Laksana, Shinta Dyah and Prof. Dr. Dr. Yuyun Y.P.W.,, M.Kes.,Sp.Rad(K) and Alfrina Hany,, S.Kp,MNg (AC) (2021) Efektifitas Aplikasi Motensi 2.0 Terhadap SelfManagement Pasien Hipertensi di Kabupaten Kediri. Magister thesis, Universitas Brawijaya.
Abstract
The number of people with hypertension continues to increase, predicted by 2025 about 29% or about 1.6 billion adults worldwide suffer from hypertension. The phenomenon found in the community, people with hypertension are obtained irregularly in monitoring or controlling hypertension due to busy activities or limited access to health services. This results in the patient possibly returning to the health service with the same complaint. In order for the management of patients to take place optimally, monitoring is needed. One of the monitoring that needs to be done is self-management monitoring in hypertensive patients using motensi application 2.0. In the implementation of selfmanagement monitoring, support is needed from family and health workers. If in previous research the smartphone-based motensi application only has 1 role, namely super admin, then in the Motensi 2.0 Application has been designed to have 5 roles, namely super admin, health center admin, doctor / nurse, patient family and patient. Motensi 2.0 application can help doctors or nurses perform monitoring activities of hypertensive patients automatically and in real time, without having to record the patient data manual into a book. Motensi 2.0 Application users only need to go to motensi 2.0 web address, register an account with Public health center code and login. Motensi 2.0 application has many features that support the monitoring activities of hypertensive patients, including hypertension dictionaries, hypertension questionnaires, blood pressure checks, salt diet checks, daily activity checks and sports, doctor/nurse chats, drug reminders. In addition, the advantages of motensi 2.0 application is easy access, no need to install applications that require enough memory, can be accessed on any device (tablet, smartphone, laptop), and responsive display that the display will change to adjust the screen size of the device used. The purpose of this study was to analyze the effectiveness of Motensi 2.0 application against self-management of hypertensive patients in Kediri Regency. Quasi experimental design method research method and its approach is pre post test design. Research locations at 10 Health Centers in Kediri Regency. Researchers determined the group used in the study, namely group one was hypertensive patients who were given Motensi Application 2.0 intervention by nurses (50 respondents), the second group was hypertensive patients who were given Motensi Application 2.0 intervention by family (50 respondents), and the third group was hypertensive patients who were not given Motensi Application intervention 2.0 (50 respondents). Selected respondents certainly meet the criteria of inclusion and exclusion of research. Data analysis uses univariate analysis, wilcoxon test, mann whitney and post hoc test using Tukey test. The results of the analysis before and after treatment in the group of hypertensive patients and nurses using the Wilcoxon test showed that p = 0.000 (p<005), so there was an influence on self-management of hypertensive patients before and after being given motensi application 2.0 given intervention by nurses. The result of p = 0.000 (p<0.005), so that there is an influence on selfxiii management of hypertensive patients before and after the motence application 2.0 is given intervention by the family. The result is p = 0.457 (p≥0.005), so there is no effect of self-management of hypertensive patients in patients without motensi application intervention 2.0. Tukey's test results showed that all three groups had significant values, showing a real difference (p<0.05). Subset values for alpha for self-management after motence application 2.0 were highest (119.24) in patients who intervened by nurses, followed by patients who intervened by families with subset values for alpha 112.74. The World Health Organization (WHO) says self-management of long-term treatment requires changes that involve learning, adopting and maintaining behavior. Strategies such as confidence, family support, giving appreciation to strengthen behavior can improve self-management in chronic diseases. This is in line with Suyoto's research (2020) where by using applications, self management hypertension there are significant changes in posttest. This suggests that the use of application in treatment in hypertensive patients had a good role in assisting people with hypertension in the treatment of a low-salt diet compared to the control group that was not given the intervention. After pre and posttest in the intervention and control group there were significant changes in the average value of the difference in adherence rates of higher hypertension diet (5.34) in the intervention group than in the control group (3.48). This shows that the use of hypertension management through android applications is more effective in improving the self-management of people with hypertension. According to WHO (2015) self-management behavior in treatment is the main thing compared to the treatment itself because it is the responsibility of patients and outpatient teams in the regularity of therapy. However, it is estimated that self-management of chronic treatment of about 50% of compliance levels may drop over time after the initial prescription is written, or when obstacles arise in performing therapy. Typically, a self-management level of independence of 80% or more is required for optimal therapeutic efficacy. Increased self-management is a good health investment in chronic medicine, in addition to the persistence of undergoing therapy, treatment regimens, and communication between health workers and patients will make knowledge about treatment and disease will increase awareness to carry out obedient behavior in therapy (Elena, 2016; Nguyen, 2016). The conclusion is that from the data there is an effect of granting Motensi Application 2.0 to the self management of hypertensive patients. The most effective influence was given to the group of patients who intervened by nurses and then followed by the group of patients who intervened by the family. Suggestions for Public health center to develop and use the Motensi 2.0 Application to monitor self-management in hypertensive patients. Furthermore, it is expected to continue the research as a new program to monitor outpatients independently or without visits. The advice given to further researchers is to conduct further research related to the use of website-based mobile application media and use a larger number of respondents in order to get results that can be applied widely. The advice given to hypertensive patients is to be more obedient in managing hypertension both pharmacologically and non-pharmacologically, and continue to use the Motensi 2.0 Application as a means of monitoring the Self Management of hypertension patients
English Abstract
