Evaluasi Tepat Penggunaan Obat Lini Pertama dan Lini Kedua Antihipertensi pada Pasien Preeklampsia: A Literatur Review

Tahar, Nurshalati; Parenta, Egi Dwi Sakti; Febriyanti, Alifia Putri; Rusdi, Mesa Sukmadani; Kautsar, Anieq Mumthi’ah Al

doi:10.24252/jmw.v3i2.24341

Cited by 3 publications

(2 citation statements)

References 8 publications

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“…Nifedipin dapat merelaksasi otot polos vaskular sehingga mendilatasi arteri koroner dan perifer. Nifedipin signifikan menurunkan tekanan darah ibu secara signifikan, kreatinin dan urea ibu, dan jumlah protein total yang diekskresikan dalam pengumpulan urin 24 jam, tanpa mengurangi darah mengalir di arteri nifedipine terbukti memiliki insiden episode hipotensi terendah [23]. Golongan CCB ini dapat mengurangi tekanan darah di semua kelompok pasien, terlepas dari jenis kelamin, ras, usia, dan asupan sodium pada makanan [24].…”

Section: Profil Pengobatan Antihipertensiunclassified

Studi Penatalaksanaan dan Ketepatan Pengobatan Antihipertensi pada Wanita Hamil di RSUD Toto Kabila

Madania,

Abdulkadir,

Djuwarno

et al. 2024

JSSCR

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Hypertension is a condition that can affect pregnancy. High blood pressure during pregnancy can hinder fetal and uterine growth, lead to fetal death in the womb, and result in premature birth. These complications can be minimized with appropriate antihypertensive therapy. The objective of this study is to determine the incidence rate, management, and accuracy of antihypertensive treatment according to the reference standards of the 2016 Preeclampsia National Medical Service Guidelines (PNPK). This research was an observational descriptive study where the data obtained were secondary data collected retrospectively from medical records at Regional Public Hospital of Toto Kabila from September 2022 to May 2023. The sample was taken using a saturated sampling technique, so the sample in this study included all pregnant women diagnosed with preeclampsia. The results of the study obtained 65 patients, consisting of 36 severe preeclampsia patients and 29 mild preeclampsia patients. The study showed that hypertension in pregnant women was often found in the age group of 26-35 years, with 25 patients (39%), and in the third trimester of pregnancy, with 23 cases, while 2 experienced hypertension in the first trimester. 12 patients were diagnosed with severe preeclampsia and 13 patients with mild preeclampsia. The treatment of hypertension in pregnant women for mild preeclampsia included methyldopa (34%) and nifedipine (7%). For severe preeclampsia, single therapy included methyldopa (39%), amlodipine (8%), and combination therapy such as nifedipine + methyldopa (36%) and methyldopa + amlodipine (17%). The accuracy of antihypertensive drug use in pregnant women based on the 2016 Preeclampsia PNPK was 86%, including appropriate indications, correct drugs and correct doses.

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Section: Profil Pengobatan Antihipertensiunclassified

Studi Penatalaksanaan dan Ketepatan Pengobatan Antihipertensi pada Wanita Hamil di RSUD Toto Kabila

Madania,

Abdulkadir,

Djuwarno

et al. 2024

JSSCR

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“…Nifedipin dapat dengan signifikan menurunkan tekanan darah tidak dengan mengurangi darah mengalir pada arteri sehingga rendahnya tejadinya insiden hipotensi. Nifedipin juga memberikan keuntungan ekonomi karena harganya tidak mahal dan tidak memerlukan penyimpanan khusus (Tahar et al, 2021). Ketepatan pasien merupakan pemberian obat berdasarkan kondisi pasien dan obat tidak memiliki kontraindikasi terhadap pasien.…”

Section: Penggunaan Obat Antihipertensiunclassified

Evaluasi Pengobatan Antihipertensi Pada Pasien Pre-Eklampsia Di Rumah Sakit Islam Pku Muhammadiyah Pekajangan

