Establishing a community hypertension team in the barangays to improve blood pressure control of hypertensive patients in Dulag, Leyte / (Record no. 3366)

MARC details
000 -LEADER
fixed length control field 04558 a2200193 4500
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Limos, Joseph Robert S.
9 (RLIN) 12815
245 1# - TITLE STATEMENT
Title Establishing a community hypertension team in the barangays to improve blood pressure control of hypertensive patients in Dulag, Leyte /
Statement of responsibility, etc. Joseph Robert S. Limos.
300 ## - PHYSICAL DESCRIPTION
Extent xii, 92 leaves : color illustrations
500 ## - GENERAL NOTE
-- Limos, J. R. S. (2017). Establishing a community hypertension team in the barangays to improve blood pressure control of hypertensive patients in Dulag, Leyte (Unpublished master's thesis). Graduate School of Public and Development Management, Development Academy of the Philippines.
502 ## - DISSERTATION NOTE
Department Graduate School of Public and Development Management
Program Health Systems and Development
Batch Batch 7
Additional Note Thesis (MPM-HSD)--Development Academy of the Philippines.
520 ## - SUMMARY, ETC.
Summary, etc. Cardiovascular diseases account for most non communicable disease deaths annually. Hypertension is quantitatively the most important risk factor for premature cardiovascular disease, being more common than cigarette smoking, dyslipidemia, and diabetes, which are the other major risk factors. It is mainly due to an interaction of environmental and genetic factors. Although the precise genetic factors influencing blood pressure are largely unknown, many of the environmental and social factors that contribute to the development of high blood pressure are well known, and include obesity, excessive alcohol consumption, sedentary lifestyle, unhealthy diet, and stress. In the municipality of Dulag, Leyte, for the past five years, complications related to uncontrolled hypertension continued to belong to the top five leading causes of morbidities and mortalities. The researcher analyzed the problem as caused by limited access and poor quality of hypertension treatment and control services in the municipality. Thus, this study came up with three objectives first, to determine the characteristics of the hypertensive patients in the municipality specifically their socio demographic and clinical profile, their level of hypertension knowledge, and level of self efficacy skills, second, to determine the barriers in hypertension treatment and control present in the municipality, and third, to implement an appropriate strategy that would improve hypertension treatment and control in the municipality. The mode of the research was qualitative and the method was descriptive. Results showed that in the municipality, majority of the hypertensive patients were male, married, 40 59 years old, and were below college level. For the clinical profile, majority had abnormal body mass indices ranging from overweight, obese, to extremely obese. Most of the patients lifestyle were unhealthy. They were mostly sedentary and had unhealthy diets. The patients level of hypertension knowledge were moderate to low and their levels of self efficacy skills in adherence to treatment were mostly moderate. The barriers in hypertension treatment and control that were identified were grouped into capability barriers (ones skills and abilities to perform a behaviour), intention barriers (ones commitment for change), and health care system barriers (health system constraints). Majority of the factors that served as barriers stemmed from poor quality and limited access to hypertension treatment and control services. The researcher then addressed the barriers through the establishment of a community hypertension team per BHS, a team composed of a nurse/ rural health midwife, and barangay health workers headed by a physician that delivered and brought down hypertension management services from the rural health unit down to the barangay level. Emphasis was also given on regular information education campaign and regular patient monitoring. By improving the overall quality and access to hypertension treatment and control services, three months post implementation of the strategy, there was a constant increase in follow up rates, compliance to maintenance medications and lifestyle modification. There were also significant improvements in blood pressure readings of patients, thus improving the overall status of hypertension control in the municipality.
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Hypertension
General subdivision Prevention and control--Dulag, Leyte, Philippines.
9 (RLIN) 22051
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Hypertension
General subdivision Risk factors.
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Rural health services.
9 (RLIN) 21223
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Cuyco, Ethel C. (Chairperson)
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Tandinco, Filedito D. (Institutional Partner)
9 (RLIN) 11816
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Valido, Ezra M. (Defense Panel Member)
9 (RLIN) 12818
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type THESIS
Source of classification or shelving scheme Library of Congress Classification
Holdings
Withdrawn status Lost status Source of classification or shelving scheme Damaged status Not for loan Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Date last checked out Price effective from Koha item type
    Library of Congress Classification     MAIN MAIN 08/05/2019 1 RC 685 L56 2017 TD00347 08/06/2019 08/06/2019 08/05/2019 THESIS

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