scholarly journals The Effect of Wet Cupping on Baroreceptor Sensitivity in Hypertensive Patients in Sidenreng Rappang Regency, South Sulawesi

2021 ◽  
Vol 9 (G) ◽  
pp. 217-222
Author(s):  
Fadli Fadli ◽  
Sumbara Sumbara ◽  
Arabta M. Peraten Pelawi ◽  
Suratun Suratun ◽  
Rohandi Baharuddin
Keyword(s):  
Blood Pressure ◽  
Intervention Group ◽  
Pulse Frequency ◽  
Cupping Therapy ◽  
Control Group ◽  
Autonomic Nerves ◽  
Baroreceptor Sensitivity ◽  
Hypertensive Patients ◽  
South Sulawesi ◽  
Significant Difference

Wet cupping therapy  removes toxins  thereby increasing blood flow and  stimulating baroreceptors sensitivity which provides a stimulus to the autonomic nerves. This stimulus reduces the sympathetic nerves’ work and inhibits  the vasomotor center, leading to vasodilation, therefore decreasing blood pressure and pulse frequency. This research aims to determine the effect of wet cupping therapy on baroreceptors sensitivity with blood pressure and pulse frequency indicators. It was conducted in Sidenreng Rappang Regency, South Sulawesi, eastern Indonesia from February to May 2021. Randomized Controlled Trial (RCT) method was used including two groups of 31 respondents each. The intervention group used wet cupping therapy to regulate anti-hypertensive drugs and the control group used anti-hypertensive drugs with blood pressure and pulse frequency measurements until 6 weeks after the therapy. Wet cupping affects baroreceptor sensitivity by reducing the indicators. The result showed a significant difference in blood pressure measurement (systolic; diastolic) before and after the 2-week follow-up period (P = 0.000; P = 0.001), and between 2 and 4 weeks (P = 0.000; P = 0.000), but between 4 and 6 weeks there was no significant difference in the intervention group (P = 0.248; P = 0.583). There was a significant difference in pulse frequency at 2 and 4 weeks after the intervention (P = 0.016). In conclusion, wet cupping therapy effectively increases baroreceptor sensitivity by reducing blood pressure and pulse frequency indicators in hypertensive patients up to 4 weeks limit after the therapy, without any serious side effects experienced by respondents.

Effects of Confounding Factors on Blood Pressure in Hypertensive Patients: A Cross Sectional Study

2021 ◽  
Author(s):  
Emrah Ersoy ◽  
Cuneyt Ardic
Keyword(s):  
Blood Pressure ◽  
Blood Pressure Control ◽  
Pressure Control ◽  
Control Group ◽  
Poor Sleep ◽  
Study Group ◽  
Confounding Factors ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Significant Difference

Abstract Background Blood pressure is influenced by biopsychosocial factors such as physical, environmental, emotional, cognitive and behavioral in hypertensive patients. ObjectiveThe aim of this study is to investigate confounding factors in hypertensive patients who have poor blood pressure control.DesignThis study was designed as a cross-sectional study.ParticipantsOur sample was 407 patients with hypertension in Rize, a Northern city in the Black Sea Region of Turkey. In study group, there were 207 hypertensive patients who had admission to emergency department due to high blood pressure. In control group, there were 200 hypertensive patients visiting family physician,who defined themselves as having regulated blood pressure over the past six months.Main MeasuresPatients completed the questionnaire including sociodemographic data, lifestyle behaviors, health risks and confounding factors via the face-to-face interview method. Key ResultsOf the hypertensive patients, 81.2% (n=168) of the study group and 34.0% (n=68) of the control group had confounding factors. There was a significant difference between the hypertensive patients of study and control group in terms of their confounding factors (p<0.001). When we asked the patients of study group questions to reveal their confounding factors, 21.3% (n=44) stated ‘anger’, 12.6% (n=26) ‘sadness’, 11.1% (n=23) ‘anxiety’, 10.6% (n=22) ‘depressed’, 9.2% (n=19) ‘unhealthy diet’, 7.2% (n=15) ‘fatigue and poor sleep quality’, and 3.9% (n=8) ‘irregular medication’. Mean systolic and diastolic blood pressure were significantly higher in hypertensive patients having confounding factors than those without confounding factors (p=0.001, p=0.001, respectively). Mean systolic blood pressure of hypertensives who stated their confounding factor as ‘anger’ was significantly higher than those the remaining groups (p<0.001).ConclusionsThis study has shown that confounding factors impair blood pressure control in patients with hypertension. Confounding factors should be kept in mind and revealed in case of poor blood pressure control in hypertensive patients.

