Peer Support Group terhadap Well-Being Pasien Hipertensi Usia Dewasa Muda
DOI:
https://doi.org/10.33006/ji-kes.v5i2.348Abstract
Abstrak
Penyakit hipertensi pada usia dewasa muda tiap tahun mengalami peningkatan. Selain itu, banyak permasalahan yang ditemui seperti penurunan kontrol pengobatan, defisit perawatan diri dan buruknya kualitas hidup yang disebabkan oleh rendahnya well-being. Meningkatkan well-being dibutuhkan intervensi yang tepat. Peer support group dipilih karena berfokus pada hubungan individu, adanya pertukaran informasi serta pengalaman. Tujuan penelitian untuk menjelaskan pengaruh peer support group terhadap well-being pasien hipertensi usia dewasa muda. Jenis penelitian menggunakan quasi-experiment dengan rancangan pre post test control group design. Populasi dalam penelitian ini  berjumlah 176 orang. Sampling yang digunakan purposive sampling. Besar sampel sebanyak 80 orang dan dibagi ke dalam 2 kelompok (masing-masing kelompok sebanyak 40 orang). Penelitian dilaksanakan pada bulan Oktober-November 2021 di Puskesmas Koting Propinsi Nusa Tenggara Timur. Instrumen untuk mengukur well-being menggunakan Indonesian Well-being Scale (IWS). Analisis data menggunakan paired t test dan independent sample t-test. Hasil penelitian menunjukkan ada pengaruh peer support group terhadap well-being (p=0,000). Sebelum diberikan peer support group, kedua kelompok tidak menunjukkan perbedaan (p = 0,631). Namun, setelah diberikan peer support group, kedua kelompok menunjukkan perbedaan (p = 0,000). Peer support group terbukti dapat meningkatkan well-being, untuk itu Puskesmas dapat membuat program promosi kesehatan dengan mengintegrasikan peer support group dalam layanan kesehatan.
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Kata kunci: peer support group, well-being, hipertensi, dewasa muda
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Abstract
Hypertension in young adults is increasing every year. In addition, many problems were encountered such as decreased medication control, self-care deficits and poor quality of life caused by low well-being. Improving well-being requires appropriate intervention. The peer support group was chosen because it focuses on individual relationships, the exchange of information and experiences. The purpose of the study was to explain the effect of peer support groups on the well-being of hypertensive patients in young adults. This type of research uses a quasi-experimental design with a pre-post-test control group design. The population in this study were 176 people. Sampling used purposive sampling. The sample size is 80 people and divided into 2 groups (each group is 40 people). The research was carried out in October-November 2021 at the Koting Public Health Center. The instrument for measuring well-being uses the Indonesian Well-being Scale (IWS). Data analysis using paired t-test and independent sample t-test. The results showed that there was an effect of a peer support group on well-being (p=0,000). Data analysis using paired t-test and independent sample t-test. The results showed that there was an effect of a peer support group on well-being (p=0,000). Before being given a peer support group, the two groups showed no difference (p = 0,631). However, after being given a peer support group, the two groups showed a difference (p = 0,000). Peer support groups are proven to be able to improve well-being, for that public health centres can create health promotion programs by integrating peer support groups in health services.
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Keywords: peer support group, well-being, hypertension, young adults
References
Doull, M. et al. (2017) ‘Peer support strategies for improving the health and well-being of individuals with chronic diseases’, Cochrane Database of Systematic Reviews, 2017(6), pp. 2017–2020. doi: 10.1002/14651858.CD005352.pub2.
Edwin, B. F., Cameron, L. D. and Christensen, A. J. (2018) Principles and Concepts of Behavioral Medicine.
Egan, B. M. et al. (2019) ‘The globalburden of hypertension exceeds1.4 billion people: Should a systolic blood pressure target below 130 become the universal standard?’, Journal of Hypertension, 37(6), pp. 1148–1153. doi: 10.1097/HJH.0000000000002021.
Evans, M., Daaleman, T. and Fisher, E. . (2021) ‘Peer Support for Chronic Medical Conditions. In: Avery J.D. (eds) Peer Support in Medicine’, in. Springer, Cham. doi: https://doi.org/10.1007/978-3-030-58660-7_3.
