Effectiveness of Hypertension Management through Early Detection, Hypertension Education, and Hypertension Exercise.

DOI: https://doi.org/10.33650/jkp.v13i2.12437

Authors (s)


(1) * Tarisa Tarisa   (Universitas Padjadjaran, Jatinangor)
(2)  Ahmad Yamin   (Universitas Padjadjaran, Jatinangor)  
        Indonesia
(3)  Neti Juniarti   (Universitas Padjadjaran, Jatinangor)  
        Indonesia
(*) Corresponding Author

Abstract


Hypertension is one of the leading Non-Communicable Diseases (NCDs) causing cardiovascular complications in Indonesia. This study aims to evaluate the effectiveness of hypertension management through early detection, health education, and hypertension exercise interventions. A pre-experimental design was used with a community nursing care approach. The intervention included early detection and hypertension education for 55 residents, as well as hypertension exercise involving 15 residents, with blood pressure measured before and after the intervention. Data were analyzed using bivariate analysis. Results showed that early detection identified a prevalence of 49.1% of respondents as severely overweight, 29.1% with grade 2 hypertension, and 9.1% with blood glucose levels >200 mg/dL. Unhealthy lifestyle habits included high sodium intake (69.1%), sugar (60%), fat (45.5%), while only 25.5% consumed vegetables and fruits adequately, 52.7% had low physical activity, and 10.9% were smokers. Hypertension education significantly increased knowledge scores from 5.33 to 7.69 (p = 0.000), and hypertension exercise significantly reduced systolic blood pressure from 129.47 mmHg to 122.73 mmHg (p = 0.000), and diastolic pressure from 83.53 mmHg to 81.13 mmHg (p = 0.027). Hypertension management through early detection, education, and exercise proved effective in increasing knowledge and reducing blood pressure among residents.

Keywords

Early Detection, Health Education, Hypertension, Hypertension Exercise







References


Andriani, N., Fisip, S. A., & Banjarmasin, U. (2024). Empowering The Public Through Health Literacy: Literature Studies. Journal of Community Dedication, 4(2), 340–353. https://adisampublisher.org/index.php/pkm/article/view/696

Antar, S. A., Ashour, N. A., Sharaky, M., Khattab, M., Ashour, N. A., Zaid, R. T., Roh, E. J., Elkamhawy, A., & Al-Karmalawy, A. A. (2023). Diabetes Mellitus: Classification, Mediators, and Complications; A Gate to Identify Potential Targets for the Development of New Effective Treatments. Biomedicine and Pharmacotherapy, 168(December), 115734. https://doi.org/10.1016/j.biopha.2023.115734

Arifin, H., Chou, K. R., Ibrahim, K., Fitri, S. U. R., Pradipta, R. O., Rias, Y. A., Sitorus, N., Wiratama, B. S., Setiawan, A., Setyowati, S., Kuswanto, H., Mediarti, D., Rosnani, R., Sulistini, R., & Pahria, T. (2022). Analysis of Modifiable, Non-Modifiable, and Physiological Risk Factors of Non-Communicable Diseases in Indonesia: Evidence from the 2018 Indonesian Basic Health Research. Journal of Multidisciplinary Healthcare, 15(30 Sep), 2203–2221. https://doi.org/10.2147/JMDH.S382191

Bailey, M. A., & Dhaun, N. (2024). Salt Sensitivity: Causes, Consequences, and Recent Advances. Hypertension, 81(3), 476–489. https://doi.org/10.1161/HYPERTENSIONAHA.123.17959

Bethasari, M., Rindarwati, A. Y., & Larasati, R. D. (2022). The Evaluation of Blood Pressure and Hypertension Awareness of Residents Around Shofa Integrated Healthcare Center Cileunyi Bandung and Comprehensive Solution to Increase Hypertension Awareness Evaluasi Tekanan Darah dan Kesadaran Hipertensi Warga di Seki. Institut Riset Dan Publikasi Indonesia (IRPI), 25 Agustus, 481–488. https://journal.irpi.or.id/index.php/sentimas/article/download/328/182/2426

