HUBUNGAN RISIKO KLINIS DENGAN STATUS TEKANAN DARAH PADA PASIEN LANSIA DI PUSAT KESEHATAN MASYARAKAT SALURANG, INDONESIA
DOI:
https://doi.org/10.32831/jik.v14i2.957Keywords:
Hipertensi, Lansia, Pelayanan kesehatan primer, Resiko Klinis, status tekanan darahAbstract
Hipertensi merupakan masalah kesehatan masyarakat yang signifikan pada kelompok lansia, terutama di tingkat pelayanan kesehatan primer. Identifikasi faktor-faktor yang berhubungan dengan status tekanan darah menjadi penting untuk mendukung pengelolaan hipertensi yang efektif. Penelitian ini bertujuan untuk menganalisis hubungan antara risiko klinis dan status tekanan darah pada pasien lansia di fasilitas pelayanan kesehatan primer di Indonesia. Penelitian ini menggunakan desain observasional analitik dengan pendekatan potong lintang serta memanfaatkan data sekunder dari catatan kesehatan rutin. Sebanyak 35 pasien lansia diikutsertakan melalui teknik total sampling. Variabel yang dianalisis meliputi karakteristik sosiodemografi, faktor klinis, gaya hidup, dan status tekanan darah menggunakan statistik deskriptif dan analisis bivariat. Uji chi-square atau Fisher exact digunakan dengan tingkat kemaknaan p < 0,05. Penelitian ini telah memperoleh izin dari Puskesmas Salurang (No. 440/441/PKMS/XII/2025). Hasil menunjukkan bahwa 62,9% responden mengalami tekanan darah tidak terkontrol. Risiko klinis merupakan satu-satunya faktor yang berhubungan secara signifikan (p = 0,005), sedangkan variabel lain tidak bermakna. Kesimpulannya, penguatan identifikasi dan pengelolaan risiko klinis penting untuk meningkatkan pengendalian tekanan darah pada lansia.
Kata Kunci: hipertensi, lansia, pelayanan kesehatan primer, risiko klinis, status tekanan darah
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References
Astutik, E., Puspikawati, S. I., Dewi, D. M. S. K., Mandagi, A. M., & Sebayang, S. K. (2020). Prevalence and Risk Factors of High Blood Pressure among Adults in Banyuwangi Coastal Communities, Indonesia. Ethiopian Journal of Health Sciences, 30(6), 941–950. https://doi.org/10.4314/ejhs.v30i6.12
Bikbov, B., Purcell, C. A., Levey, A. S., Smith, M., Abdoli, A., Abebe, M., Adebayo, O. M., Afarideh, M., Agarwal, S. K., Agudelo-Botero, M., Ahmadian, E., Al-Aly, Z., Alipour, V., Almasi-Hashiani, A., Al-Raddadi, R. M., Alvis-Guzman, N., Amini, S., Andrei, T., Andrei, C. L., … Vos, T. (2020). Global, regional, and national burden of chronic kidney disease, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. The Lancet, 395(10225), 709–733. https://doi.org/10.1016/S0140-6736(20)30045-3
Burnier, M., & Egan, B. M. (2019). Adherence in Hypertension. Circulation Research, 124(7), 1124–1140. https://doi.org/10.1161/CIRCRESAHA.118.313220
Del Pulgar, M. G., Cuevas-Budhart, M. A., Hernández-Iglesias, S., Kappes, M., Contreras, V. A. R., Rodriguez-Lopez, E., Souza, A. M. D. A., Jurado, M. A. G., & Cañizares, A. C. (2022). Best nursing intervention practices to prevent non-communicable disease: a systematic review. Public Health Reviews, 43, 1604429.
Elnaem, M. H., Mosaad, M., Abdelaziz, D. H., Mansour, N. O., Usman, A., Elrggal, M. E., & Cheema, E. (2022). Disparities in Prevalence and Barriers to Hypertension Control: A Systematic Review. International Journal of Environmental Research and Public Health, 19(21). https://doi.org/10.3390/ijerph192114571
Franklin, S. S., & Wong, N. D. (2018). Hypertension and cardiovascular disease: contributions of the framingham heart study. Global Heart, 8(1), 49–57. https://doi.org/10.1016/j.gheart.2012.12.004
Ibrahim, S., Bielecki, J., Kocabas, E., Singh, S., Senff, J. R., Casaubon, L. K., Rosand, J., Rac, V. E., & Pikula, A. (2024). Lifestyle approaches to hypertension for prevention of stroke and vascular cognitive impairment: a realist review protocol. BMJ Open, 14(9), e088631.
