EVALUASI PENGGUNAAN TERAPI ANTIHIPERTENSI TERHADAP TEKANAN DARAH PRA-DIALISIS PADA PASIEN RAWAT JALAN DENGAN END STAGE RENAL DISEASE (ESRD) YANG MENJALANI HEMODIALISIS RUTIN DI RS PKU MUHAMMADIYAH YOGYAKARTA
Hypertension and chronic kidney disease (CKD) are the two kinds of disease that are related each others. Hypertension is not only a major cause of kidney failure but also becomes a problem of dialysis patients. The prevalence of hypertension is estimated to occur in 80% of the hemodialysis populatio...
| Main Authors: | , |
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| Format: | Thesis |
| Published: |
[Yogyakarta] : Universitas Gadjah Mada
2011
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| _version_ | 1826043810073804800 |
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| author | , Fitriani , Dr. Agung Endro Nugroho, M.Si., Apt. |
| author_facet | , Fitriani , Dr. Agung Endro Nugroho, M.Si., Apt. |
| author_sort | , Fitriani |
| collection | UGM |
| description | Hypertension and chronic kidney disease (CKD) are the two kinds of disease
that are related each others. Hypertension is not only a major cause of kidney
failure but also becomes a problem of dialysis patients. The prevalence of
hypertension is estimated to occur in 80% of the hemodialysis population.
Hypertension increases the risk of cardiovascular disease. Cardiovascular disease
and complications are known as the major cause of morbidity and mortality among
ESRD patients. In hemodialysis population, the target of pre-dialysis blood
pressure is <140/90 mmHg and for the post-dialysis is <130/80 mmHg. This
research aims to determine the relationship between the compliance levels of
patients in antihypertensive medication towards the blood pressure control of predialysis
outpatients with ESRD who undergo routine hemodialysis in RS PKU
Muhammadiyah Yogyakarta.
This research is conducted by using a descriptive observational study design
with prospective data collection method. Data analysis was performed to determine
the profile of antihypertensive therapy use, antihypertensive medication therapy
outcomes profile of the pre-dialysis blood pressure, and the influence of the
patients� compliance level in antihypertensive medication towards the blood
pressure control of pre-dialysis outpatients with ESRD who undergo routine
hemodialysis in RS PKU Muhammadiyah Yogyakarta. The patient compliance
level in taking antihypertensive drugs is assessed by questionnaire of Modified
Morisky Scale (MMS).
Based on the research results, the antihypertensive profile used was CCBs
system (32,91%), loop diuretics (23,42%), AIIRA (15,82%), central α agonists
(12,66%), ACEI (12,03 %), and β blockers (3,16%). Antihypertensive therapies
applied single and combination therapy. Mono-therapy applied ACEI group
(1,85%), CCBs (3,70%), and loop diuretics (1,85%). The most used
antihypertensive combination are 3 application, they are a combination of the class
of CCBs, AIIRA, and loop diuretics (16,67%). The outcomes profile of
antihypertensive medication therapy based on the measurement results of predialysis
blood pressure is the target of pre-dialysis blood pressure (<140/90
mmHg) can only be achieved by 3 patients, 2 patients are the compliance patients
with the right choice and appropriate dose of antihypertensive therapy and 1
patient is a non-adherent patient with incorrect type and inappropriate doses of
antihypertensive therapy. Most of hemodialysis patients have isolated systolic
hypertension (ISH). The influence of the patients� compliance level in
antihypertensive medication towards the blood pressure control of pre-dialysis
outpatients, there are 19 patients (35,19%) in the category of non-adherent patients
with a mean blood pressure is 168,40/ 91,95 mmHg, and 35 patients (64,81%) in
the category of adherence with a mean blood pressure is 165,60/ 87,77 mmHg. |
| first_indexed | 2024-03-13T22:09:38Z |
| format | Thesis |
| id | oai:generic.eprints.org:90189 |
| institution | Universiti Gadjah Mada |
| last_indexed | 2024-03-13T22:09:38Z |
| publishDate | 2011 |
| publisher | [Yogyakarta] : Universitas Gadjah Mada |
| record_format | dspace |
| spelling | oai:generic.eprints.org:901892014-08-20T02:51:31Z https://repository.ugm.ac.id/90189/ EVALUASI PENGGUNAAN TERAPI ANTIHIPERTENSI TERHADAP TEKANAN DARAH PRA-DIALISIS PADA PASIEN RAWAT JALAN DENGAN END STAGE RENAL DISEASE (ESRD) YANG MENJALANI HEMODIALISIS RUTIN DI RS PKU MUHAMMADIYAH YOGYAKARTA , Fitriani , Dr. Agung Endro Nugroho, M.Si., Apt. ETD Hypertension and chronic kidney disease (CKD) are the two kinds of disease that are related each others. Hypertension is not only a major cause of kidney failure but also becomes a problem of dialysis patients. The prevalence of hypertension is estimated to occur in 80% of the hemodialysis population. Hypertension increases the risk of cardiovascular disease. Cardiovascular disease and complications are known as the major cause