Fisher, E. B. et al. (2015) ‘Analysis & commentary: Key features of peer support in chronic disease prevention and management’, Health Affairs, 34(9), pp. 1523–1530. doi: 10.1377/hlthaff.2015.0365.
Geffen L et al. (2019) ‘Peer-to-peer support model to improve quality of life among highly vulnerable, low-income older adults in Cape Town, South Africa. BMC Geriatrics [revista en Internet] 2019 [acceso 08 de mayo de 2020]; 19(1);1-12.’, pp. 1–12. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6805367/.
Gooding, H. C. et al. (2014) ‘Hypertension awareness and control among young adults in the National Longitudinal Study of Adolescent Health’, Journal of General Internal Medicine, 29(8), pp. 1098–1104. doi: 10.1007/s11606-014-2809-x.
Hamrahian, S. M. (2020) ‘Medication Non-adherence: a Major Cause of Resistant Hypertension’, Current Cardiology Reports, 22(11), pp. 1–7. doi: 10.1007/s11886-020-01400-3.
Haugan, G. et al. (2021) ‘Self-transcendence among adults 65 years and older: A meta-analysis’, Scandinavian Journal of Caring Sciences, (January), pp. 1–13. doi: 10.1111/scs.12959.
Hinton, T. C. et al. (2020) ‘Investigation and Treatment of High Blood Pressure in Young People: Too Much Medicine or Appropriate Risk Reduction?’, Hypertension (Dallas, Tex. : 1979), 75(1), pp. 16–22. doi: 10.1161/HYPERTENSIONAHA.119.13820.
Hossain, S. N. et al. (2021) ‘Web-based peer support interventions for adults living with chronic conditions: Scoping review’, JMIR Rehabilitation and Assistive Technologies, 8(2). doi: 10.2196/14321.
Jadidmilani, M. et al. (2015) ‘The impact of self-transcendence on physical health status promotion in multiple sclerosis patients attending peer support groups’, International Journal of Nursing Practice, 21(6), pp. 725–732. doi: 10.1111/ijn.12186.
Khahi, A. M. et al. (2017) ‘Relationship between self-transcendence and physically-healthy patients under hemodialysis in participating in peer-support group; A randomized clinical trial’, Journal of Renal Injury Prevention, 6(4), pp. 253–258. doi: 10.15171/jrip.2017.48.
Krishnamoorthy, Y. et al. (2019) ‘Effectiveness of peer led intervention in improvement of clinical outcomes among diabetes mellitus and hypertension patients—A systematic review and meta-analysis’, Primary Care Diabetes, 13(2), pp. 158–169. doi: 10.1016/j.pcd.2018.11.007.
Lauckner, H. M. and Hutchinson, S. L. (2016) ‘Peer support for people with chronic conditions in rural areas: A scoping review’, Rural and Remote Health, 16(1). doi: 10.22605/rrh3601.
Levy, P. S. and Lemeshow, S. (2013) Sampling of populations: methods and applications. John Wiley & Sons.
Mahajan, S. et al. (2020) ‘Assessment of Prevalence, Awareness, and Characteristics of Isolated Systolic Hypertension Among Younger and Middle-Aged Adults in China’, JAMA network open, 3(12), p. e209743. doi: 10.1001/jamanetworkopen.2020.9743.
Maulana, H., Khawaja, N. and Obst, P. (2019) ‘Development and validation of the Indonesian Well-being Scale’, Asian Journal of Social Psychology, 22(3), pp. 268–280. doi: 10.1111/ajsp.12366.
Mills, K. T. et al. (2016) ‘Global disparities of hypertension prevalence and control’, Circulation, 134(6), pp. 441–450. doi: 10.1161/CIRCULATIONAHA.115.018912.
Mills, K. T., Stefanescu, A. and He, J. (2020) ‘The Global Epidemiology of Hypertension’, Nature Reviews Nephrology, 16(4), pp. 223–237. doi: 10.1038/s41581-019-0244-2.
