scholarly journals Hubungan fungsi kognitif terhadap kepatuhan minum obat anti hipertensi pada pasien lanjut usia di poliklinik penyakit dalam rumah sakit BLUD Meuraxa Kota Banda Aceh

2018 ◽  
Vol 5 (1) ◽  
pp. 10-18
Author(s):  
Yenny Fitrika ◽  
Kiki Yudi Saputra ◽  
Masyitah Munarti

Pada tahun 2010 jumlah penduduk usia lanjut di Indonesia sebesar 24 juta jiwa atau 9.77% dari total jumlah penduduk. Menurut JNC (Joint National Committee) VII tahun 2003, hipertensi ditemukan sebanyak 60-70% pada populasi berusia di atas 65 tahun. Lanjut Usia yang berumur di atas 80 tahun sering mengalami hipertensi persisten, dengan tekanan sistolik menetap di atas 160 mmHg. Jenis hipertensi yang khas sering ditemukan pada lanjut usia adalah isolated systolic hypertension (ISH), di mana tekanan sistoliknya saja yang tinggi (di atas140 mmHg), namun tekanan diastolik tetap normal (di bawah 90 mmHg). Penelitian ini bertujuan untuk mengetahui hubungan fungsi kognitif terhadap kepatuhan minum obat anti hipertensi pada pasien lanjut usia di Poliklinik Penyakit Dalam Rumah Sakit BLUD Meuraxa Kota Banda Aceh Tahun 2017. Penelitian ini bersifat analitik dengan desain cross sectional studyyang dilaksanakan pada bulan Februari s/d Juni 2017. Respondennya adalah 94 responden dengan kriteria  umur diatas 60 tahun yang diperoleh secara proporsional sampling dengan menggunakan kuesioner yang telah dirancang. Hasil penelitian ini menunjukkan bahwa fungsi kognitif pada pasien lanjut usia berada pada kategori tidak terdapat kelainan kognitif berjumlah 52 responden (55,3%), kepatuhan minum obat anti hipertensi pada pasien lanjut usia berada pada kategori baik berjumlah 56 responden (59,6%). Penelitian ini dapat disimpulkan bahwa ada hubungan antara fungsi kognitif terhadap kepatuhan minum obat anti hipertensi pada pasien lanjut usia di Poliklinik Penyakit Dalam Rumah Sakit BLUD Meuraxa Kota Banda Aceh Tahun 2017, diperoleh nilai p-value 0,002 < 0.05.

2017 ◽  
Vol 7 (1) ◽  
pp. 31-39
Author(s):  
Abdullah N. Al-Kattan

Background: Hypertension is one of the most common conditions seen in primary care and the consequences are fatal if not diagnosed early and managed appropriately. Patients want to be sure that hypertension management will decrease their disease burden, and clinicians need guidance on hypertension treatment using the best scientific evidence. Objective: The primary objective is to evaluate the awareness of the Eighth Joint National Committee Guidelines among internists in the Al-Ahsaa area. Method: This was a cross-sectional observational study that evaluated 43 internists randomly chosen in Al-Ahsaa area by using a questionnaire containing 16 questions that reflect on their awareness of the Eighth Joint National Committee Guidelines. Passing 80% of the 16 questions is described as fair awareness of the Eighth Joint National Committee Guidelines. Results: The average of right answers percentages among the 43 evaluated internists was 54.07% ± 25.6%. The averages of right answers percentages among 16 physicians, 14 specialists and 13 consultants were 75.78% ± 20%, 47.76% ± 16% and 34.13% ± 20%, respectively, which showed a significant difference (P-value < 0.00001) between them. Conclusion: The awareness of the Eighth Joint National Committee Guidelines among internists in Al-Ahsaa area is not good enough. However, physicians showed significantly better awareness of the Eighth Joint National Committee Guidelines than specialists and consultants. Increasing the awareness of internists about new guidelines for hypertension is highly recommended, through workshops that could be provided by the Ministry of Health.


