The Relationship Between Controlled Hypertension And Uncontrolled Hypertension With Quality Of Life In Cognitive Aspects In The Elderly

Abstract

Background: One of the cardiovascular diseases that often causes death is hypertension. If hypertension, especially in the elderly, becomes uncontrolled, it can cause a decrease in quality of life, one of which is the cognitive aspect. Objective: Determine the frequency distribution of gender, hypertension status, quality of life in cognitive aspects, quality of life in cognitive aspects in each hypertension status, as well as the relationship between controlled hypertension and uncontrolled hypertension with quality of life in cognitive aspects in elderly people with hypertension at Puskesmas Kelurahan Mojo, Kecamatan Gubeng, Kota Surabaya. Methods: This research is an observational analytic study with a cross-sectional approach using consecutive sampling technique with the correlation coefficient formula to determine the minimum sample, which resulted in the minimum of 12 samples. Patient data obtained from medical records and met the inclusion and exclusion criteria were interviewed using the Six-item Cognitive Impairment Test (6CIT). The data was then analyzed using Chi-square and Fisher's Exact test. Results: From 42 elderly people with hypertension, the patients were dominantly male (57,1%), had uncontrolled hypertension (59,5%), and had normal cognitive function (47,6%). Patients with controlled hypertension dominantly had normal cognitive function (26,2%), while patients with uncontrolled hypertension dominantly had mild cognitive impairment (23,8%). The results of statistical analysis of hypertension status, namely blood pressure control, with quality of life in the cognitive aspect obtained a significance value (p) of 0,245 (p> 0.05). Conclusion: With this significance value (p), it can be concluded that controlling blood pressure in elderly people with hypertension has no significant relationship with quality of life in the cognitive aspect.