Hypertension Treatment and Control in Older Adult at Tanjung Sari Primary Health Care
Abstract: Hypertension is
considered as a major health problem in Indonesia, especially in older adult
population because of its prevalence increases by age. Treatment strategy and
control management of hypertension in Public Health Center (Pusat Kesehatan
Masyarakat, Puskesmas) as primary health care should be enhanced to overcome
this issue. This study aimed to describe the pattern of antihypertensive agent
in older adults.
Methods: This was a descriptive study with total sampling method for data
collection. Data were collected from medical record of older adult patients
with diagnosis of hypertension at Puskesmas Tanjung Sari from January to
December 2013. The variables observed were gender, number of visits, the degree
of hypertension, types of antihypertensive drug, combinations of
antihypertensive drugs, and blood pressure control.
Results: The number of older adults with hypertension was 180 people.
Some of which, 120 women (66.7%) participated, 152 (84.4%) had hypertension
stage 2, 100 (55.6%) had just one visit, and 80 (44.4%) had more than one
visit. Among 80 participants with more than one visit, 8 had achieved target
blood pressure. There were 166 participants (92.2%) who received single
antihypertensive agent (captopril was given the most), and 14 participants
(7.8%) who received the combination of two antihypertensive agent (combination
of captopril and HCT (hydrochlorothiazide)) were given the most).
Conclusions: More than 75% of older adult with hypertension have stage 2
hypertension and are treated by single antihypertensive agent. Ninety percent
of the patient have uncontrolled blood pressure.
Author: Rahmi Fauziah, Enny
Rohmawaty, Lazuardhi Dwipa
Journal Code: jpkedokterangg160089