scholarly journals Pemberdayaan Masyarakat Terkait Pengaruh Obat Herbal dan Upaya Meningkatkan Manajemen Hipertensi

2021 ◽  
Vol 4 (3) ◽  
pp. 231-238
Author(s):  
Athia Fidian ◽  
Yunita Safitri ◽  
Avinda Yunita S ◽  
Munawar Munawar ◽  
Ravi Lukman H

Abstract: Hypertension is a chronic disease and the number one killer in the world. Hypertension can attack almost all groups of people around the world, where the number of people who experience hypertension is increasing from year to year. Efforts can be made to reduce the incidence, such as taking blood pressure measurements or health checks, counseling about hypertension and treatment or handling to lower blood pressure. The village of Danurejo, especially in the hamlet of Japunan, is ranked fourth and fourth for people with hypertension. Lack of knowledge about hypertension management is one of the causes. This activity aims to increase public knowledge about hypertension and control the increase in blood pressure with herbal plants that are proven to reduce blood pressure, namely cucumber and celery. The results of the analysis with a comparison table, the results obtained that there are changes between before and before the administration of herbal medicines and health education. The average before the measurement of blood pressure is smaller than before the intervention, thus showing the influence of the administration of herbal medicine and health education. The implications of giving herbal medicines and health education can be used to increase the knowledge of citizens regarding hypertension management, so as to improve the quality of life of the elderly.Keywords: hypertension; hypertension management; herbal drug therapy Abstrak: Penyakit hipertensi merupakan penyakit bersifat menetap dan pembunuh nomor satu di dunia. Hipertensi dapat menyerang hampir semua golongan masyarakat diseluruh dunia, dimana jumlah masyarakat yang mengalami hipertensi semakin bertambah dari tahun ke tahun. Upaya yang dapat dilakukan untuk menurunkan angka kejadian hipertensi diantaranya melakukan kegiatan pengukuran tekanan darah atau pemeriksaan kesehatan, penyuluhan mengenai penyakit hipertensi dan pengobatan atau penanganan untuk menurunkan tekanan darah. Desa Danurejo terutama di dusun Japunan menjadi peringkat keempat untuk penderita hipertensi. Rendahnya pengetahuan tentang manajemen hipertensi menjadi salah satu penyebabnya. Kegiatan ini bertujuan untuk meningkatkan pengetahuan masyarakat tentang penyakit hipertensi dan mengontrol peningkatan tekanan darah dengan tanaman herbal yang sudah terbukti dapat menurunkan tekanan darah yaitu mentimun dan seledri. Hasil analisis dengan tabel perbandingan, didapatkan hasil bahwa terdapat perubahan antara sebelum dan sesudah pada pemberian obat herbal dan pendidikan kesehatan. Rata-rata sesudah pengukuran tekanan darah lebih kecil dari sebelum intervensi, sehingga menunjukan adanya pengaruh dari pemberian obat herbal dan pendidikan kesehatan. Implikasi pemberian obat herbal dan pendidikan kesehatan dapat di terapkan untuk meningakatkan pengetahuan warga terkait manajemen hipertensi, sehingga dapat meningkatkan kualitas hidup lansia.Kata kunci: hipertensi; manajemen hipertensi; terapi obat herbal

2016 ◽  
Vol 12 (2) ◽  
pp. 77-93 ◽  
Author(s):  
Leonidas Anthopoulos ◽  
Marijn Janssen ◽  
Vishanth Weerakkody

Smart cities have attracted an extensive and emerging interest from both science and industry with an increasing number of international examples emerging from all over the world. However, despite the significant role that smart cities can play to deal with recent urban challenges, the concept has been being criticized for not being able to realize its potential and for being a vendor hype. This paper reviews different conceptualization, benchmarks and evaluations of the smart city concept. Eight different classes of smart city conceptualization models have been discovered, which structure the unified conceptualization model and concern smart city facilities (i.e., energy, water, IoT etc.), services (i.e., health, education etc.), governance, planning and management, architecture, data and people. Benchmarking though is still ambiguous and different perspectives are followed by the researchers that measure -and recently monitor- various factors, which somehow exceed typical technological or urban characteristics. This can be attributed to the broadness of the smart city concept. This paper sheds light to parameters that can be measured and controlled in an attempt to improve smart city potential and leaves space for corresponding future research. More specifically, smart city progress, local capacity, vulnerabilities for resilience and policy impact are only some of the variants that scholars pay attention to measure and control.


