scholarly journals Faktor-Faktor yang Mempengaruhi Pengontrolan Tekanan Darah pada Penderita Hipertendi di RW 03 Kelurahan Jagakarsa Jakarta Selatan

2022 ◽  
Vol 1 (1) ◽  
pp. 156-172
Author(s):  
Naryati Naryati ◽  
Nur Nabila Putri Priyono

ABSTRACT: FACTORS AFFECTING BLOOD PRESSURE CONTROL IN HYPERTENSION PATIENTS IN RW 03 KELURAHAN JAGAKARSA SOUTH JAKARTA Introduction: Blood pressure control is controlling blood pressure with systolic <140 mmHg and diastolic <90 mmHg. Controlling blood pressure in people with hypertension can be done by losing weight, exercising, adjusting a low-salt diet, improving unhealthy lifestyles, and pharmacological therapy. Blood pressure control is influenced by several factors, such as attitudes, knowledge, family support, and medication adherence.Objective: The purpose of this study was to determine the factors that influence blood pressure control in hypertension sufferers in RW 03 Jagakarsa Village, South Jakarta.Methods: The research design used was descriptive-analytic with a cross sectional approach. The number of samples involved were 42 respondents using the Z formula. The results of the study used Chi-Square statistical test analysis.Results: The results of this study obtained factors related to controlling blood pressure in patients with hypertension, namely attitude (p-value = 0.047), knowledge (p-value = 0.040), family support (p-value = 0.025), and medication. compliance (p-value = 0.040).Conclusion: Suggestions from this study are health services, especially in the community, to find out the factors that influence blood pressure control in hypertension sufferers, one of which can be overcome by developing health education programs for the community, both at the puskesmas and at the posyandu. Thus, blood pressure control can be carried out optimally for a better life. Keywords: Hypertension, Blood Pressure Control, Attitude, Knowledge  INTISARI: FAKTOR-FAKTOR YANG MEMPENGARUHI PENGONTROLAN TEKANAN DARAH PADA PENDERITA HIPERTENDI DI RW 03 KELURAHAN JAGAKARSA JAKARTA SELATAN Pendahuluan: Pengontrolan tekanan darah merupakan tekanan darah yang terkontrol dengan sistole <140 mmHg dan diastole <90 mmHg. pengontrolan tekanan darah pada penderita hipertensi dapat dilakukan dengan cara penurunan berat badan, olahraga, pengaturan diet rendah garam, memperbaiki gaya hidup yang kurang sehat, dan terapi farmakologis. Pengontrolan tekanan darah dipengaruhi oleh beberapa faktor, seperti sikap, pengetahuan, dukungan keluarga dan kepatuhan pengobatan.Tujuan: Tujuan penelitian ini adalah untuk Mengetahui faktor-faktor yang mempengaruhi pengontrolan tekanan darah pada penderita hipertensi di RW 03 Kelurahan Jagakarsa Jakarta Selatan.Metode: Desain penelitian yang digunakan adalah deskriptif-analitik dengan pendekatan cross-sectional. Jumlah sampel yang dilibatkan sebanyak 42 responden dengan menggunakan rumus Z. Hasil penelitian menggunakan analisis uji statistic Chi-Square.Hasil: Hasil dari penelitian ini diperoleh faktor yang berhubungan dengan pengontrolan tekanan darah pada penderita hipertensi yaitu sikap (p-value = 0,047), pengetahuan (p-value = 0,040), dukungan keluarga (p-value = 0,025), dan kepatuhan pengobatan (p-value = 0,040).Kesimpulan: Saran dari penelitian ini adalah pelayanan kesehatan khususnya di masyarakat untuk mengetahui bahwa faktor-faktor yang mempengaruhi pengontrolan tekanan darah pada penderita hipertensi dapat diatasi salah satunya dengan mengembangkan program penyuluhan kesehatan bagi masyarakat baik di internal puskesmas maupun dilakukan di posyandu. Sehingga, pengontrolan tekanan darah dapat dilakukan secara optimal untuk menjalankan hidup yang lebih baik. Kata Kunci : Hipertensi, Pengontrolan Tekanan Darah, Sikap, Pengetahuan

