scholarly journals Pemberian Terapi Jus Wortel Pada Penderita Hipertensi Di Desa Bauh Gunung Sari Lampung Timur

2021 ◽  
Vol 4 (5) ◽  
pp. 1184-1189
Author(s):  
Suwarto Suwarto ◽  
Prima Dian Furqoni
Keyword(s):  
Blood Pressure ◽  
Pharmacological Treatment ◽  
Saturated Fat ◽  
Carrot Juice ◽  
Hypertensive Patients ◽  
Dash Diet ◽  
Pressure Drops ◽  
Low Sodium Diet ◽  
High Prevalence ◽  
Total Fat

ABSTRAK Hipertensi merupakan masalah kesehatan dengan prevalensi yang tinggi, yaitu sebesar 25,8%, pengobatan farmakologi, penurunan Hipertensi Pada pasien hipertensi dpat dilakukan dengan pengobatan non farmakologi. Salah satu alternatif pengobatan non farmakologi pada pasien hipertensi adalah pemberian pola makan DASH yang kaya akan kalium dan kalsium; diet rendah natrium. JNC VII menyarankan pola makan DASH yaitu diet yang kaya dengan buah, sayur, dan produk susu redah lemak dengan kadar total lemak dan lemak jenuh .Natrium yang direkomendasikan < 2.4 g (100 mEq)/hari. Tujuan Asuhan Keperawatan Komprehensif Pada klien Hipertensi Dengan Terapi Komplementer Jus Wortel di Desa Bauh Gunung Sari Lampung Timur Tahun 2020. Metode terapi dengan Wortel diblender 150 gram ditambah ±100cc air mineral + 1 sendok makan madu (sebagai pemanis ) diberikan kepada responden sebanyak ±200gram /hari selama 5 hari berturut-turut pada pukul 13.00-15.00wib. masalah hipertensi teratasi dengan terapi jus wortel dengan hasil efektif pada kedua pasien hanya saja kadar penurunan tekanan darah dan waktu penurunan berbeda diantara kedua pasien dikarenakan intensitas nyeri antara kedua pasien, dan kadar tekanan darah kedua pasien yang berbeda. Kata Kunci : Hipertensi, Komplikasi, Terapi Jus Wortel  ABSTRACT Hypertension is a health problem with a high prevalence, which is 25.8%, pharmacological treatment, hypertension reduction in hypertensive patients can be done with non-pharmacological treatment. One alternative non-pharmacological treatment in hypertensive patients is the administration of a DASH diet that is rich in potassium and calcium; a low sodium diet. JNC VII recommends the DASH diet, which is a diet rich in fruits, vegetables, and low-fat dairy products with total fat and saturated fat content. The recommended sodium is <2.4 g (100 mEq) / day. Purpose of Comprehensive Nursing Care for Hypertension clients with Complementary Carrot Juice Therapy in Bauh Gunung Sari Village, East Lampung in 2020. The therapeutic method with Blender Carrot 150 grams plus ± 100cc mineral water + 1 tablespoon of honey (as a sweetener) is given to respondents as much as ± 200gram / days for 5 consecutive days from 1:00 to 15:00 a.m. the problem of hypertension is resolved with carrot juice therapy with effective results in both patients except that the level of blood pressure drops and the time of decrease is different between the two patients due to the intensity of pain between the two patients, and the blood pressure levels of the two patients are different. Keywords: Hypertension, Complications, Carrot Juice Therapy

scholarly journals PENERAPAN ANJURAN DIET DASH DIBANDINGKAN DIET RENDAH GARAM BERDASARKAN KONSELING GIZI TERHADAP PENURUNAN TEKANAN DARAH PADA PASIEN HIPERTENSI DI PUSKESMAS LARANGAN UTARA

