Published date: Feb 10 2023

Journal Title: KnE Medicine

Issue title: 5th Riau International Nursing Conference (RINC)

Pages: 149–158

DOI: 10.18502/kme.v3i1.12709

Reni Zulfitrireni.zulfitri@gmail.comSchool of Nursing Universitas Riau Pekanbaru, Riau, Indonesia

Husnawati .Sekolah Tinggi Ilmu Farmasi Riau, Pekanbaru, Riau, Indonesia

Hypertension can change the structure of the blood vessels of the brain by interfering with the working mechanism of the brain. This study aimed to determine the correlation between hypertension experienced by the elderly and the risk of dementia. This research is a descriptive correlation with cross-sectional approach in Pekanbaru City. Samples in this study were 86 elderly people who were taken by purposive sampling technique. Data on the condition of hypertension experienced by the elderly were collected using a questionnaire and a blood pressure meter. Dementia risk data were collected using the MMSE (mini mental status examination). The descriptive analysis showed that 62.8% of the elderly had uncontrolled hypertension, 52.3% of the elderly did not routinely control their health, 54.7% of the elderly had hypertension for 5 years, 54.7% of the elderly had high-grade hypertension, and 52.3% of the elderly had impaired cognitive function or were at risk of dementia. The Chi-square test showed a significant correlation between the length of time the elderly suffer from hypertension and the risk of dementia with p-value = 0.000 (p-value < 0.005), while the variables of blood pressure condition, history of health control, and classification of hypertension experienced by the elderly do not have a significant correlation with dementia risk (p-value > 0.005). Hypertension for more than 5 years have had lacunar infarction in certain parts of the brain that can cause impaired cognitive function and even dementia.

Keywords: hypertension, elderly, dementia

[1] Aronow WS. Hypertension and cognitive impairment. Ann Transl Med. 2017;5(12):259. https://doi.org/10.21037/atm.2017.03.99

[2] Azizah LM. Keperawatan Lanjut Usia. Yogyakarta: Graha Ilmu; 2012.

[3] Badan Pusat Statistik. Indeks Pembangunan Manusia 2018. Jakarta: Badan Pusat Statistik; 2019.

[4] Coca A, Monteagudo E, Doménech M, Camafort M, Sierra C. Can the treatment of hypertension in the middle-aged prevent dementia in the elderly? High Blood Press Cardiovasc Prev. 23(2):97–104. https://doi.org/10.1007/s40292-016-0144-5

[5] Dinas Kesehatan Kota Pekanbaru. Profil Dinas Kesehatan Kota Pekanbaru Tahun 2019. Pekanbaru: Dinas Kesehatan Kota Pekanbaru. 2019. http://diskes.pekanbaru.go.id/files/informasi/PROFIL_2019.pdf

[6] Guessous I, Bochud M, Theler J-M, Gaspoz J-M, Pechère-Bertschi A. 1999-2009 Trends in prevalence, unawareness, treatment and control of hypertension in Geneva, Switzerland. PloS One. 2012;7(6):1–9. https://doi.org/10.1371/journal.pone.0039877

[7] Kemenkes RI. Riset Kesehatan Dasar 2013. Jakarta: Badan Penelitian dan Pengembangan Kesehatan. 2014. http://labdata.litbang.kemkes.go.id/images/download/ laporan/RKD/2013/Laporan_riskesdas_2013_final.pdf

[8] Kemenkes RI. Laporan Nasional Riskesdas 2018. Jakarta: Badan Penelitian dan Pengembangan Kesehatan. 2019a. http://labdata.litbang.kemkes.go.id/images/ download/laporan/RKD/2018/Laporan_Nasional_RKD2018_FINAL.pdf

[9] Kemenkes RI. Laporan Provinsi Riau Riskesdas 2018. Jakarta: Badan Penelitian dan Pengembangan Kesehatan. 2019b. https://drive.google.com/file/d/ 1RZndAe49xh3h8ru8BRu8yy2l5xTVAmm_/view?usp=share_link

[10] Lestari D, Udiyono A, Sarawati LD, Adi MS.. Gambaran Fungsi Kognitif pada Penderita Hipertensi Usia 45-59 Tahun di Puskesmas Tlogosari Wetan Kota Semarang. JURNAL KESEHATAN MASYARAKAT (e-Journal). 2018;6(1):207–214. https://doi.org/10.14710/jkm.v6i1.19868

[11] Michael, Natalia D, Margaretta SL, Putra WD, Gabrielia CR. Tinjauan Pustaka Tata Laksana Terkini pada Hipertensi. Jurnal Kedokteran Meditek. 2014;20(52):36–41. http://ejournal.ukrida.ac.id/ojs/index.php/Meditek/article/view/1012

[12] Morton PG, Fontaine D, Hudak CM, Gallo BM. Keperawatan Kritis: Pendekatan Asuhan Holistik. Jakarta: EGC; 2014.

[13] Nugroho W. Keperawatan Gerontik Dan Geriatri Edisi 3. Jakarta: EGC; 2015.

[14] Perrotta M, Lembo G, Carnevale D.rtension and dementia: Epidemiological and experimental evidence revealing a detrimental correlation. Int J Mol Sci. 17(3):1–11. https://doi.org/10.3390/ijms17030347

[15] Pikir BS. Hipertensi: Manajemen Komprehensif. Surabaya: Airlangga University Press; 2015.

[16] Prince M, Wimo A, Guerchet M, Gemma-Claire A, Wu Y-T, Prina M. World alzheimer report 2015: The global impact of dementia - an analysis of prevalence, incidence, cost and trends. Alzheimer’s Disease International. https://doi.org/10.1111/j.0963- 7214.2004.00293.x

[17] Sharp SI, Aarsland D, Day S, Sønnesyn H, Ballard C. Hypertension is a potential risk factor for vascular dementia: Systematic review. Int J Geriatr Psychiatry. 2011;26(7):661–669. https://doi.org/10.1002/gps.2572

[18] Sierra C. Hypertension and the risk of dementia. Front Cardiovasc Med. 2020;7(5):1– 7. https://doi.org/10.3389/fcvm.2020.00005

[19] Silitonga AN, Satiadarma MP, Risnawaty W. Penerapan Hortikultura Terapi untuk Meningkatkan Self-Efficacy pada Lansia. Jurnal Muara Ilmu Sosial, Humaniora, Dan Seni. 2017;1(2):399–405. https://doi.org/10.24912/jmishumsen.v1i2.928

[20] Smeltzer SC, Bare BG. Buku Ajar Keperawatan Medikal Bedah Brunner Suddarth Edisi 8. Jakarta: EGC; 2013.

[21] Taufik E, Sugiono, Purwoko Y, Muhartomo H. Pengaruh Hipertensi Terhadap Fungsi Kognitif Pada Lanjut Usia. Jurnal Kedokteran Diponegoro. 2014;3(1):1–19. https://www.neliti.com/publications/137294/pengaruh-hipertensi-terhadap-fungsikognitif- pada-lanjut-usia

[22] Turana Y. Gangguan Penghidu sebagai Faktor Risiko Penurunan Fungsi Kognitif pada Lansia Pendidikan Rendah. Majalah Kedokteran Neurosains Perhimpunan Dokter Spesialis Saraf Indonesia. 2019;37(1):7–13. https://doi.org/10.52386/neurona.v37i1.95

[23] Walker KA, Power MC, Gottesman RF. Defining the correlation between hypertension, cognitive decline, and dementia: A review. Current Hypertension Reports. 2017;19(3):1–27. https://doi.org/10.1007/s11906-017-0724-3