scholarly journals Efektivitas Daun Seledri terhadap Penurunan Tekanan Darah pada Penderita Hipertensi di Puskesmas Pembantu Berngam Kota Binjai Tahun 2021

2021 ◽  
Vol 6 (2) ◽  
pp. 112
Author(s):  
Irma Handayani ◽  
Sri Wahyuni

Hypertension is an increase in blood pressure by providing further symptoms to a target organ including stroke (in the brain), coronary heart disease (in the heart blood vessels) and right ventricular hypertrophy or left ventricular hypertrophy (for the heart muscle). The target organ in the brain is in the form of stroke, hypertension is the main cause of stroke which brings high mortality. Management of hypertension can be managed with non-pharmacological measures such as giving celery leaves. The purpose of the study was to analyze the effectiveness of giving celery leaves to reduce blood pressure in patients with hypertension at the Pembantu Berngam Health Center, Binjai City in 2021. This type of research was a quasi-experimental design with a pretest-posttest control group design with one type of treatment. This study uses an intervention that is giving celery leaves by boiling. The intervention was given once in the morning by giving 100 grams of boiled celery for 5 days. The number of samples of 30 respondents with 15 people as the control group and 15 people in the intervention group were taken by accidental sampling. The results of the average blood pressure before and after giving boiled celery in the treatment group with systolic blood pressure p-value is 0.00, diastolic blood pressure p-value is 0.00. The results of statistical tests using the Wilcoxon test for both systolic and distolic pressure in the group not given celery were tilapia p-value > 0.05, namely systolic pressure p-value 0.07 and distolic p-value 0.05. The results of the Mann Whitney U statistical test analysis for systolic and distolic blood pressure obtained a p-value of 0.047 and a diastolic pressure p-value of 0.01 or a p-value <0.05, which means that there is an effectiveness of giving celery leaves in reducing blood pressure in hypertensive patients at the Berngam Binjai sub-health center. It is hoped that health workers will be able to apply complementary therapy to patients with hypertension in maintaining and lowering blood pressure.

2019 ◽  
Vol 9 (02) ◽  
pp. 80-87
Author(s):  
Dewi Rury Arindari ◽  
Hendi Rifqi Alhafis

One in ten adults in the world has high blood pressure. World Health Organization (WHO) year (2016) called hypertension as "an epidemic that spreads beyond. Management of hypertension from it all can be prevented through nonpharmacological therapy that is by exercising regularly. According to data obtained from the Alang-Alang Lebar Public Health Center in Palembang it is known that the number of hypertensive sufferers in 2018 is 1,781 people. The purpose of this study was to determine the effect of hypertension exercise on blood pressure reduction in the Alang - Alang Lebar Puskesmas Work Area in 2019. This research method uses Quasy Experiment with a Non-Equivolent Control Group. The population of this study was all hypertension sufferers in the Work Area of Alang-Alang Lebar Health Center in Palembang in January - March 2019 as many as 84 people. The sample used in this study was a portion of the population, namely some patients with hypertension in the Alang-Alang Lebar Puskesmas Work Area in Palembang totaling 30 respondents. Data analysis uses univariate and bivariate analysis. The results showed an average value of blood pressure in the control group before hypertension was 160.56/100.56 mmHg and the intervention group averaged 159.4/96.6 mmHg. After hypertension gymnastics, the mean blood pressure in the control group was 160/99.44 mmHg and in the intervention group the average value was 136.11/93.89 mmHg. The results of the bivariate analysis revealed that there was an effect of hypertension exercise on the reduction of blood pressure in the Work Area of Palembang Alang-Alang Lebar Health Center in 2019 p value = 0,000. The results of this study can be used as one of the considerations in providing alternative non-pharmacological therapies in non-communicable disease (PTM) programs at the Alang-Alang Lebar Health Center in Palembang.


2020 ◽  
Vol 2 (3) ◽  
pp. 111
Author(s):  
Endhar Arifathul Farida ◽  
Ilham Setyo Budi ◽  
Jamaludin Jamaludin

Hypertension is classified as a disease that is often called the Silent Killer. Hypertension can attack various ages, including the elderly. Hypertension in the long term will cause various complications. In the Treatment of hypertension, many natural plants can be consumed, one of which is star fruit. Sweet starfruit juice is very useful for lowering blood pressure because of its fibre, potassium, phosphorus and vitamin C content.  This study was to determine the effect of starfruit juice on lowering blood pressure in elderly people with hypertension at the integrated service centre in the working area of Rejosari Dawe Kudus Public Health Center. This study used a Quasy experiment method with a pre-test-post-test research design with a control group. A sample of 20 people, divided into two groups, namely 10 people in the experimental group and 10 people in the control group.  The results of the independent t-test, the results of the posttest systolic blood pressure p-value = 0.004, while the diastolic blood pressure posttest p-value = 0.014, so it can be seen that the p-value <0.05, then H0 is rejected and Ha is accepted.  In this study, it can be concluded that there is an effect of giving star fruit juice on reducing blood pressure in elderly people with hypertension at the integrated service centre in the working area of the Rejosari Dawe Kudus Community Health Center. 


