Health Education With Audiovisual Media and Relaxation Massage in Lowering Blood Pressure and Improved Sleep Quality for the Elderly

Intruduction: The aging process results in a progressive decline in physiological functions with age, including a decrease in productivity. Hypertension is a major problem in public health in Indonesia and in developing countries. Hypertension is a common cause of disturbed sleep patterns, due to structural and functional changes in the peripheral vascular system. The purpose of this study was the effect of health education with audiovisual methods and relaxation massage to reduce blood pressure and sleep quality disorders in the elderly. Materials and Methods: Experimental research (community trial) with pretest-posttest control group design. The target population in this study is the elderly who are included in the elderly age group, namely > 50 years in Selemadeg District, Tabanan Regency. The sample size is 90 elderly, determined based on the results of previous studies with a standard deviation (σ) = 0.51, the difference in the mean of cognitive changes (μ1- 2) = 0.30. divided into two groups, the treatment group and the control group. The independent variable is health education using audiovisual media and Relaxation Massage and the dependent variable is blood pressure. Data collection tools in the form of sphygmomanometer, observation sheet. Data analysis used independent t-test, paired t-test and Multivariate ANOVA test. Result: The blood pressure of the treatment group before the intervention mostly had grade I hypertension (53.3%), and after the intervention most of the blood pressure improved to normal (57.8%), and this result was statistically significant (0.000). In the treatment group before the intervention, many had poor sleep quality (46.7%), and after the intervention improved sleep quality in the good category (53.3%), and this result was statistically significant (0.000). Conclotion: It is concluded that the provision of health education with audiovisual methods and massage relaxation can reduce blood pressure and improve sleep quality in the elderly.

Download Full-text

Pengaruh Food Massage Terhadap Kualitas Tidur Pada Lansia Di Panti Wredha Dharma Bakti Kasih Surakarta

Interest : Jurnal Ilmu Kesehatan ◽

10.37341/interest.v8i1.122 ◽

2019 ◽

Vol 8 (1) ◽

Author(s):

Dwi Ariani ◽

Suryanti Suryanti

Keyword(s):

Treatment Group ◽

Sleep Quality ◽

Complementary Therapies ◽

Intervention Group ◽

The Elderly ◽

T Test ◽

Control Group ◽

Metabolic System ◽

Significant Difference ◽

Quasi Experimental

Background: Sleep disorders the elderly in the Panti wredha Dharma Bhakti Kasih Surakarta can result in impaired immune function, decrease respiratory muscle capacity, disruption of the metabolic system, disruption of central nervous system regulation and psychological condition of patients impacting on long treatment period. Foot Massage is one of the complementary therapies that is considered safe and easy to administer and has the effect of improving circulation, removing the rest of the metabolism, increasing the range of motion of the joints, reducing the pain, relaxing muscles and providing comfort to the patient. The purpose of this study is to identify differences in the effect of sleep quality scores on control and treatment groups. Methods: This quasi-experimental study used a control group and a treatment group where each group performed a pretest and posttest assessment. The sample size was 40 patients. Sleep quality instrument used Richard Campbell Sleep Questionnaire (RCSQ). Data were analyzed by paired t-test and unpaired t-test. Results: The results showed that there was no significant difference in sleep quality. while in the treatment group, showed that there was a significant difference in sleep quality The difference in sleep quality score in the control group and treatment group was significant. Conclusion: Therefore, it can be concluded that sleep quality scores in the intervention group were higher than in the control group, thus foot massage is suggested to be used as evidence-based in hospitals as one of the complementary therapies that can be used as self-care interventions to help overcome patients with a critical sleep disorder.

