Value Analysis of Continuous Comprehensive Health Guidance in the Prevention of Hypertension in the Elderly Community

2021 ◽  
Keyword(s):  
The Elderly ◽  
Value Analysis ◽  
Comprehensive Health ◽  
Prevention Of Hypertension ◽  
Health Guidance

scholarly journals Propéptido natriurético tipo B N-terminal en adultos mayores ecuatorianos

2020 ◽  
Vol 4 (1) ◽  
pp. 9
Author(s):  
Rubí Eliana Bermello Zamora ◽  
Yury Jordano Sanclemente Núñez ◽  
Ivón Howland Álvarez
Keyword(s):  
Heart Failure ◽  
Healthcare Expenditure ◽  
Clinical Manifestations ◽  
Clinical Importance ◽  
The Elderly ◽  
Comprehensive Health Care ◽  
Palabras Clave ◽  
Insuficiencia Cardiaca ◽  
Comprehensive Health ◽  
Severity Of The Disease

  La insuficiencia cardiaca (IC) es un trastorno progresivo y letal que constituye la primera causa de ingreso hospitalario en las personas mayores de 65 años. Se ha demostrado la utilidad del NT-proBNP para su diagnóstico; sin embargo, los valores de estos marcadores difieren según las características de los pacientes y la severidad de la enfermedad. El objetivo de este estudio consistió en determinar la utilidad de la medición de NT-proBNP para diagnosticar el riesgo de padecer IC en adultos mayores. Se realizaron análisis de NT-proBNP, creatinina, urea, hemoglobina, glucosa y sodio en 47 muestras sanguíneas de pacientes de un centro gerontológico de Manabí en el periodo octubre a diciembre 2017. Se analizaron los valores y la posible asociación a otras enfermedades. Se compararon los valores de variables demográficas, analíticas y clínicas. Se analizaron las manifestaciones clínicas y antecedentes patológicos personales asociados al riesgo de IC. El valor NT-proBNP se asoció con la presencia de anemia, creatinina mayor de 2 mg/dL e hiponatremia. La edad media de los pacientes fue de 79 años, de predominio masculino, con comorbilidad asociada y cierto grado de dependencia, aunque la edad no fue un factor que influyó en la probabilidad de tener elevación en el valor plasmático de NT-proBNP y por lo tanto del riesgo latente de padecer o no IC. El valor de NT-proBNP mostró ser un analito complementario de gran importancia clínica para la evaluación y el cuidado integral de salud del anciano.   Palabras clave: NT-proBNP, insuficiencia cardiaca, adultos mayores.   Abstract Heart failure (HF) is a progressive and lethal disorder that constitutes the first cause of hospital admission in people over 65 years of age and represents just over 2% of national healthcare expenditure. The usefulness of NT-proBNP for its diagnosis has been demonstrated, however, the values of these markers differ according to the characteristics of the patients and the severity of the disease. The objective of this study is to determine the NT-proBNP usefullness to diagnose risk of HF in older adults. NT-proBNP, creatinine, urea, hemoglobin, glucose and sodium were analyzed in 47 blood samples of patients from the gerontological center from October to December 2017. The values and the possible association to other diseases were analyzed. The values of demographic, analytical and clinical variables were compared. The clinical manifestations and personal pathological background associated with the risk of HF were analyzed. The NT-proBNP value was associated with the presence of anemia, creatinine greater than 2 mg/dL and hyponatremia. The average age of the patients was 79 years, predominantly male, with associated comorbidity and a certain degree of dependence, although age was not a factor that influenced the probability of having an elevated plasma NT-proBNP value and therefore both of the latent risk of suffering or not IC. The value of NT-proBNP was shown to be a complementary analyte of great clinical importance for the evaluation and comprehensive health care of the elderly.   Keywords: NT-proBNP, heart failure, elderly.

An Information Sharing System for Multi-Professional Collaboration in the community-based integrated healthcare system

2021 ◽  
Vol 2 (1) ◽  
pp. 1-14
Author(s):  
Hideaki Kanai ◽  
◽  
Akinori Kumazawa ◽  
Keyword(s):  
Information Sharing ◽  
Elderly People ◽  
Healthcare System ◽  
The Elderly ◽  
Professional Collaboration ◽  
Community Based ◽  
Integrated Healthcare ◽  
Comprehensive Health ◽  
One Year ◽  
At Home

