PENGEMBANGAN MODEL MANAJEMEN STRES BERBASIS KOMUNITAS UNTUK MENINGKATKAN KONTROL TEKANAN DARAH PADA PASIEN HIPERTENSI

Abstract

Background: Hypertension is a global health problem often exacerbated by psychosocial stress, leading to blood pressure instability. This study aimed to develop and examine the effectiveness of a community-based stress management model on blood pressure control, stress levels, and self-management capabilities in hypertensive patients. Subjects and Method: This study used a Quasi-Experimental design with a Pre-test and Post-test with Control Group approach. The sample consisted of 70 hypertensive patients at Singosari Health Center selected using purposive sampling, divided into intervention (n=35) and control groups (n=35). The intervention group received education and cadre assistance using the slow deep breathing technique, while the control group received standard care. Instruments included a digital sphygmomanometer, DASS-21 (stress subscale), and self-management questionnaires. Data were analyzed using Paired and Independent T-Tests. Results: There was an average decrease in systolic blood pressure of 15.80 mmHg (p=0.001) and diastolic of 10.30 mmHg (p=0.002) in the intervention group, significantly different from the control group. The intervention also significantly reduced stress scores (p=0.000) and increased self-management scores (p=0.005). Conclusion: The community-based stress management model facilitated by health cadres is effective in lowering blood pressure, reducing psychological stress, and increasing patient independence. This model is recommended for integration into the Posbindu PTM program.

Keywords: Health Cadres, Hypertension, Self-Management, Slow Deep Breathing, Stress Management