2021 ◽  
Vol 44 (1) ◽  
pp. 109-120
Author(s):  
Agustina Pungki Astuti ◽  
Didit Damayanti ◽  
Iskari Ngadiarti
Keyword(s):  
Blood Pressure ◽  
Nutritional Status ◽  
Diastolic Blood Pressure ◽  
Sodium Intake ◽  
Hypertensive Patients ◽  
Dash Diet ◽  
Sodium Diet ◽  
Low Sodium Diet ◽  
Low Sodium ◽  
Significant Difference

The low sodium and Diet Approaches to Stop Hypertension (DASH) are diets for reducing high blood pressure. This study aimed to analyze the effect of nutrition counseling on the DASH diet compared to low sodium diet on blood pressure in hypertensive patients. The study design was an experimental study that randomly allocated 34 respondents to DASH diet and 35 respondents to low sodium diet. The ages of respondents were 43 to 76 years and women were 74.3 percent. Nutrition counseling was conducted by researchers to respondents who visited health center or Posbindu Larangan Utara. Nutritional counseling was conducted for an average of 20 minutes using existing brochures. Low sodium diet emphasizes reducing sodium intake while DASH diet emphasis more on consuming lots of vegetables, fruit, nuts and low-fat products. Variables collected were the characteristics of respondent, disease, drugs taken and nutritional status, while blood pressure using a sphygmomanometer, food intake including sodium were measured before and 2 weeks after nutritional counseling. Results showed that there was a significant difference in diastolic blood pressure after patients were given DASH diet compared to low sodium diet (p 0.05) and there was a significant difference in delta of systolic and diastolic reduction in DASH diet compared to low sodium diet. Test also showed a significant reduction in systolic, diastolic blood pressure and sodium intake (p 0.001) in both diet groups after receiving counseling. It concluded that DASH diet can be recommended to decrease blood pressure in hypertensive patients with consider nutritional status. ABSTRAK  Diet Rendah Garam (RG) dan Diet Approaches to Stop Hypertension (DASH) adalah diet untuk menurunkan tekanan darah tinggi. Penelitian ini bertujuan untuk menganalisa pengaruh konseling gizi diet DASH dibandingkan diet RG terhadap tekanan darah pasien hipertensi. Rancangan penelitian adalah eksperimen yang secara acak mengalokasi diet DASH kepada 34 orang dan diet RG kepada 35 orang responden. Usia responden antara 43 hingga 76 tahun dan sebagian besar perempuan (74,3%). Konseling gizi dilakukan oleh tim peneliti kepada pasien hipertensi yang memeriksakan diri ke puskesmas atau posbindu Larangan Utara. Konseling gizi dilakukan rata-rata 20 menit menggunakan brosur yang sudah ada. Diet RG menekankan pengurangan asupan natrium sedangkan diet DASH lebih menekankan ke banyak konsumsi sayur, buah, kacang-kacangan dan produk rendah lemak. Variabel yang dikumpulkan adalah karakteristik responden, penyakit dan obat yang diminum serta status gizi sedangkan tekanan darah menggunakan sfigmomanometer, asupan makanan, zat gizi termasuk natrium diukur sebelum dan 2 minggu setelah konseling gizi dilakukan. Hasil menunjukkan adanya perbedaan yang bermakna pada tekanan darah diastolik setelah pasien diberi diet DASH dibandingkan dengan pasien yang diberi diet RG (p0,05) dan terdapat perbedaan delta penurunan sistolik dan diastolik bermakna pada diet DASH dibanding diet RG. Analisa juga menunjukkan adanya penurunan tekanan darah sistolik, diastolik dan asupan natrium  yang bermakna (p0.001) pada kedua kelompok diet setelah mendapat konseling diet DASH dan diet RG. Disimpulkan diet DASH dapat direkomendasikan untuk membantu menurunkan tekanan darah pada pasien hipertensi dengan memperhatikan status gizi. Kata kunci: hipertensi, tekanan darah, diet rendah garam, diet DASH

scholarly journals An observational comparative study of different doses of azilsartan and with chlorthalidone combination in moderate hypertension

