Analisis Faktor Determinan yang berhubungan dengan Kepatuhan Rekomendasi Modifikasi Gaya Hidup Pasien Hipertensi

Abstract

Penatalaksanaan farmakologis dan non farmakologis dipercaya dapat mengontrol tekanan darah dan mencegah komplikasi, tetapi banyak pasien hipertensi tekanan darahnya tidak terkontrol. Hal tersebut dikarenakan kepatuhan yang buruk dalam melaksanakan rekomendasi gaya hidup. Penelitian ini bertujuan untuk menganalisis determinan faktor yang berhungan dengan kepatuhan melaksanakan rekomendasi modifikasi gaya hidup. Penelitian ini menggunakan metode cross-sectional di pukesmas dinoyo Kota Malang tahun 2019. Teknik pengambilan sampel menggunakan Consecutive Sampling. Kuesioner yang digunakan meliputi : karakteristik demografi, pengetahuan dan rekomendasi mofifikasi gaya hidup pasien hipertensi. Hubungan antara rekomendasi modifikasi gaya hidup dengan variabel independen dianalisis menggunakan uji chi square dan analisis regresi logistik. 140 pasien hipertensi berpartisipasi dalam penelitian ini (60 laki-laki, 80 wanita). Prevalensi kepatuhan adalah 28,6 %. Tingkat pengetahuan berhubungan signifikan dengan kepatuhan melaksanakan rekomendasi gaya hidup (p=0,00). Jenis kelamin, usia, dan tingkat pendidikan tidak mempunyai hubungan signifikan dengan kepatuhan rekomendasi modifikasi gaya hidup (p= 0,06; p=0,21; p=0,87). Pengetahuan mempunyai hubungan yang signifikan dengan kepatuhan rekomendasi modifikasi gaya hidup. Management of pharmacological and non-pharmacological is believed to control blood pressure and prevent complications, but many hypertensive patients have uncontrolled blood pressure. This is due to poor adherence to recommended lifestyle modifications. This study was aimed to determine the factors associated with adherence to recommended lifestyle modifications of hypertensive patients. A cross-sectional study was conducted in Pukesmas Dinoyo Malang in 2019. Consecutive Sampling was used to select study subjects. The questionnaire included information about demographic characteristics, knowledge, practice of lifestyle-modification measures. Associations between adherence to lifestyle modification and independent variables were analyzed using chi square and multivariate logistic regression analysis. 140 hypertensive patients participated in the study (60 men, 80 women). The prevalence of adherence was 28.6%. The level of knowledge was significant associated with adherence to recommended lifestyle modifications (p = 0.00). Genders , age, and educational level were no significant associated with to recommended lifestyle modifications (p= 0.06; p=0.21; p=0.87). Knowledge was significant associated with adherence to recommended lifestyle modifications of hypertensive patients.

Knowledge as a Factor Associated with Lifestyle in Controlling Hypertension

“…This study is also in accordance with the results of research administered by Herawati, (2020) with the results that there is a relationship between knowledge and efforts to control hypertension. The study conducted by Qodir, (2020) is also associated with this study in which the level of knowledge has a relationship with lifestyle modification compliance in hypertension patients and hypertension patients who possess high knowledge tend to be more obedient.…”

“…Lifestyle in controlling hypertension is influenced by the level of knowledge, gender, and age. Research administered by Qodir (2020) presents that knowledge owns the highest relationship strength to lifestyle modification (OR = 4.9; IK 2.1-11.5) in comparison with other factors that affect lifestyle such as gender, age, and education level. Research conducted by Wahyuni & Susilowati, (2018) demonstrates that there is a relationship between the level of knowledge and the level of hypertension (p = 0.001).…”

Baksos Kesehatan Penduduk Pralansia & Lansia dengan Hipertensi di Rw 01 Kelurahan Tanjungrejo Kecamatan Sukun Kota Malang

“…Penderita hipertensi harus tetap menjalankan diet hipertensi setiap hari dengan ada atau tidaknya sakit dan gejala yang timbul. Hal ini dimaksudkan agar keadaan tekanan darah penderita hipertensi tetap stabil sehingga dapat terhindar dari penyakit hipertensi dan komplikasinya 12 . Upaya mengubah suatu perilaku pemeliharaan yang terus menerus diperlukan suatu pendidikan kesehatan.…”