Faktor Yang Berhubungan dengan Pasien Hipertensi Tidak Terkontrol Di Puskesmas



Miftafu Darussalam(1*), Agus Warseno(2)

(1) Departemen Keperawatan Medikal Bedah, Fakultas Kesehatan Universitas Jenderal Achmad Yani Yogyakarta
(2) 
(*) Corresponding Author

Abstract


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.

Keywords: age, blood pressure control habits, and uncontrolled hypertension


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