2020 ◽  
Vol 8 (2) ◽  
pp. 146
Author(s):  
Siska Maytasari ◽  
Ratu Ayu Dewi Sartika

Background: Abnormalities of the heart and blood vessels marked by an increase in blood pressure are known as hypertension. Worldwide, high blood pressure is estimated to affect more than one in three adults aged 25 years and over, or about one billion people. Overall, high-income countries have a lower prevalence of hypertension (35% of adults) than low and middle-income groups (40% of adults). The prevalence of hypertension in Indonesia based on the Basic Health Research (Riskesdas) data in 2018 was 34.1%. Objective: This study determines the relationship of family support, social support, and health worker support with compliance of hypertensive patients. Methods: This research was conducted at the Tegal Gundil Community Health Center, North Bogor District, Bogor City, Indonesia, which was conducted from May to December 2017. The design of this study was cross-sectional. Sampling was carried out with a purposive sampling method with inclusion and exclusion criteria. The former consisted of all hypertensive patients aged 25-65 years who routinely control during the last six months who are present and willing to be interviewed during the study. The later includes hypertensive patients who have memory disorders with the number of samples of 110 respondents. Results: The results showed the respondents were dominated by the age of under 59 (75.5%), female (86.4%), junior high school as the highest education (68.2%), have no job (81.8%), and the prevalence of their sufferers’ compliance was 47.3%. The results of the Chi-square test showed that family support, social environment, and health workers were associated with compliance in hypertensive patients (OR = 2.461; CI 95% 1.140 to 5.310; P Value = 0.034). Conclusion: In order to improve compliance of patients with hypertension, it is necessary to pursue a program of activities focused on health promotion activities not only for patients but also involving family and social members.


2019 ◽  
Vol 11 (4) ◽  
pp. 251-260
Author(s):  
Putra Agina Widyaswara Suwaryo ◽  
Wahyu Tri Widodo ◽  
Endah Setianingsih

Stroke adalah suatu penyakit cerebrovascular dimana terjadinya gangguan fungsi otak yang berhubungan dengan penyakit pembuluh darah yang mensuplai darah ke otak. Seperempat dari seluruh kejadian stroke adalah stroke. Faktor yang mempengaruhi stroke diantaranya kebiasaan meminum kopi, perilaku merokok, kurangnya aktifitas fisik, tidak melakukan kontrol tekanan darah secara rutin,  dan stres. Tujuan penelitian ini untuk mengetahui faktor-faktor risiko yang mempengaruhi kejadian stroke di RS PKU Muhammadiyah Sruweng. Penelitian ini menggunakan metode korelasional dengan pendekatan cross-sectional. Sampel dalam penelitian ini adalah 38 pasien yang diambil secara simple random sampling. Instrumen berupa lembar kuesioner. Data dianalisa menggunakan analisa deskriptif dan korelatif menggunakan uji chi square. Hasil penelitian didapatkan tidak ada pengaruh kebiasaan meminum kopi dan merokok dengan kejadian stroke. Ada pengaruh pengaruh aktifitas fisik, kontrol tekanan darah secara rutin, dan stres dengan kejadian stroke. Penelitian selanjutnya dapat dikembangkan dengan melakukan penelitian intervensi seperti memberikan penyuluhan terkait cara meningkatkan aktifitas fisik, dan menurunkan stres serta keteraturan minum obat.  Kata kunci: faktor risiko, aktifitas fisik, tekanan darah, stres, stroke THE RISK FACTORS THAT INFLUENCE THE INCIDENCE OF STROKE   ABSTRACT Stroke is a cerebrovascular disease in which the occurrence of brain function disorders associated with vascular disease that supplies blood to the brain. A quarter of all stroke events are strokes. Factors affecting stroke include coffee drinking habits, smoking behavior, lack of physical activity, not exercising routine blood pressure control, and stress. The purpose of this study was to determine the risk factors that influence the incidence of stroke in PKU Muhammadiyah Sruweng Hospital. This study uses a correlational method with a cross-sectional approach. The sample in this study was 38 patients taken by simple random sampling. The instrument was in the form of a questionnaire sheet. Data were analyzed using descriptive and correlative analysis using chi square test. The results showed there was no effect of the habit of drinking coffee and smoking with the incidence of stroke. There is an influence of physical activity, routine blood pressure control, and stress with the incidence of stroke. Further research can be developed by conducting intervention studies such as providing counseling related to how to increase physical activity, and reduce stress and regular medication.  Keywords: risk factors, physical activity, blood pressure, stress, stroke


