Pengaruh Pemberdayaan Kelompok Khusus Berbasis Social Determinants of Health (SDH) Terhadap Health Behavior Wanita Penderita Hipertensi di Desa Darsono Kecamatan Arjasa
Abstrak
Hipertensi merupakan masalah kesehatan kronis yang memerlukan perilaku kesehatan yang baik untuk mencegah komplikasi. Penelitian ini bertujuan menganalisis pengaruh pemberdayaan kelompok berbasis Social Determinants of Health (SDH) terhadap perilaku kesehatan wanita hipertensi. Penelitian menggunakan desain pra-eksperimental dengan pendekatan one group pre-test-posttest pada 35 responden yang dipilih menggunakan total sampling. Hasil penelitian menunjukkan bahwa setelah intervensi, proporsi perilaku kesehatan baik meningkat dari 20,0% menjadi 54,3%, sedangkan kategori kurang menurun dari 42,9% menjadi 11,4%. Nilai median perilaku kesehatan meningkat dari 15 menjadi 19. Dengan demikian, pemberdayaan kelompok berbasis SDH efektif meningkatkan perilaku kesehatan wanita hipertensi melalui peningkatan pengetahuan, dukungan sosial, dan partisipasi aktif dalam pengelolaan hipertensi.
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Ajzen, I. (2020). The theory of planned behavior: Frequently asked questions. Human Behavior and Emerging Technologies, 2(4), 314–324. https://doi.org/10.1002/hbe2.195
Appel, L. J. (2022). Clinical management of hypertension: Combining pharmacologic and lifestyle therapy for blood pressure control. New England Journal of Medicine, 386(4), 278–288. https://doi.org/10.1056/NEJMra2110130
Alsolami, F. J., Hou, X. Y., & Correa-Velez, I. (2022). Factors influencing adherence to hypertension management: A systematic review. BMC Public Health, 22(1), 1–15. https://doi.org/10.1186/s12889-022-13045-7
Arifin, B. P. (2022). The shifting burden of disease in Indonesia: Non-communicable diseases and their risk factors. BMC Public Health, 22(1), 1157.https://doi.org/10.1186/s12889-022-13462-3.
Bambra, C., Riordan, R., Ford, J., & Matthews, F. (2021). The COVID-19 pandemic and health inequalities: The role of social determinants of health. Social Science & Medicine, 272, 113–118. https://doi.org/10.1016/j.socscimed.2021.113555
Bandura, A. (2021). Social cognitive theory: An agentic perspective on human nature. Annual Review of Psychology, 72, 1–26. https://doi.org/10.1146/annurev-psych-010419-050807
Becker, M. H. (2018). The health belief model and personal health behavior. Health Education Monographs, 2(4), 324–508. https://doi.org/10.1177/109019817400200407
Carey, R. M., & Whelton, P. K. (2020). Prevention, detection, evaluation, and management of high blood pressure in adults: A scientific statement from the American Heart Association. Hypertension, 75(6), 1334–1357. https://doi.org/10.1161/HYP.0000000000000123
Carretero, O. A., & Oparil, S. (2022). Essential hypertension: Part I—Definition and etiology. Circulation, 145(23), 1819–1831. https://doi.org/10.1161/CIRCULATIONAHA.121.056789
Carretero, O. A. (2023). Endothelial dysfunction in hypertension: Pathophysiology and clinical implications. Journal of Hypertension Research, 46(2), 201–214. https://doi.org/10.1097/HJH.0000000000003261
Coffman, T. M. (2024). Mechanisms of secondary hypertension: From kidney disease to endocrine disorders. Nature Reviews Nephrology, 20(1), 12–25. https://doi.org/10.1038/s41581-023-00798-2
Dahal, P. N. (2021). Burden of non-communicable diseases and their risk factors in Nepal: Findings from a nationwide STEPS survey. PLoS ONE., 16(8), e0256459. https://doi.org/10.1371/journal.pone.0256459.
Dewi, R. K. (2022). Hypertension as a silent killer: Early detection and prevention in Indonesian adults. BMC Public Health,, 22(1), 1121. https://doi.org/10.1186/s12889-022-13628-x.