2019 ◽  
Vol 6 (4) ◽  
pp. 1139
Author(s):  
Gurinder Mohan ◽  
Tanish Dhir ◽  
Manish Chandey

 Background:Metabolic syndrome (MS) is a collection of cardiometabolic risk factors that includes obesity, insulin resistance, hypertension, and dyslipidaemia. Insulin resistance lies at the heart of the metabolic syndrome. The purpose of this study is to study the prevalence, clinical attributes of metabolic syndrome in hypertensive subjects and to find out the correlation between prevalence, clinical attributes of metabolic syndrome and insulin resistance.Methods: About 200 diagnosed cases of hypertension as per Joint national committee 8 guidelines were included in this cross sectional single centric study. All patients were examined, history enquired and laboratory tests like lipid profile, fasting plasma glucose were done and diagnosis of metabolic syndrome made as per the National Cholesterol Education Program- Adult Treatment Panel III criteria. Insulin resistance was calculated by Homeostatic model assessment method.Results: Amongst the 200 subjects enrolled, the prevalence of metabolic syndrome in hypertensive subjects was found to be 65%. 93.07% of patients with metabolic syndrome were having blood pressure >150/90 mm hg. The prevalence of metabolic syndrome among smoker males was 54.25%. The most common co-morbidity in these subjects was raised triglycerides (96.29% in males, 90.78% in females) followed by low HDL levels (87.03% in males, 90.78% in females). Insulin resistance was found in 75 out of 130 patients who fulfilled the criteria of metabolic syndrome (57.69%), implying increased correlation of metabolic syndrome in hypertensive patients with insulin resistance (p value <0.05).Conclusions: It was found that there is increased prevalence of metabolic syndrome in hypertensive patients and it correlates with insulin resistance. 


2021 ◽  
Vol 5 (2) ◽  
pp. 36-44
Author(s):  
Khoirotun Najihah ◽  
Wahyuni Wahyuni ◽  
Yuniati Yuniati ◽  
Novi Dwi Jayanti

Aspek tumbuh kembang anak merupakan aspek yang menjelaskan mengenai proses pembentukan anak, baik secara fisik maupun psikososial. Berdasarkan survei awal 10 orang responden menunjukkan bahwa terdapat 2 anak yang memiliki tumbuh kembang yang meragukan dan 1 orang anak memiliki tumbuh kembang yang menyimpang, sedangkan 7 orang anak lainnya memiliki tumbuh kembang yang sesuai. Tujuan penelitian ini untuk mengetahui faktor yang mempengaruhi pertumbuhan dan perkembangan anak di Gampong Cot Mesjid, Kecamatan Lhueng Bata Kota Banda Aceh. Penelitian menggunakan metode survei analitik dengan pendekatan Cross sectional. Populasi penelitian adalah semua anak usia <24 bulan, dan >= 24-59 bulan berjumlah 46 orang dengan sampel yang diambil menggunakan teknik total pupulasi sebanyak 46 orang. Analisis data menggunakan analisis univariat dan bivariat dengan statistik uji chi-square. Hasil analisis menunjukkan bahwa nilai p masing-masing variabel yaitu pekerjaan diperoleh p-value = 0,003 < 0,05, pendidikan diperoleh p-value = 0,000 < 0,05, pengetahuan diperoleh p-value = 0,005 < 0,05 dan pendapatan diperoleh p-value = 0,134 > 0,05. Kesimpulan penelitian ini adalah ada pengaruh pekerjaan, pendidikan, pengetahuan dan pendapatan terhadap tumbuh kembang anak. Diharapkan dapat mendorong tenaga kesehatan agar lebih aktif lagi untuk memberikan penyuluhan tentang pentingnya asupan gizi pada anak dan agar dapat memotivasi ibu-ibu untuk memantau tumbuh kembang anak secara optimal.Kata Kunci: Tumbuh Kembang, Balita, Status Gizi


