Peningkatan Pengetahuan dan Kepatuhan Pasien Hipertensi melalui Edukasi Self-Management di Puskesmas Aifat, Kabupaten Maybrat

Penulis

  • Sinar Aisyah Universitas Strada Indonesia
  • Prima Dewi Kusumawati Universitas Strada Indonesia

DOI:

https://doi.org/10.56359/kolaborasi.v6i4.985

Kata Kunci:

Community service, health education, primary healthcare, treatment compliance

Abstrak

Introduction: Hypertension remains one of the leading non-communicable diseases requiring lifelong treatment. However, low medication adherence and limited patient understanding of hypertension management continue to hinder successful blood pressure control, particularly in primary healthcare settings. Community-based health education emphasizing self-management is considered an effective strategy to improve patients' knowledge and adherence to treatment.

Objective: The purpose of this service was to improve the knowledge and medication adherence of patients with hypertension through a self-management education program implemented at the Aifat Primary Health Center, Maybrat Regency.

Method: This public service was conducted using a participatory educational approach based on a structured health education plan. Thirty patients with hypertension participated in the program, which included blood pressure screening, pre-test assessment, interactive health education, group discussion, demonstration of the PAGAR-AIFAT Standard Operating Procedure, distribution of educational leaflets, family involvement, and post-test evaluation to assess changes in participants' knowledge and treatment adherence.

Result: The evaluation showed an improvement in participants’ knowledge and medication adherence after the intervention. The proportion of participants with good knowledge increased to 60.0%, while high medication adherence reached 56.7% after the education program. The implementation of the PAGAR-AIFAT approach and educational leaflets provided practical tools to support continuous medication management and hypertension self-care.

Conclusion: Self-management education combined with family involvement and the implementation of the PAGAR-AIFAT approach effectively enhanced patients' knowledge and medication adherence. This community service program can serve as a practical and sustainable educational model to strengthen hypertension management in primary healthcare services.

Unduhan

Data unduhan belum tersedia.

Referensi

Ackley, B. J., Ladwig, G. B., & Makic, M. B. F. (2022). Nursing diagnosis handbook: An evidence-based guide to planning care (13th ed.). Elsevier.

Agusta, D., Sulaiman, Y., & Nurdin, M. (2026). Health coaching pada penderita hipertensi di pusat layanan kesehatan primer. Kolaborasi: Jurnal Pengabdian Masyarakat, 6(3). https://doi.org/10.56359/kolaborasi.v6i3.868

Akbar, F., Nur, H., & Humaerah, U. (2023). Edukasi tentang hipertensi pada masyarakat. Kolaborasi: Jurnal Pengabdian Masyarakat.

Al-Ramahi, R., Khdour, M., Ashour, H., & Aljabi, D. (2023). The effect of health literacy intervention on adherence to medication of uncontrolled hypertensive patients using m-health. BMC Medical Informatics and Decision Making, 23(1), 1–12. https://doi.org/10.1186/s12911-023-02393-z

American Heart Association. (2023). Guideline for the prevention, detection, evaluation, and management of high blood pressure in adults. American Heart Association.

Asri, N. M. (2024). Efektivitas pendidikan kesehatan berbasis self-care management terhadap perubahan pengetahuan penderita hipertensi [Skripsi, Universitas Hasanuddin]. Universitas Hasanuddin Repository. https://repository.unhas.ac.id/13110/2/K011171302_skripsi_1-2.pdf

Ayu, D. S., & Soli, M. (2023). Effectiveness of hypertension self-management education (HSME) on blood pressure control and knowledge improvement. Jurnal Poltekkes Medan, 12(2), 45–53. https://repository.poltekkesmedan.ac.id/id/eprint/1396/

Ayu, W. D., Jaelani, A., Yusup, R. M., Fauzy, H., Yulianto, P., & Komalasari, T. (2026). Peningkatan pengetahuan lansia tentang self-management dalam pengendalian hipertensi melalui pendidikan kesehatan. Kolaborasi: Jurnal Pengabdian Masyarakat, 6(1). https://doi.org/10.56359/kolaborasi.v6i1.775