Bull, F. (2020). World Health Organization 2020 Guidelines on Physical Activity and Sedentary Behaviour. British Journal of Educational Technology, 54(24), 1451–1462. https://bjsm.bmj.com/content/54/24/1451

De Ciuceis, C., Rizzoni, D., & Palatini, P. (2023). Microcirculation and Physical Exercise in Hypertension. Hypertension, 80(4), 730–739. https://doi.org/10.1161/HYPERTENSIONAHA.122.19465

Debela, D. B., Dhaba, B., Shumi, G., Abagero, A., Gudina, G., Ayana, Y., Addissie, A., Deressa, W., & Scuteri, A. (2023). Effect of an Educational Intervention on Lifestyle Modification of Patients with Hypertension at Bishoftu General Hospital, Ethiopia, 2021. Preventing Chronic Disease, 20(Mar 30), E20. https://doi.org/10.5888/pcd20.220235

Ernawati, I., Fandinata, S. S., & Permatasari, S. N. (2020a). The Effect of Leaflet on Hypertension Knowledge in Hypertensive Patients in Community Health Center in Surabaya City. Open Access Macedonian Journal of Medical Sciences, 8(E), 558–565. https://doi.org/10.3889/oamjms.2020.5327

Ernawati, I., Fandinata, S. S., & Permatasari, S. N. (2020b). Translation and Validation of the Indonesian Version of the Hypertension Knowledge-Level Scale. Open Access Macedonian Journal of Medical Sciences, 8(E), 630–637. https://doi.org/10.3889/OAMJMS.2020.5152

Fauzi, R., Efendi, R., & Mustakim, M. (2020). Program Pengelolaan Penyakit Hipertensi Berbasis Masyarakat dengan Pendekatan Keluarga di Kelurahan Pondok Jaya, Tangerang Selatan. Wikrama Parahita : Jurnal Pengabdian Masyarakat, 4(2), 69–74. https://doi.org/10.30656/jpmwp.v4i2.1931

Flack, J. M., & Adekola, B. (2020). Blood Pressure and The New ACC/AHA Hypertension Guidelines. Trends in Cardiovascular Medicine, 30(3), 160–164. https://doi.org/10.1016/j.tcm.2019.05.003

Flor, L. S., Wilson, S., Bhatt, P., Bryant, M., Burnett, A., Camarda, J. N., Chakravarthy, V., Chandrashekhar, C., Chaudhury, N., Cimini, C., Colombara, D. V., Narayanan, H. C., Cortes, M. L., Cowling, K., Daly, J., Duber, H., Ellath Kavinkare, V., Endlich, P., Fullman, N., … Gakidou, E. (2020). Community-Based Interventions for Detection and Management of Diabetes and Hypertension in Underserved Communities: A Mixed-Methods Evaluation in Brazil, India, South Africa and the USA. BMJ Global Health, 5(6), e001959. https://doi.org/10.1136/bmjgh-2019-001959

Gaya, P. V., Fonseca, G. W. P., Tanji, L. T., Abe, T. O., Alves, M. J. N. N., de Lima Santos, P. C., Colombo, F. M. C., & Scholz, J. R. (2024). Smoking Cessation Decreases Arterial Blood Pressure in Hypertensive Smokers: A Subgroup Analysis of the Randomized Controlled Trial GENTSMOKING. Tobacco Induced Diseases, 22(May 16). https://doi.org/10.18332/tid/186853

Hosseinzadeh, A., Ebrahimi, H., Khosravi, A., Emamian, M. H., Hashemi, H., & Fotouhi, A. (2022). Isolated Systolic Hypertension and Its Associated Risk Factors in Iranian Middle Age and Older Population: A Population-Based Study. BMC Cardiovascular Disorders, 22(1), 425. https://doi.org/10.1186/s12872-022-02856-7

Kementerian Kesehatan Republik Indonesia. (2023a). Laporan Kinerja Direktorat Jenderal Pencegahan dan Pengendalian Penyakit Semester I Tahun 2023.

