scholarly journals RASIONALITAS PENGGUNAAN OBAT ANTIHIPERTENSI PADA PASIEN HIPERTENSI RAWAT INAP DI RS DAERAH Dr. A. DADI TJOKRODIPO BANDAR LAMPUNG

2021 ◽  
Vol 9 (1) ◽  
pp. 27-35
Author(s):  
Mashuri Yusuf ◽  
◽  
Subur Widodo ◽  
Diah Pitaloka ◽  
◽  
...  

Abstract Hypertension is one of non contagious diseases marked by the increase of systolic blood pressure > 140 mmHg and diastolic blood pressure > 90 mmHg. Hypertension becomes the main risk factor of other cardiovascular diseases. The number of hypertension occurance with or without companion increases every year. The purpose of this research is to know the rationality of anti - hypertension medicine usage on hypertension inpatients at RSUD of Dr. A. Dadi Tjokrodipo Bandar Lampung year of 2019 based on precise patient, precise indication, precise medicine, and precise dosage using reference standard of Guidelines JNCVIII. This research was a descriptive research with data collection of medical record retrospectively. The technique of sample selection used purposive sampling technique. The research results obtained from 82 samples based on the patients’ characteristics of genders such as 50 female patients (60,98%) and 42 male patients (39,02%). The patients’ characteristics based on age obtain mostly the patients are at age of 46-55 years old in the amount of 39 patients (47,6%). The patients’ characteristics based on the pattern of medicine usage obtain the most anti-hypertension used is amlodipin CCB class in the amount of 54 patients (45%). Rationality evaluation of anti-hypertension medicine usage obtains precise patient in the amount of 81 patients (99,8%), precise indication in the amount of 82 patients (100%), precise medicine in the amount of 61 patients (74,4%), and precise dosage in the amount of 82 patients (100%). The conclusion of this research is the usage of hypertension on the hypertension inpatients at Public Hospital of Dr. A. Dadi Tjokrodipo Bandar Lampung is already rational. Keywords: Anti-hypertension, Hypertension, Rationality of Medicine Usage

2021 ◽  
Vol 9 (2) ◽  
pp. 84-91
Author(s):  
Ramadhan Triyadi ◽  
◽  
Akhmad Rokiban ◽  
Anggun Carima ◽  
◽  
...  

Abstract Hypertension is a non-communicable disease characterized by the increase of systolic blood pressure is >140 mmHg and diastolic blood pressure is >90 mmHg. Hypertension is also the major risk factor of other cardiovascular disease. The incidence rate of hypertension with or without complications increases every year, so the potential for inaccurate use of drugs is increasing. The purpose of this research is to determine the characteristics of hypertension outpatients and the proper hypertension drug use in hypertension outpatients at Wisma Rini General Hospital Pringsewu in 2019 based on the proper patient, the proper indication, the proper drug, and the proper dose using the standard reference of Guidelines JNC VIII. This research is descriptive research, the data was collected retrospectively based on medical records. The sample collection technique in this research is using a purposive sampling technique. The results in this study obtained from 110 patient samples diagnosed with the hypertension showed that most of hypertension patients are women (55,46%), mostly aged 56-65 years old (40%), and the most taken hypertension drug is CCB group amlodipine with 78 patients (71%). The evaluation of antihypertensive drug use obtained is proper patient with 110 patients (100%), proper indication with 110 patients (100%), proper drug with 92 patients (75,6%), and proper dose with 110 patients (100%). Keywords: Antihypertensive, Hypertension, Accuracy drug use.


Author(s):  
N.E. Afanasev ◽  
A.K. Shishmanidi ◽  
I.V. Koshel

The article presents the results analysis of preventive medical examination for adults in the Shpakovsky region of Stavropol region for 2015–2017. In the disease structure cardiovascular diseases ranks first, endocrine disorders has the second highest rate of incidence, genitourinary system diseases ranked third. The main risk factor for the chronic non-communicable diseases is unbalanced diet (35,74 %). Low physical activity ranks second accroding to the results of questionnaire (31,23 %) and high blood pressure ranked third (24,45 %). Frequency rate of chronic non-comminicable risk factors detection had been decreased during the years.


