Dasar 2013. Jakarta: Badan Penelitian dan Pengembangan Kesehatan Ke-menterian Kesehatan RI.
  11. Kemenkes RI. 2013. Risiko Kesehatan Para Nelayan dalam Upaya Pemenuhan Kebutuhan. Jakarta.
  12. Kartono, S.A. 2007. Prevalensi dan Faktor Risiko Kejadian Penyakit Dekompresi dan Barotrauma pada Nelayan Penyelam di Kecamatan Karimunjawa Kabupeten Jepara. Tesis. Yogyakarta: Fakultas Kedokteran, Universitas Gadjah Mada.
  13. WHO. 1999. WHOQOL: Annotated Bibliography, October 1999 Version. Geneva Switzerland: WHO.
  14. Doolette, DJ, Gorman, DF. 2003. Evaluation of Decompression Safety in An Occupational Diving Group Using Self Reported Diving Exposure and Health Status. Occupational and Environmental Medicine;60(6).pp. 418 -422.
  15. Irgens, A., Gronning, M., Troland, K., Sundal, E., Nyland, H., Thorsen, E. 2007. Reduced Health-Related Quality of Life in Former North Sea Divers is Associated With Decompression Sickness. Occupational Medicine; 57(5).pp.349-354.
  16. Ware Jr, JE.2000. SF-36 health survey update. Spine; 25(24).pp.3130-3139.
  17. Modersitzki, F., Pizzi, L., Grasso, M., Goldfarb, D.S. 2014. Health-Related Quality of Life (HRQoL) in Cystine Compared With Non-Cystine Stone Formers. Urolithiasis;42(1).pp.53-60.
  18. Mitchell, S., Taylor, L. 2005. Diving and high blood pressure (hypertension);
  19. Fahlman, A., Dromsky, D.M. 2006. Dehydration effects on the risk of severe decompression sickness in a swine model. Aviation, Space, and environmental medicine;77(2).pp.102-106.
  20. Duke, H.I., Hadisaputro, S., Chasani, S. 2017. Pengaruh Kedalaman Menye-lam, Lama Menyelam, Anemia terhadap Kejadian Penyakit Dekom-presi pada Penyelam Tradisional. Jurnal Kesehatan Masyarakat Indo-nesia;12(2).pp.12.
  21. Mitchell, S. 2005. Risk Factors for Decompression Illness. DAN SE Asia Pacific.
  22. Mitchell, S. 2005. The Mechanisms of Decompression Illness Part 1. DAN SE Asia Pacific.
  23. Sundal, E., Irgens, A., Troland, K., Thorsen, E., Gronning, M. 2013. Prevalence and Causes of Loss of Consciousness in Former North Sea Occupational Divers. International Maritime Health;64(3).pp.142-147.
  24. Irgens, A., Troland, K., Djurhuus, R., Gronning, M. 2016. Diving Exposure and Health Effects in Divers Working in Different Areas of Professional Diving. International Maritime Health;67(4).pp.235-242.
  25. LAKESLA. 2016. Ilmu Kesehatan Penyelaman dan Hiperbarik. Surabaya: Lembaga Kesehatan Kelautan TNI AL Drs. Med. R. Rijadi S., Phys.
  26. Mitchell, S. 2005. The Mechanisms of Decompression Illness Part 2. DAN SE Asia Pacific.
  27. Campbell, ES. 2018. Overview of the Problem of Diving with Anemia 2002. Disitasi tanggal 9 Februari 2018. Available from: http://www.gulftel. com/ ~scubadoc/anem.html.
  28. Bast-Pettersen, R., Skare, O, Nordby, K, Skogstad, M. 2015. A Twelve-Year Longitudinal Study of Neuropsychological Function in Non-Saturation Professional Divers. International Archives of Occupational and Environmental Health;88(6).pp.669-682.