2016 ◽  
Vol 13 (4) ◽  
pp. 60-65
Author(s):  
N V Blinova ◽  
Yu V Zhernakova ◽  
I E Chazova ◽  
E V Oshchepkova

Aims: to study the target organ damage in patients with metabolic syndrome (MS) and arterial hypertension (AH) 1 degree. Design and methods. We included 20 healthy volunteers and 60 patients with MS, AH 1 degree and dyslipidemia. Office blood pressure, 24-hour ambulatory blood pressure monitoring, measurements of the endothelial vasoactive mediators, carotid ultrasonography and echocardiography had performed at baseline. Results. The majority of patients with MS and AH 1 degree had metabolic abnormalities; the levels of vasoactive mediators were higher in comparison with control group; 30% of patients had signs of atherosclerotic process in carotid arteries; 40% of patients had left ventricular hypertrophy. Conclusion: the results showed high prevalence of target organ damage in patients with MS and AH 1 degree.


2019 ◽  
Author(s):  
Amira . ◽  
Muhlisa . ◽  
Tri Johan

Completeness of nursing documentation is one of the quality indicators of nursing care. Based on the nursing practice law no. 38 article 37, nurses in carrying out Nursing Practices are obliged to document Nursing Care in accordance with the standards. Documentation in Inpatient PKM consisting of Siko, Jambula, and Sulamadaha PKM itself, based on the observations of researchers found several obstacles, namely, the lack of nurses given the large number of PKM programs that must be run, varying levels of education so documentation has a different understanding, this also supported by the lack of education and training related to temporary nursing care documentation relating to the Nursing Process and Documentation experiencing some recent changes. The purpose of this study was to determine the effect of applying the nursing documentation format for the model Problem-Oriented Record (POR) on the performance of nurses in the Inpatient Health Center in Ternate City. The design of this study is quasi-experimental, namely, pre and post-test without control group. The population is nurses with 41 people in PKM Inpatient who are in Ternate City. Samples were taken by total sampling technique and analyzed using statistical tests t-test, Anova, and correlation. The results of the study found a significant difference between the performance of nurses before and after the application of the documentation format for nursing care in the POR model (p-value: 0,0005 α: 0.05) while the characteristics of respondents included age, sex, marital status, length of work and education had no effect on performance.


Author(s):  
Siska Sakti Anggraini ◽  
Siti Aisyah Nur ◽  
Honesty Diana Morika ◽  
Ratna Indah Sari Dewi

Background: Hypertension is called the silent killer because it does not provide specific symptoms, it can increase the incidence of strokes, heart attacks, chronic kidney disease if not controlled and controlled properly. Management of hypertension is generally with pharmacological therapy that has not shown improvement. Non-pharmacological treatment using rosella flower tea which functions to open blood vessels wider, reduce blood viscosity and increase urine production so as to reduce blood volume. The purpose of this study was to study the effect of rosella tea on reducing blood pressure in hypertensive patients.  Methods: This study uses a quasi-experiment design with the two-group pre-test and post-test design approach. This research was conducted on patients with hypertension at the Padang city health center with an intervention group of 16 respondents and a control of 16 respondents. Data analysis in this study used univariate and bivariate using independent t-test statistics.  Results: The results of the study showed the average blood pressure in the systolic pretest intervention group 147.81 for 94.69 diastole and posttest systole 129.06 posttest diastole 78.75 while the control group for systole pretest 154.6 for diastole 96.25 and posttest without posttest treatment systole 129.06 postest diastole 78.75. Obtained a p value 0,000 statistical test for systole and a p value 0,000 diastole.  Conclusions: There is an effect of rosella flower tea on reducing blood pressure in patients with hypertension at the Padang city health center.


