Effects of home telemonitoring on the control of high blood pressure: a randomised control trial in the Fangzhuang Community Health Center, Beijing

2018 ◽  
Vol 24 (5) ◽  
pp. 398 ◽  
Author(s):  
Fengying Pan ◽  
Hao Wu ◽  
Chaojie Liu ◽  
Xiaolei Zhang ◽  
Wei Peng ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Systolic Blood Pressure ◽  
Community Health ◽  
Health Center ◽  
High Blood Pressure ◽  
Community Health Center ◽  
Intervention Group ◽  
Randomised Control Trial ◽  
Control Group ◽  
Home Telemonitoring

This study aimed to evaluate the effect of home telemonitoring on the control of high blood pressure in the Fangzhuang Community Health Center in Fengtai District, Beijing. A total of 110 hypertensive patients with uncontrolled high blood pressure were equally allocated to an intervention group and a control group randomly. The participants in the intervention group received home telemonitoring for blood pressure delivered by a team comprising a GP, a hypertension specialist, a general nurse and an information manager. The participants in the control group received the usual care. The levels of systolic and diabolic blood pressure of the participants were assessed on days 0 (baseline), 30, 90 and 180. On average, the intervention group had a greater reduction in blood pressure compared with the control by 6.6–8.0mmHg in systolic blood pressure and 0–3.0mmHg in diastolic blood pressure. Similarly, higher proportions of patients with normal blood pressure were achieved in the intervention group (63.6–71.2%) compared with the control (38.5–41.8%). The reduction in systolic blood pressure for the participants in the intervention group was positively correlated with the utilisation of the app (P<0.05). Home telemonitoring is effective in the control of high blood pressure.

scholarly journals The Effect of Self-reminder Card to the Level of Adherence of Hypertension Patients in Community Health Center in Surabaya

2020 ◽  
Vol 8 (E) ◽  
pp. 647-652
Author(s):  
Selly Septi Fandinata ◽  
Iin Ernawati
Keyword(s):  
Blood Pressure ◽  
Community Health ◽  
Health Center ◽  
Community Health Centers ◽  
Community Health Center ◽  
Intervention Group ◽  
Control Group ◽  
Adherence To Treatment ◽  
Test Analysis ◽  
Adherence Measurement

BACKGROUND: Hypertension was an increase of blood pressure which caused damages on the target organs. Treatment therapy of hypertension patients was very complex and required a long period of time. Target of hypertension therapy was to keep the patient’s blood pressure controlled. Achieved therapeutic target was increasing adherence of patient medication. The success of treatment was not only influenced by the quality of health care but also influenced by the patient’s adherence to the treatment. Self-reminder card was a tool helping patients to avoid forget taking medicine. AIM: The aim of this research was to determine the effect of self-reminder card on the level of adherence to treatment in hypertension patients in 10 community health centers (Puskesmas) in Surabaya. METHODS: This research used QUASI experimental two groups pre-post prospective. Adherence measurement used Morisky, Green, Levine Adherence Scale questionnaire. The results of the questionnaire were analyzed statistically. Research was conducted in May 2020 at the community health center in Surabaya. Research criteria are patients with hypertension diagnosis without comorbid disease who get antihypertensive therapy. RESULTS: The results of the study obtained 115 patients (55 control group patients and 60 intervention group patients). Statistical analysis using Mann–Whitney, there was a difference between the level of adherence to treatment in the control and intervention group with the value of p < 0.001. A test analysis using Wilcoxon signed-rank, there was a difference between the level of adherence to treatment before and after the intervention group with the value p < 0.001. CONCLUSIONS: Self-reminder card was effective in increasing the level of adherence to the treatment of hypertension patients.

scholarly journals ANALYSIS OF TUBERCULOSIS TREATMENT SUITABILITY AND THE DRUG SUPERVISOR’S ROLE IN A COMMUNITY HEALTH CENTER IN PADEMANGAN SUBDISTRICT, NORTH JAKARTA

