Digital Pocketbook Education with a Nurse-Led Approach to Improve Hypertension Self-Management in Primary Care
DOI:
https://doi.org/10.35568/abdimas.v9i2.7857Keywords:
Hypertension, Self-Management, Digital Health Intervention, Nurse-Led Care, Primary Care, Patient EmpowermentAbstract
Hypertension remains a major global public health problem, contributing significantly to morbidity and mortality associated with cardiovascular diseases. Effective management requires optimal self-management; however, patients’ adherence and understanding remain limited in primary healthcare settings. Despite the growing use of digital health interventions, simple and accessible educational media integrated with nurse-led approaches are still underutilized in community-based settings. This community service program aimed to evaluate the effectiveness of digital pocketbook-based education using a Nurse-Led Self-Management approach in improving knowledge and self-management awareness among hypertensive patients in a primary healthcare facility (Klinik Pratama). A total of 30 participants were involved in structured educational sessions and individual mentoring. The program was implemented through three stages: preparation, implementation, and evaluation. Data were collected using a pre-test and post-test approach and analyzed descriptively to assess changes in participants’ knowledge. The results showed a substantial improvement in participants’ knowledge, with the proportion of participants categorized as having good knowledge increasing from 30% before the intervention to 80% after the intervention. In addition, participants demonstrated increased awareness and motivation to adhere to recommended self-management practices, including medication adherence and routine blood pressure monitoring. This study highlights that integrating digital pocketbook-based education with a nurse-led approach is a practical and scalable strategy to enhance patient engagement and self-management in primary healthcare. This model has strong potential for wider implementation in community-based chronic disease management programs.
Downloads
References
Aji, P. T., Baidhowy, A. S., & Rizkasari, E. (2026). Empowering Older Adults with Hypertension through Community-Based Education on Warm Water Foot Soak and Deep Breathing Relaxation. Abdimas Umtas: Jurnal Pengabdian Kepada Masyarakat, 9(1), 560–571. https://doi.org/https://doi.org/10.35568/abdimas.v9i1.7668
Aji, P. T., Bhadowy, A. S., & Rizkasari, E. (2026). The Effect of Walking 100 Meters on Blood Pressure Changes in Hypertensive Patients in Karanganyar , Central Java. Healthcare Nursing Journal, 8(1), 116–123. https://doi.org/https://doi.org/10.35568/healthcare.v8i1.7227
Aji, P. T., & Lazuardi, N. (2025). Peningkatan Kepatuhan Minum Obat melalui Nurse-Led Self-Management Berbasis Edukasi Tatap Muka pada Pasien Hipertensi: Laporan Kasus. Ners Muda, 6(3), 1–8. https://doi.org/10.26714/nm.v6i3.20395
Aji, P. T., Rizkasari, E., & Rahmawati, E. (2026). The Effectiveness of Counseling-Based Self- Management Education on Stress Coping among Patients with Hypertension. Journal Counseling Positivism, 1(1), 1–8. https://doi.org/https://attractivejournal.com/index.php/cp The
Aji, P. T., & Sani, F. N. (2021). Pengaruh Terapi Air Rebusan Daun Salam Terhadap Perubahan Teknan Darah pada Penderita Hipertensi di Wilayaha Tempurejo Jumapolo Karanganyar. In Jurnal Kesehatan (Vol. 12, Issue 13, pp. 50–63).
Baidhowy, A. S. prima trisna aji. (2025). Penerapan Teori Konservasi Levine Pada Pasien Dengan Acute Coronary Syndrome ; Studi Kasus. Journal Ners Muda, 6(3), 282–294. https://doi.org/https://doi.org/10.26714/nm.v6i3.20378
Boima, V., Doku, A., Agyekum, F., Tuglo, L. S., & Agyemang, C. (2024). Effectiveness of digital health interventions on blood pressure control, lifestyle behaviours and adherence to medication in patients with hypertension in low-income and middle-income countries: a systematic review and meta-analysis of randomised controll. EClinicalMedicine, 69, 102432. https://doi.org/10.1016/j.eclinm.2024.102432
Chimberengwa, P. T., & Naidoo, M. (2020). Using community-based participatory research in improving the management of hypertension in communities: A scoping review. South African Family Practice, 62(1), 1–14. https://doi.org/10.4102/safp.v62i1.5039
Dhakshnamoorthy, M., Viswanathan, V. kumar, Rajendran, S. S., Duraikannu, A., Parasuraman, A., Periyakaruppan, G. M., & Rajan, J. (2025). Effect of nurse-led interventions on dyspnea severity and psychological well-being among patients with chronic obstructive pulmonary disease. Bioinformation, 21(08), 2733–2736. https://doi.org/10.6026/973206300212733
Eze, C. E., Dorsch, M. P., Coe, A. B., Lester, C. A., Buis, L. R., & Farris, K. B. (2025). eHealth Literacy and Participation in Remote Blood Pressure Monitoring Among Patients With Hypertension: Cross-Sectional Study. Journal of Medical Internet Research, 27, 1–10. https://doi.org/10.2196/71926
