PERAN TERAPI REASSURANCE PREOPERATIVE PADA PASIEN HIPERTENSI DILIHAT DARI TEKANAN DARAH PRE-INDUKSI YANG AKAN MENJALANI TINDAKAN OPERASI DI RSUD DR. SOETOMO SURABAYA PERIODE JULI - SEPTEMBER 2017
Background: Hypertension is a disease that has become a global burden. In Indonesia, hypertension is the main risk of cardiovascular diseases constituting a leading death cause, ranking third after stroke and tuberculosis, comprising of 6.7% of deaths in all age groups. The majority of hypertensi...
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| Format: | Theses and Dissertations NonPeerReviewed |
| Language: | English English |
| Published: |
2017
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| Subjects: | |
| Online Access: | http://repository.unair.ac.id/68506/1/abstrak.pdf http://repository.unair.ac.id/68506/2/full%20text.pdf http://repository.unair.ac.id/68506/ |
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| Institution: | Universitas Airlangga |
| Language: | English English |
| Summary: | Background: Hypertension is a disease that has become a global burden. In
Indonesia, hypertension is the main risk of cardiovascular diseases constituting a
leading death cause, ranking third after stroke and tuberculosis, comprising of 6.7% of
deaths in all age groups. The majority of hypertension cases in the community are not
diagnosed. This is evident in the blood pressure measurement on people aged 18 and
up, in which it is found that the prevalence of hypertension in Indonesia is 31.7%.
Only 4.7% of the population are aware of having hypertension, and only 0.4% of
people consume hypertension drugs (Kemenkes, 2012). Pre-surgical hypertension
often occurs in patients who will undergo surgery. If it is not an emergency, it does
not involve organ damage, meaning that there is ample time to reduce blood pressure
of patients.
Method: This research is an intervention research to determine the rule of the
reregulation of preoperative therapy using the reassurance method for patients who
would undergo surgical action at the Integrated Surgery Center of RSUD Dr. Soetomo
Surabaya by observing the changes that occur in patients' pre-surgical and preinduction
blood pressures. This study used purposive sampling and using total
sampling technique. 50 sample patients were divided into 2 groups, namely the group
with reassurance A method and the group with reassurance B method. The data
collected in this study were age, sex, occupation, basal blood pressure, pre-surgical
blood pressure, and pre-induction blood pressure in patients.
Results: From the results of this study, it is known that the reassurance A method and
reassurance B method did not yield statistically significant change effect ρ 0.24 > α
0.05 against systolic blood pressure category 1 and ρ 0.980> α 0.05 against
systolic blood pressure category 2. Meanwhile, the influences of both reassurance A
method and reassurance B method on diastolic blood pressure also was not
statistically significant ρ 0.185> α 0.05 against category 1 and ρ 0.41 > α 0.05
against diastolic blood pressure category 2. However, when viewed clinically, the
reassurance A method was able to reduce systolic blood pressure by 85% with an
average decrease of 10.68 mmHg and diastolic decreased 88% with an average
decrease of 9.34 mmHg. Meanwhile, the reassurance B method decreased systolic
blood pressure by 54% with an average decrease of 5.84 mmHg and diastolic
decreased by 75% with an average decrease of 4.66 mmHg.
Conclusion: It can be concluded that preoperative therapy in patients with a history
of hypertension through reassurance method might reduce the patients' blood
pressures before surgery, although the results remain statistically insignificant and
when viewed from the clinical aspect the reassurance method significantly decreases
the systolic blood pressure of the patient |
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