Feedback based on health advice via tracing bracelet and smartphone in the management of Blood Pressure among hypertensive patients: A Community-based RCT Trial in Chongqing, China (Preprint)

2020 ◽  
Author(s):  
Yong Zhang ◽  
Yang Tao ◽  
Yun Zhong ◽  
Jacqueline Thompson ◽  
Jamal Rahmani ◽  
...  

UNSTRUCTURED Lifestyle interventions have been recognised as a line treatment of non-communicable diseases. The aimed of this study was to evaluate a bespoke mHealth approach to delivers personalised feedback to improve blood pressure and weight for hypertensive patients in community settings. A total of 307 participants, 50 from each community, were expected to be in the intervention or control group. A professional health facilitator was assigned for each of the 6 communities. The primary outcomes of the study are the reduction in blood pressure and weight at baseline and post-intervention. Of 307 recruited,192 (62.5%) participants completed the study (intervention: 104 and control: 88). There was no difference in attrition rates between the two groups (33.5%vs41.9%, p=0.291). After 6-months of intensive feedback intervention through mHealth approach, patients had better blood pressure, weight, and BMI compared with control. People who were adherent to the intervention demonstrated a clinical benefit with regards to weight and blood pressure.

2016 ◽  
Vol 2016 ◽  
pp. 1-9 ◽  
Author(s):  
Gan-Hon Lin ◽  
Wei-Chun Chang ◽  
Kuan-Ju Chen ◽  
Chen-Chen Tsai ◽  
Sung-Yuan Hu ◽  
...  

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.


2018 ◽  
Vol 7 (1) ◽  
Author(s):  
Hidayatus Sya’diyah ◽  
Meiana Harfika ◽  
Maria Yesika Radya

Condition when the systolic blood pressure over 120 mmHg and diastolic over 80 mmHg. Suspected of garlic ice cream can lower high blood pressure in hypertensive patients if given by mouth one time a day. This study aims to analyze the effect of garlic ice cream therapy to lower blood pressure in hypertensive patients in the Kemiri village of Sidoarjo.Design used quasy-experimental. With non equivalent control group design. The population is hypertensive patients who suffer from hypertension. The sample are 24 hypertensive patients selected by non probality sampling approach to purposive sampling. Research uses the blood pressure observation sheet instruments. Data were analyzed using paired t-test.The research results obtained before blood pressure given garlic ice cream most respondents included in the classification of mild hypertension in experimental group and the rest of the respondents included in the classification of mild hypertension in the control group. Blood pressure therapy after being given ice cream garlic whole respondents included in the classification of normotensi on experimental group.And including the classification of hypertension mild in all respondents the control group. The results of the test independent t-test obtained p = 0,000 It means that  there are differences in rates of systolic and diastolic blood pressure beetwen experimental and control groups after the intervention of garlic ice cream.


2018 ◽  
Vol 11 (1) ◽  
pp. 21-26
Author(s):  
Kornanong Yuenyongchaiwat ◽  
Chusak Thanawattano ◽  
Sasipa Buranapuntalug ◽  
Khajonsak Pongpanit ◽  
Patcharin Saengkrut

Purpose The purpose of this study is to develop a prototype of a novel respiratory device that we validated and assessed clinically and examined the effect of prototype of respiratory device on blood pressure (BP). Methods Prototype of respiratory device (TU-Breath Training) was designed with pressure cuff and application software was created. The immediate effect of resisted breathing was determined in 20 adults with high BP (systolic BP ≥ 130 mmHg and diastolic BP ≥ 90 mmHg). A crossover study was designed. A total of 20 eligible participants were asked to sit quietly for 10 min. Heart rate (HR), BP, and oxygen saturation (SpO2) were measured and recorded. After the resting period, all participants were randomized and counterbalanced for undergoing the set of inspiratory muscle training by TU-Breath Training and control group. A set of respiratory training were composed of 10 times per set for three sets, while the control group was asked to sit for 10 min. Results After inspiratory training, both the systolic and diastolic BP decreased significantly. Compared with control group, using TU-Breath Training decreased systolic BP (−7.00 ± 5.93 mmHg) and diastolic BP (−5.95 ± 8.88 mmHg), but did not show differences in HR and SpO2. Conclusion The study indicated that in high-BP participants, the prototype of respiratory device (TU-Breath Training) elicits decreased BP.