2019 ◽  
pp. 272-276
Author(s):  
CITRA FEBRIONY ◽  
PURWANTYASTUTI . ◽  
MEANALDI RASMIN ◽  
VIVIAN SOETIKNO
Keyword(s):  
Side Effects ◽  
Community Health ◽  
Health Center ◽  
Treatment Guidelines ◽  
Community Health Center ◽  
Intervention Group ◽  
Treatment Compliance ◽  
Fixed Dose ◽  
Control Group ◽  
Tb Treatment

Objective: Appropriate tuberculosis (TB) treatment guidelines are one of the many factors that influence the success of TB treatment. The patient’sdrug supervisor is a functional role that is part of the directly observed treatment short course, a program to support the success of TB treatment.The aim of this study was to analyze the TB treatment suitability in a community health center and the benefit of treatment compliance supervisionby the patient’s designated drug supervisor.Methods: We conducted a cross-sectional study in the Community Health Center of Pademangan subdistrict, North Jakarta, involving 205 subjects toanalyze appropriate fixed-dose combination (FDC) anti-TB drug administration and an experimental study involving 23 control group TB patients and23 intervention group TB patients to assess the benefit of supervision by each patient’s drug supervisor.Results: The association of FDC anti-TB drug side effects with the success of TB treatment was not statistically significant (p=0.173). There wasan increase in drug supervisor knowledge of 8.6% in the intervention group and 13% in the control group. There was no statistically significantassociation between the knowledge of the drug supervisor and the 2nd month (p=0.575) and the 6th month of sputum treatment.Conclusion: Minor side effects of FDC anti-TB drug did not affect the success of TB treatment; therefore, treatment was continued if these adverseevents occurred. There were no correlations between the drug supervisor knowledge level with medication compliance or with sputum conversion(months 2 and 6).

scholarly journals The Difference Of Effectiveness way to Consume Iron tablets toward haemoglobin level changes to pregnant women in second trimester at the Sindang Barang community health center in 2017

2020 ◽  
Vol 3 (2) ◽  
pp. 188-192
Author(s):  
Triswanti ◽  
Tri Maghfiroh
Keyword(s):  
Vitamin C ◽  
Pregnant Women ◽  
Community Health ◽  
Health Center ◽  
Orange Juice ◽  
Community Health Center ◽  
Intervention Group ◽  
Lemon Juice ◽  
Control Group ◽  
Second Trimester

Background: Giving iron tablets together with drinking orange juice can increase hemoglobin levels higher than administering iron tablets alone Purpose: This study aims to examine the differences in the effectiveness of taking iron tablets against changes in hemoglobin levels in second trimester pregnant women at Sindang Barang Bogor Community Health Center. Methods: Quasi experimental research with Pretest-Posttest Control Group Design. The sample is divided into two groups, namely the intervention group and the control group. The intervention group was given iron tablets simultaneously by drinking orange juice for 30 days.  Result: The provision of iron tablets simultaneously drinking with lemon juice water is more effective than the provision of iron tablets simultaneously drinking with lemon juice water is more effective than the provision of iron tablets simultaneously drink with water in pregnant women second trimester. Conclusion: By giving vitamin C in the form of tablets or orange juice or foods or tablets of vitamin C can increase the absorption og iron pregnant women

scholarly journals PENGARUH SENAM JANTUNG SEHAT TERHADAP NILAI TEKANAN DARAH PADA LANSIA PENDERITA HIPERTENSI

2020 ◽  
Author(s):  
Jurnal Kesehatan Bandung ◽  
Andria Pragholapati
Keyword(s):  
Blood Pressure ◽  
Systolic Blood Pressure ◽  
Community Health ◽  
Health Center ◽  
Community Health Center ◽  
The Elderly ◽  
Hypertensive Patients ◽  
Average Value ◽  
Elderly Hypertensive ◽  
Elderly Hypertensive Patients