Currently, Japan is rapidly aging. Japanese government agencies report that the percentage of elderly people whose ages are at least 65 years will increase by up to about 30 percent in 2025. As one of the measures towards this situation, the community-based integrated healthcare system will be introduced in Japan. The system aims to provide elderly people living at home with appropriate health, medical, and welfare services. We focus on the burden of sharing information on the situation of the elderly at home among health, medical, welfare staffs, and neighbors. We have been developing a supporting system for sharing information on the situation of the elderly at home and conducted a field test around one year. We consider that various stakeholders involved in the community comprehensive health care system could recognize the importance of information sharing and collaboration with them through this kind of social implementation

scholarly journals Penyuluhan Kesehatan Tentang Hipertensi Pada Lansia di Dukuh Turi, Bambanglipuro, Bantul

2020 ◽  
Vol 2 (1) ◽  
pp. 24
Author(s):  
Istichomah Istichomah
Keyword(s):  
Health Education ◽  
Healthy Lifestyle ◽  
The Elderly ◽  
Local Area ◽  
Prevention And Treatment ◽  
Treatment Of Hypertension ◽  
Before And After ◽  
Prevention Of Hypertension ◽  
Heath Education

ABSTRACT The purpose of health education in community is  improve the health statuse, especially in the elderly who increase hypertension through a healthy lifestyle. The  method is through health education about 1) identification of the lifestyle of the elderly in the local area, 2) prevention and management of hypertension in the elderly. The results of health education are well known that participants are very active in participating in this activity. Based on questionnaires given to participants before and after counseling, participants understanding of the knowledge of hypertension increased 80%, understanding of the prevention of hypertension increased 67%, understanding of curing of hypertension increased 68%, understanding of prevention and treatment of hypertension increased 76% . So that, Continuing Health education is very important to increased health live style. ABSTRACT The purpose of heath education in community is  improve the health statuse, especially in the elderly who increase hypertension through a healthy lifestyle. The  method is through health education about 1) identification of the lifestyle of the elderly in the local area, 2) prevention and management of hypertension in the elderly. The results of health education are well known that participants are very active in participating in this activity. Based on questionnaires given to participants before and after counseling, participants understanding of the knowledge of hypertension increased 80%, understanding of the prevention of hypertension increased 67%, understanding of curing of hypertension increased 68%, understanding of prevention and treatment of hypertension increased 76% . So that, Continuing Health education is very important to increased healthy live style.

scholarly journals Assessment of Comprehensive Health Care of the Elderly in Primary Health Care

Health ◽  
2015 ◽  
Vol 07 (03) ◽  
pp. 365-370
Author(s):  
Fábia Barbosa de Andrade ◽  
Iris do Ceu Clara Costa ◽  
Tainara Lôrena dos Santos Ferreira ◽  
Isabelle Christine Fonsêca G. A. Silva ◽  
Íngrid Katianne Marques Araújo ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
The Elderly ◽  
Comprehensive Health Care ◽  
Primary Health ◽  
Comprehensive Health

scholarly journals Analisis Peramalan Jumlah Penderita Hipertensi pada Lansia di Kabupaten Malang Menggunakan Metode Arima Box-Jenkins

2020 ◽  
Vol 3 (1) ◽  
pp. 7-12
Author(s):  
Nanta Sigit ◽  
Arief Setiyoargo
Keyword(s):  
Blood Pressure ◽  
Medical Condition ◽  
Moving Average ◽  
The Elderly ◽  
Health Department ◽  
Developed Countries ◽  
Death Risk ◽  
Additional Information ◽  
Forecasting Methods ◽  
Prevention Of Hypertension