Download Full-text

Efektifitas Air Rebusan Daun Seledri Terhadap Perubahan Tekanan Darah Pada Lansia di Posyandu Ngudi Konco Desa Donomulyo Kecamatan Donomulyo Kab. Malang

Jurnal Ilmu Kesehatan MAKIA ◽

10.37413/jmakia.v6i1.17 ◽

2018 ◽

Vol 6 (1) ◽

Author(s):

Hartin Suidah ◽

Ninik Murtiyani ◽

Arif Susanto ◽

Yufi Aris Lestari ◽

Shindy Sofyaning Fitra

Keyword(s):

Blood Pressure ◽

Sampling Technique ◽

The Elderly ◽

Reduce Blood Pressure ◽

T Test ◽

Boiling Water ◽

Test Design ◽

Post Test ◽

Boiled Water ◽

Paired T Test

ABSTRAKMasih tingginya penderita hipertensi merupakan salah satu masalah yang berpengaruh terhadap gaya hidup dan sikap yang mendorong timbulnya hipertensi. Untuk menangani tekanan darah pada penderita hipertensi umumnya minum obat-obatan dari puskesmas, rutinitas ini sering tidak disukai oleh penderita. Penelitian ini bertujuan untuk mengetahui efektifitas air rebusan daun seledri terhadap perubahan tekanan darah pada lansia di Posyandu Ngudi Konco Desa Donomulyo Kecamatan Donomulyo Kabupaten Malang.Desain penelitian ini Pre-Experimental dengan rancangan One- Group Pre-Post test design. Populasi dalam penelitian ini adalah semua lansia penderita hipertensi di Posyandu Ngudi Konco Desa Donomulyo Kecamatan Donomulyo Kabupaten Malang sebanyak 30 responden. Sampel diambil dengan teknik total sampling. Variabel penelitian yaitu pemberian air rebusan daun seledri sebagai variabel independent dan tekanan darah sebagai variabel dependen. Data yang di dapat melalui lembar observasi tekanan darah kemudian di uji dengan menggunakan uji paired t Test.Hasil uji paired t Test menunjukkan bahwa p = 0,000 α= 0,05 Ho di tolak dan H1 diterima sehingga air rebusan daun seledri efektif terhadap perubahan tekanan darah pada lansia di Posyandu Ngudi Konco Desa Donomulyo Kecamatan Donomulyo Kabupaten Malang.Terdapat penurunan jumlah penderita hipertensi sebelum dan sesudah diberikan air rebusan daun seledri. Responden agar dapat meningkatkan informasi tentang pelaksanaan tekanan darah sehingga dapat mengurangi tekanan darah yang dialami dengan cara non formakologi sehingga responden tidak hanya menggantungkan pada obat-obatan farmakologi dalam menurunkan tekanan darah.Kata kunci : Air Rebusan Daun Seledri, Tekanan Darah, Lansia ABSTRACTStill high hypertension was one of the problems that affect the lifestyle and attitudes that encourage the emergence of hypertension. To handle blood pressure in people with hypertension generally take medication from puskesmas, this routine was often disliked by the patient. This study aims to determine the effectiveness of boiling water celery leaves on changes in blood pressure in the elderly at Posyandu Ngudi Konco Donomulyo Village Donomulyo District Malang Regency.The design of this research was Pre-Experimental with the design of One- Group Pre-Post test design. Population in this research was all elderly patient of hypertension in Posyandu Ngudi Konco Village Donomulyo District Donomulyo Malang Regency as many as 30 respondents. Samples were taken with total sampling technique. The research variable was giving boiled water of celery leaves as independent variable and blood pressure as dependent variable. The data can be through blood pressure observation sheet then tested by using paired t test.The result of paired t - test showed that p = 0.000 α = 0.05 Ho in rejection and H1 accepted so that boiling water celery leaf effective against blood pressure changes in elderly at Posyandu Ngudi Konco Donomulyo Village Donomulyo District Malang Regency. There was a decrease in the number of hypertensive patients before and after being given boiled water of celery leaves. Respondents in order to improve information about the implementation of blood pressure so as to reduce blood pressure experienced by non-formakologi way so that respondents not only rely on pharmacological drugs in lowering blood pressure. Key Words: Water Stew of Celery leaves, Blood Pressure, Elderly

