Continuous follow-up intervention of a low-salt diet to control blood pressure among older people with hypertension in rural Indonesia
Problem considered: In older people, hypertension is a leading cause of death and results in serious complications that reduce the quality of life. A high-salt diet is one contributing factor to the increased incidence of hypertension in older people, and the implementation of appropriate interventi...
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Elsevier
2025-03-01
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| Series: | Clinical Epidemiology and Global Health |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213398425000326 |
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| author | Ivana Aprilia Pehopu Andi Masyitha Irwan Elly Lilianty Sjattar Sakul Changmai Noor Azah Abd Aziz |
| author_facet | Ivana Aprilia Pehopu Andi Masyitha Irwan Elly Lilianty Sjattar Sakul Changmai Noor Azah Abd Aziz |
| author_sort | Ivana Aprilia Pehopu |
| collection | DOAJ |
| description | Problem considered: In older people, hypertension is a leading cause of death and results in serious complications that reduce the quality of life. A high-salt diet is one contributing factor to the increased incidence of hypertension in older people, and the implementation of appropriate interventions is required to address this issue. The objective of this study was to determine the effect of providing education on a low-salt diet, along with continuous follow-up, on blood pressure control in older people with hypertension. Methods: This study used a quasi-experimental pre- and posttest with a control group design and involved 148 older people with hypertension who were randomly allocated. The intervention group received a one-time low-salt diet education and 2-month follow-up. In contrast, the control group received only standard education from the community health center with no follow-up. Results: In the control group, blood pressure showed no significant changes and tended to remain stagnant. The control group did not show significant changes in any variables, including systolic blood pressure (p = 0.747) and diastolic blood pressure (p = 0.208). In the intervention group, blood pressure decreased and remained stable during the first and second months. The statistical tests for the intervention group showed significant changes in both systolic blood pressure (p = 0.000) and diastolic blood pressure (p = 0.000). Conclusion: Providing education on a low-salt diet along with continuous follow-up significantly influences the control of blood pressure in older people with hypertension. |
| format | Article |
| id | doaj-art-3ebfaf1f4e5f4abe9f5ae097f3b3a50a |
| institution | Kabale University |
| issn | 2213-3984 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Clinical Epidemiology and Global Health |
| spelling | doaj-art-3ebfaf1f4e5f4abe9f5ae097f3b3a50a2025-02-07T04:47:30ZengElsevierClinical Epidemiology and Global Health2213-39842025-03-0132101943Continuous follow-up intervention of a low-salt diet to control blood pressure among older people with hypertension in rural IndonesiaIvana Aprilia Pehopu0Andi Masyitha Irwan1Elly Lilianty Sjattar2Sakul Changmai3Noor Azah Abd Aziz4Post Graduate Nursing Program, Faculty of Nursing, Hasanuddin University, Makassar, 90245, IndonesiaDepartment of Gerontological Nursing, Faculty of Nursing, Hasanuddin University, Makassar, 90245, Indonesia; Corresponding author.Post Graduate Nursing Program, Faculty of Nursing, Hasanuddin University, Makassar, 90245, Indonesia; Department of Gerontological Nursing, Faculty of Nursing, Hasanuddin University, Makassar, 90245, Indonesia; College of Nursing, Christian University of Thailand, 144 Don Yai Hom, Mueang Nakhon Pathom District, Nakhon Pathom, 73000, Thailand; Department of Family Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, 56000, Malaysia; Tomata Public Health Centre, North Morowali Regency, Central Sulawesi Province, 94665, Indonesia; Department of Medical Surgical Nursing, Faculty of Nursing, Hasanuddin University, Makassar, 90245, IndonesiaCollege of Nursing, Christian University of Thailand, 144 Don Yai Hom, Mueang Nakhon Pathom District, Nakhon Pathom, 73000, ThailandDepartment of Family Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, 56000, MalaysiaProblem considered: In older people, hypertension is a leading cause of death and results in serious complications that reduce the quality of life. A high-salt diet is one contributing factor to the increased incidence of hypertension in older people, and the implementation of appropriate interventions is required to address this issue. The objective of this study was to determine the effect of providing education on a low-salt diet, along with continuous follow-up, on blood pressure control in older people with hypertension. Methods: This study used a quasi-experimental pre- and posttest with a control group design and involved 148 older people with hypertension who were randomly allocated. The intervention group received a one-time low-salt diet education and 2-month follow-up. In contrast, the control group received only standard education from the community health center with no follow-up. Results: In the control group, blood pressure showed no significant changes and tended to remain stagnant. The control group did not show significant changes in any variables, including systolic blood pressure (p = 0.747) and diastolic blood pressure (p = 0.208). In the intervention group, blood pressure decreased and remained stable during the first and second months. The statistical tests for the intervention group showed significant changes in both systolic blood pressure (p = 0.000) and diastolic blood pressure (p = 0.000). Conclusion: Providing education on a low-salt diet along with continuous follow-up significantly influences the control of blood pressure in older people with hypertension.http://www.sciencedirect.com/science/article/pii/S2213398425000326Continuous follow-upLow-salt dietHealth educationOlder peopleHypertension |
| spellingShingle | Ivana Aprilia Pehopu Andi Masyitha Irwan Elly Lilianty Sjattar Sakul Changmai Noor Azah Abd Aziz Continuous follow-up intervention of a low-salt diet to control blood pressure among older people with hypertension in rural Indonesia Clinical Epidemiology and Global Health Continuous follow-up Low-salt diet Health education Older people Hypertension |
| title | Continuous follow-up intervention of a low-salt diet to control blood pressure among older people with hypertension in rural Indonesia |
| title_full | Continuous follow-up intervention of a low-salt diet to control blood pressure among older people with hypertension in rural Indonesia |
| title_fullStr | Continuous follow-up intervention of a low-salt diet to control blood pressure among older people with hypertension in rural Indonesia |
| title_full_unstemmed | Continuous follow-up intervention of a low-salt diet to control blood pressure among older people with hypertension in rural Indonesia |
| title_short | Continuous follow-up intervention of a low-salt diet to control blood pressure among older people with hypertension in rural Indonesia |
| title_sort | continuous follow up intervention of a low salt diet to control blood pressure among older people with hypertension in rural indonesia |
| topic | Continuous follow-up Low-salt diet Health education Older people Hypertension |
| url | http://www.sciencedirect.com/science/article/pii/S2213398425000326 |
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