Blood Pressure Control and Predictors of Uncontrolled Hypertension

Bannay, Rashed Al; Husain, Aysha; Böhm, Michael

doi:10.12816/0008110

Cited by 3 publications

(3 citation statements)

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“…Tekanan darah yang tidak terkontrol dapat menyebabkan krisis hipertensi. 21 Secara teoritis, aktivitas fisik memengaruhi tekanan darah melalui peningkatan ataupun penurunan aktivitas saraf simpatis. Aktivitas olahraga juga akan cenderung meningkatkan frekuensi denyut jantung sehingga otot jantung harus bekerja lebih keras pada tiap kontraksi.…”

Section: Pembahasanunclassified

“…Olahraga bermanfaat untuk meningkatkan kerja dan fungsi jantung, paru, dan pembuluh darah yang ditandai dengan denyut nadi istirahat menurun, penumpukan asam laktat berkurang, meningkatkan HDL kolesterol, dan mengurangi aterosklerosis. 22 Hipertensi tidak terkontrol bisa disebabkan oleh ketidakpatuhan minum obat secara rutin, 21 namun pada penelitian ini tidak ada hubungan antara kepatuhan minum obat dengan hipertensi tidak terkontrol. Hal ini bisa disebabkan oleh faktor lain yang memengaruhi hipertensi seperti status rokok, kesadaran diri, dan frekuensi kontrol tekanan darah.…”

Section: Pembahasanunclassified

“…23 Kepatuhan (compliance atau adherence) mengambarkan sejauh mana pasien berperilaku untuk melaksanakan aturan dalam pengobatan dan perilaku yang disarankan oleh tenaga kesehatan. 21 Maka perlunya semua pihak khususnya petugas kesehatan untuk gencar dalam melakukan promosi kesehatan.…”

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Faktor Yang Berhubungan dengan Pasien Hipertensi Tidak Terkontrol Di Puskesmas

Darussalam

Warseno

2019

JKKK

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Background: Hypertension is one of the major cardiovascular risk factors. Uncontrolled hypertension is defined as the state of systolic blood pressure ≥140 mmHg and diastolic blood pressure ≥90 mmHg based on an average of three times the measurement in hypertensive patients and with or without antihypertensive treatment. Factors that can cause uncontrolled hypertension include age, education, smoking, exercise habits, medication adherence, and recent blood pressure control habits.Objective: To identify factors related to uncontrolled hypertension patients at Puskesmas Gamping 1 Sleman Yogyakarta.Methods: The research was analytical descriptive with cross sectional design. The sampling technique of this study was consecutive sampling. There was 191 respondents in this study. The data analysis used was multiple logistic regression test.Results: The hypertension disease in Puskesmas Gamping 1 Sleman is mostly uncontrolled hypertension amounted to 143 (75%) respondents. Factors associated with uncontrolled hypertension were age (p=0,008) and blood pressure control habits (p=0,000). The multivariate analysis shows that there is only one independent variable associated with uncontrolled hypertension patient that is blood pressure control habits (aOR=5,339; 95% CI; (2,452-11,624)). Respondents who do not have regular blood pressure control habits have 5,339 times higher than other risk factors of hypertension.Conclusions: The most dominant factor associated with uncontrolled hypertension is the habit of checking blood pressure. ABSTRAKLatar Belakang: Hipertensi merupakan salah satu faktor risiko utama kardiovaskular. Seseorang dikatakan hipertensi bila memiliki tekanan darah sistolik ≥140 mmHg dan atau tekanan darah diastolik ≥90 mmHg, pada pemeriksaan yang berulang. Hipertensi tidak terkontrol didefinisikan sebagai keadaan ukuran tekanan darah sistolik ≥140 mmHg dan tekanan darah diastolik ≥90 mmHg berdasarkan rata-rata tiga kali pengukuran pada penderita hipertensi dan dengan atau tanpa pengobatan antihipertensi. Faktor-faktor yang dapat menyebabkan hipertensi tidak terkontrol antara lain umur, pendidikan, merokok, kebiasaan olah raga, kepatuhan minum obat, dan kebiasaan kontrol tekanan darah terakhir.Tujuan: Mengidentifikasi factor-faktor yang berhubungan dengan pasien hipertensi tidak terkontrol di Puskesmas Gamping 1 Sleman Yogyakarta.Metode: Desain penelitian yang digunakan adalah deskriptif analitik dengan pendekatan cross sectional. Teknik sampling penelitian ini adalah consecutive sampling, dengan jumlah sampel 191 responden. Untuk analisis menggunakan uji regresi logistik ganda.Hasil: Status hipertensi di Puskesmas Gamping 1 Sleman sebagian besar hipertensi tidak terkontrol berjumlah 143 responden (75%). Faktor yang berhubungan dengan hipertensi tidak terkontrol adalah umur (p=0,008) dan kebiasaan kontrol tekanan darah (p=0,000). Hasil akhir analisis multivariate didapatkan data bahwa hanya ada satu variabel independent yang berhubungan dengan pasien hipertensi tidak terkontrol yaitu kebiasaan kontrol tekanan darah (aOR=5,339; 95%CI; (2,452-11,624)). Jadi responden yang tidak mempunyai kebiasaan kontrol tekanan darah secara rutin mempunyai faktor risiko 5,339 kali dibanding faktor yang lain.Kesimpulan: Kebiasaan kontrol tekanan darah merupakan faktor yang paling dominan pada status hipertensi yang tidak terkontrol.

