Hubungan Stroke Literacy dan Self-Management dengan Perilaku Pencegahan Stroke pada Penderita Hipertensi
Keywords:
hipertensi, keperawatan komunitas, perilaku pencegahan stroke, self-management, stroke literacyAbstract
Hipertensi merupakan salah satu penyakit tidak menular yang menjadi faktor risiko utama terjadinya stroke. Rendahnya perilaku pencegahan stroke pada penderita hipertensi masih menjadi masalah kesehatan masyarakat, terutama di wilayah pedesaan. Stroke literacy dan self-management diduga berperan penting dalam meningkatkan perilaku pencegahan stroke pada penderita hipertensi. Penelitian ini bertujuan untuk menganalisis hubungan stroke literacy dan self-management dengan perilaku pencegahan stroke pada penderita hipertensi di Posbindu Desa Kenteng, Kecamatan Sempor, Kabupaten Kebumen. Penelitian ini menggunakan desain kuantitatif dengan pendekatan cross-sectional. Sampel penelitian berjumlah 103 penderita hipertensi yang dipilih menggunakan teknik purposive sampling. Data dikumpulkan menggunakan Stroke Recognition Questionnaire (SRQ), Hypertension Self-Management Behaviours Questionnaire (HSMBQ), dan Stroke Self-management Behaviors Performance Scale (SSBPS) yang telah dinyatakan valid dan reliabel. Analisis data menggunakan uji Spearman Rank dan regresi logistik ordinal dengan tingkat signifikansi α=0,05. Stroke literacy memiliki hubungan positif yang signifikan dengan perilaku pencegahan stroke (r=0,612; p<0,001). Self-management juga berhubungan positif dan signifikan dengan perilaku pencegahan stroke (r=0,674; p<0,001). Analisis multivariat menunjukkan bahwa self-management merupakan faktor yang paling dominan berhubungan dengan perilaku pencegahan stroke (OR=5,22). Peningkatan stroke literacy dan self-management berkontribusi terhadap perilaku pencegahan stroke yang lebih baik pada penderita hipertensi. Self-management merupakan faktor yang paling dominan sehingga perlu menjadi fokus dalam pengembangan program promosi kesehatan dan pencegahan stroke berbasis komunitas pada kelompok penderita hipertensi.
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