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Journal : Media Ilmu Kesehatan

EVALUASI PENGGUNAAN TERAPI ANTIHIPERTENSI PADA PASIEN GAGAL GINJAL KRONIK DENGAN HEMODIALISIS Nadia Husna; Niken Larasati
MEDIA ILMU KESEHATAN Vol 8 No 1 (2019): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v8i1.249

Abstract

Background: End Stage Renal Disease (ESRD) occurs when Glomerular Filtration Rate (GFR) falls below 15 ml/minute/1.73m2. This condition leads to Renal Replacement Therapy (RRT) intervention namely dialysis and kidney transplantation. The intervention inclines morbidity and hospitalization rate which means more physical and financial burden to patients as the consequences. One of the physical side effects that becomes a major cause of increasing cardiovasculer mortality is hypertension. Objective: The purpose of this study was to analyze the rationale of antihypertensive therapy in haemodialysis patients. Methods: A descriptive, purposive, non experimental study gathering medical records of 97 hemodialysis with antihypertensive therapy patients of PKU Muhammadiyah Gamping hospital who were admitted from June until August 2018 was held in this study. Results: Majority of patients were female (63,92%), aged between 41-75 years (83,50%), and diagnosed with chronic kidney disease (CKD) (95,58%), received three combination of antihypertensive drugs (38,14%) using Calcium Channel Blocker namely amlodipin (20,86%). The analysis of antihypertensive therapy including accurate drugs, patients, and dosage were 83,51%, 100%, and 97,72% respectively. Conclusion: The use of antihypertensive drugs in CKD patient in PKU Muhammadiyah Gamping was approprite Keywords: Antihypertension, chronic kidney disease, evaluation, hemodialysis, hospital.
PENGARUH PROLANIS DAN KEPATUHAN MINUM OBAT TERHADAP TEKANAN DARAH PASIEN HIPERTENSI DI PUSKESMAS GAMPING 1 Niken Larasati; Nadia Husna
MEDIA ILMU KESEHATAN Vol 8 No 2 (2019): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v8i2.293

Abstract

Background: Hypertension is one of the main risk factors for heart problems that require high medical costs. Prolanis is a health service system and proactive approach that is implemented in an integrated manner involving participants, health facilities, and BPJS Health in order to maintain health for participants. Objective: This study aims to determine the effect of implementing the Prolanis and medication adherence to blood pressure control in hypertension patients in Puskesmas Gamping 1. Methods: This research is non-experimental research and is observational analytic. Data collection was carried out retrospectively in June-September 2018. The data obtained were then analyzed by chi-square method. Results: The results obtained in this study were that there was no significant relationship between educational consultation with patient's blood pressure (Asymp. Sig. 0.111), and home visit with patient's blood pressure (Asymp. Sig 0.007). Furthemore there was a significant relationship between gateway reminder with patient's blood pressure (Asymp. Sig 0.002), and medication adherence with patient's blood pressure (Asymp. Sig 0,000). Conclusion: Success in controlling blood pressure in hypertensive patients is the result of cooperation between patients and medical and health care workers. Compliance and good understanding in carrying out therapy can affect blood pressure and gradually prevent complications.