ANALYSIS OF PARTICIPATION IN PROLANIS EXERCISE PROGRAM AND ITS IMPACT ON BLOOD PRESSURE OF PATIENTS WITH HYPERTENSION

Mila Oktarina, Irma Hamisah, Aulina Adamy, Nopa Arlianti, Wardiati Wardiati, Riza Septiani

Abstract


Background: Hypertension remains a major public health problem globally. This disease is also one of the public health challenges in Indonesia. One of the health programs to promote health and maintaining controlled blood pressure among patients with hypertension is by optimizing the utilization of “the Chronic Disease Management Program” or “Program Pengelolaan Penyakit Kronis (Prolanis)”, and one of the interventions is exercise activities. This study aims to analyze factors associated with participation in the Prolanis exercise program and its impact on participants’ blood pressure. Method: This study uses a cross-sectional design with  a sample of 106 patients with hypertension in two Community Health Centers (Puskesmas Lhoknga and Puskesmas Darul Imarah Aceh Besar). Data were collected by interview and observation of blood pressure. Data were analyzed univariate and bivariate using chi-square with significance p<0.05 and unpaired t-test. Results: Chi-square analysis shows the relationship between knowledge (p-value:0.034), positive attitude (p-value 0.011), family support (p-value:0.018), self-motivation (p-value:0.022), health worker roles (p-value:0.032), and participation of Prolanis exercise program. Meanwhile, unpaired t-test analysis shows significant differences  betweenmean values of blood pressure among patients with hypertension who participated and not participated in Prolanis exercise program. Recommendation: The Prolanis Exercise program has a significance impact in controlling blood pressure in hypertensive patients. It is recommended that health workers and health promotion staffs  at Community Health Centers to promote and maintain the implementation of Prolanis exercise program, as well as support patients to join and actively participate in the program.


Keywords


Hypertension, Prolanis Exercise, Exercise Program, Blood Pressure, Health Promotion

Full Text:

PDF

References


Azadi, N. A., Ziapour, A., Lebni, J. Y., Irandoost, S. F., Abbas, J., & Chaboksavar, F. (2021). The Effect of Education Based on Health Belief Model on Promoting Preventive Behaviors of Hypertensive Disease in Staff of the Iran University of Medical Sciences. Archives of Public Health, 79(1), 69. https://doi.org/10.1186/s13690-021-00594-4

Bhandari, B., Narasimhan, P., Vaidya, A., Subedi, M., & Jayasuriya, R. (2021). Barriers and Facilitators For Treatment and Control of High Blood Pressure Among Hypertensive Patients in Kathmandu, Nepal: A Qualitative Study Informed By COM-B Model of Behavior Change. BMC Public Health, 21(1), 1524. https://doi.org/10.1186/s12889-021-11548-4

Dheasye, Aryani, & Niken, A. A. (2021). Pelaksanaan Program Pengelolaan Penyakit Kronis (Prolanis) Penderita Diabetes Mellitus (Studi di Puskesmas Kebondalem Kabupaten Pemalang). Solidarity: Journal of Education, Society and Culture, 10(2), 193–206. Retrieved from https://journal.unnes.ac.id/sju/index.php/solidarity/article/view/51913

Dinas kesehatan Provinsi Aceh. (2024). Profil Kesehatan Provinsi Aceh. Banda Aceh. Retrieved from https://dinkes.acehprov.go.id/category/profil-kesehatan

Fitriani, L., Setiawan, M. I., Wulandari, A., Noor, M. S., & Pujianti, N. (2023). Literature Review: Relationship of Chronic Disease Management Program (Prolanis) To Blood Pressure of Hypertension Patients. Jurnal Publikasi Kesehatan Masyarakat Indonesia, 9(2). https://doi.org/10.20527/jpkmi.v8i2.13040

Ginting, S., Tampubolon, E. M., & Batubara, S. (2020). Faktor-faktor yang Memengaruhi Keikutsertaan Peserta BPJS Melakukan Senam Prolanis di Puskesmas Martimbang Kota Pematangsiantar Tahun 2017. Jurnal Inovasi Kesehatan Masyarakat, 1(2). https://doi.org/https://doi.org/10.36656/jikm.v1i2.265

