The use of health coaching in controlling blood pressure of hypertensive patients in the family:literature review

Background:Family is an essential element in caring for clients with hypertension.Appropriate hypertension management can reduce health risks during the treatment.Health coaching in family is a critical intervention to control and manage hypertension through providing education,information,and skills intervention are needed to support lifestyle improvements,manage chronic conditions,and prevent complications of hypertension.This literature study describes health coaching for controlling blood pressure among clients with hypertension in the family.Methods:Narrative literature review was performed to select the article that relates to health coaching of hypertension in the family using search engines including PubMed,ProQuest,SpringerLink,ScienceDirect,and Google Scholar by using keywords health coaching,family,hypertension,and blood pressure.The analysis of articles was carried out using four stages based on the PRISMA flowchart diagram.Results:The results indicated eight articles that were analyzed in this study.Interactive health coaching interventions based on a healthy lifestyle carried out with patients and families effectively improve medication adherence and reduce systolic and diastolic blood pressure.Meanwhile,health coaching applied regarding the principles including motivation,discussion,interviews and goal setting to influence behavior change and self-management.Conclusions:That health coaching applied for families with clients with hypertension is effect on reducing blood pressure and other changes,including knowledge,self-efficacy,and behavior towards health services for patients with hypertension.Therefore,health coaching for the family could be used as a family intervention for clients with hypertension during home health care.

Home-based health care model for caring of family in the prevention of COVID-19

Background In order to prevent the widespread spread of COVID-19,a physical distancing program has been implemented,where it is necessary to maintain a distance of at least 6 feet between individuals.COVID-19 spreads mainly among people who have been in close contact for a prolonged period.This study aims to make it easier for nurses to provide nursing care to families experiencing COVID-19.New health problems have made it difficult for nurses to provide care,and thus this model was developed to assist nurses in providing care[1].The effectiveness of family nursing care during the social distancing period will be analyzed using one-way analysis of variance for measurements I,II,III,and IV.The effectiveness of providing family nursing care with a focus on meeting the family’s basic needs and quality of life can be assessed by comparing measurements at the beginning and end of coaching every month using a paired t-test.To prepare a family health promotion model during the COVID-19 social distancing period,a factor analysis will be carried out using both explanatory factor analysis and confirmatory factor analysis through struqtural equation model testing.

A community-based friendly health clinic:An initiative adolescent reproductive health project in the rural and urban areas of Indonesia

Objective:This study aims to examine the effects of a community-based friendly health clinic(CFHC)program that adopts manual participatory learning(MPL)intervention on the adolescents living in the rural and urban areas of Indonesia to gain further insights into their knowledge,attitudes,and skills related to adolescent reproductive health(ARH).Methods:A quasi-experimental design was used to obtain information on the ARH knowledge,attitudes,and skills of adolescents.Two intervention studies that used similar protocols and measures were conducted.A total of 192 adolescents(96 adolescents from urban and rural areas)participated in the project,and the participants from each area were divided into eight groups.A questionairre was adopted to measure the ARH knowledge,attitudes,and skills of these participants.A content analysis of the logbook entries of these respondents was conducted to identify their ARH-related problems.The questionnairre and self-reported ARH data were collected before and after the eight-week program.Results:The CFHC program significantly increased the ARH attitudes(p=0.045)and skills(p=0.009)of adolescents in the rural area,but only improved the ARH knowledge(p<0.001)of adolescents in both rural and urban areas.Fourteen themes were identified in three dominant categories,namely,schools,families,and communities.Conclusions:The CFHC with MPL intervention can improve the ARH knowledge,attitudes,and skills of adolescents in the rural area,but can only improve the ARH knowledge of adolescents in the urban area.The ARH program must be designed based on the characterictics of these adolescents to improve their life skills during puberty.

