Effectiveness of A Health Behavior Module Based on Transcultural Nursing in Efforts to Prevent Cardiovascular Complications on Hypertension Patients in the Community
Abstract
Hypertension is a chronic non-communicable disease which, if not treated properly, will cause cardiovascular complications which are the cause of disability and death in communities throughout the world. Patient behavior that does not follow hypertension management guidelines is a major factor in the risk of cardiovascular complications in hypertensive patients in the community. The aim of this research is to determine the effectiveness of a health behavior module based on transcultural nursing in preventing cardiovascular complications and its impact on hypertensive patients in the community. The research design was a quasi experiment with a pre-post-test control group design. The sample size was 100 hypertension patients divided into 50 treatment groups and 50 control groups. The research sample was taken using a purposive sampling technique based on predetermined inclusion criteria. The research data were analyzed descriptively, homogeneity test using Levene Statistics, Wilcoxon pre-post difference test for each group, simultaneous pre-post difference test for both groups with Mann-Whitney, and correlation test with Spearman Rho. Results of the test for equality of respondent characteristics p-value = > 0.05, Wilcoxon test in the treatment group p-value = 0.000, control group p-value = > 0.05, Mann Whitney test pre test p-value > 0.05, post test < 0.05, and the Spearman rho test obtained a p-value < 0.05. Conclusion: The behavioral module intervention to prevent cardiovascular complications based on transcultural nursing has proven to be effective in increasing efforts to prevent cardiovascular complications in hypertensive patients, and efforts to prevent cardiovascular complications based on transcultural nursing have a significant relationship in reducing systolic, diastolic blood pressure and cholesterol levels in hypertensive patients in the community. It is hoped that this module can become a health promotion media that can be used to increase efforts to prevent cardiovascular complications in hypertensive patients in the community
References
Abegaz, Tadesse Melaku, Yonas Getaye Tefera, and Tamrat Befekadu Abebe. 2017. “Target Organ Damage and the Long Term Effect of Nonadherence to Clinical Practice Guidelines in Patients with Hypertension: A Retrospective Cohort Study.” International Journal of Hypertension 2017.
Arsyad, Dian Sidik et al. 2022. “The Readiness of Public Primary Health Care (PUSKESMAS) for Cardiovascular Services in Makasar City, Indonesia.” BMC Health Services Research 22(1): 1–12. https://doi.org/10.1186/s12913-022-08499-w.
Baumann, Ana A. et al. 2019. “Dissemination and Implementation Program in Hypertension in Rwanda: Report on Initial Training and Evaluation.” Global Heart 14(2): 135–41. https://doi.org/10.1016/j.gheart.2019.06.001.
Chacko, Susanna, and Panniyammakal Jeemon. 2020. “Role of Family Support and Self-Care Practices in Blood Pressure Control in Individuals with Hypertension : Results from a Cross-Sectional Study in Kollam District , Kerala [ Version 1 ; Peer Review : 2 Approved ].” Wellcome Open Research 1(180).
Hussen, Feysal Mohammed et al. 2020. “Self-Care Practice and Associated Factors among Hypertensive Patients in Public Health Facilities in Harar Town, Eastern Ethiopia: A Cross-Sectional Study.” SAGE Open Medicine 8.
Israfil, Ah Yusuf, and Ferry Efendi. 2024. “Pengembangan Model Perilaku Kesehatan Berbasis Transcultural Nursing Terhadap Upaya Pencegahan Komplikasi Kardiovaskuler Pada Pasien Hipertensi Di Masyarakat.” Fakultas Keperawatan Universitas Airlangga.
Jahan, Yasmin et al. 2020. “Increasing Awareness and Use of Mobile Health Technology among Individuals with Hypertension in a Rural Community of Bangladesh: Protocol for a Randomized Controlled Trial.” JMIR Research Protocols 9(8).