2018 ◽  
Vol 7 (1) ◽  
pp. 68
Author(s):  
Aris Winandar

HUBUNGAN PENGETAHUAN, PERSEPSI, DAN SIKAP DENGAN INTENSITAS PERILAKU MEROKOK PADA MAHASISWA AKADEMI FARMASI DAN MAKANAN (AKAFARMA) YAYASAN HARAPAN BANGSA BANDA ACEH TAHUN 2016     Aris Winandar 1.Fakultas Kesehatan Masyarakat Universitas Serambi Mekkah Banda Aceh Email korespondensi : ( [email protected])   Abstrak   Latar Belakang : Intensitas perilaku merokok juga menimbulkan dampak negatif bagi perokok pasif. Berdasarkan studi pendahuluan yang penulis lakukan di Akademi Farmasi dan Makanan (Akafarma) Yayasan Harapan Bangsa Banda Aceh tahub 2016 jumlah mahasiswa sebanyak 150 orang, sebagian mahasiswa terutama laki-laki mengkonsumsi rokok dalam kesehariannya, penyebab mahasiswa mengkonsumsi rokok karena ingin tampil gaya, alasan mereka jika merokok membuat pikaran jadi lebih tenang, selain itu sikap mahasiswa yang tidak mengetahui bahwa jika merokok membuat mereka mudah terkena penyakit, selain itu kurangnya pengetahuan tentang rokok juga merupakan salah satu penyebab mahasiswa tidak memperdulikan keesehatannya..(Tujuan) untuk mengetahui hubungan pengetahuan, persepsi, dan sikap dengan intensitas perilaku merokokpada remaja putra di Akademi Farmasi dan Makanan (Akafarma) Yayasan Harapan Bangsa Banda Aceh Tahun 2016. Metode : bersifat deskriptif analitik dengan pendekatan crossectional study.Hasil : ada hubungan yang bermakna antara pengetahuan dengan intensitas perilaku merokokdengan p value=0,000 (p<0,05), persepsi p value=0,004 (p<0,05), dan sikap dengan p value=0,002 (p<0,05) dengan intensitas perilaku merokok pada mahasiswa di Akademi Farmasi dan Makanan (Akafarma) Yayasan Harapan Bangsa Banda Aceh.Kesimpulan : Pengetahuan, Persepsi, Dan Sikap ada hubungan yang sangat bermakna dengan intensitas perilaku merokok pada mahasiswa di Akademi Farmasi dan Makanan (Akafarma) Yayasan Harapan Bangsa Banda Aceh   Kata kunci: Perilaku Merokok, remaja   Abstract   Background: The intensity of smoking behavior also has a negative impact on passive smoking. Based on preliminary study which the author did at Academy of Food and Pharmacy (Akafarma) Harapan Bangsa Foundation Banda Aceh in 2016 the number of students as many as 150 people, some students, especially men consume cigarettes in their daily life, the cause of students consuming cigarettes because they want to look stylish, their reasons if smoking makes the plateau so calm, besides the attitude of students who do not know that if smoking makes them susceptible to disease, other than that the lack of knowledge about cigarettes is also one cause the students do not care about his health ..(Goal) to know the relationship of knowledge, and attitudes with the intensity of smoking behavior in young men at the Akademi Academy of Pharmacy and Food (Akafarma) Harapan Bangsa Foundation Banda Aceh Year 2016. Method: analytical descriptive with cross-sectional approach. Result: there is a significant correlation between knowledge and intensity of smoking behavior with p value = 0,000 (p <0,05), perception p value = 0,004 (p <0,05), and attitude p value = 0,002 (p <0,05) with intensity of smoking behavior among students at Akademi Academy of Pharmacy and Food (Akafarma) Harapan Bangsa Foundation Banda Aceh. Conclusion: Knowledge, Perception, And Attitude There is a very meaningful relation with intensity of smoking behavior in students at the Akpararma Akademarma dan Food (Akafarma) Foundation of Harapan Bangsa Banda Aceh   Keywords: Smoking Behavior, adolescents


