scholarly journals Assessment of effectiveness of an interventional package on treatment adherence of hypertensive patients: a randomized control trial

2021 ◽  
Vol 8 (6) ◽  
pp. 2862
Author(s):  
Kmendalin Nongspung ◽  
Kavita Narang ◽  
J. S. Thakur
Keyword(s):  
Blood Pressure ◽  
Treatment Adherence ◽  
Randomized Control Trial ◽  
T Test ◽  
Control Group ◽  
Sampling Frame ◽  
Strict Adherence ◽  
Hypertensive Patients ◽  
Randomized Control ◽  
Experimental Group

Background: Hypertension is the most common non-communicable diseases. Strict adherence to prescribed antihypertensive treatments is the key to blood pressure control. The present study was conducted with the objective to develop, implement and assess an interventional package on treatment adherence for hypertensive patients.Methods: A clustered randomized control trial of 3 months conducted in two community sites of Chandigarh. The two sites were first randomized by lottery method as experimental and control sites. Total of 250 subjects (n=125 on each sites) were selected by a systematic random sampling technique (every fourth) from the sampling frame. Diagnosed hypertensive patients taking treatment were included in the study and females with pregnancy induced hypertension were excluded. Participants were interviewed as per Interview schedule. Data was collected from July to November 2018. Interventional package was in the form of booklet and flash card, delivered as one to one teachings. Total of 5 face to face follow ups were done to the experimental group. Control group received routine care. Final evaluation was done at 3rd month in both the groups to assess the effectiveness of an interventional package on treatment adherence. Data analysis and interpretation was done by using chi square, paired t test, unpaired t- test, Mc Nemar test were applied to determine the level of significance at p<0.05.Results: The proportion of subjects who were adhered to the treatment has increased from 16% to 68% in the experimental group at third month of follow up. The mean change in systolic blood pressure and diastolic blood pressure were 26.29±12.81 mmHg and 7.74±8.95 mmHg respectively in the experimental group as compared to the control group (p<0.05).Conclusions: The interventional package on treatment adherence among hypertensive patients was effective in improving the treatment adherence.

scholarly journals Combination therapy of dry cupping and Pece Kau'a (traditional therapy in Bima, West Nusa Tenggara Province in Indonesia) against blood pressure

2021 ◽  
Vol 7 (2) ◽  
pp. 56-62
Author(s):  
Rini Hendari ◽  
Dahlan D. Ahmad ◽  
Martiningsih Martiningsih ◽  
Julhana Julhana
Keyword(s):  
Blood Pressure ◽  
Combination Therapy ◽  
Randomized Control Trial ◽  
Health Centers ◽  
Control Group ◽  
P Value ◽  
Group Approach ◽  
Hypertensive Patients ◽  
Nursing Services ◽  
Randomized Control

This research aimed at investigating the influence of combination therapy of cupping and Pece Kau'a on hypertensive patients. The research design that was utilized was experimental design by a pretest-posttest control group approach. The population of this research was all patients who suffered from hypertension in Bima City, West Nusa Tenggara Province in Indonesia. The sample in this research was 60 respondents and this sampling utilized a randomized control trial. The results showed that combination therapy of dry cupping and Pece Kau'a on hypertensive patients could reduce the average of systolic and diastolic blood pressure with a p-value of 0.000. Therapy of dry cupping and Pece Kau’a is expected to be an alternative for medical action in nursing services both in hospitals and Public Health Centers. Besides, the combination therapy of dry cupping and Pece Kau’a could be developed more again.

EFFECT OF ACCUPRESSURE PEN ON DISTANCE VARIABLE IN SCIATICA PATIENTS -A RANDOMIZED CONTROL TRIAL

2021 ◽  
pp. 28-31
Author(s):  
Urja S. Vaidya ◽  
Roshani S. Patel
Keyword(s):  
Randomized Control Trial ◽  
Stride Length ◽  
Step Length ◽  
Control Group ◽  
Exclusion Criteria ◽  
Parametric Test ◽  
Group A ◽  
Randomized Control ◽  
Experimental Group ◽  
Distance Variable

Background: Sciatica is a radiating pain which is treated with manual accupressure and after a time electro accupressure came into introduction. Aim And Objective: Aim: To nd out the effectiveness of accupressure pen to improve the distance variable To nd out the effect of Objective: accupressure pen on pain and distance variable in sciatica patient To compare the experimental group to the control group On the basis of Method: inclusion and exclusion criteria 30 participants were selected. They were treated with electro accupressure pen for 3 alternative days / week for 3 weeks, after that re-assessment was taken with NPRS, Slump and Distance variables. The data was analyzed using SPSS Version Results: 21.Parametric test was used .In Group A improvement was seen Accupressure Conclusions: pen is effective to reduce pain and improve step length and stride length in Sciatica Patients

scholarly journals Microvascular decompression for the treatment of neurogenic hypertension with trigeminal neuralgia

