Clinical profile of hypertension patients in primary health Care in Cirebon Regency, Indonesia
Introduction: Hypertension is a catastrophic non-communicable disease increasing in prevalence globally. This study aimed to assess the clinical profile of hypertensive patients in primary health care services in Cirebon Regency, Indonesia. Method: This descriptive study employed a purposive samplin...
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Elsevier
2025-06-01
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| Series: | Endocrine and Metabolic Science |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666396125000184 |
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| author | Tiar Masykuroh Pratamawati Ahmad Fariz Malvi Zamzam Zein Uswatun Khasanah Donny Nauphar Vincentius S.W. Budhyanto Idrus Alwi Asmarinah |
| author_facet | Tiar Masykuroh Pratamawati Ahmad Fariz Malvi Zamzam Zein Uswatun Khasanah Donny Nauphar Vincentius S.W. Budhyanto Idrus Alwi Asmarinah |
| author_sort | Tiar Masykuroh Pratamawati |
| collection | DOAJ |
| description | Introduction: Hypertension is a catastrophic non-communicable disease increasing in prevalence globally. This study aimed to assess the clinical profile of hypertensive patients in primary health care services in Cirebon Regency, Indonesia. Method: This descriptive study employed a purposive sampling method, recruiting 97 adult patients diagnosed with essential hypertension at the Talun Community Health Center, Cirebon Regency, West Java, from November 2023 to February 2024. Patients with secondary hypertension or hypertension in pregnancy were excluded. Data were collected through questionnaires, blood pressure measurements, and analysis of blood and urine samples. The clinical profile included family history, control status of hypertension, lifestyle factors, cardiometabolic parameters, and mental health status. Lifestyle factors encompassed both dietary habits and physical activity levels. Cardiometabolic parameters included body mass index (BMI), HbA1c, lipid profile, kidney function, and electrocardiogram. Mental health status was measured using the Depression Anxiety Stress Scales (DAAS). Univariate analysis was stated in frequencies, mean, or median. Results: The mean age of the participants was 51.33 (±1.07) years, predominantly female (84.54 %). Subjects with a family history of hypertension were 52.58 %, and 75.3 % had uncontrolled blood pressure. Most subjects (79.17 %) engaged in light daily physical activity, while only 4.2 % reported excessive sodium intake. The average BMI was 26.04 kg/m2, with 35.5 % classified as class 1 obese. Additionally, 12.4 % of subjects had diabetes mellitus, 41.2 % were prediabetic, and 80.41 % had dyslipidemia. Albuminuria was detected in 54.6 % of participants, and 7.2 % showed evidence of left ventricular hypertrophy. Regarding mental health, 37.50 % experienced anxiety, 8.33 % reported stress, and 4.17 % suffered from depression. Conclusion: The findings indicate a significant proportion of hypertensive patients in primary health care in Cirebon Regency have uncontrolled blood pressure. Sedentary lifestyle, obesity, dyslipidemia, albuminuria, and prediabetes were prevalent among these patients. Moreover, anxiety affected more than a third of the studied subjects, highlighting the need for comprehensive management strategies for managing hypertensive patients. |
| format | Article |
| id | doaj-art-55a8bd93e04440c4b585f97e8170185a |
| institution | DOAJ |
| issn | 2666-3961 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Endocrine and Metabolic Science |
| spelling | doaj-art-55a8bd93e04440c4b585f97e8170185a2025-08-20T02:41:30ZengElsevierEndocrine and Metabolic Science2666-39612025-06-011810023210.1016/j.endmts.2025.100232Clinical profile of hypertension patients in primary health Care in Cirebon Regency, IndonesiaTiar Masykuroh Pratamawati0Ahmad Fariz Malvi Zamzam Zein1Uswatun Khasanah2Donny Nauphar3Vincentius S.W. Budhyanto4Idrus Alwi5 Asmarinah6Doctoral Program in Biomedical Sciences, Faculty of Medicine, Universitas Indonesia, Jakarta 10430, Indonesia; Department of Genetics, Faculty of Medicine, Universitas Swadaya Gunung Jati, Cirebon 45132, IndonesiaDepartment of Internal Medicine, Faculty of Medicine, Universitas Swadaya Gunung Jati, Cirebon 45132, IndonesiaDepartment of Community Medicine and Public Health, Faculty of Medicine, Universitas