2019 ◽  
Vol 8 (2) ◽  
pp. 259
Author(s):  
Tamoghna Maiti ◽  
Sonai Mandal ◽  
Ratul Banerjee ◽  
Sourav Chakrabarty ◽  
Amrita Panda
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Antihypertensive Agents ◽  
Fixed Dose ◽  
High Dose ◽  
Hypertensive Patients ◽  
Medical College ◽  
Fda Approval ◽  
High Prevalence ◽  
Dose Combination

Background: High blood pressure (BP) is one of the significant non-communicable diseases that are of high prevalence in our country. Hypertension (HTN) is responsible cause of 57% of stroke and 24% of coronary heart disease deaths in India. Eight classes of medications are currently used in the treatment of hypertension. Azilsartan medoxomil is a newly added FDA approved drug to the ARB class of antihypertensive agents. azilsartan and chlorthalidone combination is also got the FDA approval. There is limited study in between these two groups regarding efficacy especially in rural Bengal.Methods: A prospective observational study was done in medicine OPD of Bankura Sammilani Medical College for twelve weeks with two groups that are azilsartan (80mg) and fixed dose combination of azilsartan (40mg) plus chlorthalidone (12.5mg) in the age group of 18 to 55years of moderate hypertensive patients. Change of heart rate was assessed as safety parameter.Results: It was found that both the group of drugs are very much effective in lowering blood pressure constantly in respect of both systolic and diastolic BP but azilsartan monotherapy in high dose reduce systolic blood pressure slightly high. Significant change of heart rate was not seen with both the groups.Conclusions: Both the group was effective as well as safe in hypertensive patients.

Abstract P064: Effects Of Pistachios On Blood Pressure And Systemic Hemodynamics In Type 2 Diabetes

Circulation ◽  
2014 ◽  
Vol 129 (suppl_1) ◽  
Author(s):  
Katherine A Sauder ◽  
Cindy E McCrea ◽  
Jan S Ulbrecht ◽  
Penny M Kris-Etherton ◽  
Sheila G West
Keyword(s):  
Blood Pressure ◽  
Type 2 Diabetes ◽  
Control Diet ◽  
Ambulatory Monitoring ◽  
Peripheral Resistance ◽  
Saturated Fat ◽  
Systemic Hemodynamics ◽  
Cardiovascular Morbidity And Mortality ◽  
Total Fat

Controlling blood pressure in diabetes is important for reducing cardiovascular morbidity and mortality. This study compared the effects of two healthy diets that differed in fat content on blood pressure and hemodynamics. We enrolled 30 adults with type 2 diabetes in a randomized, crossover, controlled-feeding study with isocaloric diet periods. After a 2wk run-in on a typical Western diet (36% total fat, 12% saturated fat), participants consumed a low-fat control diet (27% total fat, 7% saturated fat) and a moderate fat pistachio diet (33% total fat, 7% saturated fat) for 4wk each. While on the pistachio diet, participants consumed pistachios equivalent to 20% of daily calories (ranging from 2-5 ounces/day). At the end of each diet period, blood pressure and systemic hemodynamics were assessed at rest and during acute psychological stress (mental arithmetic and hand cold pressor). A subset of participants (n=20) also underwent 24hr ambulatory blood pressure monitoring. Treatment effects were assessed with the mixed models procedure in SAS v9.3. There was no difference between treatments in resting blood pressure or systemic hemodynamics. During acute stress, stroke volume and cardiac output were significantly lower following the control diet (66.4 ml/beat and 4.43 l/min) than the pistachio diet (68.4 ml/beat and 4.57 l/min). Total peripheral resistance was significantly lower following the pistachio diet than the control diet (1682 vs 1746 dyne-sec/cm5). Systolic blood pressure during the 24hr ambulatory monitoring was significantly lower following the pistachio diet than the control diet (113.8 vs 117.3 mmHg). Taken together with other recent studies, these results provide evidence that daily pistachio consumption can benefit blood pressure and systemic hemodynamics in adults with type 2 diabetes.