BMC Neurology ◽  
2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Wenchao Lu ◽  
Hui Wang ◽  
Zhongnan Yan ◽  
Yuangang Wang ◽  
Hongmin Che
Keyword(s):  
Blood Pressure ◽  
Trigeminal Neuralgia ◽  
Trigeminal Nerve ◽  
Microvascular Decompression ◽  
Effective Rate ◽  
Ventrolateral Medulla ◽  
Control Group ◽  
Hypertensive Patients ◽  
Significant Difference ◽  
Experimental Group

Abstract Background To evaluate the efficacy of microvascular decompression (MVD) in reducing hypertension (HTN) in hypertensive patients with trigeminal neuralgia (TN). Methods The clinical data of 58 cases of neurogenic HTN with TN treated in our hospital were retrospectively reviewed. Preoperative MR revealed abnormal blood pressure in the left rostral ventrolateral medulla (RVLM) and the posterior cranial nerve root entry zone (REZ). The patients were divided into control group: only trigeminal nerve was treated with MVD; experimental group: trigeminal nerve, RVLM and REZ were treated with MVD at the same time. The patients were followed up for 6 months to 1 year to observe the changes of blood pressure. Results There was no significant difference in gender, age, course of TN, course of HTN, grade of HTN and preoperative blood pressure between the two groups. After operation, the effective rate of HTN improvement with MVD was 32.1% in the control group. There was no significant difference in the preoperative and post operative blood pressure. (P△SBP = 0.131; P△BDP = 0.078). In the experimental group, the effective rate was 83.3%. The postoperative blood pressure was significantly lower than preoperative values. (P△SBP < 0.001; P△DBP < 0.001). Conclusions MVD is an effective treatment for neurogenic HTN. However, the criteria for selecting hypertensive patients who need MVD to control their HTN still needs to be further determined. Possible indications may include: left trigeminal neuralgia, neurogenic HTN; abnormal blood pressure compression in the left RVLM and REZ areas on MR; and blood pressure in these patients can not be effectively controlled by drugs.

scholarly journals Evaluation of Impact of Ethics of Yoga in the Psychological Health of College Students: A Randomized Control Trial

2021 ◽  
Vol 14 (12) ◽  
pp. 995-1005
Author(s):  
Wen Xu ◽  
◽  
Itagi R Kumar ◽  
Thaiyar M Srinivasan
Keyword(s):  
College Students ◽  
Psychological Health ◽  
Randomized Control Trial ◽  
Well Being ◽  
T Test ◽  
Ethical Principles ◽  
Control Group ◽  
Randomized Control ◽  
Group Comparisons

Background/Objectives: The foundational ethical principles of yoga have not been of focus and not widely known. This study was to evaluate the yoga ethics that could reduce the level of stress in college students. Methods/Statisticalanalysis :A randomized control trial was conducted. One hundred participants were randomly assigned to control group and experiment group with a duration of three months intervention and one month follow-up. The outcome measures of stress level were assessed through Bio-Well instrument. A parametric independent sample t-test for the between-group analyses and paired sample t-test for within-group analysis compared the means of two groups. Findings: There was a statistically significant reduction in the stress after the intervention (p<0.001) and follow up (p=0.035) between the group comparisons. The within-group comparisons showed high reduced in the level of stress after the intervention (p<0.001) and follow-up (p<0.01). Novelty: The current study provides preliminary evidence that the practice of ethical principles of Yama and Niyama effectively reduces the stress and may improve psychological health and well-being. Keywords: Yoga ethics; Yama; Niyama; Stress; Psychological wellbeing; BioWell

scholarly journals The Effect of Tiwari Onion (Eleutherine americana Merr) Tablet on Blood Pressure Stability in Diagnosed Hypertension Patients

2021 ◽  
Vol 9 (A) ◽  
pp. 556-561
Author(s):  
Widya Warastuti
Keyword(s):  
Blood Pressure ◽  
Pharmacological Therapy ◽  
T Test ◽  
Control Group ◽  
Elderly Age ◽  
Control Group Design ◽  
Pharmacological Management ◽  
Hypertensive Patients ◽  
Significant Difference ◽  
Eleutherine Americana

