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Vol. 8 No. 1 (2022): Jurnal Pendidikan Keperawatan Indonesia The effect of community-based intervention on...
Articles June 28, 2022

The effect of community-based intervention on self-management of hypertension patients

C
Citra Windani Mambang Sari Universitas Padjadjaran, Indonesia
A
Ahmad Yamin Universitas Jenderal Achmad Yani, Indonesia
M
M. Budi Santoso Universitas Padjadjaran, Indonesia
DOI https://doi.org/10.17509/jpki.v8i1.162

Abstract

Introduction: Hypertension is one of the chronic diseases that can cause complications. Patients need a support system in the management of the disease. One of the ways to prevent hypertension complications is by using self-management. Community involvement is integrated into the program to have a social support system in performing self-management. Objective: This study aimed to determine the effect of a community-based intervention on the self-management of hypertension patients in one district in West Java. Methods: The study method is a quasi-experiment with pre and post-test control group design. The samples consist of 60 respondents taken by using the cluster sampling technique. The subjects were divided into control groups who were given routine treatment from primary health care and intervention groups who were given community visit groups about self-management for four weeks, including health education, counseling, and support. The data were collected using a questionnaire about hypertension self-management sub-variables which consisted of diet, smoking, physical activities, stress management, body weight control, alcohol, blood pressure monitoring, and medication. The data analysis techniques were descriptive and inferential statistics using a t-test. Results: The study results showed that the total score for self-management after the intervention was significantly higher than the total score before the intervention (M= 131,62; SD = 12,9; p=0.02). The intervention group's self-management full scores were considerably higher than the control group in the 4th week (p=0.005). Discussions: Community nurses can do one of the interventions by involving the community and forming hypertension volunteer groups that can act as educators to increase hypertension self-management. 

Keywords:
community education program hypertension peer group, self- managemen

References

Bandura, A., (2004). Self Efficacy. In V. S. Ramachandran (Ed.), Encyclopedia of Human Behavior. Volume 4. pp 71-81. New York: Academic Press.
Bagong, S., (2005). Pendidikan Berbasis Komunitas: Prasyarat yang dibutuhkan Edukasi. Volume 1. No. 1. Jakarta: Prenada Media Group.
Flynn, S. J., Ameling, J. M., HillBriggs, F., Wolff, J. L., Bone, L. R., Levine, D. M., et al. (2013). Facilitators and Barriers to Hypertension Self-Management in Urban
African American: Perspectives of Patients and Family Members. Dove Press Limited Country of Publication: New Zealand. Agustus 2013. Volume 7. Pp 741-749.
Go, A.S., Mozaffarian, D., Roger, V.L., Benjamin, E.J., Berry, J.D., Borden, W.B. et al. (2013). Hearth disease and stroke statistics-2013 update: a report from the
American Heart Association. Circulation. Vol.127. no. 1. pp. e6-e245.
Jang, Y & Yoo, H (2012) Self-management programs based on the social cognitive theory for Koreans with chronic disease: A systematic review, Contemporary Nurse, 40:2, 147-159, DOI: 10.5172/conu.2012.40.2.147
Leung, C. M., Ho, G. K., Foong, M., Ho, C. F., Lee, P. K., & Mak, L.S. (2005). Small-group Hypertension Health Education Programme: A Process and Outcome Evaluation. Journal of Advanced Nursing [J Adv Nurs]. December; Volume 52 (6)., pp. 631-639.
Mubarak, W. (2012). Promosi Kesehatan untuk Kebidanan. Jakarta: Salemba Medika.
PERKI. 2015. Pedoman Tata Laksana Hipertensi pada Penyakit Kardiovaskular. Perhimpunan Dokter Spesialis Kardiovaskular Indonesia.
Puskesmas DTP Rajamandala. 2015. Profil Puskesmas DTP Rajamandala. Dinas Kesehatan Kabupaten Bandung Barat.
Riset Kesehatan Dasar. 2013. Riset Kesehatan Dasar. Kementerian Kesehatan Republik Indonesia : Badan Penelitian dan Pengembangan Kesehatan.
Saraswati, R; Ropi dan Sari, CWM. 2015. Pengaruh Program edukasi Berbasis Komunitas terhadap Self-management pada lansia Hipertensi di Puskesmas Gombong 2 Kebumen. Tesis. Tidak dipublikasikan.
Sari, C. W. M. & Santoso, M. B. (2014). Pengaruh Edukasi Diabetes Melitus Berbasis Komunitas terhadap Pengetahuan dan Self-Efficacy pada Kader di Kota Bandung.
Proceeding Seminar Nasional dan Workshop Pendekatan Keperawatan Holistik Berbasis Bukti untuk Mnejawab Tantangan Kesehatan Jiwa Terkini. Fakultas Keperawatan Universitas Padjadjaran Bandung; 20-21 Desember 2014
Ministry of Health. (2018). Basic Health Research. Retrieved from https://www.litbang.kemkes.go.id/laporan-riset-kesehatan-dasar-riskesdas/
Patel, P., Ordunez, P., Connell, K., Lackland, D., & Dipette, D. (2018). Standardized Hypertension Management to Reduce Cardiovascular Disease Morbidity and Mortality Worldwide. Southern Medical Journal, 111(3), 133-136. doi:10.14423/smj.0000000000000776
WHO. (2020). Hypertension. Retrieved from https://www.who.int/news-room/fact-sheets/detail/hypertension.