Hypertension is one of the most common causes of morbidity and mortality  all over the world, also known as “the silent killer” because people with hypertension are without symptoms. West Sumatera Province reported that the prevalence of hypertension at the age 18 years has increased from 25,8% in 2013 to 31,7% in 2018. Successful strategies to manage the blood preasure depends on patients self-care management or the ability and willingness of the patient to change and maintain certain behavior.The purpose of this research is to determine the effect of self-education management of hypertension patients in the working area of primary health care in Bukittinggi.Design of this research is a quasi experimental design with pretest-posttest with control group. The sample which used were 62 respondents consist of 31 people in the intervention group and 31 people in the group control. Sampling was done by consecutive sampling technique. Data was analyzed Wilcoxon signed rank test and Mann Whitney test. The result of this research shows that there isn’t any effect of self education management to healthy behavior which includes exercise and healthy diet of the intervention group and the control group at community health center in Bukittinggi (mean rank after the intervention < 10; p> 0,05). Based on the result of this research it can be concluded that the habits of respondents who carry out light and medium activities every day and also education provided by primary health care  have given big impact to respondent’s habits where they always do exercise and healthy diet in their daily life.The result of this research can be used as an input for primary health care to maintain and improve education of healthy behavior for hypertension patients.

Background: Understanding barriers to hypertension managements remains important to reduce the hypertension rate in community. Minangkabau is one of the ethnic groups in West Sumatra Indonesia that has a high proportion of people with hypertension although its management has been implemented.Objective: This study aims to explore the experiences of barriers to hypertension management in Minangkabau ethnic group in Payakumbuh, Indonesia.Methods: This was a phenomenological study with twelve respondents selected using purposive sampling. Data were collected using in-depth interview. Colaizzi’s content analysis method was used for data analysis.Results: Five themes were emerged from the data, namely: (i) lack of self-motivation in the management of hypertension, (ii) disobedience in the management of hypertension, (iii) culture pattern of food intake, (iv) lack of social support, and (v) excessive stress and anxiety.Conclusions: The barriers to hypertension management in Minangkabau ethnic group are closely related to its culture both in lifestyle and in food intake of the family members and the community. Nurses are expected toalways give health education about hypertension and finding the way to control it.

Kualitas pelayanan kesehatan adalah persepsi palanggan mengenai superioritas jasa pelayanan kesehatan yang merupakan akumulasi kepuasan bagi banyak pelanggan. Penelitian ini bertujuan untuk mengetahui analisis kualitas pelayanan terhadap profitabilitas di Apotek XYZ berdasarkan lima parameter kualitas pelayanan kesehatan yaitu bukti fisik, kehandalan, daya tanggap, jaminan, dan empati. Penelitian ini merupakan penelitian deskriptif observasional, teknik pengambilan sampel dalam penelitian ini menggunakan teknik accidental sampling. Sampel yang digunakan pada penelitian ini sebanyak 89 sampel dengan populasi 3.850     pelanggan. Hasil Menunjukan bahwa angket valid dan reliabel, karena nilai R hitung > nilai R tabel dan alpa > R tabel sehingga hasil angket dapat digunakan untuk penelitian. Hasil analisis menunjukan hubungan signifikasi yang sangat kuat antara kualitas pelayanan kesehatan dengan profitabilitas yaitu sebesar 0,000 (< 0,005). Hasil analisis person correlation menunjukan hasil 0,930 yaitu tingkat hubungan antara kualitas pelayanan kesehatan dan profitabilitas adalah sempurna. Hasil nilai B menunjukan bahwa dari lima variabel yang diuji secara bersamaan faktor yang paling dominan adalah bukti fisik (B = 1,299).