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The Association Between Discontinuation of Antihypertensive Medication and Perceived Side Effects Among Hypertensive Patients at Kaliangkrik Public Health Center Kusumaningsih, Faiza Windiari; Sarwono, Bambang; sunarmi, sunarmi
Midwifery and Nursing Research Vol. 7 No. 2 (2025): SEPTEMBER 2025
Publisher : Poltekkes Kemenkes Semarang

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Abstract

Background: Hypertension is a chronic disease that requires long-term management through pharmacological treatment and lifestyle modifications. Consistency in taking antihypertensive medication is essential to prevent complications. However, this contrasts with some patients who discontinue medication due to assumptions about experienced side effects. This study aims to examine the relationship between discontinuation of antihypertensive medication and assumptions about side effects among hypertensive patients at Kaliangkrik Public Health Center.Methods: This research employed a quantitative method with a cross-sectional approach. Sampling was conducted using accidental sampling with a total of 100 respondents. The instrument used was a questionnaire consisting of respondent characteristics, assumptions about medication side effects, and decisions to continue or stop taking the medication. Univariate analysis was used to describe the data distribution, while bivariate analysis employed the Chi-Square test.Results: The majority of respondents (81%) reported having assumptions of experiencing side effects, with most assuming they experienced headaches (86%). A total of 55 respondents had stopped taking their medication. There was a significant relationship between assumptions about side effects and the decision to stop medication, with a p-value of 0.005 (p < 0.05). The Odds Ratio (OR) value of 4.6 indicates that respondents who assumed they experienced side effects were 4.6 times more likely to stop taking the medication. The Relative Risk (RR) value of 2.3 shows that these respondents had a 2.3 times higher risk of stopping medication compared to those without such assumptions.Conclusion: Negative assumptions about medication side effects influence patients’ decisions to discontinue antihypertensive medication. Education regarding medication use and potential side effects should be provided to hypertensive patients during consultations and at the time of medication dispensing.
PENGARUH MANAJEMEN KESEIMBANGAN CAIRAN BERBASIS SMARTPHONE TERHADAP KEMAMPUAN SELF-CARE PASIEN PENYAKIT GINJAL KRONIS DENGAN HEMODIALISIS DI RST dr. SOEDJONO MAGELANG Solehan, Fandi; supriyatno, Heru; sunarmi, sunarmi; Sarwono, Bambang
Juru Rawat. Jurnal Update Keperawatan Vol 5 No 2 (2025): Desember 2025
Publisher : Prodi Keperawatan Tegal Program Diploma III Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/juk.v5i2.13193

Abstract

Chronic kidney disease (CKD) is a global health issue with a steadily increasing prevalence. One of the main challenges for hemodialysis patients is the increase in interdialytic weight gain (IDWG) due to fluid imbalance. Effective fluid management is crucial for improving patients' self-care abilities, one of which is through the use of smartphone technology. The objective of this study was to determine the effect of using a smartphone based self-care management application on improving self-care management skills in maintaining Interdialytic Weight Gain (IDWG) in patients with chronic kidney disease undergoing hemodialysis at RST dr. Soedjono Magelang.The study design was quasi-experimental with a pretest-posttest design and a control group. The study was conducted at dr. Soedjono General Hospital in Magelang with a total of 56 participants, divided into two groups: 28 in the experimental group and 28 in the control group. The sample was selected using purposive sampling. The intervention involved the use of a smartphone-based fluid management app over a specific period. Data analysis was performed using a paired t-test.The results showed a significant improvement in self-care ability after the app intervention, with a p-value of 0.000 (p < 0.05). This indicates that the use of a smartphone app effectively supports fluid management in CKD patients.In conclusion, smartphone-based self-care applications have a positive effect on improving the self-care abilities of PGK patients undergoing hemodialysis. The use of smartphone-based fluid management self-care applications needs to be promoted.
PERBANDINGAN HASIL PENGUKURAN TEKANAN DARAH PADA PASIEN HIPERTENSI DI BERBAGAI POSISI TUBUH Anankaristi, Renita; Widigdo, Dwi Ari Murti; Sarwono, Bambang; Sunarmi, Sunarmi
Jendela Inovasi Daerah Vol 9 No 1 (2026): Februari
Publisher : Badan Perencanaan Pembangunan, Riset dan Inovasi Daerah Kota Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56354/jendelainovasi.v9i1.244

Abstract

Blood pressure is influenced by various factors, including age, sex, and body position during measurement. Variations in body position, particularly the lateral position, may affect hemodynamic status and potentially result in differences in blood pressure values. This quantitative study employed a comparative design to determine differences in systolic blood pressure (SBP), diastolic blood pressure (DBP), and Mean Arterial Pressure (MAP) among hypertensive patients measured in the supine, left lateral, and right lateral positions. The study involved 65 respondents selected using non-probability sampling with a purposive sampling technique. The inclusion criteria were male and female patients aged 40–60 years, having both upper limbs intact, and not being ill or experiencing paralysis. The instruments used included a digital sphygmomanometer, a standard operating procedure (SOP) for blood pressure measurement, and an observation sheet. Data were analyzed using the Kruskal–Wallis test and epsilon squared (ɛ²) effect size calculation. The Kruskal–Wallis test showed statistically significant differences in SBP, DBP, and MAP among the three measurement positions (p = 0.000 [<0.001]). The highest mean values of SBP, DBP, and MAP were found in the supine position, while the lowest were observed in the right lateral position. The effect size (ɛ²) was categorized as relatively strong (0.16–0.36). Body position was shown to have a relatively strong influence on blood pressure values in hypertensive patients. These findings highlight the importance of maintaining consistent body positioning during blood pressure measurement to ensure accurate and comparable results.
A STUDY OF SEDIMENT DELIVERY RATIO USING AVSWAT-X IN THE CATCHMENT AREA OF PACAL RESERVOIR OF BOJONEGORO Bambang Sarwono; Nadjadji Anwar; Zulis Erwanto
Journal of Civil Engineering Vol. 30 No. 2 (2010)
Publisher : Institut Teknologi Sepuluh Nopember (ITS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12962/j20861206.v30i2.7535

Abstract

Recently, the flood intensity that brought by tributary rivers in the catchment area of Pacal reservoir has increased, both in the quantity of runoff and sediment volume. The research aims to set up erosion rate modeling and find the formulation of the Sediment Delivery Ratio (SDR) at Pacal reservoir. The research used USLE and MUSLE methods as comparator to find sediment yield accuracy at Pacal reservoir, by applying ArcView SWAT-X software. Total average annual erosion rate in the catchment area of Pacal reservoir which has area 82 Km2 calculated using USLE and MUSLE methods are 159,31 ton/ha/yr and 582 ton/ha/yr respectively. MUSLE method resulted SDR which is most closely to SDRobservation if it is compared to USLE method. In this research, MUSLE - Sediment-Discharge Rating Curve method has evaluation values MSE = 0,08; RMSE = 0,29; and Nash = 0,75. Furthermore, Sediment Delivery Ratio at catchment area of Pacal reservoir can be formulated as 0,29 3,83. DAS Waduk Pacal SDR A with value of SDRZulis = 0,27 and sediment yield obtained from MUSLE method equal to 157,40 ton/ha/yr, while from USLE method equal to 43,09 ton/ha/yr. Evaluate sediment yield of MUSLE from SDRZulis to formulation of SDR of former researcher was value of Nash = 0,89; MAE = 0,01. Based on the research result, it is expected that the institution which has responsibility in managing the catchment area of Pacal reservoir would pay high attention to zonation map of erosion risk level and can overcome sedimentation in Pacal reservoir.