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The Relationship between Self-Management Hypertension with Blood Pressure in Elderly: A Cross Sectional Study Bakar, Shabilla Fasa Noor; Sari, Sheizi Prista; Komariah, Maria
Indonesian Journal of Global Health Research Vol 6 No 4 (2024): 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.v6i4.3258

Abstract

Hypertension is a serious degenerative disease because it affects the condition of the heart, brain, kidneys, and other organs. Hypertension management can be done by implementing hypertension self-management to control blood pressure and reduce morbidity and mortality rates. Lack of self-management in hypertensive patients can affect the severity of the disease and cause complications. This study aims to determine the relationship between hypertension self-management and blood pressure in the elderly in the working area of Jatinangor Community Health Center. This study is a quantitative study with a cross-sectional approach. The study respondents were elderly people with hypertension who were registered in seven Posbindu in the working area of Jatinangor Community Health Center and did not experience complications, totalling 133 respondents. Data were collected during Posbindu activities and home visits using a hypertension self-management questionnaire and blood pressure measurements using a digital sphygmomanometer. The data were analysed with Rasch Model to convert the scale into interval and then Spearman rank correlation test was conducted. This study showed no significant relationship between hypertension self-management and blood pressure in the elderly in the working area of Jatinangor Community Health Center with P-value=0.319 (P>0.05) on systolic blood pressure and P-value=0.285 (P>0.05) on diastolic blood pressure. Despite the absence of a significant relationship, there was a negative correlation between self-management and blood pressure. Thus, improved self-management was associated with decreased or normalized blood pressure among the elderly. This study serves as a valuable reference for future researchers interested in exploring hypertension self-management interventions specifically tailored to the elderly population.
Management of Dietary Education for Children with Thalassemia at the Thalassemia Polyclinic Bakar, Shabilla Fasa Noor; Yudianto, Kurniawan; Eriyani, Theresia
Journal of Nursing Care Vol 9, No 1 (2026): Journal of Nursing care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v9i1.65090

Abstract

Dietary education in thalassemia major is often neglected due to high nursing workloads. This case report evaluates a structured dietary education intervention using management frameworks to address this gap. The methods are a descriptive study was conducted on a family with three siblings diagnosed with thalassemia major and severe hyperferritinemia. The 3M (Man, Method, Material) analysis identified primary barriers: high procedural workload, lack of SOPs, and absence of educational media. Consequently, a POAC (Planning, Organizing, Actuating, Controlling) intervention using digital videos and leaflets was implemented to overcome these constraints. The results that the intervention effectively bypassed clinical time constraints. Family health literacy improved substantially, with dietary knowledge scores increasing from 2 out of 5 to a perfect 5 out of 5, sustained over a five month follow-up. Behavioral changes in meal preparation were reported, although immediate serum ferritin reduction was not yet observed. Structured education utilizing digital media effectively bridges the gap between patient needs and limited nursing resources. Integrating digital tools into routine practice and establishing SOPs are recommended to ensure comprehensive management and improve long-term patient outcomes.