2017 ◽  
Vol 5 (2) ◽  
pp. 174 ◽  
Author(s):  
Destiara Hesriantica Zaenurrohmah ◽  
Riris Diana Rachmayanti

Hypertension is a main cause of morbidity and mortality in Indonesia, thus the treatment of this disease commonly done in every level of health facilities. Based on Riskesdas 2013 the most diseases toward elderly is Hypertention up to 57.6% followed by arthritis (51.9%) and stroke (46.1%). Based on blood pressure measurement in Posyandu Melati known most of elderly have prehypertension. This research aimed to analyze the relationship between knowledge, hypertention history and blood pressure control of elderly in Posyandu Melati, Ampel sub district, Semampir distric, Surabaya City. This research was an observational research with cross sectional approach. Subjects of the research were drawn from the population using total population with inclusive criteria was elderly that had come to the Posyandu Melati. Number of samples obtained was 50 elderies. Primary data were collected using questionnaires. Analysis data has done using univariate and bivariate analysis. After being analyzed, data processed by chi square statistical test. The result of bivariate analysis was found that variables associated with hypertension history and blood pressure control (p = 0.019). The conclusion which could be drawn were knowledge was unassociated with blood pressure control. Hypertension history has low associated with blood pressure control. There is needs of education or health promotion for elderlies through counseling and medias.Keywords: knowledge, hypertension history, blood pressure control


PLoS ONE ◽  
2018 ◽  
Vol 13 (8) ◽  
pp. e0202604 ◽  
Author(s):  
Markus P. Schneider ◽  
Karl F. Hilgers ◽  
Matthias Schmid ◽  
Silvia Hübner ◽  
Jennifer Nadal ◽  
...  

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Rasaq Adisa ◽  
Olumide Ayodeji Ilesanmi ◽  
Titilayo Oyelola Fakeye

Abstract Background Treatment adherence play important roles in blood pressure control leading to reduction in morbidity and mortality. This study therefore assessed adherence to pharmacological and non-pharmacological therapies among ambulatory hypertensive patients. Reasons for treatment non-adherence, and association between adherence and blood pressure were also investigated. Methods Cross-sectional questionnaire-guided interview and retrospective review of medical records of 605-patients from two-tertiary healthcare institutions in Sokoto, Northwestern Nigeria. Nine-item modified Morisky adherence scale was used to assess medication adherence. Overall adherence score to lifestyle modifications was obtained from the total scores from 4-domains of non-pharmacological measures including cigarette smoking and alcohol cessation, salt-restriction and exercise. Patient-specific adherence education was provided at contact to resolve the knowledge gap(s). Clinical-parameters were retrieved at contact and subsequent 2-months appointment. Descriptive statistics, Chi-square and Student’s t-test were used for analysis at p < 0.05. Results Fifty-four (8.9%) patients were adherent to medications. Forgetfulness (404; 35.2%) was the most common reason for medication non-adherence. Use of buddy/companion reminder (605, 30.2%) top the list of adherence education. Overall adherence to lifestyle modifications was 36(6.0%). Mean systolic blood pressure (SBP) at contact was 149.6 ± 22.5 versus 134.2 ± 15.8 mmHg at 2-months with a 10% reduction. There were significant associations in baseline SBP for patients with or without adherence to medication, cigarette smoking cessation, and exercise (p < 0.05). Conclusions Overall adherence to antihypertensive medications and lifestyle modifications is suboptimal, underscoring the need for continuous patient-specific adherence education to ensure better therapeutic outcomes.