2018 ◽  
Vol 11 (2) ◽  
pp. 83
Author(s):  
Hadi Kusuma Atmaja ◽  
Dina Fithriana

Abstract: The more a person’s age will affect the physical change. It may cause a change of cardiovascular system. One of ailments caused by cardiovascular change is hypertension. It is a leading cause of death in the world. One of the hypertension management is Yoga that can cause vasodilation of blood vessels and blood flow thus it can lower blood pressure. The purpose in the study was to identify the effectiveness of Yoga gymnastics compared by Aromatherapy massage using Lavender to decrease blood pressure in Nursing Home of Tresna Werda Puspakarma Mataram. The research used pre-experimental design namely two group pretest-posttest designs with sampling technique was purposive sampling. The sample was 20 respondents in each group that in accordance with criteria which have been set. The instrument was observation guideline and data analysis employed t-test. The result of statistical test on 9 respondents in each treatment group indicated there was a significant change of respondents’ blood pressure who were given either Yoga exercises or Aromatherapy massage using Lavender with t-count was higher than t-table (2.26), whereas Aromatherapy massage (t-count = 7.30) was more effective than Yoga activity (t-count = 4.296) to decrease blood pressure in Elderly. It can be concluded that Aromatherapy massage using Lavender is more effective than Yoga activity in decreasing Elderly’s blood pressure in Nursing House of Tresna Werda Puspakarma Mataram. This research is expected to be applied as one of therapy to figure out the increasing of blood pressure especially in Elderly.


2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
A Passi ◽  
P Margozzini ◽  
J Mindell ◽  
M Ruiz ◽  
S Scholes

Abstract Hypertension is the highest attributable risk of death worldwide, causing 7.1million deaths annually, and it is the primary cause of cardiovascular morbidity and mortality. In Chile, around one-in-three adults are living with this chronic health condition. Chilean evidence has shown inequalities in hypertension prevalence by various measures of socioeconomic position (SEP). However, information on SEP inequalities in the three key aspects of hypertension management (awareness, treatment, and control of high blood pressure), is only partially known. Purpose To assess SEP inequalities in hypertension prevalence and management in Chilean adults. Methods Data came from the Chilean National Health Surveys (ENS) 2003, 2010 and 2017. Years of formal education was used as the SEP measure. Age-and gender-specific Slope and Relative Indices of Inequalities (SII and RII) were calculated for the prevalence of hypertension (mean SBP ≥140mmHg, DBP ≥90mmHg, or current medication use to lower blood pressure) and for each management outcome. Results Analytical sample comprised 3,426; 4,838 and 5,373 participants aged ≥17y with blood pressure measurements for years 2003, 2010 and 2017, respectively. Prevalence of hypertension was 32.4%, 32.2% and 30.8% for the years 2003, 2010 and 2017, respectively. According to the SII and RII, males and females aged <65y showed higher hypertension prevalence among those with fewer years of education in 2003, 2010 and 2017. Among those classed as hypertensive, levels of awareness increased from 59.4% in 2003 to 65.9% in 2017. Over the same time period, levels of treatment increased from 39.0% to 65.2%, and levels of control increased from 14.1% to 23.9%. SEP inequalities in hypertension management – with better outcomes for the most educated – were highest among females aged ≥65y. Conclusion Introduction of universal access to care for hypertension in Chile in 2005 accounted partly for the rise of hypertension management levels since 2003. According to local and international strategies for the prevention and control of noncommunicable diseases, there is room for improvement. However, improvements should have a specific focus on SEP inequalities. Acknowledgement/Funding Chilean Ministry of Health


2020 ◽  
Vol 22 (Supplement_H) ◽  
pp. H40-H42
Author(s):  
Xin Chen ◽  
Yan Li ◽  
Zhe Hu ◽  
Min Liu ◽  
Jing Yu ◽  
...  

Abstract To further improve awareness, treatment, and control of hypertension, the May Measurement Month (MMM) campaign continued in 2018 in China. Study subjects were adults aged 18 years or more, ideally those who had not their blood pressure (BP) measured for at least a year. Blood pressure was measured three times consecutively with a 1-min interval in the sitting position, using automated BP monitors in 288 342 participants and transmitted to a central database by a smartphone app. Questionnaire data were collected with the same app. After imputation, the overall proportion of hypertension was 29.8%. Of those with hypertension, the rates of awareness, treatment, and control were 62.3%, 57.3%, and 35.9%, respectively. In analysis based on linear regression models, both systolic and diastolic BP were higher with cigarette smoking, alcohol intake, and overweight and obesity. Our study results suggest that hypertension management is improving in comparison with the data in MMM 2017 and the nationwide survey in 2012–15, and several known lifestyle factors are key to hypertension management.