Author(s):  
Anggi Puspita Sari ◽  
Santi Herlina

Hypertension is one of the deadliest diseases in the world which is often called the silent killer. The disease is dangerous because it deals with the cardiovascular, circulatory system is functioning to provide and circulate oxygen supply and nutrients to all tissues and organs are needed in the process of metabolism. Even the estimated number of people with hypertension will increase to 1.6 billion by 2025. This study aims to determine the effect of carrot juice therapy to decrease blood pressure in hypertensive patients. This Quasi-experimental study used a sample of 20 respondents, each intervention group and control group 10 respondents. Data collected and analyzed to meet the criteria using univariate and bivariate using T-test, which consists of test Paired Samples T-test and Independent t-tests. The results showed that there is influence of carrot juice therapy to decrease blood pressure in hypertensive patients, with a value of p = 0.000 for systolic and p-value = 0.001 for diastolic (p-value < 0.05). The results also indicate that there are significant differences between blood pressure reduction in the intervention group and control group (p-value < 0.05). This research is expected to be useful as an input to the world of nursing, family, and especially the client to learn more about nonpharmacological treatment of blood pressure reduction.


2020 ◽  
Vol 8 (E) ◽  
pp. 558-565
Author(s):  
Iin Ernawati ◽  
Selly Septi Fandinata ◽  
Silfiana Nisa Permatasari

BACKGROUND: The prevalence of hypertension in Indonesia based on the results of a population survey up to 2018, it is known that the age of ≥18 years diagnosed by doctors is 34.1%. Increased knowledge in this study by providing educational interventions in hypertensive patients. AIM: This study aims to determine the effect of giving leaflets on the level of knowledge in hypertensive patients.. METHODS: This study is a quasi-experimental study of leaflets for hypertensive patients conducted at 5 Community Health Centers in Surabaya City. The primary outcome observed was the level of knowledge between 2 groups which are the intervention group (given leaflets) and the control group (baseline). In the intervention group measuring the level of knowledge before and after 2 weeks were given the leaflet intervention. The level of knowledge was measured using the Indonesian version of the hypertension knowledge-level scale questionnaire. The leaflet used contains the definition, limits of blood pressure in hypertension, diet and lifestyle advice, and the importance of adherence to medication consumption according to the regimen recommended by doctors to control blood pressure. RESULTS: The majority of knowledge levels in the control group (32.64%) and the intervention group increased the percentage of the high level of knowledge from 13.4% to 62.89% after being given a leaflet. Based on statistical analysis, it is known that there is an effect of giving leaflets to the level of knowledge between the control and post-intervention group, and pre-post intervention gave significant changes (p < 0.001). The effect of leaflets on changes in systolic and diastolic blood pressure was known not to provide significant changes in the control and post-intervention groups (p > 0.05), but between the pre- and post-intervention groups gave significant changes (p < 0.001). CONCLUSION: The leaflet provides a better change based on 5 indicators performance of hypertension.


2019 ◽  
Vol 10 (01) ◽  
pp. 33-44
Author(s):  
N.L.G. Sudaryati ◽  
I P. Sudiartawan ◽  
Dwi Mertha Adnyana

The aim of the study was to determine the effectiveness of giving hydrotherapi foot soak in hypertensive patients. The study was conducted with one group pretestposttest design without a control group by measuring blood pressure (pretest) before being given an intervention in the form of foot soak hydrotherm against 15 people with hypertension in Banjar Sri Mandala, Dauhwaru Village, Jembrana Subregency. Then do the blood pressure measurement again (posttest) after finishing the intervention. After the study was completed, the results showed that before the hydrotherapi foot bath intervention, there were 0% of patients classified as normal, 13.32% in prehypertension category, 60.08% in hypertension category I and 26.60% in hypertension category II. After the intervention was given, there were 13.32% of the patients classified as normal, 66.68% in the prehypertension category, 20.00% in the first category of hypertension and no patients belonging to the second grade hypertension category. There is a decrease of 20-30 mmHg for systolic blood pressure and 0-10 mmHg for diastolic blood pressure after intervention. Based on the results of the study it can be concluded that the hydrotherapi foot bath is effectively used to reduce blood pressure in hypertensive patients in the Banjar Sri Mandala, Dauhwaru Village, Jembrana District.


