Effectiveness of Chronic Disease Management Program in Improving “CERDIK” Healthy Behavior in Patients with Hypertension in Gunungkidul, Yogyakarta

Pangesti, Tri Puji
Tamtomo, Didik Gunawan
Murti, Bhisma

Journal of Health Promotion and Behavior
Vol. 5 No. 3 (2020)

Background: Hypertension is the single largest con­tributor to the global burden of disease (GBD). The Chronic Disease Management Prog­ram (Prolanis) is a health service system and a pro­active approach implemented in an integrated manner. This study aimed to determine the ef­fec­tive­ness of Prolanis on the "CERDIK" healthy be­ha­vior for hypertensive patients.Subjects and Method: This cross-sectional stu­dy was conducted in hypertensive patients in 25 working areas of health centers in Gunung­ki­dul, Special Region of Yogyakarta, from January to February 2020. A sample of 200 hypertensive pa­tients was selected by simple random sampl­ing. The dependent variable was the "CERDIK" healt­hy behavior for hypertensive patients. The in­dependent variables were chronic disease ma­na­gement program (Prolanis), education level, peer support, family support, and sex. Other data we­re collected by using a questionnaire. Data we­re analyzed by path analysis using the Stata 13 application.Results: “CERDIK" healthy behavior for hyper­ten­­sive patients increased with active prolanis acti­vity (b= 5.00; 95% CI= 2.80 to 7.20; p <0.001), higher education (b= 1.52; 95% CI= 0.48 to 2.54; p= 0.004), strong family support (b= 1.­38; 95% CI= 0.20 to 2.57; p= 0.023), strong pe­er support (b= 0.61; 95% CI= -0.67 to 2.51; p= 0.­352), and female (b= 2.8; 95% CI= -5.01 to -0.64; p= 0.011). Education, family support, and peer sup­port were associated with “CERDIK” healthy behavior through Prolanis.Conclusion: “CERDIK" healthy behavior for hyper­ten­­sive patients increases with active pro­lanis acti­vity, higher education, strong family support, strong pe­er support, and female. Edu­cation, family support, and peer sup­port were associated with “CERDIK” healthy behavior through Prolanis.Keywords: Prolanis, “CERDIK” healthy beha­vi­our, hypertension, path analysisCorrespondence: Tri Puji Pangesti. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: tri­pu­ji­[e-mail]. Mobile: 0823­126­57­­779.Journal of Health Promotion and Behavior (2020), 05(03): 187-196https://doi.org/10.26911/thejhpb.2020.05.03.05.