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Abstract

With a high prevalence of hypertension (25.8% in 2013 and 34.1% in 2018), Indonesia currently deals with a tremendous health economic burden with the implementation of National Health Insurance (JKN). Hypertension is known to lead to severe complications and productivity loss. This study aimed to evaluate the effect of health and nutrition education on blood pressure knowledge and compliance among hypertension patients. The study was conducted over a period of 6 months in Bogor District. A total of 179 patients (64%) completed the study (intervention n = 88, control n = 91). Compared to the control group, patients in the intervention group showed a significant improvement of knowledge and compliance (p < 0.001), yet no significant difference of blood pressure was observed. However, there was a significant mean reduction of systolic and diastolic blood pressure between baseline and end-line by around 17mmHg and 8 mmHg, respectively by the intervention group. In conclusion, health education over 6 months was related to significant improvement in blood pressure knowledge and compliance of hypertension patients.

References

  1. Ministry of Health Republic of Indonesia. Basic Health Survey [Internet]. Jakarta; 2007. Available from: https://www.google.co.uk/url?sa=t&rct=j&q=&esrc=s&source=web&cd=&ved=2ahUKEwjqo4WSv9vtAhXa4XMBHahkDRMQFjAAegQIBBAC&url=http%3A%2F%2Fkesga.kemkes.go.id%2Fimages%2Fpedoman%2FRiskesdas%25202007%2520Nasional.pdf&usg=AOvVaw0F0g1DT37wh9pO8Sx2xhsQ
  2. Prof M Mohsen Ibrahim M, Prof Albertino Damasceno P. Hypertension in Developing Countries. Lancet. 2012;380(9841):611–9.
  3. Franklin SS, Wong ND. Hypertension and cardiovascular disease: contributions of the framingham heart study. Glob Hear. 2013;8(1):49–57.
  4. Kementerian Kesehatan RI. Riset Kesehatan Dasar [Internet]. Jakarta; 2013. Available from: https://www.google.co.uk/search?source=hp&ei=19kfXu-sGrzUz7sPgJ2lyAQ&q=riskesdas+2007&oq=riskesdas+2007&gs_l=psy-ab.3..0l2j0i22i30l8.2398.6976..7834...0.0..0.144.876.12j2......0....1..gws-wiz.......0i131.U-fT4dHwXek&ved=0ahUKEwiv9P2NmIfnAhU86nMBHYBOCUkQ4d
  5. Kementerian Kesehatan RI. Riset Kesehatan Dasar [Internet]. Jakarta; 2018. Available from: https://www.google.co.uk/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&cad=rja&uact=8&ved=2ahUKEwjnpoPFm4fnAhXNQ30KHTy0BmsQFjAAegQIARAB&url=http%3A%2F%2Fwww.kesmas.kemkes.go.id%2Fassets%2Fupload%2Fdir_519d41d8cd98f00%2Ffiles%2FHasil-riskesdas-2018_1274.pdf&usg
  6. Rahajeng E, Tuminah S. Prevalence of Hypertension and Its Determinants in Indonesia. Maj Kedokt Indones [Internet]. 2009;59(12):580–7. Available from: https://www.google.co.uk/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&cad=rja&uact=8&ved=2ahUKEwiUsaubnIfnAhXYZCsKHWPdDR8QFjAAegQIBBAB&url=https%3A%2F%2Fwww.academia.edu%2F21468378%2FPrevalensi_Hipertensi_dan_Determinannya_di_Indonesia&usg=AOvVaw0ig-lbfNlhQfj
  7. Usfar AA, Fahmida U. Do Indonesians follow its Dietary Guidelines? - Evidence related to food consumption, healthy lifestyle, and nutritional status within the period 2000-2010. Asia Pac J Clin Nutr [Internet]. 2011;20(3):484–94. Available from: https://www.ncbi.nlm.nih.gov/pub med/21859671
  8. Hebert K, Moore H, Rooney J. The Nurse Advocate in End-of-Life Care. Ochsner J [Internet]. 2011;11(4):325–9. Available from: https://www.ncbi.nlm.nih.gov/pub med/22190882
  9. Clark C, Smith L, Taylor R, Campbell J. Nurse-led interventions used to improve control of high blood pressure in people with diabetes: a systematic review and meta-analysis. Diabet Med [Internet]. 2010;28(3):250–61. Available from: https://www.ncbi.nlm.nih.gov/pub med/21309833
  10. Pradono J, Suparmi S, Sihombing N. The Prevalence of Hypertension and Its Determinants among 15-60 years old in Bogor District, West Java, Indonesia. Indones J Heal Ecol [Internet]. 2013;12(3). Available from: http://ejournal.litbang.depkes.go.id/index.php/jek/article/view/3863
