Nursing care for the risk of decreased cardiac output in mr. u with hypertension in the daikea room of iryou houjin aiwakai hospital (ikeda en)
Keywords:
Hypertension, Cardiac output, Nursing care, Fowler position, Blood pressure managementAbstract
Hypertension is a medical condition with an increase in blood pressure above normal, which can increase the risk of cardiovascular diseases such as ischemic heart disease and stroke. Uncontrolled hypertension can lower the risk of death from this disease. The prevalence of hypertension in Japan stands at 34.6% in men and 24.8% in women, with various risk factors such as obesity and high salt consumption. This study aims to describe nursing care in patients with a reduced risk of cardiac output due to hypertension at Iryou Howjin Aiwakai Hospital (Ikeda En), Okinawa, Japan. An assessment of the 76-year-old patient showed symptoms such as dyspnea, tachycardia, palpitations, and fatigue, which are associated with decreased cardiac output. The interventions carried out included the provision of Fowler positions, vital sign measurements, and oxygen therapy. The results showed a decrease in blood pressure after the intervention. The Fowler position is effective in lowering blood pressure and reducing symptoms of tightness in hypertensive patients with a reduced risk of cardiac output. Proper nursing care can reduce the risk of complications in hypertensive patients.
References
1. Arsyad G. Pengaruh Prolanis Terhadap Tekanan Darag Pada Penderita Hipertensi Di Puskesmas Banjardawa Kecamatan Taman Kabupaten Pemalang. Univ Muhammadiyah Semarang. 2017;6–32.
2. Mariati LH, Hepilita Y, Krowa YRR, Wea LD. Education about hypertension in early adults to prevent comorbid Covid-19. Community Empower. 2023;8(2):241–6.
3. Fadhli WM. Hubungan antara gaya hidup dengan kejadian hipertensi pada usia dewasa muda di Desa Lamakan Kecamatan Karamat Kabupaten Buol. J Kesehat Masy. 2018;7(6):1–14.
4. Ningrum TAS, Azam M, Indrawati F. Rasio Lingkar Pinggang Panggul Dan Persentase Lemak Tubuh Dengan Kejadian Hipertensi. Higeia J Public Heal Res Dev. 2019;1(3):646–57.
5. Greshastuti W. Profil Kesehatan Kabupaten Banyumas Tahun 2022. Dinas Kesehatan Pemerintahan Kabupaten Banyumas. Purwokerto; 2022.
6. Ilmia I, Setyaningsih RD, Muti RT. Gambaran Tekanan Darah Pada Lansia Di Rojinhome Ryukryu Medicals Okinawa Jepang. Semin Nas Penelit dan Pengabdi Kpd Masy. 2021;1(1):21–8.
7. Darmawan H, Tamrin A, Nadimin N. Asupan Natrium dan Status Gizi Terhadap Tingkat Hipertensi Pada Pasien Rawat Jalan Di RSUD Kota Makassar. Media Gizi Pangan. 2018;25(1):11.
8. Aprisal. Asuhan Keperawatan Pada Tn. MR Dengan Gangguan Sistem Cardiovaskuler Hipertensi Di Wilayah Kerja Puskesmas Kambang Tahun 2018. SekolahTinggi Ilmu Kesehat Perintis Padang. 2018;
9. PPNI. Standar Diagnosis Keperawatan Indonesia: Definisi dan Indikator Diagnostik. Jakarta: Dewan Pengurus Pusat Persatuan Perawat Nasional Indonesia; 2017.
10. Himawati A. Laporan Studi Kasus Pada Pasien Hipertensi Derajat III di Ruang Mina RSU Islam Klaten. STIKES Muhammadiyah Klaten. 2021;
11. Purwadani M, Supadi, Widjijati. Asuhan Keperawatan Pada Hipertensi Dengan Fokus Studi Penurunan Curah Jantung Di RSUD Prof. Dr. Margono Soekarjo Purwokerto. Politek Kesehat Kemeskes Semarang. 2018;1.
12. Kusuma MP. Pemberian Posisi Fowler Untuk Mengurangi Tekanan Darah pada Asuhan Keperawatan Ny. W dengan Hipertensi di Ruang Instalasi Gawat darurat (IGD) RSUD Wonogiri. Sekol Tinggi Ilmu Kesehat Kusuma Husada Surakarta. 2015;
13. Purwadani M. Asuhan Keperawatan Pada Hipertensi Dengan Fokus Studi Penurunan Curah Jantung Di RSUD Prof DR. Margono Soekarjo Purwokerto. Politek Kesehat Kemenkes Semarang. 2018;2(1):1–13.
14. Nathan SD, Barbera JA, Gaine SP, Harari S, Martinez FJ, Olschewski H, et al. Pulmonary hypertension in chronic lung disease and hypoxia. Eur Respir J. 2020;53(1).
15. Grassi G. The Sympathetic Nervous System in Hypertension: Roadmap Update of a Long Journey. Am J Hypertens. 2021;34(12):1247–54.
16. Grassi G, Dell’Oro R, Quarti-Trevano F, Vanoli J, Oparil S. Sympathetic Neural Mechanisms in Hypertension: Recent Insights. Curr Hypertens Rep. 2023;25(10):263–70.
17. Permatasari II. Asuhan Keperawatan Pada Pasien “Tn. T” Dengan Diagnosa Medis Hipertensi Di Ruang Melati RSUD Bangil Pasuruan. Akad Keperawatan Kerta Cendekia Sidoarjo. 2019;Menurut catatan Badan Kesehatan Dunia/World Health.
18. Anggraeni S, Vestabilivy E, Fatkhurrohman M. Asuhan Keperawatan pada Tn . R dan Tn . M yang Mengalami Penurunan Curah Jantung dengan Gagal Jantung Kongestif di RSUD dr . Chasbullah Abdulmadjid Kota Bekasi. J Persada Husada Indones. 2023;11(40):52–62.
19. Novela Y. Pengelolaan Penurunan Curah Jantung Pada Tn. D Dengan Congestive Heart Failure Di Ruang Cempaka Di Rsud Ungaran. Univ Ngudi Waluyo. 2019;1–2.
20. Çobanoglu A, Yilmaz EB. The Effect of Supine, Semi-Fowler’s, and Fowler’s Positions on the Blood Pressure Values of Patients Hospitalized in Surgical Clinics. J Clin Med Kazakhstan. 2024;21(4):14.
21. Asih IP, Hidayati RN, Wicaksono A. Asuhan Keperawatan Lansia Dengan Nyeri Kronis Pada Hipertensi di Desa Beji Pasuruan. Stikes Bina Sehat PPNI Mojokerto. 2022;6(1):1–7.
22. Piraino T, Madden M, Roberts KJ, Lamberti J, Ginier E, Strickland SL. AARC Clinical Practice Guideline: Management of Adult Patients With Oxygen in the Acute Care Setting. Respir Care. 2022;67(1):115–28.
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