Pengaruh Pendidikan Kesehatan Berbasis Smart Self Monitoring Book Terhadap Self Management Pada Penderita Hipertensi

Pendahuluan: Self management pada penderita hipertensi dapat diukur melalui kemampuan mengelola penyakit secara mandiri. Namun, pengelolaan hipertensi masih belum optimal sehingga diperlukan pendidikan kesehatan berbasis smart self monitoring book untuk meningkatkan self management. Penelitian ini bertujuan untuk mengetahui pengaruh pendidikan kesehatan berbasis smart self monitoring Book terhadap self management pada penderita hipertensi di Puskesmas Rangkah Surabaya. Metode: Penelitian ini menggunakan desain pra-eksperimental (One Group Pretest-Posttest Design).Populasi adalah seluruh penderita hipertensi di Puskesmas Rangkah Surabaya, dengan sampel 90 responden yang diambil menggunakan teknik sampling simple random sampling, Variabel Independen adalah pendidikan kesehatan berbasis smart self monitoring book dan variabel dependen adalah self management penderita hipertensi. Instrumen penelitian menggunakan kuesioner (HSMBQ). Analisa data menggunakan uji Wilcoxon Signed Rank Test (α=0,05). Hasil: Setelah diberikan intervensi selama satu minggu, sebagian besar responden memiliki self management kategori cukup sebanyak 56 responden (62,2%) dan kategori baik sebanyak 34 responden (37,8%). Hasil uji Wilcoxon diperoleh (p-value 0,001<0,05) sehingga H0 ditolak dan H1 diterima. Pembahasan: Pendidikan kesehatan berbasis Smart Self Monitoring Book berpengaruh terhadap peningkatan self management pada penderita hipertensi. Intervensi ini dapat digunakan sebagai media edukasi dalam pengelolaan hipertensi. Rekomendasi untuk peneliti selanjutnya disarankan melakukan penelitian dengan periode intervensi dan tindak lanjut yang lebih panjang untuk mengevaluasi keberlanjutan peningkatan self management pada penderita hipertensi.

Kata Kunci: Pendidikan Kesehatan, Smart Self Monitoring Book, Self Management, Hipertensi.

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Introduction: Self-management in hypertension patients can be measured through ability to manage the disease independently. However, hypertension management is still not optimal so that health education based on smart self-monitoring book is needed to improve self-management. This study aims to determine the effect of health education based on smart self-monitoring book on self-management of hypertension patients at Rangkah Community Health Center Surabaya. Method: This study used a pre-experimental design (One Group Pretest-Posttest Design). The population was all hypertension patients at Rangkah Community Health Center Surabaya, with a sample of 90 respondents taken using simple random sampling technique, the Independent Variable was health education based on smart self-monitoring book and the dependent variable was self-management of hypertension patients. The research instrument used a questionnaire (HSMBQ). Data analysis used the Wilcoxon Signed Rank Test (a = 0.05). Results: After being given the intervention for one week, most respondents had sufficient self-management category as many as 56 respondents (62.2%) and good category as many as 34 respondents (37.8%). The results of the Wilcoxon test obtained (p-value 0.001 <0.05) so that H0 was rejected and H1 was accepted. Discussion: Health Education Based on Smart Self-Monitoring Book has an impact on improving self-management in hypertension patients. This intervention can be used as an educational medium in hypertension management. Recommendations for future researchers are suggested to conduct research with a longer intervention and follow up period to evaluate the sustainability of self-management improvements in hypertension patients.