THE EFFECT OF ADHERENCE, KNOWLEDGE AND LIFE STYLE ON BLOOD PRESSURE IN CHRONIC KIDNEY DISEASE-HYPERTENSION PATIENTS RECIEVING AMLODIPINE IN RSUP DR. HASAN SADIKIN BANDUNG
Kidney has an important role to maintain homeostasis in human's body. Chronic kidney disease (CKD) is related to hypertension either as the cause or as a result of hypertension. In CKD patients undergo hemodyalisis with hypertensive complication, antihypertensive agent is needed, one of them...
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| Format: | Theses |
| Language: | Indonesia |
| Online Access: | https://digilib.itb.ac.id/gdl/view/47160 |
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| Institution: | Institut Teknologi Bandung |
| Language: | Indonesia |
| Summary: | Kidney has an important role to maintain homeostasis in human's body. Chronic
kidney disease (CKD) is related to hypertension either as the cause or as a result
of hypertension. In CKD patients undergo hemodyalisis with hypertensive
complication, antihypertensive agent is needed, one of them is amlodipine. Patient
adherence, knowledge, and lifestyle are factors that can be considered to achieve
therapeutic targets. This study was aimed to assess the effect of adherence,
knowledge, and lifestyle to hypertension in order to enhance the achievement of
therapeutic target. This study was done to 57 patients with CKD stage V with
hypertension stage 1 and 2, who receive amlodipine as monotherapy. The study
was conducted from feb to may 2017 at RSUP Hasan Sadikin. Analysis in this
study were based on data collection (compliance, knowledge, and lifestyle
scoring) which conducted using validated questionnaire and blood pressure data
from medical record. Data collection was done two times interspersed with patient
education. This study has found that knowledge significantly influenced systolic
pra-HD blood pressure (p=0.018) with percentage 15.7%, and the effect was
positive. Lifestyle significantly influenced dyastolic pra-HD blood pressure
(p=0,006) with percentage of 18,1%, and the effect was negative, and all variables
influenced dyastolic pra-HD blood pressure (p=0,011) with percentage of 18,8%.
While education increases the score of knowledge (p=4,6x10
-6
). In conclusion
knowledge has influence in systolic pra-HD blood pressure, lifestyle has influence
in dyastolic pra-HD blood pressure, and all variables have influenced in dyastolic
pra-HD blood pressure, while educational brocure can improve patients'
knowledge.
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