Adherence to medication behavior among tuberculosis patients and their affecting factors:a cross-sectional study at Public Health Center of Wonogiri District, Indonesia

Objective:This study aimed to identify the influence of predisposing,enabling,and reinforcing factors and the adherence to medication behavior among tuberculosis patients in Selogiri Wonogiri Public Health Center.Methods:This study employed a descriptive cross-sectional research design.A questionnaire was used to collect primary data.Secondary data were obtained from patient treatment cards(Form TB 01).This research was carried out at Selogiri Health Center from November to December 2017.The participants were patients,both new and old patients,who had completed their treatment in the last 2 months or more,recorded from January 2016 to December 2017.A total sampling technique was used in this study.Logistic regression analysis was used to analyze the influence of predisposing,enabling,and reinforcing factors and the adherence to medication among tuberculosis patients.Results:The results of logistic regression analysis indicated that there were four independent variables that have a significant relationship with treatment variables,namely education(odds ratio(OR)=0.025;95%confidence interval(CI)=0.001-0.039);knowledge(OR=3.37;95%CI=0.19-57.71);type of drug(OR=0.448;95%CI=0.012-16.07),and means of transportation(OR=25.77;95%CI=1.33-500.47).Conclusions:Education,knowledge,type of drug,and means of transportation influence medication compliance among tuberculosis patients.Therefore,supporting patients during medication program of tuberculosis is needed to improve their adherence medication during multidrug therapy.

School health promotion:A cross-sectional study on Clean and Healthy Living Program Behavior(CHLB)among Islamic Boarding Schools in Indonesia

Objective:This study aims to identify the knowledge,attitude,and behavior of students using eight indicators of Clean and Healthy Living Behavior(CHLB)in relation to the health education and grade levels in Islamic Boarding Schools(IBS)in Jember regency,East Java Province,Indonesia.Methods:A cross-sectional school-based survey design was used.About 114 students(mean age of 13.17 years old)selected through a multi-stage random sampling completed a selfadministered questionnaire to measure the eight indicators of CHLB,such as washing hands with running water and soap,eating healthy snacks,using clean and healthy latrines,exercising regularly and measurably,eradicating mosquito larvae,not smoking at school,weighing and height measurement every 6 months,and disposing garbage properly.The data analyses included descriptive and comparative analyses of the difference in knowledge,attitude,and behavior toward CHLB by health education and grade level.Results:About 66.7% students received health education.Significant knowledge in CHLB in relation to health education and grade was observed(P<.05),including in-depth knowledge of exercises,measurable weight and height,smoking,and healthy latrines.Meanwhile,no significant difference was observed between the attitude toward CHLB and health education in different grade levels.Furthermore,CHLB was associated with health education,including habitual exercise and using of clean and healthy latrines.

Effects of progressive muscular relaxation and stretching exercises combination on blood pressure among farmers in rural areas of Indonesia:a randomized study

Objective:Maintaining blood pressure(BP)could improve the quality of life among farmers in agricultural health.The study aims to evaluate the effects of progressive muscular relaxation and stretching exercises(SEs)for BP in farmer subjects in rural areas.Methods:A randomized controlled design was applied for this study.We performed a method,which is the combination of progressive muscle relaxation(PMR)and SEs for participants(30 in the control group and 60 in the intervention group).The intervention group self-practiced PMR and SEs through a video that providing instructions for 15 min.PMR practiced before going to sleeping in the night,and SEs practiced before going to farms in the morning per day for 3-months.Wilcoxon signed-rank test was performed to measure the difference between systolic blood pressure(SBP)and diastolic blood pressure(DBP)as one pre-and post-test comparison of baseline and 3 months data in control and intervention groups.Results:There were no significant differences between SBP and DBP pre-and post-test in control group(P>0.050).Meanwhile,there were significant differences in reducing SBP(M=126.67;SD=18.07;95%CI=120-147.5 mmHg)and DBP(M=80.67;SD=6.91;95%CI=80-90 mmHg)pre-and post-test combination of PMR and SEs in intervention group(P<0.001).After 3-months of follow-up data,number type SBP and DBP still remained at the same levels of baseline and 3-month data in control group.While,there was an increased number of normal and prehypertension for SBP and DBP(10%vs.10%and 20%vs.31.6%)and reduced of hypertension stage I for SBP and DBP(30%vs.41.6%).Conclusions:This pilot study demonstrated effectively to reduce SBP and DBP among farmers using the combination of PMR and SEs in the agricultural health setting.