Gong, D., Yuan, H., Zhang, Y., Li, H., Zhang, D., Liu, X., … Li, C. (2020). Hypertension-Related Knowledge, Attitudes, and Behaviors among Community-Dwellers at Risk for High Blood Pressure in Shanghai, China. International Journal of Environmental Research and Public Health, 17(10), 3683. https://doi.org/10.3390/ijerph17103683

Hasfika, I., Erawati, S., & Sitorus, F. E. (2020). Pengaruh Senam Prolanis Terhadap Pengendalian Kadar Glukosa Darah dan Tekanan Darah Pada Pasien Diabetes Melitus Tipe II dan Hipertensi. BEST Journal (Biology Education, Sains and Technology), 3(2), 184–190. https://doi.org/10.30743/best.v3i2.3226

Kemenkes RI. (2019). Hipertensi Penyakit Paling Banyak Diidap Masyarakat. Retrieved from https://www.kemkes.go.id/id/rilis-kesehatan/hipertensi-penyakit-paling-banyak-diidap-masyarakat

Kemenkes RI. (2024). Survei Kesehatan Indonesia Dalam Angka. In Kementrian Kesehatan Republik Indonesia. Jakarta. Retrieved from https://www.badankebijakan.kemkes.go.id/ski-2023-dalam-angka/

Mills, K. T., Stefanescu, A., & He, J. (2020). The Global Epidemiology of Hypertension. Nature Reviews Nephrology, 16(4), 223–237. https://doi.org/10.1038/s41581-019-0244-2

Parinussa, N., Tubalawony, S., & Matulessy, R. (2022). Faktor-faktor yang Berhubungan dengan Kunjungan Prolanis di Puskesmas Perawatan Waai Maluku Tengah. IKESMA, 18(3), 153. https://doi.org/10.19184/ikesma.v18i3.25150

Pradono, J., Nunik, K., & Rika, R. (2020). Hipertensi: Pembunuh Terselubung di Indonesia. Jakarta: Lembaga Penerbit Badan Penelitian dan Pengembangan Kesehatan (LPB).

Syamson, M. M., Fitri, N., & Hasrul, H. (2020). Pengaruh Senam Prolanis Terhadap Penurunan Tekanan Darah pada Penderita Hipertensi. Holistik Jurnal Kesehatan, 14(1), 74–81. https://doi.org/10.33024/hjk.v14i1.2330

Tyas Purnamasari, A., & Dwi Ningrum, H. (2023). Implementasi Program Pengelolaan Penyakit Kronis (Prolanis) di Masa Pandemi COVID-19 pada FKTP di Kota Malang. Jurnal Kebijakan Kesehatan Indonesia, 12(2), 84–96.

Utami, H. D. (2021). Media, Tenaga Kesehatan, Lingkungan, Health Literacy, dan Motivasi terhadap Pemanfaatan Program Pengelolaan Penyakit Kronis. Jurnal Ilmiah Kesehatan, 20(1), 25–33. https://doi.org/10.33221/jikes.v20i1.932

Wahyuni, S. (2021). Dukungan Keluarga dan Manajemen Hipertensi. The Indonesian Journal of Health Science, 12(2), 199–208. https://doi.org/10.32528/ijhs.v12i2.4876

Warjiman, W., Jamini, T., Kristiana, D., & Chrisnawati, C. (2021). Pengaruh Senam Prolanis Terhadap Penurunan Tekanan Darah pada Penderita Hipertensi di Puskesmas Angsau. JURNAL KEPERAWATAN SUAKA INSAN (JKSI), 6(1), 59–66. https://doi.org/10.51143/jksi.v6i1.268

Wedyarti, L., Setiaji, B., & Masra, F. (2021). Analisis Pelaksanaan Program Prolanis di Puskesmas Rawat Inap Biha Kabupaten Pesisir Barat. Poltekita : Jurnal Ilmu Kesehatan, 15(3), 301–308. https://doi.org/10.33860/jik.v15i3.505

WHO. (2023a). Global Report on Hypertension. Geneva. Retrieved from https://www.who.int/publications/i/item/9789240081062

WHO. (2023b). Hypertension. Factsheets of Hypertension. Retrieved from https://www.who.int/news-room/fact-sheets/detail/hypertension.




DOI: https://doi.org/10.37598/jukema.v9i2.2069

Refbacks

  • There are currently no refbacks.