Demir, S., & Oz, F. (2022). The effect of self-management support on knowledge level, treatment compliance, and self-care management in patients with hypertension. Australian Journal of Advanced Nursing, 39(3), 12–21. https://www.ajan.com.au/index.php/AJAN/article/download/543/162/5557

Edwards, J. (2021). Effects of education on medication adherence and blood pressure in hypertensive adults [Doctoral dissertation, University of Missouri]. University of Missouri Repository. https://mospace.umsystem.edu/xmlui/handle/10355/83023

Fadhilah, N. (2023). Efektivitas edukasi dengan media WhatsApp terhadap perilaku self-care management pada pasien hipertensi [Undergraduate thesis, Universitas Islam Sultan Agung]. https://repository.unissula.ac.id/29803/

Gunawan, R., Hidayat, T., & Santoso, B. (2024). Pengaruh edukasi self-management terhadap tingkat pengetahuan dan kepatuhan minum obat pasien hipertensi. Jurnal Ners Universitas Pahlawan, 8(1), 341–350. https://journal.universitaspahlawan.ac.id/index.php/ners/article/download/4112/28741/151120

Hinkle, J. L., & Cheever, K. H. (2021). Brunner & Suddarth’s textbook of medical-surgical nursing (15th ed.). Wolters Kluwer.

Kaya, M., & Yilmaz, H. (2021). The effectiveness of hypertension self-management education (HSME) on knowledge and medication adherence. Australian Journal of Advanced Nursing, 38(4), 55–64. https://www.ajan.com.au/index.php/AJAN/article/download/517/142/5112

Kementerian Kesehatan Republik Indonesia. (2022). Pedoman pengendalian hipertensi di fasilitas pelayanan kesehatan primer. Direktorat Pencegahan dan Pengendalian Penyakit Tidak Menular.

Kementerian Kesehatan Republik Indonesia. (2023). Profil kesehatan Indonesia tahun 2023. Kementerian Kesehatan Republik Indonesia.

Khresheh, R., Alhalaiqa, F., Khatatbeh, M., & Alfaqih, M. (2021). Effectiveness of self-management on adherence to self-care and health status among elderly people with hypertension. Journal of Public Health Research, 10(4), 1–8. https://doi.org/10.4081/jphr.2021.2406

Kim, S. J., Lee, H. Y., & Park, J. H. (2022). Association of adherence measured by self-reported pill count with achieved blood pressure level in hypertension patients. Clinical Hypertension, 28(1), 1–9.

Latipah, S., Sofiani, Y., Rayasari, F., Siswandi, I., Nugraha, R., Jumaiyah, W., Aisyah, A., & Nathasia, D. (2025). Pemberdayaan komunitas lansia melalui edukasi kesehatan dan pemeriksaan dini faktor risiko penyakit kronis. Kolaborasi: Jurnal Pengabdian Masyarakat, 5(6), 1002–1015. https://doi.org/10.56359/kolaborasi.v5i6.700

Lestari, P., & Siregar, R. (2022). Effectiveness of health education on self-management and blood pressure control in hypertension patients. Jurnal Penelitian Poltekkes Medan, 11(1), 89–97.

Marquis, B. L., & Huston, C. J. (2020). Leadership roles and management functions in nursing: Theory and application (10th ed.). Wolters Kluwer.

Marseille, E., Horne, R., McDonald, S., & Watkins, E. (2021). Improving hypertension knowledge, medication adherence and blood pressure control: A feasibility study. Journal of Clinical Nursing, 30(21–22), 3254–3264.

Nasution, A. H. (2023). Efektivitas edukasi self-management terhadap kontrol tekanan darah pada pasien dengan hipertensi [Tesis, Universitas Hasanuddin]. Universitas Hasanuddin Repository.

Notoatmodjo, S. (2020). Promosi kesehatan dan perilaku kesehatan. Rineka Cipta.

Potter, P. A., Perry, A. G., Stockert, P., & Hall, A. (2023). Fundamentals of nursing (11th ed.). Elsevier.