The disease is often experienced by the elderly in Indonesian according to Department of Health Houshold Survey on Health is hypertension with the incidence by 15,7%. Based on data from Department Health Office in Sumedang district, The highest cases of non-communicable diseases is hypertension by 29,6%. This reseach as a purpose determine the effect of a healthy heart gymnastics on the value of blood pressure in elderly hypertensive patients in Community Health Center DTP Jatinangor 2015. This type of research that is quasi experiment with an approach one group pre and postest design. The reseach population by 24 respondents specified by purposive sampling techniques. The reseach results revealed an average value of systolic blood pressure for 3 weeks before a healthy heart gymnastics is 142,8 mmHg and diastolic 94,2 mmHg, while after being given for 3 weeks healthy heart gymnastics the average value of systolic blood pressure was 129.6 mmHg and 86.3 mmHg diastolic. Test results paired T-Test obtainable ρ value 0.000 &lt;0.05 for systolic and diastolic blood pressure, means there is healthy heart gymnastics influence on the value of blood pressure in elderly hypertensive patients in Community Health Center DTP Jatinangor 2015.

scholarly journals EFEKTIVITAS PENGGUNAAN METODE PENDIDIK TEMAN SEBAYA DALAM MENINGKATKAN PENGETAHUAN PENCEGAHAN KOMPLIKASI KAKI DIABETES DI PUSKESMAS BANGUNTAPAN 3 BANTUL

2020 ◽  
Vol 1 (2) ◽  
pp. 20-27
Author(s):  
Riza Yulina Amry
Keyword(s):  
Diabetes Mellitus ◽  
Health Education ◽  
Community Health ◽  
Health Center ◽  
Diabetic Foot ◽  
Community Health Center ◽  
Intervention Group ◽  
Control Group ◽  
Foot Complications ◽  
Peer Educator

Diabetic foot is a common complication experienced by people with diabetes mellitus. Knowledge of the complications of diabetic foot is necessary to perform self-care properly. Objective: to analyze the effectiveness of peer educator method health education to increase knowledge of diabetes foot complications prevention. Methods: Quasi experimental with pre-post test control group design was used in this study. Peer educator intervention was used in this study on all patients with type 2 diabetes mellitus at Banguntapan 3 Community Health Center Bantul, as many as 30 patients. Sampling using total sampling, the respondents were divided into 2 (15 interventions and 15 controls). The research instrument was a questionnaire of knowledge about the prevention of diabetic foot complications given before and after the intervention, analyzed by using paired t-test. Results: the pretest in the control group was in the moderate category (73.3%) and the intervention group (66.7%). The posttest results of the control group were in the moderate category (66.7%) and an increase in the intervention group (67.7%). Results: Bivariate analysis showed that there was an influence between the control and experimental groups on knowledge of foot care in patients with diabetes using peer method health education with a p-value of 0.006. Conclusion: the peer educator method is proven to be effective in increasing knowledge of the prevention of diabetes foot complications in diabetes mellitus patients in the Banguntapan 3 Community Health Center, Bantul.

scholarly journals The Effect of Clinical Model Supervision and Academic Model Supervision on Nursing Care at the Community Health Center of Sukabumi Regency

2021 ◽  
pp. 594-612
Author(s):  
Hadi Abdillah ◽  
Burhanuddin Basri
Keyword(s):  
Community Health ◽  
Health Center ◽  
Nursing Care ◽  
Community Health Center ◽  
Intervention Group ◽  
Control Group ◽  
Control Group Design ◽  
Clinical Model ◽  
Post Test ◽  
Quasi Experimental

Ineffective nursing care at the community health center can, in part, be attributed to the lack of a proper supervision model. Supervision is a management function at the control stage which is carried out to direct nurses to work effectively and efficiently and reduce potential work problems. This study uses a quasi-experimental design with pre-test and post-test, together with a control group design. The aim of this study is to analyze the effect of supervision of the clinical model and supervision of academic models on the nursing service at the community health center in Sukabumi Regency. The sample was comprised of 40 people, and data analysis was performed using the General Linear Model Repeating Measure (GLM-RM). The results indicate that there was an increase in the value of nursing care following the intervention. The author saw that in the control group, although no intervention was carried out, they knew that they were being supervised by their supervisor, so that there was an increase in the value of nursing care, but the value was not as significant as that in the intervention group. Therefore, the study concludes that the academic method of supervision training is very effective in improving nursing care.   Keywords: Supervision of Clinical Models, Academic Models, Nursing Care

scholarly journals The INFLUENCE OF HYPERTENSION EXERCISE ON BLOOD PRESSURE IN ELDERLY HYPERTENSION IN THE KEDATON COMMUNITY HEALTH CENTER PENENGAHAN RAYA VILLAGE BANDAR LAMPUNG

