Community-based Nursing Intervention Model for Improving Hypertension Patients’ Self-Management in West Java Province Indonesia
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Abstract
Hypertension remains a priority non-communicable disease in Indonesia, with a national prevalence of 34.1% reported in 2018. Nurses, who represent 60-80% of the total health workforce and provide 90% of health services in primary healthcare, have a highly important yet underutilized role in improving public health outcomes. Community health nursing has significant potential to strengthen primary health care, but family nursing-based hypertension management models have not been widely studied. This study aims to develop a community nursing-based hypertension management model to improve primary health care in West Java Province, Indonesia. A descriptive qualitative approach was used by conducting focus group discussions (FGDs) and in-depth interviews. FGDs involved seven community health cadres, while in-depth interviews were conducted with six family members living in the working area of Puskesmas Babakan Sari, Bandung, West Java. The findings revealed three main themes that can improve self-management among hypertensive patients which include support from community health nurses, support from health volunteers, and support from family members. These forms of support are critical to improving the self-management of hypertension in the community. More research is recommended to evaluate the effectiveness of this model in real-world settings.
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References
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