Implementation of Hypertension Management with Caregiver Empowerment to Improve the Quality of Life of the Elderly
DOI:
https://doi.org/10.35451/5skbqn46Keywords:
Manajemen Hipertensi; Caregiver; Pemberdayaan; Kualitas Hidup; LansiaAbstract
As they age, the elderly experience various declines in body system function which can increase the risk of developing various diseases. One of the health conditions most commonly suffered by the elderly is hypertension, which is one of the main causes of death in this age group. If not controlled properly, hypertension can cause serious complications which can be fatal for the sufferer. Therefore, the role of caregivers or family members is very important in helping elderly people manage hypertension effectively. The aim of this service is to improve the quality of life of elderly people suffering from hypertension. An intervention based on caregiver empowerment was carried out in the work area of ??the Deli Tua Community Health Center. This program method begins with an initial measurement of the quality of life of the elderly before intervention is carried out. Furthermore, caregivers are given education and training regarding the management of hypertension in the elderly which is monitored via the WhatsApp group. This monitoring lasted for one month, after which the quality of life of hypertensive elderly was measured again to assess the effectiveness of the intervention. The results show a significant increase in the quality of life of the elderly after caregiver empowerment. Before the intervention, the majority of elderly people, namely 54%, had a poor quality of life. However, after the program was running and interventions were implemented, this figure changed drastically, with 88% of elderly people showing an improvement in their quality of life. These results confirm that community service programs that focus on empowering caregivers in managing hypertension have a positive impact in improving the quality of life of elderly people suffering from this disease.
References
[1] Rudnicka E, Napierała P, Podfigurna A, Męczekalski B, Smolarczyk R, Grymowicz M. The World Health Organization (WHO) approach to healthy ageing. Maturitas. 2020 Sep 1;139:6-11.
[2] Moreno-Agostino D, Daskalopoulou C, Wu YT, Koukounari A, Haro JM, Tyrovolas S, Panagiotakos DB, Prince M, Prina AM. The impact of physical activity on healthy ageing trajectories: evidence from eight cohort studies. International Journal of Behavioral Nutrition and Physical Activity. 2020 Dec;17:1-2.
[3] Ni W, Yuan X, Zhang J, Li P, Zhang HM, Zhang Y, Xu J. Factors associated with treatment and control of hypertension among elderly adults in Shenzhen, China: a large-scale cross-sectional study. BMJ open. 2021 Aug 1;11(8):e044892.
[4] Badan Penelitian dan Pengembangan Kesehatan. Laporan Provinsi Sumatera Utara Riskesdas 2018. 2018. Diakses dari http://repository.litbang.kemkes.go.id/3878/1/LAPORAN%20RISKESDAS%20SUMUT%202018.pdf pada 13 Januari 2024
[5] Snarska K, Chorąży M, Szczepański M, Wojewódzka-Żelezniakowicz M, Ładny JR. Quality of life of patients with arterial hypertension. Medicina. 2020 Sep 9;56(9):459.
[6] Wong EL, Xu RH, Cheung AW. Health-related quality of life in elderly people with hypertension and the estimation of minimally important difference using EQ-5D-5L in Hong Kong SAR, China. The European Journal of Health Economics. 2020 Aug;21:869-79.
[7] Chantakeeree C, Sormunen M, Estola M, Jullamate P, Turunen H. Factors affecting quality of life among older adults with hypertension in urban and rural areas in Thailand: a cross-sectional study. The International Journal of Aging and Human Development. 2022 Sep;95(2):222-44.
[8] Hou Y, Wu Q, Zhang D, Jin X, Wu W, Wang X. The differences in self-perceptions of aging, health-related quality of life and their association between urban and rural Chinese older hypertensive patients. Health and quality of life outcomes. 2020 Dec;18:1-8.
[9] Turana Y, Tengkawan J, Chia YC, Shin J, Chen CH, Park S, Tsoi K, Buranakitjaroen P, Soenarta AA, Siddique S, Cheng HM. Mental health problems and hypertension in the elderly: Review from the HOPE Asia Network. The Journal of Clinical Hypertension. 2021 Mar;23(3):504-12.
[10] N. Widayanti et al., Gambaran Dukungan Keluarga pada Lansia Hipertensi di Bantul. Prosiding LPPM UMY, 2023.
[11] Hasifah, “Pemberdayaan Keluarga & Kemandirian Lansia Hipertensi di Makassar,” Indonesian Journal of Community Dedication, vol. 5, no. 2, pp. 17–21, 2023.
[12] Erkinovna KZ, Khabibovna YS, Abrorovna VN. Monitoring Of Quality Of Life In Patients With Arterial Hypertension of Older Age Groups. Academia Science Repository. 2023 May 11;4(5):276-85.
[13] Lee MC, Tai CY, Liu CC, Wang WH, Chang CF, Chen MQ. The Mediating Role of Psychological Well-Being in the Relationship Between Self-Management and Quality of Life in Patients With Hypertension. Western Journal of Nursing Research. 2024 Feb;46(2):125-32.
[14] Wang S, Shen C, Yang S. Analysis of Health-Related Quality of Life in Elderly Patients with Stroke Complicated by Hypertension in China Using the EQ-5D-3L Scale. Journal of Multidisciplinary Healthcare. 2024 Dec 31:1981-97.
[15] Kurdi F, Putri MS, Susanto T. The relationship between self-care management with quality of life at elderly with hypertension in nursing home of Jember. Working with Older People. 2025 Jan 21;29(1):48-56.
[16] Krisnawati NW, Abiddin AH. The Relationship Between Family Support and Self Care in Hypertension Clients. Health Access Journal. 2024 Feb 28;1(1):1-7.
[17] K. F. Annuril et al., “Pemberdayaan Masyarakat Pedesaan Cegah Komplikasi Hipertensi,” Jurnal PUSTINGKIA, 2023.
[18] D. O. Surya et al., “Pemberdayaan Kader dan Keluarga dalam Perawatan Lansia Hipertensi,” BERNAS: Jurnal Pengabdian Masyarakat, vol. 4, no. 1, 2023.
[19] A. Suswani, A. Ramlah, dan A. H. Nurtami, “Program Pemberdayaan Kader & Keluarga Sadar Hipertensi (KAGADARSI),” Jurnal ABDIMAS Panrita, vol. 6, no. 1, 2025
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