The Influence of Educational Modification with Hypertension Exercise on Knowledge and Blood Pressure of The Elderly
Keywords:
Education, Hypertension, Elderly, Prolanis, Hypertension GymnasticsAbstract
Hypertension in the elderly is an important global health problem that, if not managed properly can cause serious complications. In Indonesia, the prevalence of hypertension tends to increase with age, especially among the elderly. Hypertension can be treated with pharmacological and non-pharmacological therapy, one of which is through hypertension exercise. This study aims to determine the effect of hypertension exercise modification and education by distributing leaflets on the knowledge and blood pressure of the elderly in the Chronic Disease Management Program (Prolanis) of the Halmahera Health Center UPTD. The method used is quantitative with a pre-posttest design. The population used was all Prolanis patients, with sample selection using simple random sampling, namely 20 respondents. Data were collected using a questionnaire with blood pressure measurements before and after the hypertension exercise intervention. The results of the study showed that hypertension exercise had a significant effect on decreasing diastolic blood pressure (p = 0.001), but did not have a significant effect on decreasing systolic blood pressure (p = 0.130). Providing education through leaflets did not show a significant effect on increasing the knowledge of the elderly (p = 0.398). Based on these findings, hypertension exercise has been proven effective as one of the interventions in managing hypertension in the elderly, although education through leaflets did not show significant changes in knowledge. This study is expected to provide contributions in the development of hypertension management in the elderly.
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Abderrahmen, T. (2024). Impact of exercise modalities on blood pressure control in hypertensive patients. International Journal of Health Sciences, 8(51), 47–62. https://doi.org/https://doi.org/10.53730/ijhs.v8ns1.14701
Abduh, M. (2023). Pelatihan brisk walking exercise untuk menurunkan mortalitas dan morbiditas pada pasien lansia hipertensi dan diabetes melitus di genuk indah, kota semarang. Jurnal Kreativitas Pengabdian Kepada Masyarakat (Pkm), 6(6), 2539–2543. https://doi.org/https://doi.org/10.33024/jkpm.v6i6.9396
Abdullah, V. (2023). Implementasi edukasi dan senam hipertensi pada keluarga binaan. Jurnal Kreativitas Pengabdian Kepada Masyarakat, 6(6), 2495–2505. https://doi.org/https://doi.org/10.33024/jkpm.v6i6.9981
American Heart Association. (2021). Memahami Hasil Pembacaan Tekanan Darah. https://www.heart.org/id/topik-kesehatan/tekanan-darah-tinggi/memahami-hasil-pembacaan-tekanan-darah](https://www.heart.org/id/topik-kesehatan/tekanan-darah-tinggi/memahami-hasil-pembacaan-tekanan-darah
Anas Dwi Yulinar Burhan, Nur Ulmy Mahmud, & Sumiaty. (2020). Hubungan Gaya Hidup terhadap Risiko Hipertensi pada Lansia di Wilayah Kerja Puskesmas Layang Kota Makassar. Window of Public Health Journal, 189–197. https://doi.org/10.33096/woph.v1i3.32
Andri, J., Karmila, R., Padila, P., J, H., & Sartika, A. (2019). Pengaruh Terapi Aktivitas Senam Ergonomis terhadap Peningkatan Kemampuan Fungsional Lansia. Journal of Telenursing (JOTING), 1(2), 304–313. https://doi.org/10.31539/joting.v1i2.933
Anggraeni, Y., Tresno, N., Susanti, I., & Mangkunegara, I. (2020). The effectiveness of health education using leaflet and video on students’ knowledge about the dangers of smoking in vocational high school 2 purwokerto. https://doi.org/https://doi.org/10.2991/ahsr.k.200204.076
Anggreini, S. N. (2023). pengaruh senam hipertensi terhadap perubahan tekanan darah pada lansia di wilayah kerja puskesmas rejosari. Mandira Cendekia, 2, 79–85.
Asyrofi, A., Arisdiani, T., & Yanti. (2020). Hubungan Tingkat Pengetahuan Komplikasi Hipertensi dengan Tindakan Pencegahan Komplikasi. 12.
Azizah, M., Dhewi, S., & Anwary, A. (2023). Faktor-faktor yang mempengaruhi kejadian hipertensi pada lansia di wilayah kerja puskesmas kubur jawa kabupaten hulu sungai tengah. ,. Media Publikasi Promosi Kesehatan Indonesia (Mppki), 314–320.
Barton, C. J., & Rathleff, M. S. (2016). “Managing My Patellofemoral Pain”: The creation of an education leaflet for patients. BMJ Open Sport and Exercise Medicine, 2(1). https://doi.org/10.1136/bmjsem-2015-000086
Basuki, S. and Barnawi, S. (2021). Pengaruh senam hipertensi terhadap tekanan darah pada komunitas lansia desa petir kecamatan kalibagor, banyumas. Sainteks, 18(1), 87.
