ANALYSIS OF FAMILY NURSING CARE WITH THE IMPLEMENTATION OF BRISK WALKING EXERCISE ON CLIENTS HYPERTENSION TO OVERCOME MANAGEMENT INEFFECTIVE HEALTH IN THE TANDES AREA
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Abstract
Background: Hypertension sufferers who rarely exercise, smoke, consume alcohol, are overweight, cannot manage stress, often stay up late, do not comply with taking medication and eat whatever they want without paying attention to salt intake can cause uncontrolled blood pressure which can lead to hypertension complications and even death. This behavior is an ineffective health management caused by lack of exposure to information related to hypertension and ineffective health care patterns in the family.
Objective: The aim of this research is to analyze family nursing care by applying brisk walking exercise to hypertensive clients to overcome ineffective health management in the Tandes Subdistrict, Surabaya.
Methods: The research design used a case method with the subject used being 1 patient with ineffective health management nursing problems. The research was conducted in the Tandes area for 2 weeks with data collection methods including assessment. diagnosis, intervention, action and evaluation.
Result: The results of case studies on hypertensive clients with ineffective health management nursing problems show that after being given nursing care therapy by implementing 5 family tasks using a modified brisk walking exercise, the results of improved health management were obtained, which was indicated by the client and family understanding more about hypertension (understanding, risk factors, signs of symptoms and diet), the client's body looks fitter, the client's blood pressure which was initially 170/100 mmHg at the time of the assessment gradually dropped to 140/90 mmHg, the client began to pay attention to diet, the family was willing to help with treatment and took the client for control to a health facility nearest.
Conclusion: Evidence based nursing implementation of brisk walking exercise which is carried out with a training frequency of 3 times a week, for 15-30 minutes with an average walking speed of 4-6 km/hour is shown to be effective in reducing ineffective health management.
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References
Andrianti, S., & Ikhsan, I. (2021). Pengaruh program brisk walking exercise terhadap penurunan tekanan darah pada penderita hipertensi. Holistik Jurnal Kesehatan, 15(2), 230–238. https://doi.org/10.33024/hjk.v15i2.4697 DOI: https://doi.org/10.33024/hjk.v15i2.4697
Dinas Kesehatan Provinsi Jawa Timur. (2021). Profil Kesehatan Provinsi Jawa Timur 2020. 1–123.
Friedman. (2016). Buku Ajar Keperawatan keluarga : Riset, Teori, dan Praktek. In EGC. https://doi.org/10.1080/11263509509436093 DOI: https://doi.org/10.1080/11263509509436093
Hansford, H. J., Wewege, M. A., & Jones, M. D. (2021). Commentary on: Stretching is superior to brisk walking for reducing blood pressure in people with high–normal blood pressure or stage I hypertension. Journal of Physical Activity and Health, 18(4), 345–346. https://doi.org/10.1123/JPAH.2021-0049 DOI: https://doi.org/10.1123/jpah.2021-0049
Harahap, D. A. et al. (2019). Hubungan Pengetahuan Penderita Hipertensi Tentang Hipertensi dengan Kepatuhan Minum Obat Antihipertensi di Wilayah Kerja Puskesmas Kampa Tahun 2019. Jurnal Ners Universitas Pahlawan.
Kemenkes RI. (2013). Pedoman Teknis Penemuan dan Tatalaksana Hipertensi.
Kemenkes RI. (2018). Hasil Utama Riset Kesehatan Dasar (RISKESDAS) 2018 (Vol. 44, Issue 8). https://doi.org/10.1088/1751-8113/44/8/085201 DOI: https://doi.org/10.1088/1751-8113/44/8/085201
Kowalski, R.E. (2010). Terapi hipertensi : Program delapan minggu mengurangi tekanan darah dan mengurangi risiko jantung dan stroke secara alami. Bandung : Mizan Pustaka.
Kurnia, A. (2021). Self Management Hipertensi. Surabaya: Jakad Media Publishing.
Lingga, L. (2015). Bebas Hipertensi Tanpa Obat. Jakarta: Agro Media Pustaka.
Masadah, M., Wiantari, D. A., & Sulaeman, R. (2021). Pengaruh Brisk Walking Exercise Terhadap Perubahan Tekanan Darah Penderita Hipertensi. Jurnal Keperawatan Terpadu (Integrated Nursing Journal), 3(2), 73. https://doi.org/10.32807/jkt.v3i2.225 DOI: https://doi.org/10.32807/jkt.v3i2.225
Mayasari, et al. (2019). Faktor-Faktor yang Berhubungan Dengan Kejadian Hipertensi. Journal Of Telenursing (JOTING). DOI: https://doi.org/10.31227/osf.io/24cd6
Muharni, S., & Christya Wardhani, U. (2020). Penurunanan Tekanan Darah pada Lansia Hipertensi dengan Senam Ergonomik. Jurnal Endurance, 5(1), 71. https://doi.org/10.22216/jen.v5i1.4550 DOI: https://doi.org/10.22216/jen.v5i1.4550
Muninjaya, A. A. G. (2015). Manajemen Mutu Pelayanan Kesehatan. EGC.
