Evaluation And Correlation of Patient Characteristics Towards The Compatibility of Heart Failure Patients' Blood Pressure With JNC 7 Targets

Abstract

Heart failure is a major complication of hypertension and is a major cause of morbidity and mortality globally. Proper blood pressure management is essential to prevent the worsening of this condition. This study aims to evaluate the suitability of blood pressure in heart failure patients with the JNC 7 target. This study used a descriptive observational design with a retrospective approach. The sampling technique in this study was carried out by purposive sampling. The sample used in this study was 250 BPJS inpatients with a diagnosis of heart failure at Hospital X, Kudus. The data used were obtained from medical records, including patient characteristics (gender, age, length of stay, comorbidities, and concomitant diseases) and blood pressure. The data were analyzed statistically with univariate and bivariate tests using Spearman's rho test. The results showed that 162 patients (64.8%) achieved the JNC 7 blood pressure target with blood pressure in the range of <110/85–140/90 mmHg, while 88 patients (35.2%) did not achieve the blood pressure target (>140/90 mmHg). The results of statistical tests showed that there was a significant correlation between the compatibility of blood pressure with the JNC target and patient characteristics, with a significance value of 0.000<0.05. Based on these results, it can be concluded that heart failure patients with blood pressure reaching the JNC 7 target were 64.8% and there was a correlation between the compatibility of JNC 7 blood pressure and patient characteristics.