scholarly journals PENYULUHAN DAN EDUKASI TENTANG PENYAKIT HIPERTENSI

2021 ◽  
Vol 3 (1) ◽  
pp. 119
Author(s):  
Arniat Christiani Telaumbanua ◽  
Yanti Rahayu

ABSTRAK Hipertensi adalah kenaikan tekanan darah baik sitolik maupun diastolic. Hipertensi di kenal dengan the heterogeneous group of disease dan the killer diasease. Hipertensi merupakan factor risiko yang menyebabkan kematian dini, serta terjadinya gagal jantung dan penyakit gangguan otak. Data WHO tahun 2015 menunjukkan sekitar 1,13 miliar orang di dunia menyandang hipertensi, yang berarti 1 dari 3 orang di dunia terdiagnosis hipertensi. Jumlah ini akan terus meningkat setiap tahunnya, diperkirakan pada tahun 2025 akan ada 1,5 miliar orang yang terkena hipertensi,  menurut perkiraan ada 10,44 juta orang akan meninggal akibat hipertensi dan komplikasinya di setiap tahun. Factor usia, sosial dan ekonomi dapat terserang hitertensi. Dengan bertambahnya usia, risiko hipertensi menjadi lebih besar, ini disebabkan adanya perubahan strukur pada pembuluh darah besar sehingga lumen menjadi sempit dan dinding pembuluh darah menjadi lebih kaku dan tekanan darah sistolik meningkat. Tujuan pengabdian masyarakat ini untuk memberikan penyuluhan dan mengedukasi masyarakat tentang penyakit hipertensi. Metode yang dilakukan dengan mengunjungi serta memberikan edukasi di sertai diskusi kepada masyarakat dan melakukan pemeriksaan tekanan darah. Pengabdian masyarat ini dilakukan pada tanggal 9, 10 13 dan 23 Januari 2021di kecamatan bungus teluk kabung. Dengan memberi penyuluhan tentang penyakit hipertensi , memberi brosur untuk mengedukasi masyarakat serta melakukan pemeriksaan tensi.  Kata Kunci: edukasi, penyuluhan , hipertensi  ABSTRACTHypertension is increasing and diastolic blood pressure both sitolik.Hypertension in know the heterogeneous group of disease and the killer diasease.Hypertension is a risk of causing, early death and the occurrence of heart failure. brain disorders and diseasesThe who data years 2015 1,13 demonstrated about billion people around the world bears, hypertension which means 1 3 people around the world from an undiagnosed. hypertensionThis number will continue to increase annually, it is estimated that in 2025 1,5 there will be billion people affected, hypertension and according to estimates there are million who will 10,44 died of hypertension and komplikasinya. in every yearOf, age social and economic hitertensi. can developWith age, the risk of hypertension is greater, is due to the change strukur on the veins of the large lumen become narrower in the walls of veins and become more rigid and. increase systolic blood pressure. The purpose of this community devotion to provide counseling and educate people about disease hypertension .A method that done by visiting and give education in sertai discussion to the people and to check blood pressure .Devotion masyarat is done on june 9 , 10 and 13 in 23 january 2021di bungus kabung bay .To provide information about diseases hypertension , give brochures to educate the people and have a tension .  Keywords: education , counseling , hypertension

