Experience of Barriers to Hypertension Management in Minangkabau Ethnic Group in Payakumbuh Indonesia: A Phenomenological Study

Kurnia, Vera; Suza, Dewi Elizadiani; Ariani, Yesi

doi:10.33546/bnj.313

Cited by 3 publications

(13 citation statements)

References 12 publications

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“…Having hypertension focuses on salty food, changing the meaning of experiences related to food/eating. This is similar to another part of Indonesia, at Minangkabau Payakumbuh, where people like to eat salty and high-fat food; thus, it serves as a barrier to managing hypertension (Kurnia et al, 2018). Also, in a study in Bangladesh, the patients with hypertension were aware that they should restrict salt intake, but most failed to practice it (Jahan et al, 2020).…”

Section: Discussionmentioning

confidence: 75%

“…Hypertension is often called a silent killer condition without obvious symptoms in its early stages, which influences the lives of patients (Franklin et al, 2017) and causes comorbidities such as cerebrovascular disease, heart failure, and chronic renal failure (Hakim & Bagheri, 2014;Kurnia et al, 2018). In addition, hypertension also has an effect on psychological aspects, such as anxiety and depression (Shamsi et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

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Barriers and Challenges in Managing Hypertension in Belitung, Indonesia: A Qualitative Study

Aungsuroch

Gunawan

Polsook

et al. 2021

Nurs. Med. J. Nursing

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Background: The Government of Indonesia has provided a Chronic Disease Management Program, better known as PROLANIS, to reduce the incidence of hypertension; however, the prevalence of hypertension remains high in the community, especially in Belitung, Indonesia, which warrants further investigation. One of the strategies to decrease the number of hypertensions is by addressing barriers and challenges in hypertension management according to patients’ points of view, which has become a lack of focus in previous studies.Purpose: This study aimed to explore the barriers and challenges of patients in managing hypertension in Belitung, Indonesia.Methods: This research employed a qualitative descriptive study design with 20 hypertensive patients who had access to the PROLANIS program in public health centers. Focus group discussions were conducted for data collection. The content analysis was used for data analysis.Results: Six themes were developed from the data, including (1) Dietary habits: the role of salt, (2) Nonadherence to medication due to the use of traditional medicine, (3) Shopping habit on nonprescription medication, (4) Confusion of anti-hypertensive drugs, (5) Barriers to physical exercise, and (6) Health monitoring and education.Conclusion: This study serves as an input for nurses and healthcare providers to improve the PROLANIS program, especially in hypertension management, as well as to develop new nursing interventions according to the barriers and challenges.

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Section: Discussionmentioning

confidence: 75%

Section: Introductionmentioning

confidence: 99%

Barriers and Challenges in Managing Hypertension in Belitung, Indonesia: A Qualitative Study

Aungsuroch

Gunawan

Polsook

et al. 2021

Nurs. Med. J. Nursing

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“…For study settings, in quantitative and mixed-method studies, 10 studies took place nationally, 24 , 41 , 47–51 , 53 , 63 , 64 19 in the urban areas, 20 , 21 , 23 , 31–33 , 36–38 , 40 , 42 , 44–46 , 52 , 54 , 55 , 58 , 76 16 in rural areas, 22 , 25–29 , 34 , 39 , 43 , 56 , 57 , 59–62 , 75 and two studies in multiple settings. 30 , 35 For quantitative studies, four of them were conducted in urban settings, 66 , 67 , 70 , 71 five were in the rural area 65 , 69 , 72–74 and one study could not be specified. 68 Overall, thirteen 22 , 26–29 , 32 , 42 , 45 , 57–60 , 64 studies have the mean age of older people as the participants (60 years old and above), whereas the rest of the studies were adults 18 years and older.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…In the quantitative and mixed-method studies, body weight management (29 studies 20 , 24 , 25 , 29 , 30 , 33 , 36 , 39–50 , 52 , 53 , 56–62 , 64 ) and physical exercise (22 studies 21 , 22 , 24 , 30–33 , 35 , 38 , 40–43 , 45 , 47 , 52 , 53 , 56 , 57 , 60 , 61 , 75 ) were the most reported, whereas in the qualitative studies, medication adherence and diet intake was the most reported self-care practice. In addition, a few studies described alternative self-care management methods such as stress-relieving methods (6 studies 35 , 40 , 60 , 66 , 68 , 75 ), sleep and rest (2 studies 68 , 74 ), and spiritual fulfilment was described in one study.…”

