Main Article Content
Abstract
Background: Carpal Tunnel Syndrome (CTS) affects 267 people out of every 100,000 in the United States each year, with a prevalence of 9.2% in women and 6% in men. Women are three times as vulnerable as men. Pregnancy can be a risk factor for CTS, which typically occurs in the first and third trimesters and is bilateral. Signs and symptoms will be persistent if CTS develops in early pregnancy and may recur in subsequent pregnancies. Hormonal changes during pregnancy can put you at a greater risk of developing CTS symptoms because the structure of the wrist enlarges and can put pressure on the nerves in the wrist
Objective: This research aims to identify risk factors for the occurrence of CTS in pregnant women. Early detection of risk factors for CTS needs to be done early in pregnancy to be able to make appropriate prevention and treatment efforts for pregnant women who experience CTS.
Methods: TThis research employed an observational method in conjunction with quantitative analytical research. The population of this research included all pregnant women in the working area of Kedungwuni Health Center I and II in Pekalongan Regency. The sampling technique used was cluster random sampling, with 108 pregnant women meeting the inclusion criteria. Data collection methods entailed interviews and documentation using questionnaires, Phalen's test sheets, and nutritional
status measuring tools such as the microtome and bathroom scale. The risk factors to be studied are the relationship between employment status, parity, the incidence of CED, nutritional status before pregnancy, and a history of the disease, with the incidence of CTS. Chi-Square and Odds Ratio was used in bivariate analysis, while multivariate analysis used logistic regression.scar. Significance was set at p<0.05.
Results: The incidence of CTS is significantly related to employment status, nutritional status before pregnancy, CED incidence, parity, and previous medical history (p-value < 0.05).
Conclusion: Starting from the strongest, the strength of the relationship shown by the OR results is employment status (OR 7,231), medical history (OR 6,214), and the incidence of CED (OR 3,428). Occupational status has the highest odds ratio, making it the most important factor in the occurrence of CTS in pregnant women in the Pekalongan Regency
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References
- Bahrudin M. Carpal tunnel syndrome (CTS). Saintika Med J Ilmu Kesehat dan Kedokt Kel. 2011;7(1):78–87.
- Huldani. Carpal tunnel syndrome. In: Universitas Lambung Mangkurat. Banjarmasin; 2013. p. 23.
- Purwanto S, Girsang BM. Identifikasi karakteristik dan prevalensi carpal tunnel syndrome (CTS) pada ibu hamil. Pros Semin Nas Keperawatan. 2015;139–52.
- Sabhila S, Windharto A. Desain peralatan memasak untuk penderita artritis dan carpal tunnel syndrome. J Sains dan Seni ITS. 2017;6(1):69–73.
- Khosrawi S, Maghrouri R. The prevalence and severity of Carpal Tunnel Syndrome (CTS) during pregnancy. Adv Biomed Res. 2012;1(3):1–4.
- Gooding MS, Evangelista V, Pereira L. Carpal tunnel syndrome and meralgia paresthetica in pregnancy. Obstet Gynecol Surv. 2020;75(2):121–6.
- Simbolon P, Wulan AJ, Ariwibowo C. Carpal tunnel syndrome pada kehamilan. J Medula. 2017;7(5):19–24.
- Oliveira GAD, Bernardes JM, Santos E de S, Dias A. Carpal tunnel syndrome during the third trimester of pregnancy: prevalence and risk factors. Arch Gunecology Obstet. 2021;300(3):623–31.
- Zyluk A. Carpal tunnel syndrome in pregnancy: a review. Polish Ortop Traumatol. 2013;78:223–7.
- Tana L, Delima. Peran latihan tangan dalam pencegahan carpal tunnel syndrome pada perempuan pekerja garmen. J Ekol Kesehat. 2012;11(2):167–77.
- Mallapiang F, Wahyudi AA. Gambaran faktor pekerjaan dengan kejadian carpal tunnel syndrome (CTS) pada pengrajin batu tatakan di Desa Lempang Kec.Tanete Riaja Kabupaten Barru Tahun 2015. Al-Sihah Public Heal Sci J. 2014;6(2):19–25.
