Module to Support Self Care Behavior in Hypertension Patients in The Community: A Case Management Study

Annisa Firsty Nuri Prillianti

Abstract


Hypertension is a non-communicable disease that is a major risk factor for stroke, which remains a leading cause of morbidity and mortality. This study aims to determine the effectiveness of nursing care through the use of a stroke prevention module in strengthening self-care behaviors in hypertensive patients in the community. This case study was conducted in Tuliskriyo Village, Sanankulon District, Blitar Regency, involving four hypertensive patients. Data were collected through nursing assessment, physical examination, and vital sign measurement, followed by nursing interventions including pain management using Benson relaxation techniques and health education using a stroke prevention module based on self- care behavior this case management involved four hypertensive patients and describes observed clinical and behavioral changes after nursing interventions. The results showed that all patients experienced acute pain and knowledge deficits at baseline. After three days of intervention, there was a reduction in headache intensity, an improvement in vital signs, increased patient knowledge, and better adherence to antihypertensive medication and healthy lifestyle behaviors. The findings indicated that the application of a stroke prevention module effectively enhanced self-care behavior and supported improved clinical outcomes in hypertensive patients. This approach was used as an effective community-based nursing strategy to prevent stroke complications in patients with hypertension.


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1. Wijayanti N, Fauzia N. Pencegahan Penyakit Tidak Menular (PTM): Hipertensi, Kolesterol, Diabetes Melitus, dan Asam Urat. Vol. 5, Journal Of Community impowerment. 2023. https://doi.org/10.32504/hjce.v5i3.949

Andriani C, Herliani O, Indahsari NK, Masfufatun M. Edukasi Pencegahan Stroke dan Penyakit Jantung Melalui Pemeriksaan Darah di Dupak Surabaya. Jurnal Abdidas. 2024 Feb 1;5(1):39–46. https://doi.org/10.31004/abdidas.v5i1.881

Safitri W, Safitri W, Rima Agustin W. PENGETAHUAN DENGAN MOTIVASI PENCEGAHAN STROKE PADA PENDERITA HIPERTENSI. Vol. 6, Adi Husada Nursing Journal. 2020. https://doi.org/10.37036/ahnj.v6i1.160

Husada S, Riview L, Puspitasari PN. Hubungan Hipertensi Terhadap Kejadian Stroke Association Between Hipertension and Stroke Artikel info Artikel history. 2020; Available from: https://akper-sandikarsa.e-journal.id/JIKSH https://doi.org/10.35816/jiskh.v12i2.435

Maulia M, Hengky HK, Program HM, Kesehatan S, Fakultas M, Kesehatan I, et al. ANALISIS KEJADIAN PENYAKIT HIPERTENSI DI KABUPATEN PINRANG Analysis Of The Event Of

Hypertension DiseaseIn Pinrang District [Internet]. Vol. 4. 2021. Available from: http://jurnal.umpar.ac.id/index.php/makes https://doi.org/10.31850/makes.v4i3.614

khairuman, Alfarizi, Syifa Zahara, Cut Risi Rayyana, Salwatun Ahzan, Ana Khaira, et al. ANALISIS FAKTOR RISIKO DAN PENCEGAHAN JANTUNG KORONER DAN STROKE: TINJAUAN LITERATUR. 2025 Feb;

Arifia N, Djunaedi, Harso AD, Annaja AK, Restuningtyas FR, Yuningtyas K, et al. SURVEI KESEHATAN INDONESIA (SKI). 2023.

lukatiningtyas D, Cahyono EA. HIPERTENSI; ARTIKEL REVIEW. 2023; https://doi.org/10.56586/pipk.v2i2.272

Safitri D, Arisandi D, Safitri Program Studi Sarjana Keperawatan D, YARSI Pontianak Jl Panglima Stik. Hubungan Self-Care Behavior dan Kecemasan dengan Kejadian Stroke Pada Kelompok Risiko Tinggi di UPT Puskesmas Banjar Serasan Pontianak. Jurnal Keperawatan Suaka Insan (JKSI) [Internet]. 2024;9(2). Available from: https://journal.stikessuakainsan.ac.id/index.php/jksi/index https://doi.org/10.51143/jksi.v9i2.713

Nur M, Oktavisa Denta A, Mulyadi E, Yulia E. Hubungan Self efficacy dengan Self care. Jurnal Sains dan Teknologi Kesehatan. 2025;6(1):29–35.

Lasmawanti S, Siregar MA, Mhd Adi Setiawan Aritonang, Hanny Ghafira. Hubungan Self Management Behavior dengan Tingkat Kecemasan Pasien Hipertensi. Jurnal Keperawatan Bunda Delima. 2025 Jul 31;7(2):48–54. https://doi.org/10.59030/jkbd.v7i2.154

Candra A, Santi TD, Yani M, Mawaddah DS. Faktor-Faktor yang Berhubungan dengan Kejadian Hipertensi di Desa Baet Lampuot Aceh Besar. MEDIA KESEHATAN MASYARAKAT INDONESIA. 2022 Dec 7;21(6):418–23. https://doi.org/10.14710/mkmi.21.6.418-423

