Background Hypertension is a major public health threat affecting adults worldwide. The low hypertension management knowledge causes uncontrolled high blood pressure and it’s a complication. It requires patients with uncontrolled hypertension to increase adherence to either pharmacological therapy or nonpharmacological therapy aimed at achieving normal blood pressure. Purpose The purpose of this study was to examine the effectiveness of a short-term educational program on hypertension management related knowledge and attitude among uncontrolled hypertension patients in Malang, Indonesia. Methods The research design used a Quasi-Experimental study with the design of one group pre-post-test. The participants were 41 uncontrolled hypertension patients chosen by purposive sampling at the Ciptomulyo Public Health Center. The questionnaires were used to collect the data. The Hypertension Knowledge-Level Scale (HK-LS) questionnaire was used to determine the knowledge of uncontrolled hypertension patients. KAP questionnaire was used to determine the attitude of the participants. The data were analyzed statistically using the Wilcoxon Signed Rank Test. Results The majority of respondents were aged 55–65 (54%), female (83%), housewife (76%), graduated elementary school (71%), and long suffered from hypertension >1 year (68%). The result showed that the provision of the educational program increases knowledge (p = 0,000) and attitude (p = 0,008) of patients on the management of hypertension. Conclusion Health education could improve hypertension management knowledge and attitude among uncontrolled hypertension in the rural area. Furthermore, Health providers should consider giving the education among uncontrolled hypertension.
First‐aid management of minor burns: attitude, and practice among high school studentsBackground: Burns have become a global public health problem that cause about 180,000 deaths per year. The majority of burns are 20 years old and most occur at home. One of the efforts to improve public attitudes and practice about burn first aid is to teach first aid techniques when burns occur to students using video media and demonstration methods.Purpose: To determine the effect of health education on first‐aid management of minor burns: attitude, and practice among high school students. Method: A quasi experimental design with one group pre-posttest. The sample that was used from students of grade X and IX which accounted to 52 High School students on March 2020. The observed variable was the change in student attitudes and practice. The data analysis used the Wilcoxon test with α = 0.05.Results: Show that the attitude score obtained was a pre-test score of 32.7, while the post-test score was obtained a score of 98.1. While the practice obtained an median score of pre-test at 25 and the post-test showed the median score reached 80. The significance value (p-value) obtained by using Wilcoxon data analysis on attitudes and practice <0,05 which means there is an influence of health education on first‐aid management of minor burns: attitude, and practice among high school students by using video media and demonstration methods.Conclusion: There is an evidence influence of health education on first‐aid management of minor burns. The advantage of this program to be continued to some other a high school student as part of community services from university staff.Keywords: First‐aid management; Minor burns; Attitude; Practice; High school studentsPendahuluan: Luka bakar telah menjadi masalah kesehatan masyarakat global yang menyebabkan kematian sekitar 180.000 orang per tahun yang diakibatkan oleh luka bakar. Kejadian luka bakar mayoritas berusia 20 tahun dan sebagian besar terjadi di rumah. Salah satu upaya untuk meningkatkan sikap dan praktik masyarakat mengenai pertolongan pertama luka bakar yaitu dengan mengajarkan teknik pertologan pertama saat terjadi luka bakar pada siswa dengan menggunakan media video dan metode demonstrasi.Tujuan: Untuk mengetahui pengaruh Pendidikan Kesehatan terhadap sikap dan praktik pada pertolongan pertama penanganan luka bakar pada siswa SMA.Metode: Penelitian quasi eksperimental dengan metode penelitian one grup pre-post test. Sampel yang digunakan siwa kelas X dan IX berjumlah 52 Siswa pada bulan Maret 2020. Variabel yang diamati yaitu perubahan pada sikap dan praktik siswa. Data analisis menggunakan uji Wilcoxon dengan α = 0.05.Hasil: Menunjukkan bahwa nilai sikap diperoleh skor pre-test 32.7, sedangkan skor post-test diperoleh skor 98.1. Sedangkan nilai praktik didapatkan nilai median pre-test sebesar 25 dan saat post-test didapatkan nilai median sebesar 80. Nilai signifikasi (p-value) yang didapatkan dengan menggunakan analisa data Wilcoxon pada sikap adalah <0.05 pada sikap dan praktik maka dapat disimpulkan ada pengaruh pendidikan kesehatan terhadap sikap dan praktik pada pertolongan pertama penanganan luka bakar meggunakan media video dan metode demonstrasi.Simpulan: Terdapat pengaruh pendidikan kesehatan pada sikap dan praktik siswa SMA dalam pertolongan pertama penanganan luka bakar.