2017 ◽  
pp. 88-92
Author(s):  
Van Hien Pham ◽  
Huu Vu Quang Nguyen ◽  
Tam Vo

Background: Cardiovascular diseases are the leading cause of death in patients with chronic renal failure. When a patient undergoes dialysis, making AVF or AVG causes cardiovascular events. Understanding the relationship between complications: hypertension, heart failure, AVF or AVG (formation time, position, diameter) helps us monitor, detect, prevent and treatment of complications to limit the risk of death in patients with dialysis. Objective: Relationship between cardiovascular diseases and anatomosis of arteriovenous fistular in patients with regularly hemodialysis at Cho Ray Hospital. Methods: A cross-sectional study was conducted at Cho Ray Hospital from 2015 to 2016. The survey some cardiovascular diseases are done by clinical examination, tests for diagnostic imaging such as X-ray, electrocardiogram and echocardiogram: heart and diameter of anastomosis AVF, AVG. Results: The study population included 303 patients with chronic renal failure who were dialysis. Of which, patients aged 25-45 accounted for the highest proportion (43.9%). The proportion of male and female patients was similar (48.5% and 51.5% respectively). The mean value of systolic blood pressure on patients made AVF, AVG less than 12 months is higher than patients made AVF, AVG over 12 months, and there is negative correlation (r = -0.43) between AVF, AVG and systolic blood pressure (p <0.05). The mean value of diastolic blood pressure on patients made AVF, AVG less than 12 months is lower than patients made AVF, AVG over 12 months, and and there is positive correlation (r = -0.43) between AVF, AVG and diastolic blood pressure (p <0.05) (p <0.05). The prevalence of patients with heart failure made AVF, AVG over 12 months is higher than that of the under 12 months group, there is a negative correlation (r = - 0.43) between AVF, AVG diameter and EF index (p <0.05). Conclusion: It is important to note the diameter of anastomosis AVF, AVG in patients with chronic renal failure dialysis to limit cardiovascular complications, especially heart failure. Key words: Chronic kidney disease, hemodialysis.


2021 ◽  
Vol 4 (2) ◽  
pp. 451
Author(s):  
Andini Octaviana Putri ◽  
Tyas Ningrum Rahmadayanti ◽  
Aulia Rizka Chairunnisa ◽  
Noor Khairina ◽  
Santi Santi

ABSTRAKHipertensi atau yang lebih dikenal dengan tekanan darah tinggi adalah tekanan darah sistol yang melebihi 140 mmHg dan tekanan darah diastol melebihi 90 mmHg. Kematian dini di dunia semakin lama semakin meningkat hal ini disebakan oleh penyakit hipertensi. Berdasarkan data Riset Kesehatan Dasar (Riskesdas) tahun 2018, prevalensi kejadian hipertensi sebesar 34,1%. Angka ini meningkat cukup tinggi dibandingkan hasil riskesdas tahun 2013 yaitu sebesar 25,8%. Prevalensi hipertensi tertinggi terdapat di Kalimantan Selatan (44,1%). Tujuan penyuluhan mengenai hipertensi dapat membuat pengetahuan dan sikap warga tentang hipertensi akan semakin meningkat kemudian mendorong seseorang untuk berperilaku yang lebih baik dalam mencegah dan mengontrol hipertensi sehingga tekanan darahnya tetap terkendali, pengetahuan warga mengenai hipertensi juga berpengaruh pada kepatuhan warga yang terkena hipertensi dalam melakukan pengobatan. Kegiatan penyuluhan ini dilakukan secara daring dikarenakan adanya pandemi covid-19, menggunakan media booklet  dan video berdurasi satu menit. Media booklet dan video dipilih karena praktis dan efektif.  Sebanyak 15 orang mengikuti kegiatan penyuluhan daring ini dan dimasukkan di  whatsapp group yang sudah dibuat agar mudah untuk melakukan koordinasi. Hasil penyuluhan ini meningkatkan pengetahuan warga dengan kategori baik sebanyak 100% (15 orang) dan sikap dengan kategori positif sebanyak 66,7% (10 orang) tentang pengendalian hipertensi. Kata kunci: pengendalian hipertensi; penyuluhan online; booklet; video. ABSTRACTHypertension or better known as high blood pressure is systolic blood pressure that exceeds 140 mmHg and diastolic blood pressure that exceeds 90 mmHg. Increasingly, premature death in the world is caused by hypertension. Based on data from Basic Health Research (Riskesdas) in 2018, the prevalence of hypertension was 34,1%. This figure increased quite significantly compared to the 2013 riskesdas, which was 25,8%. The highest hypertension prevalence was in South Kalimantan (44,1%). The aim of counseling on hypertension can make citizens 'knowledge and attitudes about hypertension increase and then encourage someone to behave better in preventing and controlling hypertension so that their blood pressure remains under control, residents' knowledge about hypertension also affects the compliance of residents with hypertension in taking medication. This outreach activity was carried out online due to the Covid-19 pandemic, using booklets and one-minute videos. Booklet and video media were chosen because they are practical and effective. A total of 15 people participated in this online counseling activity and were included in the WhatsApp group that had been created so that it was easy to coordinate. The results of this counseling increased the knowledge of villagers with good categories by 100% (15 people) and attitudes with positive categories by 66,7% (10 people) about controlling hypertension. Keywords: hypertension control; online counseling; booklet; video.


