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

作     者：Tantut Susanto Kumboyono Irawan Fajar Kusuma Adzham Purwandhono Junaiti Sahar Tantut Susanto;Kumboyono;Irawan Fajar Kusuma;Adzham Purwandhono;Junaiti Sahar

作者机构：Department of CommunityFamily and Geriatric NursingFaculty of NursingUniversitas JemberJember 68121Indonesia Department of CommunityFamily and Geriatric NursingSchool of NursingFaculty of MedicineUniversitas BrawijayaMalang 65145Indonesia Department of Internal Medicine and NeurologyFaculty of MedicineUniversitas JemberJember 68121Indonesia Department of NeurologySoebandi Regional HospitalFaculty of MedicineUniversitas JemberJember 68121Indonesia Department of CommunityFamily and Geriatric NursingFaculty of NursingUniversitas IndonesiaDepok 16424Indonesia 

出 版 物：《Frontiers of Nursing》 (护理前沿（英文）)

年 卷 期：2022年第9卷第2期

页      面：187-195页

学科分类：1011[医学-护理学（可授医学、理学学位）] 10[医学] 

基　　金：supported by the University of Jember for funding IDB grand research No.2589/UN25.3.1/LT/2020 

主　　题：chronic disease management community-based intervention community health worker non-communicable disease 

摘      要：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 ***:A cohor t retrospective study evaluated 577 par ticipants from Posbindu-NCD in 7 public health centers(PHCs)in *** 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 ***: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;P0.001),and *** addition,there were also significant differences on ethnicity(χ^(2)=15.307;P0.001),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 *** 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 ***:The CDM program’s community-based intervention through Posbindu-NCD conducted by CHWs improved survival rates in Indonesia’s rural ***,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.