scholarly journals Effects of a social support family caregiver training program on changing blood pressure and lipid levels among elderly at risk of hypertension in a northern Thai community

PLoS ONE ◽  
2021 ◽  
Vol 16 (11) ◽  
pp. e0259697
Author(s):  
Sorawit Boonyathee ◽  
Katekaew Seangpraw ◽  
Parichat Ong-Artborirak ◽  
Nisarat Auttama ◽  
Prakasit Tonchoy ◽  
...  
Keyword(s):  
Social Support ◽  
Blood Pressure ◽  
Total Cholesterol ◽  
Elderly People ◽  
Family Caregiver ◽  
Self Efficacy ◽  
The Elderly ◽  
Caregiver Training ◽  
Cholesterol Levels ◽  
Support Family

Hypertension is becoming increasingly prevalent among the elderly. Family caregivers play an important role in caring for elderly people and empowering them to care for themselves. This study’s goal was to see how social support training for family caregivers affected changes in hypertension, total cholesterol, and high-density lipoprotein (HDL), and how such support led to the prevention of hypertension behaviors among the elderly in rural areas. This was a quasi-experimental study with 268 elderly people at risk of hypertension and their caregivers. Sixty seven pairs of elderly people and their caregivers were assigned to the intervention and control groups. Baseline data were collected in November 2020. The intervention group received the Social Support Family Caregiver Training Program (SSFCTP), while the control group received a regular program from the local health authority. The activity lasted 12 weeks, with home visits and telephone check-ups along the way, and data collection took place after the program ended. The final data were collected three months after the end of the intervention. An analysis of repeated measures ANOVA showed the overall effect of the SSFCTP on knowledge, self-efficacy, health care behaviors, and blood pressure among elderly people during three different time periods (p<0.05). Furthermore, the intervention program had a time-dependent effect on knowledge, blood pressure, and total cholesterol levels (p<0.05). In terms of caregiver outcomes, there was an overall difference among the degrees of knowledge, self-efficacy, and behaviors toward health care displayed by elderly hypertensive patients during the three different time periods (p<0.05). The average knowledge and self-efficacy of the participants improved after the intervention. As a result, better self-care behaviors and lower blood pressure and total cholesterol levels were observed among the elderly participants after the intervention. The programs emphasized the importance of caregivers’ roles in providing social support, boosting confidence, and encouraging participation in caring, monitoring, and assisting the elderly in controlling blood pressure and other health issues.

scholarly journals Old hypertensive patient: a hard challenge

2013 ◽  
pp. 109-112
Author(s):  
Giuseppe Rossetti ◽  
Diana Solari ◽  
Maria Laura Rainoldi ◽  
Stefano Carugo
Keyword(s):  
Blood Pressure ◽  
Cardiovascular Risk ◽  
Elderly People ◽  
Diastolic Pressure ◽  
Beta Blockers ◽  
The Elderly ◽  
Pressure Control ◽  
World Population ◽  
Continuous Increase ◽  
Hypertensive Therapy

BACKGROUND High blood pressure is one of the most important cardiovascular risk factor and its incidence is continuously increasing: on 2025 1/3 of adult world population will suffer of it. Moreover, the therapy of elderly hypertension sufferer patient is still growing up in importance for the continuous increase of world population average life. With ageing, the cardiovascular system suffers neurohormonal and haemodinamic modifications which determine the onset of isolate systolic hypertension, which is characteristic of the elderly. This pathology results linked to a higher cardiovascular risk. AIM OF THE STUDY This review aims to analyze and evaluate present and future therapeutic opportunities about anti-hypertensive therapy in elderly people. DISCUSSION AND CONCLUSIONS Also in elderly people systolic blood pressure values must be lower than 150 mmHg, but it’s also important to maintain diastolic pressure not under 70 mmHg, to avoid phenomenons of cerebral and coronary hypo-perfusion (J curve). The benefits of an effective anti-hypertensive therapy are achieved thanks to both blood pressure lowering “per se” and to the decrease of cardiovascular mortality and morbility. Blood pressure control in the elderly is a hard challenge for the low compliance to the therapy, for the importance of the comorbidity and for the supplementary risk factors. ESH-ESC 2007 guidelines recommend for elderly highblood pressure sufferer patient the use first of all of calcium-antagonists and thiazides diuretics, and for second line ACE-inhibitors, ARB and beta-blockers. In several patients combinations of two or more drugs are necessary to obtain pressure control.

