scholarly journals Adherence to medication before and after the use of a Drug-Dispensing System with usage control

2015 ◽  
Vol 51 (2) ◽  
pp. 329-337 ◽  
Author(s):  
Liliana Batista Vieira ◽  
Julieta Ueta ◽  
Leonardo Régis Leira Pereira

<p>The aim of the present work was to assess the adherence to medication from polymedicated patients before and after the use of a Drug-dispensing System with Usage Control (DDSUC) and compare the levels of the clinical parameters - blood pressure, postprandial glycemia, glycated hemoglobin, triglycerides and cholesterol. DDSUC consisted of a monthly drug-dispensing package, in the shape of a blister with a calendar. This quasi-experimental study was performed in a Basic Health Unit. Twenty four patients were selected to use DDSUC for 4 months. Medication adherence was assessed through Morisky-Green test. Among the participants of the study, 62.5% were women and the average age was 67 years old. Before the use of DDSUC, 83.3% of the patients were considered as "less adherent". After the use of the system, 100% were considered as "more adherent" (p < 0.01), the means of the systolic blood pressure decreased 23.7 mmHg (p=0.000), the diastolic blood pressure decreased 12.1 mmHg (p=0.004) and glycemia diminished 79.3 mg/dl (p=0.000). The use of DDSUC improved the adherence to medication and decreased the values of the clinical parameters, making patients safer when it comes to respecting the correct use of their medication.</p>

2017 ◽  
Vol 8 (2) ◽  
pp. 56 ◽  
Author(s):  
Juliana P. Machado ◽  
Eugenia V. Veiga ◽  
Paulo A. C. Ferreira ◽  
Jose Carlos A. Martins ◽  
Elisabeth Atila ◽  
...  

Background: Accurate blood pressure (BP) measurement is a constant challenge, particularly in intensive care units. Thus, studies focusing on avoiding errors in practices of measuring BP are important to patient safety. The objective was to assess the effects of an educational intervention addressing BP measurement, targeting the theoretical and practical knowledge of nurses from a cardiac unit.Methods: This quasi-experimental, before-and-after, study was conducted in a large tertiary hospital in Brazil and included all nurses working in that unit (31 nurses, 86.1%). Data were collected through two types of assessments: practical and theoretical knowledge of the technique, before-and-after the educational intervention that involved simulation as a teaching strategy. A validated checklist was used for both assessments.Results: Most participants were female (64.5%), with an average age of 33.1 years old. Considerable improvement was observed in theoretical and practical knowledge concerning the steps used for BP measurement (p < .05). Considering the total sample, nurses complied with all steps of the BP measurement after educational intervention and the results were considered statistically significant (p < .05).Conclusions: The educational intervention improved the knowledge of nurses, which may contribute to safer healthcare delivery and error-free BP measurements.


2010 ◽  
Vol 22 (3) ◽  
Author(s):  
Martin Franklin ◽  
Edeh Roletta Haroen ◽  
Sri Tjahajawati

Introduction: Cucumber contains pottasium that can decrease blood pressure. This study was implemented to obtain data about the difference in blood pressure before and after consuming cucumber essence (Cucumis sativus) at women aged 30-40 years. Aim of this research is to analyzed difference s of blood pressure between before and after consuming cucumber essence (Cucumis sativus) at women aged 30-40 years. Methods: This study was a quasi-experimental with pair measurement statistic data test. Total samples of this study were 30 women at RW 02, Sukawarna district, Sukajadi, house of the village-head. Results: the average of systole before consume cucumber essence was 119,29 mmHg and after to be 115,09 mmHg. The average of diastole before consume cucumber essence was 80,91 mmHg and after to be 78,16 mmHg. Statsitic analysis showed if α = 0,05 (t0,975) value of tcalc both systolic and diastolic blood pressure > ttable so that H0 rejected and H1 accepted. Conclusion: this study showed a difference in blood pressure between before and after consuming cucumber essence (Cucumis sativus) at women aged 30-40 years.