scholarly journals Blood Pressure Screening Campaign in Jamaica: May Measurement Month 2017

2019 ◽  
Vol 32 (12) ◽  
pp. 1186-1191
Author(s):  
Magdalene Nwokocha ◽  
Cesar A Romero ◽  
Cheryl Holder ◽  
Natalie Whylie ◽  
Hiu Wong ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Urban Areas ◽  
Disease Burden ◽  
Antihypertensive Drugs ◽  
Demographic Data ◽  
Hypertensive Patients ◽  
High Prevalence ◽  
Patients With Diabetes ◽  
And Control ◽  
Significant Disease

Abstract BACKGROUND Hypertension (HTN) is responsible for a significant disease burden in Jamaica. We are reporting the results of the 2017 blood pressure (BP) screening campaign May Measurement Month in Jamaica that aimed to increase the awareness of HTN. METHODS Adults, 18 years old and older, from different parishes of Jamaica were invited to participate during May to June 2017. Demographic data were collected. BP, weight, and height were measured and recorded. RESULTS Five hundred sixty-six participants (n = 566) were enrolled, 91.6% (519) from urban areas, and 72.6% (410) were females. The average age was 53.7 (18–95) years old and body mass index was 28.2 ± 6.6 kg/m2. The prevalence of HTN was 47.3% (267/566), without gender or living areas differences (both P > 0.1). Prevalence of HTN was lower in those who self-identified as Interracial ethnicity, in comparison with Afro-Caribbean (33% vs. 48.3%; P = 0.04). About third of the hypertensive patients were not aware of the high BP (89/267; 35.6%). Between hypertensive patients, 64.4% (172/267) were receiving antihypertensive drugs. The rate of BP control was 32% of the hypertensive patients and 50% of those receiving antihypertensive medication. Significant lower BP control was observed between diabetic vs. nondiabetic patients (34.3% vs. 60%; P < 0.001). CONCLUSION We found a high prevalence of HTN in this population, especially in patients with diabetes or previous cardiovascular diseases. We report an increase in HTN awareness in Jamaica but more advances need to be performed to increase HTN treatment and control.

Dietary Approaches to Stop Hypertension (DASH): potential mechanisms of action against risk factors of the metabolic syndrome

2019 ◽  
Vol 33 (1) ◽  
pp. 1-18 ◽  
Author(s):  
Masoumeh Akhlaghi
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Metabolic Syndrome ◽  
Saturated Fat ◽  
Hdl Cholesterol ◽  
Reduce Blood Pressure ◽  
Overweight And Obesity ◽  
Cross Sectional ◽  
Dash Diet ◽  
The Metabolic Syndrome

AbstractThe metabolic syndrome is a cluster of disorders dominated by abdominal obesity, hypertriacylglycerolaemia, low HDL-cholesterol, high blood pressure and high fasting glucose. Diet modification is a safe and effective way to treat the metabolic syndrome. Dietary Approaches to Stop Hypertension (DASH) is a dietary pattern rich in fruits, vegetables and low-fat dairy products, and low in meats and sweets. DASH provides good amounts of fibre, K, Ca and Mg, and limited quantities of total fat, saturated fat, cholesterol and Na. Although DASH was initially designed for the prevention or control of hypertension, using a DASH diet has other metabolic benefits. In the present review, the effect of each dietary component of DASH on the risk factors of the metabolic syndrome is discussed. Due to limited fat and high fibre and Ca content, individuals on the DASH diet are less prone to overweight and obesity and possess lower concentrations of total and LDL-cholesterol although changes in TAG and HDL-cholesterol have been less significant and available evidence in this regard is still inconclusive. Moreover, high amounts of fruit and vegetables in DASH provide great quantities of K, Mg and fibre, all of which have been shown to reduce blood pressure. K, Mg, fibre and antioxidants have also been effective in correcting glucose and insulin abnormalities. Evidence is provided from cross-sectional investigations, cohort studies and randomised controlled trials, and, where available, from published meta-analyses. Mechanisms are described according to human studies and, in the case of a lack of evidence, from animal and cell culture investigations.

