Impact of a Community Engagement Program on Treatment Outcomes among People with Noncommunicable Diseases Attending Primary Care Clinics in Two South Indian States.

IF 0.7 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Ayesha Siddiqua Nawaz, Shailendra Kumar B Hegde, Oren Ombiro, Pachava Vengal Rao, Garima Sahai
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引用次数: 0

Abstract

Introduction: With epidemiological transition, the prevalence of diabetes and hypertension has significantly increased. Adherence to self-care is crucial to achieve blood glucose and blood pressure (BP) control.

Objectives: The study aimed to understand the impact of a structured community engagement program on blood glucose and BP levels among patients with diabetes and hypertension, respectively.

Methods: Patients receiving treatment at two primary care clinics at Karnataka and Telangana were enrolled after obtaining consent. Peer groups were created and weekly sessions on self-care conducted for 12 weeks. BP, body mass index, and glycosylated hemoglobin were recorded pre- and postintervention.

Results: Out of 284 patients enrolled, 202 underwent baseline investigations, and 142 (70%) completed all sessions. A median 3 mmHg reduction in systolic BP (SBP) was observed among hypertensive patients post intervention.

Conclusion: Community-based engagement sessions contributed to reduction in SBP. Similar model can be considered under the National Programme for Prevention and Control of Noncommunicable Diseases to improve self-care among noncommunicable disease patients by training health workers.

社区参与项目对在印度南部两个邦的初级保健诊所就诊的非传染性疾病患者治疗结果的影响。
导语:随着流行病学的转变,糖尿病和高血压的患病率明显增加。坚持自我护理是实现血糖和血压控制的关键。目的:本研究旨在了解结构化社区参与项目对糖尿病和高血压患者血糖和血压水平的影响。方法:在获得同意后,在卡纳塔克邦和特伦甘纳邦的两个初级保健诊所接受治疗的患者入组。建立同伴小组,每周进行自我护理会议,为期12周。干预前后分别记录血压、体重指数和糖化血红蛋白。结果:在284例入组患者中,202例接受了基线调查,142例(70%)完成了所有疗程。高血压患者干预后收缩压(SBP)中位值降低3mmhg。结论:社区参与会议有助于降低收缩压。在国家非传染性疾病预防和控制规划下,可以考虑采用类似的模式,通过培训卫生工作者来改善非传染性疾病患者的自我保健。
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来源期刊
Indian journal of public health
Indian journal of public health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
2.40
自引率
0.00%
发文量
92
审稿时长
21 weeks
期刊介绍: Indian Journal of Public Health is a peer-reviewed international journal published Quarterly by the Indian Public Health Association. It is indexed / abstracted by the major international indexing systems like Index Medicus/MEDLINE, SCOPUS, PUBMED, etc. The journal allows free access (Open Access) to its contents and permits authors to self-archive final accepted version of the articles. The Indian Journal of Public Health publishes articles of authors from India and abroad with special emphasis on original research findings that are relevant for developing country perspectives including India. The journal considers publication of articles as original article, review article, special article, brief research article, CME / Education forum, commentary, letters to editor, case series reports, etc. The journal covers population based studies, impact assessment, monitoring and evaluation, systematic review, meta-analysis, clinic-social studies etc., related to any domain and discipline of public health, specially relevant to national priorities, including ethical and social issues. Articles aligned with national health issues and policy implications are prefered.
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