Journal of Nursing Science Research
Vol. 2 No. 2 (2025): Journal of Nursing Science Research

CASE REPORT: PENERAPAN SELF-MANAGEMENT KEPERAWATAN UNTUK MENCEGAH KEKAMBUHAN PADA PASIEN HIPERTENSI KRONIS

Aji, Prima Trisna (Unknown)
Arief Sofyan Baidhowy (Unknown)
Zuniyati (Unknown)
Elinda Rizkasari (Unknown)



Article Info

Publish Date
29 Dec 2025

Abstract

Background: Chronic hypertension is one of the most prevalent non-communicable diseases contributing significantly to global morbidity and mortality. Recurrent episodes frequently occur due to low patient adherence to self-management practices, resulting in poor blood pressure control. Objective: To report the implementation of a self-management-based nursing intervention aimed at preventing relapse among patients with chronic hypertension in a community setting. Method: This single-case report employed the nursing process approach encompassing assessment, diagnosis, planning, implementation, and evaluation. Medication adherence was measured using the Morisky Medication Adherence Scale (MMAS-8). The two-week intervention included education, training in self-monitoring of blood pressure, reinforcement of medication adherence, low-salt diet modification, light physical activity, and deep-breathing relaxation exercises. Results: The findings indicated a significant improvement in self-management ability, evidenced by a reduction in blood pressure from 160/100 mmHg to 130/80 mmHg and an increase in MMAS-8 score from 5 (low) to 8 (high). The patient also demonstrated full adherence to the therapeutic regimen, with the disappearance of dizziness complaints and improved sleep quality. Clinical implications: These results highlight the essential role of nurses in facilitating education-based and self-monitoring-centered self-management to prevent relapse in chronic hypertension. This approach can be integrated into community nursing practice programs as a sustainable strategy for chronic disease control.

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Journal Info

Abbrev

jnsr

Publisher

Subject

Nursing

Description

The Journal of Nursing Science Research is intended to carry out the dissemination of original and quality research on various topics in the field of nursing. The aim of this journal is to share, develop, facilitate findings related to Nursing Science. The scope of the journal includes literature ...