Hubungan Antara Self Management Behaviour terhadap Pengendalian Tekanan Darah pada Pasien Hipertensi di Rumah Sakit Panti Rini

https://doi.org/10.22146/jkkk.90070

Fransiska Shella Sonia(1*), Paulus Subiyanto(2), Bernadetta Eka Noviati(3)

(1) Sekolah Tinggi Ilmu Kesehatan Panti Rapih Yogyakarta
(2) Sekolah Tinggi Ilmu Kesehatan Panti Rapih Yogyakarta
(3) Sekolah Tinggi Ilmu Kesehatan Panti Rapih Yogyakarta
(*) Corresponding Author

Abstract


Background: Hypertension is a kind of chronic disease. In Indonesia, the prevalency of people with hypertension rises from 25.8% to 34.11% in 2018. It is estimated that in 2025 there will be 1.5 billion people with hypertension. Moreover, around 10.44 million people will die each year due to hypertension and its complications.
Objective: To analyze the correlation between self management behavior and the control of blood pressure level in patient with hypertension.
Method: This study used correlation analytic quantitative method with cross sectional descriptive approach. The number of samples used was 132 patients who met the inclusion and exclusion criteria. Data collection used the Hypertension Self Management Behavior Questionnaire (HSMBQ) and data analysis used the Spearman’s Rho test.
Results: The results showed that there was a negative significant correlation between Self Management Behavior and Systolic Blood Pressure Control with correlation coefficient of -0.600 (p value 0.000). As for the results of the Spearman’s rho correlation test, it was found that there was a significant correlation between Self Management Behavior and Diastolic Blood Pressure Control with correlation coefficient of -0.452 (p value 0.000). 
Conclusion: There is significant negative correlation between self management behavior and the control of blood pressure level in patient with hypertension systolic and diastolic blood pressure. The higher self management behaviour, the lower or more controlled the systolic and diastolic blood pressure values, and vice versa.

ABSTRAK

Latar belakang: Hipertensi merupakan salah satu jenis penyakit kronis. Di Indonesia, prevalensi penderita hipertensi meningkat dari 25,8% menjadi 34,11% pada tahun 2018. Diperkirakan pada tahun 2025 terdapat 1,5 miliar penderita hipertensi. Lebih jauh lagi, sekitar 10,44 juta orang akan meninggal setiap tahunnya akibat hipertensi dan komplikasinya.
Tujuan: Mengetahui hubungan antara self management behaviour terhadap tingkat pengendalian tekanan darah pasien hipertensi.
Metode: Penelitian ini menggunakan metode kuantitatif analitik korelasi menggunakan pendekatan deskriptif cross sectional. Jumlah sampel yang digunakan 132 pasien yang memenuhi kriteria inklusi dan eksklusi. Pengumpulan data menggunakan lembar kuesioner Hypertension Self Management Behavior Questionnaire (HSMBQ) dan lembar observasi tekanan darah. Adapun tekanan darah pasien diukur menggunakan alat tensimeter dengan analisis data menggunakan uji Spearman’s Rho.
Hasil: Hasil penelitian menunjukkan bahwa nilai koefisien korelasi -0,600 dengan p value 0,000 antara self management behaviour dengan tingkat pengendalian tekanan darah sistolik. Adapun hasil uji korelasi  Self Management Behaviour dengan tingkat pengendalian tekanan darah diastolik diperoleh nilai koefisien korelasi -0,452 dengan p value 0,000. 
Simpulan: Terdapat hubungan negatif dan signifikan antara self management behaviour dengan tingkat pengendalian tekanan darah sistolik dan diastolik. Semakin tinggi self management behaviour, maka semakin rendah atau terkontrol nilai tekanan darah sistolik dan diastolik, begitu pula sebaliknya.


Keywords


hipertensi; self management behaviour; tingkat pengendalian tekanan darah

Full Text:

