运用综合干预策略改善健康行为:印尼社区卫生服务个案研究

M. Muflih, R. Widaryanti, Rizky Erwanto, Fika Lilik Indrawati
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摘要

作为一种非传染性疾病,高血压患者的健康行为如果不具备良好的知识和治疗技能,就会成为一个严重的健康问题。改善这种状况需要多种干预措施,这些干预措施必须综合起来,但需要科学证据。本研究旨在科学地证明并提供解决方案,以改善社会中存在风险的健康行为问题。我们采用了一些基于相互协议的干预措施,这些干预措施与社区卫生服务相结合:健康教育、团体治疗和促进体育锻炼。研究对象为日惹Sleman Wedomartani村有高血压风险的53名成年人。数据收集于2022年6月至7月进行,采用访谈和观察技术,采用结果指标、知识水平和保健技能。结果显示,通过温水疗法联合罗勒叶输液降低血压,非传染性疾病预防行为的知识增加了32.0%,健康维护增加了36.0%。人们对肉类原料的加工和健康饮食分量的计算有了更多的了解。同样,受试者参加高血压运动的体育锻炼活动也有所增加。结果是高血压患病率下降了24.5%。这项研究的结论是,三种干预策略的结合可能是解决有高血压风险的成年人健康行为问题的一种选择。
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Using Integrated Intervention Strategies to Improvement of Health Behavior: A Case Study Across Community Health Service in Indonesia
Health behaviour in hypertension sufferers, a non-communicable disease (NCDs), becomes a serious health problem if it is not followed by good knowledge and treatment skills. Improvement of this condition requires several interventions that must be integrated but require scientific evidence. This research aims to prove scientifically and provide solutions to improve health behaviour problems at risk in society. We used some interventions that were applied and integrated with community health service based on a mutual agreement: health education, group therapy, and the promotion of physical exercise. The number of research subjects was 53 adults at risk of hypertension in Wedomartani Village, Sleman, Yogyakarta. Data collection was carried out in June-July 2022 and used interview and observation techniques using outcome indicators, knowledge level and health maintenance skills. The results showed an increase of 32.0% in knowledge and health maintenance of 36.0% for non-communicable disease prevention behaviour by making warm water therapy combined with basil leaf infusion to lower blood pressure. There is an increased understanding of the processing of meat ingredients and the calculation of healthy eating portions. Likewise, there was an increase in the subjects’ activity to participate in physical exercise activities for hypertension exercise. The result was a decreasing prevalence of hypertension -24.5%. This study concluded that the combination of the three intervention strategies that have been given could be a choice of solution to the problem of health behaviour in adults with a risk of hypertension.
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