2019 ◽  
Vol 7 (1) ◽  
pp. 564-579
Author(s):  
Novita Verayanti Manalu
Keyword(s):  
Blood Pressure ◽  
Community Health ◽  
Health Center ◽  
Health Workers ◽  
Community Health Center ◽  
The Elderly ◽  
Control Group ◽  
P Value ◽  
Pharmacological Management ◽  
Quasi Experimental

Introduction: Blood pressure can increase when one is aged 45 – 55 years old. The artery walls become thick due to the collagen acumulation in the muscle layers. As a result, the blood vessels will gradually narrow and become rigid. Elderly exercise is a mild exercise. It is easy to do wothour burdensome, which is dedicated to the elderly. The objective of this research is to analyze the effect of the elderly exercise on the blood pressure of the hypertension elderly at Kedaton Community Health Center. Method: This reseach used the quasi experimental method with pre and post test design. The population of research consisted of 64 respondents, 32 as the experimental group and the rest 32 as the control group. The former was exposed to the intervention of the elderly hypertension exercise. The data of research were analyzed by using T test. Result: There was an effect of the elderly hypertension exercise on the systolic blood pressure and dyastolic blood pressure of the hypertension respondents at Kedaton Community Health Center as indicated by the p value = 0,000. So H0 rejected and H1 accepted. Discussion: The health workers are required to conduct socialization and training of the elderly hipertention exercise need to socialize and train the performance skill of hipertension exercise. So, they can manage the elderly whom have hypertension by using non-pharmacological management to control blood pressure on hypertension patients.

Effectiveness of a Primary Care Program to Increase Physical Activity in People With Dementia and Their Family Caregivers (AFISDEMYF Study).

2021 ◽  
Author(s):  
Elena DE DIOS-RODRIGUEZ ◽  
María C PATINO-ALONSO ◽  
Susana GONZÁLEZ-SÁNCHEZ ◽  
Joana RIPOLL ◽  
Olaya TAMAYO-MORALES ◽  
...  
Keyword(s):  
Physical Activity ◽  
Blood Pressure ◽  
Primary Care ◽  
Systolic Blood Pressure ◽  
Family Caregivers ◽  
Intervention Group ◽  
Care Program ◽  
Control Group ◽  
People With Dementia ◽  
The Family

Abstract Aim: To evaluate the effectiveness of an intervention in primary health care designed to increase physical activity in people with dementia and their family caregivers.Methods: A cluster-randomized multicentre clinical trial was carried out.Participants: 140 people with dementia (median age 82 years;63.6% women) and 176 caregivers (median age 62 years ;72.7% women). Seventy patients and 80 caregivers were assigned to the Control Group (CG) and 70 patients and 96 caregivers to the Intervention Group (IG). The physical activity was measured with the pedometer and with the IPAQ-SF questionnaire. The intervention consisted of applying in primary care the program promoting physical activity (PEPAF) for 3 months. The changes observed at 6 months were analyzed. Results:In people with dementia, in the pedometer assessment a decrease was observed in both groups, but it was larger in the CG both in the total number step/day lower in the IG than in the CG and in the aerobic steps / day (52.89 vs -615.93). The activity reported with the IPAQ-SF decreased more in IG, both in the MET/min/week (-258.470 vs -148.23) and in the MVPA min/week. In caregivers the pedometer assessment showed that total steps/day increased more in the IG, as did aerobic steps/day (356.91 vs -12.95). The IPAQ-SF a smaller increase in global activity was declared in the IG than in the CG (545.25 MET/min/week vs 609.55), but the increase in vigorous activity was greater. No differences were found in changes in the functional status and the cognitive performances of people with dementia nor in the mental health in the caregivers, but systolic blood pressure, the Family APGAR and overload in the IG did improve.Conclusions: The results suggest that the intervention carried out may be effective on physical activity in both patients and caregivers. It can also improve systolic blood pressure, the Family APGAR and overload in caregivers. This is the first study to implement a primary care intervention aimed at simultaneously increasing physical activity in people with dementia and their relatives. These results reinforce the importance of using objective measures in clinical trials in people with dementia.Trial registration number: NCT 02044887.