Hipertensi dikenal dengan the silent killer atau penyakit mematikan secara diam-diam karena tidak memiliki tanda dan gejala yang spesifik. Konsumsi kopi secara historis dinilai memiliki efek negatif pada tubuh dan sering dihubungkan sebagai faktor yang dapat menimbulkan terjadinya tekanan darah tinggi. Tujuan penelitian ini untuk melihat hubungan konsumsi kopi dengan tekanan darah pada pasien hipertensi. Desain pada penelitian ini menggunakan cross-sectional studi. Responden penelitian ini berjumlah 36, diambil menggunakan tekhnik sampling yaitu purposive sampling dengan kriteria inklusi: mengkonsumsi kopi dan bersedia menjadi responden; dan eksklusi: memiliki riwayat penyakit kronis lain seperti gangguan endokrin. Pengumpulan data menggunakan kuesioner dan uji statistik korelasi spearman. Hasil penelitian menunjukan terdapat hubungan antara konsumsi kopi dengan tekanan darah, responden mengkonsumsi kopi paling banyak pada kategori ringan dan sedang dengan mayoritas tekanan darah adalah hipertensi stage 1. Hasil uji korelasi spearman disimpulkan bahwa terdapat hubungan antara konsumsi kopi dengan tekanan darah pada pasien hipertensi. Korelasi koefisien (r) penelitian ini menunjukan hasil yang positif yaitu 0,424 yang berarti terdapat hubungan cukup kuat antara konsumsi kopi dan tekanan darah. Semakin bertambah frekuensi kopi akan semakin menambah peningkatan tekanan darah pada pasien hipertensi.
Nurses working in the field of wound care are faced with chronic ulcers, infected wounds that may have stubborn necrosis, and slough that is very difficult to eliminate within the wound bed treated as devitalized tissue. The beneficial effects of maggots as biodebridement in the process of wound healing have been known for centuries. However, maggot debridement therapy (MDT) is new, and few healthcare services use it in Indonesia. Searching for supporting evidence is essential before applying this therapy more widely in the Indonesian healthcare community. The objective of this review was to identify, describe and assess the evidence regarding the effects of using maggots as biodebridement in chronically infected wounds to increase wound healing and cost-effectiveness. Six databases (Pubmed, Medline, CINAHL, OvidSP, NRC and Cochrane) were searched using a systematic strategy with the keywords larval therapy, maggot therapy, chronic wounds, leg ulcers, pressure ulcers, infected wound, debridement, wound healing, and cost-effectiveness, with language restriction to only articles published in English. Four out of the 834 total found studies were selected to be critically reviewed. Almost all of the studies favored MDT as a safe debridement method for its rapid granulation and complete debridement effects for chronic/infection wounds; only one study suggested that MDT had the same effect as conventional debridement. One study mentioned the disadvantages of using conventional/surgical debridement such as the risk of vessel and nerve breaks, lengthier hospital stay, and the need for antibiotics and analgesics. Based on the findings, it can be concluded that MDT is a safe, simple, effective, and cost-efficient treatment modality for chronic, intractable wounds for ambulatory and hospitalized patients. It can prevent the need for surgical debridement (operations) and amputations, and can reduce the use of antibiotics and decrease the length of hospitalization stay, thereby saving money. However, more high quality evidence supporting this treatment may still be needed.
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