scholarly journals Effects of a Meal Replacement on Body Composition and Metabolic Parameters among Subjects with Overweight or Obesity

2018 ◽  
Vol 2018 ◽  
pp. 1-10 ◽  
Author(s):  
Xiaohui Guo ◽  
Yifan Xu ◽  
Hairong He ◽  
Hao Cai ◽  
Jianfen Zhang ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Body Composition ◽  
Total Energy ◽  
Intervention Group ◽  
Overweight And Obesity ◽  
Metabolic Parameters ◽  
Control Group ◽  
Meal Replacement ◽  
Significant Difference ◽  
The Impact

Meal replacement plans are effective tools for weight loss and improvement of various clinical characteristics but not sustainable due to the severe energy restriction. The aim of the study was to evaluate the impact of meal replacement, specifically 388 kcal in total energy, on body composition and metabolic parameters in individuals with overweight and obesity from a Chinese population. A parallel, randomized controlled trial was performed with 174 participants (ChiCTR-OOC-17012000). The intervention group (N=86) was provided with a dinner meal replacement, and the control group (N=88) continued their routine diet as before. Body composition and blood parameters were assessed at 0, 4, 8, and 12 weeks. A post hoc analysis (least significant difference (LSD) test), repeated measurements, and pairedT-test were used to compare each variable within and between groups. Significant (p<0.001) improvements in body composition components were observed among the intervention group, including body weight (−4.3 ± 3.3%), body mass index (−4.3 ± 3.3%), waist circumference (−4.3 ± 4.4%), fat-free mass (−1.8 ± 2.9%), and body fat mass (−5.3 ± 8.8%). Body composition improvements corresponded with significant metabolic improvements of blood glucose (−4.7 ± 9.8%). Further improvements in visceral fat area (−7.7 ± 10.1%), accompanying with improvements in systolic (−3.7 ± 6.9%) and diastolic (−5.3 ± 7.7%) blood pressure, were only found in male subjects. To conclude, meal replacement intake with 388 kcal in total energy at dinner time for 12 weeks contributed to improvement in body composition and clinically significant metabolic parameters in both male and female participants with overweight/obesity. Additionally, glucose and blood pressure reduction were gender-specific highlighting the importance of gender stratification for design of nutritional intervention studies for improvement of health.

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 The Effect of Wet Cupping Therapy on Blood Pressure and Total Cholesterol on Healthy Young Male Adults

2021 ◽  
Vol 9 (T4) ◽  
pp. 172-176
Author(s):  
Syahruramdhani Syahruramdhani ◽  
Falasifah Ani Yuniarti ◽  
Tri Ega Septiana ◽  
Evi Mustikasari
Keyword(s):  
Blood Pressure ◽  
Total Cholesterol ◽  
Intervention Group ◽  
Young Male ◽  
Cupping Therapy ◽  
Alternative Therapies ◽  
School Of Nursing ◽  
Significant Difference ◽  
Post Test ◽  
Quasi Experimental

