PENGARUH STATUS GIZI PASIEN LANJUT USIA TERHADAP HASIL TERAPI ANTIHIPERTENSI GOLONGAN PEMBLOK KANAL KALSIUM DI DUA PUSKESMAS KOTA BANDUNG
A careful nutritional assessment is essential for improvement of comprehensive treatment plans, especially for elderly population with hypertension in Indonesia. The aim of this study was accomplished to observe and evaluate the relationship between nutritional status and outcome of treatment in...
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| Format: | Final Project |
| Language: | Indonesia |
| Online Access: | https://digilib.itb.ac.id/gdl/view/45188 |
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| Institution: | Institut Teknologi Bandung |
| Language: | Indonesia |
| Summary: | A careful nutritional assessment is essential for improvement of comprehensive treatment plans,
especially for elderly population with hypertension in Indonesia. The aim of this study was
accomplished to observe and evaluate the relationship between nutritional status and outcome
of treatment in elderly patients with hypertension who used antihypertensive drugs, calcium
channel blockers (CCB). This research was a descriptive-observational study which was conducted
concurrently and retrospectively on two primary health care facilities, including Puskesmas Puter
and Puskesmas Ibrahim Adjie in Bandung, using medical records and interviews to patients. The
relationship between nutritional status and outcome therapy was analysed statistically with
independent t-student methods. Possible adverse drug reactions (ADRs) of CCB were analysed
descriptively. In addition, educational brochures and counseling were given to patients. Total
samples were 257 patients dominated by women (69.65%), diagnosed with stage 2 hypertension
(39.69%) and myalgia (31.52%) as the most common comorbid. The results showed that there
was a significant difference in reduction of systolic blood pressure between those nutritional
status groups at the 0.05 significance level. The average decrease in systolic and diastolic at the
group at risk of malnutrition and malnutrition was larger than in patients with normal nutrition
group, leading to the possibility of drug toxicity condition. Suspected ADRs of CCB occured higher
in patients with at risk of malnutrition and malnutrition status group. Dizziness (46.69%) was the
most frequent of ADRs. Thus, it is necessary to control effectively the use of CCB, especially in
patients who are at risk of malnutrition or malnutrition.
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