STUDI EFIKASI PENGOBATAN PASIEN HIPERTENSI DENGAN KOMORBIDITAS DIABETES MELITUS TIPE 2 DI SUATU RUMAH SAKIT DI BANDUNG

• Main Author: Allaniyyah, Ghina
• Format: Final Project
• Language: Indonesia
• Online Access: https://digilib.itb.ac.id/gdl/view/45558
• Institution: Institut Teknologi Bandung

Hypertension is a cardiovascular disease that generally accompanies patients of diabetes (American Diabetes Association, 2015). Likewise, a person with hypertension is more likely diabetes mellitus type 2 has a greater possibility to be suffered by diabetes mellitus compared to normal people. Based on the Epidemiological studies by the UK Prospective Diabetes Study (UKPDS 36) in every 10 mm Hg reduction in systolic blood pressure associated with a reduced risk of complications of the disease such as diabetes, infrak miokardia and microvascular complications. For that tight blood pressure control can reduce mortality. This study aims to examine the blood pressure reducing relationship hypertensive patients with comorbid diabetes mellitus type 2 and hypertension without diabetes mellitus type 2, therefore this study was conducted to evaluate the success of the treatment to hypertensive patients with type 2 diabetes mellitus in one of the private hospitals in Bandung. This study was used descriptive and observational studies which were conducted retrospectively and concurrently in a private hospital at Bandung. The relationship between the reduction of blood pressure between hypertension patients and comorbid diabetes mellitus type 2 with hypertension patients without diabetes mellitus type 2. Those were analyzed using independent t-student. The use of antihypertensive drugs and antidiabetic drugs in private hospitals will be analyzed descriptively. The statistical analysis results of this study were analyzed using independent t-student showed no significant difference between the reduction of blood pressure in hypertensive patients and comorbid diabetes mellitus type 2 and hypertension patients without diabetes mellitus type 2 on the significance level of 0,05. In addition, based on the analysis of blood pressure target, analysisis of drug use in the group of hypertensive patients with comorbid diabetes mellitus type 2 and hypertension patients without diabetes mellitus type 2 showed that the election antihypertensive and antidiabetics drug to patients in accordance with good algorithms of JNC 8 and ADA 2015. The evidence shows that blood pressure control in the test group and the comparison group in a private hospital. This has been done properly and followed the standards. Based on interviews of 14 hypertensive patients with comorbid diabetes mellitus type 2 regarding lifestyle modification, a group that do the diet showed an increasing in decreasing the systolic blood pressure greater than the group that did not do diet, and the group that regularly do exercises showed an increasing in decreasing the systolic blood pressure greater than the group that did not do exercising and groups taking the drug showed an increase decrease more blood greater than the non-adherent group taking the drug.