Changes in the elderly in developed countries, namely changes in the cardiovascular system which is a major disease that takes its toll because it will affect other diseases such as hypertension, coronary heart disease, pulmonic heart, cardiomyopathy, stroke, kidney failure.Hypertension or high blood pressure is a medical condition where people whose blood pressure rises above normal is 140/90 mmHg and can run the risk of morbidity and even death. Risk factors for hypertension are divided into 2 groups, namely hypertension that cannot be changed and hypertension that can be changed. Modifiable hypertension includes smoking, obesity, a monotonous lifestyle and stress. Hypertension that can not be changed include age, gender, ethnicity, heredity. So this time the researchers tried to predict hypertension sufferers in Malang using the Jenkins ARIMA Box model. Researchers hope that forecasting methods and forecasting results can be used as additional information for the health department in Malang district in determining policies to be taken in the prevention of hypertension patients according to the needs of patients in Malang district.AbstrakHipertensi merupakan sebuah kondisi medis dimana orang yang tekanan darah meningkat diatas normal yaitu 140/90 mmHg dan hipertensi dapat mengalami resiko kesakitan (morbiditas) bahkan kematian (mortalitas). Dalam rangka membuat perencanaan menurunkan jumlah penderita hipertensi di daerah dengan prinsip efektif dan bertanggung jawab diperlukan perkiraan peramalan yang valid. Adanya selisih yang relatif cukup besar antara target dan capaian dalam menanggulangi penderita hiperteni Kabupaten Malang selama tahun 2014 - 2019, dan mengingat pentingnya peramalan sebagai indikator menurunkan penderita hipertensi, maka dipandang perlu melakukan penelitian mengenai penerapan model Box-Jenkins dalam peramalan penderita hipertensi. Penelitian ini bertujuan untuk membuat model estimasi penderita hipertensi kabupaten malang dengan mengunakan data dinkes dari tahun 2014 sampai dengan tahun 2019.Teknik analisis yang diterapkan adalah model Box-Jenkins atau Autoregresive Integreted Moving Average (ARIMA). Hasil penelitian menunjukkan bahwa dengan menggunakan data dinas kesehatan kabupaten malang tahun 2014 sampai dengan tahun 2019, disimpulkan bahwa model peramalan yang terbaik adalah dengan ARIMA(1,0,1). Peneliti berharap metode peramalan dan hasil peramalan tersebut dapat digunakan sebagai tambahan informasi bagi pihak dinas kesehatan di kabupaten malang dalam menentukan kebijakan yang harus diambil dalam pencegahan penderita hipertensi sesuai kebutuhan pasien di kabupaten Malang.

Aspects related to the functional capacity of elderly institutionalized

2011 ◽  
Vol 5 (3) ◽  
pp. 692
Author(s):  
Rejane Marie Barbosa Davim ◽  
Vilani Medeiros de Araújo Nunes ◽  
Mylla Gabrielle Soares de Araújo ◽  
Richardson Augusto Rosendo da Silva ◽  
João Carlos Alchieri
Keyword(s):  
Functional Capacity ◽  
Daily Living ◽  
Interdisciplinary Team ◽  
Rio Grande ◽  
The Elderly ◽  
High Rate ◽  
Elderly Subjects ◽  
Comprehensive Health Care ◽  
Care For The Elderly ◽  
Comprehensive Health

ABSTRACTObjective: to analyze the degree of independence to carry out Activities of Daily Living (ADL) of elderly residents in long-stay institutions-LPI in Natal-RN city. Method: this is about a descriptive-exploratory study performed in charities, with sample of 60 elderly. Data were collected from August to October 2009. The instruments used were a form with demographic and socioeconomic issues and the ADL Katz’s Scale on the activities are fundamental to maintaining independence: the ability to feed themselves is consistent, getting around, bathing, dressing and using the bathroom. The study was approved by the Ethics and Research of the Federal University of Rio Grande do Norte/UFRN, in accordance with Resolution 196/96. Results: we found a higher frequency of older females compared to males respectively mean age and standard deviation of 79.0 ± 16.89 years and 78.8 ± 13.15 years. The ability to perform the ADL was identified that 58.3% of the elderly were dependent for most ADL demonstrated need for assistance and the execution of daily habits. Conclusion: we emphasize the high rate of disability in elderly subjects, suggesting the relevance of interventions on this aspect. It is important to work in an interdisciplinary team as a central strategy in search of comprehensive health care for the elderly. Descriptors: human aging; elderly; functional capacity. RESUMOObjetivo: analisar o grau de independência para a realização de Atividades da Vida Diária (AVDs) dos idosos residentes em instituições de longa permanência-ILPI, da cidade de Natal–RN. Método: estudo descritivo, exploratório, realizado em instituições filantrópicas, com uma população constituída de 60 idosos. Os dados foram coletados no período compreendido entre os meses de agosto a outubro de 2009. Como instrumentos foram utilizados um formulário com questões socioeconômicas e demográficas e a escala de AVDs de Katz sobre as atividades fundamentais à manutenção da independência: capacidade de alimentar-se, ter continência, locomover-se, banhar-se, vestir-se e utilizar o banheiro. A pesquisa foi autorizada pelo Comitê de Ética e Pesquisa da Universidade Federal do Rio Grande do Norte – UFRN, de acordo com resolução 196/96. Resultados: constatou-se maior frequência de idosos do sexo feminino em relação ao masculino respectivamente com idades médias e desvios padrões de 79,0 ±16,89 anos e 78,8 ±13,15 anos. Quanto à capacidade para realizar as AVDs foi identificado que 58,3% dos idosos eram dependentes para a maioria das AVDs demonstrando necessidade de auxilio quanto à execução de hábitos diários. Conclusão: ressalta-se o alto índice de incapacidade funcional dos idosos institucionalizados, o que sugere a relevância de intervenções sobre esse aspecto. Torna-se importante o trabalho em equipe interdisciplinar como estratégia central na busca da integralidade da atenção a saúde da pessoa idosa. Descritores: envelhecimento humano; idoso; capacidade funcional.RESUMENObjetivo: analizar el grado de independencia para realizar actividades de la Vida Diaria (ADL) de los ancianos residentes en estancias de larga duración instituciones-LPI, la ciudad de Natal-RN. Método: un estudio exploratorio descriptivo, realizado en obras de caridad, con una población de estudio consistió en una muestra de 60 ancianos. Los datos fueron recolectados en el período comprendido entre los meses de agosto a octubre de 2009. Los instrumentos utilizados fueron un formulario con cuestiones demográficas y socioeconómicas y la escala ADL de Katz para las actividades fundamentales para mantener la independencia: la capacidad de alimentarse por sí mismos, ser coherentes, moverse, bañarse, vestirse y usar el baño. El estudio fue aprobado por la Ética y de Investigación de la Universidad Federal de Rio Grande do Norte - UFRN, de conformidad con la Resolución 196/96. Resultados: se encontró una mayor frecuencia de mujeres mayores en comparación con los varones, respectivamente, la edad media y desviación estándar de 79,0 ± 16,89 años y 78,8 ± 13,15 años. La capacidad de realizar la ADL se identificó que el 58,3% de los ancianos dependen de la necesidad demostrada la mayoría de ADL para la asistencia y la ejecución de los hábitos cotidianos. Conclusiones: destacamos la elevada tasa de discapacidad en sujetos de edad avanzada, lo que sugiere la pertinencia de las intervenciones en este aspecto. Es importante trabajar en un equipo interdisciplinario como una estrategia central en la búsqueda de atención integral de salud para los ancianos. Descriptores: el envejecimiento humano; personas de edad avanzada; la capacidad funcional.