2020 ◽  
pp. 40-42
Author(s):  
Rajeev Ranjan Kumar ◽  
Shiv Kumar ◽  
Ravikirti Ravikirti ◽  
Debarshi Jana

Hypertension, its risk factors and complications is very poorly understood therefore it goes undiagnosed and untreated for a long time. The present study was undertaken to study the clinical profile of isolated systolic hypertension (systolic > 140 and diastolic ≤ 90 mmHg ) in elderly (above the age of 60 years)and to find out any other associated risk factors, any end organ complications, specially cardiac through electrocardiography and echocardiography and on kidney through creatinine clearance. The present cross-sectional study was undertaken on patients attending the outdoor department and indoor department of medicine. The study group comprised of 75 elderly patients who had isolated systolic hypertension (ISH). Using Chi square test correlation of age with stage of BP, association of risk factors with ISH and Stage III BP and ECG changes with LVH calculated. It concluded that ISH associated with risk factors has definite effect mainly on cardiac in terms of LV hypertrophy and on kidney in terms of reduced creatinine clearance and is an even better predictor of mortalityand morbidity than is diastolic blood pressure.


2021 ◽  
Author(s):  
Sadaf G. Sepanlou ◽  
Farid Najafi ◽  
Hossein Poustchi ◽  
Mahboubeh Parsaeian ◽  
Ali Ahmadi ◽  
...  

Abstract In this cross-sectional population-based study, we used the baseline data of the Prospective Epidemiologic Research Studies in IrAN (PERSIAN) cohort study collected in Iran from 2014 to 2020. The main outcomes were the prevalence of hypertension and proportion of awareness, treatment, and control based on the 2017 ACC/AHA guideline compared to the seventh report of the Joint National Committee (JNC7). Of the total of 163770 participants, aged 35 to 70 years, 55.2% were female. The sex-age standardized prevalence of hypertension was 22.3% (95% CI: 20.6-24.1) based on the JNC7 guideline and 36.5% (31.1-41.8) based on the ACC/AHA guideline. A total of 24312 participants [14.1% [10.1, 18.1)] were newly diagnosed based on the ACC/AHA guideline. Compared to adults diagnosed with hypertension based on the JNC7 guideline, the newly diagnosed participants were mainly young literate males who had low levels of risk factors and were free from conventional comorbidities of hypertension. About 30.7% (25.9, 35.4) of them (4.3% of the entire population) were eligible for pharmacologic intervention based on the ACC/AHA guideline. Implementation of the new guideline may impose additional burden on health systems. However, early detection and management of elevated blood pressure may reduce the ultimate burden of hypertension in Iran.


2020 ◽  
Vol 6 (1) ◽  
pp. 76-79
Author(s):  
Muhammad Shalahuddin ◽  
Aulina Adamy ◽  
Irwan Saputra

Latar Belakang: Depresi merupakan kondisi emosional yang ditandai dengan kesedihan, perasaan tidak berarti dan bersalah, menarik diri dari orang lain, dan tidak dapat tidur, kehilangan selera makan, hasrat seksual, dan minat serta kesenangan dalam aktivitas yang biasa dilakukan. Berdasarkan hasil Riskesdas (2018) prevalensi depresi di Provinsi Aceh pada tahun 2018 sebanyak 4.8% dari total populasi. Metode: Penelitian ini adalah penelitian kuantitatif dengan menggunakan cross sectional study yang dilakukan pada bulan Agustus 2019 di Instalasi Kemoterapi RSUDZA Banda Aceh. Responden dalam penelitian ini adalah pasien yang menjalani kemoterapi kanker sebanyak 70 orang. Hasil: Hasil penelitian didapatkan ada hubungan level kanker stadium 2 dengan depresi dengan nilai (p value=0.001), ada hubungan level kanker stadium 3 dengan depresi dengan nilai (p value=0.001), dan ada hubungan level kanker stadium 4 dengan depresi dengan nilai (p value=0.001). Kesimpulan: Pasien kanker pada stadium 2, 3, dan 4 memiliki hubungan yang signifikan terhadap depresi yang dirasakan. Bagi instalasi kemoterapi dan tenaga kesehatan khususnya di RSUDZA Banda Aceh diharapkan dapat meningkat kualitas pelayanan dan perawatan terhadap pasien kemoterapi kanker dengan tidak melupakan aspek psikologisnya.


