SELF-MANAGEMENT PROGRAMS IN HYPERTENSIVE PATIENTS: A LITERATURE REVIEW

Introduction: The main cause of cardiovascular diseases that the largest cause of death in the world is hypertension. Nowadays, hypertension is not only occur in elderly, but also occur in adult.Therefore, self-management in hypertensive patiens is very important to control the blood pressure and prevent complications. The purpose of this paper is to identify self-managementprograms in hypertensive patients. Method: A narrative review of literature was performed to obtain studies that assessed self-management programs. Studies were selected by searching Ebscohost, ProquestandScienceDirect from 2010 to 2015for RCTs research design, with the keywords areself-management, self-care, hypertension, hypertensive, dan high blood pressure. Results: Five articles involving 1.486 hypertensive patients disscussed about education programs and home blood pressure monitoring (HBPM) by visit directly and HINTS by phone or internet. These programs were applied to outpatients within 8 weeks until 3 years. All studies have showed a significant result to reduce and control the blood pressure. Discussion: The conclusion of these studies is thateducation programs by visit directly or HINTS are effective to reducing the blood pressure patients. These programs could be applied by nurses to increseself-behaviour, self-efficacy, self-monitoring,andself-titrationtreatment in hypertensive patients. However, the most effective program (visit directly or HINTS) for self-management is still remain unknown. It is therfore needs further to explore the best educational program strategy for self-management in hypertensive patients with various aspects (ability and psychology patients, family support, and cost-effectiveness), especially in Indonesia. Key words: high blood pressure, hypertension, self-care, self-managemen

Understanding user reactions and interactions with an Internet-based intervention for tinnitus self-management: Mixed-methods evaluation

Purpose: Internet-based interventions have the potential to reduce the disparity in access to psychological therapy that people with tinnitus currently experience. One example is the Tinnitus E-Programme, which although freely available online, has not yet been formally evaluated. The purpose of this study was to evaluate past, current, and new users’ reactions and interactions with the Tinnitus E-Programme.Method: Study 1 used an online survey to gather past and current users’ reactions to, and interactions with, the intervention (n=27). Study 2 used interviews and a relaxation log to assess how new users implemented the skills they learned into their everyday lives (n=13). Results: Generally, users expressed positive views of the intervention content and design features. Users particularly valued the education about tinnitus and its management, and relaxation skills training, and use of these components was high. In contrast, user reactions to self-monitoring tools, an online support forum, and therapist support were mixed, and use was lower. Implementation was limited by instances of poor usability and accessibility, user engagement, and adherence to relaxation goals. Users’ perceptions of the interventions credibility and relevance, and beliefs regarding a negative impact on their tinnitus influenced engagement. Users in both studies identified several benefits gained, including functional and emotional management; self-efficacy for managing and coping with tinnitus; understanding tinnitus and its management; social support; and acceptance of tinnitus. Conclusions: Findings suggest that the intervention was acceptable to its target group but also highlighted some areas for improvement. These findings will be used to inform further optimization work

Self Management Education (Dsme) sebagai Metode Alternatif dalam Perawatan Mandiri Pasien Diabetes Melitus di dalam Keluarga.

Living and coping with diabetes can be difficult. However, it can have a full and active life even though for those who havediabetes. Diabetes self-management education (DSME) is the ongoing process of facilitating the knowledge, skill, and ability necessaryfor diabetes self-care The objective of this article is to discuss how to manage diabetes may not be easy but the benefits are worththe effort. The method used library research and analyzed descriptively. The conclusion are: (1) Diabetes self-management educationgives the patiend and family the skills and confidence they need to learn to manage the diabetes. (2) The overall objectives of DSMEare to support informed decision-making, self-care behaviors, problem-solving and active collaboration with the health care team andto improve clinical outcomes, health status, and quality of life

Perilaku Self-Management Pasien Diabetes Melitus (DM)

