Efficacy of a behavior change program on cardiovascular parameters in patients with hypertension: a randomized controlled trial

Gerage, Aline Mendes; Benedetti, Tânia Rosane Bertoldo; Cavalcante, Bruno Remígio; Farah, Breno Quintella; Ritti‐Dias, Raphael Mendes

doi:10.31744/einstein_journal/2020ao5227

Cited by 10 publications

(19 citation statements)

References 34 publications

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“…However, the intervention was done only for 6 months and this period was considered to be suboptimal to observe any behavior change or even to maintain it. Studies suggested that desirable behavior change seemed to be more likely to observe in 12 months or more, especially conducted in developing countries (23,24). Therefore, longer observation is needed to get further information regarding patients' compliance and complications occurred.…”

Section: Discussionmentioning

confidence: 99%

Effect of Health and Nutrition Education on Blood Pressure, Knowledge and Compliance among Hypertensive Patients in Bogor District, Indonesia: A Control Quasi-Experiment

Rahmawati

Sartika

Thabrany

2022

INDO J PUBLIC HEALTH NUTR

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With a high prevalence of hypertension (25.8% in 2013 and 34.1% in 2018), Indonesia currently deals with a tremendous health economic burden with the implementation of National Health Insurance (JKN). Hypertension is known to lead to severe complications and productivity loss. This study aimed to evaluate the effect of health and nutrition education on blood pressure knowledge and compliance among hypertension patients. The study was conducted over a period of 6 months in Bogor District. A total of 179 patients (64%) completed the study (intervention n = 88, control n = 91). Compared to the control group, patients in the intervention group showed a significant improvement of knowledge and compliance (p < 0.001), yet no significant difference of blood pressure was observed. However, there was a significant mean reduction of systolic and diastolic blood pressure between baseline and end-line by around 17mmHg and 8 mmHg, respectively by the intervention group. In conclusion, health education over 6 months was related to significant improvement in blood pressure knowledge and compliance of hypertension patients. Keywords: hypertension patients, health and nutrition education, blood pressure, knowledge, compliance AbstrakDengan tingginya prevalensi hipertensi (25.8% dan 34.1% pada tahun 2013 dan 2018), Indonesia saat ini menghadapi beban ekonomi Kesehatan yang besar dengan diimplementasikannya Jaminan Kesehatan Nasional (JKN). Hal ini disebabkan hipertensi dapat menyebabkan beragam komplikasi kesehatan yang serius dan penurunan produktivitas. Studi ini bertujuan untuk mengevaluasi pengaruh edukasi gizi dan kesehatan terhadap pengetahuan, kepatuhan, dan tekanan darah pasien hipertensi selama 6 bulan pada sebanyak 179 pasien (64%) yang berhasil menyelesaikan rangkaian studi ini (jumlah subjek pada kelompok intervensi = 88 dan jumlah subyek kelompok kontrol = 91). Dibandingkan dengan kelompok kontrol, penderita hipertensi pada kelompok intervensi menunjukkan peningkatan pengetahuan dan kepatuhan yang signifikan (p<0.001), meski tidak ditemukan perbedaan tekanan darah antara kedua kelompok. Meskipun demikian, studi ini menunjukkan adanya penurunan tekanan darah sistolik dan diastolik antara baseline dan endline masing-masing berkisar 17 mmHg dan 8 mmHg. Sebagai kesimpulan, edukasi kesehatan berkaitan dengan peningkatan pengetahuan dan kepatuhan pasien yang signifikan, meski dibutuhkan waktu yang lebih panjang untuk mengobservasi perbedaan tekanan darah antara kedua kelompok. Kata Kunci: Hipertensi, edukasi gizi dan kesehatan, tekanan darah, pengetahuan, kepatuhan

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Section: Discussionmentioning

confidence: 99%

Effect of Health and Nutrition Education on Blood Pressure, Knowledge and Compliance among Hypertensive Patients in Bogor District, Indonesia: A Control Quasi-Experiment

Rahmawati

Sartika

Thabrany

2022

INDO J PUBLIC HEALTH NUTR

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“…endothelial inflammation, improved oxidative-antioxidant balance and a higher level of NO bioavailability [26].…”

Section: Discussionmentioning

confidence: 99%

Cutaneous microcirculation reactivity in patients with arterial hypertension, taking into account intake of anti-hypertensive drugs

Kowalik

Myśliński

Mosiewicz

2022

Ann Agric Environ Med.