2021 ◽  
Vol 7 (2) ◽  
pp. 64
Author(s):  
Rachmat Faisal Syamsu ◽  
Siska Nuryanti ◽  
Muhammad Yastrib Semme

Hypertension, commonly referred to as high blood pressure, is a global health problem in Indonesia because of its high prevalence, although it varies in different countries. In Indonesia, hypertension is found in 83 per 1000 household members. The majority of high blood pressure increases with the presence of risk factors such as; Age, lack of exercise / physical activity, genetic factors and family history, body weight/obesity, sodium intake, alcohol consumption, smoking, stress. This study is a descriptive design using an observational approach to describe the characteristics of the risk factors for the Body Mass Index (BMI) and the gender of hypertension patients at Ibnu Sina Hospital for November 2018. The sampling technique used the total sampling technique with a complete sample size of 26 people. The results showed that the gender characteristics of hypertension sufferers showed that the number of female patients (16 people) was more than that of male patients (10 people). And the attributes of BMI in patients with hypertension found that the number of patients with normal nutritional status (13 people) was the most compared to another nutritional status.


2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Fernanda Medeiros ◽  
Marcela de Abreu Casanova ◽  
Julio Cesar Fraulob ◽  
Michelle Trindade

Cerebrovascular diseases are the second cause of mortality in the world, and hypertension is considered a main risk factor for occurrence of stroke. The mechanisms responsible for the increased stroke risk remain unclear. However, dietary interventions have been applied in the management and treatment of their risk factors, which include increased blood pressure levels, obesity, diabetes, and dyslipidemia. Further studies should be conducted to assess the effects of carotenoids, flavonoids, n-3 polyunsaturated fats, and lower salt and high glycemic index intake in risk of stroke.


e-GIGI ◽  
2015 ◽  
Vol 3 (2) ◽  
Author(s):  
Stefani M. Karamoy ◽  
Ni Wayan Mariati ◽  
Christy N. Mintjelungan

Abstract: Tooth extraction is an often procedure that done in the dental profession. For the people tooth extraction is the best solution to prevent the occurrence of abnormalities in the oral cavity. Before the tooth extraction is done, a general health examination of patients is essential. The purpose of this study to determine the patient's blood pressure as an overview to tooth extraction at RSGM PSPDG FK UNSRAT Manado from 2014 until 2015. Blood pressure measurement is important to determine the patient's blood pressure during tooth extraction in order to avoid undesirable problems. In this research will be seen how the tooth extraction patient blood pressure. This is a descriptive research with total population of 836 patients. The results showed that the tooth extraction process runs smoothly because patients generally have normal blood pressure that is 120/80mmHg. A total of 70% or 585 patients are female and 30% or 251 are male. Patients with age 21-30 year old are the highest patients with a number of 356 patients or 42 % from the total patients.Keywords: tooth exctraction, blood pressureAbstrak: Pencabutan gigi merupakan salah satu tindakan yang sering dilakukan dalam profesi kedokteran gigi. Bagi masyarakat pencabutan gigi merupakan solusi terbaik untuk mencegah terjadinya kelainan-kelainan dalam rongga mulut. Sebelum tindakan pencabutan gigi dilakukan, pemeriksaan kesehatan umum pasien sangatlah penting. Tujuan penelitian ini untuk mengetahui gambaran tekanan darah pasien pencabutan gigi di RSGM Program Studi Pendidikan Dokter Gigi (PSPDG) FK UNSRAT Manado tahun 2014-2015. Pengukuran tekanan darah penting dilakukan untuk mengetahui tekanan darah pasien sebelum tindakan pencabutan gigi agar terhindar hal-hal yang tidak diinginkan. Dalam penelitian ini akan dilihat bagaimana tekanan darah pasien pencabutan gigi di RSGM Program Studi Pendidikan Dokter Gigi FK UNSRAT Manado tahun 2014-2015. Penelitian ini bersifat deskriptif dengan jumlah total populasi 836 pasien. Hasil penelitian menunjukkan bahwa proses pencabutan gigi berjalan lancar karena pada umumnya pasien memiliki tekanan darah normal yaitu 120/80mmHg. Sebanyak 70% atau 585 pasien merupakan pasien wanita dan 30% atau 251 pasien pria. Pasien dengan usia 21-30 tahun merupakan pasien yang terbanyak melakukan pencabutan gigi dengan jumlah 356 pasien atau 42% dari total pasien.Kata kunci: pencabutan gigi, tekanan darah.


