HAMBATAN PADA PELAKSANAAN SELF CARE HIPERTENSI: Scoping Review

Constantius Augusto(1), Eka Afrima Sari(2), Iwan Shalahuddin(3*)

(1) Fakultas Keperawan Unpad
(2) Fakultas Keperawatan, Universitas Padjadjaran
(3) Fakultas Keperawatan, Universitas Padjadjaran
(*) Corresponding Author

Abstract

Meningkatnya kasus pasien hipertensi mengalami komplikasi karena tidak optimalnya tindakan self – care pada pasien. Sehingga perlu diketahui hambatan – hambatan dalam melaksanakan self – care hipertensi. Penelitian sebelumnya hanya membahas mengenai faktor hambatan pada pasien hipertensi. Sedangkan hambatan secara keseluruhan belum ditemukan. Maka penelitian ini dilakukan untuk menemukan hambatan dalam melakukan self – care hipertensi. Tujuan dari penelitian ini adalah untuk menemukan apa saja hambatan dalam mengimplementasikan self – care hipertensi dari beberapa penelitian sebelumnya yang kemudian akan dibagi menjadi beberapa kategori menurut sumber faktor penghambatanya. Metode penelitian scoping review. Pencarian literatur menggunakan database PubMed dan CINAHL, serta search engine Google Scholar. Literatur yang digunakan adalah penelitian eksperimental dan non – eksperimental, menggunakan artikel berbahasa Indonesia dan Inggris, rentang waktu terbit studi adalah 10 tahun terakhir (2012 – 2022), populasi penelitian adalah pasien hipertensi dewasa dan lansia. Kemudian artikel dilakukan ekstraksi data, analisa data secara kualitatif, dan hasil analisa dimasukan dan dilakukan pengelompokan berdasarkan sumber faktor hambatan self – care yang ditemukan. Hasil penelitian ditemukan 16 artikel dan dari ke 16 artikel tersebut hampir seluruhnya menyebutkan faktor hambatan dalam melakukan self – care hipertensi berasal dari pasien. Kesimpulan bahwa hampir seluruh faktor penghambat dalam melakukan self – care hipertensi berasal dari pasien. Rekomendasi diharapkan perawat untuk meningkatkan hubungan komunikasi, keterampilan, dan jumlah tenaga kerja dalam memberikan bantuan self –care. Pasien, keluarga, caregiver, dan masyarakat berkontribusi penuh dalam proses pendidikan self – care hipertensi. Serta peneliti selanjutnya untuk melanjutkan penelitian ini dan menemukan inovasi dalam upaya deteksi awa

Keywords

Hambatan, Hipertensi, Self Care

References

Abel, W. M., Joyner, J. S., Cornelius, J. B., & Greer, D. B. (2017). Self-care management strategies used by black women who self-report consistent adherence to antihypertensive medication. Patient Preference and Adherence, 11, 1401–1412. https://doi.org/10.2147/PPA.S138162

APA. (2022). Self-Efficacy. American Psychological Association. https://www.apa.org/pi/aids/resources/education/self-efficacy

Babaie, J., Pashaei Asl, Y., Naghipour, B., & Faridaalaee, G. (2021). Cardiovascular Diseases in Natural Disasters; a Systematic Review. Archives of Academic Emergency Medicine, 9(1), e36. https://doi.org/10.22037/aaem.v9i1.1208

Chan, S. W. C. (2021). Chronic Disease Management, Self-Efficacy and Quality of Life. Journal of Nursing Research, 29(1), 1–2. https://doi.org/10.1097/JNR.0000000000000422

Coste, J., Valderas, J. M., & Carcaillon-Bentata, L. (2021). Estimating and characterizing the burden of multimorbidity in the community: A comprehensive multistep analysis of two large nationwide representative surveys in France. PLoS Medicine, 18(4 April 2021), 1–22. https://doi.org/10.1371/journal.pmed.1003584