Prasetyo, A., Nugroho, D., & Lestari, P. (2025). From knowledge to adherence: Implementing health promotion model in hypertension self-management education. ICOHETECH Proceedings, 4(1), 55–63.

Pratiwi, A., Utami, S., & Wahyuni, S. (2025). Peningkatan pengetahuan lansia tentang self-management dalam pengendalian hipertensi melalui pendidikan kesehatan. Jurnal Pengabdian Komunitas, 4(2), 112–120.

Putri, D. A., & Wijaya, K. (2024). Edukasi manajemen mandiri (self-management) untuk meningkatkan kepatuhan diet dan kontrol tekanan darah pada penderita hipertensi. Jurnal Pengabdian Masyarakat Indonesia, 6(3), 201–209.

Riskesdas. (2018). Laporan nasional Riset Kesehatan Dasar tahun 2018. Badan Penelitian dan Pengembangan Kesehatan Kementerian Republik Indonesia.

Rismanudin, R., Suparman, S., Indiriadi, I., Halulanga, M. E., Ernawati, E., Masum, C. C., et al. (2026). Gerakan cegah hipertensi melalui pemeriksaan tekanan darah dan konseling kesehatan. Kolaborasi: Jurnal Pengabdian Masyarakat, 6(3), 627–634.

Sari, Y., Rahmawati, E., & Kurnia, T. (2025). Efektivitas edukasi self-care management terhadap perilaku kepatuhan pengendalian hipertensi pada pasien hipertensi. Jurnal Ners Universitas Pahlawan, 9(2), 789–798.

Sato, T., Tanaka, M., & Nakamura, K. (2023). The effect of self-management education based on the health promotion model on compliance behavior of hypertension patients. Babali Nursing Research, 4(2), 145–154.

Simanjuntak, S. M., Siregar, C. T., & Manurung, J. (2022). Association between knowledge and self-care adherence among elderly hypertensive patient in dwelling community. Open Access Macedonian Journal of Medical Sciences, 10(E), 450–456.

Smeltzer, S. C., Bare, B. G., Hinkle, J. L., & Cheever, K. H. (2021). Brunner & Suddarth’s textbook of medical-surgical nursing (15th ed.). Wolters Kluwer.

Stanhope, M., & Lancaster, J. (2022). Public health nursing: Population-centered health care in the community (11th ed.). Elsevier.

Sumiyati, S., & Ambarika, R. (2025). Edukasi kepatuhan obat dan diet rendah garam pada pasien hipertensi di ruang penyakit dalam pria RSUD Jayapura. Kolaborasi: Jurnal Pengabdian Masyarakat, 6(1), 105–114. https://doi.org/10.56359/kolaborasi.v6i1.760

Wahyuni, E., Susanti, L., & Hidayat, A. (2022). Efektivitas media edukasi booklet dalam meningkatkan dukungan keluarga dan kepatuhan pengobatan penderita hipertensi. Jurnal Ilmu Kesehatan Masyarakat, 11(3), 201–209.

Whitehead, D. K., Weiss, S. A., & Tappen, R. M. (2021). Essentials of nursing leadership and management (7th ed.). F. A. Davis Company.

World Health Organization. (2023). Hypertension fact sheet. World Health Organization.

Yuliana, N., Hartati, S., & Dewi, R. (2023). Edukasi kesehatan berbasis booklet meningkatkan pengetahuan dan kepatuhan pengobatan pada klien hipertensi. Jurnal Keperawatan Raflesia, 5(2), 88–96.

Zhang, L., Wang, X., & Liu, Y. (2024). The effect of self-management educational intervention on hypertension knowledge, adherence, and quality of life. Babali Nursing Research, 5(1), 88–97.

Unduhan

Diterbitkan

30-07-2026

Cara Mengutip

Aisyah, S., & Kusumawati , P. D. (2026). Peningkatan Pengetahuan dan Kepatuhan Pasien Hipertensi melalui Edukasi Self-Management di Puskesmas Aifat, Kabupaten Maybrat. Kolaborasi: Jurnal Pengabdian Masyarakat, 6(4), 794–805. https://doi.org/10.56359/kolaborasi.v6i4.985