BACKGROUND: Hypertension and hypercholesterolemia are most predisposition factors and show a significant impact in causing cardiovascular disease. Therefore, it is recommended to conduct dietary modifications, physical activity, and alternative therapies. One such option for alternative therapies is wet cupping therapy. AIM: This study aims to investigate the effect of wet cupping on blood pressure (BP) and total cholesterol (TC) on healthy young male adults. METHODS: This study design was quasi-experimental with a control and intervention group. It was conducted between January and February 2020 at Mini Hospital, School of Nursing, Universitas Muhammadiyah Yogyakarta. There were 44 healthy young male adults divided into control (n = 22) and intervention (n = 22) groups. This study’s outcomes were BP (systolic BP [SBP] and diastolic BP [DBP]) and TC. RESULTS: In the intervention group’s post-test, the mean SBP and DBP were substantially different from the pretest (p = 0.01 and 0.03). Although there was no statistically significant difference in TC outcome, overall cholesterol decreased following an intervention. There was no statistically significant difference in the outcome between the control and intervention groups, except for TC, which was significantly lower in the post-test than in the pre-test. CONCLUSION: This study’s results indicated that wet cupping could be useful in decreasing BP and total cholesterol.

scholarly journals Efektivitas Metode Edukasi Audiovisual terhadap Self Management pada Pasien Hipertensi

2019 ◽  
Vol 3 (1) ◽  
pp. 221-233
Author(s):  
Fernalia Fernalia ◽  
Busjra Busjra ◽  
Wati Jumaiyah
Keyword(s):  
Intervention Group ◽  
Total Sample ◽  
Self Management ◽  
Control Group ◽  
Hypertensive Patients ◽  
Audiovisual Education ◽  
Significant Difference ◽  
Post Test ◽  
Quasi Experimental ◽  
Equivalent Control

This study aims to determine the effectiveness of audiovisual education methods on self management in hypertensive patients. This study used a quasi-experimental design with a non-equivalent control group pre and post test design, with a total sample of 38 respondents consisting of an intervention group and a control group. Obtained a significant difference in the average self-management of the intervention group after the audiovisual education method was performed with (p = 0,000). There was no relationship between age (p = 0.71), sex (p = 0.955) and self-management in hypertensive patients. While self management will increase after the audiovisual education method is carried out and controlled by knowledge (p = 0.005). The conclusion of this study is the audiovisual education method can improve self management in hypertensive patients.  Keywords: Audiovisual Education, Hypertension, Self Management

scholarly journals The impact of using BASNEF model on self-control behaviors among Patients with hypertension

2018 ◽  
Vol 3 (3) ◽  
pp. 112
Author(s):  
Moradali Zareipour ◽  
Mousa Ghelichi Ghojogh ◽  
Masoumeh Mahdi-akhgar ◽  
Sarvin Abbasi ◽  
Nooshin Yoshany ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Intervention Group ◽  
Public Health Problem ◽  
Developed Countries ◽  
Self Control ◽  
Control Group ◽  
Validity And Reliability ◽  
Important Public Health Problem ◽  
Significant Difference ◽  
The Impact

Background: High blood pressure is the most important public health problem in developed countries. It is one reason for early mortality and risk factors for cardiovascular diseases like stroke and kidney failure. This study aimed to determine the effect of educational intervention based on BASNEF in blood pressure control in 1395.Methods and Materials: This study was a quasi-experimental study on 160 patients in two groups (each n = 80) suffering from hypertension in urban health centers of Urmia. Data collection questionnaire included: demographic questions, knowledge base questions, self-control behaviors questions and structures of  BASNEF model. Validity and reliability were respectively 80% and 79%. Intervention group had taken three 45 minutes sessions using speeches, questions and answers, posters, booklets, pamphlets and whiteboard. Before training, information collected through questionnaires and after training questionnaires were completed again after 3 months. The data were analyzed in SPSS software with chi-square tests, Fisher, independent and paired sample t-test.Results: The average age of case and control group were  99.11 ± 01.56 and 75.12 ± 66.53 years. That there was no statistically significant difference (p=0.1). After intervention average systolic blood pressure significantly decreased in the intervention group from 43.157 to 24.147 mm Hg and diastolic blood pressure significantly decreased from 21.93 to 52.87 mm Hg (P <0.05)Conclusion:  The training program using BASNEF model has provided better results in controlling blood pressure than conventional trainings.

scholarly journals PENGARUH THERAPY BEKAM BASAH TERHADAP TEKANAN DARAH PASIEN HIPERTENSI