PLoS ONE ◽  
2021 ◽  
Vol 16 (10) ◽  
pp. e0258406
Author(s):  
Mahesh Kumar Khanal ◽  
Pratiksha Bhandari ◽  
Raja Ram Dhungana ◽  
Pratik Bhandari ◽  
Lal B. Rawal ◽  
...  

Background Hypertension is a major global public health problem. Elevated blood pressure can cause cardiovascular and kidney diseases. We assessed the effectiveness of health education sessions and home support programs in reducing blood pressure among patients with uncontrolled hypertension in a suburban community of Nepal. Methods We conducted a community-based, open-level, parallel-group, cluster randomized controlled trial in Birendranagar municipality of Surkhet, Nepal. We randomly assigned four clusters (wards) into intervention and control arms. We provided four health education sessions, frequent home and usual care for intervention groups over six months. The participants of the control arm received only usual care from health facilities. The primary outcome of this study was the proportion of controlled systolic blood pressure (SBP). The analysis included all participants who completed follow-up at six months. Results 125 participants were assigned to either the intervention (n = 63) or the control (n = 62) group. Of them, 60 participants in each group completed six months follow-up. The proportion of controlled SBP was significantly higher among the intervention participants compared to the control (58.3% vs. 40%). Odds ratio of this was 2.1 with 95% CI: 1.01–4.35 (p = 0.046) and that of controlled diastolic blood pressure (DBP) was 1.31 (0.63–2.72) (p = 0.600). The mean change (follow-up minus baseline) in SBP was significantly higher in the intervention than in the usual care (-18.7 mmHg vs. -11.2 mmHg, p = 0.041). Such mean change of DBP was also higher in the intervention (-10.95 mmHg vs. -5.53 mmHg, p = 0.065). The knowledge score on hypertension improved by 2.38 (SD 2.4) in the intervention arm, which was significantly different from that of the control group, 0.13 (1.8) (p<0.001). Conclusions Multiple health education sessions complemented by frequent household visits by health volunteers can effectively improve knowledge on hypertension and reduce blood pressure among uncontrolled hypertensive patients at the community level in Nepal. Trial registration ClinicalTrial.gov: NCT02981251


2018 ◽  
Vol 2 (1) ◽  
pp. 343-355
Author(s):  
Hilda Nur Afriani ◽  
Rohman Azzam ◽  
Busrja M.Nur

Objective of this study was to determine the effect of prayer on pre-hemodialysis blood pressure of CRF patients in the hemodialysis room of the Jakarta Islamic Hospital. Data collection was done through purposive sampling. This study examined 32 respondents. The results of the study indicated there was a decrease in blood pressure in the intervention and control groups before and after giving prayers on systolic and diastolic blood pressure. The results of the paired t-test before and after being given prayers in the intervention and control groups produced a sig value of <0.05 in systolic and diastolic blood pressure, which means that there were differences before and after giving prayers. The unpaired t-test results in the intervention and control groups of systolic blood pressure produced a sig value> 0.05, which means that there was no difference between the intervention and control group. On the contrary, diastolic blood pressure produced a sig value <0.05, which means that there were differences between the intervention and control group. Finally, it can be concluded that the provision of a prayer intervention in pre-hemodialysis was effectively proven to reduce blood pressure. Keywords : chronic kidney disease, blood pressure, prayer.


2018 ◽  
pp. 523-540 ◽  
Author(s):  
Leonidas Anthopoulos ◽  
Marijn Janssen ◽  
Vishanth Weerakkody

Smart cities have attracted an extensive and emerging interest from both science and industry with an increasing number of international examples emerging from all over the world. However, despite the significant role that smart cities can play to deal with recent urban challenges, the concept has been being criticized for not being able to realize its potential and for being a vendor hype. This paper reviews different conceptualization, benchmarks and evaluations of the smart city concept. Eight different classes of smart city conceptualization models have been discovered, which structure the unified conceptualization model and concern smart city facilities (i.e., energy, water, IoT etc.), services (i.e., health, education etc.), governance, planning and management, architecture, data and people. Benchmarking though is still ambiguous and different perspectives are followed by the researchers that measure -and recently monitor- various factors, which somehow exceed typical technological or urban characteristics. This can be attributed to the broadness of the smart city concept. This paper sheds light to parameters that can be measured and controlled in an attempt to improve smart city potential and leaves space for corresponding future research. More specifically, smart city progress, local capacity, vulnerabilities for resilience and policy impact are only some of the variants that scholars pay attention to measure and control.


