Innovative tool for health promotion for at-risk Thai people with hypertension

Abstract

Background: Hypertension is a major risk factor in heart failure, arterial aneurysms, peripheral arterial disease, chronic kidney disease, stroke and myocardial infarction. Methods: This study was an experimental study. From patients with hypertension presenting to karaj Health Center, 90 patients were selected according to the eligibility criteria and were assigned randomly to two groups, the intervention group (45 patients) and the control group (45 patients). The data were collected through questionnaires. Educational intervention based on self-management theory was designed in 5A method and implemented in the intervention group. The data was collected in three times including before the intervention, 1 month after the intervention and 3 months after the educational intervention. data were analyzed using SPSS software and statistical methods number, percentage, mean, standard deviation and repeated measure test. Results: The results showed that the mean score of various domains of life quality (physical domainp sychological domain, social domain, environmental domain) and total score of life quality in the intervention group increased significantly compared to the control group after the educational intervention. Conclusion The results of the study showed that using self-management program is effective in improving the life quality of hypertensive patients.

Investigation of the quality of life of patients with hypertension in health centers

“…[ 11 12 13 ] Like most chronic diseases, hypertension is closely associated with lifestyle, mental health, and quality of life of patients, and if it is not controlled on-time and appropriately, it will cause various diseases, significant disabilities, reduction of productivity, and ultimately reduction of the quality of people's lives. [ 14 15 16 17 18 ] The study of Ebadi et al . [ 19 ] and Shamsi et al .…”

Efektifitas Edukasi dalam Pencegahan dan Pengendalian Hipertensi

“…Jenis atau metode penelitian yang teridentifikasi dari artikel menunjukkan semua penelitian menggunakan pendekatan penelitian kuantitatif. Penelitian tersebut berupa quasi experimental design (9)(10)(11)(12)(13)(14)(15) , randomized control trial (16)(17)(18)(19)(20)(21)(22) , cohort study (23) , longitudinal observational study (24) , Pre-Experimental One Group Pre-test Post-test design study (25) , pre-test-post-test design (26,27) .…”

“…Edukasi yang diberikan berupa materi teoritis seperti ceramah, diskusi, konseling, e-learning, dan juga praktik seperti workshop atau training dengan berbagai topik terkait. Topik/ materi tersebut berupa fakta-fakta seputar hipertensi seperti definisi (11,15,16) , tanda dan gejala, faktor risiko (15,16) , bagaimana mendiagnosa dan penanganannya, tekanan darah normal, pencegahan hipertensi (9,15,25) , komplikasi (16,20,26) , obat (16,18,21,28,29) , efek samping obat, pentingnya minum obat secara teratur, pentingnya pemeriksaan tekanan darah secara berkala (16) , diet (12,18,29) , aktifitas fisik (18,28,29) , teknik relaksasi seperti tarik nafas dalam (10) , relaksasi otot, guided imagery (10,12) , Roy Adaptation Model yang dibuat menjadi sebuah panduan yang berisi definisi, faktor risiko, gejala, pengukuran tekanan darah di rumah (14) , pengurangan sodium (22,30) , self management untuk hipertensi, hipertensi memungkinkan terjadinya stroke, bisakah sembuh dari hipertensi, penanganan hipertensi, pentingnya mematuhi pengobatan (27) , hidup dengan hipertensi, makanan sehat (28) , modifikasi gaya hidup, mengurangi konsumsi alkohol, DASH diet (30) , kehilangan berat badan (29,30) , pengontrolan tekanan darah, keuntungan hidup sehat, efek buruk akibat hipertensi (19) , grade hipertensi (20) , pengendalian penyakit, pencegahan komplikasi tambahan, menghentikan rokok (29), Self-Blood Pressure Monitoring (SBP...…”

“…Edukasi merupakan salah satu upaya dalam peningkatan pengetahuan terkait pencegahan dan pengendalian hipertensi. Penelitian ini memperlihatkan bahwa terjadinya peningkatan pengetahuan partisipan setelah mendapatkan edukasi (9)(10)(11)21,25,31,32) . Peningkatan pengetahuan partisipan meliputi berbagai aspek seperti risiko yang berhubungan dengan tekanan darah tinggi (21) , obat/ pengobatan (11) , potensi efek samping/ merugikan obat (21) , risiko hipertensi berhubungan dengan ginjal dan mata (11) , pencegahan darah tinggi (9) , prosedur pengukuran tekanan darah (31) .…”

The Effect of Educational Intervention Based on Model 5A Self-Management Theory on Life Quality in Hypertensive Patients

“…Moreover, the cost of frequent hospitalization reduces, and the hospital beds are not occupied in vain, so that the person can work as a young workforce in the family and community [12,13]. From among the models and programs used in self-management, Model 5A, known as behavior change counseling, is an evidence-based approach appropriate for behavior modification and health promotion, which has five steps: Assess, Advise, Agree, Assist, and Arrange [14,15]. Regarding this, the results of other studies have shown the effectiveness of 5A self-management program [16,17].…”