Profile and Lifestyle of Hypertensive Patients, Cardiovascular Comorbidity , and Complications in a Primary Health Center in Surabaya, Indonesia

Sulistiawati Sulistiawati; Linda Dewanti; Adikara Pagan Pratama; Atika Atika; Widati Fatmaningrum; Djohar Nuswantoro; Tan Nicko Octora; Dyah Ayu Pradnyaparamitha; Fahmi Aulia Rizqi

doi:10.3889/oamjms.2020.4432

Authors

Sulistiawati Sulistiawati Department of Public Health and Preventive Medicine, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia
Linda Dewanti Department of Public Health and Preventive Medicine, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia
Adikara Pagan Pratama Department of Public Health and Preventive Medicine, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia
Atika Atika Department of Public Health and Preventive Medicine, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia
Widati Fatmaningrum Department of Public Health and Preventive Medicine, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia
Djohar Nuswantoro Department of Public Health and Preventive Medicine, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia
Tan Nicko Octora Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia
Dyah Ayu Pradnyaparamitha Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia
Fahmi Aulia Rizqi Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2020.4432

Keywords:

hypertension, examination, treatment, primary health care

Abstract

BACKGROUND: Hypertension prevalence which increased in the last two decades in Indonesia depleted national expenditure. The government responded through many programs in educating the community and improving the primary health center (PHC). The engagement of patients and doctor’s role in PHC was very important in managing the disease. Patient’s lifestyles, comorbid, and the role of PHC, such as in early detection, examination, drug administration, and education, as well as screening for the complication, needs to be evaluated.

AIMS: This study aimed to analyze the profile and lifestyle of hypertensive patients and health services in PHC as one of the catastrophic diseases in Indonesia.

MATERIALS AND METHODS : This was a cross-sectional study design with total sampling. The study was held in one of the PHC in Surabaya from May 2018 until August 2018. The s ample size was 104. Data were collected using questionnaires, physical, and laboratory examinations as well as secondary data from the medical record. The statistical analysis was performed at a significance p < 0.005 using the Chi-square test.

RESULTS: The majority were women with age >60 years and two-thirds of all hypertensive cases had uncontrolled blood pressure (69.2%). Laboratory results showed abnormalities: Dyslipidemia (50.5%), high fasting blood sugar (38.6%), and high uric acid (10.1%). Nearly one-third of patients (27.9%) already had abnormalities in the electrocardiography (ECG) since the procedure been done rarely. Contrarily, most of them committed to a healthy diet and taking the medication regularly in line with doctor’s education when they visit PHC. Regarding exercise, most of them stated not to do it regularly.

CONCLUSION: The majority of the hypertensive patients had uncontrolled blood pressure and unhealthy lifestyle worsening the disease.

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