Articles

Adherence to Hypertension Management Practices Based on International Society of Hypertension (ISH) Guidelines among Hypertensive Patients

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Hypertension is a significant global health concern with profound cardiovascular implications. The researchers used a quantitative research design employing a descriptive research survey approach and the instrument used to seek information was a researcher-made questionnaire for assessing demographic characteristics, adherence to hypertension management such as medication adherence, lifestyle changes, and blood pressure control. These tools were used in data analysis frequency count and percentage distribution, mean and standard deviation, and lastly analysis of variance (ANOVA). This abstract presents a study conducted in Brgy. Washington, Surigao City, focusing on adherence to hypertension management guidelines by the International Society of Hypertension (ISH). Respondents generally showed high adherence to hypertension management, primarily taking medicine, with moderate adherence to monitoring blood pressure, physical activity, and diet, influenced by demographic factors. The study found no significant difference in medication adherence or adherence to a balanced diet among hypertensive individuals in Brgy. Washington, but did show differences based on age, occupation, income, and years of hypertension, emphasizing the need for community-based initiatives.

Analysis of Risk Factors for Death in COVID-19 Patients at Bahteramas Regional General Hospital, Southeast Sulawesi Province

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Background: Coronavirus disease 2019, or COVID-19, is an infectious disease caused by the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). COVID-19 has been classified as a pandemic since 2020.

Purpose:  The purpose of this study was to determine the risk factors for death due to COVID-19 at the Bahteramas Public Hospital, Southeast Sulawesi Province.

Method: This research is a retrospective analytic study with a cross sectional approach. The number of samples is 85 samples. The sampling technique was purposive sampling. The data were processed using the Chi-Square test and Odds Ratio.

Results: This study shows that 47 people died at the Bahteramas Hospital in Southeast Sulawesi Province from March to November 2020, the variable age (p value = 0.001 and OR value 5.216), gender (p value = 0.078 and OR value = 2.180), hypertension variable (p value = 0.071 and OR value = 2.510), and diabetes mellitus variable (p value = 0.013 and OR value = 3.300).

Conclusion: Age, sex, hypertension, and diabetes mellitus are risk factors for death due to COVID-19 at Bahteramas Public Hospital, Southeast Sulawesi Province.

 

The Effect of Slow Deep Breathing Exercise on the Blood Pressure of Elderly People with Hypertension at the Working Area of the Public Health Centre Air Tawar Padang

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Hypertension is often found in elderly, it is a major factor causing stroke and heart disease. The number of people with hypertension continues to increase every year, it is estimated that by 2025 there will be 1.5 million people affected by hypertension in the world. The purpose of study was to determine the effect of slow deep breathing exercise on changes in blood pressure in the elderly in Public Health Center Air Tawar. This researchis a Quation Experiment with one group pre-post design. The research was conducted in Public Health Center Air Tawar, Padang from January to June 2022. The population were 80 erderly with hypertension,with a sample of 20 people obtained from the slovin formula. Data analysis used the Wilcoxon test with Signed Rank Test. The type of data wasseondary obtained from the Air Tawar Public Health Center and Primary from questionnaires. The results showed that the average of systolic blood pressure before intervention was 149/100 mmHg. The average after the intervention decreased to 140/92mmHg. The effect of the slow deep breathing exercise was proven by the significant value of blood pressure before intervention and after intervention was 0.001. The conclusion shown, there was a significant influence of slow deep breathing exercise on changes in blood pressure of the elderly. The changes in blood pressure obtained were still in the category of hypertension, it is hoped that respondents willconsume low-salt diet, drug consumption and utilizing the services of health workers can make slow deep breathing exercise as one of the blood pressure control techniques.

Individual Determinant Factors of Patients with Hypertension and the Utilization of Chronic Disease Management Program (Prolanis) Services in First-Level Healthcare Facilities in Pesawaran District, Lampung, Indonesia

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Hypertension is estimated to affect 1.28 billion adults aged 30-79 years worldwide. One of the efforts to treat hypertension at first-level healthcare facilities (FKTP) by BPJS Health is the chronic disease management program (Prolanis). Many factors influence the utilization of first-level health services. This study aimed to analyze the relationship between individual determinant factors and the use of Prolanis services at FKTP Pesawaran Regency, Lampung, Indonesia. This cross-sectional study was conducted on 330 patients with hypertension in four FKTPs, with the most participants holding Prolanis activities in the Pesawaran district, Lampung province, Indonesia, from February to April 2023. The chi-square test and logistic regression were used for data analysis. The results showed that there was a relationship between attitude (p-value<0.001), knowledge (p-value<0.001), access (p-value=0.010), level of hypertension (p-value<0.001), and utilization of Prolanis services at FKTP Pesawaran Regency. This study concludes that the individual determinants of hypertension sufferers have a significant relationship with the utilization of Prolanis in the FKTP of Pesawaran Regency, Lampung, Indonesia. It is recommended that patients with hypertension can make better use of Prolanis to maintain their health and prevent further complications.

Study to assess the Prevalence of Hypertension in Baznagar, Lucknow

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Introduction:- Hypertension is a major public health problem and important area of research due to its high prevalence and being major risk factor for cardiovascular disease and other complications. Hypertension to have many deleterious effects on the body that puts people at a higher risk of developing other illnesses and diseases, such as obesity and diabetes. High blood pressure is the single largest risk factor for disease burden worldwide.
Objectives:- To assess the prevalence of hypertension and its associated factors.
Materials and Methods:- A cross-sectional study was undertaken in a rural area of Baznagar, Lucknow. Data was collected by face to face interview technique after verbal informed consent. Convenient sampling technique was used to select the study participants. A total 100 study subjects aged 20-45 years was used. Socio-demographic sheet and B.P. Record sheet were used to collect data.
Results:- Out of 100 participants 36% were found to be hypertensive and 64% were non hypertensive. Majority (52.8%) males were hypertensive and (47.2%) females were hypertensive. There is significant relationship between hypertension and gender among subject (P=0.005). Majority of subject were found hypertensive in the age group of 20-28 years but there is no significance relationship between hypertension and age (P=0.143)
Conclusion:- Around one –third of the subjects were hypertensive (36%) and half of the study subjects were non-hypertensive (64%) in this area.