Download Full-text

PENGARUH PEMBERIAN JUS CAMPURAN BELIMBING (Averhoa carambola linn) DAN MENTIMUN (Cucumis sativus linn) TERHADAP TEKANAN DARAH PASIEN HIPERTENSI RAWAT JALAN DI RUMAH SAKIT UMUM DAERAH KOTA MATARAM

Jurnal Gizi Prima ◽

10.32807/jgp.v4i1.127 ◽

2019 ◽

Vol 4 (1) ◽

pp. 40

Author(s):

Devi Rahma ◽

Suhaema Suhaema ◽

Fifi Luthfiyah ◽

Made Darawati

Keyword(s):

Blood Pressure ◽

Treatment Group ◽

Antihypertensive Drugs ◽

Vegetable Consumption ◽

Research Result ◽

T Test ◽

Control Group ◽

High Potassium ◽

Control Group Design ◽

Average Blood Pressure

Background. Hypertension can be a risk factor for stroke, coronary heart disease, heart failure and kidney failure and is known as the thesilent killer. The prevalence of hypertension in West Nusa Tenggara Province is 24.3% (Riskesdas, 2013). Medical Record Data of Mataram City Public Hospital, hypertension became the first of the top 10 outpatient diseases in 2015. The only treatment for non-pharmacological hypertension was by increasing fruit and vegetable consumption due to high potassium content. Research Methods. The type of this research is experimentation with Randomized Control Trial (RCT) design with Pretest-Posttest with Control Group design. The number of subjects is 20 people obtained from the formula Lemeshow (1997). Both groups continued to take antihypertensive drugs, but the treatment group was given 250 ml of starfruit juice and cucumber juice for 7 days. The statistical analysis used was the paired t-test and independent t-test. Research Result. The average blood pressure before the study in the treatment group was 150/91 mmHg, in the control group it was 142/83 mmHg. The average blood pressure after the study for the treatment group was 132/81 mmHg, while the control group was 144/81 mmHg. There was a decrease in blood pressure in the treatment group after the intervention was 18 mmHg for systolic (p = 0.000) and 10 mmHg for diastolic (p = 0.004), but there was no decrease in blood pressure both systolic and diastolic in the control group. Conclusion. Giving a mixture of star fruit and cucumber juice affects the decrease in systolic and diastolic blood pressure.

Download Full-text

Efektifitas Teh Buah Mengkudu Dalam Menurunkan Tekanan Darah Lansia Dengan Hipertensi (Studi di UPTD. Griya Werdha Kota Surabaya Tahun 2018)

Amerta Nutrition ◽

10.20473/amnt.v2i2.2018.163-171 ◽

2018 ◽

Vol 2 (2) ◽

pp. 163

Author(s):

Arum Reyan Safitri ◽

Rita Ismawati

Keyword(s):