2018 ◽  
Vol 6 (2) ◽  
pp. 102-105
Author(s):  
Leli Mulyati

This study aims to determined the effected of wet cupping therapy on blood pressure in hypertensive patients. The study used a quasi-experimental method with one group pre-test and post-test without a control group. The study subjects total 30 respondents consisting of patients with hypertension. All subjects are given wet cupping treatment twice with an interval of 2 weeks. Blood pressure measurements made ​​before and after wet cupping. The results of analysis used a t-dependent, decrease in average systolic blood pressure was 13 333 ± 12 042 wet cupping mmHg and diastolic 4667 ± 3294 mmHg. At week 2 a decrease in average systolic blood pressure mmHg while the 8667 ± 8308 6667 ± 5525 mmHg diastolic. Decrease in average systolic and diastolic blood pressure there were significant differences (p <0.05) in the first wet cupping and second wet cupping. This shows that wet cupping therapy affects blood pressure in hypertension patients.


2018 ◽  
Vol 1 (2) ◽  
pp. 65-69
Author(s):  
Sanjaya Kumar Shrestha ◽  
Anupam Ghimire ◽  
Safiur Rahman Ansari ◽  
Ashok Adhikari

Introduction: Accurate assessment of fluid status in hemodialysis patients presents a significant challenge. Nephrologists have long relied on dry weight estimation based solely on clinical parameters to decide the ultrafiltration volume for patients with end-stage kidney disease on dialysis. However, this method is far from accurate and many patients recurrently suffer from signs and symptoms of fluid overload or circulatory collapse from overaggressive ultrafiltration. Invasive methods such as measurement of central venous pressure cannot be used routinely. We evaluated the usefulness of inferior vena cava (IVC) diameter measured by handheld ultrasound in the estimation of fluid status in patients before and after hemodialysis. Materials and Methods: Clinical assessment included patients’ symptoms, weight, blood pressure, heart rate, and presence of edema before and after dialysis session. Dry weight was assessed based on the above parameters. Each patient underwent measurement of inferior vena cava before and after hemodialysis. The anteroposterior IVC diameter (IVCD) was measured 1.5 cm below the diaphragm in the hepatic segment in supine position during normal inspiration and expiration.Results:  Thirty hemodialysis patients (mean age 51.6±18.03 years) were evaluated in outpatient dialysis unit. Following hemodialysis mean IVCe (IVC diameter in expiration) decreased from 1.40±0.38 to 0.91±0.30 cm (p<0.001). Similarly, mean IVCi (IVC diameter in inspiration) decreased from 0.67±0.34 to 0.35±0.19 cm (p<0.001). Changes in IVCD were significantly correlated with alterations in body weight following dialysis (p<0.0001). The IVC collapsibility index (IVC-CI, per cent of change in IVC diameter in expiration vs. inspiration) increased significantly from 0.53±0.18 to 0.68±0.18 after dialysis (p=0.002). IVC diameter and IVC-CI clearly reflected alterations in fluid status. Regarding the clinical parameters of fluid status, following hemodialysis, mean heart rate increased from 81.17±5.21 beats per minute to 86.50±7.99, (p=0.003), systolic blood pressure increased from 148.67±26.36 mmHg to 155.00±28.50, (p=0.05), and diastolic blood pressure increased from 78.62±12.74 mmHg to 84.83±14.55, (p<0.001).Conclusions:  Our findings support the applicability of IVCD measurement and IVC-CI in the estimation of fluid status in end stage kidney disease patients on hemodialysis. The clinical parameters of fluid status including heart rate, systolic blood pressure, and diastolic blood pressure suggest that significant numbers of patients underwent excess ultrafiltration based on their traditional dry weight calculation. Thus, using IVC parameters before and during hemodialysis might give a better estimation of fluid status of the patient and guide the amount of ultrafiltration to be done. 


