Semuel Tambuwun
Poltekkes Kemenkes Manado

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DUKUNGAN KELUARGA DAN KEPATUHAN DIET LANSIA PENDERITA HIPERTENSI DI WILAYAH KERJA PUSKESMAS TUMPAAN Alfany Natalia Torar; Semuel Tambuwun; Herlina P Memah; Yourisna Pasambo
Jurnal Ilmiah Perawat Manado (Juiperdo) Vol 8 No 01 (2020): JULI
Publisher : POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN MANADO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47718/jpd.v8i01.903

Abstract

Introduction Data obtained from the working area of Puskesmas Tumpaan found that hypertension in the elderly was the first prominent disease in the range of January-December 2017, as many as 465 patients and in 2018 the number of patients was 510. Based on preliminary studies of elderly people with high blood pressure, said their blood pressure often increases because they do not adhere to a diet. Lack of support from family members can influence the compliance behavior of implementing a hypertension diet. The purpose of this study is to find out the relationship between family support and adherence to the diet of elderly people with hypertension in the work area of the Puskesmas Tumpaan in the coastal areas and and mountain areas. This type of research is Correlation Analytic with cross sectional design. The population in this study is the elderly with hypertension. The sampling technique uses proportional random sampling with a total of 84 people divided into 42 people in coastal areas and 42 people in mountain areas and data analysis techniques using the Chi Square test. The results showed that in the coastal areas 31% of respondents with good family support, 40% of respondents had adequate family support and 29% of respondents had less family support while 52% showed adherent diet adherence and 48% adherence to non-adherent diet. The results of the chi-square statistical test (Pearson chi-square) obtained a P-value of 0.008, meaning that the P-value <0.05. The results of the study in the mountain areas of 40% of respondents with good family support, 31% of respondents with adequate family support and 29% of respondents with less family support, 57% showed adherent diet adherence and 43% of adherent diet adherence. The results of the chi-square statistical test (Pearson chi-square) obtained a P-value of 0.021, meaning that the P-value <0.05. The conclusion of this study is that there is a relationship of family support with adherence to the diet of elderly patients with hypertension in both coastal and mountain areas.
DUKUNGAN KELUARGA DAN KEPATUHAN DIET LANSIA PENDERITA HIPERTENSI DI WILAYAH KERJA PUSKESMAS TUMPAAN Alfany Natalia Torar; Semuel Tambuwun; Herlina P Memah; Yourisna Pasambo
Jurnal Ilmiah Perawat Manado (Juiperdo) Vol 8 No 01 (2020): JULI
Publisher : POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN MANADO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47718/jpd.v8i01.903

Abstract

Introduction Data obtained from the working area of Puskesmas Tumpaan found that hypertension in the elderly was the first prominent disease in the range of January-December 2017, as many as 465 patients and in 2018 the number of patients was 510. Based on preliminary studies of elderly people with high blood pressure, said their blood pressure often increases because they do not adhere to a diet. Lack of support from family members can influence the compliance behavior of implementing a hypertension diet. The purpose of this study is to find out the relationship between family support and adherence to the diet of elderly people with hypertension in the work area of the Puskesmas Tumpaan in the coastal areas and and mountain areas. This type of research is Correlation Analytic with cross sectional design. The population in this study is the elderly with hypertension. The sampling technique uses proportional random sampling with a total of 84 people divided into 42 people in coastal areas and 42 people in mountain areas and data analysis techniques using the Chi Square test. The results showed that in the coastal areas 31% of respondents with good family support, 40% of respondents had adequate family support and 29% of respondents had less family support while 52% showed adherent diet adherence and 48% adherence to non-adherent diet. The results of the chi-square statistical test (Pearson chi-square) obtained a P-value of 0.008, meaning that the P-value <0.05. The results of the study in the mountain areas of 40% of respondents with good family support, 31% of respondents with adequate family support and 29% of respondents with less family support, 57% showed adherent diet adherence and 43% of adherent diet adherence. The results of the chi-square statistical test (Pearson chi-square) obtained a P-value of 0.021, meaning that the P-value <0.05. The conclusion of this study is that there is a relationship of family support with adherence to the diet of elderly patients with hypertension in both coastal and mountain areas.
WhatsApp-Facilitated Empowerment of Health Cadres to Improve Knowledge and Blood Pressure Control among Adults with Hypertension: A Quasi-Experimental Study Maitha Annthonette Wulan Keloay; Ni Luh Jayanthi Desyani; Rommy David Watuseke; Semuel Tambuwun; Ellen Pesak; Ferry Efendi
Indonesian Journal of Global Health Research Vol. 8 No. 5 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i5.2207

Abstract

Hypertension constitutes a major public health concern and serves as a primary risk factor for cardiovascular disease, stroke, renal failure, and premature mortality. Successful hypertension control necessitates a comprehensive approach that relies not only on pharmacological therapy but also on enhancing patient health literacy. The sustainable empowerment of health cadres through WhatsApp-based education represents an effective strategy for improving patient knowledge, thereby promoting behavioral change and enhancing blood pressure control. To analyze the effect of health cadre empowerment via WhatsApp on the level of knowledge and hypertension control. Methods: This study employed a quasi-experimental design with a pretest-posttest control group approach. Data were collected using a purposive sampling method with specified inclusion and exclusion criteria, a total of 60 respondents were involved, consisting of a control group (n = 30) and an experimental group (n = 30). Knowledge levels and blood pressure were assessed in both groups at baseline and following the intervention. To evaluate the intervention effect, the pre-post change scores of both groups were analyzed using the Wilcoxon signed-rank test. The significance level was set at p < 0.05 for all analyses. Prior to the intervention, the majority of respondents in the control group (73.3%) and the experimental group (60.0%) had a sufficient level of knowledge. Following the intervention, all respondents in the experimental group (100%) achieved a good level of knowledge. The mean reduction in systolic blood pressure was (Δ = 14.10 mmHg), and diastolic blood pressure decreased by (Δ = 5.3 mmHg). The Wilcoxon test results indicated a significant difference between blood pressure before and after the intervention, both for systolic (Z = -4.813; p < 0.001) and diastolic (Z = -4.489; p < 0.001) measurements. The empowerment of health cadres through WhatsApp-based health education is effective in improving knowledge and reducing blood pressure among hypertensive patients.