PDF


References

  1. Pusdatin. Hipertensi The Silent Killer [homepage on the nternet]. 2015. Available from: https://pusdatin.kemkes.go.id/article/view/15080300001/hipertensi-the-silent-killer.html.
  2. Riskesdas. Laporan Nasional RISKESDAS 2018. Badan Penelitian dan Pengembangan Kesehatan. 2018.
  3. Kemenkes. Hipertensi Penyebab Utama Penyakit Jantung, Gagal Ginjal, dan Stroke [homepage on the nternet]. Biro Komunikasi dan Pelayanan Masyarakat. 2021. Available from: https://www.kemkes.go.id/article/view/21050600005/hipertensi-penyebab-utama-penyakit-jantung-gagal-ginjal-dan-stroke.html.
  4. Kurnia A. Self Management Hipertensi. T. Lestari, (Ed.). Surabaya: CV Jakad Media Publishing; 2020.
  5. Susanti EE. Hubungan Perilaku Self Management dengan Nilai Tekanan Darah pada Penderita Hipertensi Anggota Prolanis di Puskesmas Jatipuro Kabupaten Karanganyar [Skripsi]. Universitas Muhamadiyah Surakarta; 2022.
  6. Novira RY, & Djunaedi A. Penyakit Tekanan Darah Tinggi/Hipertensi [homepage on the nternet]. c.2020. [update 2020; cited 2023]. Available from: http://mardiwaluyo.blitarkota.go.id/id/berita-opd/penyakit-tekanan-darah-tinggi-hipertensi.
  7. Irawan D, Siwi AS, Susanto A. Analisis Faktor-faktor yang Memengaruhi Kejadian Hipertensi. J Bionursing. 2020; 2(3): 164–6. https://doi.org/10.20884/1.bion.2020.2.3.70.
  8. Marhabatsar NS, Sijid SA. Review: Penyakit Hipertensi pada Sistem Kardiovaskular. J UIN Alauddin. 2021; 7(1): 72-78. https://doi.org/10.24252/psb.v7i1.23080.
  9. Nabila A, Arnita Y, Mulyati D. Self Management Penderita Hipertensi. JIM FKep. 2022; 5(4): 87–92.
  10. Simanullang SMP. Self Management Pasien Hipertensi di RSUP H. Adam Malik [homepage on the internet]. c.2019. [update 2019; cited 2023]. Available from: https://repository.stikeselisabethmedan.ac.id/wp-content/uploads/2019/08/Sri-Mariana-Putri-Simanullang-032015045.pdf.
  11. Laily RS. Hubungan Karakteristik Penderita dan Hipertensi dengan Kejadian Stroke Iskemik. J Berk Epidemiol. 2017; 5(1): 48–59. https://doi.org/10.20473/jbe.V5I12017.48-59.
  12. Suvila K, McCabe EL, Lehtonen A, Ebinger JE, Lima JAC, Cheng S, et al. Early Onset Hypertension is Associated with Hypertensive End-Organ Damage Already by MidLife. Hypertension. 2019; 74(2): 305–312. https://doi.org/10.1161/hypertensionaha.119.13069.
  13. Tursina HM, Nastiti EM, Sya’id A. Faktor-faktor yang Memengaruhi Self Management (Manajemen Diri) pada Pasien Hipertensi. J Keperawatan Cikini. 2022; 3(1): 20–5. https://doi.org/10.55644/jkc.v3i1.67.
  14. Metungku F, Sukmana M, & Muliadi N. Overview of Self-Management in Hypertension Patients in The Working Area of Sidomulyo Samarinda Health Centre. Mulawarman Nursing Indonesia Journal. 2023; 1(1): 36-42. Available from https://e-journals2.unmul.ac.id/index.php/mnij/article/view/1046.
  15. Mufidah N. Hubungan Manajemen Diri terhadap Tekanan Darah Pasien Hipertensi di Poli Rawat Jalan Rumah Sakit Anwar Medika Sidoarjo [Skripsi]. Repositori STIKES Rumah Sakit Anwar Medika; 2020.
  16. Prakoso TT. Hubungan Self Management dengan Status Tekanan Darah pada Pasien Hipertensi di UPT Puskesmas Pajang Surakarta [Skripsi]. Universitas Muhammadiyah Surakarta; 2021.
  17. Kementerian Kesehatan Republik Indonesia. Hipertensi Si Pembunuh Senyap [homepage on the internet].c.2019. [update 2019; cited 2023]. Available from https://pusdatin.kemkes.go.id/resources/download/pusdatin/infodatin/infodatin-hipertensi-si-pembunuh-senyap.pdf.
  18. Adriani S, Bafadhal RN, Mahudeh M. Efektivitas Self-Management Program terhadap Manajemen Diri Klien Hipertensi. JI-KES Jurnal Ilmu Kesehatan. 2021; 5(1): 57–63. https://doi.org/10.33006/ji-kes.v5i1.255
  19. Li R, Liang N, Bu F, Hesketh T. The Effectiveness of Self-Management of Hypertension in Adults Using Mobile Health: Systematic Review and Meta-Analysis. JMIR mHealth and uHealth. 2020; 8(3): 1-16. https://doi.org/10.2196/17776
  20. Choi YJ, Kim SH, Kang SH, Yoon CH, Lee HY, Youn TJ, et al. Reconsidering The Cut-Off Diastolic Blood Pressure for Predicting Cardiovascular Events: A Nationwide Population-based Study from Korea. Eur Heart J. 2019; 40(9): 724-731. https://doi.org/10.1093/eurheartj/ehy801.



DOI: https://doi.org/10.22146/jkkk.90070

Article Metrics

Abstract views : 4031 | views : 4859

Refbacks

  • There are currently no refbacks.


Copyright (c) 2023 Fransiska Shella Sonia, Paulus Subiyanto, Bernadetta Eka Noviati



Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) 
collaborates with DPW PPNI DIY

Lisensi Creative Commons  

Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.