Murwani, A. (2013). Pengantar Konsep Dasar Keperawatan. Fitra Maya.
Muttaqin, A. (2014). Buku Ajar Asuhan Keperawatan dengan Gangguan Sistem Kardiovaskuler. Jakarta: Salemba Medika.
Nadesul, H. (2017). Sehat Itu Murah. Yogyakarta: Penebar Plus.
Padila. (2013). Buku Ajar Keperawatan Gerontik. Yogyakarta: Nuha Medika.
Pramudiana, N., Fisioterapi, P. S., Kesehatan, F. I., & Surakarta, U. M. (2019). Pengaruh Pemberian Brisk Walking Exercise Dan Slow Deep Breathing Exercise Terhadap Daya Tahan Kardiorespirasi Pada Penderita Hipertensi. Google Scholler, 1–11.
Priyoto. (2015). Asuhan Keperawatan Keluarga. Salemba Medika.
Satria, R. P., Hidayati, S., & Ratnaningsih, A. (2022). Upaya Penurunan Hipertensi Lansia Dengan Penerapan Brisk Walking Exercise Pada Lansia Di Desa Balapulang Kulon Kabupaten Tegal. Asmat Jurnal Pengabmas, 1(2), 73–80. https://doi.org/10.47539/ajp.v1i2.23 DOI: https://doi.org/10.47539/ajp.v1i2.23
Setyawan, A. B. (2017). Hubungan antara tingkat stres dan kecemasan dengan kejadian hipertensi pada lansia di Klinik Islamic Center Samarinda. Jurnal Ilmu Kesehatan, 5(1), 1–8.
Siswanti, C. D. (2020). Hubungan Tingkat Pengetahuan tentang Hipertensi dengan Kepatuhan Minum Obat pada Penderita Hipertensi.
Smeltzer, S., & Bare, B. (2017). Buku Ajar Keperawatan Medikal Bedah Brunner & Suddarth Edisi 8. Jakarta: EGC. https://doi.org/10.1037/1524-9220.4.1.3 DOI: https://doi.org/10.1037/1524-9220.4.1.3
Smeltzer, S. C. (2016). Buku Saku Ilmu Keperawatan Medikal Bedah. EGC.
Sonhaji, Hapsari, S., & Khotimah, S. N. K. (2020). The Effect of Brisk Walking Exercise on Blood Pressure. Jurnal Kesehatan Al-Irsyad, 13, 50–55. DOI: https://doi.org/10.36746/jka.v13i1.66
Suryanto. (2015). Reran Senam Diabetes Indonesia Bagi Penderita Diabetes Mellitus.Medikora, 2, 173–184. https://doi.org/10.21831/medikora.v0i2.4681 DOI: https://doi.org/10.21831/medikora.v0i2.4681
Tandra, H. (2017). Segala Sesuatu yang Harus Anda Ketahui Tentang Diabetes. Jakarta: Gramedia Pustaka Utama.
Tjokroprawiro, A., Setiawan, P. B., Santoso, J., Soegiarto, G., & Rahmawati, L. D. (2015). Buku Ajar Ilmu Penyakit Dalam. Surabaya: Airlangga University Press.
Utami Puspita Devi. (2023). Pengaruh Brisk Walking Exercise Terhadap Penurunan Tekanan Darah Pada Pasien Hipertensi di Wilayah Kerja UPTD Puskesmas Teluk Bintan. Jurnal Nursing Update-Vol.14 No.1(2023) https://stikes-nhm.e-journal.id/NU/article/view/1067
WHO. (2021). World Health Statistics 2021.
Wijaya, A., & Putri, Y. (2013). Keperawatan Medikal Bedah. Nuha Medika.
Yingxiang, Y. U., Chang, C., Yifan, W. U., Guo, C., & Xie, L. (2021). Dose-effect relationship between brisk walking and blood pressure in Chinese occupational population with sedentary lifestyles: Exercise and blood pressure. Journal of Clinical Hypertension, 23(9), 1734–1743. https://doi.org/10.1111/jch.14340 DOI: https://doi.org/10.1111/jch.14340
Zaidin, A. (2016). Pengantar Keperawatan Keluarga. EGC.
Zhao, B., & Wang, H. (2021). Effect of Abdominal Breathing Combined with Brisk Walking on Intervention Effect of Female Patients with Essential Hypertension. Global Journal of Health Science, 13(3), 76. https://doi.org/10.5539/gjhs.v13n3p76 DOI: https://doi.org/10.5539/gjhs.v13n3p76