Contextual Effect of the Integrated Health Post (Posbindu) and Biopsychosocial Determinants of Tertiary Preventive Behavior in Patients with Hypertension

Very Retnowati, Pawito Pawito, Bhisma Murti

Abstract

Background: Tertiary prevention of hyper­ten­sion is a preventive effort to make patients with hypertension do not have disabilities and further complications. It also improves the quality of life and makes life longer. The bio­psy­chosocial aspect affects individuals in lear­n­ing, doing, and maintaining certain beha­viors based on social cognitive theory. This stu­dy aimed to analyze the biopsychosocial deter­mi­nants of tertiary preventive behavior among patients with hypertension.

Subjects and Method: This study was an analytical observational study with a cross-sectional design. The study was conducted at 25 Integrated Health Posts (Pos­bin­du) in Sragen, Central Java. A sample of 200 hypertensive patients was selected by stratified random sam­pling. The dependent variable was the ter­tiary preventive behavior of hypertension. The in­­de­pendent variables were observational lear­ning, role model, imitation, vicarious learning, rein­forcement, self-efficacy, self-regulation, out­­­­­come expectation, and attitude. The data were collected by ques­tion­naire and analyzed by a multilevel multiple logis­tic regression.

Results: Hypertension preventive behavior in­crea­sed with observational learning (b= 2.85; 95% CI= 0.17 to 5.53; p= 0.037), role model (b= 2.73; 95% CI =0.73 to 4.73; p=0.007), imi­tation (b= 3.46 ; 95% CI= 0.73 to 6.19; p= 0.013), vica­­rious learning (b= 2.54; 95% CI =0.16 to 4.93; p= 0.036), reinforcement (b= 3.89; 95% CI= 0.96 to 6.82; p= 0.009), self-efficacy (b= 3.04; 95% CI= 0.41 to 5.67; p= 0.024), self-re­gu­­­­lation (b= 2.28; 95% CI= 0.02 to 4.54; p= 0.048), outcome expectation (b= 3.56; 95% CI= 0.75 to 6.38; p= 0.013), and a positive attitude (b= 2.86; 95% CI= 0.26 to 5.47; p= 0.031). Posbindu had a contextual effect on ter­tiary preventive behavior of hypertension with an Intra Class Correlation (ICC) value of 63.05%.

Conclusion: Tertiary preventive behavior of hypertension increases with high observational learning, strong role model, strong imitation, high vicarious learning, strong reinforcement, high self-eff­icacy, high self-regulation, positive outcome expec­­­­tation, and positive attitude. Posbindu has a contextual effect on tertiary preventive behavior of hyper­ten­sion.

Keywords: tertiary prevention, hypertension, social cognitive theory, multilevel analysis

Correspondence: Very Retnowati. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Suta­mi 36A, Surakarta 57126, Central Java. Email: veryretnowati@gmail.com. Mobile: +628154­8­5­92491.

Journal of Health Promotion and Behavior (2020), 05(03): 174-186
https://doi.org/10.26911/thejhpb.2020.05.03.04


 

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References

Andriani P, Chamidah N (2019) Modelling of hypertension risk factors using logistic regression to prevent hypertension in indonesia. J Phys Conf Ser.1306(1). doi:10.1088/17426596/1-306/1/012027


Andriyaningtiyas Y, Tamtomo DG, Murti B (2020). Theory of planned behavior and social cognitive theory on the effect of the community health center tertiary preventive behavior among patients with type 2 diabetes mellitus: a multilevel analysis. J Health Promot Behav.05(01):5971.doi.org/10.26911/thejhpb.2020.05.01.08


Datta S, Sahu SK, Niranjjan R, Roy G (2019). A community-based cross sec-tional study on hypertension screening in Puducherry India. Indian J Med Res. 150(2):199-202. doi:10.4103/ijmr.IJMR.


Dewantara BP, Murti B, Widyaningsih V (2019). Application of health belief model and social cognitive theory on the use of personal protective equipment among workers at the plywood plant: path analysis evidence from Lumajang, East Java. J Health Promot Behav. 4(4):306–318.doi.org/10.26911/thejhpb.2019.04.04.07


Dinkes Prov Jateng (2018). Profil Kesehatan Provinsi Jawa Tengah Tahun 2018. Semarang: Dinas Kesehatan Provinsi Jawa Tengah.