2021 ◽  
Vol 7 (1) ◽  
pp. 27
Author(s):  
Happy Marthalena Simanungkalit ◽  
Muliana Muliana

Diarrhea is currently still the third leading cause of under-five mortality after pneumonia. Diarrhea is one of the diseases that causes death and illness in toddlers every year. One result of diarrhea is nutritional disorders due to reduced food intake, vomiting, hypoglycemia, dehydration which causes metabolic balance disorders because fluid intake is not balanced with expenditure through vomiting and diarrhea. The purpose of this study was to determine the difference in the duration of diarrhea when giving tempeh porridge to toddlers at the Puruk Cahu Health Center. The design of this study is analytic research with this type of research is Quasi Experiment using the design of the Group Control Post Test Only Design. The population in this study were toddlers who had acute diarrhea in the working area of ​​Puruk Cahu Health Center, Murung Raya Regency and the sample size was 38 people (19 people as the control group and 19 experimental groups). The statistical test used in this study was the Mann Whitney test. The results of statistical tests using the Mann Whitney test found that p value = 0.002 means the value of p value < alpha (0.05), meaning that there is an effect of giving tempe porridge to the duration of diarrhea at Puruk Cahu Health Center. Diarrhea in the group that was not given tempeh porridge lasted longer than the group that was given tempeh porridge. The Conclusion is that there is a difference in the duration of acute diarrhea in the administration of tempe porridge for toddlers at the Puruk Cahu Health Center.


2021 ◽  
Author(s):  
Ying Tang ◽  
Li Shen ◽  
Danyan Xu ◽  
Jing-hui Bao

Abstract Background:Left ventricular hypertrophy (LVH) is the most common target organ damage in hypertension. In addition to the increased left ventricular afterload, immune injury participates in LVH pathogenesis. CD4+CD25+Foxp3+ regulatory T lymphocytes (Tregs) are a T cell subset with immunomodulatory effects; abnormal Treg numbers or functions can cause immune disorders. This study aimed to explore the role of Tregs in LVH by investigating circulating Tregs and associated cytokine levels in hypertensive patients with LVH.Methods:Blood samples were collected from 69 healthy individuals (control group, CG), 91 hypertensive patients with LVH (LVH group) and 83 hypertensive patients without LVH (essential hypertension, EH group). Circulating Tregs and associated cytokines were measured by flow cytometry and enzyme-linked immunosorbent assays, respectively.Results:Circulating Tregs were significantly lower in EH and LVH patients than in CG subjects. The circulating Treg level was lower in LVH patients than in EH patients. No correlation between blood pressure regulation and Treg levels was found in EH or LVH patients. Furthermore, circulating Tregs in postmenopausal females were lower than those in males among LVH patients. Additionally, serum IL-10 and transforming growth factor (TGF)-β1 were decreased in EH and LVH patients, and the serum IL-6 level was significantly increased in LVH patients. Circulating Tregs were negatively correlated with CK, LDL, apoB, high-sensitivity C-reactive protein and left ventricular mass index values.Conclusion:Our study is the first to demonstrate the significantly decreased circulating Treg proportion in LVH patients. The protective effect of Tregs in LVH is independent of blood pressure regulation. The functional Treg cytokines IL-6, IL-10 and TGF-β1 participate in this immunomodulatory process.Trial registration: The study was approved by the Institutional Medical Ethics Committee of the Second Xiangya Hospital of Central South University (2018/No.046).


2020 ◽  
Vol 2 (1) ◽  
pp. 24
Author(s):  
Nuratma Afini ◽  
Syajaratuddur Faiqah

