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Application of Orem's Self-Care Theory in Lowering Blood Pressure in Hypertension Patients Grade 1 Through Resistance Band Exercise and Almond Chocolate Consumption Maulidia Selfianie; Suharsono Suharsono; Rr. Sri Endang Pujiastuti
JURNAL INFO KESEHATAN Vol 23 No 4 (2025): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol23.Iss4.1915

Abstract

Self-care plays a critical role in the prevention and management of hypertension. This study aimed to evaluate the impact of Orem’s Self-Care Theory on blood pressure reduction through resistance band exercise and almond chocolate consumption in hypertension patients. A quasi-experimental pretest-posttest control group design was used. The study involved 76 respondents with hypertension grade 1, divided into intervention and control groups. The intervention group participated in resistance band exercises three times a week for 28 days and consumed almond chocolate, while the control group received standard antihypertensive treatment. Data analysis was conducted using the Wilcoxon and Mann-Whitney tests with α < 0.05. The results showed a significant reduction in both systolic (p = 0.000) and diastolic (p = 0.002) blood pressure in the intervention group. Resistance band exercises enhanced vascular endothelial function, while almond chocolate stimulated nitric oxide synthesis, leading to vasodilation. These intervention aligned with Orem’s Self-Care Theory, highlighting the importance of individual commitment to health. The innovative aspect of this study lies in its integrated approach, as it is among the first to combine Orem’s Self-Care Theory with both physical (resistance band exercise) and nutritional (almond chocolate consumption) interventions for hypertensive patients. The study concludes that applying Orem’s Self-Care Theory through exercise and dietary changes effectively reduces blood pressure in hypertensive patients. It is recommended that health practitioners incorporate these self-care practices alongside the Patient-Centered Care (PCC) concept to address individual needs. This integrated approach can enhance hypertension management, improve blood pressure control, and boost patient satisfaction, ultimately leading to better health outcomes.
The Combination Of Balance Exercises And Tandem Walking Exercises In Improving Body Balance In Elderly Patients With Hypertension Erri Fitriyani; Adi Isworo; Sunarko; Nita Tri Septiana; Hermani Triredjeki; Suharsono
Journal of Tropical Diseases and Health Science Vol. 5 No. 2 (2026): Journal of Tropical Diseases and Health Science
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/jtdhs.v5i2.2413

Abstract

Background: Hypertension is a common non-communicable disease among the elderly and can lead to various complications. One of the frequent consequences is impaired body balance, which increases the risk of falls and reduces quality of life. Age-related physiological changes, such as decreased muscle strength and reduced vascular elasticity, contribute to balance instability. The combination of balance exercise and tandem walking exercise may be an effective intervention to improve balance in elderly individuals with hypertension. This study aimed to determine the effectiveness of a combination of balance exercise and tandem walking exercise in improving body balance among elderly patients with hypertension. This pre-experimental study used a one-group pre-test and post-test design and was conducted in the Bandongan Primary Health Care Center area, Magelang, from January to June 2025. The population consisted of 527 elderly individuals with hypertension aged ≥ 60 years, and 45 participants were selected using purposive sampling. Body balance was assessed using the Timed Up and Go Test (TUGT) before and after the intervention. Data were analyzed using the Shapiro–Wilk normality test and the Wilcoxon test. The Wilcoxon test showed a p-value of 0.000 (p < 0.05), indicating a significant improvement in body balance after the intervention. The combination of balance exercise and tandem walking exercise is effective in improving body balance among elderly patients with hypertension.
Peningkatan Kompetensi Kader Posyandu melalui Pelatihan Integrasi Layanan Primer (ILP) dalam Mendukung Transformasi Pelayanan Kesehatan Primer di Desa Jambewangi Adi Isworo; Suharsono Suharsono; Aisyah Izzati
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 9, No 8 (2026): Volume 9 Nomor 8 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v9i8.26994

