Gambaran Pencapaian Target Tekanan Darah Sesuai JNC 8 Pada Pasien Pasca Stroke Yang Menjalani Terapi Antihipertensi Tunggal di RSU Bahteramas Provinsi Sulawesi Tenggara Tahun 2014

Abstract

Hypertension is a main risk factor that causes stroke and also a most significant role to the multiple stroke occurrences. The post-stroke patients are recommended to use appropriate anti-hypertension to achieve blood pressure target. The aim of this research is to depict achievement of blood pressure target according to JNC 8 of the post-stroke patients in Bahteramas Hospital of Southeast Sulawesi Province during 2014. This is a non-experimental research which is carried out with cohort study retrospective method. Secondary data were obtained from medical records of post-stroke patients who acquired single oral anti-hypertension therapy. Univariate statistical analysis was conducted to understand general profile of the post-stroke patients with hypertension, and inspect target achievement of blood pressure therapy according to JNC 8 at any anti-hypertension therapies. There are 55 data of anti-hypertension use from 45 post-stroke patients. Four types of anti-hypertension therapy used by the research subjects including amlodipine 1 x 10 mg, furosemide 1 x 40 mg, captopril 3 x 50 mg, and candesartan 1 x 8 mg. The entire result of research for age group of 60 years old shows only 20.51% research subjects achieved the blood pressure target of 140/90 mmHg. For the patients more than 60 years old, the result showed 56.25% research subjects achieved the therapy targeted. Therapy by using amlodipine provides a higher number of research subjects achieving blood pressure target according to JNC 8, both for age group of 60 years old and 60 years old. The small achievement percentage of the therapy target is perhaps caused by non-optimal use of the anti-hypertension.Keywords: Post-stroke, anti-hypertension, blood pressure therapy target of JNC 8