Menurut data yang diperoleh dari Dinas Kesehatan Provinsi NTB tahun 2017 menunjukkan bahwa cakupan pemberian ASI Eksklusif pada bayi rata-rata di sebesar 77,66%, cakupan ini turun jika tahun 2016 sebesar 86,63%. Berdasarkan data Dinas Kesehatan Kota Mataram tahun 2018 cakupan ASI Eksklusif (AE5) yaitu sebesar 50,66% diseluruh puskesmas Kota Mataram dan di Wilayah Kerja Puskesmas Karang Pule persentasi cakupan ASI yaitu sebesar 27,69%.Tujuan Penelitian untuk mengetahui apakah ada pengaruh pendidikan kesehatan melalui metode demonstrasi mengenai posisi dan perlekatan terhadap kecukupan ASI pada bayi usia 0-6 bulan di kelurahan Karang Pule Wilayah Kerja Puskesmas Karang Pule tahun 2019. Desain penelitian ini menggunakan rancangan Quasi Eksperiment. Dengan teknik pengambilan sampel yaitu Total sampling dimana semua populasi bayi usia 0-6 bulan dijadikan sampel berjumlah 38 orang. Uji hipotesis menggunakan uji Wilcoxon dan Mann Whitney U-test. Pada kelompok intervensi nilai minimal-maksimal keterampilan sebelum diberikan pendidikan kesehatan untuk  kelompok intervensi didapatkan hasil (8-16), pada posttest didapatkan hasil (13-19). Sedangkan pada kelompok kontrol dengan nilai minimal-maksimal didapatkan hasil nilai pretest (8-11) dan pada posttest didapatkan hasil (18-18). Uji analisis keterampilan menggunakan uji Wilcoxon pada kelompok intervensi didapatkan hasil p value = 0.000 dan kelompok kontrol hasil p value = 0.000. hasil uji Mann Whitney untuk kecukupan ASI didapatkan hasil nilai p value = 0.039. terdapat pengaruh yang signifikan pendidikan kesehatan melalui metode demonstrasi terhadap kecukupan ASI pada bayi usia 0-6 bulan. Terdapat pengaruh pendidikan kesehatan melalui metode demonstrasi mengeani posisi dan perlekatan terhadap kecukupan ASI ada bayi usia 0-6 bulan di Kelurahan Karang Pule Wilayah Kerja Puskesmas Karang Pule Tahun 2019. According to data obtained from the NTB Provincial Health Office in 2017 shows that the coverage of Exclusive Breastfeeding for infants is at an average of 77.66%, this coverage decreases if 2016 is 86.63%. Based on data from the City of Mataram Health Office in 2018 Exclusive breastfeeding coverage (AE5) is 50.66% in all Mataram City health centers and in the Karang Pule Community Health Center Working Area, the percentage of ASI coverage is 27.69%.Objectives to find out whether there is an effect of health education through demonstration methods regarding the position and attachment to the adequacy of breastfeeding in infants aged 0-6 months in Karang Pule Village, Karang Pule Health Center Working Area in 2019.The design of this study used the Quasi Experiment design. With the sampling technique that is Total sampling where all populations of infants aged 0-6 years were sampled as many as 38 people. Test the hypothesis using the Wilcoxon test and the Mann Whitney U-test.in the intervention group the minimum score of skills before being given health education for the intervention group was obtained (8-16), in the posttest the results were obtained (13-19). Whereas in the control group with the minimum-maximum value obtained the results of the pretest (8-11) and the posttest results (18-18). Test the skills analysis using the Wilcoxon test in the intervention group obtained results p value = 0,000 and the control group results p value = 0,000. The results of the Mann Whitney test for the adequacy of ASI were obtained by the value of p value = 0.039. there is a significant effect of health education through the demonstration method on the adequacy of breastfeeding in infants aged 0-6 months.There is the influence of health education through demonstration methods to treat the position and attachment to the adequacy of breast milk there are infants aged 0-6 months in Karang Pule Village Karang Pule Health Center Working Area in 2019


2021 ◽  
Vol 2021 ◽  
pp. 1-14
Author(s):  
Shan Tu ◽  
Zhi-Jie Shen ◽  
Xiao-Yan Wang ◽  
Li-Xiong Zeng ◽  
Zhi-Hui Zhang

This study explored the effects of renal sympathetic denervation (RDN) on hyperlipidity-induced cardiac hypertrophy in beagle dogs. Sixty beagles were randomly assigned to the control group, RDN group, or sham-operated group. The control group was fed with a basal diet, while the other two groups were given a high-fat diet to induce model hypertension. The RDN group underwent an RDN procedure, and the sham-operated group underwent only renal arteriography. At 1, 3, and 6 months after the RDN procedure, the diastolic blood pressure (DBP) and systolic blood pressure (SBP) levels were markedly decreased in the RDN group relative to the sham group ( P < 0.05 ). After 6 months, serum norepinephrine (NE) and angiotensin II (AngII), as well as left ventricular levels, in the RDN group were statistically lower than those in the sham group ( P < 0.05 ). Also, the left ventricular mass (LVM) and left ventricular mass index (LVMI) were significantly decreased, while the E/A peak ratio was drastically elevated ( P < 0.05 ). Pathological examination showed that the degree of left ventricular hypertrophy and fibrosis in the RDN group was statistically decreased relative to those of the sham group and that the collagen volume fraction (CVF) and perivascular circumferential collagen area (PVCA) were also significantly reduced ( P < 0.05 ). Renal sympathetic denervation not only effectively reduced blood pressure levels in hypertensive dogs but also reduced left ventricular hypertrophy and myocardial fibrosis and improved left ventricular diastolic function. The underlying mechanisms may involve a reduction of NE and AngII levels in the circulation and myocardial tissues, which would lead to the delayed occurrence of left ventricular remodeling.


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