Katz, M. E., Mszar, R., Grimshaw, A. A., Gunderson, C. G., Onuma, O. K., Lu, Y., & Spatz, E. S. (2024). Digital Health Interventions for Hypertension Management in US Populations Experiencing Health Disparities A Systematic Review and Meta-Analysis. 7(2), 1–17. https://doi.org/10.1001/jamanetworkopen.2023.56070
Mills, K. T., Bundy, J. D., Kelly, T. N., Reed, J. E., Kearney, P. M., Reynolds, K., Chen, J., & He, J. (2016). Global disparities of hypertension prevalence and control. Circulation, 134(6), 441–450. https://doi.org/10.1161/CIRCULATIONAHA.115.018912
Murray, C. J. L., Aravkin, A. Y., Zheng, P., Abbafati, C., Abbas, K. M., Abbasi-Kangevari, M., Abd-Allah, F., Abdelalim, A., Abdollahi, M., & Abdollahpour, I. (2020). Global burden of 87 risk factors in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. The Lancet, 396(10258), 1223–1249.
Nurmayunita, H., Zakaria, A., Maharani, A. S., Asri, Y., & Murtiyani, N. (2023). Salty Food Consumption and Its Association with Chronic Kidney Disease Among Older Adults in Indonesia : Findings from the 2023 National Health Survey.
O’Connell, S. S., Whelton, P. K., Li, F., Allouch, F., Shapiro, L., Vandenburg, M., Patel, M., Patel, A., Demessie, D., & Blandon, H. (2026). Global hypertension 2000 to 2020: trends, disparities, and progress in awareness, treatment, and control. JACC.
Oyando, R., Kagwanja, N., Diallo, B. A., & Hassan, S. (2025). Access to hypertension services and health- seeking experiences in rural Coastal Kenya : A qualitative study. 1–21. https://doi.org/10.1371/journal.pgph.0004324
Peltzer, K., & Pengpid, S. (2018). The Prevalence and Social Determinants of Hypertension among Adults in Indonesia: A Cross-Sectional Population-Based National Survey. International Journal of Hypertension, 2018, 5610725. https://doi.org/10.1155/2018/5610725
Pengpid, S., & Peltzer, K. (2020). Prevalence, awareness, treatment and control of hypertension among adults in Kenya: cross-sectional national population-based survey. East Mediterr Health J, 26(8).
Preston, J., & Biddell, B. (2021). The physiology of ageing and how these changes affect older people. Medicine, 49(1), 1–5. https://doi.org/https://doi.org/10.1016/j.mpmed.2020.10.011
Rikesdas. (2018). Laporan Nasional Riskesdas 2018.
Turkson-Ocran, R.-A. N., Ogungbe, O., Botchway, M., Baptiste, D. L., Owusu, B., Ajibewa, T., Chen, Y., Gbaba, S., Kwapong, F. L., Aidoo, E. L., Nmezi, N. A., Cluett, J. L., Commodore-Mensah, Y., & Juraschek, S. P. (2024). Hypertension Management to Reduce Racial/Ethnic Disparities: Clinical and Community-Based Interventions. Current Cardiovascular Risk Reports, 18(12), 239–258. https://doi.org/10.1007/s12170-024-00750-9
Unger, T., Borghi, C., Charchar, F., Khan, N. A., Poulter, N. R., Prabhakaran, D., Ramirez, A., Schlaich, M., Stergiou, G. S., & Tomaszewski, M. (2020). 2020 International Society of Hypertension global hypertension practice guidelines. Hypertension, 75(6), 1334–1357.
Williams, Chairperson, E. S. C., Esh, G. M., Spiering, W., Agabiti, E., Azizi, M., Uk, A. D., Germany, F. M., Zanchetti, A., Ireland, M. K., Uk, R. M., & Poland, K. N. (2018). 2018 ESC / ESH Guidelines for the management of arterial hypertension TheT ask Force for the management of arterial hypertension of the European Society of Cardiology and the European Society of Hypertension (Issue August). https://doi.org/10.1093/eurheartj/ehy339
World Health Organization. (2021). Guideline for the pharmacological treatment of hypertension in adults. World Health Organization.
Zhang, Y., Stokes, J., Anselmi, L., Bower, P., & Xu, J. (2025). Can integrated care interventions strengthen primary care and improve outcomes for patients with chronic diseases? A systematic review and meta-analysis. Health Research Policy and Systems, 23(1), 5. https://doi.org/10.1186/s12961-024-01260-1
Zhou, B., Perel, P., Mensah, G. A., & Ezzati, M. (2021). Global epidemiology, health burden and effective interventions for elevated blood pressure and hypertension. Nature Reviews Cardiology, 18(11), 785–802.
