Jurnal Informasi Kesehatan Indonesia (JIKI)

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

abdul hanan — Fri, 24 Apr 2026 00:00:00 +0000

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

Efektivitas Aplikasi Telenursing Totok Punggung terhadap Kepatuhan Perawatan dan Tekanan Darah Pasien Hipertensi

Fri, 24 Apr 2026 00:00:00 +0000

Background: Hypertension morbidity remains high due to low treatment adherence triggered by the perception of "feeling healthy." The use of digital technology for self-care is not yet optimal. This study aims to develop a "Totok Punggung" (Back Acupressure) telenursing application based on Orem's Theory and test its effectiveness on adherence and blood pressure. Subjects and Method: The research design used mixed-methods (Research and Development followed by a Randomized Controlled Trial). The study was conducted in Malang Regency with a sample of 100 hypertensive patients (50 intervention, 50 control) selected through multistage random sampling. Research instruments included Orem's self-care ability questionnaire, CULIG adherence scale, and digital sphygmomanometer. Data analysis used Paired and Independent T-Tests. Results: The application was declared valid (CVI=0.92) and had high acceptability (SUS score=78.5). The intervention group showed a significant increase in self-care ability (p<0.001) and adherence (p<0.001). There was an average decrease in systolic blood pressure of 24.20 mmHg and diastolic of 12.20 mmHg in the intervention group (p<0.001) compared to the control group. Conclusion: The "Totok Punggung" telenursing application is effective in bridging self-care deficits, changing non-compliant behavior, and stabilizing patient hemodynamics. This intervention can be adopted in primary health services.

EFEKTIVITAS INTERVENSI HEALTH BELIEF MODEL TERHADAP PERILAKU PENCEGAHAN HIPERTENSI REMAJA DI WILAYAH DINOYO

Fri, 24 Apr 2026 00:00:00 +0000

Background: The increasing prevalence of hypertension in adolescents aged 15-24 years, reaching 9.3%, demands holistic preventive strategies beyond conventional education. This study aims to evaluate the effectiveness of Health Belief Model (HBM)-based educational interventions on changing primary hypertension prevention behavior in adolescents. Subjects and Method: This quasi-experimental study with a Non-Equivalent Control Group Pretest-Posttest Design involved 120 students (60 intervention, 60 control) in the Dinoyo PHC working area. The sampling technique used multi-stage cluster random sampling. Variables were measured using structured questionnaires and clinical measurements, then analyzed using ANCOVA and Partial Least Squares Structural Equation Modeling (PLS-SEM). Results: The HBM intervention was significantly effective in transforming hypertension prevention behavior (p < 0.001; effect size η2 = 0.380) compared to standard education. Structural analysis showed that self-efficacy was the most dominant predictor (β = 0.51) in mediating the adoption of a healthy lifestyle. Conclusion: HBM intervention contributes significantly to fostering early healthy behavior habituation. Policy implications suggest integrating HBM modules into School Health Unit (UKS) programs

PENGEMBANGAN MODEL EDUKASI BERBASIS KELUARGA UNTUK PENCEGAHAN PENULARAN HIV DARI IBU KE ANAK

Fri, 24 Apr 2026 00:00:00 +0000

Background: Mother-to-child transmission (MTCT) of HIV is a serious health issue with transmission risks ranging from 15-45% without effective intervention. In the Dau Community Health Center area, prevention is still hindered by low family knowledge and support, as well as strong HIV stigma. This study aims to develop a valid, feasible, and applicable family-based education model for MTCT prevention in high-risk groups.

Subjects and Method: This study employed a Research and Development (R&D) design with a mixed-methods approach. The study was conducted in the working area of the Dau Community Health Center, Malang Regency. Research subjects included high-risk women of reproductive age (n=30), nuclear family members (n=30), and 5 health workers as informants. Sampling was performed using purposive sampling. Dependent variables included knowledge, attitudes, and family support, while the independent variable was the family-based education model. Data collection instruments consisted of validated questionnaires and interview guides. Quantitative data analysis utilized simulative statistical tests to observe changes before and after the intervention.

Results: The developed education model achieved an average expert validity score of 89.7% (very valid). Limited trial results showed significant increases in family knowledge (58.4 to 84.6; p=0.001), attitude scores (3.02 to 4.18; p=0.002), and family support scores (2.94 to 4.11; p=0.001). The model obtained a practicality score of 88.0% (highly practical) based on assessments from users and health workers.

Conclusion: The developed family-based education model is proven to be highly valid, practical, and effective in increasing family capacity for MTCT prevention. Implementing this model at the primary care level can strengthen social support for mothers in high-risk groups to support the 2030 HIV elimination target.

Efektivitas Modul Edukasi Self-Management dalam Pengendalian Asma pada Ibu Hamil

Fri, 24 Apr 2026 00:00:00 +0000

Uncontrolled antenatal asthma risks triggering severe obstetric complications such as pre-eclampsia and fetal hypoxia, yet patient self-management education remains limited. This study aims to evaluate the effectiveness of a Self-Management-Based Education Module on increasing health literacy, behavioral modification, and clinical asthma outcomes in pregnant women. Subjects and Method: A quasi-experimental pretest-posttest with control group design was conducted at Ardimulyo Health Center, Malang Regency. A sample of 60 pregnant women with asthma was selected via purposive sampling, divided into intervention (n=30) and control (n=30) groups. Instruments included knowledge questionnaires, Medication Adherence Report Scale (MARS), Asthma Control Test (ACT), and Peak Expiratory Flow Rate (PEFR). Data were analyzed using Independent T-Test and Mann-Whitney U. Results: The intervention group showed significant improvements compared to the control group in knowledge scores (Δ +3.70; p < 0.001), MARS adherence behavior (Δ +7.5; p < 0.001), ACT clinical control (Δ +6.0; p < 0.001), and PEFR lung function (Δ +75.3 L/min; p < 0.001). The control group showed no significant clinical changes (p > 0.05). Conclusion: The self-management module intervention effectively improves health literacy and objective clinical asthma control in pregnant women. This module is suitable for integration into the Pregnant Women's Class within integrated Antenatal Care (ANC) services

Uji Klinis Terapi Musik Sebagai Intervensi Komplementer Berbasis Komunitas dalam Pengendalian Hipertensi di Puskesmas Ardimulyo

Fri, 24 Apr 2026 00:00:00 +0000

Background: Hypertension in East Java reaches a prevalence of 32.8% with a low control rate of only 16.3% due to treatment fatigue. This study aimed to prove the clinical effectiveness of music therapy as a community-based complementary intervention on blood pressure reduction among primary hypertension patients in Ardimulyo Health Center. Subjects and Method: This study utilized a quasi-experimental design with a pretest-posttest control group approach. A total of 60 respondents were selected through purposive sampling and evenly distributed into intervention and control groups. The intervention group received instrumental music therapy (tempo 60-80 bpm) for 15 minutes daily over 4 weeks with family and health cadres support. Data were analyzed using Paired Sample T-Test and Independent Sample T-Test. Results: The intervention group showed a highly significant reduction in blood pressure (Systolic: 155.20 to 135.30 mmHg, p=0.000; Diastolic: 96.40 to 85.20 mmHg, p=0.000). Conversely, the control group showed no significant reduction (p>0.05). There was a highly significant difference in the reduction margin between groups (Δ systolic p=0.001; Δ diastolic p=0.001). Conclusion: The integration of music therapy with a community social support system is empirically effective in reducing blood pressure and increasing self-efficacy and compliance in primary hypertension patients compared to sole pharmacotherapy