scholarly journals HUBUNGAN DUKUNGAN KELUARGA DAN PERAN TENAGA KEFARMASIAN TERHADAP KEPATUHAN MINUM OBAT ANTIHIPERTENSI

2021 ◽  
Vol 7 (1) ◽  
pp. 19-26
Author(s):  
Dewi Puspita Apsari ◽  
I Gusti Ngurah Manik Satria Wibawa Putra ◽  
Ida Bagus N Maharjana
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Family Support ◽  
Patient Adherence ◽  
Communication Styles ◽  
Uncontrolled Hypertension ◽  
Cross Sectional ◽  
Primary Health ◽  
Hypertension Therapy ◽  
Pharmacist Role

Abstrak : Hipertensi yang tidak terkontrol dapat mengakibatkan berbagai macam komplikasi. Ketidakpatuhan terhadap pengobatan adalah salah satu penyebab hipertensi tidak terkontrol. Dukungan keluarga dan peran tenaga kefarmasian yang tinggi merupakan faktor yang dapat mempengaruhi kepatuhan pasien dalam menjalankan terapi hipertensi. Penelitian ini bertujuan mengetahui hubungan dukungan keluarga dan peran tenaga kefarmasian terhadap kepatuhan minum obat antihipertensi di Puskesmas. Desain penelitian yang digunakan adalah analitik dengan pendekatan cross sectional study. Penelitian dilaksanakan pada bulan Maret-Mei tahun 2020 dan populasi pada penelitian ini adalah 100 pasien hipertensi lansia yang melakukan pengobatan rawat jalan di Puskesmas Mengwi I. Analisis data dilakukan dengan cara univariat dan bivariat dengan menggunakan uji Rank Spearman. Hasil uji statistik yang dilakukan didapatkan hubungan yang signifikan (p=0,00) dan kuat (r=0,558) antara skor total dukungan keluarga terhadap kepatuhan minum obat antihipertensi pada 73 (73 %) responden. Selain itu juga pada peran tenaga kefarmasian, terlihat hubungan yang signifikan (p=0,00) antara penyediaan informasi, konseling pengobatan dan gaya komunikasi tenaga farmasi terhadap kepatuhan minum obat antihipertensi. Dari hasil penelitian dapat disimpulkan bahwa dukungan keluarga dan peran tenaga kefarmasian berpengaruh signifkan terhadap kepatuhan minum obat antihipertensi di Puskesmas Mengwi I. Abstract: Uncontrolled hypertension can lead to various complications. Nonadherence to therapeutic plans has been reported for uncontrolled hypertension. Family support and pharmacist role are factors that can affect patient adherence in carrying out hypertension therapy.  The purpose of this study was to determine the relationship between family support and pharmacist role with adherence therapeutic plans. The study was conducted in March-May 2020 and the population in this study were  100 hypertensive adult respondents who were undergoing outpatient treatment at Primary Health Care Mengwi I. Data analysis was performed by means of univariate and bivariate using Rank Spearman. Statistical test results found that there is a significant (p=0,00) and strong (r=0,558) relationship between total score family support with adherence hypertension therapy. In addition, there is a significant (p=0,00) between drug information, counseling, and communication styles of pharmacists with adherence to hypertension therapy. From the research results, it can be concluded that family support and pharmacist role have a significant effect on adherence to hypertension therapy in Primary Health Care Mengwi I.

scholarly journals Care, Support and Therapy Service of HIV Patients with the “SATE Krembung” Application

Jurnal NERS ◽  
2020 ◽  
Vol 14 (3) ◽  
pp. 221
Author(s):  
Totok Indarto ◽  
Arif Rahman Nurdianto ◽  
Dyah Ayu Febiyanti
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Patient Adherence ◽  
Hiv And Aids ◽  
Hiv Patients ◽  
Cross Sectional ◽  
Service Effectiveness ◽  
Primary Health ◽  
Age Range

Introduction: The prevalence and incidence of HIV and AIDS in Sidoarjo is still high. Today, the adherence of patients to several ART services in Sidoarjo is quite low and varied. Therefore the researchers want to find out the effectiveness of registration using “the SATE Krembung” application in terms of service effectiveness, reducing the Lost Follow Up (LFU) and increasing patient adherence in Krembung Primary Health Care.Methods: The study was cross-sectional. The use of alternative ART service modes was done via “the SATE Krembung” application as an integrated queue system. The patients who participated in this study were HIV patients at Krembung Primary Health Care who accessed ART at Krembung Primary Health Care within the age range of 20 - 60 years. The total number of samples in this test was 16 patients.Results: Registration using “the SATE Krembung” application can reduce the waiting time for getting access to services for the HIV patients who plan on getting CST services and ART collection.Conclusion: Service effectiveness due to the use of “the SATE Krembung” application can improve service quality, reduce the Lost Follow Up (LFU) and increase the patient adherence in Krembung Primary Health Care’s ART services.

