Optimalisasi Kepatuhan Perawatan Mandiri Pasien Hipertensi Melalui Edukasi Discharge Planning Berbasis Media Visual
DOI:
https://doi.org/10.56359/kolaborasi.v6i4.966Kata Kunci:
hypertension, discharge planning, visual media, health education, self-care adherenceAbstrak
Introduction: Hypertension remains one of the leading non-communicable diseases worldwide and is a major contributor to cardiovascular morbidity and mortality. Poor adherence to self-care behaviors after hospital discharge, including medication compliance, dietary management, physical activity, and regular blood pressure monitoring, may increase the risk of complications and hospital readmissions. Effective discharge planning supported by visual educational media is needed to improve patients’ understanding and adherence to self-care practices.
Objective: The purpose of this service was to improve self-care adherence among hypertensive patients through visual media-based discharge planning education at Al-Aziz Hospital Jombang.
Method: This public service was conducted by implementing health education activities for hypertensive patients and their family caregivers using an educational and participatory approach. The intervention included interactive lectures, discussions, question-and-answer sessions, and the distribution of visual educational materials covering medication adherence, hypertension diet management, physical activity, blood pressure monitoring, follow-up care, and complication prevention.
Result: The implementation of the visual media-based discharge planning education program involved 60 participants, consisting of 30 hypertensive patients and 30 family members. The evaluation results demonstrated an improvement in participants’ knowledge regarding hypertension management and self-care practices. The mean knowledge score increased from 16 before the intervention to 29 after the intervention, representing an 81.25% improvement in knowledge scores. The improvement was observed in several aspects of hypertension self-management, including medication adherence, dietary modification, regular physical activity, blood pressure monitoring, and early recognition of complications. Visual educational media facilitated information retention, enhanced participant engagement, and strengthened communication between healthcare providers, patients, and families during the discharge planning process.
Conclusion: Visual media-based discharge planning education is an effective strategy for improving knowledge and supporting self-care adherence among hypertensive patients after hospital discharge. The program can contribute to better hypertension control, prevention of complications, and improvement of patients’ quality of life. Continuous implementation of structured discharge planning is recommended to strengthen long-term disease management
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Referensi
American Heart Association (AHA) (2021) ‘Understanding the DASH Diet’, Circulation, 143(5), pp. e12–e14.
American Heart Association (AHA) (2022) Causes of High Blood Pressure. AHA Journals & Guidelines.
Appel, L.J., et al. (2021) ‘Components of the DASH Diet and Their Effects on Cardiovascular Health’, Journal of the American Heart Association, 10(4), pp. 115–123.
Ariyanto, H.Z., Susanto, A. and Wirakhmi, I.N. (2024) ‘Edukasi Hipertensi dan Manajemen Nyeri dengan Teknik Distraksi Menggunakan Media Audiovisual untuk Meningkatkan Pengetahuan pada Penderita Hipertensi’, Kolaborasi: Jurnal Pengabdian Masyarakat, 4(5), pp. 328–335. Available at: https://doi.org/10.56359/kolaborasi.v4i5.400.
Asgari, S., et al. (2022) ‘Effect of Structured Discharge Planning on Self-Efficacy and Readmission Rates in Patients with Chronic Hypertension: A Randomized Controlled Trial’, Journal of Clinical Nursing, 31(8), pp. 1145–1153.
Ayu, W.D., Jaelani, A., Yusup, R.M., Nugraha, Y., Yulianto, P. and Wati, E. (2025) ‘Peningkatan Pengetahuan Lansia tentang Self-Management dalam Pengendalian Hipertensi melalui Pendidikan Kesehatan’, Kolaborasi: Jurnal Pengabdian Masyarakat, 6(1), pp. 153–163. Available at: https://doi.org/10.56359/kolaborasi.v6i1.775.
Brunton, L.L., Knollmann, B.C. and Hilal-Dandan, R. (2023) Goodman & Gilman’s: The Pharmacological Basis of Therapeutics. 14th edn. New York: McGraw-Hill.
Dian, A., Sulaiman, Y. and Nurdin, M. (2026) ‘Health Coaching pada Penderita Hipertensi di Pusat Layanan Kesehatan Primer’, Kolaborasi: Jurnal Pengabdian Masyarakat, 6(3), pp. 469–477. Available at: https://doi.org/10.56359/kolaborasi.v6i3.868.
Hall, J.E. and Hall, M.E. (2021) Guyton and Hall Textbook of Medical Physiology. 14th edn. Philadelphia: Elsevier.
Harrison, T.R. (2022) Harrison’s Principles of Internal Medicine. 21st edn. New York: McGraw-Hill Education.
