scholarly journals Erderly Behavior Factors Affecting Compliance of Hypertension Patients at Mitra Medan Public Hospital

2020 ◽  
Vol 1 (2) ◽  
pp. 17-35
Author(s):  
Lingse Elsina Sianipar ◽  
Razia Begum Suroyo ◽  
Muhammad Badiran ◽  
Yuniati Yuniati

The prevalence of hypertension continues to increase from year to year, especially in the elderly. The high number of cases of hypertension is thought to be due to a lack of compliance in complying with the recommendations of health workers such as carrying out routine checks (blood pressure control), taking medication regularly, adopting a low-salt diet, and doing regular exercise. The purpose of this study was to analyze the behavioral factors of the elderly that influenced hypertension patient compliance.The results showed that the factors that influenced the compliance of hypertensive patients at Mitra Medika General Hospital Medan were knowledge, motivation, insurance participation, and family support. Meanwhile, the variables that did not influence were age, gender, health facilities, distance, and support for health workers. The conclusion of this research is that knowledge, motivation, insurance participation and family support affect the compliance of hypertensive patients.

2021 ◽  
Vol 5 (2) ◽  
pp. 224
Author(s):  
Nisrina Nur Zahidah

 ABSTRACTHypertension is still the most highest causes of death in Indonesia . Patient with hypertension not knowing that they have hypertension and in the end they have complications of hypertension, so it is often called the silent killer disease. Things that can be do so hypertension does not get worse is do a low salt diet. This study aims to determine the application of a low salt diet in patients with hypertension. The research method uses a traditional literature review, articles used by Portal Garuda and Google Scholar with a range of 2016-2020. The keywords used in the article search were low salt diet, hypertension. The results of the search for articles obtained on the Portal Garuda are 12 articles on Google Scholar are 4,030 articles, of which are only 15 articles that match the topic. Patients with hypertension mostly adhere to a low salt diet but there are still many who do not adhere to a low salt diet. Knowledge, attitude, family support and self awareness are factors that affects hypertension. The conclusion in this study, the application of a low-salt diet in hypertensive patients can be carried out well, hypertensive patients have knowledge, attitude and good family support for the implementation of a low salt diet and hypertensive patients who have the awareness to control their blood pressure. Suggestions for health workers can provide counseling regarding a low salt diet, for people with hypertension to apply a low salt diet properly so that blood pressure can be controlled.


2021 ◽  
Vol 5 (2) ◽  
pp. 224
Author(s):  
Nisrina Nur Zahidah

 ABSTRACTHypertension is still the most highest causes of death in Indonesia . Patient with hypertension not knowing that they have hypertension and in the end they have complications of hypertension, so it is often called the silent killer disease. Things that can be do so hypertension does not get worse is do a low salt diet. This study aims to determine the application of a low salt diet in patients with hypertension. The research method uses a traditional literature review, articles used by Portal Garuda and Google Scholar with a range of 2016-2020. The keywords used in the article search were low salt diet, hypertension. The results of the search for articles obtained on the Portal Garuda are 12 articles on Google Scholar are 4,030 articles, of which are only 15 articles that match the topic. Patients with hypertension mostly adhere to a low salt diet but there are still many who do not adhere to a low salt diet. Knowledge, attitude, family support and self awareness are factors that affects hypertension. The conclusion in this study, the application of a low-salt diet in hypertensive patients can be carried out well, hypertensive patients have knowledge, attitude and good family support for the implementation of a low salt diet and hypertensive patients who have the awareness to control their blood pressure. Suggestions for health workers can provide counseling regarding a low salt diet, for people with hypertension to apply a low salt diet properly so that blood pressure can be controlled.


2021 ◽  
Vol 1 (1) ◽  
Author(s):  
Sinta Fitriani ◽  
Fenty Agustini ◽  
Dadan Yogaswara

The low participation of the elderly in Posbindu can cause serious problems both for the elderly themselves and for their families. Health conditions that are not monitored and risk factors for PTM that are not detected directly can increase morbidity and even lead to death.  While poor health conditions in the elderly, often sick can be a burden for family members. This study aims to determine the factors associated with the participation of the elderly to Posbindu in Indonesia. Method used in this research is a descriptive literature review study. Where in this method, researchers use search techniques, analyze and combine facts from various credible related sources. The sources in question are various research results that have been published previously. The analysis is carried out by searching various scientific articles or related journals published on Google Scholar with a publication range of the last five years starting from 2016 – 2020. Based on the results of the study, there were 2 out of 9 journals that stated that the age factor, gender and  work factor, 3 of 9 journals stated that the attitude factor and motivation factor, 5 out of 9 journals stated that the knowledge factor, 1 out of 9 journals stated that the distance factor and policy, 5 out of 9 journals mentioning that family support factors, 2 out of 9 journals that mention that the motivational factor and 3 out of 9 journals that stated that the role of health workers was related to the participation of the elderly in posbindu. Conclusion of this study is that there are many factors that influence the participation of the elderly to Posbindu where of the 12 behavioral factors related to participation, knowledge and family support are the most dominant factors affecting the participation of the elderly to Posbindu in Indonesia.Keywords : Predisposing factors, Enabling factors, Reinforcing factor, Participation, Posbindu


