The Effectiveness of Self Management Education on Blood Pressure Control of Hypertensive Patiens


  • Zada Amalia Agatha Sari Zada Amalia Agatha Sari Medical Faculty Universitas Lampung
  • Novita Carolia
  • Rasmi Zakiah Oktarlina
  • Suharmanto Suharmanto



hypertension, self amnagement, education


Hypertension is a systolic blood pressure 140 mmHg or higher and a diastolic blood pressure 90 mmHg or higher.22 In 2020 WHO (Word Health Organization) reported that there were 1.13 billion cases of hypertension and has caused 9.4 million dead.22 At the United States, in 2017-2018 it was reported that 63% people over 60 years old suffered from hypertension with a higher percentage of women (66.8%) than men (58.5%).2 According to the 2018 RISKESDAS results patients with hypertension in the elderly amounted to 63.5%. Due to its high prevalence, hypertension is a major global health problem and the main cause of death and disability in the world every year.12 Treatment of hypertension is carried out for a long time so that the success of hypertension treatment is strongly influenced by self management of patients to adhere to the treatment, routinely checking blood pressure, increasing physical activity, reducing cunsumption of foods containing sodium.11 Self management of hypertension has an important role in effective control off blood pressure in patient with hypertension.3 One of the ways to increase knowledge related to the prevention and control of hypertension is through education.10 The education provided in the form of theoretical materials such as lectures, discussions, counseling, e-learning, and also practices such as workshops or training with various related topics. The materials provided is in the form of facts about hypertension such as definitions, signs and symptoms, risk factors, how to diagnose and treat them, normal blood pressure, hypertension prevention, complications, drug use, drug side effects, the importance of taking medication regulary, the importance of blood pressure checks periodically, diet, physical activity, relaxation techniques such as deep breathing, muscle relaxation, guided imagery.18

Author Biographies

Novita Carolia



Rasmi Zakiah Oktarlina



Suharmanto Suharmanto




Akhter N. Self-management among patients with hypertension in Bangladesh. [Thesis]. Thailand: Prince of Songkla University. 2012.

Burnier M. Treatment of hypertension in the elderly in 2017/2018 - what’s new?. Expert Opinion On pharmacotherapy. 2019;20(15). 1869-1877.

Balaga PAG. Self-efficacy and self-care management outcome of chronic renal failure patients. Asian Journal of Health. 2012;2(1). 111-29.

Bustam. Epidemiologi penyakit tidak menular. Jakarta: PT Rineka Cipta

Dasgupta K, Quinn RR, Zarnkle KB, Rabi DM, Ravani P, Daskalopoulou SS et al. 2014. The 2014 Canadian Hypertension Education Program Recommendations for Blood Pressure Measurement, Diagnosis, Assessment of Risk, Prevention, and Treatment of Hypertension. Canadian Journal of Cardiology. 2017;30(3). 485-501.

Estrada D, Sierra C, Soriano RM, Jordán AI, Plaza N, & Fernández C. Grade of knowledge of hypertension in hypertensive. Enfermería Clínical. 2019;30(2). 99-107.

Flack JM & Adekola B. Blood pressure and the new ACC/AHA hypertension guidelines. Trends in Cardiovascular Medicine. 2020;30(3). 160-164.

Hua Q, Fan L, Cai J, Chen LY, Chen WW, Gao PJ et al. Chinese Guidline for the management of hypertension in the elderly. Journal of Geriatric Cardiology. 2019;16(2). 67-99.

Isnaini N & Lestari IG. Pengaruh self management terhadap tekanan darah lansia yang mengalami hipertensi . Indonesian Journal For Health Sciences. 2018;2(1). 7-18.

Korzh O, Krasnoktskiy S & Pankova O. Improving the drug compliance of hypertensive patients n primary care: importance of health education and sel-management. Archives of the Balkan Medical Union. 2019;54(3). 497-502.

Johnson HM, Sullivan-Vedder L, Kim KM, McBride PE, Smith MA, LaMantia JN et al. Rationale and study design of the my heart study: A young adult hypertension self-management randomized controlled trial. Contemporary clinical Trials. 2019;78(6). 88–100.

Kemenkes RI. Profil kesehatan indonesia tahun 2018. Jakarta: Balitbang Kemenkes RI. 2019.

Nabila A, Arnita Y, Mulyati D. Self Management Penderita Hipertensi. Jurnal Ilmiah Mahasiswa Fakultas Keperawatan. 2022;5(4). 245-254

Romadhon WA, Aridamayanti BG, Syanif AH, & Sari GM. Faktor-faktor yang Mempengaruhi Self-care Behavior pada Klien Hipertensi di Komunitas. 2020;11(5). 270-276.

Roopa KS & Rama D. Impact of intervention programme on knowledge, ttitude, practices in the management of hypertension among elderly. Studies On Home and Community Science. 2014;8(1). 11-16.

Rujiwatthanakom D, Panpakdee O, Malathum P & Tanomsup S. Effectiveness of a self-management program for thais with essential hypertension. Pacific Rim International Journal Nursing Research. 2011;15(2). 97-109.

Songthai N, Subgranon R, Kangchai W & Rosenberg E.. Effects of peer-support, self management program on self management behavior and blood pressure of older adults with essential hypertension. Chiang Mai University Journal of Natural Sciences. 2014;13(3). 371-382.

Soliman GH, Mohamed S, Elalem A, Elhomosy SM. The Effect of Relaxation Techniques on Blood Pressure and Stress among Pregnant Women with Mild Pregnancy Induced Hypertension. Asian Journal of Nursing Education and Research. 2017; 7(3). 321-9.

Udjianti & Wajan J. Keperawatan kardiovaskuler. Jakarta: Salemba Medika.2011.

Permata F, Andri J, Padila P, Andrianto MB & Sartika A. Penurunan tekanan darah pada pasien hipertensi menggunakan teknik alternate noshing breathing exercise. Jurnal Kesmas Asclepius. 2021;32(1). 109-116.

Wahyuni AS, Amelia R, Nababan IFF, Pallysater D, Lubis NK. The Difference of Educational Effectiveness Using Presentation Slide Method with Video About Prevention of Hypertension on Increasing Knowledge and Attitude in People with the Hypertension Risk in Amplas Health Center. Open Access Maced J Med Sci. 2019;7(20). 3478–82.

Word Health Organization (WHO). 2020. Hypertension [Online Jurnal] Tersedfia dari:

Xiao-Nan Zhang B, Chen QB, Yu-Zhi Zheng M, Xiao-Ying Zhang P & Yue ZP. . Self manafement among elderly patients with hypertension and its association with individual and social environmental factors in China. The Journal of Cardiovascular Nursing. 2020;35(1). 45-53.

Yassine M, Al-Hajje A, Awada S. Evaluation of medication adherence in lebanese hypertensive patients, Journal of Epidemiology and Global Health. 2016;6(3). 157–167.



How to Cite

Zada Amalia Agatha Sari, Z. A. A. S., Carolia, N., Oktarlina, R. Z., & Suharmanto, S. (2023). The Effectiveness of Self Management Education on Blood Pressure Control of Hypertensive Patiens. Medical Profession Journal of Lampung, 13(6), 974-979.




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