scholarly journals The Effect of Laughter Therapy to Decrease Blood Pressure in Patients with Hypertension Patients at Welahan 1 Primary Health Care

Author(s):  
Rizka Himawan ◽  
Meisella Aryatu ◽  
Rusnoto ◽  
Indanah
2021 ◽  
Vol 2 (3) ◽  
pp. 57-60
Author(s):  
Akida Tillabaeva ◽  
◽  
Shakhnoza Tulkinovna Iskandarova

This articlereflects the results of a study that retrospectively analyzed outpatient records of 30 patients with headache complaints. Their blood pressure parameters were assessed, and treatment tactics were also assessed. AH was diagnosed according to the WHO classification. According to our studyresults, it was found that when dealing with headache in 36.7% of patients, AH of 1 and 2 degrees was detected.Regularelevated blood pressure was noted in 30%. This group is a risk group for the development of AH. They were recommended to exclude risk factors for AH.Keywords: arterial hypertension, primary health care,nursing care


2008 ◽  
Vol 23 (2) ◽  
pp. 100-108 ◽  
Author(s):  
Antoni Sicras-Mainar ◽  
Milagrosa Blanca-Tamayo ◽  
Javier Rejas-Gutiérrez ◽  
Ruth Navarro-Artieda

AbstractObjectiveTo determine the prevalence of metabolic syndrome (MS) in outpatients treated with antipsychotics included in a primary-health-care database.MethodsA cross-sectional study was carried out assessing an administrative outpatients claim-database from 5 primary-health-centers. Subjects on antipsychotics for more than 3 months were included. The control group was formed by the outpatients included in the database without exposition to any antipsychotic drugs. MS was defined according to the modified NCEP-ATP III criteria, and required confirmation of at least 3 of the 5 following components: body mass index >28.8 kg/m2, triglycerides >150 mg/ml, HDL-cholesterol <40 mg/ml (men)/<50 mg/ml (women), blood pressure >130/85 mmHg, and fasting serum glucose >110 mg/dl.ResultsWe identified 742 patients [51.5% women, aged 55.1 (20.7) years] treated with first- or second-generation antipsychotics during 27.6 (20.3) months. Controls were 85.286 outpatients [50.5% women, aged 45.5 (17.7) years]. MS prevalence was significantly higher in subjects on antipsychotics: 27.0% (95% CI, 23.8–30.1%) vs. 14.4% (14.1–14.6%); age- and sex-adjusted OR = 1.38 (1.16–1.65, P < 0.001). All MS components, except high blood pressure, were significantly more prevalent in the antipsychotic group, particularly body mass index >28.8 kg/m2: 33.0% (29.6–36.4%) vs. 17.8% (17.6–18.1%), adjusted OR = 1.63 (1.39–1.92, P < 0.001), and low HDL-cholesterol levels: 48.4% (44.8–52.0%) vs. 29.3% (29.0–29.6%); adjusted OR = 1.65 (1.42–1.93, P < 0.001). Compared with the reference population, subjects with schizophrenia or bipolar disorder (BD), but not dementia, showed a higher prevalence of MS.ConclusionsCompared with the general outpatient population, the prevalence of MS was significantly higher in patients with schizophrenia or BD treated with antipsychotics.


Medicina ◽  
2007 ◽  
Vol 43 (11) ◽  
pp. 870 ◽  
Author(s):  
Abdulbari Bener ◽  
Abdullah Al-Ansari ◽  
Abdulla Al-Hamaq ◽  
Isam-Eldin Elbagi ◽  
Mustafa Afifi

Objectives. The aim of this study was to investigate the prevalence of erectile dysfunction, its severity, and other sexual function domains in hypertensive and normotensive Qatari’s men and to estimate the association between hypertension and predictors of erectile dysfunction. Material and methods. A matched case-control study was conducted at the primary health care clinics during a period from May to October 2006. Four hundred twenty-five hypertensive patients and 425 age-matched normotensive attendants of primary health care clinics, aged 30– 75 years, were approached for the study. Of them, 296 hypertensive participants (74%) and 298 normotensive men (70.1%) gave their consent to participate in it. The mean age of the hypertensive participants was 54.8±11.5 years as compared to nonhypertensive participants with a mean age of 54.5±12.1 years. Face-to-face interviews were based on a questionnaire that included variables on age, sociodemographic status, educational level, occupation, cigarette smoking, and blood pressure. Hypertension was defined as mild for systolic blood pressure (SBP) 120–139 mmHg and diastolic blood pressure (DBP) 80–89 mmHg; moderate for SBP 140–159 mmHg and DBP 90–99 mmHg; and severe for SBP >160 mmHg and DBP >100 mmHg. All patients completed a detailed questionnaire addressing their general medical history, with special emphasis on hypertension (i.e., duration of hypertension, type of treatment, and presence of any complications). Sexual function was evaluated with the International Index of Erectile Function (IIEF). Results. Of the 296 hypertensive patients, 196 participants reported erectile dysfunction (66.2%), while among the 298 nonhypertensive participants, only 71 had erectile dysfunction (23.8%). Of the hypertensive participants studied, 25% had severe, 29.1% had moderate, and 12.1% had mild erectile dysfunction. The percentages of various sexual activity domains were highly significant and at higher risk among hypertensive patients than normotensive men (P<0.001). Frequency and severity of erectile dysfunction increased with advancing age. Conclusions. Our results have shown that the prevalence of erectile dysfunction was significantly higher in Qatari hypertensive men than in normotensive men. Age, level of education, diabetes mellitus, occupation, and duration of hypertension were considered statistically significant predictors of erectile dysfunction. Erectile dysfunction was more common in hypertensive individuals receiving antihypertensive treatment.