of morbidity and mortality among ESRD patients. In hemodialysis population, the target of pre-dialysis blood pressure is <140/90 mmHg and for the post-dialysis is <130/80 mmHg. This research aims to determine the relationship between the compliance levels of patients in antihypertensive medication towards the blood pressure control of predialysis outpatients with ESRD who undergo routine hemodialysis in RS PKU Muhammadiyah Yogyakarta. This research is conducted by using a descriptive observational study design with prospective data collection method. Data analysis was performed to determine the profile of antihypertensive therapy use, antihypertensive medication therapy outcomes profile of the pre-dialysis blood pressure, and the influence of the patients� compliance level in antihypertensive medication towards the blood pressure control of pre-dialysis outpatients with ESRD who undergo routine hemodialysis in RS PKU Muhammadiyah Yogyakarta. The patient compliance level in taking antihypertensive drugs is assessed by questionnaire of Modified Morisky Scale (MMS). Based on the research results, the antihypertensive profile used was CCBs system (32,91%), loop diuretics (23,42%), AIIRA (15,82%), central α agonists (12,66%), ACEI (12,03 %), and β blockers (3,16%). Antihypertensive therapies applied single and combination therapy. Mono-therapy applied ACEI group (1,85%), CCBs (3,70%), and loop diuretics (1,85%). The most used antihypertensive combination are 3 application, they are a combination of the class of CCBs, AIIRA, and loop diuretics (16,67%). The outcomes profile of antihypertensive medication therapy based on the measurement results of predialysis blood pressure is the target of pre-dialysis blood pressure (<140/90 mmHg) can only be achieved by 3 patients, 2 patients are the compliance patients with the right choice and appropriate dose of antihypertensive therapy and 1 patient is a non-adherent patient with incorrect type and inappropriate doses of antihypertensive therapy. Most of hemodialysis patients have isolated systolic hypertension (ISH). The influence of the patients� compliance level in antihypertensive medication towards the blood pressure control of pre-dialysis outpatients, there are 19 patients (35,19%) in the category of non-adherent patients with a mean blood pressure is 168,40/ 91,95 mmHg, and 35 patients (64,81%) in the category of adherence with a mean blood pressure is 165,60/ 87,77 mmHg. [Yogyakarta] : Universitas Gadjah Mada 2011 Thesis NonPeerReviewed , Fitriani and , Dr. Agung Endro Nugroho, M.Si., Apt. (2011) EVALUASI PENGGUNAAN TERAPI ANTIHIPERTENSI TERHADAP TEKANAN DARAH PRA-DIALISIS PADA PASIEN RAWAT JALAN DENGAN END STAGE RENAL DISEASE (ESRD) YANG MENJALANI HEMODIALISIS RUTIN DI RS PKU MUHAMMADIYAH YOGYAKARTA. UNSPECIFIED thesis, UNSPECIFIED. http://etd.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=52565 |
| spellingShingle | ETD , Fitriani , Dr. Agung Endro Nugroho, M.Si., Apt. EVALUASI PENGGUNAAN TERAPI ANTIHIPERTENSI TERHADAP TEKANAN DARAH PRA-DIALISIS PADA PASIEN RAWAT JALAN DENGAN END STAGE RENAL DISEASE (ESRD) YANG MENJALANI HEMODIALISIS RUTIN DI RS PKU MUHAMMADIYAH YOGYAKARTA |
| title | EVALUASI PENGGUNAAN TERAPI ANTIHIPERTENSI TERHADAP
TEKANAN DARAH PRA-DIALISIS PADA PASIEN RAWAT JALAN
DENGAN END STAGE RENAL DISEASE (ESRD) YANG MENJALANI
HEMODIALISIS RUTIN DI RS PKU MUHAMMADIYAH YOGYAKARTA |
| title_full | EVALUASI PENGGUNAAN TERAPI ANTIHIPERTENSI TERHADAP
TEKANAN DARAH PRA-DIALISIS PADA PASIEN RAWAT JALAN
DENGAN END STAGE RENAL DISEASE (ESRD) YANG MENJALANI
HEMODIALISIS RUTIN DI RS PKU MUHAMMADIYAH YOGYAKARTA |
| title_fullStr | EVALUASI PENGGUNAAN TERAPI ANTIHIPERTENSI TERHADAP
TEKANAN DARAH PRA-DIALISIS PADA PASIEN RAWAT JALAN
DENGAN END STAGE RENAL DISEASE (ESRD) YANG MENJALANI
HEMODIALISIS RUTIN DI RS PKU MUHAMMADIYAH YOGYAKARTA |
| title_full_unstemmed | EVALUASI PENGGUNAAN TERAPI ANTIHIPERTENSI TERHADAP
TEKANAN DARAH PRA-DIALISIS PADA PASIEN RAWAT JALAN
DENGAN END STAGE RENAL DISEASE (ESRD) YANG MENJALANI
HEMODIALISIS RUTIN DI RS PKU MUHAMMADIYAH YOGYAKARTA |
| title_short | EVALUASI PENGGUNAAN TERAPI ANTIHIPERTENSI TERHADAP
TEKANAN DARAH PRA-DIALISIS PADA PASIEN RAWAT JALAN
DENGAN END STAGE RENAL DISEASE (ESRD) YANG MENJALANI
HEMODIALISIS RUTIN DI RS PKU MUHAMMADIYAH YOGYAKARTA |
| title_sort | evaluasi penggunaan terapi antihipertensi terhadap tekanan darah pra dialisis pada pasien rawat jalan dengan end stage renal disease esrd yang menjalani hemodialisis rutin di rs pku muhammadiyah yogyakarta |
| topic | ETD |
| work_keys_str_mv | AT fitriani evaluasipenggunaanterapiantihipertensiterhadaptekanandarahpradialisispadapasienrawatjalandenganendstagerenaldiseaseesrdyangmenjalanihemodialisisrutindirspkumuhammadiyahyogyakarta AT dragungendronugrohomsiapt evaluasipenggunaanterapiantihipertensiterhadaptekanandarahpradialisispadapasienrawatjalandenganendstagerenaldiseaseesrdyangmenjalanihemodialisisrutindirspkumuhammadiyahyogyakarta |