Author(s):  
Winda Astuti ◽  
Nur Yeti Syarifah

Background: Hypertension is a degenerative disease that becomes a serious problem but one way to reduce hypertension by means of cupping therapy.Objective: To know the effect of bruise therapy on blood pressure in hypertensive patients in healthy clinic Mugi Barokah Karakan, Godean, Sleman, Yogyakarta Method: This research is a quantitative research, using quasi experimental (quasi experiment) with pre and posttest without control. The population of this study were hypertensive patients who performed bruise therapy with population taking at the clinic of bruise therapy as much as 15 respondents. The sampling technique used incidental samples, with a sample size of 15 people. Data collection tool using check list.Results: The results showed the value of bivariate analysis with the wilxocon test formula that there was an effect of bruise therapy on blood pressure in hypertensive patients after bruise. That there was an average decrease in blood pressure on 15 respondents of hypertension before and after cupping therapy showed with p = 0,000 and p = 0.003 where p <0.005 Conclusion: There is infl uence of bruise therapy to blood pressure in hypertension patient at Healthy Clinic Mugi Barokah Karakan Godean Sleman Yogyakarta


2018 ◽  
Vol 2 (2) ◽  
pp. 268
Author(s):  
Neila Sulung ◽  
Drin Patrycia Poluan

Introduction. Hypertension is a disorder that inhibited the supply of oxygen and nutrients to the body’s tissue inhibited and makes. The one of theraphy that can be used to control blood pressure is by eating watermelon regulary. The purpose of this study was to identify effectiveness watermelon fruit (Citrullus vulgaris) against blood pressure for elderly with hypertension. Methods. This study used Quasi Experimental design with pretest-posttest design. The numbers of samples were 12 people, that using total sampling as sampling tecnique. Analysis was performed by T-Test Dependent test. Result. Statistical analysis result showed there were any differences of blood pressure before and after treatment, with the average difference = systole 3.5mmHg and diastole 2.5mmHg. P = systole 0.000, diastole 0.049. Discussion. It can be concluded that there were any differences of giving watermelon for the blood pressure on samples with hypertention. It was highly recomanded to patients with hypertension to consume watermelon regulary.Keywords: Citrullus Vulgaris, Elderly, Hypertension


2021 ◽  
Vol 2 (2) ◽  
pp. 156-169
Author(s):  
Christina Murni Yuliastuti ◽  
Th.Tatik Pujiastuti ◽  
Sr. Lucilla Suparmi, CB

ABSTRACT Background:Hemodialysis defines as a process of cleaning the blood from waste substances through a filtering process outside the body. Patients with chronic renal failure undergoing hemodialysis often experience complications including hypotension. Several references state an alternative intervention to prevent complications of hypotension in hemodialysis patients with an Intradialytic exercise. Intradialytic exercise is a planned and gradual form of exercise that includes various stages of flexibility exercise, strengthening exercise and cardiovascular exercise performed during hemodialysis. Intradialytic exercise is aimed to improve the work of the heart, respiration and improve hemodialysis regulation for the better. Objective:This study was aimed to determine the difference in blood pressure before and after intradialytic exercise in patients undergoing hemodialysis. Methods:This research design used a quasi-experimental design with pre-test and post-test with control design. The samples were 38 respondents who taken by total sampling at the Hemodialysis Unit of Panti Rahayu Hospital. The samples were divided into the intervention group who undertook intradialytic exercise for 4 weeks, each respondent experiences twice a week, while the control group who did routine hemodialysis and independent exercise. Results:The results showed that the distribution of the characteristics of the respondents was 51-54 years old (18.41%) the sex was mostly male (63.2%) Most of them (55.3%) underwent hemodialysis for less than 2 years. Statistically, it was known that there was no significant difference in blood pressure before and after intradialytic exercise inside patient’s body of the control and intervention groups. There was no significant difference in blood pressure between the intervention group compared to the control group, but there was a dynamic difference in blood pressure in patients who did intradialytic exercise. Conclusion:There was dynamics of differences in blood pressure in patients undergoing intradialytic exercise, it is recommended that hemodialysis nurses at Panti Rahayu Hospital take care patients during hemodialysis so that these interventions are routinely carried out.


