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Pengaruh Intervensi Self-Management terhadap Self-Care dan Tekanan Darah pada Pasien Hipertensi Nyayu Nina Putri Calisanie; Herdiman; Linlin Lindayani
Risenologi Vol. 6 No. 1a (2021): Seminar Nasional Keperawatan-STIKEP PPNI Jawa Barat
Publisher : Kelompok Peneliti Muda Universitas Negeri Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47028/j.risenologi.2021.61a.210

Abstract

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.
Efektifitas Intervensi Multidomain terhadap Resiko Penyakit Kardiovaskular pada Pra-Lansia di Jawa Barat Herdiman; Nyayu Nina Putri Calisane; Linlin Lindayani
Risenologi Vol. 6 No. 1a (2021): Seminar Nasional Keperawatan-STIKEP PPNI Jawa Barat
Publisher : Kelompok Peneliti Muda Universitas Negeri Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47028/j.risenologi.2021.61a.211

Abstract

Cardiovascular disease is the highest cause of death in Indonesia, which is also known as the “silent killer. However, research focused on preventing cardiovascular disease in the elderly is still very limited. In Indonesia, there is no multi-domain intervention using the internet that is intended to improve pre-elderly health.The aim of this study was to design an internet-based multidomain intervention program to prevent cardiovascular disease in the pre-elderly. This study used a quasi-experimental pre-post-test design with two groups (intervention group and control group). The inclusion criteria in this study were: elderly aged 55-65 years, had at least two risk factors for cardiovascular disease (such as hypertension, hypercholesterolemia, obesity, smoking, inactivity, DM, history of cardiovascular disease) previously to participate in the study. The sampling technique that will be used is the convivence sample with a total sample to be recruited is 100.The results of this study will be very useful as a guide for pre-elderly and health workers in the prevention of cardiovascular disease. It is hoped that the results of this study can be used as material for health policy makers in Indonesia to make guidelines and recommendations for disease prevention management in the pre-elderly.
FAKTOR-FAKTOR YANG MEMPENGARUHI KEPATUHAN PENGOBATAN PADA PASIEN PENYAKIT JANTUNG KORONER (PJK): Factors Affecting Medication Adherence in Patients with Coronary Heart Disease (CHD) Herdiman; Gina Nurdina
Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Vol. 9 No. 3 (2023): JIKep | Edisi Khusus 1 2023
Publisher : LPPM STIKES Pemkab Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33023/jikep.v9i3.1590

Abstract

Pendahuluan : Penyakit jantung koroner adalah penyakit jantung yang disebabkan oleh penyempitan pembuluh darah koroner akibat penumpukan kolesterol, timbunan lemak, dan zat lain (plak) pada dinding pembuluh darah koroner yang dapat menyebabkan aterosklerosis dan akhirnya menghambat suplai darah ke jantung. Perkembangan penyakit ini dapat dicegah dengan penatalaksanaan pengobatan yang tepat dan teratur, salah satunya dengan kepatuhan minum obat. Kepatuhan minum obat merupakan aspek utama pengobatan penyakit jantung koroner (PJK). Tujuan: untuk mengetahui faktor-faktor yang mempengaruhi kepatuhan minum obat pada pasien penyakit jantung koroner. Metode: Metode penelitian ini menggunakan pendekatan kuantitatif dengan studi cross sectional. Populasi dalam penelitian ini adalah seluruh pasien penyakit jantung koroner yang datang untuk pemeriksaan rutin di Poliklinik Jantung RSAU Dr. M. Salamun Bandung dengan sampel sebanyak 67 orang, pengambilan sampel menggunakan teknik convenience sampling. Hasil: Hasil Pada penelitian ini didapatkan hasil yang signifikan antara usia (0,000), lama sakit (0,004), self-efficacy (0,001), dan dukungan keluarga (0,029) dengan kepatuhan minum obat pada pasien penyakit jantung koroner. Kesimpulan: Dapat disimpulkan bahwa faktor yang paling berpengaruh dalam penelitian ini adalah usia mempengaruhi kepatuhan minum obat pada pasien penyakit jantung koroner dengan p-value 0,000 (p<0,05)