Blood Pressure ◽

Treatment Group ◽

Nutrition Education ◽

The Elderly ◽

Study Data ◽

Wilcoxon Test ◽

Control Group ◽

Control Group Design ◽

Group Design

Background: Hypertension is the silent disease which a person will not know if he has increased blood pressure. The incidence rate of hypertension is very high especially in the elderly population over 60 years. Hypertension management can be done in pharmacological ways such as medicines and can use natural ingredients in lowering blood pressure that is by utilizing the noni fruit.Objectives: This study aimed to analyze the effectiveness of Noni fruit tea in lowering elderly blood pressure with hypertensionMethod: This research was quasy experimental throug with Pretest-Postest Control Group Design design. Determination of research sample by using inclusion and exclusion criteria. The sample of the study was 34 respondents divided into two groups. Intervention of Noni fruit tea given as much as 5 gram for 30 days with frequency of giving 2 times a day in the morning and afternoon. Blood pressuremeasurement was performed at the beginning of the study and at the end of the study. Data were analysed using wilcoxon test and Mann Whitney test.Result: Mann Whitney test results showed that there was significant effect after the intervention of noni fruit tea in treatment group compared with control group with systolic blood pressure value (p =0.000171) and diastolic blood pressure (p = 0.000480) with α = 0.05Conclusions: Blood pressure in the treatment group after the intervention of noni fruit tea decreased blood pressure compared with the control group. It is Suggested of research, need to do periodic nutrition education and giving noni fruit tea as alternative medicine that effectively decrease hypertension, scheduled.ABSTRAKLatar Belakang : Hipertensi merupakan the silent disease dimana seseorang tidak akan mengetahui jika dirinya mengalami peningkatan tekanan darah. Angka insiden hipertensi sangat tinggi terutama pada populasi lanjut usia diatas 60 tahun. Penatalaksaan hipertensi dapat dilakukan dengan cara farmakologis seperti obat-obatan serta dapat menggunakan bahan alami dalam menurunkan tekanan darah yaitu dengan memanfaatkan buah mengkudu.Tujuan : Penelitian ini bertujuan menganalisis efektifitas teh buah mengkudu dalam menurunkan tekanan darah lansia dengan hipertensiMetode : Penelitian ini bersifat quasy eksperimental dengan desain Pretest-Postest Control Group Design. Penentuan sampel penelitian dengan menggunakan kriteria inklusi dan eksklusi. Sampel penelitian sebanyak 34 responden yang dibagi menjadi dua kelompok. Intervensi teh buah mengkudu diberikan sebanyak 5 gram selama 30 hari dengan frekuensi pemberian 2 kali sehari pada pagi dan sore hari. Pengukuran tekanan darah darah dilakukan pada awal penelitian dan di akhir penelitian. Analisis data penelitian menggunakan uji wilcoxon dan uji Mann Whitney.Hasil : Hasil uji Mann Whitney menunjukkan bahwa terdapat pengaruh yang signifikan sesudah intervensi teh buah mengkudu pada kelompok perlakuan dibandingkan kelompok kontrol dengan nilai tekanan darah sistolik (p=0.000171) dan tekanan darah diastolik (p=0,000480) dengan α=0.05Kesimpulan : Tekanan darah pada kelompok perlakuan susudah intervensi teh buah mengkudu mengalami penurunan tekanan darah dibandingkan dengan kelompok kontrol. Saran penelitian, perlu dilakukan pendidikan gizi secara berkala dan pemberian teh buah mengkudu sebagai obat alternatif yang efektif menurunkan hipertensi, secara terjadwal.

Download Full-text

Pengaruh Pendidikan Kesehatan Metode Brainstorming dan Video terhadap Pengetahuan tentang Demam Berdarah pada Keluarga di Wilayah Kerja Puskesmas Puger Kabupaten Jember (The effect of Health Education Brainstorming Method and Video to the Knowledge about

Pustaka Kesehatan ◽

10.19184/pk.v6i1.6869 ◽

2018 ◽

Vol 6 (1) ◽

pp. 141 ◽

Cited By ~ 1

Author(s):

Mukhammad Syafi`udin ◽

Wantiyah Wantiyah ◽

Kushariyadi Kushariyadi

Keyword(s):

Treatment Group ◽

Health Education ◽

Dengue Fever ◽

Dengue Hemorrhagic Fever ◽

Group Treatment ◽

Hemorrhagic Fever ◽

Simple Random Sampling ◽

T Test ◽

Control Group ◽

And Control

The increasing cases of dengue hemorrhagic fever disease in both children and adults can beinfluenced by several factors. One of that influences increasing of dengue fever is lack of communityknowledge about dengue hemorrhagic fever. Brainstorming is a form of discussion to gather theinformation from all participants. This research was to find out the effect of health educationbrainstorming method and video toward knowledge of dengue fever in the work area of Puger PublicHealth Center the distric of Jember. This was a quasy experiment research with two groups pretestposttesttreatment design. The population were 88 families with 30 respondents as sample,conducted by simple random sampling, and divided into two groups 15 respondents as treatmentgroup and 15 respondents as control group. Treatment group got health education brainstormingmethod combined with video and control group got health education brace method. Data wereanalyzed used t-test dependent and t-test independent with 95% CI (α: 0,05). The result showedthere were significant differences of knowledge before and after in both treatment group and controlgroup (p: 0,000) and there were significant differences between treatment group and control afterhealth education (p: 0,001). Overall, health education by brainstorming method and can improveknowledge of dengue hemorrhagic fever. It is recommended for nurses to do health educationpreventation and treatment about dengue hemorrhagic fever to improve knowledge people.Keywords: health education brainstorming method and video, knowledge, dengue hemorrhagicfever