scholarly journals Hypertension among Outpatients at a General Hospital in South Angola: Prevalence, Awareness, Treatment, and Control

2016 ◽  
Vol 10 ◽  
pp. CMC.S39561 ◽  
Author(s):  
Feliciano C. Paquissi ◽  
Arminda B.P. Cuvinje ◽  
Almeida B. Cuvinje ◽  
Arlindo M. Paquissi
Keyword(s):  
Blood Pressure ◽  
General Hospital ◽  
Odds Ratio ◽  
Blood Pressure Measurement ◽  
Female Gender ◽  
Automatic Device ◽  
Hypertensive Patients ◽  
Younger Age ◽  
High Prevalence ◽  
And Control

Objective This study aimed to assess the prevalence, awareness, treatment, and control of hypertension in patients attending an outpatient clinic at a general hospital in Huambo, South Angola. Methods A total of 265 subjects aged 18 years and older were included. Evaluation included complete interview and blood pressure measurement using a validated automatic device. Results The prevalence rates of hypertension and prehypertension were 38.5% (95% confidence interval [CI]: 32.83%-44.90%) and 30.20% (95% CI: 24.52%-36.22%), respectively. Hypertension was associated with age (>35 years; odds ratio [OR] = 10.09, 95% CI: 5.46-18.66, P < 0.01) and female gender (OR = 1.81, 95% CI: 1.08-3.05, P = 0.02). Among total hypertensive patients, 54.9% were aware of their diagnosis, 28.43% were in treatment, and 7.84% had controlled blood pressure. Lack of awareness was significantly higher in younger (age ≤ 37 years; OR = 3.28, 95% CI: 1.13-9.49, P = 0.02). Conclusion This study revealed a high prevalence of hypertension, with low awareness, treatment, and control rates. Greater efforts are necessary to overcome these challenges.

scholarly journals A SYSTEMATIC REVIEW ON DIETARY APPROACHES TO STOP HYPERTENSION (DASH) TO CONTROL RAISED BLOOD PRESSURE AMONG HYPERTENSIVE PATIENTS

2020 ◽  
Vol 9 (4) ◽  
pp. 198-202
Author(s):  
Subhana Akber Khan ◽  
Assad Hafeez ◽  
Siham Sikander ◽  
Abdul Wali Khan ◽  
Rizwana Yasmin
Keyword(s):  
Public Health ◽  
Blood Pressure ◽  
Cardiovascular Diseases ◽  
Public Health Problem ◽  
Pharmacological Therapy ◽  
Renal Diseases ◽  
Dietary Recommendations ◽  
Lifestyle Modifications ◽  
Hypertensive Patients ◽  
Dash Diet

Introduction: Hypertension is a widely recognized public health problem worldwide. Its further complications lead to cardiovascular diseases, stroke, retinal and renal diseases. DASH diet has been recommended to control raised blood pressure among hypertensive patients. However; limited evidence exists for it in Asian countries. This study aimed to review published research articles on DASH diet for hypertension control. Methods: Studies on hypertension and DASH diet (N=54) were searched using PubMed Central from 2012 to 2019 including all countries. The search strategy consisted of keywords "hypertension OR raised blood pressure OR blood pressure" and "Dietary Approaches to Stop Hypertension OR DASH diet". Whereas; no limitation was used for searching the literature and further references of the relevant studies were also analyzed. Full text articles of 31 researches were retrieved and analyzed for this review article. Results: Findings of this review suggests that DASH diet is significantly effective in lowering the blood pressure as well as for prevention of cardiovascular diseases (CVDs). In addition, a low-sodium diet is beneficial for individuals and hypertensive patients in reducing CVD related events. However; evidence suggests that adherence to DASH diet for a longer duration is effective along with lifestyle modifications in the population. Conclusion: Consuming a DASH diet as recommended can be a useful preventive measure to reduce blood pressure. Country-specific dietary recommendations are thus required. DASH diet along with pharmacological therapy and lifestyle modifications are proven to be effective. Further, longitudinal studies establishing temporal associations between consumption of DASH diet and its effect on blood pressure will be essential for clinical and public health practice.

