Implementasi Self Care Management pada Penderita Hipertensi

Abstract

Perubahan pola hidup masyarakat yang tidak sehat seperti pola makan yang kurang baik, kurangnya aktivitas fisik, ketidakpatuhan penderita hipertensi dalam menjalani diet dan pengobatan menjadi salah satu faktor meningkatnya angka prevalensi hipertensi di Indonesia. Self care management yang dilakukan secara efektif bermanfaat untuk meningkatkan kepuasan pasien dalam menjalani hidup, menurunkan biaya perawatan, meningkatkan rasa percaya diri, kemandirian pasien, dan meningkatkan kualitas hidup pasien. Perilaku self care management meliputi : kepatuhan terhadap diet, aktivitas fisik, kontrol stress, membatasi konsumsi alkohol dan berhenti merokok. Tujuan pengabdian masyarakat ini adalah meningkatkan pemahaman dan menjalankan perilaku self care management pada penderita hipertensi. Mitra yang terlibat dalam kegiatan pengabdian masyarakat ini adalah Puskesmas Ubud 1. Metode pengabdian masyarakat meliputi pengukuran perilaku self care management melalui kuisioner, pemberian edukasi melalui penyuluhan kesehatan, pemeriksaan/skrining kesehatan dan latihan yoga sebanyak 2x seminggu seama 2 minggu. Hasil pengabdian masyarakat didapatkan penerapan self care management sebagian besar dalam kategori kurang sebanyak 18 responden (45%), kategori cukup sebanyak 15 responden (37,5%) dan kategori baik sebanyak 7 responden (17,5%). Hasil pengukuran tekanan darah setelah pelaksanaan yoga 2x seminggu selama 2 minggu didapatkan rata-rata penurunan sebesar 17,06 mmHg pada tekanan darah sistolik dan 13,46 mmHG pada tekanan darah distolik. Penerapan self care management sangat penting untuk mencegah komplikasi lanjut pada penderita hipertensi. Diharapkan Puskesmas Ubud 1 dapat meningkatkan upaya promotif dan mengevaluasi penerapan self care management pada penderita hipertensi.   Changes in people's unhealthy lifestyles such as poor eating patterns, lack of physical activity, non-compliance of hypertension sufferers in undergoing diet and medication are one of the factors in the increasing prevalence of hypertension in Indonesia. Self care management that is carried out effectively is useful for increasing patient satisfaction in living life, reducing treatment costs, increasing self-confidence, patient independence, and improving the patient's quality of life. Self care management behaviors include: adherence to diet, physical activity, stress control, limiting alcohol consumption and quitting smoking. The purpose of this community service is to increase understanding and carry out self care management behavior in people with hypertension. The partners involved in this community service activity are the Ubud Health Center 1. Community service methods include measuring self-care management behavior through questionnaires, providing education through health counseling, health checks/screening and yoga practice 2x a week for 2 weeks. The results of community service showed that the application of self care management was mostly in the less category with 18 respondents (45%), sufficient category with 15 respondents (37.5%) and good category with 7 respondents (17.5%). The results of blood pressure measurements after the implementation of yoga 2x a week for 2 weeks showed an average decrease of 17.06 mmHg in systolic blood pressure and 13.46 mmHG in diastolic blood pressure. The application of self care management is very important to prevent further complications in patients with hypertension. It is hoped that the Ubud 1 Health Center can increase promotive efforts and evaluate the application of self care management in hypertension sufferers.