Penatalaksanaan Holistik Hiperkolesterolemia pada Ibu Rumah Tangga

Semadela Solichin Putri; TA Larasati

Authors

Semadela Solichin Putri Fakultas Kedokteran Universitas Lampung
TA Larasati Bagian Ilmu Kedokteran Komunitas, Fakultas Kedokteran, Universitas Lampung

Keywords:

hypercholesterolemia, family medicine management

Abstract

Hypercholesterolemia is a common metabolic condition and is characterized by a high level of plasma cholesterol, also a risk factor for developing cardiovascular diseases. Cardiovascular diseases is included in Non-Communicable Diseases (NCD). The highest proportion of deaths from NCD are cardiovascular diseases (39%), followed by cancer (27%), other NCD (30%) and diabetes mellitus (4%). The incidence of hypercholesterolemia is associated with risk factors due to unhealthy lifestyle. Proper management besides pharmacological therapy is balanced with lifestyle interventions, such as diet, exercise, smoking cessation and weight loss. Implementation of family doctor services based on evidence based medicine in patients by identifying risk factors, clinical problems, and providing holistic and comprehensive management with patient centered and family focused approach. This study is a case report with primary data sources is obtained through anamnesis (autoanamnesis and alloanamnesis), physical examination and laboratory test. Activities that this study carried out are home visits and completing family fostered sheets, from the data obtained determined a holistic diagnosis and appropriate management. A 48-year-old housewife with hypercholesterolemia, functional degree one, lack of knowledge about her illness, poor diet and exercise patterns and her treatment pattern is still curative. Identification of internal factors, i.e genetic, overweight, lifestyle and psychological. External factors, the cultural aspects of the family that do not depend with the medicine prescribed by doctors as well as environmental aspects that do not support physical activity. The patient and her family have been educated about the disease, medicine, lifestyle, and proper diet. After evaluation, found that there are changes in lifestyle and patient perceptions regarding the disease. Patient management with the principles of family medicine care is helpful to reduce health problems in patients with hypercholesterolemia.

References

Annies. 2015. Kolesterol dan Penyakit Jantung Koroner. Jogjakarta: Ar-Ruzz Media.

Araya-Quintanilla F, Guiterrez–Espinoza H, Galvez VM, Munoz–Yanez MJ, Pavez L, García K. 2019. Effectiveness of Black Tea Versus Placebo in Subjects with Hypercholesterolemia: A Prisma Systematic Review and Meta-Analysis. Chile: Diabetes & Metabolic Syndrome: Clinical Research & Reviews 13:2250–2258.

Ballantyne CM, Blazing MA, King TR, Brady WE, Palmisano J. 2004. Efficacy and Safety of Ezetimibe Co-Administered with Simvastatin Compared with Atorvastatin in Adults with Hypercholesterolemia. Am J Cardiol 93:1487–94.

Fernandez ML. 2001. Soluble Fiber and Non Disgestible Carbohydrate Effect on Plasma Lipid and Cardiovascular Risk. Curr Opin Lipidol 12(1):35-40.

Harada-Shiba M et al. 2018. Guidelines for Diagnosis and Treatment of Familial Hypercholesterolemia 2017. J Atheroscler Thromb 25:751–770.

Hokanson J E, Austin MA. 1996. Plasma Triglyceride Level is A Risk Factor for Cardiovascular Disease Independent of High-Density Lipoprotein Cholesterol Level: A Meta-analysis of Population-Based Prospective Studies. J Cardiovasc Risk 3:213-9.

Kementerian Kesehatan Republik Indonesia. 2018. Laporan Nasional RISKESDAS. Jakarta: Badan Penelitian dan Pengembangan Kesehatan.

Kementerian Kesehatan Republik Indonesia. 2012. Penyakit Tidak Menular. Jakarta: Pusat Data dan Informasi Kemenkes RI. http://www.pusdatin.kemkes.go.id

Kementerian Kesehatan Republik Indonesia. 2014. Profil Kesehatan Dasar Tahun 2013. Jakarta: Kemenkes RI.

Mannul GS, Zaman MJS, Gupta A, et al. 2013. Evidence of Lifestyle Modification in the Management of Hypercholesterolemia. Bentham Science Publishers 9:2–14.

Morrone D, Weintraub WS, Toth PP, et al. 2012. Lipid-Altering Efficacy of Ezetimibe Plus Statin and Statin Monotherapy and Identification of Factors Associated with Treatment Response: A Pooled Analysis of Over 21,000 Subjects from 27 Clinical Trials. Atherosclerosis 223:251–61.

PERKI. 2017. Pedoman Tatalaksana Dislipidemia Edisi 1. Jakarta: Centra Communications.

Reckless JPD, Henry P, Pomykaj T, Lim ST, Massaad R, Vandormael K, et al. 2008. Lipid-Altering Efficacy of Ezetimibe⁄Simvastatin 10⁄40 mg Compared with Doubling The Statin Dose in Patients Admitted to The Hospital for A Recent Coronary Event: The INFORCE Study. Int J Clin Pract 62:539–54.

Soeharto I. 2004. Serangan Jantung dan Stroke Hubungannya dengan Lemak dan Kolesterol. Jakarta: Gramedia.

Triana V. 2001. Macam-Macam Vitamin dan Fungsinya dalam Tubuh Manusia. Jurnal Kesehatan Masyarakat 1(1): 41–47.

Wirya LPAI. 2012. Pemberian Ekstrak Air Lidah Buaya (Aloe vera L.) Memperbaiki Profil Lipid Darah Tikus Jantan Wistar dengan Dislipidemia. Surabaya: Jurnal Kebidanan 9(1):1–14.

Gray HH, Dawkins KD, Morgan JM, Iain A. 2002. Simpson: Lecture Notes Cardiology edisi 4. Jakarta: Erlangga Medical Series hlm. 107–150.

Pischon T, et al. 2008. General and Abdominal Adiposity and Risk of Death in Europe. N Engl J Med 359:2105–20.

Notoatmodjo S. 2007. Promosi Kesehatan dan Ilmu Perilaku. Jakarta: Rineka Cipta.

Centers for Disease Control and Prevention. 2020. Measuring Physical Activity and Intensity. US: Division of Nutrition, Physical Activity, and Obesity CDC.

World Health Organization. 2020. WHO Guidelines on Physical Activity and Sedentary Behaviour. US: WHO.

Qin et al. 2017. Efficacy and Safety of Turmeric and Curcumin in Lowering Blood Lipid Levels in Patients with Cardiovascular Risk Factors: A Meta-analysis of Randomized Controlled Trials. Chongqing, RRC: Nutrition Journal 16(68):2–10.

Sun et al. 2018. Anti-hyperlipidemia of Garlic by Reducing The Level of Total Cholesterol and Low-density Lipoprotein A Meta-analysis. Xuzhou, RRC: Medicine 97(18):1–8.

Susyani et al. 2020. The Bay Leaves Tea can Decrease Cholesterol Levels of Patients with Cardiovascular Disease. World Journal of Advance Healthcare Research 4(3):173–177.