Daniali, S., Darani, F. M., Eslami, A., & Mazaheri, M. (2017). Relationship between Self-efficacy and Physical Activity, Medication Adherence in Chronic Disease Patients. Advanced Biomedical Research, 6(1), 63. https://doi.org/10.4103/2277-9175.190997

Devkota, S., Dhungana, R. R., Pandey, A. R., Bista, B., Panthi, S., Thakur, K. K., & Gajurel, R. M. (2016). Barriers to Treatment and Control of Hypertension among Hypertensive Participants: A Community-Based Cross-sectional Mixed Method Study in Municipalities of Kathmandu, Nepal. Frontiers in Cardiovascular Medicine, 3(August). https://doi.org/10.3389/fcvm.2016.00026

Eghbali, T., & Salehi, S. (2017). The Effect of Nursing Intervention Education on Self-care Behaviors in Patients with High Blood Pressure Referred to Healthcare Centers in Kermanshah Province. Iranian Journal of Rehabilitation Research, 4(1), 32–37. https://doi.org/10.21859/ijrn-04015

Fahkurnia, W. (2017). GAMBARAN SELFCARE PADA PENDERITA HIPERTENSI DI WILAYAH KERJA PUSKESMAS GATAK KABUPATEN SUKOHARJO. UNIVERSITAS MUHAMMADIYAH SURAKARTA, 1(1), 1–14.

Fix, G. M., Cohn, E. S., Solomon, J. L., Cortés, D. E., Mueller, N., Kressin, N. R., ... & Bokhour, B. G. (2014). The role of comorbidities in patients’ hypertension self-management. Chronic illness, 10(2), 81-92.

Guo, Y. J., Hu, X. Y., Ji, H. J., Zhao, Q., Wang, L. Y., Zhou, X. Y., Tang, J., Yang, L., & Sun, X. C. (2022). The status and predictors of self-care among older adults with hypertension in China using the Chinese version of Self-Care of Hypertension Inventory – A cross-sectional study. Nursing Open, 9(2), 1241–1261. https://doi.org/10.1002/nop2.1165

Hafdia, A., Arman, Alwi, M., & A Asrina. (2018). ANALISIS KUALITAS HIDUP PASIEN PASCA STROKE DI RSUD KABUPATEN POLEWALI MANDAR. Seminar Nasional Sinergitas Multidisiplin Ilmu Pengetahuan Dan Teknologi (SMIPT), 1(1), 111–118.

Hari, S., Sudha, S., Varghese, A. M., Sasanka, K., & Thangaraju, P. (2021). A study of risk factors and complications in elderly hypertensive subjects. Journal of Family Medicine and Primary Care, 10(6), 2230–2234. https://doi.org/10.4103/jfmpc.jfmpc

Hussien, M., Muhye, A., Abebe, F., & Ambaw, F. (2021). The role of health care quality in hypertension self-management: A qualitative study of the experience of patients in a public hospital, north-west ethiopia. Integrated Blood Pressure Control, 14, 55–68. https://doi.org/10.2147/IBPC.S303100

Islamiaty, I. N., & Manto, O. A. D. (2020). Efektivitas Pendidikan Kesehatan Pada Pasien Hipertensi Studi Narrative Review. Journal of Nursing Invention, 1(2), 130–137.

Jahan, Y., Rahman, M. M., Faruque, A. S. G., Chisti, M. J., Kazawa, K., Matsuyama, R., & Moriyama, M. (2020). Awareness development and usage of mobile health technology among individuals with hypertension in a rural community of Bangladesh: Randomized controlled trial. Journal of Medical Internet Research, 22(12). https://doi.org/10.2196/19137

Jallinoja, P., Absetz, P., Kuronen, R., Nissinen, A., Talja, M., Uutela, A., & Patja, K. (2007). The dilemma of patient responsibility for lifestyle change: Perceptions among primary care physicians and nurses. Scandinavian Journal of Primary Health Care, 25(4), 244–249. https://doi.org/10.1080/02813430701691778