scholarly journals Improving the Quality of Geriatric Care for the Healthy Elderly in a Comprehensive Health Centers in Iran

Salmand ◽  
2021 ◽  
Vol 15 (4) ◽  
pp. 428-439
Author(s):  
Hamid Reza Zendehtalab ◽  
◽  
Zohreh Vanaki ◽  
Robabeh Memarian ◽  
◽  
...  
Keyword(s):  
Healthcare Providers ◽  
The Elderly ◽  
Geriatric Care ◽  
Descriptive Statistics ◽  
Health Centers ◽  
Care Model ◽  
Healthy Elderly ◽  
Comprehensive Health ◽  
The Mean

Objectives: In the geriatric care provided in health centers, the healthy elderly are neglected. This qualitative study aims to improve the quality of geriatric care for the healthy elderly. Methods & Materials: This community-based participatory study was conducted from 2016 to 2018 with the participation of 11 healthcare providers, 54 older people and 54 family members in Shahid Motahari Comprehensive Health Center in Mashhad, Iran. The mean age of healthcare providers was 32.4±2.7 years with a work experience 8.3 years. The mean age of the elderly was 64.3±3.9 years. Data were collected using the SERVQUAL questionnaire and interviews, focus group discussions, and field note taking. After identifying the problems through interviews with 8 personnel and 19 older people, group discussion sessions were held to design the change programs. After implementing the change programs, 30 interviews were conducted with the participants and comparisons were made before and after the programs. Descriptive statistics was used to analyze the qualitative data, and descriptive statistics and paired t-test were used to analyze the quantitative data. Results: The mean total score of service quality according to the elderly and their families in the pre-intervention stage was 63.02±9.46 and 61.83±9.05, respectively. These values reached 130.09±14.75 and 122.65±13.56 in the post-intervention stage, and this difference was statistically significant (P=0.001). The presented dynamic care model was able to improve geriatric care for the healthy elderly in the comprehensive health center by modifying the attitude, skills and empowerment of staff. Conclusion: The dynamic care model can improve the quality of geriatric services for the healthy elderly with features such as active, participatory, continuous, comprehensive and supportive care. It can be used in other health centers.

scholarly journals UPAYA PENCEGAHAN HIPERTENSI DI DESA PENEGAH KECAMATAN PELAWAN KABUPATEN SAROLANGUN JAMBI

2019 ◽  
Vol 1 (2) ◽  
pp. 90
Author(s):  
Tina Yuli Fatmawati
Keyword(s):  
Public Health ◽  
Developing Countries ◽  
Health Services ◽  
Community Service ◽  
The Elderly ◽  
Health Counseling ◽  
The World ◽  
Service Activity ◽  
Prevention Of Hypertension ◽  
The Village

