A cross-sectional study: a hypertension screening model using digital tensimeter as the gold standard at public health centre in Gianyar Regency, Bali Province, Indonesia

Autor: I Nyoman Purnawan, Sri Widati, Chatarina Umbul Wahyuni
Rok vydání: 2023
Předmět:
Zdroj: Journal of Public Health in Africa.
ISSN: 2038-9930
2038-9922
DOI: 10.4081/jphia.2023.2550
Popis: The number of patients with hypertension in Gianyar Regency tent to increase in recent years. Hypertension is the first among the tenth rank from the most common diseases, with 23% cases according to the priority scale. Hypertension treatment and management include prevention, early diagnosis, diagnosis with therapy, and screening to detect early hypertension disease. This screening includes elderly >40 years old who come to Public Health Centre in September 2021. The screening uses a questionnaire to uphold the diagnosis of hypertension disease by using a digital tensimeter as the gold standard. Based on World Health Organisation in 2018, which said it would be confirmed as hypertension if systolic ≥140 mmHg or diastolic ≥90 mmHg. 86% of 255 respondents were diagnosed with hypertension, that’s 40% were >65 years old, 75% were female, and 31% worked as housewives. The screening tool with a question list of dizziness has a sensitivity value of 99%, a specificity value of 73% with a Positive Predictive Value (PPV), and each value of Negative Predictive Value (NPV) is 96% and 89%, respectively. Headache contains a sensitivity value of 90%, a specificity of 100%, with PPV value of 100% and NPV value of 61%. The combination of symptoms of dizziness and headache has a sensitivity value of 76%, and a specificity value of 82%, with PPV of 96% and NPV of 36%. Clinical symptoms are considered an early diagnosis of hypertension. If people who experience complaints of dizziness, headaches, or a combination of the two should immediately check their blood pressure as early as possible.
Databáze: OpenAIRE
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