Swadaya Gunung Jati, Cirebon 45132, IndonesiaDoctoral Program in Biomedical Sciences, Faculty of Medicine, Universitas Indonesia, Jakarta 10430, Indonesia; Department of Genetics, Faculty of Medicine, Universitas Swadaya Gunung Jati, Cirebon 45132, IndonesiaYayasan Satria Budi Dharma Setia, Tangerang, IndonesiaDivision of Cardiology, Department of Internal Medicine, Faculty of Medicine, Universitas Indonesia - Cipto Mangunkusumo National General Hospital, Jakarta 10430, IndonesiaDepartment of Medical Biology, Faculty of Medicine, Universitas Indonesia, Jakarta 10430, Indonesia; Corresponding author at: Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.Introduction: Hypertension is a catastrophic non-communicable disease increasing in prevalence globally. This study aimed to assess the clinical profile of hypertensive patients in primary health care services in Cirebon Regency, Indonesia. Method: This descriptive study employed a purposive sampling method, recruiting 97 adult patients diagnosed with essential hypertension at the Talun Community Health Center, Cirebon Regency, West Java, from November 2023 to February 2024. Patients with secondary hypertension or hypertension in pregnancy were excluded. Data were collected through questionnaires, blood pressure measurements, and analysis of blood and urine samples. The clinical profile included family history, control status of hypertension, lifestyle factors, cardiometabolic parameters, and mental health status. Lifestyle factors encompassed both dietary habits and physical activity levels. Cardiometabolic parameters included body mass index (BMI), HbA1c, lipid profile, kidney function, and electrocardiogram. Mental health status was measured using the Depression Anxiety Stress Scales (DAAS). Univariate analysis was stated in frequencies, mean, or median. Results: The mean age of the participants was 51.33 (±1.07) years, predominantly female (84.54 %). Subjects with a family history of hypertension were 52.58 %, and 75.3 % had uncontrolled blood pressure. Most subjects (79.17 %) engaged in light daily physical activity, while only 4.2 % reported excessive sodium intake. The average BMI was 26.04 kg/m2, with 35.5 % classified as class 1 obese. Additionally, 12.4 % of subjects had diabetes mellitus, 41.2 % were prediabetic, and 80.41 % had dyslipidemia. Albuminuria was detected in 54.6 % of participants, and 7.2 % showed evidence of left ventricular hypertrophy. Regarding mental health, 37.50 % experienced anxiety, 8.33 % reported stress, and 4.17 % suffered from depression. Conclusion: The findings indicate a significant proportion of hypertensive patients in primary health care in Cirebon Regency have uncontrolled blood pressure. Sedentary lifestyle, obesity, dyslipidemia, albuminuria, and prediabetes were prevalent among these patients. Moreover, anxiety affected more than a third of the studied subjects, highlighting the need for comprehensive management strategies for managing hypertensive patients.http://www.sciencedirect.com/science/article/pii/S2666396125000184HypertensionClinical profileLifestylePhysical activityCardiometabolicMental health |
| spellingShingle | Tiar Masykuroh Pratamawati Ahmad Fariz Malvi Zamzam Zein Uswatun Khasanah Donny Nauphar Vincentius S.W. Budhyanto Idrus Alwi Asmarinah Clinical profile of hypertension patients in primary health Care in Cirebon Regency, Indonesia Endocrine and Metabolic Science Hypertension Clinical profile Lifestyle Physical activity Cardiometabolic Mental health |
| title | Clinical profile of hypertension patients in primary health Care in Cirebon Regency, Indonesia |
| title_full | Clinical profile of hypertension patients in primary health Care in Cirebon Regency, Indonesia |
| title_fullStr | Clinical profile of hypertension patients in primary health Care in Cirebon Regency, Indonesia |
| title_full_unstemmed | Clinical profile of hypertension patients in primary health Care in Cirebon Regency, Indonesia |
| title_short | Clinical profile of hypertension patients in primary health Care in Cirebon Regency, Indonesia |
| title_sort | clinical profile of hypertension patients in primary health care in cirebon regency indonesia |
| topic | Hypertension Clinical profile Lifestyle Physical activity Cardiometabolic Mental health |
| url | http://www.sciencedirect.com/science/article/pii/S2666396125000184 |
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