Author(s):  
Diah Dhianawaty D. ◽  
Henhen Heryaman ◽  
Mas Rizky Anggun Adipurna Syamsunarno

Objective: To support the people in East Bongas and West Bongas villages to prevent and treatment the hypertension disease.Methods: This was a cross-sectional design while the subjects were taken by a simple random sampling. A total of 323 families were included, and blood pressure of the male and female subjects aged between 18 to 65 y was measured and had been given a question relating to their blood pressure.Results: The blood pressure profile was classified based on the seventh report of the Joint National Committee (JNC 7). The youngest male and female participants of pre-hypertension were 18 and 22 y, respectively. The normal blood pressure, pre-hypertension, hypertension stage-1, and hypertension stage-2 were 34.3%, 49.5%, 12.1%, and 4.1%, respectively. Prevalence of patients with hypertension based on the age groups 30-39, 40-49, 50-59, and 60-69 y were 6.8%, 15.6%, 33.9%, and 37.3%, respectively. Prevalence of patients with hypertension in male was 16.8%, the female was 15.7%, and the total of both were 16.2%. Prevalence based on gender showed that those who had information about hypertension in male was 46.8%, the female was 47.9%, and the total of both were 47.4%. Prevalence of hypertension patients increased, for a male was 8.9%, the female was 8.2%, and the total of both were 8.5% after the participants declared that they were not hypertension patients.Conclusion: In both villages occurred an increase of hypertension prevalence. Based on this information, the people in two villages should be given the appropriate knowledge and awareness regarding hypertension.


Medicina ◽  
2019 ◽  
Vol 55 (7) ◽  
pp. 315 ◽  
Author(s):  
Barua ◽  
Faruque ◽  
Banik ◽  
Ali

Background and objectives: Justification for application of 2017 American College of Cardiology/American Heart Association (ACC/AHA) guidelines to detect hypertension (HTN) among Bangladeshi population is understudied. This prompted us to examine the level of agreement between 2017 ACC/AHA and Joint National Committee 7 (JNC 7) guidelines to detect postmenopausal HTN in a rural area of Bangladesh. Materials and Methods: This cross-sectional study recruited 265 postmenopausal women of 40–70 years of age who visited a rural primary health care centre of Bangladesh. HTN was diagnosed based on two definitions: the JNC 7 guidelines (SBP ≥ 140 or DBP ≥ 90 mmHg), and the 2017 ACC/AHA guidelines (SBP ≥ 130 mmHg, or DBP ≥ 80 mmHg). The prevalence of postmenopausal HTN, its sub-types and stages were reported and compared using frequency and percentage. Agreement was evaluated using Cohen’s Kappa (κ), Prevalence-Adjusted Bias-Adjusted Kappa (PABAK) and First-order Agreement Coefficient (AC1). Results: The prevalence of postmenopausal HTN was 67.5% and 41.9% using 2017 ACC/AHA and JNC 7 guidelines respectively. Among the HTN sub-types and stages, the new 2017 ACC/AHA guideline classified higher proportion of respondents as having isolated systolic hypertension (ISH) (42.6%) and stage 2 HTN (35.8%) compared to JNC 7 (28.7% and 6.8% respectively). On the other hand, the JNC 7 guideline identified more respondents as pre-hypertensive (32.5%) when compared with the 2017 ACC/AHA guideline (3.8%). Between two guidelines, highest agreement was observed for ISH (86.03%) and those had pre-hypertension/elevated blood pressure (71.3%). Similarly, Landis & Koch’s approach detected highest agreement for ISH (κ = 0.74, substantial; PABAK = 0.76, substantial; AC1 = 0.84, excellent; p < 0.001) and pre-hypertension/elevated blood pressure (κ= 0.12, slight; PABAK = 0.42, moderate; AC1 = 0.83, excellent; p < 0.001). Conclusions: The 2017 ACC/AHA HTN guideline reported high agreement and detected more participants as hypertensive when compared with JNC 7 guideline for Bangladeshi postmenopausal women that demands further large-scale study in general population to clarify the current findings more precisely.