Johnson, H. M., Thorpe, C. T., Bartels, C. M., Schumacher, J. R., Palta, M., Pandhi, N., Sheehy, A. M., & Smith, M. A. (2014). Undiagnosed hypertension among young adults with regular primary care use. Journal of Hypertension, 32(1), 65–74. https://doi.org/10.1097/HJH.0000000000000008

Johnson, H. M., Warner, R. C., Bartels, C. M., & LaMantia, J. N. (2017). “They’re younger… it’s harder.” Primary providers’ perspectives on hypertension management in young adults: a multicenter qualitative study. BMC Research Notes, 10(1), 1–9. https://doi.org/10.1186/s13104-016-2332-8

Johnson, H. M., Warner, R. C., Lamantia, J. N., & Bowers, B. J. (2016). “I have to live like I’m old.” Young adults’ perspectives on managing hypertension: A multi-center qualitative study. BMC Family Practice, 17(1), 1–10. https://doi.org/10.1186/s12875-016-0428-9

Johnson, J., Vijayakumar, K., Nujum, Z. T., & Thankamoniamma, P. M. (2019). Compliance and its determinants to pharmacologic management of hypertension. Indian Journal of Community Health, 31(1), 63–72.

Karmacharya, R., & Paudel, K. (2018). Awareness on Hypertension and its Self-Management Practices among Hypertensive Patients in Pokhara, western Nepal. Janapriya Journal of Interdisciplinary Studies, 6, 110–120. https://doi.org/10.3126/jjis.v6i0.19313

Kim, A. S., Jang, M. H., Park, K. H., & Min, J. Y. (2020). Effects of self-efficacy, depression, and anger on health-promoting behaviors of Korean elderly women with hypertension. International Journal of Environmental Research and Public Health, 17(17), 1–14. https://doi.org/10.3390/ijerph17176296

Kressin, N. R., Borzecki, A., Katz, L. A., & Bokhour, B. G. (2022). The role of comorbidities in patients’ hypertension self- management. U.S. Department of Veterans Affairs Management, 10(2), 81–92. https://doi.org/10.1177/1742395313496591.The

Laili, N., & Purnamasari, V. (2019). Hubungan Modifikasi Gaya Hidup Dengan Kualitas Hidup Pasien Hipertensi Di Uptd Pkm Adan Adan Gurah Kediri. Jurnal Iklkes (Jurnal Ilmu Kesehatan), 10(1), 66–76.

Lall, D., & Prabhakaran, D. (2014). Organization of primary health care for diabetes and hypertension in high, low and middle income countries. Expert Review of Cardiovascular Therapy, 12(8), 987–995. https://doi.org/10.1586/14779072.2014.928591

Larki, A., Reisi, M., & Tahmasebi, R. (2021). Factors predicting self-care behaviors among low health literacy hypertensive patients based on health belief model in Bushehr district, south of Iran. Social Medicine, 14(1), 4–12. https://doi.org/10.1155/2018/9752736

Lee, M. J., Romero, S., Jia, H. G., Velozo, C. A., Gruber-Baldini, A. L., & Shulman, L. M. (2019). Self-efficacy for managing hypertension and comorbid conditions. World Journal of Hepatology, 9(3), 30–41. https://doi.org/10.5494/WJH.V9.I3.30

Lemessa, F., & Lamessa, M. (2021). Uncontrolled Hypertension and Associated Factors among Hypertensive Adults in Bale Zone Public Hospitals, Ethiopia. J Hypertens Manag, 7, 057.

Levac, D., Colquhoun, H., & O’Brien, K. K. (2010). Scoping studies: Advancing the methodology. Implementation Science, 5(1), 1–9. https://doi.org/10.1186/1748-5908-5-69

Lo, S., Chau, J., Woo, J., Thompson, D. R., & Choi, K. C. (2016). Adherence to antihypertensive medication in older adults with hypertension. Journal of Cardiovascular Nursing, 31(4), 296–303. https://doi.org/10.1097/JCN.0000000000000251

Logan, A. G. (2013). Transforming hypertension management using mobile health technology for telemonitoring and self-care support. Canadian Journal of Cardiology, 29(5), 579–585. https://doi.org/10.1016/j.cjca.2013.02.024

Logan, S. L. M. (2018). The Black Family: Strengths, Self-help, And Positive Change, Second Edition (2nd ed.). Routledge.

