Family Self-management Program for Hypertension Management and Sodium Consumption Adherence: A Parallel Randomized Control Trial Among Family Caregivers and People With Hypertension.

IF 1.4 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of research in health sciences Pub Date : 2024-09-30 DOI:10.34172/jrhs.2024.163
Tantut Susanto, Sri Hernawati, Rismawan Adi Yunanto, Ira Rahmawati, Niken Asih Laras Ati, Wahyuni Fauziah
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Abstract

Background: Hypertension (HTN) has become a serious health problem in developing countries. The family has an important role in maintaining blood pressure (BP) at home, and sodium diet compliance in people with HTN needs to be developed. Therefore, this research aimed to evaluate the effectiveness of a family self-management program (FSMP) in HTN management and compliance with sodium consumption in rural areas of Indonesia. Study Design: A parallel-group, single-blind randomized controlled trial.

Methods: One hundred twenty-six eligible participants were randomly allocated to an intervention (n=63) and a control group (n=63). Participants in the intervention group received a 24-week (6-month) FSMP intervention. The primary outcome measures included the systolic and diastolic BP, the Score Sodium Questionnaire (SSQ), and the Morisky Medication Adherence Scale 8 (MMAS-8). The Knowledge of Health Care for HTN questionnaire and the Efficacy and Behavior Toward Health Care for Patients with HTN questionnaire were used to assess the secondary outcome.

Results: The final results were analyzed from 121 participants (n=61 intervention and n=60 control group). The repeated analysis of variance (ANOVA) test results demonstrated significant effects on the management of HTN and adherence to sodium consumption as indicated by systolic (P=0.004) and diastolic BP (P=0.006), SSQ (P<0.001), MMAS 8 (P<0.001), caregivers' knowledge (P<0.001), caregivers' self-efficacy (P<0.001), and caregivers' behaviors (P=0.005).

Conclusion: The FMSP emerges as a promising strategy for managing BP and adherence to sodium consumption in people with HTN through the support of family caregivers and selfmanagement activities.

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针对高血压管理和坚持钠盐摄入量的家庭自我管理计划:在家庭护理人员和高血压患者中开展的平行随机对照试验。
背景:在发展中国家,高血压已成为一个严重的健康问题。家庭在维持家庭血压(BP)方面发挥着重要作用,而高血压患者的钠饮食依从性也有待提高。因此,本研究旨在评估印尼农村地区家庭自我管理计划(FSMP)在高血压管理和钠饮食依从性方面的效果。研究设计:平行分组、单盲随机对照试验:将 126 名符合条件的参与者随机分配到干预组(63 人)和对照组(63 人)。干预组的参与者接受为期 24 周(6 个月)的 FSMP 干预。主要结果测量指标包括收缩压和舒张压、得分钠问卷(SSQ)和莫里斯基用药依从性量表 8(MMAS-8)。评估次要结果时使用了高血压医疗保健知识问卷和高血压患者医疗保健效果和行为问卷:对121名参与者(干预组61人,对照组60人)的最终结果进行了分析。重复方差分析(ANOVA)检验结果表明,收缩压(P=0.004)和舒张压(P=0.006)、SSQ(PPPPP=0.005)对高血压管理和坚持钠摄入有显著效果:通过家庭护理人员的支持和自我管理活动,FMSP 成为管理高血压患者血压和坚持钠摄入量的有效策略。
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来源期刊
Journal of research in health sciences
Journal of research in health sciences PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
2.30
自引率
13.30%
发文量
7
期刊介绍: The Journal of Research in Health Sciences (JRHS) is the official journal of the School of Public Health; Hamadan University of Medical Sciences, which is published quarterly. Since 2017, JRHS is published electronically. JRHS is a peer-reviewed, scientific publication which is produced quarterly and is a multidisciplinary journal in the field of public health, publishing contributions from Epidemiology, Biostatistics, Public Health, Occupational Health, Environmental Health, Health Education, and Preventive and Social Medicine. We do not publish clinical trials, nursing studies, animal studies, qualitative studies, nutritional studies, health insurance, and hospital management. In addition, we do not publish the results of laboratory and chemical studies in the field of ergonomics, occupational health, and environmental health
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