Edukasi Kesehatan Berbasis Spiritual Capital untuk Meningkatkan Self-Management Penderita Hipertensi di Wilayah Kerja Puskesmas Wisma Indah Bojonegoro
DOI:
https://doi.org/10.55606/jpikes.v6i2.7590Keywords:
Community Health Education, Health Promotion, Hypertension, Self-Management, Spiritual CapitalAbstract
Hypertension remains one of the leading non-communicable diseases contributing significantly to global morbidity and mortality. Successful hypertension control depends not only on pharmacological therapy but also on patients' ability to perform sustainable self-management. Existing health education programs generally emphasize cognitive aspects and often fail to strengthen patients' intrinsic motivation to maintain healthy behaviors. This community service program aimed to improve hypertension self-management through Spiritual Capital-based health education. The program employed a Community-Based Health Education (CBHE) approach using participatory learning methods. Fifteen hypertensive patients living in RT 04 RW 06 Ledok Kulon Village, within the working area of Wisma Indah Primary Health Center, Bojonegoro Regency, participated in the program. The intervention consisted of two educational sessions including hypertension education, Spiritual Capital activation, diaphragmatic breathing exercises using the 4–7–8 technique, spiritual reflection, group discussions, and evaluation through pre-test and post-test. The findings of this study indicate that participants were able to actively and successfully practice diaphragmatic breathing exercises. There was a notable improvement in their knowledge of hypertension, the importance of self-management, and the role of spiritual values as a source of motivation for maintaining health. Although behavioral changes could not be fully observed due to the relatively short duration of the mentoring program, the results of the Wilcoxon Signed Rank Test showed an Asymp. Sig. (2-tailed) value of < 0.001, indicating a significance level lower than 0.05 (p < 0.05). Therefore, it can be concluded that there was a statistically significant difference between the participants' conditions before (pre-test) and after (post-test) receiving the Spiritual Capital-Based Health Education intervention. These findings demonstrate that the intervention effectively enhanced the self-management abilities of participants with hypertension.
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Alborzi, S., Movahed, M., Ahmadi, A., & Tabiee, M. (2019). Sociological study of spiritual health in young individuals with an emphasis on social and cultural capital. Health, Spirituality and Medical Ethics Journal, 6(4), 36–42
Amoozesh, N., Mohseni, A., & Ghasemi, M. (2024). Modeling the determinants of spiritual capital in companies based on the grounded theory and structural equation modeling (SEM). International Journal of Nonlinear Analysis and Applications, 15(10), 131–141. https://doi.org/10.22075/ijnaa.2023.29793.4262
Azami-Aghdash, S., Nouri, M., Rahimi, F., Amuzadeh-Araei, S., Abass, K. S., Aghababaeian, H., Yaghoubi Koupaei, S., Karami, S., & Rostampour, M. (2025). Effectiveness of spiritual health-based interventions in improving health indicators of patients in Iran: A systematic review and meta-analysis. BMC Psychology, 13, Article 938. https://doi.org/10.1186/s40359-025-03275-x
Bożek, A., Nowak, P. F., & Blukacz, M. (2020). The relationship between spirituality, health-related behavior, and psychological well-being. Frontiers in Psychology, 11, Article 1997. https://doi.org/10.3389/fpsyg.2020.01997
Cheng, L., Liu, Y., Chen, Q., & Zhang, F. (2025). Exploring the spiritual experiences of older adults with chronic diseases: A qualitative study in a multicultural context. BMC Psychology, 13, Article 632. https://doi.org/10.1186/s40359-025-02710-3
Chirico, F., Batra, K., Batra, R., Öztekin, G. G., Ferrari, G., Crescenzo, P., Nucera, G., Szarpak, L., Sharma, M., Magnavita, N., & Yildirim, M. (2023). Spiritual well-being and burnout syndrome in healthcare: A systematic review. Journal of Health and Social Sciences, 8(1), 13–32. https://doi.org/10.19204/2023/sprt2
Field, A. (2018). Discovering Statistics Using IBM SPSS Statistics (5th ed.). Sage Publications.
Gibbons, J. D., & Chakraborti, S. (2011). Nonparametric Statistical Inference (5th ed.). CRC Press.