2018 ◽  
Vol 6 (2) ◽  
pp. 102-105
Author(s):  
Leli Mulyati
Keyword(s):  
Blood Pressure ◽  
Systolic Blood Pressure ◽  
Cupping Therapy ◽  
Control Group ◽  
Pressure Measurements ◽  
Hypertensive Patients ◽  
Average Systolic Blood Pressure ◽  
Before And After ◽  
Post Test ◽  
Quasi Experimental

This study aims to determined the effected of wet cupping therapy on blood pressure in hypertensive patients. The study used a quasi-experimental method with one group pre-test and post-test without a control group. The study subjects total 30 respondents consisting of patients with hypertension. All subjects are given wet cupping treatment twice with an interval of 2 weeks. Blood pressure measurements made ​​before and after wet cupping. The results of analysis used a t-dependent, decrease in average systolic blood pressure was 13 333 ± 12 042 wet cupping mmHg and diastolic 4667 ± 3294 mmHg. At week 2 a decrease in average systolic blood pressure mmHg while the 8667 ± 8308 6667 ± 5525 mmHg diastolic. Decrease in average systolic and diastolic blood pressure there were significant differences (p <0.05) in the first wet cupping and second wet cupping. This shows that wet cupping therapy affects blood pressure in hypertension patients.

scholarly journals THE EFFECT OF THE POP-UP BOOK AKU DAN GIGIKU ON BLOOD PRESSURE IN CHILDREN AGED 4–6 YEARS

2018 ◽  
Vol 9 ◽  
pp. 165
Author(s):  
Kusuma P Adriani ◽  
Margaretha Suharsini ◽  
Eva Fauziah2 ◽  
Meutia D Citrawuni
Keyword(s):  
Blood Pressure ◽  
Dental Treatment ◽  
Dental Anxiety ◽  
Intervention Strategy ◽  
Intervention Group ◽  
Control Group ◽  
Physiological Changes ◽  
Waiting Room ◽  
Significant Difference ◽  
And Control

Objective: This study aimed to evaluate the effectiveness of the pop-up book Aku dan gigiku as an intervention strategy in reducing anxiety in young children before dentaltreatment.Methods: 78 children aged 4–6 years were randomly divided into two groups: An intervention group with the pop-up book intervention and a control group without the pop-up book intervention. They were placed in a waiting room, and their blood pressure was measured. The experimental design of this clinical research was statistically analyzed using independent t-tests to compare decreased blood pressure between the intervention and control groups.Results: The result of the study revealed that there was a statistically significant difference in decreased blood pressure with the intervention of the pop-up book Aku dan gigiku. As dental anxiety leads to undesirable distresses, it generates physiological changes such as blood pressure. Interventions should thus be undertaken to reduce dentalanxiety, and the pop-up book is an example of an intervention medium as it educates children and presents interesting illustrations.Conclusion: The pop-up book Aku dan gigiku thus appears to be an effective method in reducing anxiety in children aged 4–6 years when used as an intervention strategy before dental treatment. 

scholarly journals Ten more years of life: Development and evaluation of a therapeutic education project for hypertensive patients. Preliminary results

2013 ◽  
pp. 239-246
Author(s):  
Maria D’Avino ◽  
Daniela Scala ◽  
Santolo Cozzolino ◽  
Barbara Andria ◽  
Crescenzo Simone ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Drug Therapy ◽  
Intervention Group ◽  
Therapeutic Education ◽  
Control Group ◽  
Hypertensive Patients ◽  
Education Project ◽  
Group I ◽  
Sf 36 ◽  
Per Capita