2020 ◽  
Vol 4 (2) ◽  
pp. 66
Author(s):  
Yusmawarnita Zai ◽  
Kandrinus Bu’ulolo ◽  
Novy Fajariani ◽  
Yasozatulo Hulu ◽  
Ruslan Efendi Gulo ◽  
...  

Stroke is a condition where a part of the brain is suddenly disturbed which is caused by a lack of blood supply, which causes an inhibition of metabolic processes. As a result of a stroke affects the psychological function of the patient, so the patient feels his level of self-esteem decreases or is low. The role and support of families play an important role in the rehabilitation process to provide health services for stroke patients. The aim is to find out the relationship of family support with the level of self esteem (self-esteem) in stroke patients at the Royal Prima Medan Hospital in 2019. The design used a "cross sectional study" approach with a population of 2,690 people. Samples were stroke patients at RSU Royal Prima medan, as many as 25 respondents using accidental sampling techniques and questionnaires as research instruments. The test used is the chi-square test. The results of the study Based on the chi-square test found p value (<0.05) statistically shows that there is a relationship between family support and the level of self esteem (self-esteem) in stroke patients specifically there is a relationship between informational support (p-value = 0.009), assessment support (p-value = 0.003), Instrumental support is obtained (p-value = 0.009), Emotional support (p-value = 0.004) with the level of self esteem (self-esteem) in stroke patients. This research shows that good family support will positively impact the level of self esteem (self-esteem) in stroke patients.


2018 ◽  
Vol 8 (2) ◽  
Author(s):  
Uliyatul Laili

Analysis of factors Affecting The Participant Pregnant Women Gymnactics in BPS Nina Surabaya. Pregnant women should get treatment during pregnancy. Treatment during pregnancy or antenatal care can be done via examination of pregnancy, pregnancy exercise, nutrition and other compliance requirements. Pregnancy exercise is an exercise undertaken to prepare and train the muscles so that it can be used to function optimally in a normal delivery.This study uses an analytical method with cross sectional design prospective. Sampling using total sampling technique. The independent variable is education, parity and maternal knowledge, while the dependent variable is exclusive breastfeeding. Data were analyzed using chi square test.The results showed a correlation between age and support of husband / family with the participation of pregnant women during pregnancy exercise with a p-value of <0.05, whereas for education and parity are not related to the participation of pregnant women against pregnancy exercise with a value of p>0.05.The conclusions of this study are the factors that influence the participation of pregnant women during pregnancy exercise is aged and the support of husband / family.


2020 ◽  
Vol 5 (3) ◽  
pp. 111-119
Author(s):  
Wen-Wen Li ◽  
Donna Lew ◽  
Linda Quach

Purpose: To develop and pilot test the efficacy of a culturally and linguistically sensitive, community health coach (CHC)-based intervention in Chinese immigrants in improving blood pressure control and medication adherence. Design: This study was conducted in 2017 with a cross-sectional design (n = 23). A CHC intervention was implemented using one 25-minute group educational presentation plus one 10-minute question and answer session at baseline, followed by four, 10-minute bi-weekly group question-and-answer sessions. Findings: There was a significant reduction in both systolic and diastolic blood pressure from baseline to week 8: Systolic BP −17.33 (±11.32) (p < 0.005) and diastolic BP −9.58 (±6.57) (p < 0.005). The mean score for medica- tion adherence was 10.56 (±3.24) (possible range 3–15) at baseline and there was no significant change at week 8 (mean 10.89 ± 3.95) (p = 0.86). Conclusion: The CHC-based hypertension management program showed significant reductions in both systolic and diastolic blood pressures in Chinese immigrants. Since the proposed CHC-based hypertension management program is low cost and easy to establish, further investigation is recommended to generate more results for comparison. Practice Implications: There is potential for the CHC intervention to be implemented in clinical settings to help Chinese immigrants at large achieve optimal blood pressure control.


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