Kementerian Kesehatan Republik Indonesia. (2023b). Survei Kesehatan Indonesia (SKI). https://www.badankebijakan.kemkes.go.id/laporan-tematik-ski/

Kurnia, A. D., Melizza, N., Ruhyanudin, F., Masruroh, N. L., Prasetyo, Y. B., Setyowati, C. I., & Khoirunnisa, O. (2020). The Effect of Educational Program on Hypertension Management Toward Knowledge and Attitude Among Uncontrolled Hypertension Patients in Rural Area of Indonesia. International Quarterly of Community Health Education, 42(2), 181–188. https://doi.org/10.1177/0272684X20972846

Lisón, J. F., Palomar, G., Mensorio, M. S., Banos, R. M., Cebolla-Marti, A., Botella, C., Caballer, V. B., & Rodilla, E. (2020). Impact of a Web-Based Exercise and Nutritional Education Intervention in Patients Who are Obese with Hypertension: Randomized Wait-List Controlled Trial. Journal of Medical Internet Research, 22(4), e14196. http://www.embase.com/search/results?subaction=viewrecord&from=export&id=L631514603%0Ahttp://dx.doi.org/10.2196/14196

Maki, K. C., Dicklin, M. R., & Kirkpatrick, C. F. (2021). Saturated Fats and Cardiovascular Health: Current Evidence and Controversies. Journal of Clinical Lipidology, 15(6), 765–772. https://doi.org/10.1016/j.jacl.2021.09.049

Małkowska, P. (2024). Positive Effects of Physical Activity on Insulin Signaling. Current Issues in Molecular Biology, 46(6), 5467–5487. https://doi.org/10.3390/cimb46060327

Mambo, A., Yang, Y., Mahulu, E., & Zihua, Z. (2024). Investigating the Interplay of Smoking, Cardiovascular Risk Factors, and Overall Cardiovascular Disease Risk: NHANES Analysis 2011–2018. BMC Cardiovascular Disorders, 24(1), 193. https://doi.org/10.1186/s12872-024-03838-7

Martani, R. W., Kurniasari, G., & Angkasa, M. P. (2022). Pengaruh Senam Hipertensi terhadap Tekanan Darah pada Lansia : Studi Literature. Jurnal Ilmu Keperawatan dan Kebidanan, 13(1), 83–87. https://doi.org/10.26751/jikk.v13i1.1266

Muharram, F. R., Multazam, C. E. C. Z., Mustofa, A., Socha, W., Andrianto, Martini, S., Aminde, L., & Yi-Li, C. (2024). The 30 Years of Shifting in The Indonesian Cardiovascular Burden—Analysis of The Global Burden of Disease Study. Journal of Epidemiology and Global Health, 14(1), 193–212. https://doi.org/10.1007/s44197-024-00187-8

Noone, C., Leahy, J., Morrissey, E. C., Newell, J., Newell, M., Dwyer, C. P., Murphy, J., Doyle, F., Murphy, A. W., & Molloy, G. J. (2020). Comparative Efficacy of Exercise and Anti-Hypertensive Pharmacological Interventions in Reducing Blood Pressure in People with Hypertension: A Network Meta-Analysis. European Journal of Preventive Cardiology, 27(3), 247–255. https://doi.org/10.1177/2047487319879786

Nuryanto, I. K., & Dewi, N. N. A. K. (2022). Skrining dan Monitoring Penyakit Tidak Menular sebagai Upaya Pelaksanaan Posbindu di Banjar Dukuh Desa Kesiman Petilan. Jurnal Abdimas ITEKES Bali, 1(1), 51–57. https://doi.org/10.37294/jai.v1i1.405

Powell-Wiley, T. M., Poirier, P., Burke, L. E., Després, J. P., Gordon-Larsen, P., Lavie, C. J., Lear, S. A., Ndumele, C. E., Neeland, I. J., Sanders, P., & St-Onge, M. P. (2021). Obesity and Cardiovascular Disease A Scientific Statement from the American Heart Association. Circulation, 143(21), E984–E1010. https://doi.org/10.1161/CIR.0000000000000973

Putri, S. I., Widiyanto, A., Atmojo, J. T., & Fajriah, A. S. (2021). Early Detection of Hypertension as an Effort to Prevent Disease Complications. Jurnal Empathy Pengabdian Kepada Masyarakat, 2(2), 115–123. https://doi.org/10.37341/jurnalempathy.v0i0.55

