Effect of Patients Behavior and Family Health Companion Role on Hypertension Complication Occurrence

Abstract

ABSTRACT
 Various efforts of hypertension complications prevention have been carried out properly but the prevalence of hypertensive complications in NTT Province is still very high. The study aimed to determine the effect of patient behavior and family health companion role on the incidence of hypertension complications. The study was carried out in the work area of Sikumana Health Center in Kupang City with a case-control design. A total of 40 case samples and 40 control samples were taken by simple-random sampling. Data were analyzed by bivariate (simple logistic-regression) and multivariate (multiple-logistic regression), with significant values ​​of α <0.05 and OR> 1. The results showed that 70% of patients experienced Non-Hemorrhagic Stroke (SNH) complications and 30% experienced complications of Coronary Artery Disease (CAD). The results of the knowledge factor analysis (α=0.000, OR=4.775), attitude (α=0.998, OR=1.876), practice (α=0.000, OR=18.599), family health officer (α=0.000, OR=15.13) and simultaneously the practices of the patient (α=0.000, OR=17.233). There was a significant influence on patient knowledge, patient practices, and family health companion role on the incidence of hypertensive complications. The most influential variable was the patient's practices. Patients who had poor behavior had a risk of 17.233 times greater of complications of hypertension.
 
 Keywords : behavior of patients, family health companion role, complications of hypertension
 
 ABSTRAK
 Beragam upaya untuk mencegah komplikasi hipertensi, telah dilaksanakan dengan baik. Namun prevalensi komplikasi hipertensi di NTT masih sangat tinggi. Penelitian bertujuan untuk mengetahui pengaruh perilaku pasien dan peran pendamping kesehatan keluarga pada kejadian komplikasi hipertensi. Penelitian dilakukan di wilayah kerja Puskesmas Sikumana Kota Kupang dengan desain kasus-kontrol. Sebanyak 40 sampel kasus dan 40 sampel kontrol, diambil secara simple-random-sampling. Data dianalisis bivariat (regresi-logistic-sederhana) dan multivairiat (regresi-logistic-berganda), dengan nilai signifikan α<0,05 dan OR>1. Hasil penelitian menunjukkan 70% pasien mengalami komplikasi Stroke Non Haemoragik (SNH) dan 30% mengalami komplikasi Coronary Artery Diseases (CAD). Hasil analisis faktor pengetahuan (α=0,000, OR=4,775), sikap (α=0,998, OR=1876), tindakan (α=0,000, OR=18,599), peran pendamping kesehatan keluarga (α=0,000, OR=15,13), dan secara simultan tindakan pasien (α=0,000, OR=17,233). Ada pengaruh signifikan antara pengetahuan pasien, praktek/tindakan pasien, dan peran pendamping kesehatan keluarga terhadap kejadian komplikasi hipertensi. Variabel yang paling berpengaruh adalah praktek/tindakan pasien. Pasien yang memiliki praktek/tindakan kurang baik memiliki risiko 17,233 kali lebih besar terjadi komplikasi hipertensi.
 
 Kata Kunci : perilaku pasien, peran pendamping kesehatan keluarga, komplikasi hipertensi

The Role of Community Nurses in the Prevention of Complications on Hypertension Patients in Integrated Health Centers

“…The results also found that drug consumption has a significant relationship with risk factors for complications in hypertension patients (Israfil, 2018). Gymnastic or sports with hypertension patients is an important nursing action in efforts to control hypertension and prevent complications.…”

“…There are two main nursing diagnoses that are most appropriate for patients at risk of hypertension complications: Risk of Ineffective Mikoard Perfusion Code D0014 and Risk of Cerebral Perfusion Ineffective Code D.0017 which can interfere with myocardial metabolism. This nursing diagnosis is very precise because based on the results of research by Israfil et al, (2018) it was found that 30% of hypertension patients have complications of Coronary Artery Diseases (CAD). These diseases occur in hypertension patients due to ineffective myocardial perfusion.…”

“…As many as 40 patients were recorded as having experienced complications, 5 people died with complications in 2016, and 3 people died in 2017. The results of research at the Sikumana Primary Health Center also found that most of the complications that occur in hypertension patients at Sikumana Primary Health Center in Kupang City are Stroke Non-Haemoragic and coronary artery disease (Israfil et al,2018). Complications of hypertension in hypertension patients at Sikumana Primary Health Center in Kupang City are caused by the lack of patient knowledge in preventing hypertension complications, low behavior/actions of patients in preventing hypertension complications, and low family health tasks in preventing complications in hypertension patients in Kupang City due to the lack of patient knowledge in preventing hypertension complications, low behavior/actions of patients in preventing hypertension complications, and low family health tasks in preventing complications in hypertension patients in Kupang City in the Sikumana Primary Health Center in Kupang City (Israfil et al,2018).…”

“…Sikumana Primary Health Center (Puskesmas) of Kupang City has quite a high case of hypertension complications in Kupang City. The medical record data found in the study of Israfil et al, (2018) shows the number of hypertension patients recorded in the Sikumana Primary Health Center in Kupang City as many as 292 people. The number of visits every month ranges from 199 to 270 people.…”

The Effectiveness of The Family Mentoring Model in Improving the PENSIKU (Knowledge, Attitudes and Behaviour) of Clients and Families in Treating Hypertension

“…Previous research on health coaching in families also showed positive results after its implementation; health coaching to improve healthy living behavior, including increasing the patient's physical activity, motivates patients to change their daily behavior for the better (Israfil, 2018). Health coaching also can be used as an effort for clients' and families' health management process and decision-making (Stacey, 2013).…”