Analysis of Continuous Education Services by Family Doctors in High Risk Cardiometabolic Patients
AbstractThis study aims to determine the effect of handling the concept of family medicine in continuous education services to patients with Cardiometabolic problems in the Elderly based on nutritional status and metabolic status.This research is a type of Quasy experimental research. Sampling was conducted at PKM Panambungan Makassar during the study period November 2016 - March 2017 taken by purposive sampling method that is to determine the sample based on the inclusion criteria.The results showed that there were 57 cardiometabolic patients who fulfilled the inclusion and exclusion criteria, which were divided into 2 groups receiving treatment with continuous education service and treatment group without continuous education service. This research uses a purposive sampling method that is to determine the sample based on the inclusion criteria to avoid the diversity in the sampling. The statistical test using independent T-test showed the difference of mean percentage of IMT examination result (r = 0.001), between continuous education service group (-13,19%) and the group without continuous education service (1,57%). Systolic blood pressure between continuous education (-0.36%) and with continuous education (4.32%) was significantly different (r = 0.116).Diastolic blood pressure between the continuous education service group (-3.82%) and with the group without continuous education service (-4.36%) did not differ significantly (r = 0.871). Cholesterol levels between continuous education service group (17.72%) and group without continuous education service (-5.72%) differed significantly (r = 0.003). GDS levels between continuous education service groups (-13.81%) and those without continuous education service (4.07%) differed significantly (r = 0.031). The mean of decreasing of the examination results on all variable that was found was higher in group of continuous education service. Increased BMI, GDS, and cholesterol are markers of increased risk of cardiometabolic disease. Thus, improving the risk of cardiometabolic disease except on the results of systolic and diastolic pressure tests, significant in groups with continuous education services.
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