2018 ◽  
Vol 10 (2) ◽  
pp. 40-47
Author(s):  
Ardita Kerveshi-Sulejmani ◽  
Aferdita Selmanaj ◽  
Igor Isjanovski ◽  
Rozalinda Isjanovska

The metabolic syndrome (MS) is the main clinical and public health challenge in the world, in the wake of urbanization, excess energy intake, increased obesity, sedentary lifestyle and habits. MS leads to a 5-fold increase the risk of diabetes mellitus type 2 (T2DM) and 2 times the risk of cardiovascular disease (CVD) over the next 5 to 10 years. The aim of the research is to determine the prevalence of metabolic syndrome syndrome in the Pech District according to NCEP ATD III / 2001. Material and methods: Cross sectional study was carried out at the General Hospital in Pec, which represents a regional hospital for the Pec District. A total of 1667 patients from the Pech district were interviewed for a period of one year. Results: In the group, MS was present in 506 patients. In the majority of cases, we found the systolic blood pressure condition ≥ 130 mmHg -99.4%, followed by diastolic blood pressure ≥ 85 mmH-96.4%, elevated triglycerides ≥ 1.7 mmol / l- 94.7%, waist circumference> 88 cm in women-94.0% , increased glycemia ≥ 6.1mmol / L in 80.0%, waist circumference > 102cm in men-65.5%, HDL values ​​<1.03mmol / L in men - 56.9%  and HDL values ​​<1.03mmol / L in females 51.5%. The mean value of systolic blood pressure in patients with MS is 151.1 ± 9.3 mmHg. The average value of diastolic blood pressure in patients with MS is 91.0 ± 4.7 mmHg. The average waist circumference of patients with MC was 103.6 ± 9.2 cm. The mean HDL of patients with MS is 1.1 ± 0.2 mmol / L. The average glycemic value in patients with MS is 6.5 ± 0.6 mmol / Average triglyceride value in patients with MS and is 2.5 ± 0.8 mmol / L. The most common in patients with MS is obesity / obesity - 70.8%, overweight is 27.8%, and 1.4% normal weight is registered. Conclusions: The prevalence of MS in the Pech district is 30.4% and was approximately as in Croatia 34% and Tetovo region with 28.25%, but it was dependent on the population and definitions used. The metabolic syndrome is one of the major public health problems, and a socioeconomic problem around the world and in  Kosovo, too.


2019 ◽  
Vol 2 (2) ◽  
pp. 117
Author(s):  
Alexander Tikara Sugondo ◽  
Deasy Ardiany ◽  
Djohar Nuswantoro ◽  
Pulus Budiono Notopuro

Introduction: Diabetes mellitus is a non-transmitted pandemic disease which had spreaded on a global scale. The prevalence of diabetes mellitus in the world according to the International Diabetes Federation (IDF) is 1.9% and diabetes mellitus is ranked seventh as the cause of death in the world, around 95% in the world is type 2 diabetes mellitus. According to Riset Kesehatan Dasar (Riskesdas) in 2013, the prevalence of diabetes mellitus in Indonesia is 6,9%. Type 2 diabetes mellitus that is not well controlled will increase the risk of chronic complications, both microangiopathies such as nephropathy, and macroangiopathy such as hypertension. The aim of the study was to determine correlation between HbA1c levels with eGFR (Estimated Glomerulus Filtration Rate) and blood pressure (systolic and diastolic).Methods: An analytic observational cross-sectional study, collecting the data from 94 patients with type 2 diabetes mellitus, Dr. Soetomo General Hospital, Surabaya, from January to May 2018. The variables were collected from patient’s medical records. Analysis using Spearman’s Rank Correlation test. To determine normality of the data, we use Kolmogorov-smirnov test.Results: The results showed that there are 134 (57,8%) patients with type 2 diabetes mellitus are female more than male. Patients with greater than or equal to 45 years old were 203 (87,5%) patients, more than under 45 years old. The correlation test showed that there was no significant correlation between HbA1c and systolic blood pressure (r=-0,127; p=0,054). Also there was no significant correlation between HbA1c and diastolic blood pressure (r=-0,111; p=0,093). Analysis on other factor showed a significant correlation between HbA1c and eGFR (r=0.341; p=0.000).Conclusion: There was no significant correlation between HbA1c and systolic blood pressure, also there was no significant correlation between HbA1c and diastolic blood pressure. But, there was a significant correlation between HbA1c and eGFR. This is because the data retrieval does not consider the drug consumption and therapy that has been done by the patient, as well as examination of HbA1c, serum creatinine eGFR, and blood pressure not at the same time.