Iqbal, A.M. and Jamal, S.F. (2023) Essential Hypertension. Treasure Island, FL: StatPearls Publishing.
James, P.A., et al. (2014) ‘Evidence-Based Guideline for the Management of High Blood Pressure in Adults: Report From the Panel Members Appointed to the Eighth Joint National Committee (JNC 8)’, JAMA.
Kementerian Kesehatan Republik Indonesia (2019a) Buku Pedoman Manajemen Penyakit Tidak Menular. Jakarta: Direktorat Jenderal Pencegahan dan Pengendalian Penyakit.
Kementerian Kesehatan Republik Indonesia (2019b) Laporan Nasional Riset Kesehatan Dasar (Riskesdas) 2018. Jakarta: Badan Penelitian dan Pengembangan Kesehatan.
Kementerian Kesehatan Republik Indonesia (2022) Pedoman Promosi Kesehatan dan Media Edukasi. Jakarta: Kementerian Kesehatan Republik Indonesia.
Kementerian Kesehatan Republik Indonesia (2023) Aplikasi CERDIK dan PATUH dalam Pengendalian Penyakit Tidak Menular. Jakarta: Direktorat Pencegahan dan Pengendalian Penyakit Tidak Menular.
Kementerian Kesehatan Republik Indonesia (2024) Pedoman Nasional Pelayanan Kedokteran (PNPK) Tata Laksana Hipertensi. Jakarta: Direktorat Jenderal Pelayanan Kesehatan.
Laili, N., Muchsin, E.N. and Erlina, J. (2022) ‘Optimalisasi Penerapan Dietary Approaches to Stop Hypertension (DASH) pada Penderita Hipertensi’, Kolaborasi: Jurnal Pengabdian Masyarakat, 2(4), pp. 318–326. Available at: https://doi.org/10.56359/kolaborasi.v2i4.126.
Mancia, G., et al. (2023) ‘Guidelines for the Management of Arterial Hypertension of the European Society of Hypertension and European Society of Cardiology’, Journal of Hypertension.
Mayer, R.E. (2021) Multimedia Learning. 3rd edn. New York: Cambridge University Press.
Notoatmodjo, S. (2020) Promosi Kesehatan dan Perilaku Kesehatan. Jakarta: Rineka Cipta.
Nursalam (2020) Manajemen Keperawatan: Aplikasi dalam Praktik Keperawatan Profesional. 6th edn. Jakarta: Salemba Medika.
Perhimpunan Dokter Spesialis Kardiovaskular Indonesia (PERKI) (2021) Pedoman Tata Laksana Hipertensi pada Penyakit Kardiovaskular. Jakarta: PERKI.
Pikir, B.S., Aminuddin, M., Subagjo, A., Dharmadjati, B.B., Junusmin, P.I. and Suryawan, R. (2021) Hipertensi: Manajemen Komprehensif. Surabaya: Airlangga University Press.
Potter, P.A., Perry, A.G., Stockert, P. and Hall, A. (2021) Fundamentals of Nursing. 10th edn. Elsevier Health Sciences.
Rice, K., et al. (2020) ‘Patient Implementation of the Discharge Care Plan in the First 30 Days Post-Hospitalization’, Journal of Advanced Nursing, 75(11), pp. 2621–2632.
Smeltzer, S.C. and Bare, B.G. (2020) Brunner & Suddarth’s Textbook of Medical-Surgical Nursing. 14th edn. Philadelphia: Wolters Kluwer.
Suhud, M., et al. (2021) ‘The Impact of Structured Discharge Planning on Readmission Rates in Chronic Disease Patients’, International Journal of Nursing Studies, 118, p. 103912.
Tarigan, A.R., Lubis, Z. and Syarifah, S. (2023) ‘Analisis Faktor Risiko yang Berhubungan dengan Kejadian Hipertensi’, Jurnal Kesehatan Komunitas, 9(1), pp. 45–53.
Whelton, P.K., Carey, R.M., Aronow, W.S., et al. (2018) ‘2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCN Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults’, Journal of the American College of Cardiology, 71(19), pp. e127–e248.
Wijayanti, W., Wianti, S., Lismayanti, L. and Haq, Z.A.D. (2025) ‘Integrasi Edukasi Kesehatan dan Senam Komunitas sebagai Upaya Nonfarmakologis Pengendalian Hipertensi dan Diabetes Mellitus’, Kolaborasi: Jurnal Pengabdian Masyarakat, 5(6), pp. 1063–1074. Available at: https://doi.org/10.56359/kolaborasi.v5i6.739.
World Health Organization (WHO) (2023) Global Report on Hypertension: The Race Against a Silent Killer. Geneva: World Health Organization.
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