FACTORS ASSOCIATED WITH THE OCCURRENCE OF PREVENTION EFFORTS TO HEART FAILURE IN CLIENTS HYPERTENSION AT RSUD BEKASI 2017

Abstract

A disease affecting the Indonesian population is now not only infectious diseases (communicable disease) but the disease is not contagious (non-communicable disease) was also increased. The increasing prevalence of cardiovascular disease each year became a major problem in developing countries and developed countries. Cardiovascular disease is a disease the number one cause of death in Indonesia. Approximately 20-30% of deaths in Indonesia are caused by hypertension. Hypertension is an important risk factor for coronary heart disease, stroke and heart failure. The increasing prevalence of cardiovascular disease each year became a major problem in developing countries and developed countries Hypertension in the long term and continuously can lead to stroke, heart attack, and is a major cause of heart failure.
Hypertension can cause organ damage, either due to the effect of, directly or indirectly, including on the cardiovascular system. Based on data Riskesdas (2013), the prevalence of heart failure in Indonesia as much as 0.3% of the entire population at risk in Indonesia. Behavioral prevention of heart failure in patients with hypertension is one of the important parts that need to be noticed, as a preparation for the prevention of which later can be done with less away from all the good things such as: smoking, drinking coffee, stress, do not exercise regularly, drink alcohol, inactivity Physical and eating fatty foods. This study aims to determine the factors associated with the prevention of the occurrence of heart failure in hypertensive clients in Bekasi City Hospital in 2017.
This research method is quantitative analytic with cross sectional approach. The population in this study is a client who has hypertension. Samples taken as many as 61 respondents with quota sampling method of sampling. Data were collected using questionnaires. Analysis of the data used is the analysis of univariate and bivariate form of chi-square test with significant value α <0.05. These results indicate that not all factors examined were significantly related to the prevention of the occurrence of heart failure in hypertensive clients. Related variable is the knowledge (p value = 0.003 and OR = 3.339) and attitude (p value = 0.009 and OR = 4.976) and family support (p value = 0.000 and OR = 8.889) while the variable is not related socioeconomic (p value = 1.000 and OR = 1.048).
The result showed that there was a correlation between knowledge, attitude and family support to prevent the occurrence of heart failure in hypertensive clients in hospitals Bekasi, expected clients more aware of the importance of the prevention efforts for survival. The nurse in the hospital is also expected to always give priority in providing health education on the importance to prevent than to cure.
Bibliography: 15 books (2003 s / d in 2013), 12 nursing and medical journals (2006 s / d in 2014)
and 2 foreign journals (2007 s / d in 2008).