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Faktor Yang Berhubungan dengan Pasien Hipertensi Tidak Terkontrol Di Puskesmas

Darussalam

Warseno

2019

JKKK

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Assessment of Blood Pressure Control among Hypertensive Patients in Southwest Ethiopia

2016

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BackgroundThe rate of blood pressure control among hypertensive patients is poor and the reasons for poor control of blood pressure remain poorly understood globally.ObjectiveTo assess the rate of blood pressure control among adult hypertensive patients at Jimma University Specialized Hospital.Materials and MethodsWe conducted a hospital based cross sectional study among adult hypertensive patients at Jimma University Specialized Hospital hypertension clinic from March 4, 2015 to April 3, 2015. Data on sociodemographic characteristics of the participants and adherence to antihypertensive medication(s) were collected from patients by face to face interview using a pretested structured questionnaire. Comorbidities, antihypertensive medication(s) and blood pressure measurements were collected retrospectively from medical records. Medication adherence was assessed using Morisky’s Medication Adherence Scale-8 score. We did the statistical analysis using chi-square test and binary logistic regression with level of α set at 0.05. Statistical significance was considered for variables with p<0.05.ResultsOut of 311 participants, 286 patients were eligible and were studied. More than half, 154 (53.8%), of the participants were males. The mean age of the participants was 54.8± 12.6 years (range 26 to 94). The majority, 196 (68.53%), of the participants were taking more than one antihypertensive medication. More than one third (39.5%) of the participants were non adherent to their medication(s). The rate of blood pressure control was 50.3%. In a univariate logistic regression analyses, age ≥65 years old (P = 0.008), physical inactivity (p<0.001), chat chewing (P<0.001), adding salt to food (P<0.001), and coffee use (P<0.001) are significantly associated with uncontrolled blood pressureConclusionAlmost half of the hypertensive patients on follow up had uncontrolled blood pressure. We recommend better health education and care of patients to improve the rate of blood pressure control at the hospital.

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Blood pressure control and its associated factors among hypertensive patients in federal teaching hospital, ido- ekiti, Southwest Nigeria

Ibrahim¹,

Agbesanwa²,

Shabi³

et al. 2020

Arch Community Med Public Health

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Background: Hypertension is a modifi able risk factor for cardiovascular disease, stroke and renal disease worldwide. Despite improvement in treatment modality and therapeutic intervention, with proven benefi ts in reducing the burden of uncontrolled hypertension, majority of peoples' blood pressure still remain uncontrolled. Aim: To assess the patterns of blood pressure control and its associated factors among hypertensive patients on follow-up. Setting: This study was done at the general outpatient department of Federal Teaching Hospital, Ido-Ekiti, Southwest Nigeria, which is a referral centre for private and government owned-health facility in the state and its environs. Methods: Hospital-based cross sectional study was conducted from June 4-August 31, 2019. Systematic random sampling method was used to select the 320 participants. Semi-structured interviewer-administered questionnaire was used to seek information on participants' socio-demographic characteristics, lifestyle changes and level of adherence to antihypertensive medication. Blood pressure was measured and recorded. Data was analyzed using SPSS 20. Multivariate logistic regression analysis was used to identify the factors associated with poor blood pressure control. Results: Mean age of the participants was 63.9± 11.5 years. 56.6% had their blood pressure controlled within the recommended limits. In multivariate analysis, civil servant (OR =45.160, 95% CI: 6.143-332.000) and adherence to medication (OR=15.35, 95% CI: 6.303-37.391) were the independent associated factors with good blood pressure control while old age (OR= 0.894, 95% CI: 0.837-0.955) and diabetes (OR= 0.072, 95% CI: 0.016-.0,318) were independent associated factors with poor blood pressure control. Conclusions: Old age and diabetes are the predictors of poorly controlled blood pressure and therefore, clinicians and other stakeholders should provide close attention and targeted blood pressure control among this set of patients.

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Blood Pressure Control and Predictors of Uncontrolled Hypertension

Abstract: Background: Improving blood pressure control requires the identification of covariates associated with uncontrolled hypertension.

Cited by 3 publications

References 43 publications

Faktor Yang Berhubungan dengan Pasien Hipertensi Tidak Terkontrol Di Puskesmas

Faktor Yang Berhubungan dengan Pasien Hipertensi Tidak Terkontrol Di Puskesmas

Assessment of Blood Pressure Control among Hypertensive Patients in Southwest Ethiopia

Blood pressure control and its associated factors among hypertensive patients in federal teaching hospital, ido- ekiti, Southwest Nigeria

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