Nabila RI, Herlinawati H, Ariyanto S, Ronanarasafa R. Hubungan Jenis Kelamin, Tingkat Pendidikan, dan Indeks Massa Tubuh Dengan Kejadian Hipertensi Pada Lansia di Wilayah Kerja PUSKESMAS Gunungsari Lombok Barat. Bioscientist : Jurnal Ilmiah Biologi. 2025 Mar 29;13(1):364. https://doi.org/10.33394/bioscientist.v13i1.14534

Supriadi FE, Fitri NL, Dewi NR, Dharma AK, Metro W. PENERAPAN SLOW DEEP BREATHING TERHADAP NYERI KEPALA PASIEN HIPERTENSI DI RUANG PENYAKIT DALAM A RSUD JEND. AHMAD YANI METRO THE APPLICATION OF AUTOGENIC RELAXATION AND CANDANA AROMATHERAPY ON BLOOD PRESSURE IN HYPERTENSION PATIENTS IN THE EDUCATION ROOM IN GENERAL HOSPITAL JEND. AHMAD YANI METRO. Jurnal

Cendikia Muda. 2024;4(4).

Firdaniansyah A, Sulaiman L, Fatoni A. Hubungan Pengetahuan, Riwayat Keluarga, dan Status Gizi dengan Kejadian Hipertensi pada Usia Produktif. MAHESA : Malahayati Health Student Journal [Internet]. 2025 Dec 1;5(12):5572–86. Available from: https://ejurnalmalahayati.ac.id/index.php/MAHESA/article/view/19831 https://doi.org/10.33024/m ahesa.v5i12.19831

Dewi Noviyanti Dosen RS, Gizi STIKES PKU Muhammadiyah Surakarta Jl Tulang Bawang Selatan No I, Banjarsari Surakarta K. FAKTOR RISIKO PENYEBAB MENINGKATNYA KEJADIAN STROKE PADA USIA REMAJA DAN USIA PRODUKTIF. Vol. 10. 2013.

Anggraini W, Nurman M, Harmia E, Arge W. Faktor-Faktor Risiko Yang Berhubungan Dengan Kejadian Hipertensi Pada Masyarakat Usia 31-54 Tahun Di Desa Sei Tarap Wilayah Kerja UPT Puskesmas Kampa ARTICLE INFORMATION ABSTRACT. 2025.

A DA, Sinaga AF, Syahlan N, Siregar SM, Sofi S, Zega RS, et al. FAKTOR - FAKTOR YANG MENYEBABKAN HIPERTENSI DI KELURAHAN MEDAN TENGGARA. Jurnal Kesehatan

Masyarakat. 2022 Mar 29;10(2):136–47. https://doi.org/10.14710/jkm.v10i2.32252

Surya Kusuma D, Kartikasari F. AKTIVITAS FISIK, KEBIASAAN MEROKOK, DAN KONSUMSI KOPI DENGAN KEJADIAN HIPERTENSI DI KLINIK ASY-SYIFA DESA JANGGALAN KECAMATAN KOTA KABUPATEN KUDUS. Jurnal Keperawatan Suaka Insan (JKSI). 10(1):2025. https://doi.org/10.51143/jksi.v10i1.785

Sultan U, Tirtayasa A, Juliana I, Kumaladewi Hengky H, Umar F, Usman U. Analysis of Factors Related to The Incidence of Hypertension In Productive Age (15-59 Years). Jurnal Gizi Kerja dan Produktivitas. 2024;5:138–48. http://dx.doi.org/10.62870/jgkp.v5i1.24602

SDKI DPP PPNI. Standar Diagnosis Keperawatan Indonesia : Definisi dan Indikator Diagnostik,

Edisi 1. Jakarta: DPP PPNI. 2018.

Aliya Permala Putri, Murniati Murniati, Tri Sumarni. Teknik Relaksasi Benson untuk Menurunkan Tekanan Darah Pasien Hipertensi di RSUD Dr. R. Goenteng Taroenadibrata Purbalingga. Jurnal Rumpun Ilmu Kesehatan. 2025 Oct 7;5(3):104–13. https://doi.org/10.55606/jrik.v5i3.5549

Naustion S, Daryaman U. ASUHAN KEPERAWATAN DENGAN PEMBERIAN INTERVENSI TEKNIK RELAKSASI BENSON DENGAN MASALAH KEPERAWATAN NYERI AKUT PADA NY. N DENGAN DIAGNOSA MEDIS HIPERTENSI DI RUANG MAWAR RS PARU dr. H.A. ROTINSULU.

Rosidi A, Studi Profesi Ners P, Tinggi Ilmu Kesahatan Hamzar Lombok Timur S. STUDI KASUS: TERAPI BENSON DALAM MENURUNKAN TEKANAN DARAH PADA LANSIA PENDERITA

HIPERTENSI. Vol. 4, Lasalle Health Journal. 2025.

Kamelia S, Safrudin. Hubungan Antara Karakteristik, Pengetahuan, Self Efficacy, Self Care Behavior dan Dukungan Keluarga Pada Penderita Hipertensi di Puskesmas Seroja Bekasi. 2024. https://doi.org/10.33761/jpkm.v1i2.1411




DOI: https://doi.org/10.70111/hg4203

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