Author(s):  
T. Vidhya ◽  
C. Kanniammal ◽  
Jaideep Mahendra ◽  
G. Valli

Background: Cardiovascular diseases (CVD) are the leading cause of the mortality in urban and rural India and foremost causes of the death worldwide. Hypertension is a major risk condition that plays a pivotal role regarding the complications for those diagnosed with Acute Coronary Syndrome. According to the World Health Organization (2012), hypertension is the number one cause of mortality in the world and it is a major risk factor for cardiac diseases and stroke. Objectives: i) To identify the level of blood pressure (BP) in pre and post test among study and control group of patients with acute coronary syndrome. ii) Determine the effect of cardiac walking on blood pressure among patients with ACS. iii) Associate the selected back ground variables with the level of systolic BP in the post test among study and control group. Methods: A quasi experimental design was adopted for this study. There are 50 Patients diagnosed with ASC admitted for the treatment and attending cardiac OPD were selected by purposive sampling technique of non- probability type. The intervention cardiac walking given for a period of one month to the study group. Findings: The comparison of before and after systolic and diastolic blood pressure (BP) within study group depicted statistically significant difference at **p less than 0.001 but not in control group. The comparison of post systolic and diastolic BP between study and control group inferred that there was statistically significant difference at **p less than 0.001. Conclusion: Cardiac walking is most effective way to stabilize the blood pressure among patients with ACS in order to prevent further complications such as stroke.


Author(s):  
DIAN ISTIANA ◽  
DEWI NUR SUKMA PURQOTI ◽  
FITRI ROMADHONIKA ◽  
Mita Pusparini

Hipertensi sudah menjadi masalah kesehatan yang cukup tinggi di dunia tidak hanya ditemukan pada Negara maju tapi dijumpai juga pada negara- negara berkembang. Ketika tensi berada pada angka diatas 140 mmHg untuk tekanan darah sistolik dan di atas angka 90 mmHg untuk tekanan darah diastolik maka kondisi inilah disebut hipetensi. Hipertensi banyak dijumpai pada lansia, beberapa faktor yang melatarbelakangi lansia mengidap hipertensi antara lain faktor kepekaan terhadap kadar garam, reaktivitas pembuluh darah terhadap vasokonstriktor, pola makan, kebiasaan merokok, stress emosi, kegemukan dan lain-lain. Adapun tata laksana pengendalian tekanan darah tinggi ada dua jenis yaitu pengebotan medis dengan obat-obatan dan pengendalian tanpa obat atau teknik relaksasi yang bertujuan untuk merelaks kan otot-otot dan organ sehingga mampu menurunkan tekanan darah. Tujuan dari kegiatan pengabdian ini adalah pengenalan cara pengendalian tekanan darah berupa pelaksanaan terapi shalat dhuha. Panti Sosial Tresna Werdha Provinsi Nusa Tenggara Barat merupakan mitra pada pelaksanaan pengabdian ini. Metode yang dikukan dalam kegiatan pengabdian ini dengan pelaksanaan terapi shalat dhuha selama 7 hari berturut-turut sebanyak 4 rokaat setiap harinya. Hasil dari kegiatan pengabdian ini didapatkan penurunan tekanan darah setelah dilakukannya terapi shalat dhuha. Setelah  pelaksanaan kegiatan pengabdian ini diharapkan terapi shalat dhuha tetap dilaksanakan secara rutin untuk mengendalikan tekanan darah agar tetap stabil.---Hypertension has become a fairly high health problem in the world not only found in developed countries but also in developing countries. When tension is above 140 mmHg for systolic blood pressure and above 90 mmHg for diastolic blood pressure then this condition is called hipetension. Hypertension is found in the elderly, several factors behind the elderly have hypertension, among others, factors of sensitivity to salt levels, vascular reactivity to vasoconstrictor, diet, smoking habits, emotional stress, obesity and others. As for the procedure of controlling high blood pressure there are two types of medical sabotage with drugs and control without drugs or relaxation techniques aimed at relaxing the muscles and organs so as to lower blood pressure. The purpose of this devotional activity is the introduction of a way of controlling blood pressure in the form of the implementation of dhuha prayer therapy. Tresna Werdha Social Home in West Nusa Tenggara Province is a partner in the implementation of this service. The method carried out in this devotional activity with the implementation of dhuha prayer therapy for 7 consecutive days as many as 4 rokaat every day. The result of this devotional activity was obtained a decrease in blood pressure after the dhuha prayer therapy. After the implementation of this devotional activity, it is expected that dhuha prayer therapy will still be carried out regularly to control blood pressure in order to remain stable.


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