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All Journal Perdikan: Journal of Community Engagement An Idea Health Journal
Gracia Permatasari
Satya Wacana Christian University
Religion Humanities Dentistry Economics, Econometrics & Finance Education Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences

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Determinants of Hypertension Self-Care Among Older Adults in Rural Central Java: A Path Analysis Study Rosiana Eva Rayanti; Gracia Permatasari; Natalia Esti Kristanti; Aura Syafaroh; Marsela Riska Raswandaru; Ayu Afriani Panyuwa; Indrawan Adhitomo
An Idea Health Journal Vol 6 No 01 (2026)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v6i01.648

Abstract

Background: Consistent self-care is key for effective hypertension management, but is difficult for older adults in rural settings. Understanding how individual and contextual factors interact helps develop targeted nursing interventions. This study examined the determinants of self-care adherence among older adults with hypertension in rural Central Java by analyzing the direct and indirect links between hypertension knowledge, self-care profiles, and health care empowerment. Methods: A quantitative study with path analysis included 60 older adults (aged >60 years) with hypertension in Getasan District, Semarang Regency, Central Java. Data were collected from August to December 2025 via validated questionnaires and analyzed using SmartPLS and IBM SPSS version 24. Result: Health service empowerment had the strongest positive effect on self- care adherence (β = 0.402, p < 0.001). Hypertension knowledge did not directly influence adherence, but it did so through health care empowerment (β = 0.171, p = 0.004). The model explained 23% of the variance in self-care adherence (R2 = 0.230). Conclusion: Health care empowerment, rooted in patient motivation and perception, is the main factor in adherence and mediates health knowledge. Nursing interventions should shift from education to empowerment-based strategies to enhance independence in hypertension management among rural populations.  
Empowering older adults at Sekolah Lansia Purbaya through community-based exercise and audio-visual health education for hypertension management Rosiana Eva Rayanti; Sri Suwartiningsih; Istananda Tirtaning Nugraheni; Gracia Permatasari; Natalia Esti Kristanti; Aura Syafaroh; Marsela Riska Raswandaru; Maria
PERDIKAN (Journal of Community Engagement) Vol. 8 No. 1 (2026): In Progress
Publisher : IAIN Madura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19105/pjce.v8i1.22732

Abstract

Early detection and disease prevention are part of the health activities conducted at Sekolah Lansia Purbaya in Salatiga City, Central Java. A health survey on May 20, 2025, revealed that of 29 older women, most participants had hypertension (89.66%). In addition, 65.52% had a body mass index outside the normal range and 58.62% had abdominal obesity. These conditions showing the need of a community service program focusing on blood pressure management. This activity aimed to improve older adults’ understanding of hypertension through audiovisual education and exercise. A service-learning approach was used for 33 participants from Purbaya Senior Citizens’ School in Karangalit, Salatiga City. The activity included health needs assessment, program preparation, implementation, reflection, and evaluation. Participants received health examinations, take part in the Ngadi Salira hypertension exercise, watched the Healthy Heart and Controlled Blood Pressure (SEHATI) educational video, and had a group discussion. Health examinations in July 2025 showed that 60.61% of participants had stage 1 hypertension and 60.61% had abdominal obesity, while most had normal blood glucose, uric acid, and cholesterol levels. After the service-learning, all the participants reported enjoying the exercise session. During the discussion, many expressed interest in continuing the exercise at home and applying the information provided in the educational video. The Ngadi Salira exercise and SEHATI audiovisual serve as educational tools for managing high blood pressure at the Sekolah Lansia Purbaya.
Co-Authors Aura Syafaroh Aura Syafaroh Ayu Afriani Panyuwa Indrawan Adhitomo Istananda Tirtaning Nugraheni Maria Marsela Riska Raswandaru Marsela Riska Raswandaru Natalia Esti Kristanti Natalia Esti Kristanti Rosiana Eva Rayanti Sri Suwartiningsih