Kamyab, Raha et al. 2021. “Medicinal Plants in the Treatment of Hypertension: A Review.” Advanced Pharmaceutical Bulletin 11(4): 601–17. https://doi.org/10.34172/apb.2021.090.
Kemenkes RI. 2018. Hasil Utama Riset Kesehatan Dasar (Riskesdas) 2018. Badan Penelitian dan Pengembangan Kesehatan Kemenkes RI.
———. 2019. “Hipertensi Si Pembunuh Senyap.” Kementrian Kesehatan RI. https://pusdatin.kemkes.go.id/resources/download/pusdatin/infodatin/infodatin-hipertensi-si-pembunuh-senyap.pdf.
Kobayashi, Daiki et al. 2015. “The Relationship between Religiosity and Cardiovascular Risk Factors in Japan: A Large–Scale Cohort Study.” Journal of the American Society of Hypertension 9(7): 553–62. https://linkinghub.elsevier.com/retrieve/pii/S1933171115004611.
Leininger, Madeleine, and marlyn R. McFarland. 2002. 148 Transcultural Nursing ; Consepts, Theories, Research & Practice Third Edition. by The McGraw-Hill Companies, Inc. All rights reserved. Printed in the United States of America.
Liu, Qi et al. 2020. “Association between Knowledge and Risk for Cardiovascular Disease among Older Adults: A Cross-Sectional Study in China.” International Journal of Nursing Sciences 7(2): 184–90. https://doi.org/10.1016/j.ijnss.2020.03.008.
Mattei da Silva, Ângela Taís et al. 2020. “Nursing Case Management for People with Hypertension in Primary Health Care: A Randomized Controlled Trial.” Research in Nursing and Health 43(1): 68–78.
Melaku, Tsegaye et al. 2022. “Self-Care Practice among Adult Hypertensive Patients at Ambulatory Clinic of Tertiary Teaching Hospital in Ethiopia: A Cross-Sectional Study.” Journal of Pharmaceutical Policy and Practice 15(1): 1–11.
Oyewole, Oluwatosin, Olaolorunpo Olorunfemi, Foluso Ojewole, and Mojolaoluwa Olawale. 2020. “Effect of a Training Programme on Knowledge and Practice of Lifestyle Modification among Hypertensive Patients Attending Out-Patient Clinics in Lagos.” Iranian Journal of Nursing and Midwifery Research 25(1): 58–64.
Prado, Kimberly Buff, and Daria Napierkowski. 2020. “Preventative Strategies of Atherosclerotic Cardiovascular Disease.” Journal for Nurse Practitioners 16(4): 253–57. https://doi.org/10.1016/j.nurpra.2019.09.020.
Spies, L. A., R. C. Nanyonga, and F. Nakaggwa. 2019. “Nurse-Led Interventions in the Interim: Waiting on Universal Health Coverage.” International Nursing Review 66(4): 549–52.
Vílchez Barboza, Vivian, Tatiana Paravic Klijn, Alide Salazar Molina, and Katia Lorena Sáez Carrillo. 2016. “Eficácia de Uma Intervenção Personalizada de Aconselhamento Em Enfermagem, Presencial e Telefônica, Para Fatores de Risco Cardiovascular: Ensaio Clínico Controlado.” Revista Latino-Americana de Enfermagem 24.
Wahab, Noor Azizah Abdul et al. 2021. “Exploring Culture, Religiosity and Spirituality Influence on Antihypertensive Medication Adherence among Specialised Population: A Qualitative Ethnographic Approach.” Patient Preference and Adherence 15(August): 2249–65.
WHO. 2020. Hearts Improving Hypertension Control in 3 Million People: Country Experiences of Programme Development and Implementation. https://www.who.int/publications/i/item/improving-hypertension-control-in-3-million-people-country-experiences-of-programme-development-and-implementation.
———. 2021. “Cardiovascular Diseases (CVDs).” WHO. https://www.who.int/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds).
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