BPJS Kesehatan. (2019). Buku Panduan Praktis Program Pengelolaan Penyakit Kronis (Prolanis). BPJS Kesehatan.
Dewi, N. N. S. A., Wardani, D. W. K. K., & Suhaid, D. N. (2023). The Influence of Counseling and Media Leaflets on Increasing Dysmenorrhea Knowledge. Embrio, 15(2), 180–188. https://doi.org/10.36456/embrio.v15i2.7556
Dewi, S. U., & Nuraeni, A. (2022). Pendidikan Kesehatan Senam Hipertensi dalam Upaya Pencegahan Komplikasi di Kebagusan Kecil. Jurnal Abdi Masyarakat Indonesia, 2(6), 1607–1614. https://doi.org/10.54082/jamsi.491
Dwimawati, E. (2021). Prevalence and determinants of hypertension in indonesia. Indian Journal of Forensic Medicine & Toxicology, 15(4), 1065–1071. https://doi.org/https://doi.org/10.37506/ijfmt.v15i4.16846
Eliyanti, U., & Hanif, I. (2023). Hypertension and Cholesterol among Late Adults in Indonesia: A Cross-Sectional Population-Based Survey. Journal of Health Economic and Policy Research (JHEPR), 1(1), 31–34. https://doi.org/10.30595/jhepr.v1i1.70
Elviana, N., Astuti, Y., Fandizal, M., Sani, D. N., Safari, U., Riani, N., & Irsan, I. (2021). Pelatihan Senam Hipertensi Pada Lansia. Jurnal Pengabdian Masyarakat Indonesia Maju, 2(01), 1–4. https://doi.org/10.33221/jpmim.v2i01.1029
Endah, L. (2020). Pengaruh Senam Bugar Terhadap Perubahantekanan Darahpada Lansia Hipertensi Di Posyandu Lansia Anggrek Desa Sukosari Kecamatan Dagangan Kabupaten Madiun. STIKES Bhakti Husada Mulia Madiun.
Ernawati, I., Fandinata, S. S., & Permatasari, S. N. (2020). The effect of leaflet on hypertension knowledge in hypertensive patients in community health center in Surabaya city. Open Access Macedonian Journal of Medical Sciences, 8(E), 558–565. https://doi.org/10.3889/oamjms.2020.5327
Handayani, S. (2023). Analisis Pembatasan Garam pada Pasien Hipertensi dan Faktor-Faktor Determinannya di Desa Perapat Nunggul Kecamatan Lawe Alas Kabupaten Aceh Tenggara. MAHESA : Malahayati Health Student Journal, 3(3), 847–858. https://doi.org/10.33024/mahesa.v3i3.9471
Harmilah, H., Palestin, B., Ratnawati, A., Prayogi, A. S., & Susilo, C. B. (2021). Hypertension exercise videos reduce blood pressure of hypertension patients. Open Access Macedonian Journal of Medical Sciences, 9(T4), 296–299. https://doi.org/10.3889/oamjms.2021.6496
Heava, M. (2019). The Effect of Hypertension Exercise on Blood Pressure Control. Journal of Hypertension and Cardiovascular Health, 12(3), 45–52.
Henirispawati, B. (2024). Senam prolanis menurunkan tekanan darah pada pasien hipertensi. Jurnal Ilmiah Stikes Yarsi Mataram, 14(1), 31–39. https://doi.org/https://doi.org/10.57267/jisym.v14i1.335
Herrod, J. (2022). The Impact of Hypertension Exercise on Blood Pressure Control: A Systematic Review. Journal of Clinical Hypertension, 24(5), 678–685.
Hidayat, C. T. (2021). Pengaruh Pendidikan Kesehatan Hipertensi Dan Senam Hipertensi Terhadap Tekanan Darah Pada Lansia di Desa Jenggawah dan Ajung Kabupaten Jember. Jurnal Penelitian IPTEKS, 6(1), 16–21. https://doi.org/10.32528/ipteks.v6i1.5111
Inriani, L., Narmawan, N., & Abadi, E. (2021). Pengaruh senam prolanis terhadap penurunan tekanan darah pada penderita hipertensi di wilayah pesisir puskesmas soropia. Health Information Jurnal Penelitian, 13(1), 1–10. https://doi.org/https://doi.org/10.36990/hijp.v13i1.232
Isnaini Herawati, S. (2019). Efektivitas Senam Hipertensi dalam Menurunkan Tekanan Darah Sistolik dan Diastolik pada Lansia. Jurnal Ilmu Kesehatan, 10(1), 45–52.
