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BLOOD PRESSURE (BP) CONTROL AND PERCEIVED FAMILY

SUPPORT IN PATIENTS WITH ESSENTIAL HYPERTENSION SEEN AT A


PRIMARY CARE CLINIC IN WESTERN NIGERIA

OLUWASEUN S. OJO1, SUNDAY O. MALOMO1, PETER T. SOGUNLE1


1DEPARTMENT OF FAMILY MEDICINE, FEDERAL MEDICAL CENTRE, ABEOKUTA, OGUN STATE, NIGERIA

ATIKA ASTI (20120310043)


DANISWARA S (20120310156)
DEVY AYU PS (20120310229)

DOKTER PEMBIMBING
DR. ORYZATI HILMAN A, MSC, CMFM, PHD
1,25 Miliar
INTRODUCTION 1 miliar Tahun 2025

Hipertensi adalah penyakit kronis


yang tidak menular yang paling umum
ditemui pada pelayanan primer Memberikan
informasi

Motivasi

Terkontrolnya Dukungan
tekanan darah Keluarga

Dukungan
Peduli Peduli
kesehatan
Positif secara saat
Keluarga umum Krisis
SUBJECT AND METHODS

Inclusion Exclusion Sample Size


Study Setting Study Design
Criteria Criteria Determination

Etical Statistical Data Collection Sampling


Consideration Analysis tool and proces Technique
Study Setting Study Design
Inclusion Criteria
Aged 18 with essential
at the Family Medicine Clinic of Design: Cross-sectional descriptive
hypertension
a Hospital in Abeokuta study
Patients with essential
General outpatient clinic Population: 360 adults aged 18
hypertension who had been on
(GOPC) with essential hypertension that
outpatient treatment for
corporate clinic (COOP) attended the GOPC, COOP, and
hypertension in the clinic for 1
National Health Insurance NHIS clinics of the hospital
year.
Scheme Clinic (NHIS) Time: May and July 2013

Exclusion Criteria Sampling Technique


Patients with secondary systematic random sampling
hypertension Sample Size Determination technique
Patients with major psychiatric The minimum sample size was 326. 180 for GOPC
illness This study gave a sample size of 100 for NHIS
Patients with severe illness which 360 respondents 80 for COOP
make it diffcult to follow
the study protocol
Minimal sample

Inclusion criteria
- Patients aged 18 years and above with
essential hypertension
- Patients with essential hypertension Exclusion criteria
who had been on outpatient treatment Patients with secondary hypertension
for hypertension in the clinic for at least Patients with major psychiatric illness
1 year Patients with severe illness which
make it diffcult to follow
the study protocol

360 sample
Data Collection tool and process

Data were collected by the principal Sociodemographic variables,


investigator and two socioeconomic data, and physical Summated scores were used to
trained research assistants (resident examination. arrive at a family support score
doctors) interview using a (020)
pretested questionnaire and a strong family support (11)
standardized tool for assessment weak family support (710)
of perceived family support tools no family support (6)
by Procidano and Heller

BP measurement for each subject was taken using an Accoson


mercury sphygmomanometer after rested for 5 min Systolic BP
and diastolic BP taken in the sitting position at intervals of 2 min
And that results added to two previous BP within the last 6
months average of 3 BPs level of control
Uncontroll: BP 140/90 mmHg (nonDM) 130/80 mmHg (DM)
Statistical Analysis Ethical Consideration
SPSS chi-square
Ethical approval
BP control main outcome (dependent variable)
sociodemographic characteristics and perceived Informed consent
family support score independent variables
HASIL
HASIL
HASIL

The reasons for this may be due to


the highly subsidized drugs that NHIS clinic and
some COOP clinic respondents get through health
insurance.
DUKUNGAN KELUARGA
Dukungan keluarga adapat meningkatkan
Terkontrolnya tekanan darah 5 kali lebih disbanding
yang tidak mempunyai dukungan keluarga
Alasan :
- Di Afrika bentuk keluarga kebanyakan adalah
extended family
- Pernikahan juga sebagai pendukung karena terdapat
nya individu yang memberikan kita kasih saying dan
perhatian
- Support dari keluarga dan pasien dapat
menignkatkan kepatuhan pada terapi yang
diberikan
JENIS KELAMIN WANITA
Responden wanita mempunyai 2 kali lebih tinggi
dengan tekanan darah yang terkontrol disbanding
responden laki-laki (OR = 1.838, 95% CI = 1.177
2.869).

Alasan :
- Kontak yang lebih sering dengan fasilitas kesehatan
pada masa reproduktif
- Wanita, menerima diagnosis hipertensi lebih siap
walaupun tidak ada gejala yang terlihat dan adanya
kesadaran untuk tetap sehat Karena harus merata
keluarga
KESIMPULAN

Family support is important in the long-term management of hypertension, which requires


a life-long change in the lifestyle of the affected person. A strong perceived family support
will improve their self-worth and motivation .

Dukungan keluarga penting dalam managemen jangka panjang hipertensi yang


membutuhkan perubahan jangka panjang seumur hidup pada gaya hidup orang yang
terkena. Dukungan keluarga yang kuat dapat meingkatkan keercayaan diri dan
motivasi penderita.
CRITICAL APPRAISAL
P : 360 pasien selama bulan Mei sampai Juli tahun 2013 dari 3 klinik GOPC, NHIS, COOP dengan diagnosa
hipertensi esensial
I : Kuisioner Procidano and Heller
C:
Family support and blood pressure pattern in adult patients attending Baptist Medical Centre, Saki
Conclusions: This study showed that hypertension is still prevalent in the primary care population. Family
involvement in the management is very important to the family physician to be able to care adequately for the
varied patients seen in clinical practice
Self-management and family support in chronic diseases
Conclusions : Family support plays an important role in strengthening the self-management in people with a
chronic illness condition; however, its influence by itself is not enough, other factors should also be considered.
O : Dukungan keluarga bermakna secara signifikan dalam terkontrolnya tekanan darah pasien hipertensi
esensial
JBI Critical Appraisal Checklist for Analytical Cross Sectional Studies
Reviewer Date 18/8/2016
Author Oluwaseun S.Ojo, Sunday O. Malomo, Peter T Sogunle__
Year 2016 Record Number

Overall appraisal: Include Exclude Seek further info


Comments (Including reason for exclusion)
Yes No Unclear Not
applicable
1. Were the criteria for inclusion in the sample clearly

defined?
1. Were the study subjects and the setting described in

detail?
1. Was the exposure measured in a valid and reliable

way?
1. Were objective, standard criteria used for

measurement of the condition?
1. Were confounding factors identified?
1. Were strategies to deal with confounding factors

stated?
1. Were the outcomes measured in a valid and reliable

way?
1. Was appropriate statistical analysis used?
THANK YOU