scholarly journals Caracterização do perfil de pacientes hipertensos atendidos pela enfermagem no ambulatório de um hospital público

2012 ◽  
Vol 2 (5) ◽  
pp. 26
Author(s):  
Maria Áurea Cordeiro ◽  
Lucia Helena Presoto
Keyword(s):  
Public Health ◽  
Blood Pressure ◽  
Pressure Measurement ◽  
Blood Pressure Measurement ◽  
Sao Paulo ◽  
Measurement Information ◽  
São Paulo ◽  
Treatment Frequency ◽  
Hypertensive Patients ◽  
High Prevalence

A Hipertensão Arterial Sistêmica é uma doença com alta prevalência na população geral e que constitui um dos principais problemas de saúde pública. Este trabalho objetivou traçar o perfil dos pacientes hipertensos atendidos no ambulatório público, localizado na Cidade de São Paulo, no período de 20 de agosto a 25 de setembro de 2009, por meio da análise de 60 usuários escolhidos aleatoriamente, segundo as variáveis: gênero; faixa etária; etnia; estado civil; sobre a patologia; frequência de consulta; tipo de tratamento; periodicidade do tratamento; frequência de aferição da pressão arterial; informações recebidas. Os resultados obtidos demonstraram a predominância do sexo feminino, faixa etária entre sessenta e seis a setenta e quatro anos, estado civil predominou os casados, com a etnia negra, frequência da aferição da pressão arterial de uma a duas vezes por semana.Descritores: Hipertensão Arterial, Pacientes, Saúde Pública. Characterization of the profile of hypertensive patients seen by nurses at the ambulatory of a public hospitalAbstract: The Hypertension is a disease with high prevalence in the general population and is a major public health problems. This study aimed to determine the profile of hypertensive patients seen in outpatient public, located in São Paulo, from august 20 to september 25, 2009, through the analysis of 60 randomly selected users, according to the variables: gender; age, ethnicity, marital status, on the condition, frequency of consultation, type of treatment, frequency of treatment, frequency of blood pressure measurement, information received. The results showed a predominance of females, aged sixty-six to seventy-four years, the married state civil predominated, with black ethnicity, frequency of blood pressure measurement from one to two times a week.Descriptors: Hypertension, Patients, Public Health. Caracterización del perfil de los pacientes atendidos por la enfermería en la clínica de uno hospital públicoResumen: La hipertensión arterial es una enfermedad con una alta prevalencia en la población general y es uno problema de salud pública importantes. Este estudio tuvo como objetivo determinar el perfil de los pacientes hipertensos atendidos en consulta externa pública, que se encuentra en São Paulo, a partir de agosto 20 a septiembre 25, 2009, a través del análisis de 60 usuarios seleccionados al azar, de acuerdo a las variables: género; edad, origen étnico, estado civil, sobre la condición, frecuencia de consulta, el tipo de tratamiento, la frecuencia del tratamiento, la frecuencia de la tensión arterial medida, la información recibida. Los resultados mostraron uno predominio del sexo femenino, con edades entre sesenta y seis-setenta y cuatro años, el estado civil casado predominó, con el origen étnico negro, la frecuencia de la medición de la presión de una o dos veces a la semana.Descriptores: Hipertensión, Pacientes, Salud Pública.

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