Download Full-text

Nursing Intervention in Decrease of Blood Cholesterol and Blood Pressure in The Lansia Group Provided Cupping Therapy in The Village of Wedomartani Sleman

10.53350/pjmhs211551305 ◽

2021 ◽

Vol 15 (5) ◽

pp. 1305-1308

Author(s):

Su warsi

Keyword(s):

Blood Pressure ◽

Treatment Group ◽

Alternative Therapy ◽

The Elderly ◽

Nursing Intervention ◽

Cupping Therapy ◽

Blood Cholesterol ◽

Control Group ◽

Measuring Device ◽

Cholesterol Levels

Background: Much alternative therapy such as cupping therapy in the community as one of the cheap treatment efforts without side effects makes the challenge and the goal for nursing staff improve nursing services. The unfinished scientific verification of cupping therapy's alternative therapy makes nurses need to prove decreased blood pressure and cholesterol levels in the elderly. Objective: Scientific proof of cholesterol and blood pressure decrease after Cupping Therapy in an elderly group in Wedomartani Village, Sleman Yogyakarta Indonesia. Method: quantitative type with pseudo experimental research design. Pre-test and Post-test nonequivalent control group. The treatment group was given wet cupping therapy, while the control group was given dry cupping. Respondents were selected using a purposive sampling technique. Blood pressure measurement uses a digital tensimeter and cholesterol measurement using a digital blood cholesterol level measuring device. Results: The elderly blood cholesterol levels after the average therapy decreased 42.89 mg/dl, whereas blood cholesterol levels in the control group decreased an average of 20.95 mg/dl. The blood pressure of the elderly systole in the intervention group after the average therapy decreased 10.74 mmHg, whereas the control group's systole blood pressure decreased an average of 1.58 mmHg. Diastole blood pressure in the treatment group decreased 3,48 mmHg, in the diastole blood pressure control group increased 5,26 mmHg. Conclusions: Wet and dry cupping are both significantly associated with decreased blood cholesterol and blood pressure levels, but wet cupping lowers blood cholesterol levels by a mean difference of 21.95 mg/dl and mean systole blood pressure of 3.74 mmHg and pressure diastole blood difference of mean 9.1 mmHg. Keyword: Blood Pressure. Cupping Therapy, Cholesterol, Elderly

Download Full-text

Hypertension Associated with Poor Sleep Quality in The Elderly Population in Batu City

Journal of Health Science and Prevention ◽

10.29080/jhsp.v5i2.458 ◽

2021 ◽

Vol 5 (2) ◽

pp. 65-72

Author(s):

Siti Roziah Ria Famuji ◽

Abdul Malik Setiawan ◽

Achdiat Agoes

Keyword(s):