BACKGROUND: Non-pharmacological management is carried out by adjusting the lifestyle and non-pharmacological therapy for hypertension sufferers. They use herbal therapy, which is believed to have low side effects, easy, and inexpensive, such as Eleutherine americana Merr Tea. AIM: This study aimed to analyze Effect of E. americana Merr Tablet on blood pressure in hypertensive patients to be used as supportive therapy to reduce and stabilize blood pressure. METHODS: This study used a quasi-experimental research design pre-post-test with a control group design, involving 30 respondents. Data collection was carried out for 1 month. Then blood pressure observations were carried out every 1 week for a month after giving E. americana tablets. The sampling technique was purposive sampling method. The data analysis used was the Independent Sample T-Test with a significance level of p < 0.05. RESULTS: The majority of respondents according to age were in the final elderly age range; 15 people (50%) were 56–65 years old. Most of the respondents involved were female, about 18 people (60%). The respondents’ hypertension category included hypertension Grade 1 (57%) and hypertension Grade II (43%). The independent sample t-test obtained p = systole was 0.029 and diastole was 0.000 (p < 0.005). It showed a significant difference in blood pressure before and after being given E. americana tablets in hypertensive patients. CONCLUSION: Significant decrease in systolic and diastolic blood pressure in patients with suspected hypertension who obtained E. americana tablets.

scholarly journals Effectiveness of Acupressure on the Taichong Acupoint in Lowering Blood Pressure in Patients with Hypertension: A Randomized Clinical Trial

2016 ◽  
Vol 2016 ◽  
pp. 1-9 ◽  
Author(s):  
Gan-Hon Lin ◽  
Wei-Chun Chang ◽  
Kuan-Ju Chen ◽  
Chen-Chen Tsai ◽  
Sung-Yuan Hu ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Care Plan ◽  
Control Group ◽  
Optimal Dosage ◽  
Hypertensive Patients ◽  
Significant Difference ◽  
And Control ◽  
Experimental Group

Objectives. To evaluate the effectiveness of acupressure on the Taichong acupoint in lowering systolic and diastolic blood pressure (BP) in hypertensive patients.Methods. Eighty patients with hypertension attending a cardiology outpatient department in central Taiwan were included in this randomized clinical trial. Acupressure was applied to the Taichong acupoint in the experimental group (n=40) and to the first metatarsal (sham acupoint) in the control group (n=40). Blood pressure was measured by electronic monitoring before and immediately 15 min and 30 min after acupressure.Results. The average age of the experimental and control participants was 59.3 ± 9.2 years and 62.7 ± 8.4 years, respectively. The two groups were similar for demographics and antihypertensive drug use. Mean systolic and diastolic BP in the experimental group decreased at 0, 15, and 30 min after acupressure (165.0/96.3, 150.4/92.7, 145.7/90.8, and 142.9/88.6 mmHg); no significant changes occurred in the control group. There was a significant difference in systolic and diastolic BP between the experimental and control groups immediately and 15 and 30 min after acupressure (p<0.05).Conclusion. Acupressure on the Taichong acupoint can lower BP in hypertensive patients and may be included in the nursing care plan for hypertension. However, additional studies are needed to determine the optimal dosage, frequency, and long-term effects of this therapy.

scholarly journals The Effects of 8-Week Aerobic Training Program on Respiratory and Circulatory Parameters of Female Swimmers Between 12-14 Years Old

2018 ◽  
Vol 6 (12) ◽  
pp. 202 ◽  
Author(s):  
Meltem Kilicaslan Kalkan ◽  
Onder Daglioglu
Keyword(s):  
Blood Pressure ◽  
Training Program ◽  
Vital Capacity ◽  
Aerobic Training ◽  
T Test ◽  
Control Group ◽  
Respiratory Parameters ◽  
Significant Difference ◽  
Experimental Group ◽  
Group Comparisons

The purpose of this study is to investigate the effect of 8-week aerobic training program on respiratory and circulatory parameters in female swimmers between 12-14 years old. A total of 22 female swimmers, who were between 12-14 years old and joined to the national competitions in the province of Gaziantep, participated as volunteers. The subjects were randomly divided into two groups as experimental group (n=11, age:13.12±0.69) and control group (n=11, age:12.56±0.53). Aerobic training program was applied to the experimental group 3 days a week for 8 weeks. Both groups continued their regular swimming trainings. Resting heart rate (RHR), systolic blood pressure (SBP), diastolic blood pressure (DBP) measurements of the subjects were performed as circulatory parameters before and after training. These values were measured by Omron M6 Comfort device. Measurements of vital capacity (VC), forced vital capacity (FVC), forced expiratory volume (FEV1) and forced expiratory rate (FEV1/FVC) were performed as respiratory parameters. These values were measured by M.E.C. Pocket Spiro USB-100 instruments. For statistical analysis of data, Paired Sample t test was used for intra-group comparisons, and the Independent Sample t test was used for inter-group comparisons. The level of significance was determined as p<0.05. In the study we performed, the values of RHR, SBP, DBP, VC, FVC, FEV1 and FEV1/FVC were found to be significant after the aerobic training program applied to the experimental group (p<0.05). The circulatory parameters of the control group showed significance at p<0.05 level in RHR value. There was no significant difference between SBP and DBP values (p>0.05). The respiratory parameters of the control group were significant in FVC and FEV1 values (p<0.05). There was no significant difference between VC and FEV1/FVC values (p>0.05). As a result, it is thought that aerobic trainings have positive effects on respiratory and circulatory parameters in swimmers. It can be said that regular aerobic training improves respiratory and circulatory parameters.