Author(s):  
I Dewa Gede Kariasa ◽  
Anida Anida ◽  
Suswatiningsih Suswatiningsih

Background: There has been hernia occurrence on November 15 th, 2016 in RSUD Wonosari.  The number of Hernia inguinalis patients from January until October 2016 was 145 people. This  figure consisted of  143 (98.60) male patients and 2 (1.30%) female patients. Objective: The study aimed at identifying the Relationship between the Patients’ Knowledge Level Regarding Hernia and the Hernia Occurrence in the Surgery Polyclinic of RSUD Wonosari. Method: The study was an analytic descriptive research by cross-sectional approach. For the sampling technique, the researchers selected the quota sampling technique. The population in this study was 300 people, while the sample that had been selected for this study was 75 respondents. The data were gathered through questionnaire distribution. The researchers also performed bivariate analysis by means of Chi Square test. Results: The results of this study showed that 24.00% of the respondents had good knowledge level regarding hernia, 32.00% of the respondents had moderate knowledge level regarding hernia, and 44.00% of the respondents had poor knowledge regarding hernia. The number of hernia patients from March 6 th March 25 th, 2016, was 9 people. From the results of signifi cance test, the researchers found the sig. value = 0.001.Conclusion: There has been signifi cant relationship between the knowledge level regarding hernia and the hernia occurrence in the Surgery Polyclinic of RSUD Wonosari.


2021 ◽  
pp. 112-119
Author(s):  
Tenri Risna Abdi

Hypertension is a condition in which systolic blood pressure (TDS) ≥ 140 mmHg or diastolic blood pressure (TDD) ≥ 90 mmHg that measured by health personnel at least two times. The research objective is to describe the characteristics of hypertensive patients at Tabaringan Health Center. The characteristics referred to gender,age, BMI, and hypertension degree. This research used a descriptive research method by using an observational approach to describe the characteristics of hypertensive patients. The results showed that the total number of male patients with hypertension was 34 (44.7%) and female patients were 42 (55.3%). It found that the number of patients with an age interval of 26 - 45 years was 10 (13.2%) and the number of elderly patients with an age interval> 45 years was 66 (85.8%). The number of hypertensive patients with normal BMI was 16 people (21.1%), overweight was 27 people (35.5%), obesity I was 29 people (38.2%), and obesity II was 4 people (5,2%). It can be seen that the number of patients with a normal degree of hypertension (after routine treatment) was 7 people (9.2%), 22 people with pre-hypertension (28.9%), 39 people with grade I hypertension (51, 3%) and patients with grade II hypertension were 8 people (10.6%). The conclusion is that the gender of hypertensive patients, the number of female patients is more prevalent than male patients, the age of hypertension patients is> 45 years or is included in the elderly category, BMI in patients with overweight nutritional status is much more prevalent than others, and the degree of hypertension in patients was higher in grade 1 hypertension.


e-CliniC ◽  
2018 ◽  
Vol 6 (2) ◽  
Author(s):  
Cristina Lolaen ◽  
Starry H. Rampengan ◽  
Janry A. Pangemanan