scholarly journals Controlo da Hipertensão Arterial nos Cuidados de Saúde Primários: Uma Comparação entre Nativos Portugueses e Imigrantes dos Países Africanos de Língua Oficial Portuguesa

2016 ◽  
Vol 29 (3) ◽  
pp. 193
Author(s):  
Elisa Lopes ◽  
Violeta Alarcão ◽  
Rui Simões ◽  
Milene Fernandes ◽  
Verónica Gómez ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Health Care ◽  
Primary Health Care ◽  
Family Doctor ◽  
Uncontrolled Hypertension ◽  
Hypertension Control ◽  
Structured Interviews ◽  
Related Factors ◽  
Cross Sectional ◽  
Primary Health

<p><strong>Introduction:</strong> In Portugal, the frequency of patient with treated and controlled hypertension is low. It is unknown the relation of socio-economic determinants with hypertension control, particularly in African immigrants. <br /><strong>Aims:</strong> To compare frequency of control in treated hypertension and to identify characteristics associated with uncontrolled and treated hypertension between Portuguese natives (Caucasian) and Portuguese Speaking African Coutries immigrants (black). <br /><strong>Material and Methods:</strong> Cross-sectional study of patients with treated hypertension, 40-80 years old, randomized from Primary Health Care of Lisbon Region. We collected sociodemographic, clinical and health care data through structured interviews. We compared the frequency of patients with uncontrolled hypertension, and identified related factors through univariate and multivariate analysis. <br /><strong>Results:</strong> In this study participated 786 patients with treated hypertension (participation rate: 71%): 449 natives and 337 immigrants. Of these, 46% had controlled hypertension. Diastolic blood pressure was higher in younger immigrants. Were associated with no control, in natives, male sex, low education, going to emergency and / or nursing services and not looking for the family doctor; on immigrants, being single, using the pharmacist, the number of years of illness and intentional non-adherence.<br /><strong>Discussion:</strong> Treated hypertension control has been increasing for last years. Natives and immigrants differ, regarding blood pressure control, relatively to the frequency of family doctor consultation, and resorting to other services and health professionals. These differences didn´t reflect in statistically different control rates.<br /><strong>Conclusions:</strong> It is needed to define strategies to control hypertension in primary health care specific for ethnic groups.</p>

scholarly journals Convergent and discriminative validity of the Frail-VIG index with the EQ-5D-3L in people cared for in primary health care

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Juan-José Zamora-Sánchez ◽  
Edurne Zabaleta-del-Olmo ◽  
Vicente Gea-Caballero ◽  
Iván Julián-Rochina ◽  
Gemma Pérez-Tortajada ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Convergent Validity ◽  
Frailty Index ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Care Programme ◽  
Discriminative Validity ◽  
Primary Health ◽  
Related Quality

Abstract Background The Frail-VIG frailty index has been developed recently. It is an instrument with a multidimensional approach and a pragmatic purpose that allows rapid and efficient assessment of the degree of frailty in the context of clinical practice. Our aim was to investigate the convergent and discriminative validity of the Frail-VIG frailty index with regard to EQ-5D-3L value. Methods We carried out a cross-sectional study in two Primary Health Care (PHC) centres of the Catalan Institute of Health (Institut Català de la Salut), Barcelona (Spain) from February 2017 to January 2019. Participants in the study were all people included under a home care programme during the study period. No exclusion criteria were applied. We used the EQ-5D-3L to measure Health-Related Quality of Life (HRQoL) and the Frail-VIG index to measure frailty. Trained PHC nurses administered both instruments during face-to-face assessments in a participant’s home during usual care. The relationships between both instruments were examined using Pearson’s correlation coefficient and multiple linear regression analyses. Results Four hundred and twelve participants were included in this study. Frail-VIG score and EQ-5D-3L value were negatively correlated (r = − 0.510; P < 0.001). Non-frail people reported a substantially better HRQoL than people with moderate and severe frailty. EQ-5D-3L value declined significantly as the Frail-VIG index score increased. Conclusions Frail-VIG index demonstrated a convergent validity with the EQ-5D-3L value. Its discriminative validity was optimal, as their scores showed an excellent capacity to differentiate between people with better and worse HRQoL. These findings provide additional pieces of evidence for construct validity of the Frail-VIG index.

scholarly journals Factors Related to Primary Health Care Provision: A Cross-Sectional Study in an Elderly Rural Population

2015 ◽  
Vol 38 (5) ◽  
pp. 343-356
Author(s):  
Ana Maseda ◽  
José Carlos Millán-Calenti ◽  
Julia Carpente ◽  
José Luis Rodríguez-Villamil ◽  
Carmen de Labra
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Rural Population ◽  
Cross Sectional Study ◽  
Health Care Provision ◽  
Care Provision ◽  
Sectional Study ◽  
Cross Sectional ◽  
Primary Health

scholarly journals The situation of nursing education in Latin America and the Caribbean towards universal health