  11. Constant A., E.V. G, C.V. G. The Economic Burden of Hypertension. Hypertens Cardiovasc Dis. 2016;351–9.
  12. Mutowo MP, Lorgelly PK, Laxy M, Renzaho AMN, Mangwiro JC, Owen AJ. The Hospitalization Costs of Diabetes and Hypertension Complications in Zimbabwe: Estimations and Correlations. J Diabetes Res. 2016;9.
  13. Demetriou C, Ozer BU, Essau CA. Self-Report Questionnaires. Encycl Clin Psychol. 2015;(November 2017):1–6.
  14. Brenner PS, DeLamater J. Lies, Damned Lies, and Survey Self-Reports? Identity as a Cause of Measurement Bias. Soc Psychol Q. 2016;79(4):333–54.
  15. Pramanik S, Ghosh A, Nanda RB, Rouw M, Forth P, Albert S. Impact evaluation of a community engagement intervention in improving childhood immunization coverage. BMC Public Health. 2018;18(1):534.
  16. Fewtrell MS, Martin RM, Koletzko B, Kennedy K, Ness A, Lucas A. How much loss to follow-up is acceptable in long-term randomised trials and prospective studies? Arch Dis Child. 2008;93(6):458–61.
  17. Howe LD, Galobardes B, Tilling K, Lawlor DA. Does Drop-Out From Cohort Studies Bias Estimates of Socioeconomic Inequalities in Health? J Epidemiol Community Heal. 2011;65(Suppl 1):A31.
  18. Wiel AB der, Exel E van, Craen AJM de, Gussekloo J, Lagaay AM, Knook DL, et al. A high response is not essential to prevent selection bias: Results from the Leiden 85-plus study. J Clin Epidemiol [Internet]. 2002;55:1119–25. Available from: https://research.vumc.nl/en/publicati ons/a-high-response-is-not-essential-to-prevent-selection-bias-result
  19. Gades NM, Jacobson DJ, EMcGree M, MichaelMLieber, Roberts RO, Girman CJ, et al. Dropout in a longitudinal, cohort study of urologic disease in community men. BMC Med Res [Internet]. 2006;6(58). Available from: https://www.ncbi.nlm.nih.gov/pmc/ articles/PMC1764019/
  20. Suzman RM, Willis DP, Manton KG. The Oldest Old: Problems in Studying The Oldest Old. New York: Oxford University Press; 1992. 148 p.
  21. Ng KP, Jain P, Gill PS, Heer G, Townend JN, Freemantle N, et al. Results and lessons from the Spironolactone To Prevent Cardiovascular Events in Early Stage Chronic Kidney Disease (STOP-CKD) randomised controlled trial. BMJ Open. 2016;6(2):e010519.
  22. Rose AJ, Glickman ME, D’Amore MM, Orner MB, Berlowitz D, Kressin NR. Effects of daily adherence to antihypertensive medication on blood pressure control. J Clin Hypertens (Greenwich). 2011;13(6):416–21.
  23. Kobra Etminani, Engström AT, Göransson C, Sant’Anna A, Nowaczyk S. How Behavior Change Strategies are Used to Design Digital Interventions to Improve Medication Adherence and Blood Pressure Among Patients With Hypertension: Systematic Review. J Med Internet Res [Internet]. 2020;22(4). Available from: https://www.ncbi.nlm.nih.gov/pmc/ articles/PMC7180506/
  24. Gerage AM, Benedetti TRB, Cavalcante BR, Farah BQ, Ritti-Dias RM. Efficacy of a behavior change program on cardiovascular parameters in patients with hypertension: a randomized controlled trial. Einstein (Sao Paulo). 2020;18:eAO5227.

Bahasa Abstract

Dengan tingginya prevalensi hipertensi (25.8% dan 34.1% pada tahun 2013 dan 2018), Indonesia saat ini menghadapi beban ekonomi Kesehatan yang besar dengan diimplementasikannya Jaminan Kesehatan Nasional (JKN). Hal ini disebabkan hipertensi dapat menyebabkan beragam komplikasi kesehatan yang serius dan penurunan produktivitas. Studi ini bertujuan untuk mengevaluasi pengaruh edukasi gizi dan kesehatan terhadap pengetahuan, kepatuhan, dan tekanan darah pasien hipertensi selama 6 bulan pada sebanyak 179 pasien (64%) yang berhasil menyelesaikan rangkaian studi ini (jumlah subjek pada kelompok intervensi = 88 dan jumlah subyek kelompok kontrol = 91). Dibandingkan dengan kelompok kontrol, penderita hipertensi pada kelompok intervensi menunjukkan peningkatan pengetahuan dan kepatuhan yang signifikan (p

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