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Ni'mah, Siti Luluk Khamidahtun
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Public Health

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Relationship of High Stress with Hypertension in Adults: Meta Analysis Ni'mah, Siti Luluk Khamidahtun; Sukma, Sukma
Journal of Epidemiology and Public Health Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2022.07.01.11

Abstract

Background: Hypertension is a condition that causes a person to experience a drastic increase in blood pressure. Hypertension is often referred to as the silent killer because it can damage target organs such as the brain, eyes, kidneys, heart and arteries. Based on the cause, the increase in blood pressure can occur due to essential or primary hypertension such as high stress. The aim of this study was to estimate the relationship between high stress and hypertension in adults, with a meta-analysis of the primary study conducted by the previous authors. Subjects and Method: This study is a meta-analysis using the PICO ie, population: adults; Intervention: high stress; Comparison: low stress; Result: hypertension. The articles used in this study were obtained from two databases, namely Pubmed and Google scholar. The keywords in the article search were “adults” AND “high stress” AND “low stress” AND “hypertension” cross-sectional or “Stress” AND “hypertension”. The included article is in full English with a cross-sectional study design for 2014 to 2021 and reports the adjusted odds ratio (aOR) in a multivariate analysis. Article selection using PRISMA flow chart. Article analysis using the Review Manager 5.3 application. Results: 10 articles with a cross sectional study involving 3,436 adults from 4 continents namely Asia, Europe, Africa and America to be used as a systematic review and meta-analysis. The data collected showed that high stress had a relationship with the occurrence of hypertension in adults as much as 1.66 times compared to adults with low stress (aOR=1.66; 95%CI= 1.28 to 2.17; p= 0.002). Conclusion: High stress has a relationship with hypertension in adults. Keywords: adults, high stress, hypertension Correspondence: Siti Luluk Khamidahtun Ni’mah. District Health Office of Ponorogo. Jl. Basuki Rahmad, Ponorogo, East Java, Indonesia. Email: lulupanma@gmail.com. Mobile: 08562563503.
Effectiveness of Telehealth in Improving Quality of Life and Lowering Depression in Post-Stroke Patients: A Meta-Analysis Ni'mah, Siti Luluk Khamidahtun; Tamtomo, Didik; Murti, Bhisma
Journal of Epidemiology and Public Health Vol. 8 No. 1 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2023.08.01.06

Abstract

Background: People who have a stroke are generally more likely to have difficulty managing daily activities such as walking, bathing, dressing, and participating in activities in the community and showing symptoms of depression that affects the quality of life. Telehealth is here to help people communicate with health workers without having to come directly to health facilities. The study aims to analyze how much effect telehealth has in improving the quality of life and reducing the risk of depression in post-stroke patients.Subjects and Method: This was a meta-analysis study using PICO. Population: post-stroke patients. Intervention: telehealth. Comparison: no telehealth. Outcome: quality of Life and depression. This study used articles from several databases namely Pubmed, Google Scholar, Science Direct, and Cochrane Library using the keywords "Stroke" AND "telehealth" OR "Telerehabilitation" OR "Tele-medicine" OR "Mobile health" OR "mHealth " OR "eHealth" AND "Quality of Life" OR "Health-Related Quality of Life" AND "Depression" AND "Randomized Controlled Trial" OR "RCT" to identify relevant studies. The articles included in the study were articles in English with RCT study design, published between 2012 and 2022. Steps in the systematic review were carried out based on guidelines from PRISMA flow diagram. Quantitative analysis was performed using Revman 5.3.Results: 8 RCTs article from America, Asia, and Europe showed that post-stroke patients who obtained telehealth services on average had 0.87 units higher quality of life than those without telehealth (SMD=0.87; 95% CI =0.30 to 1.44; p=0.003). 8 RCTs article from America and Europe showed that post-stroke patients who obtained telehealth services on average had 0.44 units lower depression than those without telehealth (SMD= -0.44; 95% CI=-0.79 to -0.09; p= 0.010).Conclusion: Telehealth can improve quality of life and lower the risk of depression in post-stroke patients. Keywords: telehealth, post-stroke, quality of life, depression Correspondence:Siti Luluk Khamidahtun Ni'mah. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: lulupanma@gmail.com. Mobile: +628562563503.
Relationship of High Stress with Hypertension in Adults: Meta Analysis Ni'mah, Siti Luluk Khamidahtun; Sukma, Sukma
Journal of Epidemiology and Public Health Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (30.996 KB) | DOI: 10.26911/jepublichealth.2022.07.01.11

Abstract

Background: Hypertension is a condition that causes a person to experience a drastic increase in blood pressure. Hypertension is often referred to as the silent killer because it can damage target organs such as the brain, eyes, kidneys, heart and arteries. Based on the cause, the increase in blood pressure can occur due to essential or primary hypertension such as high stress. The aim of this study was to estimate the relationship between high stress and hypertension in adults, with a meta-analysis of the primary study conducted by the previous authors. Subjects and Method: This study is a meta-analysis using the PICO ie, population: adults; Intervention: high stress; Comparison: low stress; Result: hypertension. The articles used in this study were obtained from two databases, namely Pubmed and Google scholar. The keywords in the article search were “adults” AND “high stress” AND “low stress” AND “hypertension” cross-sectional or “Stress” AND “hypertension”. The included article is in full English with a cross-sectional study design for 2014 to 2021 and reports the adjusted odds ratio (aOR) in a multivariate analysis. Article selection using PRISMA flow chart. Article analysis using the Review Manager 5.3 application. Results: 10 articles with a cross sectional study involving 3,436 adults from 4 continents namely Asia, Europe, Africa and America to be used as a systematic review and meta-analysis. The data collected showed that high stress had a relationship with the occurrence of hypertension in adults as much as 1.66 times compared to adults with low stress (aOR=1.66; 95%CI= 1.28 to 2.17; p= 0.002). Conclusion: High stress has a relationship with hypertension in adults. Keywords: adults, high stress, hypertension Correspondence: Siti Luluk Khamidahtun Ni’mah. District Health Office of Ponorogo. Jl. Basuki Rahmad, Ponorogo, East Java, Indonesia. Email: lulupanma@gmail.com. Mobile: 08562563503.
Co-Authors Bhisma Murti Didik Tamtomo, Didik Sukma, Sukma