Diabetes Mellitus (DM) is one of the serious health problems in Indonesia. Since DM is a chronic disease, patients\u27 role (self-management) is very important either for treatment or DM-related complications prevention. This study was purposed to determine the level of patients\u27 diabetes self-management behavior, including diet, medication, exercise, blood glucose monitoring and foot care. Ninety-four responsdents were recruited randomly by gave the informed consent to diabetes patients. The questionnaire was developed by the researcher, with Chronbach Alpha 0,930 and inter-item correlation 0,385 to 0,797, which mean the instrument was valid and reliable. The results showed that in five aspects, more than half of responsdents (64,9%) reported that they performed good self-management. Almost all responsdents (94,7%) reported good medication, more than half of responsdents did well in diet, exercise (61.7%) and foot care (77.7%). However, only 25.5% responsdents who performed monitoring blood glucose levels properly. It called be good level when it fill the score criteria of the answer.Therefore, it was recommended for nurses and the hospital to develop any program to improve patients\u27 diabetes self-management behaviors, especially in the monitoring blood glucose

Children and young people’s experiences and perceptions of self-management of type 1 diabetes: A qualitative meta-synthesis

The aim of this review was to conduct a meta-synthesis of the experiences and perceptions of self-management of type 1 diabetes of children and young people living with type 1 diabetes (CYPDs). Six databases were systematically searched for studies with qualitative findings relevant to CYPDs’ (aged 8–18 years) experiences of self-management. A thematic synthesis approach was used to combine articles and identify analytical themes. Forty articles met the inclusion criteria. Two analytical themes important to CYPDs’ experiences and perceptions of self-management were identified: (1) negotiating independence and (2) feeling in control. The synthesis contributes to knowledge on contextual factors underpinning self-management and what facilitates or impedes transition towards autonomous self-management for CYPDs

Self-Management and Self-Management Support on Chronic Low Back Patients in Primary Care

Chronic low back pain (CLBP) afflicts 28.5% of adults costing $100-200 billion dollars. In response, the Institute of Medicine (2011) strongly recommended self-management (SM) to engage patients to care for themselves adequately. Healthcare professionals are also urged to provide effective self-management support (SMS) to empower patient’s ability to self-manage. SM and SMS have shown success in improving other chronic disease outcomes; current knowledge base are insufficient in non-malignant CLB

Self-management needs of Irish adolescents with Juvenile Idiopathic Arthritis (JIA): how can a Canadian web-based programme meet these needs?

Background Juvenile Idiopathic Arthritis (JIA) affects over 1000 children and adolescents in Ireland, potentially impacting health-related quality-of-life. Accessible self-management strategies, including Internet-based interventions, can support adolescents in Ireland where specialist rheumatology care is geographically-centralised within the capital city. This study interviewed adolescents with JIA, their parents, and healthcare professionals to (i) explore the self-management needs of Irish adolescents; and (ii) evaluate the acceptability of an adapted version of a Canadian JIA self-management programme (Teens Taking Charge: Managing Arthritis Online, or TTC) for Irish users. Methods Focus groups and interviews were conducted with Irish adolescents with JIA (N = 16), their parents (N = 13), and Irish paediatric healthcare professionals (HCPs; N = 22). Adolescents were aged 12–18 (Mage = 14.19 years), and predominantly female (62.5%). Participants identified the needs of adolescents with JIA and evaluated the usefulness of the TTC programme. Data were analysed using a thematic analysis approach. Results Five themes emerged: independent self-management; acquiring skills and knowledge to manage JIA; unique challenges of JIA in Ireland; views on web-based interventions; and understanding through social support. Adolescents acknowledged the need for independent self-management and gradually took additional responsibilities to achieve this goal. However, they felt they lacked information to manage their condition independently. Parents and adolescents emphasised the need for social support and felt a peer-support scheme could provide additional benefit to adolescents if integrated within the TTC programme. All participants endorsed the TTC programme to gain knowledge about JIA and offered suggestions to make the programme relevant to Irish users. Conclusions There is scope for providing easily-accessible, accurate information to Irish families with JIA. The acceptability of adapting an existing JIA self-management intervention for Irish users was confirmed