Effectiveness of Self Care-Management to Changes Blood Pressure in Hypertension Patients at Puskemas Bendo Pare Kediri

Abstract

Introduction: Hypertension can be defined as a systolic pressure of more than 140 mmHg and diastolic pressure greater than 90 mmHg. This disease is categorized as the silent disease because the patient does not know himself suffering from hypertension before checking his blood pressure. Morbidity and mortality due to hypertension can be controlled by self-care management to control the factors that affect blood pressure. This study aims to analyze the effectiveness of self-care management of changes in blood pressure in hypertensive patients.

Method: The design of this study was analytic or analytical observational (non experimental) survey with cross sectional approach, and using sampling non probability sampling technique with purposive sampling involving 56 respondents.

Results: Wilcoxon test results obtained Significancy value of blood pressure systole is 0,000 (p <0.05) and blood pressure diastole 0,233 (p> 0,05), mean that in blood pressure of sistole there is difference of mean in change of blood pressure, whereas in blood pressure of diastole there is no difference of mean which is meaningful between before and after giving self care management on Hypertension patient.

Analysis: Self care management in hypertensive patients by modifying behavior and lifestyle changes such as: pharmacological therapy, weight loss, limiting alcohol consumption, reducing salt intake, healthy diet, smoking cessation, regular exercise / physical activity and relaxation.

Conclusion: The results showed that by doing self-care management in hypertensive patients there can be a change of blood pressure systole, but there can be no change of blood pressure in diastole. Nevertheless self care management is expected to remain as a therapy in controlling blood pressure in patients with hypertension.

Keywords: hypertension, blood pressure, self care management.