Abstract: Acute coronary syndrome (ACS) is one of the main problems in the cardiovascular field due to its increasing numbers of morbidity and mortality. One of the classifications of ACS is acute myocardial infarction (AMI) with ST segment elevation (STEMI). Intervention that can be done mechanically for AMI with STEMI is primary percutaneous coronary intervention (PPCI). This study was aimed to determine the profile of PPCI in patients with AMI-STEMI at Prof. Dr. R. D. Kandou Hospital Manado from January to December 2017. This was a descriptive observational study with a retrospective approach using medical record data of AMI-STEMI patients. Samples were obtained by using consecutive sampling technique. The results showed that of the total 132 STEMI patient there were 63 samples that fulfilled the criteria. Most patients were male as many as 57 people (90.5%), aged 45-49 years as many as 17 people (27%), BMI 18,5-24,9 (normal) as many as 42 people (66.6%). Of 63 samples, 24 patients had only one risk factor (38.1%), with hypertension as the most common risk factor in 45 people (71.4%). Among patients that underwent PPCI, the PPCI was predominantly performed on the 3-<6 hours after onset as many as 23 people (36.5%). Conclusion: Among patients that underwent PPCI, male patients were much more common than female, and hypertension was the most risk factor of ACS. Most PPCIs were performed on the 3-<6 hours after onset.Keywords: AMI, STEMI, PPCI Abstrak: Sindrom koroner akut (SKA) merupakan salah satu masalah utama kardiovaskular karena menyebabkan tingginya angka morbiditas dan mortalitas. Salah satu klasifikasi dari SKA ialah infark miokard akut dengan elevasi segmen ST (IMA-EST). Tindakan yang dapat dilakukan secara mekanis yaitu intervensi koroner perkutan (IKP) primer. Penelitian ini bertujuan untuk mengetahui gambaran IKP primer pada pasien IMA-EST di RSUP Prof. DR. R.D. Kandou Manado periode Januari-Desember 2017. Jenis penelitian ialah deskriptif observasional dengan pendekatan retrospektif menggunakan data rekam medik pasien IMA-EST. Teknik pengambilan sampel yaitu consecutive sampling. Hasil penelitian memper-lihatkan dari total 132 pasien IMA-EST didapatkan 63 sampel yang memenuhi kriteria. Frekuensi terbanyak pada jenis kelamin laki-laki sebanyak 57 orang (90,5%), kelompok usia 45-49 tahun 17 orang (27%), IMT 18,5-24,9 (normal) 42 orang (66,6%). Dari jumlah 63 sampel, terbanyak memiliki 1 faktor risiko yaitu 24 orang (38,1%), dengan hipertensi sebagai faktor risiko terbanyak pada 45 orang (71,4%). Pada pasien yang menjalani IKP primer terbanyak dilakukan pada awitan gejala 3-<6 jam yaitu 23 orang (36,5%). Simpulan: Pasien berjenis kelamin laki-laki paling banyak menjalani IKP primer, dengan hipertensi merupakan faktor risiko PJK terbanyak dan IKP primer terbanyak dilakukan pada awitan 3-<6 jam.Kata kunci: IMA-EST, IPK primer


2020 ◽  
Vol 22 (Supplement_H) ◽  
pp. H89-H91
Author(s):  
Luis Alcocer ◽  
Adolfo Chavez ◽  
Enrique Gomez-Alvarez ◽  
Cutberto Espinosa ◽  
Jose Pombo ◽  
...  

Abstract In 2015, arterial hypertension was responsible for 18.1% of the total deaths in Mexico and its mortality rate has increased to 29.9% in the last 6 years. It is currently the main risk factor for preventable premature deaths of adults in the country. Good quality epidemiological information is the first step to improve health services. May Measurement Month 2018 (MMM18) in Mexico is an opportunistic survey, which follows the previously published methodology. MMM18 included screening 10 139 participants, 2187 (21.6%) of whom were classified as having hypertension. Of these, 42.0% were aware of the condition before measurement, and 38.0% were on medication, of which 66.5% were controlled. Hence, of all hypertensive patients, 25.3% were controlled (&lt;140/90 mmHg). MMM18 in Mexico provides complementary data to the existing information on arterial hypertension in the country and helps to increase the visibility of hypertension: a priority health problem.


2019 ◽  
Vol 4 (2) ◽  
Author(s):  
Citra Windani Mambang Sari ◽  
Nina Sumarni ◽  
Yuliana Sri Rahayu

 Hypertension will often occur in the elderly due to physiological decline and stress will trigger an increase in blood pressure if it lasts a long time it will cause persistent high blood pressure This research aims to know the correlation between stress and blood pressure in elderly with hypertension at the working area of Community Health Center of Kadungora, Garut RegencyThis was a correlational descriptive research which used cross sectional approach and total sampling technique with 116 elderlies who suffer from hypertension.The instrument of the research was DASS (Depression, Anxiety, and Stress Scale) which consisted of 14 questions and used digital sphygmomanometer to measure the blood pressure. The results of this study were obtained the normal category stress  32 respondens (27,6%), mild stress 45 respondents (38.8%), moderate stress 29 respondents (25.0%) and severe stress 10 respondents (8.6 %). The results of blood pressure 130-139 mmHg / 80-89 mmHg were 30 respondents (25.9%), ≥140 mmHg / ≥90 mmHgs 79 respondents (68.1%) and ≥180 mmHg / ≥120 mmHg as many as 7 respondents ( 6.0%). From the analysis result, the significant value of p=0,024 which means that it significant effect and thus the H1 can be accepted that there is a significant correlation between stress and blood pressure on hypertension elderly in the working area of Community Health Center of Kadungora, Garut Regency. Medical staffs are expected to use this research as the basic in developing health care activities for elderlies such as Integrated Development Post (posbindu) by providing socialization about information and education related with stress and blood pressure.


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