HIV and the Elderly

1994 ◽  
Vol 75 (6) ◽  
pp. 362-372 ◽  
Author(s):  
Nathan L. Linsk
Keyword(s):  
Social Support ◽  
Human Service ◽  
Older Persons ◽  
Family Care ◽  
Hiv Infections ◽  
The Elderly ◽  
Sexual Contact ◽  
Blood Transfusions ◽  
Elderly Persons ◽  
Support Family

A substantial and increasing number of people have developed HIV infections in their later years, most associated with male-to-male sexual contact or blood transfusions, although transmission also occurs through substance users and unsafe heterosexual activity. Human service practitioners need to become sensitive to the needs of elderly people and their families who are affected by HIV/AIDS. Prevention may be incorporated as part of initial engagement and assessment of elderly persons, and service packages may be developed for older persons who are infected or provide care for HIV-infected persons. Issues of confidentiality, social support, family care, and nondiscrimination are critical concerns in serving this population.

scholarly journals THE STATE OF CHOLESTEROL LEVEL IN HYPERTENSION IN SADANANYA HEALTH CENTER

2021 ◽  
Vol 4 (2) ◽  
pp. 80-85
Author(s):  
Irpan Ali Rahman ◽  
Endrian Mulyadi Justitia Waluyo ◽  
Shafira Aisyah Darmawan
Keyword(s):  
Blood Pressure ◽  
Total Cholesterol ◽  
Health Center ◽  
Cholesterol Level ◽  
Blood Cholesterol ◽  
High Total Cholesterol ◽  
High Cholesterol ◽  
Hypertensive Patients ◽  
Cholesterol Levels ◽  
Quantitative Descriptive

Hypertension is an increase in systolic blood pressure above 140 mmHg and diastolic blood pressure above 90 mmHg. The number of hypertension sufferers has increased each year, in 2015 it reached 19,552, in 2016 it reached 24,750 and in 2017 it reached 38,057. In 2017 there were 115 hypertensive patients recorded in the report book that checked their health at the Sadananya Health Center. One of the causes of the high incidence of hypertension is cholesterol caused by the consumption of inappropriate food. One of the laboratory examinations to support hypertension diagnosis is blood cholesterol examination which can show excess cholesterol which makes hypertension difficult to control. To know the description of total cholesterol levels in hypertensive patients at the Sadananya Health Center. Quantitative descriptive, the population in this study were people with hypertension at the Sadananya Health Center. Sampling with accidental sampling, as many as 30 respondents. The cholesterol examination method used is CHOD-PAP. The results showed that blood pressure in respondents all had high blood pressure, namely >140/90 mmHg (100%), a high cholesterol level of 24 respondents (80%), blood pressure 140-150 who had high cholesterol as many 13 respondents, blood pressure 160-170 who had high cholesterol as much 6 respondents, blood pressure >180 who had high cholesterol as much 5 respondents. This study concludes that hypertensive clients have more high total cholesterol levels, which is as much as 80% and normal 20%. More hypertensive patients have high total cholesterol levels, which are 80% and 20% normal.

scholarly journals Faktor Determinan yang Berhubungan dengan Upaya Pengendalian Hipertensi di PSTW Budi Luhur Kota Jambi

2020 ◽  
Vol 9 (2) ◽  
pp. 234
Author(s):  
Fithriyani Fithriyani ◽  
Miko Eka Putri
Keyword(s):  
Blood Pressure ◽  
Elderly People ◽  
The Elderly ◽  
Smoking History ◽  
Bivariate Analysis ◽  
Projection Data ◽  
Moderate Activity ◽  
Cross Sectional ◽  
Major Health Problem ◽  
Increased Risk

Aging is a natural process that can not be avoided, running continuously, and continuously. Based on population projection data the number of elderly people will increase where the most number is found at the age of 60-64 years 94,012 people. Increasing age decreases bodily functions, decreased organ function and changes in blood pressure, therefore the elderly are advised to check their blood pressure regularly. As they age, blood pressure in the elderly will increase so that there is a higher risk of developing hypertension. Hypertension is a major health problem throughout the world, causing a high prevalence and is associated with an increased risk of cardiovascular disease. Some things that need to be considered in an effort to control hypertension include regular exercise, adequate rest, medical, traditional, regulate diet and reduce salt consumption one teaspoon per day. The purpose of this study was to determine the determinants and factors associated with efforts to control hypertension in the elderly at PSTW Budi Luhur, Jambi City. The research method uses descriptive analysis design with cross sectional approach. Samples were conducted for the elderly with hypertension. The research instrument was in the form of questionnaire sheets by interview. The results obtained 40% of elderly people have a history of smoking, 45% are quite good in consuming food, 60% elderly with moderate activity and 60% elderly are good in controlling hypertension. The results of bivariate analysis showed that there was no correlation between determinant factors (smoking history, food consumption, physical activity) and hypertension control efforts in the elderly in PSTW Budi Luhur, Jambi City

Nursing Intervention in Decrease of Blood Cholesterol and Blood Pressure in The Lansia Group Provided Cupping Therapy in The Village of Wedomartani Sleman