Guo, Y. J., Hu, X. Y., Ji, H. J., Zhao, Q., Wang, L. Y., Zhou, X. Y., Tang, J., Yang, L., & Sun, X. C. (2022). The status and predictors of self-care among older adults with hypertension in China using the Chinese version of Self-Care of Hypertension Inventory: A cross-sectional study. Nursing Open, 9(2), 1241–1261. https://doi.org/10.1002/nop2.1165
Harmawati, H., Aslinda, A., Nor, N. ’A. U. B. M., Risnah, R., Rasmawati, R., & Irwan, M. (2025). Hypertension as a social and spiritual experience: A qualitative study in Paccellekang Village, Indonesia. Al-Sihah: The Public Health Science Journal, 17(2), 143–152. https://doi.org/10.24252/al-sihah.v17i2.57245
Heidari, A., Afzoon, Z., & Heidari, M. (2022). The correlation between spiritual care competence and spiritual health among Iranian nurses. BMC Nursing, 21, Article 277. https://doi.org/10.1186/s12912-022-01056-0
https://doi.org/10.2147/JMDH.S461166
Irwan, A. M., Potempa, K., Abikusno, N., & Syahrul, S. (2024). Health coaching intervention to improve self-care management of hypertension among older people in Indonesia: A randomized controlled study protocol. Journal of Multidisciplinary Healthcare, 17, 2799–2808.
Jung, S. Y., & Moon, K. J. (2023). Factors affecting self-care among community-dwelling hypertensive older adults: A cross-sectional study. Nursing Open, 10(6), 3892–3905. https://doi.org/10.1002/nop2.1647
Khasanah, U., Keliat, B. A., Afiyanti, Y., & Besral. (2024). The problems and needs of self-management among Indonesian older adults with hypertension: A qualitative study. SAGE Open Nursing, 10, 23779608241282915. https://doi.org/10.1177/23779608241282915
Martiningsih, Novieastari, E., Nursasi, A. Y., & Hadi, E. N. (2026). Bimanese traditional healing practices in patients with hypertension in West Nusa Tenggara, Indonesia. Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education, 14(1), 18–28. https://doi.org/10.20473/jpk.V14.I1.2026.18-28
Parviniannasab, A. M., Bijani, M., & Dehghani, A. (2022). The mediating role of psychological capital in relations between spiritual well-being and mental health among nursing students. BMC Psychology, 10, Article 230. https://doi.org/10.1186/s40359-022-00935-0
Pathekar, J. M., Chabra, K. G., Madhu, P. P., Reche, A., Dadgal, K. V., & Tikar, N. N. (2021). Spiritual dimension in oral health. Journal of Pharmaceutical Research International, 33(45B), 447–453. https://doi.org/10.9734/jpri/2021/v33i45B32826
Putri, S. E., Rekawati, E., & Wati, D. N. K. (2021). Effectiveness of self-management on adherence to self-care and on health status among elderly people with hypertension. Journal of Public Health Research, 10(1 Suppl), Article 2406. https://doi.org/10.4081/jphr.2021.2406
Ryanta, N. F., & Ramadhani, S. (2026). Mental health resilience and spiritual well-being: The perspectives of public health and Islamic psychology in addressing the shift in life priorities among the younger generation. Journal of Comprehensive Science, 5(2), 760–770. https://doi.org/10.59188/jcs.v5i2.4074
Siegel, S., & Castellan, N. J. (1988). Nonparametric Statistics for the Behavioral Sciences (2nd ed.). McGraw-Hill.
Truong, P. V., Apriliyasari, R. W., Lin, M. Y., Chiu, H. Y., & Tsai, P. S. (2021). Effects of self-management programs on blood pressure, self-efficacy, medication adherence and body mass index in older adults with hypertension: Meta-analysis of randomized controlled trials. International Journal of Nursing Studies, 117, 103858. https://doi.org/10.1111/ijn.12920
Wright, K. D., Still, C. H., Jones, L. M., & Moss, K. O. (2018). Designing a cocreated intervention with African American older adults for hypertension self-management. International Journal of Hypertension, 2018, Article 7591289. https://doi.org/10.1155/2018/7591289
Wu, L., Liu, M., Huang, C., Yin, J., Zhou, H., & Hu, H. (2023). The development of a self-management evaluation scale for elderly adults with hypertension based on the capability, opportunity, and motivation-behaviour (COM-B) model. BMC Geriatrics, 23, Article 245. https://doi.org/10.1186/s12877-023-03879-1
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