地域医療と健康教育

抽象的な

Education-Oriented Control Book for Patients with Hypertension in Primary Health Care

Novita Gemalasari Liman, Chici Pratiwi, Nadira Vidyarani Susilo and Muchtaruddin Mansyur

Background: Based on program evaluation conducted at a hypertension primary health care, we found that the major problem of this clinic was lack of medication and control compliance of the patients. The chosen solution to solve this problem was developing an education-oriented control book for the patients. Objective: To establish a qualified education-oriented control book for hypertensive patients in primary health care. Method: This qualitative study lasted for nine days in a hypertension primary health care clinic in Central Jakarta, Indonesia. It consisted of six stages: the project design, development of control book, development of communicative educational messages, pretesting, revision, and evaluation by health professionals. Health staffs working at the clinic participated in filling the ten-question questionnaire of evaluation for previous control book and education-oriented control book. The mean scores were compared using t-test or Mann-Whitney U test. Discrimination was validated by the area under the curve (AUC) of receiver operating characteristic (ROC) curve analysis. Results: The education-oriented control book has 20 pages, 20.5cm × 14.5cm in size. The second page (after the title page) until the sixth page contains communicative educational messages. The seventh-the nineteenth page consist of patient’s health care records and the last page was for blood pressure chart. From the analysis, we found total mean scores for previous control book and education-oriented control book were 29.2 ± 1.64 and 34.2 ± 1.64 (p<0.001). ROC curve analysis showed statistically significant power of discrimination in education-oriented control book (AUC= 0.881). Conclusion: The education-oriented control book presented a significant discrimination in our population and has potential for clinical applications as a part of health promotion media in hypertension primary health services.