scholarly journals Pengaruh Jus Apel Terhadap Penurunan Tekanan Darah pada Lansia Hipertensi di Puskesmas Muara Kaman

2018 ◽  
Vol 5 (2) ◽  
pp. 121-129
Author(s):  
Siti Khoiroh
Keyword(s):  
Blood Pressure ◽  
Community Health ◽  
Apple Juice ◽  
Antihypertensive Drugs ◽  
Intervention Group ◽  
T Test ◽  
Mean Difference ◽  
Control Group ◽  
P Value ◽  
The Mean

Background : Hypertension is a condition of high blood pressure in the arteries that lasted continuously for the long term. Hypertension can be overcome in two ways: pharmacology and non-pharmacology. Pharmacology treatment usually use medicine while one of the ways for non-pharmacology treatment is to consumes apple juice.Research Objective : The aim of this research is to know the effect of apple juice on blood pressure decrease in elderly people with hypertension at Muara Kaman Community Health Center.Methods : The design of this research used quasi experimental design (quasi experiment) with pretest posttest control group design. The sample of the research was hypertensive respondents at Muara Kaman Community Health Center as many as 30 respondents were divided into 2 groups, 15 intervention groups and 15 control groups. The sampling technique used purposive sampling. The research instruments were stethoscope and sphygmomanometer, data analysis using t test dependent and t test independent.Results : There were a significant influence between pretest and posttest of apple juice in the intervention group (P value = 0,000; P <0.005). The mean difference in systolic blood pressure in the intervention group and the control group also had significant differences (P value = 0.002; P <0.05), where as the mean difference in diastolic blood pressure in the intervention group and the control group also had significant differences (P value = 0,039; P <0,05).The Conclusions : The results of this research showed that consumes apple juice gives an effect on the blood pressure of hypertensive patients by consumes regularly.The Suggestions : Nurses and the public can use apple juice as one of the ways to handling to hypertension sufferers besides antihypertensive drugs.

scholarly journals THE EFFECT OF ACUPRESSURE AND EFFLEURAGE ON PAIN RELIEF IN THE ACTIVE PHASE OF THE FIRST STAGE OF LABOR IN THE COMMUNITY HEALTH CENTER OF KAWUNGANTEN, CILACAP, INDONESIA

2017 ◽  
Vol 3 (5) ◽  
pp. 508-514
Author(s):  
Yuli Sya’baniah Khomsah ◽  
Agus Suwandono ◽  
Ida Ariyanti
Keyword(s):  
Community Health ◽  
Health Center ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Community Health Center ◽  
Active Phase ◽  
Labor Pain ◽  
Control Group ◽  
P Value ◽  
First Stage Of Labor

Background: Pain during pregnancy and childbirth is a physiological process, but it leads to discomfort without pain management. Acupressure and effleurage are considered to be effective in reducing labor pain.Objective: To examine the effect of acupressure and effleurage in reducing pain during in the active phase of the first stage of labor in the community health center of Kawunganten, Cilacap regency.Methods: This was a quasi-experimental study with pretest-posttest control group design. There were 33 respondents recruited using simple random sampling. Numerical rating scale was used to measure labor pain. Data were analyzed using one way anova, Post hoc anova and repeated anova for normal data distribution. Kruskal Wallis was also used for non-normal data distribution.Results: There was a statistically significant mean difference of pain scale before and after given acupressure and effleurage (p-value <0.05). However, acupressure treatment had a greater effect  in reducing pain compared with effleurage.Conclusion: Acupressure and efflurage had a significant effect in reducing pain in mothers in the active phase of the first stage of labor. The results of this study are expected to enrich and contribute to the development of science in the field of health promotion, and  serve as an additional input for midwives in order to carry out the care of mother during labor.

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