Sangouni, A. A., Hosseinzadeh, M., & Parastouei, K. (2024). The Effect of Dietary Approaches to Stop Hypertension (DASH) Diet on Fatty Liver and Cardiovascular Risk Factors in Subjects with Metabolic Syndrome: A Randomized Controlled Trial. BMC Endocrine Disorders, 24(126), 1–10. https://doi.org/10.1186/s12902-024-01661-x

Setiawan, Nugraha, P., & Purnama, D. (2024). Intervensi Senam Hipertensi terhadap Tekanan Darah Penderita Hipertensi di RW 04 dan 13 Kelurahan Ciwalen Kecamatan Garut Kota. Sawala: Jurnal Pengabdian Masyarakat Pembangunan Sosial, Desa Dan Masyarakat, 5(1), 35–40. https://doi.org/10.24198/sawala.v5i1.52877

Shaninnabila, N., Khoimmah, A., Pradita, A. K., Anggraini, D., Husna, R. A. A., Azizah, D. N., & Risnasari, N. (2024). Skrining Pemeriksaan Tekanan Darah sebagai Upaya untuk Mencegah Terjadinya Hipertensi pada Lansia di Posyandu Bagaswaras Gurah. Seinkesjar, 4(1), 904–907. https://proceeding.unpkediri.ac.id/index.php/seinkesjar/article/view/5646

Sudayasa, I. P., Rahman, M. F., Eso, A., Jamaluddin, J., Parawansah, P., Alifariki, L. O., Arimaswati, A., & Kholidah, A. N. (2020). Deteksi Dini Faktor Risiko Penyakit Tidak Menular pada Masyarakat Desa Andepali Kecamatan Sampara Kabupaten Konawe. Aksiologiya: Jurnal Pengabdian Kepada Masyarakat, 4(2), 16. https://doi.org/10.30651/aks.v4i2.3491

Sujarwoto, & Maharani, A. (2022). Participation in Community-Based Healthcare Interventions and Non-Communicable Diseases Early Detection of General Population in Indonesia. SSM - Population Health, 19(101236), 1–9. https://doi.org/10.1016/j.ssmph.2022.101236

Susanto, T., Hernawati, S., Yunanto, R. A., Rahmawati, I., Laras Ati, N. A., & Fauziah, W. (2024). Family Self-Management Program for Hypertension Management and Sodium Consumption Adherence: A Parallel Randomized Control Trial among Family Caregivers and People with Hypertension. Journal of Research in Health Sciences, 24(4), e00628. https://doi.org/10.34172/jrhs.2024.163

Thapsuwan, S., Phulkerd, S., Chamratrithirong, A., Gray, R. S., Jindarattanaporn, N., Loyfah, N., Thongcharoenchupong, N., & Pattaravanich, U. (2024). Relationship Between Consumption of High-Fat, Sugar, or Sodium (HFSS) Food and Obesity and Non-Communicable Diseases. BMJ Nutrition, Prevention and Health, 7(1), 78–87. https://doi.org/10.1136/bmjnph-2023-000794

Wei, J., Fan, L., He, Z., Zhang, S., Zhang, Y., Zhu, X., Xia, F., Song, X., Chen, L., Zou, Z., & Wang, T. (2025). The Global, Regional, and National Burden of Type 2 Diabetes Mellitus Attributable to Low Physical Activity from 1990 To 2021: A Systematic Analysis of The Global Burden of Disease Study 2021. The International Journal of Behavioral Nutrition and Physical Activity, 22(1), 8. https://doi.org/10.1186/s12966-025-01709-8

World Health Organization (WHO). (2023). Hypertension. March. https://www.who.int/news-room/fact-sheets/detail/hypertension

Xiao, J., Ren, W. L., Liang, Y. Y., Shen, H., Gao, Y. X., Chu, M. J., Li, Z., Wang, X. J., Zhang, Z. F., Zhuang, X., & Yu, Y. F. (2020). Effectiveness of Lifestyle and Drug Intervention on Hypertensive Patients: A Randomized Community Intervention Trial in Rural China. Journal of General Internal Medicine, 35(12), 3449–3457. https://doi.org/10.1007/s11606-019-05601-7


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