Dinas Kesehatan Kabupaten Jember. (2023). Profil Kesehatan Kabupaten Jember Tahun 2023. Jember: Dinas Kesehatan Kabupaten Jember. Retrieved from HYPERLINK "https://dinkes.jemberkab.go.id" t "_new" https://dinkes.jemberkab.go.id
Fitria, A. (2022). Analisis faktor yang memengaruhi perilaku kesehatan perempuan penderita hipertensi di Desa Darsono Kecamatan Arjasa Kabupaten Jember. Jurnal Ilmiah Keperawatan Universitas dr. Soebandi, 8(2), 112–120. Retrieved from https://journal.uds.ac.id/index.php/jik
Green, L. W., & Kreuter, M. W. (2019). Health program planning: An educational and ecological approach (5th ed.). New York: McGraw-Hill.
Hidayati, N. Y. (2023). Zakat-based community empowerment program and its impact on health service access among hypertensive patients. Jurnal Kesehatan Masyarakat Andalas,, 17(1), 45–53.
Hidayati, N., Rachmawati, D., & Sari, P. D. (2023). Pemberdayaan komunitas dalam meningkatkan akses layanan kesehatan primer bagi penderita hipertensi di wilayah perdesaan. Jurnal Keperawatan dan Kesehatan Komunitas, 12(1), 45–53. https://doi.org/10.24198/jkkk.v12i1.43256
Iba, S., & Irna, R. (2024). Application of Nola J. Pender’s Health Promotion Model in chronic disease prevention among women with hypertension. Jurnal Aacendikia Nursing, 3(1), 28–36. HYPERLINK "https://doi.org/10.59183/aacendikiajon.v3i1.28" t "_new" https://doi.org/10.59183/aacendikiajon.v3i1.28
Jember., D. K. (2023). Profil Kesehatan Kabupaten Jember 2023. Jember: Dinkes Jember.
Jin, H., & Kim, Y. (2021). Predictors of medication adherence among hypertensive patients based on the Health Belief Model: Application of structural equation modeling. International Journal of Environmental Research and Public Health, 18(9), 4609. https://doi.org/10.3390/ijerph18094609
Kario, K. (2023). Hypertension: From basic mechanisms to clinical management. Hypertension Research, 46(3), 589–602. https://doi.org/10.1038/s41440-023-01256-7
Kario, K., & Wang, J. G. (2023). Fixed-dose combination therapy to improve hypertension control: Insights from Asia. Hypertension Research, 46(8), 1410–1420. https://doi.org/10.1038/s41440-023-01277-2
Kusumawati, D. (2022). Hambatan akses layanan kesehatan dan perilaku hidup sehat wanita penderita hipertensi di wilayah Arjasa Kabupaten Jember. Jurnal Keperawatan Indonesia, 25(1), 56–64. https://doi.org/10.7454/jki.v25i1.1300
Kementerian Kesehatan Republik Indonesia. (2022). Profil Kesehatan Indonesia Tahun 2022. Jakarta: Kementerian Kesehatan RI. Retrieved from https://www.kemkes.go.id/resources/download/pusdatin/profil-kesehatan-indonesia/Profil-Kesehatan-Indonesia-2022.pdf
Lee, H. Y., Oh, J., Kim, J., & Lee, M. H. (2020). Gender differences in hypertension awareness, antihypertensive use, and control among adults: Findings from the Korean National Health and Nutrition Examination Survey. BMC Women's Health, 20(1), 1–10. https://doi.org/10.1186/s12905-020-00974-1
Mamot, M. (2021). Social determinants of health: Building an evidence base for promoting health equity. Global Public Health, 16(5), 685–698. https://doi.org/10.1080/17441692.2020.1851743
Marmot, M., & Allen, J. (2021). Social determinants of health and health inequalities. The Lancet, 397(10282), 109–118. https://doi.org/10.1016/S0140-6736(20)32513-9
Messerli, F. H. (2021). Hypertension and the pathophysiology of vascular remodeling. European Heart Journal, 42(5), 445–456. https://doi.org/10.1093/eurheartj/ehaa902
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
Notoatmodjo, S. (2020). Promosi kesehatan dan perilaku kesehatan (ed. revisi). Jakarta: Rineka Cipta.
Nugraha, I. M. (2021). Pathophysiology of hypertension: An overview. Open Access Macedonian Journal of Medical Sciences,, 9(F), 424–429. https://doi.org/10.3889/oamjms.2021.5902.