Blood Pressure ◽

Sleep Quality ◽

Adult Population ◽

The Elderly ◽

Cross Sectional Study ◽

Poor Sleep ◽

Poor Sleep Quality ◽

Chi Square ◽

Geriatric Population ◽

Cross Sectional

Hypertension affects approximately 26% of the adult population and it is a leading cause of death in up to 13.5% worldwide. Hypertension is a disease with the highest prevalence in Indonesia, so good treatment and prevention are needed. Several studies suggest that there is a correlation between hypertension risk factors and the disturbance of sleep quality. Therefore, it is necessary to develop preventive and promotive efforts to obtain optimum blood pressure in patients with hypertension to avoid complications or even death. This study aims to find out the correlation between sleep quality and the value of blood pressure in the elderly ?60 years old in Batu City. A cross-sectional study was conducted in Batu City in 2020. Stratified random sampling was performed to select the respondents. A validated PSQI questionnaire and sphygmomanometer were used to assess sleep quality and blood pressure, respectively. A Chi-Square test was used to test the hypothesis. There were 391 respondents involved in this study. Most of the respondents have poor sleep quality, 205 respondents (52,43%) of which 41 respondents (20%) have normal blood pressure, and 164 respondents (80%) have high blood pressure. The statistical analysis shows a significant correlation (p=0,000) between sleep quality and blood pressure. In conclusion, hypertension is associated with poor sleep quality in the geriatric population in Batu City.

Download Full-text

PENGARUH TERAPI RELAKSASI OTOT PROGRESIF TERHADAP KEKUATAN OTOT DAN KUALITAS TIDUR LANJUT USIA

Care Jurnal Ilmiah Ilmu Kesehatan ◽

10.33366/jc.v8i2.1792 ◽

2020 ◽

Vol 8 (2) ◽

pp. 306

Author(s):

Abdul Muhith ◽

Teguh Herlambang ◽

Atika Fatmawati ◽

Dyah Siwi Hety ◽

I Wayan Surya Merta

Keyword(s):

Muscle Strength ◽

Sleep Quality ◽

Muscle Relaxation ◽

The Elderly ◽

T Test ◽

Progressive Muscle Relaxation ◽

Control Group ◽

Relaxation Therapy ◽

Muscle Testing ◽

Paired T Test

Physiological changes in the elderly can cause a change in the neural system that is a disorder towards sleep quality while changes in the musculoskeletal system are the occurrence of muscle strength decline. Progressive Muscle Relaxation Therapy is a therapy which can improve sleep quality and muscle strength. The purpose of this research is to analyze the effect of progressive muscle relaxation therapy towards muscle strength and sleep quality of the elderly at House Technical Implementation. The research type used is quasi-experiment design with pretest and posttest nonequivalent control group design. The population in this research were all elderly as many as 40 elderly people. The sampling technique used was Total Sampling which was then divided into intervention group which consists of 20 respondents and control group which consists of 20 respondents. The measurement tool used was PSQI (Pittsburgh Sleep Quality Index) questionnaire for sleep quality and the MMT (Manual Muscle Testing) observation sheet for muscle strength. The data were analyzed using Paired T-test and Independent T-test. Based on Paired T-test, it was obtained that p value = 0.000 (p

Download Full-text

PENGARUH AROMA TERAPI LAVENDER TERHADAP KUALITAS TIDUR LANSIA DI WISMA CINTA KASIH

Jurnal Endurance ◽

10.22216/jen.v3i1.2433 ◽

2018 ◽

Vol 3 (1) ◽

pp. 121

Author(s):

Dian Sari ◽

Devid Leonard

Keyword(s):

