Relationship Self-Management Level of Hypertension Patients Towards Risk of Coronary Heart Disease

Authors

  • Jiheny Siska Pratiwi Faculty of Nursing, Universitas Muhammadiyah Surakarta, Surakarta, Indonesia
  • Sri Rahayu Faculty of Nursing, Universitas Muhammadiyah Surakarta, Surakarta, Indonesia

DOI:

https://doi.org/10.26630/jk.v15i3.4669

Keywords:

Hypertension Self-Management Behavior Questionnaire, Self-control, Promotive and preventive

Abstract

Most hypertension sufferers are not very strict in controlling themselves and managing their blood pressure to prevent complications. One of the significant risk factors for heart disease is hypertension. This study aims to ascertain if hypertension patients' degree of self-management and the prevalence of coronary heart disease are related. This specific type of research uses a cross-sectional study design and is quantitative. Purposive sampling is employed. The Slovin formula is used to compute the sample. The study's total sample was 109 outpatients with hypertension from the internal medicine polyclinic of Dr. Moewardi Surakarta Hospital. This study used the HSMBQ (Hypertension Self-Management Behavior Questionnaire) questionnaire by Nargis Akther to measure the level of self-management of hypertension with coronary heart disease. The data analysis used was a univariate test, and the risk level was calculated using the Framingham Risk Score and the chi-square bivariate test. Results show that the study's p-value=0.048 (<0.05) suggests a significant correlation between hypertension patients' degree of self-management and the prevalence of coronary heart disease. Most individuals fall into the category of having an adequate level of self-management. The majority of the 76 people (69.7%) with intermediate levels of self-management had a minor risk of coronary heart disease. The results of the study showed a significant relationship between the incidence of coronary heart disease and the level of self-control in hypertensive patients. Promotive and preventive efforts through educational approaches and structured interventions are essential to improve the quality of self-control in hypertensive patients.

References

Agastiya, et all. (2020). Hubungan self-efficacy dengan self-management behavior pada pasien hipertensi. Community of Publishing in Nursing, 8(1), 65–72. https://doi.org/10.31605/j-healt.v4i1.1191

Aisyaa, R. Listiana, et all. (2021). Hubungan kebiasaan konsumsi makanan cepat saji dengan kejadian penyakit jantung koroner pada pasien rawat jalan di rsud dr.Moewardi. Jurnal Medikal Indonesia, 2(2), 21–28. https://ejr.umku.ac.id/index.php/JMI/article/view/1953/1102

Atika, S. et all. (2021). Gambaran faktor risiko kejadian penyakit jantung koroner di poliklinik jantung RSI Siti Rahmah Padang tahun 2017-2018. Health and Medical Journal, 3(1), 20–28. https://jurnal.unbrah.ac.id/index.php/heme/article/view/352/0

Estrada, D., Sierra, C., Soriano, R. M., Jordán, A. I., Plaza, N., & Fernández, C. (2019). Grade of knowledge of hypertension in hypertensive. Enfermería Clínica (English Edition), 30(2), 99-107. https://doi.org/10.1016/j.enfcle.2018.11.003

Izza, A. R. N., Kristinawati, B. (2023). Description of health maintenance of hypertension sufferers in the Tayu Coastal area. Scientific Periodical of Public Health and Coastal Health, 5 (2).

Karyatin, K. (2019). Faktor-Faktor Yang Berhubungan Dengan Kejadian Penyakit Jantung Koroner. Jurnal Ilmiah Kesehatan, 11(1), 37-43. https://doi.org/10.37012/jik.v11i1.66

Mills, K.T., Stefanescu, A., and He, J. (2020). Epidemiologi global hipertensi. Nat Rev Nephrol. 16(4), 223–237. https://doi.org/10.1038/s41581-019-0244-2

Ministry of Health Republic Indonesia. (2018). Laporan Nasional Riskesdas 2018. Jakarta: Badan Penelitian dan Pengembangan Kesehatan.

Ministry of Health Republic Indonesia. (2021). Penyakit jantung koroner didominasi Masyarakat kota. Sehat Negeriku: Biro Komunikasi & Pelayanan Publik Kementerian Kesehatan RI. https://sehatnegeriku.kemkes.go.id/baca/umum/20210927/5638626/penyakit-jantung-koroner-didominasi-masyarakat-kota

Naomi, W. et al. (2021). Faktor risiko kejadian penyakit jantung koroner. Jurnal Media Kesehatan Masyarakat, 3(1), 99–107. https://doi.org/10.35508/mkm.v3i1.3622

Nurarifah, N., & Damayanti, R. (2022). Self-management pasien hipertensi dalam mengontrol tekanan darah. Jurnal keperawatan silampari, 5(2), 641–649. https://doi.org/10.31539/jks.v5i2.3087

Setiadi, D.B., and Kristinawati, B. (2020). Gambaran Tingkat pengetahuan tentang factor-faktor risiko penyakit jantung coroner di wilayah kerja puskesmas ngawen klaten. [Thesis]. Surakarta: Universitas Muhammadiyah Surakarta. https://eprints.ums.ac.id/81034/

Shahjehan, R. D., and Bhutta, B. (2023). Coronary artery disease. Statpearls Publishing LLC. Bookshelf ID NBK564304. https://www.ncbi.nlm.nih.gov/books/NBK564304/?report=printable.

Tursina, H. M., Nastiti, E. M., & Sya'id, A. (2022). Faktor-Faktor Yang Mempengaruhi Self Management (Manajemen Diri) pada Pasien Hipertensi. Jurnal Keperawatan Cikini, 3(1). https://jurnal.akperrscikini.ac.id/index.php/JKC

World Health Organization. (2023). Global NCD targets reduce high blood pressure. https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases

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Published

17-12-2024