Prevalence and associated factors of health problems among Indonesian farmers

Objective： This study examined the prevalence of health problems and their associated factors among Indonesian farmers.Methods： A cross-sectional study was conducted among 179 farmers who completed a self-administered questionnaire and physical examination. The data were analyzed using descriptive, comparative, and multinomial logistic regression analyses.Results： The prevalence of varying health problems was 28.5% underweight, 10.6% overweight, 62.6% anemia, and 50.3% joint and bone pain. These results showed that being older and drinking coffee increased the likelihood of being underweight, while having less than 30 min of recess per working period and working for more than 5 days per week decreased the likelihood of being overweight.Meanwhile, being a younger male and working for less than 5 days per week decreased the risk of anemia. Furthermore, older age and less than 30 min of recess per working period were associated with increased joint and bone pain.Conclusions： We recommend the provision of screening programs and health education programs,including dietary programs and physical and exercise programs, by the occupational health nursing（OHN） program, to prevent and reduce health problems in the agricultural sector.

印度尼西亚青少年生殖健康促进行为影响因素的结构模型

目的运用结构方程模式探索印度尼西亚青少年生殖健康的健康促进影响因素,建立结构模型并进行测试。方法采用横断面量性研究方法,调查108名12~16岁青少年。根据基于自我效能的健康促进模型和授权模型自设问卷,调查生殖健康促进行为的相关因素素。采用结构方程模型验证变量之间的关系。采用AMOS评估所提出的模型是否适用于所获得的数据。结果该模型数据拟合尚可。自变量之间存在相关关系(P<0.05),包括:个体因素与认知因素(r=0.01)、认知因素和健康促进行为(r=0.09)、情感和健康促进行为(r=0.17)。赋权与健康促进行为之间的关系最为密切(r=0.72)。情感(人际和情境影响)、直接竞争的要求和偏好,以及授权(参与和控制)都与生殖健康行为维持直接相关。同时,青少年的意愿、先前的相关行为、个人因素以及对行动计划的承诺与生殖健康行为维持间接相关。该模型解释了生殖健康行为维持43.9%的变异。结论健康促进模型和授权模型维护有助于确定青少年生殖健康行为维持的相关因素。促进印度尼西亚青少年生殖健康的干预应从儿童-家长-保健专业接触的水平开始,以改善青少年的生殖健康。

日本2型糖尿病患者关系意识量表的信效度研究

目的通过发展与其他糖尿病患者的关系,可以改善2型糖尿病的治疗。以健康信念模型为基础,建立日本2型糖尿病患者关系意识量表,测量2型糖尿病患者与其他患者的关系意识。方法对日本2型糖尿病患者(n=289例)进行横断面调查。通过探索性因子分析、可靠性检验、同时效度对数据进行分析。结果日本2型糖尿病患者关系意识量表最终版由6个因子构成,共36个条目。所有条目的Cronbach's a系数为0.893,解释了总方差的59.38%。该量表与另--个相关的互惠意识量表显著相关。结论日本2型糖尿病患者关系意识量表可能是评估2型糖尿病患者关系意识的一个重要工具。此外,通过了解患者对同类疾病患者的关系意识,护士可以推荐在患者间建立适合的关系。

Prevalence of underweight and overweight among school-aged children and it's association with children's sociodemographic and lifestyle in Indonesia

Objectives:Underweight remains a health problem among Indonesian children,and the incidence of overweight continuously increases.This study aims to determine factors associated with underweight and overweight in school-aged children in Indonesia.Methods:This study is a cross-sectional investigation on parents and children aged 6e13 years in elementary schools in Makassar,Indonesia.The participants included 877 children and their parents.Anthropometric data were obtained using standardized equipment,and sociodemographic and lifestyle data were determined using a questionnaire.The nutritional status of the children was assessed based on the child growth standard prescribed by the WHO.Results:The prevalence rates of underweight and overweight among the children were 14.5%and 20.4%,respectively.Underweight was more prevalent in boys.Factors such as mother's level of education,having an underweight father,and playing outdoors on weekends for more than 2 h were significantly associated with underweight children.By contrast,mothers with high levels of education,overweight parents,sleeping for less than 9 h,and playing outdoors on weekends for less than 1 h were significantly associated with overweight children.

