The Effect of Educational Program on Hypertension Management Toward Knowledge and Attitude Among Uncontrolled Hypertension Patients in Rural Area of Indonesia

Abstract

Background Hypertension is a major public health threat affecting adults worldwide. The low hypertension management knowledge causes uncontrolled high blood pressure and it’s a complication. It requires patients with uncontrolled hypertension to increase adherence to either pharmacological therapy or nonpharmacological therapy aimed at achieving normal blood pressure. Purpose The purpose of this study was to examine the effectiveness of a short-term educational program on hypertension management related knowledge and attitude among uncontrolled hypertension patients in Malang, Indonesia. Methods The research design used a Quasi-Experimental study with the design of one group pre-post-test. The participants were 41 uncontrolled hypertension patients chosen by purposive sampling at the Ciptomulyo Public Health Center. The questionnaires were used to collect the data. The Hypertension Knowledge-Level Scale (HK-LS) questionnaire was used to determine the knowledge of uncontrolled hypertension patients. KAP questionnaire was used to determine the attitude of the participants. The data were analyzed statistically using the Wilcoxon Signed Rank Test. Results The majority of respondents were aged 55–65 (54%), female (83%), housewife (76%), graduated elementary school (71%), and long suffered from hypertension >1 year (68%). The result showed that the provision of the educational program increases knowledge (p = 0,000) and attitude (p = 0,008) of patients on the management of hypertension. Conclusion Health education could improve hypertension management knowledge and attitude among uncontrolled hypertension in the rural area. Furthermore, Health providers should consider giving the education among uncontrolled hypertension.

Online Health Education's Influence on Productive-Age's Population Knowledge, Attitude and Practice Towards Hypertension

“…Despite an increase in the mean and median post-test scores, there was no substantial difference in the attitude domain scores. Kurnia et al [24] used a face-to-face technique to establish a cogent influence of education on attitudes concerning hypertension in Indonesia. According to a Chinese study, employing a video to perform distant learning on attitude is the best technique [25].…”

Efektifitas Video Edukasi dan Kartu Pengingat Minum Obat Terhadap Kepatuhan Pengobatan dan Kontrol Tekanan Darah pada Pasien Hipertensi

“…Sejalan dengan studi sebelumnya menyatakan pemberian edukasi oleh tenaga kesehatan dan didukung tingkat pendidikan berpengaruh signifikan terhadap peningkatan pengetahuan tentang hipertensi 2,5 kali dibandingkan dengan informasi yang diberikan oleh anggota keluarga [33]. Penelitian lainnya menyatakan ada pengaruh signifikan pemberian edukasi terhadap peningkatan pengetahuan (54%) dan perubahan perilaku 85% [34]. Tingkat pengetahuan yang rendah dapat mengembangkan komplikasi kardiovaskular sebesar 35,4% akibat hipertensi [35].…”

Latihan Aktivitas Fisik Seperti Berjalan Setiap Hari pada Pasien Hipertensi

“…Hipertensi tidak terkontrol, dan berisiko menimbulkan komplikasi lebih lanjut pada pasien tersebut seperti stroke, Acute Coroner Syindrome (ACS), gagal jantung, gagal ginjal (Docherty et al, 2021;Pirasath & Sundaresan, 2021). Adapun salah satu faktor risiko penderita hipertensi yang bisa mengalami tekanan darah yang tidak terkontrol adalah kurangnya aktivitas fisik (Kurnia et al, 2020).…”

“…Data WHO tahun 2015 menunjukkan sekitar 1,13 miliar orang di dunia terdiagnosis hipertensi, artinya 1 dari 3 orang di dunia terdiagnosis hipertensi, diperkirakan pada tahun 2025 akan ada 1,5 miliar orang yang terkena hipertensi, dan diperkirakan setiap tahunnya 9,4 juta orang meninggal akibat hipertensi dan komplikasinya, dari 50% penderita hipertensi diketahui 12,5% tingkat kepatuhannya masih rendah dalam pengobatan, salah satunya adalah kurangnya aktivitas fisik pada penderita hipertensi (Permata et al, 2021;Kurnia et al, 2020).…”