Author(s):  
Artaza Gilani ◽  
Raffaele De Caterina ◽  
Olia Papacosta ◽  
Lucy T. Lennon ◽  
Peter H. Whincup ◽  
...  

We have assessed the association between excessive orthostatic changes in blood pressure and risk of incident heart failure (HF) in older, community-dwelling men. This was a prospective cohort study of 3505 men (mean age, 68.5 years), who did not have prevalent HF, myocardial infarction, or stroke. Excessive orthostatic change in blood pressure was defined continuously and categorically as orthostatic hypotension (sitting-to-standing decrease in systolic blood pressure ≥20 mm Hg or diastolic blood pressure ≥10 mm Hg), systolic orthostatic hypertension (increase in systolic blood pressure ≥20 mm Hg, diastolic orthostatic hypertension as diastolic blood pressure ≥10 mm Hg), and orthostatic normotension (neither orthostatic hypotension nor orthostatic hypertension). There was a U-shaped association between orthostatic changes in systolic blood pressure and the risk of incident HF; for diastolic blood pressure, only its fall predicted HF. After adjustment for possible confounders, the hazard ratio (95% CI) for incident HF was 1.65 (1.24–2.18) in men with orthostatic hypotension and 0.90 (0.65–1.24) and 1.88 (1.30–2.73) in men with diastolic and systolic orthostatic hypertension, respectively. Both components of orthostatic hypotension were associated with increased risk, although the systolic component was more predictive than the diastolic component. Both orthostatic hypotension and orthostatic hypertension are associated with risk of incident HF in older men. Our findings suggest that orthostatic hypertension is defined by a rise beyond threshold in systolic blood pressure only. Further prospective studies in diverse cohorts are needed to confirm our findings.


2019 ◽  
Vol 10 (01) ◽  
pp. 33-44
Author(s):  
N.L.G. Sudaryati ◽  
I P. Sudiartawan ◽  
Dwi Mertha Adnyana

The aim of the study was to determine the effectiveness of giving hydrotherapi foot soak in hypertensive patients. The study was conducted with one group pretestposttest design without a control group by measuring blood pressure (pretest) before being given an intervention in the form of foot soak hydrotherm against 15 people with hypertension in Banjar Sri Mandala, Dauhwaru Village, Jembrana Subregency. Then do the blood pressure measurement again (posttest) after finishing the intervention. After the study was completed, the results showed that before the hydrotherapi foot bath intervention, there were 0% of patients classified as normal, 13.32% in prehypertension category, 60.08% in hypertension category I and 26.60% in hypertension category II. After the intervention was given, there were 13.32% of the patients classified as normal, 66.68% in the prehypertension category, 20.00% in the first category of hypertension and no patients belonging to the second grade hypertension category. There is a decrease of 20-30 mmHg for systolic blood pressure and 0-10 mmHg for diastolic blood pressure after intervention. Based on the results of the study it can be concluded that the hydrotherapi foot bath is effectively used to reduce blood pressure in hypertensive patients in the Banjar Sri Mandala, Dauhwaru Village, Jembrana District.


