Article Per Year (5 Year)
p-Index From 2021 - 2026
3.69
P-Index
This Author published in this journals
All Journal Medula Jurnal Sejarah dan Budaya JURNAL PENELITIAN PERAWAT PROFESIONAL JK Unila (Jurnal Kedokteran Universitas Lampung) Jurnal EduHealth Jurnal Impresi Indonesia Perspektif: Jurnal Pendidikan dan Ilmu Bahasa Majority JPM (Jurnal Pengabdian Masyarakat) Ruwa Jurai Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine
Tutik Ernawati
Unknown Affiliation
Religion Agriculture, Biological Sciences & Forestry Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary

Published : 31 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 31 Documents
Search

 1   2   3   4 
A CONGESTIVE HEART FAILURE PADA PASIEN HYPERTENSIVE HEART DISEASE LAPORAN KASUS Djamil, Putri Amelia; Ernawati, Tutik
Medula Vol 16 No 4 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i4.1867

Abstract

Chronic heart failure is a major cause of morbidity among older adults and is frequently associated with uncontrolled hypertension. This case report aims to describe the management of chronic heart failure in a patient with hypertensive heart disease using a comprehensive family medicine approach. Data were obtained through detailed history taking, physical examination, medical record review, and home visits to assess family dynamics, health behaviors, and environmental factors influencing the patient’s condition. A 65 year old woman presented with progressive dyspnea that worsened during physical activity and when lying down. Her blood pressure was 142 over 95 mmHg, and chest radiography showed cardiomegaly. The patient was diagnosed with chronic heart failure with a history of long standing uncontrolled hypertension. Interventions included pharmacological and non pharmacological strategies consisting of optimization of antihypertensive therapy, low sodium diet education, fluid intake adjustment based on clinical status, structured physical activity recommendations, and active family involvement in monitoring treatment adherence and lifestyle modification. After three weeks of follow up, clinical improvement was observed with blood pressure reduced to 123 over 76 mmHg and a decrease in dyspnea severity measured by the visual analog scale from three to one. The knowledge score of the patient and family increased from 60 percent to 100 percent, accompanied by better medication adherence and routine follow up. A family based comprehensive approach contributed to symptom improvement, enhanced treatment adherence, and better blood pressure control in a patient with chronic heart failure and hypertension.
Co-Authors Adela Putri Agata Adli, Farhan Kamali Alnisrina, Dea Amalia, Shafira Asadha, Syahfa Alzena Asyifa, Takhfa Nur Attara Rafilia Adhata deralitha Dian Isti Angraini Dinda Afifa Djamil, Putri Amelia Dzakwan Cedri Ketierteu Eko Budi Santoso Farida, Lulu Farizy, Diaru Fauzan Harmaina Hasan Hasan Ilmiani, Tasya Khalis Intanri Kurniati Karyus, Aila Muhammad Fitra Wardhana Sayoeti Munthe, Rafif Muhaimin Ikhsan Musyayyadah, Musyayyadah Nararya Budiyono Niken Rahmatia Pratiwi, Bella Putra, Mahardika Putri Octavia Sari Radharani, Radhika Reni Zuraida Retno Mareintika Rini Sekartini Rizqillah, Laili Yumna Sahbani, Muhammad Hasbi Saptawati Bardosono Sari, Merry Indah Sasmita, Anggi Marta Dwi Shafa Inayatullah Sianturi, Efry Theresia Sinum, Muhammad Burdadi Adiwinoto Sofia Tyasni Darma Perbasya Susianti, Susianti Syamhudi, Muhammad Farras Afif Vinezzia, Dillyana