2017 ◽  
Vol 25 (0) ◽  
Author(s):  
Silvia Helena De Bortoli Cassiani ◽  
Lynda Law Wilson ◽  
Sabrina de Souza Elias Mikael ◽  
Laura Morán Peña ◽  
Rosa Amarilis Zarate Grajales ◽  
...  
Keyword(s):  
Health Care ◽  
Latin America ◽  
Primary Health Care ◽  
Nursing Education ◽  
Clinical Decision Making ◽  
Clinical Experiences ◽  
Cross Sectional ◽  
Primary Health ◽  
The Caribbean ◽  
Universal Health

Objective: to assess the situation of nursing education and to analyze the extent to which baccalaureate level nursing education programs in Latin America and the Caribbean are preparing graduates to contribute to the achievement of Universal Health. Method: quantitative, descriptive/exploratory, cross-sectional study carried out in 25 countries. Results: a total of 246 nursing schools participated in the study. Faculty with doctoral level degrees totaled 31.3%, without Brazil this is reduced to 8.3%. The ratio of clinical experiences in primary health care services to hospital-based services was 0.63, indicating that students receive more clinical experiences in hospital settings. The results suggested a need for improvement in internet access; information technology; accessibility for the disabled; program, faculty and student evaluation; and teaching/learning methods. Conclusion: there is heterogeneity in nursing education in Latin America and the Caribbean. The nursing curricula generally includes the principles and values of Universal Health and primary health care, as well as those principles underpinning transformative education modalities such as critical and complex thinking development, problem-solving, evidence-based clinical decision-making, and lifelong learning. However, there is a need to promote a paradigm shift in nursing education to include more training in primary health care.

scholarly journals Factors associated with reporting of abuse against children and adolescents by nurses within Primary Health Care

2014 ◽  
Vol 22 (6) ◽  
pp. 1048-1055 ◽  
Author(s):  
Ana Carine Arruda Rolim ◽  
Gracyelle Alves Remigio Moreira ◽  
Sarah Maria Mendes Gondim ◽  
Soraya da Silva Paz ◽  
Luiza Jane Eyre de Souza Vieira
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Children And Adolescents ◽  
Demographic Data ◽  
Cross Sectional Study ◽  
Graduate Studies ◽  
Cross Sectional ◽  
Topic Identification ◽  
Factors Associated ◽  
Primary Health

OBJECTIVE: to analyze the factors associated with the underreporting on the part of nurses within Primary Health Care of abuse against children and adolescents.METHOD: cross-sectional study with 616 nurses. A questionnaire addressed socio-demographic data, profession, instrumentation and knowledge on the topic, identification and reporting of abuse cases. Bivariate and multivariate logistic regression was used.RESULTS: female nurses, aged between 21 and 32 years old, not married, with five or more years since graduation, with graduate studies, and working for five or more years in PHC predominated. The final regression model showed that factors such as working for five or more years, having a reporting form within the PHC unit, and believing that reporting within Primary Health Care is an advantage, facilitate reporting.CONCLUSION: the study's results may, in addition to sensitizing nurses, support management professionals in establishing strategies intended to produce compliance with reporting as a legal device that ensures the rights of children and adolescents.

scholarly journals Factors associated with delay in seeking care by tuberculosis patients

2018 ◽  
Vol 71 (suppl 1) ◽  
pp. 646-651 ◽  
Author(s):  
Dândara Nayara Azevêdo Dantas ◽  
Bertha Cruz Enders ◽  
Déborah Raquel Carvalho de Oliveira ◽  
Caroline Evelin Nascimento Kluczynic Vieira ◽  
Ana Angélica Rêgo de Queiroz ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Search Time ◽  
Self Medication ◽  
Chi Square ◽  
Cross Sectional ◽  
Tuberculosis Patients ◽  
A Value ◽  
Primary Health ◽  
Behavioral Variables

ABSTRACT Objective: To identify social, clinical and behavioral factors of tuberculosis patients that are associated with delay in the search for primary health care. Method: This is a cross-sectional, quantitative study conducted with 56 people on treatment for pulmonary tuberculosis in the city of Natal, in the state of Rio Grande do Norte, Brazil. The data were collected through a structured instrument. The Chi-square and Fisher tests were applied to test the association between independent and dependent variables (search time). A value of p <0.05 was set as statistically significant. Results: No social or clinical variables were statistically associated with patient delays in the search for primary health care. Among the behavioral variables, self-medication and the first health service sought had a statistically significant association with the time for seeking care (p = 0.020, and p = 0.033, respectively). Conclusion: Self-medication contributes to the delay in the search for primary health care by tuberculosis patients.

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