Author(s):  
Sitti Aisyah Ansi ◽  
Wa Ode Nesya Jeni , Samrida

The Comparative Study of the Lancau Wolio Giving to Lowering Blood Pressure of Elderly Hypertension in Katobengke Public Health Center working area in 2020. The purpose of this study was to determine the effectiveness of Lancau Wolio potion in lowering blood pressure of elderly hypertension compared to other medication. The research was a quantitative approach and  a quasi-experimental  that compares the results of the intervention group and the control group. The intervention group comsume the Lancau Wolio and the control group taking medical drugs (Captopril) in lowering blood pressure. The results of this study showed a decrease of systolic blood pressure on the intervention group after consuming Lancau Wolio for two weeks (p = 0.003) and there was no difference in diastolic blood pressure on the intervention group before and after treatment (p = 0.255).In this study,  Lancau Wolio was proven to be an alternative medication for hypertension which is effective in reducing systolic blood pressure by 9.32% on  intervention group of elderly in  Katobengke Public Center working area..


2016 ◽  
Vol 10 (1) ◽  
pp. 113-121 ◽  
Author(s):  
Elayne Cristina Soares Silva ◽  
Maria Neyrian de Fátima Fernandes ◽  
Márcia Caroline Nascimento Sá ◽  
Layane Mota de Souza ◽  
Ariadne Siqueira de Araújo Gordon ◽  
...  

Early guidance emphasizes the provision of information to families about growth and normal development in childhood such as specific information about security at home. This research aimed to analyze mothers' knowledge about the prevention of accidents in childhood before and after an educational intervention. It was conducted as a quasi-experimental study with 155 mothers in a Basic Health Unit in northeastern of Brazil in April and May of 2015. The data were collected in two stages through a self-report questionnaire performed before and after the educational intervention by the subjects. The results revealed a significant increase in knowledge about prevention of accidents in childhood in all the self-applied questions (p<0.05). After the educational intervention, there seemed to be a significant difference with the questions regarding the knowledge on preventing fall (p=0.000), drowning (p=0.000), and intoxication (p=0.007). The authors concluded that the educational intervention performed in this study increased the subjects’ knowledge on prevention of accidents in childhood.


2021 ◽  
Vol 16 (1) ◽  
pp. 151-161
Author(s):  
Hendri Budi ◽  
Herwati Herwati

70-94% of acute stroke patients have an increase in blood pressure. Relaxation can be done to treat hypertension. Relaxation in Islam uses zikr (remembering Allah SWT). The purpose of this study was to determine the effect of zikr on reducing blood pressure in acute stroke patients. The research design was quasi-experimental, with two group pretest-posttest design with a control group. The experimental group was given the zikr therapy intervention. The sample of the study was acute stroke patients in the Nervous Room of RSUP Dr. M. Djamil Padang. There were 40 samples, 20 people in the experimental group and 20 people in the control group obtained by purposive sampling. Data collection is September to November 2020 by measuring the patient's blood pressure before and after the intervention. The data is processed manually. Analysis of data with non-parametric Mann Whitney test. The results showed that there was no difference between systolic blood pressure before treatment in the intervention group and the control group (p = 0.976), but there was a difference after treatment (p = 0.000). There was no difference between diastolic blood pressure before treatment in the intervention group and the control group, (p = 0.294), but there was a difference after treatment (p = 0.000). The study concludes that zikr therapy can reduce systolic and diastolic blood pressure in acute stroke patient. It is recommended to the head of the Nerve room to apply zikr therapy in acute stroke patients.


Sign in / Sign up

Export Citation Format

Share Document