scholarly journals THE EFFECTIVENESS OF CHRONIC DISEASE MANAGEMENT PROGRAM IN BLOOD PRESSURE CONTRO

2017 ◽  
Author(s):  
Frieska Dyanneza ◽  
◽  
Didik Gunawan Tamtomo ◽  
Sugiarto ◽  
◽  
...  
Keyword(s):  
Blood Pressure ◽  
Chronic Disease ◽  
Disease Management ◽  
Disease Management Program ◽  
Chronic Disease Management ◽  
Management Program

HUBUNGAN KEIKUTSERTAAN SENAM PROLANIS DENGAN KETERKONTROLAN TEKANAN DARAH PADA PASIEN BPJS DI KLINIK BATAM SEHAT

2020 ◽  
Vol 9 (2) ◽  
pp. 17-25
Author(s):  
Andi Ipaljri Saputra ◽  
Isramilda ,
Keyword(s):  
Blood Pressure ◽  
Chronic Disease ◽  
Disease Management ◽  
Disease Management Program ◽  
Chronic Disease Management ◽  
Statistical Tests ◽  
Management Program ◽  
P Value ◽  
Cross Sectional ◽  
Uncontrolled Blood Pressure

Since 2014 BPJS Health has implemented the Chronic Disease Management Program (PROLANIS) which has a program of medical/educational consultation activities, home visits, reminders, club activities such as gymnastics and health status monitoring with the target of all BPJS health participants with chronic diseases (Diabetes Mellitus) Type 2 and Hypertension). The Batam Sehat Clinic conducted a chronic disease management program in 2015 with 154 registered patients, while BPJS patients who took part in the PROLANIS exercise in July-September 2018 totaled 155 people. This type of research is an observational analytic survey with a cross-sectional approach conducted at Batam Sehat Clinic. Data obtained by taking medical records in the form of attendance PROLANIS gymnastics with a total sampling technique that the overall number of BPJS patients who take PROLANIS exercises from July-September is 155 BPJS patients. From 155 BPJS patients, the frequency distribution of BPJS patients participating in PROLANIS and blood pressure was controlled 71 (85.5%) and uncontrolled blood pressure was 12 (14.5%). While those who did not participate in PROLANIS exercise were controlled blood pressure 32 (44.4%) and 40 (55.6%) uncontrolled blood pressure. Based on the results of statistical tests it is known that there is a correlation between the participation of PROLANIS gymnastics and blood pressure control in BPJS patients in Batam Sehat Clinic with p-value = 0,000 where p <0.05. Based on this research, it can be concluded that there is a correlation between the participation of PROLANIS gymnastics and the control of blood pressure in BPJS patients.

scholarly journals Adherence to anti-hypertensive treatment within a chronic disease management 
program: A longitudinal, retrospective study

2014 ◽  
Vol 48 (5) ◽  
pp. 811-819 ◽  
Author(s):  
Ana Carolina Nascimento Raymundo ◽  
Angela Maria Geraldo Pierin
Keyword(s):  
Blood Pressure ◽  
Retrospective Study ◽  
Chronic Disease ◽  
Disease Management ◽  
Treatment Adherence ◽  
Disease Management Program ◽  
Chronic Disease Management ◽  
Angiotensin Receptor Blockers ◽  
Management Program ◽  
Converting Enzyme Inhibitors

Objective This study assessed pharmacological treatment adherence using the Morisky-Green Test and identified related variables. Method A longitudinal and retrospective study examined 283 patients with hypertension (62.5% women, 73.4 [10.9] years old) who were being monitored by a chronic disease management program for 17 months between 2011 and 2012. Nurses performed all the actions of the program, which consisted of advice via telephone and periodic home visits based on the risk stratification of the patients. Results A significant increase in treatment adherence (25.1% vs. 85.5%) and a decrease in blood pressure were observed (p<0.05). Patients with hypertension and chronic renal failure as well as those treated using angiotensin-converting enzyme inhibitors were the most adherent (p<0.05). Patients with hypertension who received angiotensin receptor blockers were less adherent (p<0.05). Conclusions Strategies such as nurse-performed chronic disease management can increase adherence to anti-hypertensive treatment and therefore contribute to the control of blood pressure, minimizing the morbidity profiles of patients with hypertension.