2021 ◽  
Vol 15 (5) ◽  
pp. 1305-1308
Author(s):  
Su warsi
Keyword(s):  
Blood Pressure ◽  
Treatment Group ◽  
Alternative Therapy ◽  
The Elderly ◽  
Nursing Intervention ◽  
Cupping Therapy ◽  
Blood Cholesterol ◽  
Control Group ◽  
Measuring Device ◽  
Cholesterol Levels

Background: Much alternative therapy such as cupping therapy in the community as one of the cheap treatment efforts without side effects makes the challenge and the goal for nursing staff improve nursing services. The unfinished scientific verification of cupping therapy's alternative therapy makes nurses need to prove decreased blood pressure and cholesterol levels in the elderly. Objective: Scientific proof of cholesterol and blood pressure decrease after Cupping Therapy in an elderly group in Wedomartani Village, Sleman Yogyakarta Indonesia. Method: quantitative type with pseudo experimental research design. Pre-test and Post-test nonequivalent control group. The treatment group was given wet cupping therapy, while the control group was given dry cupping. Respondents were selected using a purposive sampling technique. Blood pressure measurement uses a digital tensimeter and cholesterol measurement using a digital blood cholesterol level measuring device. Results: The elderly blood cholesterol levels after the average therapy decreased 42.89 mg/dl, whereas blood cholesterol levels in the control group decreased an average of 20.95 mg/dl. The blood pressure of the elderly systole in the intervention group after the average therapy decreased 10.74 mmHg, whereas the control group's systole blood pressure decreased an average of 1.58 mmHg. Diastole blood pressure in the treatment group decreased 3,48 mmHg, in the diastole blood pressure control group increased 5,26 mmHg. Conclusions: Wet and dry cupping are both significantly associated with decreased blood cholesterol and blood pressure levels, but wet cupping lowers blood cholesterol levels by a mean difference of 21.95 mg/dl and mean systole blood pressure of 3.74 mmHg and pressure diastole blood difference of mean 9.1 mmHg. Keyword: Blood Pressure. Cupping Therapy, Cholesterol, Elderly

scholarly journals Combined Effect of Blood Pressure and Total Cholesterol Levels on Long-Term Risks of Subtypes of Cardiovascular Death

Hypertension ◽  
2015 ◽  
Vol 65 (3) ◽  
pp. 517-524 ◽  
Author(s):  
Michihiro Satoh ◽  
Takayoshi Ohkubo ◽  
Kei Asayama ◽  
Yoshitaka Murakami ◽  
Masaru Sakurai ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Total Cholesterol ◽  
Cardiovascular Death ◽  
Combined Effect ◽  
Cholesterol Levels

scholarly journals DUKUNGAN KELUARGA DAN KEPATUHAN DIET LANSIA PENDERITA HIPERTENSI DI WILAYAH KERJA PUSKESMAS TUMPAAN

2020 ◽  
Vol 8 (01) ◽  
pp. 127-143
Author(s):  
Alfany Natalia Torar ◽  
Semuel Tambuwun ◽  
Herlina P Memah ◽  
Yourisna Pasambo
Keyword(s):  
Blood Pressure ◽  
Family Support ◽  
Elderly People ◽  
The Elderly ◽  
Statistical Test ◽  
Coastal Areas ◽  
P Value ◽  
Chi Square ◽  
Mountain Areas ◽  
Diet Adherence

Introduction Data obtained from the working area of Puskesmas Tumpaan found that hypertension in the elderly was the first prominent disease in the range of January-December 2017, as many as 465 patients and in 2018 the number of patients was 510. Based on preliminary studies of elderly people with high blood pressure, said their blood pressure often increases because they do not adhere to a diet. Lack of support from family members can influence the compliance behavior of implementing a hypertension diet. The purpose of this study is to find out the relationship between family support and adherence to the diet of elderly people with hypertension in the work area of the Puskesmas Tumpaan in the coastal areas and and mountain areas. This type of research is Correlation Analytic with cross sectional design. The population in this study is the elderly with hypertension. The sampling technique uses proportional random sampling with a total of 84 people divided into 42 people in coastal areas and 42 people in mountain areas and data analysis techniques using the Chi Square test. The results showed that in the coastal areas 31% of respondents with good family support, 40% of respondents had adequate family support and 29% of respondents had less family support while 52% showed adherent diet adherence and 48% adherence to non-adherent diet. The results of the chi-square statistical test (Pearson chi-square) obtained a P-value of 0.008, meaning that the P-value <0.05. The results of the study in the mountain areas of 40% of respondents with good family support, 31% of respondents with adequate family support and 29% of respondents with less family support, 57% showed adherent diet adherence and 43% of adherent diet adherence. The results of the chi-square statistical test (Pearson chi-square) obtained a P-value of 0.021, meaning that the P-value <0.05. The conclusion of this study is that there is a relationship of family support with adherence to the diet of elderly patients with hypertension in both coastal and mountain areas.

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