Pengaruh Intervensi Self-Management terhadap Self-Care dan Tekanan Darah pada Pasien Hipertensi
Keywords:Hipertensi, Self-Management, Self-Care, Tekanan Darah
Hypertension is a major cause of premature death worldwide with a high prevalence and is one of the main risk factors for various chronic diseases such as heart and kidney disease. The Hypertension is a major cause of premature death worldwide with a high prevalence and is one of the main risk factors for various chronic diseases such as heart and kidney disease.The purpose of this study was to determine the effectiveness of an intervention that combines self-management on self-care and blood pressure in hypertensive patients. The type of research used is quaesy experience with two groups. The sample in this study were hypertensive patients in the work area of the puskesmas in Bandung, West Java. The inclusion criteria in this study were 35-85 years old, taking two or less antihypertensive drugs for hypertension, having a blood pressure of more than 140/90 mmHg. The number of samples is estimated to require as many as 66 hypertensive patients.Before the intervention, respondents showed lower self-care, with an average score of 1.35 (SD=0.73). The self-care score increased over time as respondents in the intervention group by 3.21 (SD=1.44), and respondents in the control group by 2.52 (SD=10.78) at T2. Blood pressure decreased at T2 in the intervention group with a systolic score of 128.1 (SD=11.62), and respondents in the control group got a systolic score of 137 (SD=15.15). The self-management program improved outcomes relative to controls at T1 across four outcomes: 1) self-care scores improved 8.7% (95% CI 0.021-0.149) and blood pressure slightly improved 8.8% (95% CI 0.017-0.125) . At T2, improvements in outcomes relative to controls were still observed in self-care scores and blood pressure.The results of this study will provide recommendations to hypertensive patients and health workers in Indonesia regarding self-management to control blood pressure, diet, and medication, so that they can be used in daily practice.
Chamberlain, A. M. (2019). Heart Disease and Stroke Statistics — 2019 Update A Report From the American Heart Association. https://doi.org/10.1161/CIR.0000000000000659
Chia, Y. C., Buranakitjaroen, P., Chen, C. H., Divinagracia, R., Hoshide, S., Park, S., ... Kario, K. (2017). Current status of home blood pressure monitoring in Asia: Statement from the HOPE Asia Network. Journal of Clinical Hypertension, 19(11), 1192–1201. https://doi.org/10.1111/jch.13058
Chopra, H. K., & Ram, C. V. S. (2019). Recent Guidelines for Hypertension. Circulation Research, 124(7), 984–986. https://doi.org/10.1161/CIRCRESAHA.119.314789
Dickson, V. V, Yehle, K. S., & Abel, W. M. (2017). ScholarlyCommons Psychometric Testing of the Self-Care of Hypertension Inventory Psychometric Testing of the Self-Care of Hypertension Inventory. 32, 431–438.
Dorans, K. S., Mills, K. T., Liu, Y., & He, J. (2018). Trends in prevalence and control of hypertension according to the 2017 American College of Cardiology/American Heart Association (ACC/AHA) guideline. Journal of the American Heart Association, 7(11), 1–11. https://doi.org/10.1161/JAHA.118.008888
Fletcher, B. R., Hinton, L., Bray, E. P., Hayen, A., Hobbs, F. R., Mant, J., ... McManus, R. J. (2016). Self-monitoring blood pressure in patients with hypertension: an internet-based survey of UK GPs. The British Journal of General Practice : The Journal of the Royal College of General Practitioners, 66(652), e831–e837. https://doi.org/10.3399/bjgp16X687037
Le Bras, A. (2018). Benefit of BP self-monitoring for hypertension. Nature Reviews Cardiology, 15(5), 254. https://doi.org/10.1038/nrcardio.2018.25
McCartney, D. E., & McManus, R. J. (2016). Self-monitoring and self-management: new interventions to improve blood pressure control. Current Opinion in Nephrology and Hypertension, 25(6), 502–507. https://doi.org/10.1097/MNH.0000000000000279
McManus, R. J., Mant, J., Franssen, M., Nickless, A., Schwartz, C., Hodgkinson, J., ... Banerjee, T. (2018). Efficacy of self-monitored blood pressure, with or without telemonitoring, for titration of antihypertensive medication (TASMINH4): an unmasked randomised controlled trial. The Lancet, 391(10124), 949–959. https://doi.org/10.1016/S0140-6736(18)30309-X
Mills, K. T., Stefanescu, A., & He, J. (2020). The global epidemiology of hypertension. Nature Reviews Nephrology, 16(4), 223–237. https://doi.org/10.1038/s41581-019-0244-2
Octaviany, L. A., Efrina, E., & Alsuhendra, A. (2021). Hubungan Pengetahuan Dan Sikap Mahasiswa Program Studi Tata Boga Universitas Negeri Jakarta Dengan Tindakan Penggunaan Plastik Untuk Minuman Panas. Risenologi, 6(1), 70–76. https://doi.org/10.47028/j.risenologi.2021.61.158
Oparil, S., Acelajado, M. C., Bakris, G. L., Berlowitz, D. R., Cífková, R., Dominiczak, A. F., ... Whelton, P. K. (2018). Hypertension. Nature Reviews. Disease Primers, 4, 18014. https://doi.org/10.1038/nrdp.2018.14
Pierdomenico, S. D., Pierdomenico, A. M., Coccina, F., Clement, D. L., De Buyzere, M. L., De Bacquer, D. A., ... Staessen, J. A. (2018). Prognostic Value of Masked Uncontrolled Hypertension. Hypertension (Dallas, Tex. : 1979), 72(4), 862–869. https://doi.org/10.1161/HYPERTENSIONAHA.118.11499
Riegel, B., Dickson, V. V., & Faulkner, K. M. (2016). The Situation-Specific Theory of Heart Failure Self-Care: Revised and Updated. The Journal of Cardiovascular Nursing, 31(3), 226–235. https://doi.org/10.1097/JCN.0000000000000244
Riset Kesehatan Dasar. (2018). Penyakit Jantung.
Tackling, G., & Borhade, M. B. (2021). Hypertensive Heart Disease. Treasure Island (FL).
Triyanto, J., Janjua, P. Z., Samad, G., Khan, N., Ishaq, M., Rumiati, A. T., ... Tohirin, M. (2017). No ????? ???????????????? ?????????????????Title. Jurnal Sains Dan Seni ITS, 6(1), 51–66. Retrieved from http://repositorio.unan.edu.ni/2986/1/5624.pdf%0Ahttp://fiskal.kemenkeu.go.id/ejournal%0Ahttp://dx .doi.org/10.1016/j.cirp.2016.06.001%0Ahttp://dx.doi.org/10.1016/j.powtec.2016.12.055%0Ahttps://do.org/10.1016/j.ijfatigue.2019.02.006%0Ahttps://doi.org/10.1
Tucker, K. L., Sheppard, J. P., Stevens, R., Bosworth, H. B., Bove, A., Bray, E. P., ... McManus, R. J. (2017). Self-monitoring of blood pressure in hypertension: A systematic review and individual patient data meta-analysis. PLoS Medicine, 14(9), e1002389. https://doi.org/10.1371/journal.pmed.1002389
WHO. (2017). Cardiovascular diseases (CVDs. Retrieved from https://www.who.int/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds)
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