Peningkatan Perawatan Diri Hipertensi melalui Pendampingan Berbasis Perubahan Perilaku dalam Pencegahan Stroke di Wilayah Kerja Puskesmas Banjar Serasan Pontianak

Dewin Safitri; Nurul Hidayah; Fitriah Fitriah

doi:10.58266/jpmb.v5i2.1865

Authors

Dewin Safitri STIKes Yarsi Pontianak, Indonesia
Nurul Hidayah STIKes Yarsi Pontianak, Indonesia
Fitriah Fitriah STIKes Yarsi Pontianak, Indonesia

DOI:

https://doi.org/10.58266/jpmb.v5i2.1865

Keywords:

Hipertensi, Pencegahan stroke, Pendampingan, Perawatan diri, Perubahan perilaku, Transtheoretical Model

Abstract

Hipertensi merupakan faktor risiko utama stroke yang dapat dimodifikasi, sementara penderita hipertensi di wilayah kerja Puskesmas Banjar Serasan Pontianak memiliki pengetahuan dan perawatan diri yang rendah, ditandai dengan kebiasaan mengonsumsi makanan tinggi garam, aktivitas fisik yang rendah dan ketidakpatuhan minum obat. Kegiatan pengabdian ini bertujuan untuk meningkatkan perawatan diri penderita hipertensi untuk mencegah stroke. Metode yang digunakan adalah pemberdayaan masyarakat berbasis perubahan perilaku yang mengacu pada Transtheoretical Model, meliputi sosialisasi, edukasi interaktif, penerapan modul pendampingan dan tensimeter digital untuk pemantauan tekanan darah mandiri, pendampingan serta evaluasi mingguan, dan diskusi kelompok terarah untuk keberlanjutan program. Sasaran kegiatan adalah tujuh penderita hipertensi di RW 006 Kelurahan Banjar Serasan yang didampingi pada 20 Juli sampai 14 Agustus 2026. Sebelum pendampingan, 57,1% peserta memiliki perawatan diri kurang dan 42,9% cukup. Setelah pendampingan, seluruh peserta (100%) berada pada kategori baik. Rata-rata tekanan darah sistolik turun dari 175,0 menjadi 141,9 mmHg dan diastolik dari 105,6 menjadi 90,0 mmHg. Kegiatan ini menghasilkan modul pendampingan kontekstual serta komitmen keberlanjutan bersama Puskesmas, dan menunnjukkan hasil tambah pendampingan yang menyesuaikan tahapan kesiapan mitra dibandingkan edukasi semata.

References

Abou-Mrad, T., McGuire, L. S., Bram, R., Atwal, G., Alaraj, A., & Charbel, F. T. (2026). Epidemiology of Stroke. In Surgical and Interventional Treatment of Cerebral Ischemia: Basic Science to Clinical Practice (pp. 11–16). https://doi.org/10.1007/978-3-032-08934-2_2

Badan Kebijakan Pembangunan Kesehatan. (2024). Survei Kesehatan Indonesia (SKI) 2023 dalam angka. Kementerian Kesehatan Republik Indonesia. https://www.badankebijakan.kemkes.go.id/ski-2023-dalam-angka/

Barzegar, H., Sodagar, S., Seirafi, M., Farahbakhsh, M., & Hashemi, T. (2024). Blood pressure management protocol based on transtheoretical model effectiveness on self- care: A systematic review. Health Promot Perspect, 14(3), 207–220. https://doi.org/10.34172/hpp.42814

Chen, P., Shen, Y., He, C., & Sun, X. (2022). Effectiveness of a Transtheoretical Model-Based Intervention to Improve Blood Pressure Control of Hypertensive Patients in China: A Clustered Randomized Controlled Trial. Frontiers in Public Health, Volume 9-(1). https://doi.org/10.3389/fpubh.2021.760421

Edwards, J. J., Deenmamode, A. H. P., Griffiths, M., Arnold, O., Cooper, N. J., Wiles, J. D., & O’Driscoll, J. M. (2023). Exercise training and resting blood pressure: a large-scale pairwise and network meta-analysis of randomised controlled trials. British Journal of Sports Medicine, 57(20), 1317–1326. https://doi.org/10.1136/bjsports-2022-106503