Istiqomah, A. N., Syahputra, G. W., Yuliastuti, I., Yuliana, N. S., Laksono, R., Wulandari, T., & Setiawan, C. (2023). Edukasi Senam Hipertensi Terhadap Penurunan Tekanan Darah Tinggi Pada Lansia Di Kantor Pimpinan Daerah Aisyiyah Banjarsari Kota Surakarta. Empowerment Journal, 3(2), 66–71. https://doi.org/10.30787/empowerment.v3i2.1292
Latifah, I., & Maryati, H. (2018). Analisis pelaksanaan program pengelolaan penyakit kronis (prolanis) bpjs kesehatan pada pasien hipertensi di uptd puskesmas tegal gundil kota bogor. Hearty, 6(2). https://doi.org/https://doi.org/10.32832/hearty.v6i2.1277
Lubis, I. A. P., Siregar, S. R., Khairunnisa, K., & Fauzan, A. (2024). Diet Rendah Garam pada Pasien Hipertensi. GALENICAL : Jurnal Kedokteran Dan Kesehatan Mahasiswa Malikussaleh, 3(1), 68. https://doi.org/10.29103/jkkmm.v3i1.14973
Maharianingsih, N. M., Rahem, A., & Aditama, L. (2018). Pengaruh Patient Decision Aid terhadap Knowledge, Attitude, Practice, dan Tekanan Darah Pasien Hipertensi di UPTD Puskesmas Tabanan III. Indonesian Journal of Clinical Pharmacy, 7(4), 270. https://doi.org/10.15416/ijcp.2018.7.4.270
Mahfudhoh, F. (2023). Faktor Risiko Tidak Terkontrol Pada Penderita Hipertensi Di Dusun Jabung Kecamatan Jenu Kabupaten Tuban. Jurnal Multidisiplin Indonesia, 2(9), 2425–2434. https://doi.org/10.58344/jmi.v2i9.462
Mua, E., Sekeon, R., Anggreyni, M., Purwiningsih, S., & Ito, K. (2022). The effect of hypertension gymnastics on lowering blood pressure in the elderly. Prepotif Jurnal Kesehatan Masyarakat, 6(2), 1448–1453. https://doi.org/https://doi.org/10.31004/prepotif.v6i2.4482
Muchtar, F., Effendy, D., Lisnawaty, L., & Kohali, R. (2022). Edukasi pencegahan dan pengendalian hipertensi menggunakan leaflet kemenkes pada penderita hipertensi di wilayah kerja puskesmas mokoau. Indonesia Berdaya, 3(3).
Novendy, N., Christy, S., Devina, V., & Alexander, D. (2022). Skrining Faktor Risiko Penyakit Hipertensi. Jurnal Bakti Masyarakat Indonesia, 5(1). https://doi.org/10.24912/jbmi.v5i1.18212
Nugraheni, A., & Andarmoyo, S. (2019). Pengaruh Senam Hipertensi terhadap Perubahan Tekanan Darah Pada Penderita Hipertensi di Kelompok Prolanis Wilayah Kerja Puskesmas Sukorejo. http://seminar.umpo.ac.id/index.php/SNFIK2019/article/view/393
Nuraeni, A. (2019). Pengaruh Usia Terhadap Penurunan Sistem Imun dan Kesehatan Lansia. Jurnal Kesehatan Masyarakat, 14(3), 210–218.
Rachmawati, E., Rahmadhani, F., Ananda, M. R., Salsabillah, S., & Pradana, A. A. (2021). Faktor-Faktor Yang Mempengaruhi Pengetahuan Keluarga Terhadap Penyakit Hipertensi: Telaah Narasi. Jurnal Mitra Kesehatan, 4(1), 14–19. https://doi.org/10.47522/jmk.v4i1.98
Rasiman, N. B., & Ansyah, A. (2020). Pengaruh Senam Terhadap Perubahan Tekanan Darah Pada Lansia. Pustaka Katulistiwa: Karya Tulis Ilmiah Keperawatan, 1(1).
Riansyah, A. (2019). Pengaruh Senam Hipertensi terhadap Penurunan Tekanan Darah pada Lansia. Jurnal Kesehatan Masyarakat, 15(2), 123–130.