Fathurrahman, S. D., Rachmawati, U., Sukihananto, S., & Wiarsih, W. (2024). Digital Health Literacy amongst Hypertensive Clients in Depok City. Jurnal Citra Keperawatan, 12(1), 14–22. https://doi.org/10.31964/jck.v12i1.357
Fernandes, S., Silva, A., Barbas, L., Ferreira, R., Fonseca, C., & Fernandes, M. A. (2020). Theoretical contributions from orem to self-care in rehabilitation nursing. Communications in Computer and Information Science, 1185 CCIS(February), 1–12. https://doi.org/10.1007/978-3-030-41494-8_16
Hudiyawati, D., Aji, P. T., Syafriati, A., & Jumaiyah, W. (2022). Pengaruh Murotal Al-Qur ’ an Terhadap Kecemasan Pada Pasien Pre- Percutaneous Coronary Intervention. Jurnal Berita Ilmu Keperawatan, 15(1), 8–14. https://doi.org/https://doi.org/10.23917/bik.v15i1.17049
John Creswell; J. David. (2020). Research Design Qualitative, Quantitative, and Mixed Methods Approaches. New Horizons in Adult Education & Human Resource Development, 3(1), 1–6. https://doi.org/[email protected]
Kim, H. J., Choi, G. W., Park, Y., Jeong, H. N., & Chang, S. J. (2025). Development of a health literacy-based hypertension self-management education program using sign language for Deaf individuals. BMC Health Services Research, 25(1), 1–12. https://doi.org/10.1186/s12913-025-13726-1
Parasuraman, A., Rajendran, S. S., Venkatachalam, G. P., Periyakaruppan, G. M., Ramachandran, M., Dhakshnamoorthy, M., & Rajan, J. (2025). Nurse-led interventions for self-care and restitutive behaviors in hypertension: A quasi-experimental study. Bioinformation, 21(08), 2653–2656. https://doi.org/10.6026/973206300212653
Park, G. E., Park, Y. H., Kim, K. G., Park, J. Y., Hwang, M., & Lee, S. (2024). Mobile Application for Digital Health Coaching in the Self-Management of Older Adults with Multiple Chronic Conditions: A Development and Usability Study. Healthcare Informatics Research, 30(4), 344–354. https://doi.org/10.4258/hir.2024.30.4.344
Periyakaruppan, G. M., Rajendran, S. S., Venkatachalam, G. P., Parasuraman, A., Ramachandran, M., Ramakrishnan, G. S., & Dhakshnamoorthy, M. (2025). Effectiveness of nurse-led intervention on health risks in perimenopausal women: A mixed-methods study. Bioinformation, 21(08), 2421–2424. https://doi.org/10.6026/973206300212421
Politi, M. T., Ferreira, J. C., & Patino, C. M. (2021). Nonparametric statistical tests: friend or foe? Jornal Brasileiro de Pneumologia : Publicacao Oficial Da Sociedade Brasileira de Pneumologia e Tisilogia, 47(4), 1–2. https://doi.org/10.36416/1806-3756/e20210292
Prima Trisna Aji; Yunie Armiyati; Elinda Rizkasari. (2026). Meta-Heart Care: Pendekatan Keperawatan Berbasis Kecerdasan Buatan Untuk Edukasi dan Rehabilitasi Pasien Gagal Jantung Kronik. Book of Abstract of Trend and Issue in Healthcare, 3(1), 115–116. https://doi.org/https://doi.org/10.5281/3t5t4x85
Pujiyanto, P. T. A. E. R. (2021). Pengaruh Terapi Guided Imagery terhadap Perubahan Tekanan Darah pada Penderita Hipertensi di Wilayah Puskesmas Jayengan Surakarta. Aisyiyah Surakarta Journal of Nursing, 2(1), 1–6. https://doi.org/https://doi.org/10.30787/asjn.v3i2.896
Purwadhani, I. P. S. E. A. L. W. (2021). Pemberdayaan Kader Posyandu Lansia Dalam Meningkatkan Perilaku Perawatan Diri Pada Lansia Hipertensi di Puskesmas Tahinan Kabupaten Malang. Kreativitas Pengabdian Kepada MAsyarakat, 8(7), 1–11.
Rizkasari, P. T. A. A. S. B. Z. E. (2025). CASE REPORT: PENERAPAN SELF-MANAGEMENT KEPERAWATAN UNTUK MENCEGAH KEKAMBUHAN PADA PASIEN HIPERTENSI KRONIS. Journal of Nursing Science Research, 2(1), 67–75. https://doi.org/https://doi.org/10.33862/crfdhr36
Sari, A. A., Carolia, N., Oktarlina, R. Z., Kedokteran, F., Lampung, U., Farmakologi, B., Kedokteran, F., Lampung, U., Ilmu, B., Keluarga, K., Kedokteran, F., & Lampung, U. (2023). Efektifitas Edukasi Self Management terhadap Kontrol Tekanan Darah Pasien Hipertensi The Effectiveness of Self Management Education on Blood Pressure Control of Hypertensive Patiens. Medula, 13(6), 974–979. https://doi.org/081993433182
Sari, C. W. M., Yamin, A., & Santoso, M. B. (2022). The Effect of Community-Based Intervention on Self-Management of Hypertension Patients. Jurnal Pendidikan Keperawatan Indonesia, 8(1), 41–47. https://doi.org/10.17509/jpki.v8i1.44362
Sohrabi, M., Karami, M., Mirmoeini, R. S., & Cheraghi, Z. (2022). The Relationship between Health Literacy and Hypertension Control: A Cross-Sectional Study. Journal of Tehran University Heart Center, 17(4), 243–248. https://doi.org/10.18502/jthc.v17i4.11614
WHO. (2023). Hypertension. WHO. https://www.who.int/news-room/fact-sheets/detail/hypertension
Yuan, Y., & Song, M. (2025). Effect of Remote Health Interventions on Blood Pressure Control and Quality of Life for Hypertension Self-management: A systematic review and meta-analysis. Research in Community and Public Health Nursing, 36(1), 150–164. https://doi.org/10.12799/rcphn.2024.00570
Zhang, W., Mei, Z., Feng, Z., & Li, B. (2024). Nurse-led digital health program for home blood pressure monitoring in stroke patients: protocol for a pooled analysis of randomized controlled trials. Frontiers in Public Health, 12(July), 1–8. https://doi.org/10.3389/fpubh.2024.1378144.