Filippini, T., Malavolti, M., Whelton, P. K., Naska, A., Orsini, N., & Vinceti, M. (2021). Blood Pressure Effects of Sodium Reduction. Circulation, 143(16), 1542–1567. https://doi.org/10.1161/CIRCULATIONAHA.120.050371

Funakoshi, S., Kawazoe, M., Tada, K., Abe, M., & Arima, H. (2022). Blood Pressure Lowering for the Secondary Prevention of Stroke. Cardiology Discovery, 2(1), 51–57. https://doi.org/10.1097/CD9.0000000000000048

Gorelick, P. B., Whelton, P. K., Sorond, F., & Carey, R. M. (2020). Blood Pressure Management in Stroke. Hypertension, 76(6), 1688–1695. https://doi.org/10.1161/HYPERTENSIONAHA.120.14653

Hasriani, Sjattar, E. L., & Arafat, R. (2022a). The Effect of Educational Intervention Based on Transtheoretical Model for a Low-Salt Diet Among Hypertension Patients: a Literature Review. Indonesian Journal of Public Health, 17(2), 331–343. https://doi.org/10.20473/ijph.v17i2.2022.331-343

Hasriani, Sjattar, E. L., & Arafat, R. (2022b). Transtheoretical model on the self-care behavior of hypertension patients: a systematic review. Journal of Health Research, 36(5), 847–858. https://doi.org/10.1108/JHR-01-2021-0053

Hidayah, A., & Nur, S. (2025). Hubungan perilaku self care hipertensi dengan tekanan darah penderita hipertensi di Desa Pohsangit Kidul Kota Probolinggo. Jurnal Lentera Kesehatan Masyarakat, 4(2), 112–123. https://doi.org/10.69883/pw4twr51

Irwan, A. M., Potempa, K., Abikusno, N., & Syahrul, S. (2022). Self-Care Management for Hypertension in Southeast Asia: A Scoping Review. Journal of Multidisciplinary Healthcare, 15(null), 2015–2032. https://doi.org/10.2147/JMDH.S367638

Iskandar, A. C., & Kamilah, F. (2026). Self-Management Behaviors among Adults with Hypertension in Coastal Communities: A Descriptive Observational Study. Nursing Current: Jurnal Keperawatan, 14(1), 22–30. https://doi.org/10.19166/ncjk.v14i1.10343

Jannah, M., Purnomo, S., & Astuti, Z. (2024). Hubungan antara Self-Efficacy dengan Self-Care Behavior pada Pasien Hipertensi. Jurnal Kesehatan Poltekkes Kemenkes Ri Pangkalpinang, 12(1), 83–91. https://doi.org/10.32922/jkp.v12i1.865

Jariyasakulwong, P., Wattanakitkrileart, D., Pongthavornkamol, K., Piaseu, N., & Roubsanthisuk, W. (2024). Factors Influencing Self-Care Practices and Blood Pressure Among Individuals with Uncontrolled Hypertension: A Cross-Sectional Study. Patient Preference and Adherence, 19(0), 1–17. https://doi.org/10.2147/PPA.S497555

Junsevg, K., Dumrongpakapakorn, P., Sangsaikaew, A., Uthaisang, A., Cheumnok, W., & Panput, A. (2021). Effects of a Transtheoretical Model-Based Intervention on Stroke Prevention Behaviors among People at Risk in a Community of Nakhon Phanom Province, Thailand. Journal of Research in Nursing-Midwifery and Health Sciences , 41(4 SE-Research Articles), 86–99. https://he02.tci-thaijo.org/index.php/nur-psu/article/view/251961

Konlan, K. D., & Shin, J. (2023). Determinants of Self-Care and Home-Based Management of Hypertension: An Integrative Review. Global Heart, 18(1), 16. https://doi.org/10.5334/gh.1190

Li, J., Zhang, J., Wang, Y., Zhang, H., & Ma, Y. (2025). Does social support improve self-management among rural hypertensive patients? An empirical analysis based on generalized propensity score matching. Frontiers in Public Health, Volume 12-2024. https://doi.org/10.3389/fpubh.2024.1445946

Padilla-López, J., Torres-Duque, L., Muñoz, S., Prado-Aguilar, C. A., Astudillo-García, C. I., Moran, S., Martínez-Andrade, G., Vilchis-Gil, J., & Duque, X. (2026). Effect of a physical activity promotion intervention based on the transtheoretical model on blood pressure in patients with hypertension attending primary care: a randomized controlled trial. BMC Primary Care, 27(1). https://doi.org/10.1186/s12875-026-03199-4

