Relationship between Grade of Hypertension and Elderly Independence in Activities of Daily Living (ADLs)

  • Irma Darmawati Universitas Pendidikan Indonesia
  • Febri Andri Kurniawan Puskesmas Panca, Dinas Kesehatan Kabupaten Bandung
Keywords: Hypertension Grades, Elderly, Independence

Abstract

The prevalence of hypertension in Indonesia has continued to increase. Decreasing the level of elderly independence due to hypertension is a major concern in achieving optimal quality of life. The purpose of this study was to determine the relationship between hypertension grade and independence level in activities of daily living. There were 49 participants selected by cluster sampling from elderly who diagnosed with hypertension. This research used a quantitative approach with cross sectional design. Analysis of the relationship between hypertension grade and elderly independence using Spearman rank correlation. The results showed that 55.1% of the elderly had grade II hypertension and 49% of the elderly had partial dependence. Based on correlation analysis, the results obtained p value 0.00 (<0.05) and r -0.56 with the conclusion that there is a fairly strong relationship between hypertension and independence of the elderly, with a negative direction means the higher blood pressure give a lower the elderly independence. Changes in the level of elderly independence caused by hypertension should be a concern for nurses to always monitor the grade of hypertension regularly every month. Family involvement is enhanced to provide family support that can help the elderly so that the quality of life of elderly hypertension can still be optimally achieved.

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References

Abdi, A., Hariyanto, T., & Ardiyani, V. M. (2017). Aktivitas lansia berhubungan dengan status kesehatan lansia di posyandu permadi kelurahan tlogomas kecamatan lowokwaru kota malang. Nursing News: Jurnal Ilmiah Keperawatan, 2(3).

Benetos, A., Petrovic, M., & Strandberg, T. (2019). Hypertension management in older and frail older patients. Circulation Research, 124(7), 1045–1060.

Bergler-Klein, J. (2019). What’s new in the ESC 2018 guidelines for arterial hypertension. Wiener Klinische Wochenschrift, 131(7–8), 180–185.

Caskie, G. I. L., Sutton, M. C., & Margrett, J. A. (2010). The relation of hypertension to changes in ADL/IADL limitations of Mexican American older adults. Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 65(3), 296–305.

Darmawati, I., & Dulgani, D. (2019). Perawatan Diri Lansia Hipertensi Di Kelurahan Cirejag Karawang. Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal), 5(1), 1–9.

Darmawati, I., Purnama, H., & Lindayani, L. (2019). Skrining Cognitive Impairment Pada Pasien Hipertensi Di Bandung: Screening Cognitive Impairment in Hypertensive Patients in Bandung. Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing), 5(2), 114–120.

Hong, I., Woo, H.-S., Shim, S., Li, C.-Y., Yoonjeong, L., & Velozo, C. A. (2018). Equating activities of daily living outcome measures: the Functional Independence Measure and the Korean version of Modified Barthel Index. Disability and Rehabilitation, 40(2), 217–224.

Jumita, R., Azrimaidaliza, A., & Machmud, R. (2012). Kemandirian Lansia Diwilayah Kerja Puskesmas Lampasi Kota Payakumbuh. Jurnal Kesehatan Masyarakat Andalas, 6(2), 86–94.

Kemenkes, R. I. (2018). Laporan Nasional Riskesdas 2018. Jakarta: Kemenkes RI, 154–166.

Lee, J. H., Kim, S.-H., Kang, S.-H., Cho, J. H., Cho, Y., Oh, I.-Y., … others. (2018). Blood pressure control and cardiovascular outcomes: real-world implications of the 2017 ACC/AHA hypertension guideline. Scientific Reports, 8(1), 1–8.

Mosca, L., Aggarwal, B., Mochari-Greenberger, H., Liao, M., Blair, J., Cheng, B., … Umann, T. (2012). Association between having a caregiver and clinical outcomes 1 year after hospitalization for cardiovascular disease. American Journal of Cardiology. https://doi.org/10.1016/j.amjcard.2011.07.072

Ohura, T., Hase, K., Nakajima, Y., & Nakayama, T. (2017). Validity and reliability of a performance evaluation tool based on the modified Barthel Index for stroke patients. BMC Medical Research Methodology, 17(1), 131.

Rodrigues, G. P., Cozzolino, S. M. F., do Nascimento Marreiro, D., Caldas, D. R. C., da Silva, K. G., de Sousa Almondes, K. G., … do Nascimento Nogueira, N. (2017). Mineral status and superoxide dismutase enzyme activity in Alzheimer’s disease. Journal of Trace Elements in Medicine and Biology, 44, 83–87. https://doi.org/https://doi.org/10.1016/j.jtemb.2017.06.005

Setters, B., & Holmes, H. M. (2017). Hypertension in the older adult. Primary Care: Clinics in Office Practice, 44(3), 529–539.

Su, P., Yang, S., Dong, Z., Liang, W., Zhang, Y., Mei, J., … Wen, Q. (2020). Interactive Effect of Hypertension and Obesity on Disability among Older People: A Observational Study.

Published
2021-03-15
How to Cite
Darmawati, I., & Kurniawan, F. (2021). Relationship between Grade of Hypertension and Elderly Independence in Activities of Daily Living (ADLs). Faletehan Health Journal, 8(01), 31-35. https://doi.org/10.33746/fhj.v8i01.153