scholarly journals Association between participation in a chronic disease management program, medication adherence and decrease of blood pressure

2018 ◽  
Vol 6 (2) ◽  
pp. 119
Author(s):  
I Ketut Indra Wiguna Cakera ◽  
Ni Made Sri Nopiyani ◽  
I Made Ady Wirawan
Keyword(s):  
Blood Pressure ◽  
Chronic Disease ◽  
Medication Adherence ◽  
Disease Management ◽  
Disease Management Program ◽  
Chronic Disease Management ◽  
Management Program ◽  
Physical Activities ◽  
Community Based ◽  
Good Adherence

Background and purpose:The prevalence of hypertension is increasing globally. A comprehensive approach is necessary including a community based chronic disease management program which has been implemented in public health centres in Indonesia. Only few studies have been published in Indonesia that evaluate the program, especially regarding the management of hypertension in primary care settings. This study aims to examine the association between participation in a chronic disease management program, medication adherence and decrease of blood pressure.Methods: A cross-sectional study was conducted in public health centres in Tabanan District. A total of 136 patients with hypertension were recruited at five groups that participate in the community based chronic disease management program called Program Pengelolaan Penyakit Kronis (Prolanis). The Prolanis groups were purposively selected based on the size of participants in the program. One group was selected at urban area and four groups at rural areas. Data were collected from May to June 2017 by conducting interviews, blood pressure measurements, and secondary data extraction from the medical record of the Prolanis database. The logistic regression analysis was used to determine the association between participation in a chronic disease management program, medication adherence and decrease of blood pressure.Results: As many as 75.7% of respondents actively participated in the Prolanis Program, and 81.6% were found with decreased blood pressure. Our study found a significant association between blood pressure decrease and active participation in the Prolanis Program with an adjusted odds ratio (AOR) of 6.38 (95%CI: 1.96–20.79), the good adherence towards medication with AOR=11.94 (95% CI: 3.60–39.56), and routine physical activities with AOR=3.84 (95%CI: 1.16-12.73). Conclusion: Active participation in the Prolanis Program, good adherence to medication and routine physical activities are independent factors of decreased blood pressure. These findings suggest the need for scaling up the Prolanis Program and increasing its coverage.

scholarly journals Prolanis Terhadap Tingkat Penurunan Tekanan Darah dan Diabetes Mellitus di Bungursari, Tasikmalaya

2020 ◽  
Vol 3 (2) ◽  
pp. 292-297
Author(s):  
Eneng Daryanti ◽  
Rikky Gita H ◽  
Lina Marlina ◽  
Meti Sulastri
Keyword(s):  
Diabetes Mellitus ◽  
Blood Pressure ◽  
Chronic Disease ◽  
Disease Management ◽  
Blood Sugar ◽  
Disease Management Program ◽  
Chronic Disease Management ◽  
Home Visits ◽  
Management Program ◽  
The Government

The government through BPJS Health has launched a chronic disease management program (PROLANIS) aimed at patients with hypertension cases to overcome the patient's hypertension condition. Activities in PROLANIS include medical or educational consultation activities, home visits, reminders, club activities, in fact there are still many people especially families who do not know about PROLANIS, so that many community members or families who have hypertension do not routinely control health facilities. The purpose of this activity is to run a chronic disease management program (prolanis) to reduce blood pressure and diabetes mellitus. The method used is lectures, discussions, home visits. Material or types of activities provided include health education about PROLANIS, hypertension and diabetes mellitus, attending elderly gymnastics, health consultations, checking blood pressure and blood sugar levels, and visiting home activities of PROLANIS members. Media used in the form of power points, blood pressure meters, blood sugar check devices, stethoscopes. The results of the assessment of this activity indicate the effectiveness of prolanis activities can affect the state of the patient, both blood pressure or physical activity. This is because there are activities that can improve patient understanding of the importance of managing hypertension and diabetes mellitus. Management of hypertension and diabetes mellitus is obtained through educational activities towards patients and reminders.

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