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Hipertensi Resisten: Diagnosis dan Tatalaksana: RESISTANT HYPERTENSION: DIAGNOSIS AND MANAGEMENT Rachmawan, Yogi Puji; Pratiwi, Witri
JURNAL TERAS KESEHATAN Vol 8 No 1 (2025): Jurnal Teras Kesehatan
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Politeknik Al Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38215/jtkes.v8i1.161

Abstract

Resistant hypertension is still one of the problems faced by clinicians in daily practice. The diagnosis of resistant hypertension requires the exclusion of pseudo-resistance. This literature review aims to determine the criteria of resistant hypertension and its management so that it can be reference of optimal management. The method used was through literature review of scientific articles published in journals, ministry of health data, and guidelines, both national and international. The literature collected was related to data on the epidemiology of hypertension, resistant hypertension, diagnosis and therapeutic management. Data searches were conducted through Google Scholar, PubMed and Scopus databases by entering keywords. Resistant hypertension is diagnosed when blood pressure has not been controlled despite receiving more than 3 types of antihypertensive drugs with one of them is diuretics or the blood pressure is only controlled after receiving ³4 types of antihypertensive drugs. Therapeutic management includes non-pharmacological, pharmacological and device intervention.
The Impact of COVID-19 Pandemic on Doctors Lives: A Qualitative Study In Cirebon City, Indonesia Pratiwi, Witri; Rachmawan, Yogi Puji
Jurnal Sehat Indonesia (JUSINDO) Vol. 7 No. 2 (2025): Jurnal Sehat Indonesia (JUSINDO)
Publisher : CV. Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/jsi.v7i2.303

Abstract

Background: The COVID-19 pandemic makes huge changes in human life, including doctors as frontliners in handling the COVID-19 patients. Studies about the impact of the COVID-19 pandemic on doctor lives are still limited. Objective: To understand and explore doctor experiences as the impact of COVID-19 pandemic to their lives. Methods: This study was a Qualitative study with phenomenology approach. It was carried out on doctors who worked in Cirebon City, Indonesia. Data was collected from 9 May 2020 to 25 May 2020 (almost 2 months after the Indonesian government declared COVID-19 as a national disaster). This study used purposive sampling technique and the number of samples was determined by snowball sampling. Data was collected through recorded in-depth interviews with participants agreement. The interview transcripts were analyzed using Colaizzi's method. The data validation was done through researchers' internal discussions and returning descriptions to participants. Results: There were 6 doctors (3 general practitioners, 1 pulmonologist, 1 internist and 1 cardiologist) participated in this study. The participants were 26-36 years old, mostly women (66.67%), married (66.67%) and lived with family members at home. All of participants were moslem. The workplaces of participants varied, including private practice, primary health care, clinic and hospital with 3-12 years of experience. Based on data analysis, there were 6 emergent themes (psychological effects, changes in social interaction, family bonding, finding and sharing information, hopes, and a meaningful Ramadan as a strength to fight). Conclusions: The COVID-19 pandemic affects the doctor lives in several aspects, including psychological, changes in social interaction, family bonding and religious aspects. Pulmonologist experiences a greater impact compared to other doctors. We recommend that doctors are given psychological assistance and support so they can adapt to life changes in this pandemic. Further researchs to explore the impact of the COVID-19 pandemic on elderly doctors are needed.
Hipertensi Resisten: Diagnosis dan Tatalaksana Rachmawan, Yogi Puji; Pratiwi, Witri
JURNAL TERAS KESEHATAN Vol 8 No 1 (2025): Jurnal Teras Kesehatan
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Politeknik Al Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38215/jtkes.v8i1.161

Abstract

Resistant hypertension is still one of the problems faced by clinicians in daily practice. The diagnosis of resistant hypertension requires the exclusion of pseudo-resistance. This literature review aims to determine the criteria of resistant hypertension and its management so that it can be reference of optimal management. The method used was through literature review of scientific articles published in journals, ministry of health data, and guidelines, both national and international. The literature collected was related to data on the epidemiology of hypertension, resistant hypertension, diagnosis and therapeutic management. Data searches were conducted through Google Scholar, PubMed and Scopus databases by entering keywords. Resistant hypertension is diagnosed when blood pressure has not been controlled despite receiving more than 3 types of antihypertensive drugs with one of them is diuretics or the blood pressure is only controlled after receiving ³4 types of antihypertensive drugs. Therapeutic management includes non-pharmacological, pharmacological and device intervention.