Pae, K., Maryuti, A. I., & Astarini, M. I. A. (2023). Hubungan Self Care Management terhadap Tekanan Darah Pada Lansia. Jurnal Penelitian Keperawatan Kontemporer, 3(2), 16–25. https://doi.org/10.59894/jpkk.v3i2.543

Palupi, E., Suprapti, F., Sint, S., & Jakarta, C. (2026). Efektifitas pemberian edukasi self care pada pasien hipertensi dalam mengontrol tekanan darah dan meningkatkan kualitas hidup : literature review Effectiveness of self-care education for hypertension patients in controlling blood pressure and improving qu. Jurnal Kesehatan Saelmakers Perdana, 9(3). https://doi.org/10.32524/jksp.v9i3.2236

Prochaska, James O, & Velicer, Wayne F. (1997). The Transtheoretical Model of Health Behavior Change. American Journal of Health Promotion, 12(1), 38–48. https://doi.org/10.4278/0890-1171-12.1.38

Rinestaelsa, U. A., Atna Permana, Ratna Mutu Manikam, Dwinara Febrianti, Nurma Dewi, & Khonsa Alimah Syahidah. (2026). Hubungan Self-Care Management Dengan Tekanan Darah Pada Pasien Hipertensi Di Puskesmas Kecamatan Kramat Jati Jakarta Timur. Jurnal Ilmiah Kesehatan, 18(1), 220–229. https://doi.org/10.37012/jik.v18i1.3644

Rodriguez, M. A., Wang, B., Hyoung, S., Friedberg, J., Wylie-Rosett, J., Fang, Y., Allegrante, J. P., Lipsitz, S. R., & Natarajan, S. (2021). Sustained Benefit of Alternate Behavioral Interventions to Improve Hypertension Control: A Randomized Clinical Trial. Hypertension, 77(6), 1867–1876. https://doi.org/10.1161/HYPERTENSIONAHA.120.15192

RSUD Dr. Soedarso. (2023). kunjungan-pasien-rawat-jalan-rawat-inap-kasus-stroke-tahun-2023.

Saeidi, K., Ghavami, T., Shahsavari, S., Siabani, S., & Rajati, F. (2024). The effect of trans-theoretical model stage-matched intervention on medication adherence in hypertensive patients. Frontiers in Cardiovascular Medicine, 11(November), 1–10. https://doi.org/10.3389/fcvm.2024.1470666

Safitri, D., Arisandi, D., & Nurpratiwi, N. (2025). Optimalisasi Pencegahan Primer Stroke dengan Pola Hidup Sehat pada Kelompok Risiko Tinggi di UPT Puskesmas Banjar Serasan Pontianak. Jurnal Pengabdian Sosial, 2(3 SE-Articles), 3265–3269. https://doi.org/10.59837/asfsd361

Safitri, D., Kirana, W., & Dwi Anggreini, Y. (2026). Efektifitas Transtheoretical Model untuk Meningkatkan Self-care Behavior pada Kelompok Risiko Tinggi Stroke. Khatulistiwa Nursing Journal, 8(2), 380–390. https://doi.org/10.53399/knj.v8i2.446

Satoh, M., Tatsumi, Y., Nakayama, S., Shinohara, Y., Kawazoe, M., Nozato, Y., Kunimura, A., Murakami, T., Toyama, M., Muroya, T., Yagihashi, T., Sakima, A., Abe, M., Arima, H., & Ohkubo, T. (2025). Self-measurement of blood pressure at home using a cuff device for change in blood pressure levels: systematic review and meta-analysis. Hypertension Research, 48(2), 574–591. https://doi.org/10.1038/s41440-024-01981-4

Self Management Berhubungan Dengan Nilai Tekanan Darah Pada Pasien Hipertensi. (2024). Journal of Telenursing (JOTING), 6(1), 728–735. https://doi.org/10.31539/joting.v6i1.9335

Sulaiman, Y., & Peristiowati, Y. (2026). Peran Edukasi Kesehatan dalam Peningkatan Self-Care dan Kualitas Hidup pada Pasien Hipertensi:Literatur review. Jurnal Pendidikan Dan Teknologi Kesehatan, 9(1), 69–81. https://doi.org/10.56467/jptk.v9i1.540