Mosack, K. E. et al. (2013) ‘Evaluation of a peer-led hypertension intervention for veterans: impact on peer leaders’, Health education research, 28(3), pp. 426–436. doi: 10.1093/her/cyt004.
Patil, S. J. et al. (2018) ‘Effect of peer support interventions on cardiovascular disease risk factors in adults with diabetes: A systematic review and meta-analysis’, BMC Public Health, 18(1). doi: 10.1186/s12889-018-5326-8.
Roudi, E. K. et al. (2016) ‘Comparison of the effects of healthy lifestyle education program implemented by peers and community health nurses on the quality of life of elderly patients with hypertension’, Evidence Based Care Journal, 5(4), pp. 51–60. doi: 10.22038/ebcj.2016.6380.
Ryff, C. D. et al. (2006) ‘Psychological well-being and ill-being: Do they have distinct or mirrored biological correlates?’, Psychotherapy and Psychosomatics, 75(2), pp. 85–95. doi: 10.1159/000090892.
Schwei, R. J. et al. (2021) ‘Peer-to-Peer Support and Changes in Health and Well-being in Older Adults over Time’, JAMA Network Open, 4(6), pp. 1–15. doi: 10.1001/jamanetworkopen.2021.12441.
Semper, M. (2016) ‘Peer support education for uncontrolled hypertension among adult African Americans.’, Dissertation Abstracts International Section A: Humanities and Social Sciences, 77(1-A(E)), p. No-Specified. Available at: http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=psyc13&NEWS=N&AN=2016-26523-113.
Tirtasari, S. and Kodim, N. (2019) ‘Prevalensi dan Karakteristik Hipertensi Pada Usia Dewasa Muda di Indonesia’, Tarumanagara Medical Journal, 1(2), pp. 395–402.
Trudel-Fitzgerald, C. et al. (2014) ‘Taking the tension out of hypertension’, Journal of Hypertension, 32(6), pp. 1222–1228. doi: 10.1097/hjh.0000000000000175.
Turana, Y., Tengkawan, J. and Soenarta, A. A. (2020) ‘Asian management of hypertension: Current status, home blood pressure, and specific concerns in Indonesia’, Journal of Clinical Hypertension, 22(3), pp. 483–485. doi: 10.1111/jch.13681.
Turner, B. J. et al. (2012) ‘A randomized trial of peer coach and office staff support to reduce coronary heart disease risk in African-Americans with uncontrolled hypertension’, Journal of General Internal Medicine, 27(10), pp. 1258–1264. doi: 10.1007/s11606-012-2095-4.
Ueda, P. et al. (2014) ‘Cerebrovascular and ischemic heart disease in young adults born preterm: A population-based Swedish cohort study’, European Journal of Epidemiology, 29(4), pp. 253–260. doi: 10.1007/s10654-014-9892-5.
Williamson, W. et al. (2016) ‘Will Exercise Advice Be Sufficient for Treatment of Young Adults With Prehypertension and Hypertension? A Systematic Review and Meta-Analysis’, Hypertension, 68(1), pp. 78–87. doi: 10.1161/HYPERTENSIONAHA.116.07431.
Yuan, T. et al. (2018) ‘he correlation between self-management behaviors and subjective well-being in community patients with hypertension’, Nursing of Integrated Traditional Chinese and Western Medicine, 4(8), pp. 77–80.
Zhang and Moran, A. E. (2017) ‘Trends in the prevalence, awareness, treatment, and control of hypertension among young adults in the United States, 1999 to 2014’, Hypertension, 70(4), pp. 736–742. doi: 10.1161/HYPERTENSIONAHA.117.09801.
Zhang, X. N. et al. (2020) ‘Self-management among elderly patients with hypertension and its association with individual and social environmental factors in China’, Journal of Cardiovascular Nursing, 35(1), pp. 45–53. doi: 10.1097/JCN.0000000000000608.
Zhou, D. et al. (2018) ‘Uncontrolled hypertension increases risk of all-cause and cardiovascular disease mortality in US adults: The NHANES III Linked Mortality Study’, Scientific Reports, 8(1), pp. 1–7. doi: 10.1038/s41598-018-27377-2.
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