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Objective. The aim of the study was to assess the reactivity of the cutaneous microcirculation in patients with arterial hypertension (AH), taking into account the intake of anti-hypertensive drugs, using laser doppler flowometry (LDF) and the post-occlusive reactive hyperaemia (PORH) test. Materials and method. The analysis included 44 patients with well-controlled AH, and 22 subjectively healthy volunteers aged 23 -74 years, matched with the study group. During the study period, 22 patients in the study group were taking ACEI drugs, also in combination with other drug groups in terms of gender and age. 19 patients were taking other groups of drugs, including: ARB, beta-blockers, alpha-blockers, CCB, diuretics, also in combination, while 3 patients were not taking medication for AH; they were recommended non-pharmacological treatment. Blood biochemical tests, ambulatory blood pressure monitoring (ABPM) and PORH test using LDF were performed.Results. The study showed that the PORH flow parameters were not differ statistically significantly between the study and control groups (p> 0.05). Statistically significant differences were shown in the PORH maximum level (ML) on the skin forearm between the study group not taking ACEI drugs and the control group. No statistically significant differences were shown between the study group taking ACEI and the control group. Conclusions. The pathogenesis of AH is multifactorial and depends, inter alia, on disturbances at the level of microcirculation. Proper treatment, especially with the use of ACEI, can improve the microcirculation in AH patients.

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“…Table 3 summarises the characteristics of the included studies. Of the twenty included studies, 12 were randomised controlled trials (RCTs) [45][46][47][48][49][50][51][52][53][54][55][56], seven were quasiexperimental studies [57][58][59][60][61][62][63], and one was a secondary analysis of trial data. All included studies were published between 2002 and 2022.…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

Physiotherapy-Led Health Promotion Strategies for People with or at Risk of Cardiovascular Diseases: A Scoping Review

Ngeh,

Lowe,

Garcia

et al. 2023

IJERPH

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Cardiovascular diseases (CVD) are prevalent and lead to high morbidity and mortality globally. Physiotherapists regularly interact with patients with or at risk of CVDs (pwCVDs). This study aimed to assess the nature of existing evidence, interventional approaches used, and the population groups included in physiotherapy-led health promotion (PLHP) for pwCVDs. The scoping review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) guidelines. Medline, PubMed, Web of Science, Cochrane Central Register of Controlled Trials, CINAHL, and PEDro databases were searched from inception until June 2023. Two reviewers independently screened the titles, abstracts, and full text and conducted data extraction. All conflicts were resolved with a third reviewer. A total of 4992 records were identified, of which 20 full-text articles were included in the review. The studies had varied populations, including those with stroke, coronary artery diseases, peripheral artery diseases, hypertension, diabetes, and multiple CVD risk factors. The interventions ranged from exercise and physical activity programmes, dietary interventions, education, and counselling sessions with various supplementary approaches. Most interventions were short-term, with less than 12 months of follow-up. Interventions were personalised and patient-centred to promote adherence and health behaviour change. Among the included studies, 60% employed experimental designs, with the remainder using quasi-experimental designs. Although a wide range of PLHP strategies have been used for pwCVDs, exercise and physical activity were employed in 85% of the included studies. Other components of health promotion, such as sleep, smoking, and alcohol abuse, should be investigated within PLHP.

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Efficacy of a behavior change program on cardiovascular parameters in patients with hypertension: a randomized controlled trial

Cited by 10 publications

References 34 publications

Effect of Health and Nutrition Education on Blood Pressure, Knowledge and Compliance among Hypertensive Patients in Bogor District, Indonesia: A Control Quasi-Experiment

Effect of Health and Nutrition Education on Blood Pressure, Knowledge and Compliance among Hypertensive Patients in Bogor District, Indonesia: A Control Quasi-Experiment

Cutaneous microcirculation reactivity in patients with arterial hypertension, taking into account intake of anti-hypertensive drugs

Physiotherapy-Led Health Promotion Strategies for People with or at Risk of Cardiovascular Diseases: A Scoping Review

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