Rijal, A., Adhikari, T. B., Dhakal, S., Maagaard, M., Piri, R., Nielsen, E. E., Neupane, D., Jakobsen, J. C., & Olsen, M. H. (2024). Effects of adding exercise to usual care on blood pressure in patients with hypertension, type 2 diabetes, or cardiovascular disease: a systematic review with meta-analysis and trial sequential analysis. Journal of Hypertension, 42(1), 10–22. https://doi.org/10.1097/HJH.0000000000003589
Rizka, M., Ambardini, R., Virama, L., & Yudhistira, D. (2022). The effect of walking exercise on blood pressure and blood glucose in the elderly. International Journal of Kinesiology and Sports Science, 10(1), 30–35. https://doi.org/https://doi.org/10.7575/aiac.ijkss.v.10n.1p.30
Sapitri, A. (2023). Tingkat kepatuhan diet dengan derajat hipertensi pada lansia. JKIFN, 3(2), 56–63. https://doi.org/https://doi.org/10.34011/jkifn.v3i2.1769
Sekar Siwi, A., Irawan, D., & Susanto, A. (2020). Analisis Faktor-Faktor yang Memengaruhi Kejadian Hipertensi. Journal of Bionursing, 2(3), 164–166. https://doi.org/10.20884/1.bion.2020.2.3.70
Setyoadi, Sari, E. K., & Larasati, I. (2023). Effect Of Health Education Model BASNEF On Knowledge And Compliance With Hypertension Diet In Elderly With Hypertension. Journal of Rural Community Nursing Practice, 1(1), 32–42. https://doi.org/10.58545/jrcnp.v1i1.70
Siti Nursofiati, Perdana, F., Shoffa, Mariananingsih, I., & Isnur, M. (2023). Penyuluhan Hipertensi pada Pra Lansia Di Wilayah Kerja Puskesmas Kasemen, Kota Serang. Jurnal Pengabdian Dan Pengembangan Masyarakat Indonesia, 2(1), 20–23. https://doi.org/10.56303/jppmi.v2i1.86
Susanti, S., Nurmalina Ramadhani, N., & Puspitasari, P. (2022). Efforts to Stabilize Blood Pressure in Hypertensive Patients with Management of Hypertension Therapy Gymnastics Training. Journal of Health Community Service, 2(2). https://doi.org/10.33086/jhcs.v2i2.2963
Tambunan, D. M., Purba, J. R., Aldiana, P., Tanjung, A. J. B., Nainggolan, B. R., Marbun, F. S. M., Br. Ginting, A. O., Sakerebau, A. S., Debora, B. M., Purba, C. N., Annisa, C., Siahaan, D. F., & Pardede, B. R. (2023). Implementation of Hypertension Exercise in Elderly with Hypertension in Cinta Rakyat Village Deli Serdang Regency. Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM), 6(9), 3666–3675. https://doi.org/10.33024/jkpm.v6i9.11148
Tina, Y., Handayani, S., & Monika, R. (2021). Pengaruh Senam Hipertensi Terhadap Tekanan Darah Pada Lansia. Jurnal Kesehatan Samodra Ilmu, 12(2), 118–123. https://doi.org/10.55426/jksi.v12i2.150
Umizah, L., & Chi, M. (2023). Pemeriksaan dan edukasi pasien dm dan hipertensi pada kelompok prolanis lansia puskesmas sidodadi bengkulu tengah. Jurnal Inovasi Pengabdian Dan Pemberdayaan Masyarakat, 3(1), 421–426. https://doi.org/https://doi.org/10.54082/jippm.95
Wahyuni, Majid, Y. A., & Pujiana, D. (2023). Pengaruh Senam Hipertensi Terhadap Tekanan Darah Lansia Penderita Hipertensi. Jurnal Inspirasi Kesehatan, 1(1), 65–71.
Warjiman, W., Jamini, T., Kristiana, D., & Chrisnawati, C. (2021). Pengaruh senam prolanis terhadap penurunan tekanan darah pada penderita hipertensi di puskesmas angsau. Jurnal Keperawatan Suaka Insan (Jksi), 6(1), 59–66. https://doi.org/https://doi.org/10.51143/jksi.v6i1.268
Wijayanti, E. S., Maryoto, M., & Kurniawan, W. E. (2023). Pengaruh Pemberian Air Rebusan Daun Binahong (Anredera Cordifolia) Terhadap Tekanan Darah Pada Penderita Hipertensi Di Wilayah Desa Jetis Kecamatan Nusawungu. SENTRI: Jurnal Riset Ilmiah, 2(3), 671–681. https://doi.org/10.55681/sentri.v2i3.617
Wijayanti, W., Widyastutik, O., & Alamsyah, D. (2022). Faktor- faktor yang memengaruhi kejadian hipertensi di desa sungai itik kecamatan sungai kakap. Jumantik, 9(1), 36. https://doi.org/https://doi.org/10.29406/jjum.v9i1.4537
World Health Organization. (2021). Hypertension. https://www.who.int/news-room/fact-sheets/detail/hypertension
Yusriana, Y. (2023). Edukasi senam hipertensi terhadap penurunan tekanan darah pada lansia. Jurnal Abdi Mercusuar, 3(2), 065–071. https://doi.org/https://doi.org/10.36984/jam.v3i2.434
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