Abstract

ABSTRAK Integrasi layanan primer (ILP) merupakan strategi transformasi pelayanan kesehatan yang bertujuan meningkatkan akses dan kualitas pelayanan kesehatan berbasis siklus hidup. Keberhasilan implementasi ILP memerlukan dukungan kader kesehatan yang memiliki pengetahuan dan keterampilan yang memadai dalam penyelenggaraan posyandu ILP.Meningkatkan pengetahuan dan keterampilan kader kesehatan dalam pelaksanaan posyandu integrasi layanan primer (ILP) di desa jambewangi, kecamatan secang, kabupaten magelang. Kegiatan pengabdian kepada masyarakat dilaksanakan pada tanggal 13 dan 20 juni 2026 dengan melibatkan 48 kader kesehatan. Metode yang digunakan meliputi penyampaian materi, praktik, simulasi, serta evaluasi kompetensi. Materi pelatihan mencakup pengelolaan posyandu ILP, pelayanan kesehatan berdasarkan siklus hidup, dan komunikasi efektif. Hasil evaluasi menunjukkan nilai rata-rata kompetensi kader sebesar 83,44 dengan nilai tertinggi 100 dan nilai terendah 50. Sebanyak 28 kader (58,3%) mencapai kategori utama, sedangkan 20 kader (41,7%) mencapai kategori madya. Hasil tersebut menunjukkan adanya peningkatan kompetensi kader dalam mendukung penyelenggaraan posyandu ILP di tingkat masyarakat. Pelatihan posyandu ILP efektif meningkatkan kompetensi kader kesehatan dalam pengelolaan pelayanan kesehatan berbasis siklus hidup. Penguatan kapasitas kader secara berkelanjutan diperlukan untuk mendukung implementasi integrasi layanan primer dan meningkatkan kualitas pelayanan kesehatan berbasis masyarakat. Kata Kunci: Integrasi Layanan Primer, Kader Kesehatan, Posyandu ILP, Kompetensi, Pelatihan.  ABSTRACT Primary health care integration (ILP) is a health service transformation strategy aimed at improving access to and the quality of life cycle-based health services. Successful implementation of ILP requires competent community health volunteers (cadres) with adequate knowledge and skills in managing integrated primary health care posts (posyandu ILP). To improve the knowledge and skills of community health cadres in implementing integrated primary health care (ILP) posyandu in jambewangi village, secang district, magelang regency. This community service program was conducted on june 13 and 20, 2026, involving 48 community health cadres. The activities included lectures, hands-on practice, simulations, and competency evaluations. Training materials covered posyandu ILP management, life cycle-based health services, and effective communication. The evaluation showed a mean competency score of 83.44, with the highest score of 100 and the lowest score of 50. A total of 28 cadres (58.3%) achieved the primary competency category, while 20 cadres (41.7%) were classified as intermediate. These findings indicate an improvement in cadres' competencies to support the implementation of posyandu ILP at the community level.Posyandu ILP training effectively improved the competencies of community health cadres in delivering life cycle-based primary health services. Continuous capacity building is essential to strengthen the implementation of primary health care integration and enhance the quality of community-based health services. Keywords: Primary Health Care Integration, Community Health Cadres, Posyandu ILP, Competency, Training.
Co-Authors Adi Isworo Adi Isworo, Adi Aisyah Izzati Alivia Rustiani Angga Sugiarto Aprilianisari, Erita Arwani Arwani Ashar N, Novema Bambang Sarwono David Haryanto Diah Rivani Dwi Ari Murti W. Erawati, Erna Erika Aprilliya Erna Erawati Erri Fitriyani Heriberta Reny Hermani Triredjeki I, Heriberta Reny Ika Barokah Suryaningsih Irmawati, Nurisda Eva Kiswoyo, Pramono Giri Komul, Marsha Krisdiana Wijayanti Linggar Rolis Lulut Handayani Maulidia Selfianie Meta, Raharni Rosfiyanti Moh. Hanafi Naufal Firdaus NIKEN ANGGRAINI SRI SAPUTRI Nita Tri Septiana Noor Faidah, Noor Nor Hidayah Poltekkes Kemenkes Semarang Novema Anshar Nuning Sri Wahyuni Nur Izzati, Aisyah Prajna Muthi, Annisa Pujiastuti, Rr Sri Endang Rantika Ririn Wahyu Widayati Rohananingsih, Rohananingsih Rojabtiyah, Rojabtiyah Rondhianto Rondhianto Rr. Sri Endang Pujiastuti Sahupala, Sapiah Saputri, Niken Anggraini Sri Simanjuntak, Veronica Siti Arifah Siti Arifah Sri Sumarni Sugiyarto, Angga Sunarko Sunarko Sunarko Susanto, Abiyyu Naufal Suyanta Suyanta Suyanta Ta'adi, Ta'adi Taadi Taadi Viantika Kusumasari Widyastuti, Arum Wiwin Reni Rachmawati Yeni Yulistanti