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

Abstract

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.

IMPLEMENTASI DIORAMA 3D INTERAKTIF BERBASIS PILAR (Dio- 3D IBP) DALAM MENINGKATKAN SELF MANAGEMENT DAN BLOOD PRESSURE CONTROL PADA PENDERITA HIPERTENSI

“…Berdasarkan hasil penelitian yang dilakukan terhadap pasien hipertensi, praktik self-management telah terbukti efektif dalam menurunkan tekanan darah. Perubahan gaya hidup seperti meningkatkan aktivitas fisik, mengurangi konsumsi garam, dan konsistensi dalam mengikuti resep obat hipertensi telah terbukti sangat efektif dalam menurunkan tekanan darah dan mengurangi risiko komplikasi yang berkaitan dengan kondisi tersebut (Aungsuroch et al 2022).…”

Hypertension Self Management Behaviors dan Ketercapaian Target Terapi Hipertensi Essensial Grade 1

“…(Borghi et al, 2016;Zhou et al, 2018;Shi et al, 2020) Intervensi meningkatkan Hypertension Self Management Behavior (HSMB) berpengaruh terhadap terkontrolnya tekanan darah penderita hipertensi, baik terkontrolnya tekanan darah sistolik (TDS) maupun tekanan darah diastolik (TDD) (McManus et al, 2010;Penaloza-Ramos et al, 2016;Qu et al, 2019;Still et al, 2020;Rosaline et al, 2022) namun juga terdapat hasil yang menunjukan tidak berpengaruh terhadap menurunnya TDD. (Kim and Song, 2015;Aungsuroch et al, 2022) Hasil penelitian Sagala menunjukan bahwa tidak ada perbedaan tekanan darah antara sebelum dengan sesudah dilakukan intervensi Hypertension Self Management Education (HMSE). (Sagala, 2019) HSMB adalah kemampuan individu hipertensi mengelola dirinya baik dengan dukungan maupun tanpa dukungan.…”

“…Tidak adanya hubungan HSMB dengan ketercapaian target terapi pada penelitian ini juga didukung oleh beberapa studi yang meneliti pengaruh intervensi penerapan HSMB mapun HSMB edukasi yang menunjukan bahwa tindakan tersebut tidak berpengaruh terhadap menurunnya TDD. (Kim and Song, 2015;Aungsuroch et al, 2022). Begitu juga dengan penelitian Sagala menunjukan tidak ada perbedaan tekanan darah yang bermakna antara sebelum dengan sesudah dilakukan intervensi Hypertension Self Management Education (HMSE).…”

The influence of motivation on the activeness of elderly people with hypertension in prolanis gymnastics activities

“…This program aims to improve physical and mental health, manage blood pressure, and improve the quality of life of older people. Each Prolanis gymnastics session begins with a warm-up to prepare the elderly body before more intense physical activity (Aungsuroch et al, 2022). This warm-up involves light movements such as stretching and slowly increasing the heart rate.…”