Long, E., Ponder, M., & Bernard, S. (2017). Knowledge, attitudes, and beliefs related to hypertension and hyperlipidemia self-management among African-American men living in the southeastern United States. Patient Education and Counseling, 100(5), 1000–1006. https://doi.org/10.1016/j.pec.2016.12.011

Lu, K., Chen, J., Wu, S., Chen, J., & Hu, D. (2015). Interaction of sleep duration and sleep quality on hypertension prevalence in adult Chinese males. Journal of Epidemiology, 25(6), 415–422. https://doi.org/10.2188/jea.JE20140139

Magobe, N. B. D., Poggenpoel, M., & Myburgh, C. (2017). Experiences of patients with hypertension at primary health care in facilitating own lifestyle change of regular physical exercise. Curationis, 40(1), 1–8. https://doi.org/10.4102/curationis.v40i1.1679

Melaku, T., Bayisa, B., Fekeremaryam, H., Feyissa, A., & Gutasa, A. (2022). Self-care practice among adult hypertensive patients at ambulatory clinic of tertiary teaching Hospital in Ethiopia: a cross-sectional study. Journal of Pharmaceutical Policy and Practice, 15(1), 1–11. https://doi.org/10.1186/s40545-022-00421-3

Mills, K. T., Bundy, J. D., Kelly, T. N., Reed, J. E., Kearney, P. M., Reynolds, K., Chen, J., & He, J. (2016). Global Disparities of Hypertension Prevalence and Control: A Systematic Analysis of Population-based Studies from 90 Countries. Circulation, 134, 441–450. https://doi.org/10.1161/CIRCULATIONAHA.115.018912

Mills, K. T., Rubinstein, A., Irazola, V., Chen, J., Beratarrechea, A., Poggio, R., Dolan, J., Augustovski, F., Shi, L., Krousel-Wood, M., Bazzano, L. A., & He, J. (2014). Comprehensive approach for hypertension control in low-income populations: Rationale and study design for the hypertension control program in argentina. American Journal of the Medical Sciences, 348(2), 139–145. https://doi.org/10.1097/MAJ.0000000000000298

Moss, K. O., Still, C. H., Jones, L. M., Blackshire, G., & Wright, K. D. (2019). Hypertension Self-Management Perspectives From African American Older Adults. Western Journal of Nursing Research, 41(5), 667–684. https://doi.org/10.1177/0193945918780331

Nam, H. J., & Yoon, J. Y. (2021). Linking health literacy to self-care in hypertensive patients with physical disabilities: A path analysis using a multi-mediation model. International Journal of Environmental Research and Public Health, 18(7). https://doi.org/10.3390/ijerph18073363

Nasresabetghadam, S., Jahanshahi, M., Fotokian, Z., Nasiri, M., & Hajiahmadi, M. (2021). The effects of orem’s self-care theory on self-care behaviors among older women with hypertension: A randomized controlled trial. Nursing and Midwifery Studies, 10(2), 99–106. https://doi.org/10.4103/nms.nms_9_20

Nurhandiya, V., Yani, D. I., & Shalahuddin, I. (2020). Precautionary complications on hypertension with Health Belief Model (HBM) approach: A descriptive study of health center community in The Garut Region of Indonesia. Jurnal Aisyah : Jurnal Ilmu Kesehatan, 5(1), 75–80. https://doi.org/10.30604/jika.v0i0.274

Oparil, S., Acelajado, M. C., Bakris, G. L., Berlowitz, D. R., Cífková, R., Dominiczak, A. F., Grassi, G., Jordan, J., Poulter, N. R., Rodgers, A., & Whelton, P. K. (2019). Hypertension. HHS Public Access, 22(4), 1–48. https://doi.org/10.1038/nrdp.2018.14.Hypertension