2020 ◽  
Vol 20 (3) ◽  
Author(s):  
Cici Enjelia Nata ◽  
Safrizal Rahman ◽  
Sakdiah Sakdiah

Abstrak. Indeks Massa Tubuh (IMT) merupakan parameter yang digunakan untuk menilai komposisi tubuh dengan menggunakan klasifikasi Asia Pasifik. IMT menjadi salah satu faktor risiko terjadinya osteoartritis lutut. Osteoartritis lutut merupakan penyakit degeneratif yang terjadi pada sendi lutut. Berdasarkan RISKESDAS tahun 2018, Provinsi Aceh menduduki peringkat pertama sebagai provinsi dengan angka penyakit sendi terbanyak yang termasuk osteoartritis lutut yaitu 13.3%. Prevalensi indeks massa tubuh berlebih di Indonesia pada tahun 2018  meningkat dari 26.3% menjadi 34.4% sehingga kemungkinan terjadinya osteoartritis lutut juga meningkat. Penelitian ini menggunakan metode observasional analitik dengan desain cross-sectional dilakukan dengan cara mengukur berat badan dan tinggi badan responden yang memenuhi kriteria penelitian berdasarkan pedoman American College of Rheumatology (ACR). Sampel dikumpulkan berdasarkan rekam medis di Rumah Sakit Umum Zainoel Abidin kota Banda Aceh sejak september hingga oktober 2019 yang melibatkan tujuh puluh responden sebagai sampel penelitian yang dimana 51 responden (72.9%) memiliki indeks massa tubuh berlebih dan 43 responden (61.4%) didiagnosis dengan Osteoartritis lutut. Berdasarkan hasil analisis uji Chi Square, nilai p value yang diperoleh adalah 0.021 (p value ≤ 0,05). Dengan demikian, penelitian ini menunjukkan bahwa terdapat hubungan antara indeks massa tubuh dengan kejadian osteoartritis lutut di Rumah Sakit Umum Zainoel Abidin di kota Banda Aceh.Kata Kunci: Indeks massa tubuh; berat badan lebih, osteoartritis lutut;               Abstract. Body Mass Index (BMI) is a parameter to measure body composition which is classified into underweight, normal and overweight. Overweight has been known to potentially cause knee osteoarthritis. Knee osteoarthritis is a degenerative disease happening on the knee. Based on RISKESDAS 2018, Aceh led Indonesia as a province with the highest number of knee arthritis (13.3%). In the same year, the prevalence of overweight in Indonesia has also increased from 26.3% to 34.4% and is expected to rise annually. This research is an analytic observational using cross sectional design. The method used in this research is body weight and body length measurement of samples fulfilling the criteria based on American College of Rheumatology (ACR). Data were collected based on medicalr record at Zainoel Abidin General Hospital, Banda Aceh, from September to October 2019. We examined 70 respondents, 51 of them (72.9%) had overweight IMT and 43 of them (61.4%) were diagnosed with knee osteoarthritis. Chi Square analysis showed p value 0,021 (p value ≤ 0.05). We concluded that there is a correlation between body mass index with knee osteoarthritis in Zainoel Abidin General Hospital, Banda Aceh.Keyword: Body Mass Index; overweight; knee osteoarthritis;


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