Sleep Quality ◽

Intervention Group ◽

Sampling Technique ◽

The Elderly ◽

T Test ◽

P Value ◽

Poor Sleep ◽

Poor Sleep Quality ◽

Purposive Sampling

Bad sleep quality causes fatigue, difficulty concentrating, and often drowsiness in the elderly. The purpose of this study was to determine the effect of aroma of lavender therapy on the quality of elderly sleep at Wisma Cinta Kasih Padang. This type of research is quantitative with pre-experimental design using One Group Pretest-Posttest Design design using T-test dependent test. Sampling technique in this research use purposive sampling 30 responden as intervention group. The research to do in Wisma Cinta Kasih Padang. The results of the study found that all elderly (100%) had poor sleep quality before lavender aromatherapy and only 40% experienced poor sleep quality after lavender therapy. The statistical test obtained p value = 0.000, where there is influence of lavender therapy to sleep quality of elderly in Wisma Cinta Kasih Padang. The smell of lavender therapy can improve the quality of elderly sleep. Officer Wisma Cinta Kasih Padang in order to provide lavender therapy every 2 times / week at bedtime so as to improve the quality of elderly sleep. Kualitas tidur buruk menyebabkan kelelahan, sulit berkonsentrasi, dan sering mengantuk pada lansia. Tujuan penelitian ini adalah untuk mengetahui pengaruh aroma terapi lavender terhadap kualitas tidur lansia di Wisma Cinta Kasih Padang. Jenis penelitian ini adalah kuantitatif dengan desain preekperimental menggunakan rancangan One Group Pretest-Posttest Design menggunakan uji T-test dependent. Teknik pengambilan sampel dalam penelitian ini menggunakan purposive sampling 30 responden sebagai kelompok intervensi. Penelitian dilakukan di Wisma Cinta Kasih Padang. Hasil penelitian didapatkan seluruh lansia (100%) mengalami kualitas tidur yang buruk sebelum diberikan aromaterapi lavender dan hanya 40% yang mengalami kualitas tidur buruk sesudah diberikan aroma terapi lavender. Uji statistik didapatkan nilai p= 0,000, dimana terdapat pengaruh terapi lavender terhadap kualitas tidur lansia di Wisma Cinta Kasih Padang. Aroma terapi lavender dpat meningkatkan kualitas tidur lansia. Petugas Wisma Cinta Kasih Padang agar dapat memberikan terapi lavender setiap 2 kali/ minggu saat menjelang tidur sehingga dapat meningkatkan kualitas tidur lansia.

Download Full-text

Effectiveness of community-based health education and home support program to reduce blood pressure among patients with uncontrolled hypertension in Nepal: A cluster-randomized trial

PLoS ONE ◽

10.1371/journal.pone.0258406 ◽

2021 ◽

Vol 16 (10) ◽

pp. e0258406

Author(s):

Mahesh Kumar Khanal ◽

Pratiksha Bhandari ◽

Raja Ram Dhungana ◽

Pratik Bhandari ◽

Lal B. Rawal ◽

...

Keyword(s):

Blood Pressure ◽

Health Education ◽

Usual Care ◽

Reduce Blood Pressure ◽

Uncontrolled Hypertension ◽

Control Group ◽

Community Based ◽

Home Support ◽

Cluster Randomized

Background Hypertension is a major global public health problem. Elevated blood pressure can cause cardiovascular and kidney diseases. We assessed the effectiveness of health education sessions and home support programs in reducing blood pressure among patients with uncontrolled hypertension in a suburban community of Nepal. Methods We conducted a community-based, open-level, parallel-group, cluster randomized controlled trial in Birendranagar municipality of Surkhet, Nepal. We randomly assigned four clusters (wards) into intervention and control arms. We provided four health education sessions, frequent home and usual care for intervention groups over six months. The participants of the control arm received only usual care from health facilities. The primary outcome of this study was the proportion of controlled systolic blood pressure (SBP). The analysis included all participants who completed follow-up at six months. Results 125 participants were assigned to either the intervention (n = 63) or the control (n = 62) group. Of them, 60 participants in each group completed six months follow-up. The proportion of controlled SBP was significantly higher among the intervention participants compared to the control (58.3% vs. 40%). Odds ratio of this was 2.1 with 95% CI: 1.01–4.35 (p = 0.046) and that of controlled diastolic blood pressure (DBP) was 1.31 (0.63–2.72) (p = 0.600). The mean change (follow-up minus baseline) in SBP was significantly higher in the intervention than in the usual care (-18.7 mmHg vs. -11.2 mmHg, p = 0.041). Such mean change of DBP was also higher in the intervention (-10.95 mmHg vs. -5.53 mmHg, p = 0.065). The knowledge score on hypertension improved by 2.38 (SD 2.4) in the intervention arm, which was significantly different from that of the control group, 0.13 (1.8) (p<0.001). Conclusions Multiple health education sessions complemented by frequent household visits by health volunteers can effectively improve knowledge on hypertension and reduce blood pressure among uncontrolled hypertensive patients at the community level in Nepal. Trial registration ClinicalTrial.gov: NCT02981251

Download Full-text