Studi Kasus Gambaran Self-Care Management pada Pasien Hipertensi di Puskesmas Kalijudan Kelurahan Sutorejo

Pendahuluan: Prawatan diri pada hipertensi sering terjadi karena banyak pasien kurang patuh minum obat, jarang memantau tekanan darah, dan belum maksimal menjalani pola hidup sehat seperti olahraga atau diet rendah garam. Hal ini bisa menyebabkan tekanan darah tetap tinggi dan risiko komplikasi meningkat. Perawatan diri yang baik meliputi minum obat teratur, olahraga rutin, makan buah sayur, mengurangi garam, serta mengelola stres agar hipertensi bisa terkontrol lebih baik. Tujuan: Mengetahui Gambaran self-care management pada pada pasien hipertensi di puskesmas kelurahan sutorejo Surabaya berdasarkan tiga komponen utama: integrasi diri, regulasi diri, interaksi tenaga Kesehatan dengan Gambaran self-care management. Metode: Penelitian ini menggunakan desain deskriptif kualitatif dengan pendekatan studi kasus. Sampel penelitian berjumlah 5 pasien hipertensi yang dipilih berdasarkan kriteria inklusi. Instrument penelitian menggunakan kuesioner Hypertension Self Behaviour Management (HSBMSQ) dengan analisis data secara deskriptif. Hasil: Berdasarkan self care managemen integrasi diri pasien hipertensi paling banyak dengan kategori kurang sebanyak 4 orang 1 kategori baik, berdasarkan self care managemen regulasi diri pasien hipertensi paling banyak dengan kategori kurang sebanyak 3 orang, cukup 1 orang dan baik 1 orang dan berdasarkan self care managemen Interaksi dengan Kesehatan Lainnya pasien hipertensi paling banyak dengan kategori kurang sebanyak 1 orang, cukup 3 orang dan baik 1 orang. Kesimpulan: Perawatan diri pada pasien hipertensi di puskesmas kalijudan kelurahan sutorejo mayoritas berada pada kategori Sebagian besar cukup dan Sebagian kecil kurang dan baik. Diperlukan peningkatan edukasi dan dukungan berkelanjutan dari tenaga Kesehatan dan keluarga guna mengoptimalkan management mandiri pasien hipertensi.

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Introduction: Self-care for hypertension often occurs because many patients are less compliant with taking medication, rarely monitor their blood pressure, and do not optimally adopt a healthy lifestyle such as exercise or a low-salt diet. This can cause blood pressure to remain high and the risk of complications to increase. Good self-care includes taking medication regularly, exercising regularly, eating fruits and vegetables, reducing salt intake, and managing stress to better control hypertension. Objective: To determine the description of self-care management in hypertension patients at the Sutorejo Community Health Center in Surabaya based on three main components: self- integration, self-regulation, interaction, and health workers. Methods: This study used a qualitative descriptive design with a case study approach. The study sample consisted of 5 hypertension patients selected based on inclusion criteria. The research instrument used the Hypertension Self-Behavior Management Questionnaire (HSBMSQ) with descriptive data analysis. Results: Based on self-care management, self-integration of hypertension patients was mostly in the poor category (4 people) and 1 good category. Based on self-care management, self-regulation of hypertension patients was mostly in the poor category (3 people), sufficient (1 person), and good (1 person). Based on self- care management, Interaction with Other Health Care patients was mostly in the poor category (1 person), sufficient (3 people), and good (1 person). Conclusion: Self-care of hypertension patients at the Kalijudan Community Health Center in Sutorejo Village was mostly in the adequate category, and a small number were poor and good. Improved education and ongoing support from health workers and families are needed to optimize self-management of hypertension patients.