scholarly journals Breathing and relaxation training for patients with hypertension and stress

2014 ◽  
Vol 31 (1) ◽  
pp. 115-126
Author(s):  
Livia de Matos Chicayban ◽  
Lucia Emmanoel Novaes Malagris
Keyword(s):  
Blood Pressure ◽  
Relaxation Training ◽  
Stress Index ◽  
Control Group ◽  
Hypertensive Patients ◽  
Breathing Training ◽  
Stress Symptoms ◽  
Blood Pressure Monitors ◽  
Before And After ◽  
Experimental Group

This study evaluated the effects of the relaxation and breathing training for hypertensive patients on the index, levels and symptoms of stress and blood pressure among hypertensive patients suffering from stress. Nineteen patients from a hypertension and diabetes program in Rio de Janeiro participated in the study that which used, as instruments, Lipp's inventory of stress symptoms for adults, the psychological interview for hypertensive patients, the relaxation and breathing training for hypertensive patients protocol, weekly registration form and blood pressure monitors. The experimental group received the relaxation and breathing training for hypertensive patients in 13 sessions of 60 minutes and had blood pressure monitored before and after each session. The control group had blood pressure monitored weekly. It was observed that the relaxation and breathing training for hypertensive patients reduced the stress index and symptoms in the experimental group in isolation, except when compared to the control group. However, it did not reduce the levels of blood pressure in the experimental group in comparison to the control group. The results report that, besides the relaxation and breathing training for hypertensive patients, other strategies are necessary to control stress and hypertension.

scholarly journals Effect of Losartan and Atenolol on Lung Function Status in Newly Diagnosed Essential Hypertensive Patients

2015 ◽  
Vol 10 (2) ◽  
pp. 85-89
Author(s):  
Mst Nasrin Nahar ◽  
Shelina Begum ◽  
Sultana Ferdousi ◽  
Sharmeen Sultana ◽  
Zinia Parveen
Keyword(s):  
Blood Pressure ◽  
Lung Function ◽  
Antihypertensive Drugs ◽  
T Test ◽  
Control Group ◽  
Angiotensin Ii Receptor Blocker ◽  
Newly Diagnosed ◽  
Hypertensive Patients ◽  
50Mg Daily ◽  
Normotensive Subjects

Introduction: Essential hypertension is associated with altered pulmonary function. Antihypertensive medication and lung function are also associated. Losartan (angiotensin II receptor blocker) and atenolol (beta blocker) are commonly used antihypertensive drugs.Objective: To evaluate the effects of antihypertensive drugs on lung function status in patients with essential hypertension.Methods: This prospective observational study was carried out in the Department of Physiology of Bangabandhu Sheikh Mujib Medical University (BSMMU), Shahbag, Dhaka, from July 2012 to June 2013 on 100 newly diagnosed essential hypertensive patients who had not received any antihypertensive medications. They were selected from the Out Patient Department (OPD) of Cardiology unit, BSMMU, Dhaka. The study sbujects of age between 30-55 were allocated in group B. Based on prescribed treatment, these study subjects were divided into two groups - B1 and B2. B1 included 50 patients who received losartan 50mg daily and B2 included 50 patients who received atenolol 50mg daily. Again basing on duration of treatment group B1 was divided into B1a (newly diagnosed hypertensive patients before treatment), B1b (after 3 months of medication with losartan) and B1c (after 6 months medication with losartan). Similarly group B2 was divided into B2a, B2b, and B2c. For assessing lung function status, FVC, FEV1 and PEFR were measured with acomputer based Spirometer. Age, sex and BMI matched 50 apparently healthy normotensive subjects were also studied as control (group A). Data were compared among subjects of different groups. For statistical analysis independent sample ‘t’ test and paired sample ‘t’ test were performed.Results: Mean systolic blood pressure and diastolic blood pressure were significantly higher and mean FVC, FEV1 and PEFR were significantly lower in newly diagnosed hypertensive patients in comparison with that of healthy normotensive subjects. Mean FVC and FEV1 were found significantly higher in the group taking losartan for 6 months when compared to newly diagnosed hypertensive patients but lower than those of controls. In addition, mean FVC and FEV1 were found significantly lower in the group taking atenolol for 6 months when compared to newly diagnosed hypertensive patients and those of controls.Conclusion: Reduced lung function occurs in newly diagnosed essential hypertensive patients which improves by treatment with losartan but decreases after treatment with atenolol.Journal of Armed Forces Medical College Bangladesh Vol.10(2) 2014

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