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.
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.
Tuberculosis and malnutrition are serious problems. Tuberculosis causes malnutrition that potentially lessen patients’ immunity and increase the risk for activating tuberculosis. The purpose of this study was to identify the factors related to the low nutritional status among tuberculosis patients in Malang City. This research applied a corelational study. The subjects involved were tuberculosis patients with BMI<18.5. Chi-square and Fisher Exact Test were used to analyse the identified factors. Moreover, binary logistic regression to identify factors related to the low nutritional status among tuberculosis patients in Malang City. This study found almost half of participants (46.8%) had poor family knowledge about dietary TB patients. More than half of the participant’s culture (62.5%) was abstinence. A more than half of participant (59.6%) had Moderate malnutritions. There was no significant correlation between low nutritional satus and variable of gender p=1.000, education p=0.404, family knowledge p=0.767, and culture p=0.310. The significant correlation was occupational status with p=0.043. The binary logistic regression showed that tuberculosis patient with unoccupied are 1.286 times more likely to have a low nutritional status. Occupational status was the one factor that significantly related to the low nutritional status among TB patients in Malang City.
Penelitian yang bertujuan untuk mengevaluasi status nutrisi pasien TB saat pertama kali terdiagnosa TB dan belummemulai pengobatan, menunjukkan bahwa BMI rerata saat pendaftaran awal adalah 18,7 kg/m2, 51% penderita TBdinilai mengalami kekurangan gizi, dimana 24% mengalami gizi buruk ringan, 12% sedang dan 15% berat. Dua bulansetelah memulai pengobatan rerata BMI adalah 19,5 kg/m2, dengan jumlah pasien yang mengalami kekurangan gizimengalami penurunan menjadi 40%, dengan prosentase 21% gizi buruk ringan, 11% sedang dan 8% gizi buruk berat.Dalam penelitian tersebut dijelaskan bahwa status gizi dikaitkan secara bermakna dengan usia, status perkawinan,pendapatan per bulan (pekerjaan), tingkat pendidikan, kepercayaan untuk menghindari jenis makanan tertentu dankeluarga dekat pada saat mulai pengobatan TB. Temuan ini menunjukkan perlunya dukungan nutrisi selama pengobatanTB dengan didukung oleh berbagai faktor yaitu usia, jenis kelamin, status perkawinan, pendapatan, tingkat pendidikan,kepercayaan dan support keluarga. Oleh karena itu penelitian ini bertujuan untuk mengembangan upaya peningkatanstatus gizi pada pasien dengan Tuberkulosis. Untuk mencapai tujuan tersebut maka dirancang penelitian yang bertujuanuntuk menggali Upaya dalam Mempertahankan Status Gizi Pasien TB Paru. Hasil penelitian ini menjawab tujuanpenelitian ini yaitu untuk memaparkan upaya penderita TB paru dalam mempertahankan status gizi baik. Dengan desainpenelitian deskriptif kualitatif exploratory study dan menggunakan metode pengumpulan data wawancara mendalamkepada 10 orang partisipan penderita TB dengan status gizi baik, maka hasil penelitian ini dapat disimpulkan ke dalamempat tema, yaitu : (1). Hambatan dalam Pola Makan Penderita TB Paru fase Aktif, (2). Pola Makan Penderita TB Parufase Aktif, (3). Extra Nutrisi yang dikonsumsi Penderita TB Paru fase Aktif dan (4). Dukungan keluarga bagi PenderitaTB Paru fase Aktif.
Aim — This study aims to evaluate the effect of supportive educative system intervention on Tuberculosis (TB) patient’s family support. Material and Methods — This study was a quantitative study with a quasi-experimental design, conducted in the Public Health Center (PHC) of Kedungkandang and Ciptomulyo with 48 respondents. The respondents were divided into the control group with standard PHC intervention (n=24) and the treatment group with standard PHC intervention added with the supportive educative system (n=24). The data were analyzed by paired t-test and independent t-test. Results — There was a significant difference in family support between treatment and control. The results indicated that a supportive educative system significantly increases family support (p=0.003). Interestingly, PHC standard intervention showed improvement in family support (68.46±73.58) than supportive educative system (74.29±75.83). Supportive educative system interventions were less effective than standard PHC interventions. It could be influenced by sample characteristics, time of the study, control of variables, and other factors. Conclusion — Supportive educative interventions are effective in improving family support but are no better than standard PHC interventions.
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