Manajemen Holistik dengan Pendekatan Kedokteran Keluarga pada Pasien Wanita 37 Tahun dengan Hipertensi Primer

https://doi.org/10.35912/jimi.v1i1.505
Published: Aug 6, 2021

Abstract:

Purpose: This study aimed to identify risk factors, clinical problems and provide management of patients with the implementation of holistic family physician services based on evidence-based medicine approach to patient and family-centered approach.

Research methodology: This study is a case report. Primary data were obtained through history taking (directly from the patient and indirectly from family members), physical examination, and a home visit to complete the family, psychosocial and environmental data. Secondary data were obtained from the medical records of the patient at the health center. The assessment was based on a holistic diagnosis from the beginning, process, and the end of quantitative and qualitative studies.

Results: A 37-year-old female was diagnosed with primary hypertension with worries that his disease would get worsen into a stroke. Patients do not know exactly what diet is recommended for hypertensive patients. The evaluation results obtained that complaints and worries of patients were reduced, the knowledge of patients and their families regarding hypertension increased and behavior related to hypertension improved.

Contribution: Holistic management has been done with the approach of a family doctor, Mrs. S age 37 years with primary hypertension adjusted for EBM based on baseline holistic diagnostics. These interventions have increased the patient's knowledge and changed some of the patient's behavior and his family, as indicated by improvements in the final holistic diagnostics.

Keywords:
1. Primary Hypertension
2. Family Doctor Approach
Authors:
1 . Annisa Putri Perdani
2 . Khairun Nisa Berawi
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How to Cite
Perdani, A. P., & Berawi, K. N. (2021). Manajemen Holistik dengan Pendekatan Kedokteran Keluarga pada Pasien Wanita 37 Tahun dengan Hipertensi Primer. Jurnal Ilmu Medis Indonesia, 1(1), 17–24. https://doi.org/10.35912/jimi.v1i1.505
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Issue & Section
Vol. 1 No. 1 (2021): September
Articles
References

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  1. Departemen Kesehatan RI. Pedoman teknis penemuan dan tatalaksana penyakit hipertensi. Jakarta: Direktorat Pengendalian Penyakit Tidak Menular; 2013.
  2. Kementerian Kesehatan RI. Buletin InfoDATIN, Pusat Data dan Informasi Kemenkes RI; 2014.
  3. PERHI. Konsensus Penatalaksanaan Hipertensi 2019; 2019.
  4. Balitbangkes Kemenkes RI. Riset kesehatan dasar (Riskesdas) 2013. Jakarta: Kemenkes RI; 2013.
  5. Balitbangkes Kemenkes RI. Riset kesehatan dasar (Riskesdas) 2013. Jakarta: Kemenkes RI; 2018.
  6. Bendok, Bernard. Haemorrhagic and ischemic stroke medical imaging, surgical, and interventional approach. New York: Thieme Medical Publisher Inc.; 2011.
  7. Nuraini B.(2015). Risk factors of hypertension. J Majority (4)5, 10-19.
  8. Wade A, Hwheir DN, Cameron A. (2003). Using A problem detection study (pds) to identify and compare health care provider and consumer views of antyhypertensive therapy. Journal of Human Hypertension (17)6: 397.
  9. Cortas K, et al. Hypertension. [disitasi pada 27 September 2020]. Tersedia di http://www.emedicine.com.
  10. Dinkes Kampar. Sepuluh penyakit terbanyak di kabupaten kampar tahun 2006. Bangkinang: Dinkes Kampar; 2007.
  11. Shapo L, Pomerleau J, McKee M. (2003). Epidemiology of hypertension and associated cardiovascular risk factors in a country in transition. Journal Epidemiology Community Health. 57: 734-739.
  12. Kemenkes RI. Panduan praktik klinis bagi dokter di fasilitas pelayanan kesehatan primer. Jakarta: Kemenkes RI; 2017.
  13. Longo DL, Kasper DL, Jameson JL, Fauci AS, Hauser SL, Loscalzo J (eds.) (2011). Harrison’s principles of internal medicine. Edisi ke-18. New York; Mc Graw Hill.
  14. Sudoyono AW, Setiyohadi B, Alwi I, Simadibrata M, Setiati S. (2015). Buku ajar ilmu penyakit dalam jilid II. Edisi V. Jakarta: Interna Publishing.