Efektivitas Self-Management Program terhadap Manajemen Diri Klien Hipertensi

Sri Wahyuni, Rahmah Naufal Bafadhal, Mahudeh Mahudeh

Abstract


Abstrak

Manajemen diri penting dilakukan oleh klien hipertensi untuk meningkatkan keberhasilan dalam mengatasi hipertensi. Tujuan penelitian ini untuk mengetahui efektivitas self-management program terhadap manajemen diri klien hiprtensi. Penelitian ini merupakan penelitian eksperimen dengan desain randomised control trial (RCT).Penelitian ini telah dilakukan di wilayah kerja Dinas Kesehatan Kabupaten Jember. Populasi dalam penelitian ini adalah penderita hipertensi sejumlah kurang lebih 119, dengan sampel yang terpilih menggunakan cluster random sampling yaitu 35 kelompok intervensi dan 35 kelompok kontrol. Analisis data menggunakan uji Mann-Whitney U Test dan independent t-test. Hasil penelitian menunjukkan ada perbedaan yang signifikan antara kelompok intervensi dan kelompok kontrol tentang manajemen diri meliputi integrasi diri, regulasi diri, interaksi dengan tenaga kesehatan dan lainnya, pemantauan tekanan darah, serta kepatuhan terhadap aturan yang dianjurkan. Kelompok intervensi mempunyai skor manajemen diri yang lebih tinggi dibandingkan dengan kelompok kontrol. Selain itu juga ada perbedaan yang siginifikan tekanan darah sistolik dan diastolik antara kelompok kontrol dan kelompok intervensi. Tekanan darah sistolik dan diastolik kelompok intervensi menurun atau lebih rendah dibandingkan dengan tekanan darah sistolik dan diastolik kelompok kontrol.Self-management program efektif dalam meningkatkan manajemen diri klien hipertensi.

Kata kunci: hipertensi, manajemen diri,self-management program

  

Abstract

Self-management is important for hypertension clients to improve hypertension management. The purpose of this study was to determine the effectiveness of self-management programs on the self-management of hypertensive clients. This research is an experimental study with a randomized control trial (RCT) design. This research has been conducted in the working area of the Jember District Health Office. The population in this study was 119 hypertension patients, with a sample selected used cluster random sampling (35 intervention groups and 35 control groups). The results showed that there were significant differences between the intervention group and the control group regarding self-management including self-integration, self-regulation, interactions with health workers and others, monitoring blood pressure, and adherence to recommended rules. The intervention group had a higher self-management score than the control group. In addition, there was also a significant difference in systolic and diastolic blood pressure between the control group and the intervention group. The systolic and diastolic blood pressure in the intervention group is lower than the systolic and diastolic blood pressure in the control group. A self-management program is effective in improving self-management of hypertensive clients.

Keywords: hypertension, self-management, self-management program


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DOI: https://doi.org/10.33006/ji-kes.v5i1.255

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