Osokpo, O., Riegel, B., Kirschstein, R. L., & Steinbright, E. C. (2021). Cultural factors influencing self-care by persons with cardiovascular disease: An integrative review. International Journal of Nursing Studies, 116, 1–35. https://doi.org/10.1016/j.ijnurstu.2019.06.014

Park, J. H., Moon, J. H., Kim, H. J., Kong, M. H., & Oh, Y. H. (2020). Sedentary Lifestyle: Overview of Updated Evidence of Potential Health Risks. Korean Journal of Family Medicine, 41(6), 365–373. https://doi.org/10.4082/KJFM.20.0165

Park, N. H., Song, M. S., Shin, S. Y., Jeong, J. hye, & Lee, H. Y. (2018). The effects of medication adherence and health literacy on health-related quality of life in older people with hypertension. International Journal of Older People Nursing, 13(3), 1–10. https://doi.org/10.1111/opn.12196

Purnama, A. (2020). Edukasi dapat meningkatkan kualitas hidup pasien yang terdiagnosa penyakit jantung koroner. Jurnal Kesehatan Indonesia, X(2), 66–71.

Rasmilasary. (2021). HUBUNGAN HEALTH LITERACY, SELF EMPOWERMENT TERHADAP SELF CARE MANAGEMENT PENDERITA HIPERTENSI DI WILAYAH KERJA PUSKESMAS WOTU KAB. LUWU TIMUR DI MASA PANDEMI COVID-19. UIN Alauddin, 1(1), 1–119.

Ratogi, A., Gupta, S. K., Lakshmi, P. V. M., & Kaur, M. (2020). Role of self-care in COVID-19 pandemic for people living with comorbidities of diabetes and hypertension. Journal of Family Medicine and Primary Care, 9(11), 5495–5501. https://doi.org/10.4103/jfmpc.jfmpc

Resende, A. K. M., Abraão Caetano Lira, J., Prudêncio, F. A., de Sousa, L. S., Pereira Brito, J. F., Ribeiro, J. F., & de Araújo Cardoso, H. L. (2018). Difficulties of Elderly People in Accession To the Treatment of Blood Hypertension. Journal of Nursing UFPE / Revista de Enfermagem UFPE, 12(10), 2546–2554. http://search.ebscohost.com/login.aspx?direct=true&db=rzh&AN=132282277&site=ehost-

Riegel, B., Moser, D. K., Buck, H. G., VaughanDickson, V., B.Dunbar, S., Lee, C. S., Lennie, T. A., Lindenfeld, J. A., Mitchell, J. E., Treat-Jacobson, D. J., & Webber, D. E. (2017). Self-care for the prevention and management of cardiovascular disease and stroke: A scientific statement for healthcare professionals from the American heart association. Journal of the American Heart Association, 6(9), 1–27. https://doi.org/10.1161/JAHA.117.006997

Rigsby, B. D. (2011). Hypertension Improvement through Healthy Lifestyle Modifications. The ABNF Journal, 1(1), 41–44.

Riskesdas, K. (2018). Hasil Utama Riset Kesehata Dasar (RISKESDAS). Journal of Physics A: Mathematical and Theoretical, 44(8), 1–200. https://doi.org/10.1088/1751-8113/44/8/085201

Rosidin, U., Shalahuddin, I., & Sumarna, U. (2018). Hubungan Kemandirian Keluarga Dengan Perawatan Hipertensi Pada Keluarga Binaan Puskesmas Sukaresmi Garut. Jurnal Keperawatab Bsi, VI(1), 12–20.

Setyowati, R., & Wahyuni, S. (2019). Pengaruh Pendidikan Kesehatan Tentang Manajemen Hipertensi Terhadap Kejadian Berulang Peningkatan Tekanan Darah Pada Penderita Hipertensi Di Wilayah Kerja Dinas Kesehatan Kabupaten Majalengka Tahun 2019. Akademi Keperawatan YPIB Majalengka BAkademi, VIII(16), 1–10.