Section: Self-care and Lifestyle Managementmentioning

confidence: 99%

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Self-Care Management for Hypertension in Southeast Asia: A Scoping Review

Irwan¹,

Potempa²,

Abikusno³

et al. 2022

JMDH

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Background Self-care practices such as lifestyle modifications in diet, exercise, and stress management are effective in reducing the incidence of and enhancing better management of hypertension. However, little is known about the self-care management practices of people with hypertension in Southeast Asia (SEA) countries where the prevalence of hypertension is sharply increasing. Methods A scoping review of research and grey literature (2006–2021) was performed using Scoping Review Frameworks by Arkey and O’Malley. For the research literature, ten databases were searched followed by a manual search of the reference lists of relevant topical papers. Criteria for inclusion included both qualitative and quantitative primary data studies, focused on adult (18 years and over) hypertensive patients, self-care management methods, conducted in SEA. The study protocol has been registered at Open Science Framework ( https://osf.io/s4nvk/ ). Results Out of 1667 studies examined, there were 57 studies that met criteria and were included in this review. Results indicate a paucity of relevant literature. Moreover, most studies reviewed showed an incident rate of 50% or more incidence of behavioural risk factors in people diagnosed with hypertension, including overweight/obesity, poor physical exercise, poor/low-quality dietary intake, and not adhering to medication. Few studies indicated adequate traditional self-care practice among SEA hypertension populations. Use of a non-prescription herbal as the medication is identified in some studies. Several reviewed articles indicated that there is individual variation in the facilitators and barriers to implementing self-care practices and we put it into a working framework. The facilitators and barriers are relevant to personal choice (internal factors) or to the environment or context (external factors). Conclusion Enhancing self-care management of hypertension in SEA may require a multi-focused approach including targeting personal choice as well as external factors such as cultural relevance, environment, and resources.

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How a Self-Management Program Affects Blood Pressure Among Indonesians with Hypertension

Aungsuroch

Polsook

Anuruang

et al. 2022

Iranian Journal of Nursing and Midwifery Research

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Background: The prevalence of persons with hypertension remains high, especially in Southeast Asia, such as in Indonesia. Therefore, an effort to control blood pressure is needed. This study aimed to examine the effect of a self-management program on blood pressure among persons with hypertension in Indonesia. Materials and Methods: A quasi-experimental study with pre-test post-test with control group design was used. Seventy-seven participants were selected using convenience sampling in Belitung, Indonesia. A digital sphygmomanometer was used to measure blood pressure. Paired t -test and independent t -test were used for data analysis. Knowledge of hypertension, diet, exercise, and medication records were measured via validated questionnaires and observation sheets. Results: There was a significant effect of the eight-week self-management program on systolic blood pressure ( t 30 = 6.45, p = 0.01) and diastolic blood pressure ( t 30 = 2.53, p = 0.02). A significant difference in blood pressure was also identified between the experiment and control group, particularly in systolic blood pressure ( t 59 = –2.89, p = 0.05) with a large effect size (0.71). Conclusions: Brisk walking with a duration of at least 30 minutes per day, dietary modification program specifically focusing on weight loss and anti-hypertensive food, monitoring program, and health education for eight weeks, are considered effective to control blood pressure among patients with hypertension, and these interventions should be a part of nursing interventions and sustainable health development programs in the community.

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Experience of Barriers to Hypertension Management in Minangkabau Ethnic Group in Payakumbuh Indonesia: A Phenomenological Study

Cited by 3 publications

References 12 publications

Barriers and Challenges in Managing Hypertension in Belitung, Indonesia: A Qualitative Study

Barriers and Challenges in Managing Hypertension in Belitung, Indonesia: A Qualitative Study

Self-Care Management for Hypertension in Southeast Asia: A Scoping Review

How a Self-Management Program Affects Blood Pressure Among Indonesians with Hypertension

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