2016 ◽  
pp. 31-40
Author(s):  
Long Nhon Phan ◽  
Van Minh Huynh ◽  
Thi Kim Nhung Hoang ◽  
Van Nham Truong

Objective: To evaluate the results of treatment achieved blood pressure goal (BP goal) and results of hypertensive patient management. Subjects and methods: A study of 400 hypertensive patient intervention, treatment and management after 2 year. To assess the results of BP target, monitor the use of medicines, the situation of hospitalization and complications of stroke. Results: Treatment: -100% of patients using diuretics and angiotensin-converting enzyme inhibitors (ACEIs), 33% of patients using angiotensin receptor blockers (ARBs), 46.25% of patients using calcium channel blockers (CCBs) and 19.5% of patients using beta-blocker. After 24 months of treatment: 50.5% of patients using 1 antihypertensive drug, 22% of patients using 2 drugs, 20.5% of patients using 3 drugs and 7% of patients taking more than 3 drugs. After 24 months of treatment: 91.75% achieved BP target and 8.25% fail. -Average risk stratification: 97.32% achieved BP target, hight risk stratification: 95.91% and very hight risk stratification: 73.03%. After 24 months of treatment. -Stage 1: 88.48% achieved BP target, stage 2: 92.85% achieved BP target and stage 3: 71.08% achieved BP target. After 24 months of treatment. -Hypertesive results before treatment were: 159.80 ± 20,22mmHg average systolic blood pressure and 82.97 ± 5,82mmHg average diastolic blood pressure. After treatment: average systolic blood pressure 125.38 ± 6,88mmHg and average diastolic blood pressure 79.83 ± 1,79mmHg. No adverse change in the index of tests about lipidemia, liver, kidney, glucomia and no recorded cases of drug side effects. Management of patients: -There were 89% non-medical examinational patients 1 month, 5.25% non-medical examinational patients 2 months, 4.25% non-medical examinational patients 3 months and 1.5% non-medical examinational patients 4 months. There were 93.5% drop pill 1 month, 3.25% drop pill 2 months, 4.25% drop pill 3 months and no patient drop pill over 3 months. In 24 months follow-up, 47% hospitalized inpatients <5 times, 44.5% hospitalized inpatients 5-10 times, 3% hospitalized inpatients 11-15 times, 4.75% hospitalized inpatients from 16-20 times and 0.75% hospitalized inpatients > 20 times. -There were 32.75% hospitalized inpatients for reasons of hypertension and 63.75% hospitalized inpatients for other common diseases. -There were a total of 11592 contacts directly by phone for medical advice, medical reminders and examinational reminders during 24 months of management. -There were 0.5% of patients stroked during 24 months of treatment and management. Conclusion: Treatment by protocol and management by phone directly for medical taking and re-examinational reminders is the best resulted method of achieving blood pressure target and reducing complications of stroke for hypertensive patients. Key word: : blood pressure target; risk stratification; treatment; management; stage; phone.


2021 ◽  
Author(s):  
Xinghe Huang ◽  
Jiamin Liu ◽  
Shuang Hu ◽  
Lihua Zhang ◽  
Fengyu Miao ◽  
...  

2021 ◽  
Vol 10 (7) ◽  
pp. 1426
Author(s):  
Bok-Nam Seo ◽  
Ojin Kwon ◽  
Siwoo Lee ◽  
Ho-Seok Kim ◽  
Kyung-Won Kang ◽  
...  

Postmenopausal women have a higher prevalence of hypertension compared to premenopausal women. Hypertension is a risk factor for cardiovascular diseases, the prevalence of which is ever increasing. This study investigated the effects of long-term acupuncture on lowering the blood pressure of postmenopausal women with prehypertension and stage 1 hypertension. Participants were 122 postmenopausal women aged less than 65 years, diagnosed with prehypertension or stage 1 hypertension (systolic blood pressure 120–159 mmHg or diastolic blood pressure 80–99 mmHg). We used a propensity score-matched design. The experimental group (n = 61) received acupuncture for four weeks every six months over a period of two years. The control group (n = 61) received no intervention. An Analysis of covariance (ANCOVA) was performed for the primary efficacy analysis. Relative risk ratios were used to compare group differences in treatment effects. Acupuncture significantly reduced the participants’ diastolic blood pressure (−9.92 mmHg; p < 0.001) and systolic blood pressure (−10.34 mmHg; p < 0.001) from baseline to follow-up. The results indicate that acupuncture alleviates hypertension in postmenopausal women, reducing their risk of developing cardiovascular diseases and improving their health and quality of life.


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