Rahman, A. (2024). Integrating the Social Determinants of Health (SDH) approach to improve healthy behavior and hypertension control among adults in Indonesia. Global Health Science and Practice, 12(3), 87–96. https://doi.org/10.9745/GHSP-D-24-00123
Rosenstock, I. M., Strecher, V. J., & Becker, M. H. (2019). Social learning theory and the Health Belief Model. Health Education Quarterly, 15(2), 175–183. HYPERLINK "https://doi.org/10.1177/109019818801500203" t "_new" https://doi.org/10.1177/109019818801500203
Saputri, D. A. (2021). Peran disfungsi endotel dan sistem saraf simpatis pada peningkatan tekanan darah: Tinjauan literatur. Jurnal Kardiovaskular Indonesia, 3(2), 77–84. https://doi.org/10.31289/jki.v3i2.4362
Shibata, S. (2023). Secondary hypertension: Mechanisms and clinical approach. Journal of Clinical Hypertension, 25(2), 121–132. https://doi.org/10.1111/jch.14683
Puskesmas Arjasa. (2024). Laporan Tahunan Puskesmas Arjasa Tahun 2024. Jember: Dinas Kesehatan Kabupaten Jember.
Pradono, J. T. (2022). Prevalence of hypertension and its determinants among adults in East Java, Indonesia. BMC Public Health,, 22(1), 1785. https://doi.org/10.1186/s12889-022-13951-5.
Putri, A. I. (2023). Hypertension prevalence and its risk factors among Indonesian adults: Evidence from National Health Survey. BMC Cardiovascular Disorders, 23(1), 317. https://doi.org/10.1186/s12872-023-03417-8.
Rahman, A. P. (2024). Applying Social Determinants of Health (SDH) framework in addressing hypertension in low-income communities. BMC Public Health,, 24(1), 311. https://doi.org/10.1186/s12889-024-13154-7.
Supriyadi, A. S. (2023). The burden of hypertension in rural East Java: A case study of Jember District. BMC Cardiovascular Disorders,, 23(1), 412. https://doi.org/10.1186/s12872-023-03495-8.
Unger, T. B. (2020). 2020 International Society of Hypertension Global Hypertension Practice Guidelines. Hypertension, 75(6), 1334–1357. https://doi.org/10.1161/HYPERTENSIONAHA.120.15026.
Wang, Y. (2025). Application of the Health Belief Model in predicting health behaviors among chronic disease patients: A cross-sectional study. Journal of Behavioral Medicine and Public Health, 9(1), 22–30. https://doi.org/10.1016/j.jbmph.2025.01.004
Whelton, P. K., Carey, R. M., Aronow, W. S., Casey, D. E., Collins, K. J., Dennison Himmelfarb, C., ... & Wright, J. T. (2018). 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults. Hypertension, 71(6), e13–e115. HYPERLINK "https://doi.org/10.1161/HYP.0000000000000065" t "_new" https://doi.org/10.1161/HYP.0000000000000065
Whelton, P. K. (2023). Nonpharmacologic management of hypertension: Evidence-based lifestyle interventions. Hypertension, 80(1), 123–132. https://doi.org/10.1161/HYPERTENSIONAHA.123.19234
Williams, B., Mancia, G., Spiering, W., Agabiti Rosei, E., Azizi, M., Burnier, M., ... & Redon, J. (2018). 2018 ESC/ESH Guidelines for the management of arterial hypertension. European Heart Journal, 39(33), 3021–3104. https://doi.org/10.1093/eurheartj/ehy339
World Health Organization (WHO). (2022). Social determinants of health. Retrieved from HYPERLINK "https://www.who.int/health-topics/social-determinants-of-health" t "_new" https://www.who.int/health-topics/social-determinants-of-health
World Health Organization. (2021). Hypertension. Geneva: World Health Organization. Retrieved from HYPERLINK "https://www.who.int/news-room/fact-sheets/detail/hypertension" t "_new" https://www.who.int/news-room/fact-sheets/detail/hypertension
Wulandari, R. D. (2021). The determinants of hypertension among Indonesian adults: Analysis of 2018 Basic Health Research. International Journal of Environmental Research and Public Health,, 18(14), 7324. https://doi.org/10.3390/ijerph18147324.
Zhou, B., Carrillo-Larco, R. M., Danaei, G., Riley, L. M., Paciorek, C. J., Stevens, G. A., ... & Ezzati, M. (2021). Worldwide trends in hypertension prevalence and progress in treatment and control from 1990 to 2019: A pooled analysis of 1201 population-representative studies with 104 million participants. The Lancet, 398(10304), 957–980. https://doi.org/10.1016/S0140-6736(21)01330-1
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