HYPERTENSION MANAGEMENT APPROACH THROUGH MODIFIABLE RISK FACTORS IN JEMBER REGION COMMUNITY HEALTH CENTER

Abstract

Hypertension is still on top fifteen of the disease
rank, based on data from the medical record of
patient visits in Jember Region Community Health
Center in 2014 (Jember Health Office, 2014).
Hypertension is a cardiovascular disease that lead to
various complications and became one of the main
causes of premature death. Estimated 15 million
people suffer from hypertension in Indonesia.
National basic medical research in 2013 showed the
prevalence of hypertension in Indonesia as much as
25.8%. The prevalence was 6 to 15% of adults and
50% of them do not realize having a hypertension, so
they tend to be severe hypertension because they
are not avoiding and not knowing the risk factors
and 90% are of essential hypertension. Morbidity in
patients with unknown or undiagnosed hypertension
tend to be higher than morbidity in diagnosed
hypertension patients at various health care
facilities. This leads to the prevention of various
complications of hypertension, such as stroke,
coronary heart disease, and other complications,
becomes difficult to be minimized.
Risk factors of hypertension can be divided into two
which are modifiable (physical activity,
drinking/eating habit, smoking habit, etc.) and nonmodifiable
(gender, age and genetic) risk factors
(Adnyani and Sundana, 2014). Numerous attempts
to intervene in the control of hypertension with risk
factors need to be carried out through collaboration
between the government, especially health workers,
and the community. Strategies such as promotive
and preventive efforts in controlling hypertension is
an effort to improve the health status of the
community.
Modifiable risk factors still have many prospects to
be developed to overcome hypertension. Therefore,
this study aims to evaluate the management of
hypertension disease through the modifiable risk
factors approach in Jember Region Community
Health Center. From the evaluation, we hope to
improve and make more innovation on the
management approach of hypertension disease in
the future.