Tooth Mobility Due to Chronic Periodontitis with Hypertension: A Cross Sectional Study

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One of the non-communicable diseases that is becoming a very serious health problem today is hypertension which is known as the silent killer. Periodontal disease is an inflammatory disease associated with a small number of gram-negative anaerobic bacteria. These gram-negative anaerobic bacteria have the opportunity to become systemic diseases, including diabetes mellitus, cardiovascular disease and blood clotting problems. Cardiovascular diseases include coronary heart disease and hypertension. This study aims to analysis the relationship between tooth mobility due to chronic periodontitis and hypertension. Methods: analytic observational research with cross sectional design. The study was carried out on patients at the Dental Polyclinic of Dr. Moewardi Hospital Surakarta. The research sample was taken by purposive sampling technique, as many as 84 people. The independent variable in this study was tooth mobility due to chronic periodontitis, while the dependent variable was hypertension. Collecting data using a questionnaire, the OHI-S index examination sheet and the Community Periodontal Index (CPI). Data analysis using Kendall’s tau test. Results: the relationship between tooth mobility due to chronic periodontitis and hypertension showed that the p-value was 0.011 (p <0.05) Conclusion: there was a significant relationship between tooth mobility due to chronic periodontitis and hypertension.

The Effect of Nanogold-Nanosilver to Increase the Immunity of People Affected by COVID-19 with Hypertension Comorbidities

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The SARS‐CoV‐ 2/Covid-19 Coronavirus is currently endemic throughout the world. The comorbidities of Covid-19 with the highest percentage reaching 50.5% are hypertension. Hypertension included in Non-Communicable Diseases (NCD) is generally chronic. It can reduce the sufferer’s immune system gradually and is very susceptible to infections, including those caused by viral infections, one of which is the SARS-CoV-2 virus or commonly called COVID-19. Therefore, patients with NCD, especially hypertension, are encouraged to increase immunity and body immunity to avoid virus infection. Currently, nanoparticles, especially Nanogold and Nanosilver, are taking place very rapidly in the health sector because gold and silver nanoparticles have various benefits such as antioxidants, antivirals, and antibacterials. After being proven effective in dealing with leprosy patients in Surabaya, especially in terms of increasing immunity. Now Nanogold-Nanosilver was developed with the hope to help relieve Covid-19 sufferers through increasing the body’s immune system because if the body’s immune system decreases, the virus will quickly enter the body. In this study, Nanogold and Nanosilver were developed into a health water drink that volunteers can drink every day. Volunteers are people affected by Covid-19 in the Karanganyar area of Surabaya. This study uses a one-group pretest-posttest design. The data collection is carried out through direct observation and interviews with people affected by Covid-19 regularly every week. Then the data analysed using a paired T-test on the SPSS application. And obtained a P-value of 0.000, which means that there is an effect of nanogold-nanosilver for increase body immunity.

Prevalence of Coronary Heart Disease (CHD) and Selected Risk Factors of CHD, Among People Aged 30-64 Years in the District of Gampaha, Sri Lanka

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Background- Coronary heart disease (CHD) is the leading cause of hospital deaths in Sri Lanka. The underlying risk factors include; tobacco smoking, unhealthy diet, harmful alcohol use, physical inactivity, and medical conditions; hypertension, diabetes mellitus, obesity, dyslipidaemia. Objective of this study was to determine prevalence of CHD and risk factors among people aged 30-64 in Gampaha District, Sri Lanka.
Methods- A community based cross-sectional study was conducted among 1192 people aged 30-64 years in district of Gampaha, recruited by probability proportionate to the population size, cluster sampling. Data were collected using a pre-tested interviewer-administered questionnaire on prevalence of CHD, hypertension, diabetes mellitus, dyslipidaemia, obesity, harmful alcohol use, unhealthy diet, physical inactivity and tobacco smoking and anthropometric measurements by trained data collectors. Twelve-lead ECG, blood pressure, fasting plasma glucose and lipid levels were done for previously undiagnosed. Data were analyzed using SPSS-21.
Results- The estimated prevalence of CHD based on already diagnosed cases and Rose positive angina 6.9% (95% CI 5.4% – 8.4%), CHD based on already diagnosed cases and ECG 6.4 (95% CI 4.9% – 7.8%), hypertension 37.5% (95% CI 34.7% to 40.3%), diabetes mellitus 17.4% (95% CI 15.2% to 19.6%), dyslipidaemia 66.5% (95% CI 63.8% – 69.2%). The estimated prevalence of other modifiable risk factors of generalized obesity (BMI≥25.0) (44.0%, 95%CI41.1-46.9), sub-optimal quality diet (71.9%, 95%CI 69.3-74.5), low level of physical activity (21.7%, 95%CI 19.3-24.1), heavy or high-risk drinking 11.4% (95%CI 9.56-13.2), smoking 14.2% (95%CI 12.2-16.2).
Conclusions- Estimated prevalence of CHD and selected risk factors were high in Gampaha District with a large proportion of previously undiagnosed disease. Immediate public health action is needed including training programs for healthcare workers on detection of risk factors and awareness among the public for screening for risk factors.