The number of people with hypertension continues to increase, predicted by 2025 about 29% or about 1.6 billion adults worldwide suffer from hypertension. The phenomenon found in the community, people with hypertension are obtained irregularly in monitoring or controlling hypertension due to busy activities or limited access to health services. This results in the patient possibly returning to the health service with the same complaint. In order for the management of patients to take place optimally, monitoring is needed. One of the monitoring that needs to be done is self-management monitoring in hypertensive patients using motensi application 2.0. In the implementation of selfmanagement monitoring, support is needed from family and health workers. If in previous research the smartphone-based motensi application only has 1 role, namely super admin, then in the Motensi 2.0 Application has been designed to have 5 roles, namely super admin, health center admin, doctor / nurse, patient family and patient. Motensi 2.0 application can help doctors or nurses perform monitoring activities of hypertensive patients automatically and in real time, without having to record the patient data manual into a book. Motensi 2.0 Application users only need to go to motensi 2.0 web address, register an account with Public health center code and login. Motensi 2.0 application has many features that support the monitoring activities of hypertensive patients, including hypertension dictionaries, hypertension questionnaires, blood pressure checks, salt diet checks, daily activity checks and sports, doctor/nurse chats, drug reminders. In addition, the advantages of motensi 2.0 application is easy access, no need to install applications that require enough memory, can be accessed on any device (tablet, smartphone, laptop), and responsive display that the display will change to adjust the screen size of the device used. The purpose of this study was to analyze the effectiveness of Motensi 2.0 application against self-management of hypertensive patients in Kediri Regency. Quasi experimental design method research method and its approach is pre post test design. Research locations at 10 Health Centers in Kediri Regency. Researchers determined the group used in the study, namely group one was hypertensive patients who were given Motensi Application 2.0 intervention by nurses (50 respondents), the second group was hypertensive patients who were given Motensi Application 2.0 intervention by family (50 respondents), and the third group was hypertensive patients who were not given Motensi Application intervention 2.0 (50 respondents). Selected respondents certainly meet the criteria of inclusion and exclusion of research. Data analysis uses univariate analysis, wilcoxon test, mann whitney and post hoc test using Tukey test. The results of the analysis before and after treatment in the group of hypertensive patients and nurses using the Wilcoxon test showed that p = 0.000 (p<005), so there was an influence on self-management of hypertensive patients before and after being given motensi application 2.0 given intervention by nurses. The result of p = 0.000 (p<0.005), so that there is an influence on selfxiii management of hypertensive patients before and after the motence application 2.0 is given intervention by the family. The result is p = 0.457 (p≥0.005), so there is no effect of self-management of hypertensive patients in patients without motensi application intervention 2.0. Tukey's test results showed that all three groups had significant values, showing a real difference (p<0.05). Subset values for alpha for self-management after motence application 2.0 were highest (119.24) in patients who intervened by nurses, followed by patients who intervened by families with subset values for alpha 112.74. The World Health Organization (WHO) says self-management of long-term treatment requires changes that involve learning, adopting and maintaining behavior. Strategies such as confidence, family support, giving appreciation to strengthen behavior can improve self-management in chronic diseases. This is in line with Suyoto's research (2020) where by using applications, self management hypertension there are significant changes in posttest. This suggests that the use of application in treatment in hypertensive patients had a good role in assisting people with hypertension in the treatment of a low-salt diet compared to the control group that was not given the intervention. After pre and posttest in the intervention and control group there were significant changes in the average value of the difference in adherence rates of higher hypertension diet (5.34) in the intervention group than in the control group (3.48). This shows that the use of hypertension management through android applications is more effective in improving the self-management of people with hypertension. According to WHO (2015) self-management behavior in treatment is the main thing compared to the treatment itself because it is the responsibility of patients and outpatient teams in the regularity of therapy. However, it is estimated that self-management of chronic treatment of about 50% of compliance levels may drop over time after the initial prescription is written, or when obstacles arise in performing therapy. Typically, a self-management level of independence of 80% or more is required for optimal therapeutic efficacy. Increased self-management is a good health investment in chronic medicine, in addition to the persistence of undergoing therapy, treatment regimens, and communication between health workers and patients will make knowledge about treatment and disease will increase awareness to carry out obedient behavior in therapy (Elena, 2016; Nguyen, 2016). The conclusion is that from the data there is an effect of granting Motensi Application 2.0 to the self management of hypertensive patients. The most effective influence was given to the group of patients who intervened by nurses and then followed by the group of patients who intervened by the family. Suggestions for Public health center to develop and use the Motensi 2.0 Application to monitor self-management in hypertensive patients. Furthermore, it is expected to continue the research as a new program to monitor outpatients independently or without visits. The advice given to further researchers is to conduct further research related to the use of website-based mobile application media and use a larger number of respondents in order to get results that can be applied widely. The advice given to hypertensive patients is to be more obedient in managing hypertension both pharmacologically and non-pharmacologically, and continue to use the Motensi 2.0 Application as a means of monitoring the Self Management of hypertension patients
| Item Type: | Thesis (Magister) |
|---|---|
| Identification Number: | 042106 |
| Uncontrolled Keywords: | Aplikasi Motensi 2.0, self management, hipertensi,application motensi 2.0, self management, hypertension. |
| Subjects: | 600 Technology (Applied sciences) > 610 Medicine and health > 610.7 Education, research, nursing, services of allied health personnel > 610.73 Nursing and services of allied health personnel |
| Divisions: | S2/S3 > Magister Keperawatan, Fakultas Kedokteran |
| Depositing User: | soegeng sugeng |
| Date Deposited: | 05 Jan 2022 06:38 |
| Last Modified: | 24 Feb 2022 07:36 |
| URI: | http://repository.ub.ac.id/id/eprint/187876 |
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