Shalahuddin, I., Rosidin, U., & Sumarna, U. (2021). Hubungan Pengetahuan, Sikap dengan Perilaku Pengaturan Diet Hipertensi di Puskesmas Guntur Garut. Jurnal Kesehatan, 9(3), 192–202.

Shrestha, J., Marasine, N. R., Lamichhane, R., Marasini, N. R., & Sankhi, S. (2021). Attitude and self-care practice on hypertension among antihypertensive medication users in a tertiary care hospital Nepal. SAGE Open Medicine, 9, 205031212110407. https://doi.org/10.1177/20503121211040707

Skeete, J., Connell, K., Ordunez, P., & Dipette, D. J. (2020). Approaches to the management of hypertension in resource-limited settings: Strategies to overcome the hypertension crisis in the post-COVID era. Integrated Blood Pressure Control, 13, 125–133. https://doi.org/10.2147/IBPC.S261031

Świątoniowska-Lonc, N., Polański, J., Tański, W., & Jankowska-Polańska, B. (2020). Impact of satisfaction with physician–patient communication on self-care and adherence in patients with hypertension: cross-sectional study. BMC Health Services Research, 20(1), 1–9. https://doi.org/10.1186/s12913-020-05912-0

Unger, T., Borghi, C., Charchar, F., Khan, N. A., Poulter, N. R., Prabhakaran, D., Ramirez, A., Schlaich, M., Stergiou, G. S., Tomaszewski, M., Wainford, R. D., Williams, B., & Schutte, A. E. (2020). 2020 International Society of Hypertension Global Hypertension Practice Guidelines. AHA Journal, 75(6), 1334–1357. https://doi.org/10.1161/HYPERTENSIONAHA.120.15026

Volpe, M., Gallo, G., & Tocci, G. (2018). Is early and fast blood pressure control important in hypertension management? International Journal of Cardiology, 254, 328–332. https://doi.org/10.1016/j.ijcard.2017.12.026

Wang, Y. B., Kong, D. G., Ma, L. L., & Wang, L. X. (2013). Patient related factors for optimal blood pressure control in patients with hypertension. African health sciences, 13(3), 579-583.

Warren-Findlow, J., Seymour, R. B., & Huber, L. R. B. (2012). The Association Between Self-Efficacy and Hypertension Self- Care Activities Among African American Adults. NIH Public Access, 37(1), 15–24. https://doi.org/10.1007/s10900-011-9410-6.The

WHO. (2021a). Hypertension. World Health Organization. https://www.who.int/news-room/fact-sheets/detail/hypertension

WHO. (2021b). More than 700 million people with untreated hypertension. WHO Joint News Release, 1–10. https://www.who.int/news/item/25-08-2021-more-than-700-million-people-with-untreated-hypertension

Worku Kassahun, C., Asasahegn, A., Hagos, D., Ashenafi, E., Tamene, F., Addis, G., & Endalkachew, K. (2020). Knowledge on Hypertension and Self-Care Practice among Adult Hypertensive Patients at University of Gondar Comprehensive Specialized Hospital, Ethiopia, 2019. International Journal of Hypertension, 2020. https://doi.org/10.1155/2020/5649165

Wright, K. D., Still, C. H., Jones, L. M., & Moss, K. O. (2018). Designing a cocreated intervention with African American older adults for hypertension self-management. International Journal of Hypertension, 2018.

Zhang, X., Zheng, Y., Qiu, C., Zhao, Y., & Zang, X. (2020). Well-being mediates the effects of social support and family function on self-management in elderly patients with hypertension. Psychology, Health and Medicine, 25(5), 559–571. https://doi.org/10.1080/13548506.2019.1687919

DOI: 10.23917/jk.v15i2.19470

Article Metrics

Abstract view(s): 375 time(s)
PDF (Bahasa Indonesia): 640 time(s)

Refbacks

  • There are currently no refbacks.