Hypertension is one of the main problems in public health in Indonesia and the world. It is estimated that around 80% of cases of hypertension occur mainly in developing countries in the year 2025 from a total of 639 million cases in 2000. Problems faced by partners at this time include people in the village of Prevention rarely conducted health counseling by the Puskesmas especially about Hypertension, none Posyandu for the elderly and the community rarely exercise regularly. This community service activity was carried out in the village of Enforcement which is one of the villages located in Pelawan sub-district, Sarolangun District, Jambi. Time of implementation in February 2018. The target is the elderly.The methods used were survey, lecture, discussion, demonstration / simulation approaches. The results of this program is prevention for parents where they are able to understand of  the management and prevention of hypertension. It is recommended for Health Officers, especially in Puskesmas, to activate posyandu for the elderly so that the elderly can get health services regularly and get more information about health problems.

scholarly journals Fatores associados à ocorrência de cochilos entre idosos comunitários

2018 ◽  
Vol 12 (2) ◽  
pp. 357
Author(s):  
Ariene Angelini Dos Santos-Orlandi ◽  
Maria Filomena Ceolim ◽  
Sofia Cristina Iost Pavarini ◽  
Aline Maino Pergola-Marconato ◽  
Lucas Pelegrini Nogueira De Carvalho ◽  
...  
Keyword(s):  
Family Income ◽  
Leisure Activity ◽  
The Elderly ◽  
Chi Square ◽  
Frailty Phenotype ◽  
Cross Sectional ◽  
Comprehensive Health ◽  
Chi Square Test ◽  
State Examination ◽  
Activity Questionnaire

RESUMOObjetivo: analisar associação gênero, idade, escolaridade, renda familiar, níveis de fragilidade e cinco critérios de fragilidade com ocorrência dos cochilos de idosos. Método: estudo quantitativo, transversal, descritivo. Foram avaliados 3.075 idosos, utilizando questionário sociodemográfico, questão do Minnesota Leisure Activity Questionnaire, fenótipo de fragilidade de Fried e o Mini Exame do Estado Mental. Foram aplicados o teste Qui-quadrado e a regressão logística univariada e multivariada (α=5,0%). Os princípios éticos foram respeitados. Resultados: dos idosos, 61,7% cochilavam durante o dia. Houve associação entre ocorrência de cochilo e idade, gênero e renda familiar. Conclusão: a avaliação dos pacientes deve estudar questões do sono, especialmente considerando idade, sexo e renda, para detectar previamente problemas e desenvolver ações que mantenham a autonomia e a independência dos idosos. Descritores: Idoso; Enfermagem Geriátrica; Sono; Saúde do Idoso; Atenção Integral à Saúde; Enfermagem.ABSTRACTObjective: to analyze the association of sex, age, schooling, family income, levels of frailty and five criteria of frailty with occurrence of naps among the elderly. Method: quantitative, cross-sectional and descriptive study. 3,075 elderly people were evaluated using a sociodemographic questionnaire, Minnesota Leisure Activity Questionnaire question, Fried frailty phenotype and Mini Mental State Examination. The Chi-square test and the univariate and multivariate logistic regression (α = 5.0%) were applied. Ethical principles have been respected. Results: 61.7% of the elderly take a nap during the day. There was an association between taking a nap and age, sex and family income. Conclusion: the evaluation of patients should study sleep issues, especially considering age, sex and income, to detect problems previously and develop actions that maintain the elderly’s autonomy and independence. Descriptors: Elderly; Geriatric Nursing; Sleep; Health of the Elderly; Comprehensive Health Care; Nursing.RESUMENObjetivo: analizar la asociación de género, edad, escolaridad, renta familiar, niveles de fragilidad y cinco criterios de fragilidad con ocurrencias de las siestas de ancianos. Método: estudio cuantitativo, transversal, descriptivo. Fueron evaluados 3.075 ancianos, utilizando cuestionario sociodemográfico, pregunta del Minnesota Leisure Activity Questionnaire, fenotipo de fragilidad de Fried y el Mini Examen del Estado Mental. Fueron aplicados el test Chi-cuadrado y la regresión logística univariada y multivariada (α=5,0%). Los principios éticos fueron respetados. Resultados: de los ancianos, 61,7% tomaban uma siesta durante el dia. Hubo asociación entre ocurrencia de siesta y edad, género y renta familiar. Conclusión: la evaluación de los pacientes debe estudiar cuestiones del sueño, especialmente considerando edad, sexo y renta, para detectar previamente problemas y desarrollar acciones que mantengan la autonomía y la independencia de los ancianos. Descriptores: Anciano; Enfermería Geriátrica; Sueño; Salud del Anciano; Atención Integral de Salud; Enfermería.

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