- Zulkarnain. Hubungan indeks massa tubuh (IMT) dengan kejadian carpal tunnel syndrome (CTS) pada penderita CTS di RS Universitas Hasanudin dan RSUP dr. Wahidin Sudirohusodo Makasar Periode 2014-2017. Universitas Hasanudin; 2017.
- Amelia BL, Indriarti W. Prevalensi gejala sindroma terowongan karpal pada ibu hamil di Puskesmas Pancoran Mas Depok. Maj Kesehat Pharmamedika. 2018;10(1):25–30.
- Salim D. Penegakan diagnosis dan penatalaksanaan carpal tunnel syndrome. J Kedokt Meditek. 2017;23(63):67–70.
- Debora MN, Suparto, Tanpomas I. Gambaran faktor-faktor yang terkait dengan kejadian carpal tunnel syndrome pada ibu rumah tangga di Desa Gaji Baru. J Kedokt Meditek. 2018;24(67):26–31.
- Barcenilla A, March LM, Chen JS, Sambrook PN. Carpal tunnel syndrome and its relationship to occupation: A meta-analysis. Rheumatology. 2012;51(2):250–61.
References
Bahrudin M. Carpal tunnel syndrome (CTS). Saintika Med J Ilmu Kesehat dan Kedokt Kel. 2011;7(1):78–87.
Huldani. Carpal tunnel syndrome. In: Universitas Lambung Mangkurat. Banjarmasin; 2013. p. 23.
Purwanto S, Girsang BM. Identifikasi karakteristik dan prevalensi carpal tunnel syndrome (CTS) pada ibu hamil. Pros Semin Nas Keperawatan. 2015;139–52.
Sabhila S, Windharto A. Desain peralatan memasak untuk penderita artritis dan carpal tunnel syndrome. J Sains dan Seni ITS. 2017;6(1):69–73.
Khosrawi S, Maghrouri R. The prevalence and severity of Carpal Tunnel Syndrome (CTS) during pregnancy. Adv Biomed Res. 2012;1(3):1–4.
Gooding MS, Evangelista V, Pereira L. Carpal tunnel syndrome and meralgia paresthetica in pregnancy. Obstet Gynecol Surv. 2020;75(2):121–6.
Simbolon P, Wulan AJ, Ariwibowo C. Carpal tunnel syndrome pada kehamilan. J Medula. 2017;7(5):19–24.
Oliveira GAD, Bernardes JM, Santos E de S, Dias A. Carpal tunnel syndrome during the third trimester of pregnancy: prevalence and risk factors. Arch Gunecology Obstet. 2021;300(3):623–31.
Zyluk A. Carpal tunnel syndrome in pregnancy: a review. Polish Ortop Traumatol. 2013;78:223–7.
Tana L, Delima. Peran latihan tangan dalam pencegahan carpal tunnel syndrome pada perempuan pekerja garmen. J Ekol Kesehat. 2012;11(2):167–77.
Mallapiang F, Wahyudi AA. Gambaran faktor pekerjaan dengan kejadian carpal tunnel syndrome (CTS) pada pengrajin batu tatakan di Desa Lempang Kec.Tanete Riaja Kabupaten Barru Tahun 2015. Al-Sihah Public Heal Sci J. 2014;6(2):19–25.
Zulkarnain. Hubungan indeks massa tubuh (IMT) dengan kejadian carpal tunnel syndrome (CTS) pada penderita CTS di RS Universitas Hasanudin dan RSUP dr. Wahidin Sudirohusodo Makasar Periode 2014-2017. Universitas Hasanudin; 2017.
Amelia BL, Indriarti W. Prevalensi gejala sindroma terowongan karpal pada ibu hamil di Puskesmas Pancoran Mas Depok. Maj Kesehat Pharmamedika. 2018;10(1):25–30.
Salim D. Penegakan diagnosis dan penatalaksanaan carpal tunnel syndrome. J Kedokt Meditek. 2017;23(63):67–70.
Debora MN, Suparto, Tanpomas I. Gambaran faktor-faktor yang terkait dengan kejadian carpal tunnel syndrome pada ibu rumah tangga di Desa Gaji Baru. J Kedokt Meditek. 2018;24(67):26–31.
Barcenilla A, March LM, Chen JS, Sambrook PN. Carpal tunnel syndrome and its relationship to occupation: A meta-analysis. Rheumatology. 2012;51(2):250–61.