2018 ◽  
Vol 36 ◽  
pp. e280
Author(s):  
Iryna Voloshyna ◽  
Vitaliy Krivenko ◽  
Vadym Vizir ◽  
Vladislav Ponomarenko

1982 ◽  
Vol 16 (12) ◽  
pp. 925-929 ◽  

Elderly patients take a large number of drugs, especially psychoactive agents, and polypharmacy seems to be the rule in acute hospital settings and in institutions alike. Knowledge about alteration in drug response, with aging, is still at a preliminary and investigational stage, and the problem is compounded by the fact that there are relatively few drugs for which a special geriatric dosage is recommended. It appears to be common practice to keep the elderly in “chemical strait jackets” in some institutions, with emphasis on the use of antipsychotic and sedative/hypnotic combinations. Use of these agents has reached such proportions in Britain and America that it has become necessary to warn that antipsychotic drugs should be used only to treat acute behavior disorders in such patients. The potential for drug-drug interactions in the elderly patient is, therefore, large, and, in the community, the most common categories of prescribed drugs taken by the elderly are psychotropics, diuretics, and antipyretic/analgesics. In addition, analgesics and laxatives are often taken as nonprescribed medicines. Poor compliance with medication instructions, hoarding of drugs, and inadequate knowledge of the purpose of medication are very common. The eventual sequel to these factors is hospitalization; diuretics, hypotensives, antiparkinsonian agents, and psychotropics carry the greatest risk of evoking serious adverse drug reactions. Some specific drugs or groups of drugs present peculiar problems to the aged patient; these agents are relatively few in number and include digoxin, hypotensives, diuretics, nonsteroidal antiinflammatory agents, benzodiazepines, phenothiazines, lithium, and other psychoactive drugs. Currently, lithium and the antirheumatoid agent benoxaprofen are causing much concern in regard to the elderly. With lithium, there are adverse effects suggestive of neurotoxicity, and interactions with concurrent neuroleptic and/or antidepressant therapy, diuretics, and low salt diet are involved. As for benoxaprofen, reports in the past few months have causally linked this drug with fatal cholestatic jaundice and other serious reactions; this drug has now been withdrawn from clinical use. Health professionals must use extreme care when treating an elderly patient with drugs.


2014 ◽  
Vol 2014 ◽  
pp. 1-11 ◽  
Author(s):  
Jane Kimm Lii Teh ◽  
Nai Peng Tey ◽  
Sor Tho Ng

This study investigates factors affecting older persons’ state of loneliness in multiethnic Malaysia using data from the 2004 Malaysian Population and Family Survey, the first nationally representative sample in Malaysia. The study sample was extracted to include Malays, Chinese, Indians and other Indigenous groups aged 60 and above, and who had children (n= 1791). Cross tabulations and ordinal logistic regression methods were used in the analysis. Among the ethnic groups, older Malays were more likely than their Chinese and Indian counterparts to experience loneliness. Loneliness was found to be associated with age, marital status, education level, sources of income, health status, and physical limitations. Among older people, feelings of loneliness were inversely related with coresidence with adult children and participation in religious activities. Sociodemographic changes have eroded the traditional family support system for the elderly, while social security remains inadequate. This study shows the important role of family in alleviating loneliness among older people. Hence the need to promote and facilitate coresidence, as well as participation in religious activities, and a healthy lifestyle as a priority strategy is in line with the objectives of the National Policy for the Older People.


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.


2020 ◽  
Vol 33 (11) ◽  
pp. 1038-1046 ◽  
Author(s):  
Wenjuan Gao ◽  
Hong Liu ◽  
Caiying Ge ◽  
Xinying Liu ◽  
Hongyan Jia ◽  
...  

Abstract BACKGROUND Hypertension remains a global health problem. Since, there is a significant positive correlation between antihypertensive medication adherence and blood pressure control, it is therefore of great importance to elucidate the determinants of adherence to antihypertensive medications among hypertensive patients. METHODS Hereby, we retrospectively analyzed the medical records of a hypertensive cohort recruited from a community hospital in Beijing, China, to investigate the factors affecting adherence to antihypertensive medications using decision trees. In addition, all data were assigned into a training set (75%) and testing set (25%) by the random number seed method to build and validate a compliance predictive model. We identified that how many times patients became nonadherent to antihypertensive medications in the year before the first prescription, types of antihypertensive drugs used in the year before the first prescription, body weight, smoking history, total number of hospital visits in the past year, total number of days of medication use in the year before enrollment, age, total number of outpatient follow-ups in the year after the first prescription, and concurrent diabetes greatly affected the compliance to antihypertensive medications. RESULTS The compliance predictive model we built showed a 0.78 sensitivity and 0.69 specificity for the prediction of the compliance to antihypertensive medications, with an area under the representative operating characteristics curve of 0.810. CONCLUSIONS Our data provide new insights into the improvements of the compliance to antihypertensive medications, which is beneficial for the management of hypertension, and the compliance predictive model may be used in community-based hypertension management.


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