Peer educator training program for enhancing knowledge on issues in the growth and development of adolescents and risk behavior problems in Indonesian context

Objective： This article aimed to evaluate the effects of an educational intervention programme on improving peer educator （PE） knowledge in issues around growth and development and its risk behavior problems of adolescents in Indonesia. Methods： The study was conducted in 31 of PEs to evaluate their knowledge in adolescents. The PEs received health education and were assessed by individual work during the structured three-week programme. Data were collected before and after the training programme as pre- and post-tests. Results： The PE demonstrated significant improvements in their knowledge after attending the three-week structured training programme. The post-test scores had significant effects on the dimensions of PE knowledge scores. The PE become knowledgeable to maintain and monitor adolescents health issues around growth and development and its risk behavior problems of adolescents. Conclusions： The PE become knowledgeable to respond to the adolescent problems and readiness to become PE during puberty.

Characteristics,causality,and suicidal behavior:a qualitative study of family members with suicide history in Wonogiri,Indonesia

Objective:This study explored the characteristics,causality,and suicidal behavior among family members with suicide history in Wonogiri,Central Java,Indonesia.Methods:Qualitative semistructured interviews were conducted with 15 family members who had made suicide attempts.The interviews directly explored the relationships among characteristics,causality,and suicidal behavior.The research data were analyzed using the Miles and Huberman approach.Results:The results indicate that there are relationships among characteristics,causality,and suicidal behaviors.The characteristics contributing to suicide attempts were male gender,age(adolescence and old age),lack of religious activities,introvert nature,low economic status,chronic diseases,unemployment,and a history of family members with suicide attempts.The causality of suicide was joblessness,economic crisis,unemployment,family conditions,personality disorder,depression,sickness,and suicide ideation.Conclusions:The findings highlight the relationships among characteristics,causality,and suicidal behaviors.Suicide occurs when individuals have some problems that they cannot solve because of the lack of family support.The causal factors were related to one another,which caused the suicidal behavior.One of the most effective suicide prevention strategies is educating the community on how to identify suicidal signs and increase social supports.

Community-based intervention of chronic disease management program in rural areas of Indonesia

Objective:This study evaluates the community-based intervention of chronic disease management(CDM)through the Integrated Non-Communicable Diseases Health Post(Posbindu-NCD)conducted by a community of health workers(CHWs)in Indonesia’s rural areas.Methods:A cohor t retrospective study evaluated 577 par ticipants from Posbindu-NCD in 7 public health centers(PHCs)in 2019.Activities of intervention of CDM for Posbindu-NCD was included,identified risk factors to NCDs,and provided counselling education and other follow-ups based on interviews and measurement results from the five Desk systems that recorded in a medical record as a form of the monthly activity report each the first month,the 6 months,and the 12th month.Results:There were statistically significant differences for alcohol consumed and diabetes mellites(χ^(2)=10.455;P=0.001).There were significant differences on gender(χ^(2)=3.963;P=0.047),on ethnicity(χ^(2)=19.873;P<0.001),and hypertension.In addition,there were also significant differences on ethnicity(χ^(2)=15.307;P<0.001),vegetable consumption(χ^(2)=4.435;P=0.035),physical exercise(χ^(2)=6.328;P=0.012),and the current diseases of hypercholesterolemia of par ticipants.Fur thermore,the survival rate among patients who have overweight,abdominal overweight,hyper tension,diabetes mellitus,and hypercholesterolemia increased among par ticipants who regularly visited Posbindu-NCD compared with the non-regularly one.Conclusions:The CDM program’s community-based intervention through Posbindu-NCD conducted by CHWs improved survival rates in Indonesia’s rural areas.Therefore,this program can be fur ther developed in conducting CDM in the community with the active involvement of CHWs so that the community becomes active regularly in par ticipating in Posbindu-NCD activities in rural areas of Indonesia.