Afiryal Nabila,

Ekanita Desiani,

Henry Budiawan Prasetya

et al. 2024

J. Borneo Akcaya

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Pre-eklampisa adalah kondisi komplikasi pasien pada kehamilan usia 20 minggu. Berdasarkan data Dinas Kesehatan Kabupaten Pekalongan, jumlah pasien pre-eklampsia mengalami kenaikan setiap tahunnya. Pasien pre-eklampsia perlu diberikan terapi antihipertensi dalam penurunan tekanan darah serta mengurangi risiko tinggi dari pre-eklampsia. Mengevaluasi kesesuaian pengobatan antihipertensi pada pre-eklampsia di RSI PKU Muhammadiyah Pekajangan dengan tepat obat, tepat indikasi, tepat dosis, dan tepat pasien merupakan tujuan penelitian ini. Penelitian ini bersifat penelitian deskriptif. Data dikumpulkan dengan metode retrospektif dari rekam medik di instalasi rawat inap RSI PKU Muhammadiyah Pekajangan periode Juli-Desember tahun 2022 sejumlah 31 pasien. Kriteria pasien adalah kriteria inklusi dimana pasien pre-eklampsia berat tanpa penyakit penyerta dan mendapat pengobatan antihipertensi. Data penelitian dianalisis secara kuantitatif. Hasil penelitian menunjukkan kesesuaian obat berdasarkan tepat pasien sebesar 96,77%, tepat indikasi sebesar 96,77%, tepat obat sebesar 96,77%, dan tepat dosis sebesar 100%. Pasien pre-eklampsia berat lebih banyak menggunakan monoterapi antihipertensi dan hasil kesesuaian obat sebesar 97,57% dengan hasil menunjukkan hampir mencapai 100% dimana hasil tersebut sangat baik. Pemerintah perlu melakukan melakukan edukasi guna peningkatan kesadaran masyarakat tentang pre-eklampsia serta kolaborasi antar stakeholder seperti Dinas Kesehatan, Rumah Sakit, Puskesmas, Bidan, Kecamatan, dan Kelurahan dengan cara pendekatan kepada masyarakat guna dilakukan skrinning pada ibu hamil. Kolaborasi diharapkan dapat mendorong pendataan kesehatan ibu hamil yang lebih komprehensif, mendorong kesadaran masyarakat tentang kesehatan ibu hamil, mengukur efektivitas penanganan pre-eklampsia, pengembangan protokol penanganan pre-eklampsia yang konsisten dan berkualitas, serta pemantauan, pendampingan dan evaluasi terhadap kondisi kesehatan ibu hamil.

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Evaluating the Efficacy of the Zelisken Ball in Shortening the First Stage of Labor: A Quasi-Experimental Study

Mutaqin,

Lidya,

Astuti

et al. 2023

j. info kesehat.

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During labor, mothers frequently report having excruciating contractions that continue for hours or even days. An assistive gadget is required to expedite labor and aid in the baby's head drop. The Zelisken Ball, an invention of the research group, is a bolster-shaped ball used in basic exercises or physical care. The study aimed to determine whether using the Zelisken Ball could shorten the time pregnant mothers spend in the first stage of labor. Pregnant women's level of comfort and satisfaction while using it, along with its effects on each delivery stage, were highlighted. Using a control group, the study used a quantitative methodology and a quasi-experimental post-test-only design. Purposive sampling was employed to identify 50 postpartum patients for the sample. The Zelisken Ball was utilized by the intervention group in this study, while the Peanut Ball was used by the control group. Questionnaires were used to gather data, and SPSS software was implemented to perform an Independent Sample t-test to determine differences between the two groups. The mothers who utilized the Zelisken Ball advanced through the first stage of labor more quickly, according to the data, with a difference of 1.29 hours (77.4 minutes) between them and the control group (8.3 hours) who used the Peanut Ball. The results of the data analysis indicate that mothers who used the Zelisken Ball and those who utilized the Peanut Ball had significantly different first-stage labor durations (p-value of 0.026, <0.05). As a result, the Zelisken Ball shows great promise as a useful tool for accelerating the early stage of labor. The research has been modified to create Zelisken, which is two-thirds the size of a peanut ball and has an indentation of ½ on the ball. The outer material of Zelisken is made of Oscar fabric, and the inside is filled with foam, whereas the peanut ball is made of PVC and has an interior filled with air. Future research, however, needs to increase the sample size to include a wider range of respondents to strengthen the findings' generalizability.

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Evaluasi Tepat Penggunaan Obat Lini Pertama dan Lini Kedua Antihipertensi pada Pasien Preeklampsia: A Literatur Review

Cited by 3 publications

References 8 publications

Studi Penatalaksanaan dan Ketepatan Pengobatan Antihipertensi pada Wanita Hamil di RSUD Toto Kabila

Studi Penatalaksanaan dan Ketepatan Pengobatan Antihipertensi pada Wanita Hamil di RSUD Toto Kabila

Evaluasi Pengobatan Antihipertensi Pada Pasien Pre-Eklampsia Di Rumah Sakit Islam Pku Muhammadiyah Pekajangan

Evaluating the Efficacy of the Zelisken Ball in Shortening the First Stage of Labor: A Quasi-Experimental Study

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