18. THE ROLE OF EDUCATION AND LIFESTYLE MODIFICATION IN CONTROLLING BLOOD PRESSURE AMONG HYPERTENSIVE PATIENTS IN MOH RIDWAN MEURAKSA ARMY HOSPITAL

Abstract

Background: Blood pressure control rates in patients treated with pharmacotherapy remain low. Recent guidelines for the management of arterial hypertension suggest that lifestyle changes are useful and effective to reduce blood pressure and global cardiovascular risk. Objective: This study was undertaken to give us insight on role of education and lifestyle modification in controlling blood pressure among hypertensive patients. Method: 50 patients with uncontrolled blood pressure in Moh Ridwan Meuraksa Army Hospital in 2018 are eligible for the study. Data of BMI, smoking status, physical activity, alcohol consumption, diet, and blood pressure were collected. Then patients were educated about definition, risk factors, complications of hypertension, given treatment of hypertension, counselling on lifestyle changes, The DASH diet, and monthly routine check up. After 3 months follow up, post intervention data were collected. Result: 5 patients were lost to follow up. 5 of 45 uncontrolled hypertensive patients have knowledge of hypertension. After counselling, 7 patients quit smoking, 4 patients quit consuming alcohol, 27 patients routinely implementation of DASH diet and 16 patients routinely physical activity (5 times a week, 30 minutes each). Based on BMI data, 11 obese (24.45%) and 29 overweight patients (64.44%) decrease to 7 obese (2.44%) and 30 overweight patients (66.67%). 3 patients turn to normal BMI. After 3 months follow up, 39 of 45 patients achieved blood pressure target. Conclusion: Education and lifestyle modification are effective in increasing awareness of hypertension and achieving blood pressure target. Further study is needed to decrease cardiovascular mortality in hypertension patients