2019 ◽  
Vol 14 (5) ◽  
pp. 376-385 ◽  
Author(s):  
Lin Xu ◽  
Jiangming Huang ◽  
Zhe Zhang ◽  
Jian Qiu ◽  
Yan Guo ◽  
...  

Objective: The purpose of this study was to establish whether Triglycerides (TGs) are related to Blood Pressure (BP) variability and whether controlling TG levels leads to better BP variability management and prevents Cardiovascular Disease (CVD). Methods: In this study, we enrolled 106 hypertensive patients and 80 non-hypertensive patients. Pearson correlation and partial correlation analyses were used to define the relationships between TG levels and BP variability in all subjects. Patients with hypertension were divided into two subgroups according to TG level: Group A (TG<1.7 mmol/L) and Group B (TG>=1.7 mmol/L). The heterogeneity between the two subgroups was compared using t tests and covariance analysis. Results: TG levels and BP variability were significantly different between the hypertensive and non-hypertensive patients. Two-tailed Pearson correlation tests showed that TG levels are positively associated with many BP variability measures in all subjects. After reducing other confounding factors, the partial correlation analysis revealed that TG levels are still related to the Standard Deviation (SD), Coefficient of Variation (CV) of nighttime systolic blood pressure and CV of nighttime diastolic blood pressure, respectively (each p<0.05). In the subgroups, group A had a lower SD of nighttime Systolic Blood Pressure (SBP_night_SD; 11.39±3.80 and 13.39±4.16, p=0.011), CV of nighttime systolic blood pressure (SBP_night_CV; 0.09±0.03 and 0.11±0.03, p=0.014) and average real variability of nighttime systolic blood pressure (SBP_night_ARV; 10.99±3.98 and 12.6±3.95, p=0.024) compared with group B, even after adjusting for age and other lipid indicators. Conclusion: TG levels are significantly associated with BP variability and hypertriglyceridemia, which affects blood pressure variability before causing target organ damage.


2020 ◽  

Objective: To study the effectiveness of prophylactic ephedrine to prevent hypotension caused by induction of anesthesia with propofol and sufentanil in elderly hypertensive patients. Methodology: 70 elderly ASA grade II-III hypertensive patients undergoing elective general anesthesia were randomized into two groups to receive either intravenous ephedrine,100 ug/kg in 5ml normal saline (Group B), or an equal volume of normal saline (Group A) before induction. Systolic Blood Pressure (SBP), Diastolic Blood Pressure (DBP) and Heart Rate (HR) were recorded at T0 (after entry to the operating room), T1 (1 min after induction), T2 (2 min after induction), T3 ( 3 min after induction), T4 (4 min after induction), T5 (when intubated), T6 (2 min after intubation), and T7 (at the start of the procedure), as well as the incidence of hypotension and bradycardia. Results: SBP, DBP and HR were not significantly different at T0 and were significantly different at T1 to T7 after anesthesia induction. There were statistically significant effect on hypotension and bradycardia between the two groups and group B have a lower risk of hypotension and bradycardia relative to group A. SBP and DBP decreased significantly after induction in both groups. HR decreased significantly in group A while increased in group B. Conclusion: Ephedrine pretreatment can minimize hypotension and bradycardia caused by propofol and sufentanil during the induction of general anesthesia in elderly patients with hypertension.


2015 ◽  
Vol 3 (2) ◽  
pp. 38 ◽  
Author(s):  
Randhir S. Ranta ◽  
Vijay Kumar Sharma ◽  
Pankaj Gupta

The study pertains to the parenting stress, which is believed to be the resultant of child disability and further assesses the needs of the families across selected pockets of Himachal Himalaya. Perceived Stress Questionnaire (PSQ) and Need Assessment Scale were used for the purpose. For assessing the stress level among the parents, PQS was administered among two hundred parents having disabled children, herein called experimental group and two hundred parents with normal children, herein called control group. A three point Need assessment scale was used to measure the needs of 200 families on five different parameters. The result of t-test shows the significant difference between experimental and control groups indicating that the parents of disabled children experience more stress than their control counterpart. The study indicates that people need proper guidance and information regarding a child’s disability, nutritional requirements of a child, vocational training and child management. There is a need for proper counselling for parents suffering from stress and creating consciousness among parents of children with disabilities and in the society.


Sign in / Sign up

Export Citation Format

Share Document