Introduction: The Ten More Years of Life Project is a therapeutic education project developed by the HypertensionWorking Group of the Cardarelli Hospital in Naples, Italy. It was designed reduce blood pressure (BP) in hypertensive patients by improving their compliance with physicians’ recommendations. Thanks to regional funding, the project was transferred from the hospital to the general practice setting. This article reports the preliminary results. Materials and methods: Eleven general practitioners (GP) participated in the project, and 821 hypertensive patients were enrolled. Patients were randomly assigned to the control group (Group C, n = 420) or the intervention group (Group I, n = 401). At baseline (t = 0) and 12 months later (t = 12), patients in both groups 1) filled out a 10-item multiple-choice questionnaire developed to evaluate the effect of the intervention on lifestyle modification, 2) responded to the Short Form Health Survey (SF-36) questionnaire, 3) had BP measured, laboratory data collected, and registration of current drug therapy. The Intervention Group patients took part in 3 interactive educational sessions held 2, 4, and 9 months after enrolment. The information was transmitted to patients by means of a printed leaflet, moderated group discussions, and role-playing sessions. The Control Group returned to the center 2, 4, and 9 months after enrolment and received the same information in verbal form from staff. Data were subjected to an intenton to treat analysis. Intergroup differences were evaluated with paired and unpaired t-test. Results: At the 12-month visit, significant reductions in BP (mm Hg) were observed in both groups: (Group I, t = 0: systolic BP = 137.3 + 15.6, diastolic BP = 83.8 + 8.5; t = 12: systolic BP = 130.9 + 13.7, diastolic BP = 81.4 + 7.9; Group C t = 0: systolic BP = 138.1 + 12.4, diastolic BP = 84.7 + 6.8; t = 12 systolic BP = 134.0 + 10.8, diastolic BP = 82.5 + 6.5) (P < 0.001 in both cases). In group I, drug therapy decreased in 22.7% of the patients, increased in 11.7%, and was unchanged in 65.6%. Corresponding proportions in Group C were 12.1%, 32.6%, and 55.3%. The reduction in BP in group I was associated with better adherence to physicians’ recommendations; that observed in group C was associated with increased use of antihypertensive drugs. In group I, drug expenditures decreased by a mean of EUR 3.15 per capita per month (versus EUR 1.80 per capita per month in Group C). Significant improvements were noted in some aspects of the lifestyle in both groups, but the SF-36 revealed better results for Group I patients. Discussion and Conclusion: Therapeutic education is a powerful tool for improving blood pressure control. This experience highlights the importance of patient involvement in the management of hypertension.

scholarly journals Tera Gymnastic Effective For Patient With Hypertension

2019 ◽  
Vol 7 (3) ◽  
Author(s):  
Hesti Platini ◽  
Sandra Pebrianti ◽  
Indra Maulana
Keyword(s):  
Physical Activity ◽  
Blood Pressure ◽  
Cardiovascular Disease ◽  
Intervention Group ◽  
Management Plan ◽  
Control Group ◽  
Body Parts ◽  
Blood Pressure Targets ◽  
Significant Difference ◽  
Before And After

Hypertension is a cardiovascular disease globally. Hypertension is remains silent killer, the clinical strategy to focusing on new and improved treatments is exercise. Tera  gymnastics is a physical and mental exercise, combining the movement of body parts with breathing techniques and rhythms through the concentration of thought that is carried out regularly, harmoniously, correctly and continuously, Physical activity can reduce high blood pressure. Some study showed Regular physical activity is an effective intervention with respect to these factor, decreasing mortality rate for cardiovascular disease and all cause of disease in hypertensive patient. Gymnastic Tera exercise can help to control metabolic variable related to hypertension. The study was use quasy experimental design with one group pretest-posttest. The study was conducted in Puskesmas Pasundan Garut. Sampling in this study is subjects  that is criteria patients has hipertension with 8 weeks treatment so will take methode of  concecutive sampling with 15 respondents for intervention group and 15 for control group.  The sample were age 30-55 years. The Intervention was gymnastic tera exercise. The Blood pressure function was evaluated before and after the training period. The data were analyzed by using t-test paired. The result showed a significant difference before and after tera gymnastic exercise in patient with hypertension I (p=000.0). Result of systolic blood presure when in mean SD pretest is 146.00 higher than post test is 136.00 in intervention group. The tera gymnastic exercise conditioning program achieved effect in this population. The reduction of blood pressure after exercise is of great clinical relevance.  The increased riskof physical inactivity in controlling hypertension in our study suggest that general practitioners must be in the habit of prescribing practice of physical exercise. Physical activity has been shown to have beneficial effect on blood pressure. patients are followed up regularly to confirm that they are adhering to the management plan and the blood pressure targets.

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