2018 ◽  
Vol 2 (2) ◽  
Author(s):  
Muhammad A Wijaya ◽  
Marlianti Hidayat ◽  
Trully D Sitorus

Hypertension is a systemic disorder which included as one of the disease with highest prevalence in the world, particularly in Indonesia. One problem that is commonly faced by hypertension patients is administration of local anesthetic containing epinephrine 1:80.000 that needs to be given before undergoing tooth extraction procedure in primary health care setting. Administration of anesthetics is risky because it can cause sudden blood pressure increase that may cause complications. This study aims to observe the increased of blood pressure after being given local anesthetic containing epinephrine 1:80.000. This is a descriptive quantitative study conducted in April-August 2017 in Puskesmas Jatinangor. Blood pressure data is primary data, acquired from normotension and prehypertension patients aged 18-50 year who undergoes tooth extraction procedure. Blood pressure were measured before and after given local anesthetic. Result showed that there were increase in mean systolic blood pressure as much as 3.43 mmHg. Increase in systolic blood pressure occurs from the effect of epinephrine that causes constriction of the blood vessels. It is concluded that administration of local anesthetic containing epinephrine 1:80.000 before tooth extraction procedure is relatively safe and can be considered to be used in pre-hypertension patients, but not in higher hypertension stages.


2009 ◽  
Vol 6 (2) ◽  
pp. 71
Author(s):  
Putu Diah Ernitasari ◽  
Bambang Djarwoto ◽  
Tri Siswati

Background: Dietary pattern has changed in almost all over the world that nowadays people consume high fat and low fiber diet. These changes are responsible for the increased obesity problems in community. Ratio between waist circumference and hip circumference could become an indicator for android obesity. This type of obesity has a stronger relationship with increasing risk factor of coronary heart disease, hypertension, and diabetes mellitus, compared to gynecoid type obesity.Objective: To identify relationship between dietary pattern and waist hip circumference ratio with blood pressure at Mergangsan Primary Health Care Yogyakarta.Method: This was an observational research with cross sectional study, held at November 2008. Research population was all adult patients came to Mergangsan Primary Health Care. Independent variable including dietary pattern and hip waist circumference ratio (RLPP), and blood pressure as dependent variable. Characteristic sample data were collected using questionnaire and interview, data of waist–hip circumference ratio were collected using metlin (accuracy 0.1 cm), data of blood pressure were measured with sphygmomanometer, and data of dietary patterns were collected using semi-quantitative food frequency questionnaire (FFQS). Samples were taken with judgmental technique sampling. Data were analyzed using chi-square and odds ratio.Results: Percentage samples that consumed carbohydrate source diet frequently was 91.1%, whereas samples that consumed animal and plant diet served were 71 % and 88.9%; vegetables and fruits 65.6% and 52.5%, 78.9% samples seldom consumed milk, 92.2% frequently consumed oil and others consumed frequently 90%. Female samples with obesity nutritional status were 55.6%. Mean value of waist hip circumference ratio were 1.03 ± 0.13 and 0.88 ± 0.1 for male and female, respectively. Dietary pattern of some foods and blood pressure showed significant relationship, that were vegetables (p = 0.003; OR = 0.194), fruits (p = 0.00, OR = 1.17), milk (p = 0.010; OR 5.76), and others (p = 0.047; OR 5.76). Waist hip circumference ratio also had significant relationship with blood pressure (p = 0.009).Conclusion: There were significant relationships between dietary pattern of vegetables, fruits, milk, and others with blood pressure. Waist hip circumference ratio also had significant relationship with blood pressure.


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