The integration of integrated management of childhood illness into the pediatric nursing course for associate degree nursing students in aceh, Indonesia

Background and aims:Associate degree nursing students as future nurses must have the competency to perform IMCI(Integrated Management of Childhood Illness)which can be achieved by incorporating IMCI learning during the college study.Currently the IMCI learning for associate degree in nursing program in Aceh is still conducted conventionally which takes two meetings of a hundred minutes with IMCI chart as the only taught material.Some of the students obtain IMCI practical study experience at public health centers while others do not have any experience.Thus,there needs to be a model of IMCI learning integration into a course,and that is pediatrics nursing course.Therefore,the aimed this study was to identify the model of IMCI learning integration into the pediatrics nursing course.Methods:The design of the research is the randomized pretest-posttest control group design.For the quantitative study was 74 people(37 in the control group and 74 in the intervention group).The intervention in this study is learn of IMCI with study guided method used module.Results:The IMCI knowledge,procedural knowledge,attitude and practice scores were higher after IMCI learning by study guide method compared to IMCI learning by conventional method using IMCI chart.The higher the IMCI knowledge score,the higher the IMCI practice score.Conclusions:IMCI learning by the method of study guide using module has significant influence towards the increase of IMCI knowledge,procedural knowledge,attitude,and practice scores.Active learning program needs to be designed for students to assist their studying and achieve the learning objectives independently.

The differenced of characteristics of contraceptive method of condom and vasectomy: A cross-sectional study among married of male in Indonesia

Background and aims:Indonesian government is regulating a family planning program to restricted fertility among reproductive aged.However,participated of married male for using contraceptive is very lowest in Indonesia.Methods:A cross-sectional study was conducted among 168 of married male(84 of condom method and 84 of vasectomy method)from April to August 2019 in Jember regency of East Java,Indonesia using purposive sampling method.A self-administered questionnaire was used to measure sociodemographic and contraceptive method of participants.Chi square test was performed to analyze the differences of characteristic of contraceptive method of condom and vasectomy among married male(P<0.05).Results:There were a significant differenced ethnic(χ^2=7.664,P-value=0.006)and access of information(χ^2=8.111,P-value=0.044)between condom and vasectomy method among married male.Conclusion:Characteristics of ethnic and access information are related with contraceptive method choosing for using condom and vasectomy among married male in Indonesia.Therefore,accessibility of contraceptive method through health education should be implemented for married male in Indonesia setting regarding their social and cultural context.

The relationship of family separation and nutrition status among under-five children: a cross-sectional study in Panti Public Health Center, Jember Regency of East Java, Indonesia

Background:Nowdays,both of parents are working to fulfill their family needs and family financial.However,this condition effected separation of family that have a negative impact for children.Children can lose of a primary caregiver who can endanger the welfare of children.Purpose:To analyzed the relationship between family separation and nutritional status of under-five children aged in Panti District of Jember Regency.Methods:A cross-sectional design was conducted among 53 families using total sampling.A family background questionnaire was used to measure sociodemographics and separation of family.Among 53 families were 78.2%of separation with father,while 38.6%of children with a good nutrition status.Kruskal Wallis and One-Way Anova was performed to answer the objective of this study.Results:The result showed that,there were no correlation between length of separation with nutritional status(F=0.377;P-value=0,688).Meanwhile,distance of separation wascorrelated with nutritional status(c2=8.310;P-value=0,016).Conclusion:Parents need to improve relationships,communication and the distribution of proper autonomy in family.It can make the nutritional status and health level of the child becomes better.

Family counseling of dental and oral care for preventing caries of dental during preschool age: a literature review

Incorrect family behavior in caring for the dental and oral health of preschool-aged children can affect the incidence of dental caries in these children and can cause more serious health problems in the future if not treated immediately,so it is important to find the right solution.This study aims to determine the effect of family counseling on dental and oral care for preschoolers.This study uses a narrative literature review method.Search articles using 5 databases(Pubmed,ScienceDirect,SpringerLink,ProQuest,and Google Scholar)to search for articles with the keywords family counseling AND Oral health AND Early Childhood Caries AND Behavior Change AND Family and the article selection process refers to the Flow diagram of the PRISMA Statement 2020.The results showed that there were 7 articles analyzed in this study.The implementation of family counseling has a significant effect in increasing self-efficacy,knowledge,ability,and motivation of the family,as well as the behavior of the child,to reduce the risk of dental caries in preschool-age children,taking into account several conditions.It was determined that family counseling is effective in reducing the incidence of dental caries in preschool children.