Febrianti R, Prabawati I (2017). Implementasi pelaksanaan pos pembinaan terpadu penyakit tidak menular (posbindu ptm) di Puskesmas Pucang Sewu Kota Surabaya.Publika 5(5). Retrieved from https://jurnalmahasiswa.unesa.ac.id/index.php/publika/article/view/21022.


Ferdianto A, Tamtomo DG, Sulaeman ES (2019). Does the integrated health post have contextual effect on tertiary preventive behavior among hypertensive patients? a multilevel analysis evidence from surakarta. J Health Promot Behav. 4(3):224-234. doi:10.-26911/thejhpb.2019.04.03.07.


Geleta GT, Cheme MC, Roro EM (2019). Physical, behavioral and sociodemographic determinants of hypertension among the adult population in Nekemte Town, Western Ethiopia: community based study. BMC Res Notes. 12(1):764. doi:10.1186/s13104-019-4804-0.


Ghoreishi MS, Shahroodi MV, Javari A, Tehranid A (2019). Self-care behaviors in patients with type 2 diabetes: education intervention base on social cognitive theory, diabetes and metabolic syndrome: clinical research and reviews. Diabetes Metab Syndr Clin Res Rev. 13(3):2049-2056. doi:10.1016/j.dsx.2019.04.045


Imtichan SN, Tamtomo D, Sulaeman ES (2019). Path analysis: application of health belief model on the determinants of clean and healthy behavior among elderly with hypertension. J Health Promot Behav. 4(2):110-120. Doi:10.26911/thejhpb.2019.04.02.03


Keele R (2019). To role model or not? nurses’ challenges in promoting a healthy lifestyle. Work Health Saf. 67(12): 584-591. doi:10.1177/216507-9919828738.


Kemenkes RI (2017). Faktor Risiko dan Penyebab Hipertensi. Artikel. Retrieved from http://www.p2ptm.kemkes.go.id/kegiatanp2ptm/pusat/faktor-risiko-dan penyebab-hipertensi. Diakses tanggal 2 Oktober 2019.


Kemenkes RI (2018). Profil Kesehatan Indonesia 2018. Edisi Tahun 2018. Jakarta: Pusat Data dan Informasi Kementerian Kesehatan Republik Indonesia.


McEwen MM, et al. (2010). Type 2 diabetes selfmanagement social support intervention at the U.S.-Mexico border. Public Health Nurs. 27(4):310-319. doi:10.1111/j.1525-1446.2010.00860.x


Murti B (2018). Teori promosi kesehatan dan perilaku kesehatan. Edisi Pertama. Surakarta: Program Studi Ilmu Kesehatan Masyarakat, Program Pas-casarjana, Universitas Sebelas Maret. Retrieved from https://pasca.uns.ac.id/s2ikm.


Puspita RC, Tamtomo D, Indarto D (2017). Health belief model for the analysis of factors affecting hypertension preventive behavior among adolescents in Surakarta. J Health Promot Behav. 2(2): 183-196. doi:10.26911/thejhpb.2017.02.02.08.


Putri AM, Fitriangga A, Fahdi FK (2019). Perbedaan kualitas hidup lansia dengan hipertensi yang aktif dan yang tidak aktif mengikuti posyandu lansia di wilayah kerja Puskesmas Perumnas II Pontianak. J Proners. 4(1):1-8. Retrieved from http://jurnal.untan.ac.id/index.php/jmkeperawatanFK/article/view/34590.


Setiyaningsih R, Tamtomo D, Suryani N. (2016). Health belief model: determinants of hypertension prevention behavior in adults at community health center Sukoharjo Central Java. J Health Promot Behav. 1(3):160-170. doi:10.26911/thejhpb.2016.01.03.03.


Simbolon P, Sianipar CM (2018). Predisposing factors associated with health behavior in Deli Serdang, North Sumatera. J Health Promot Behav. 3(2): 130-138. doi:10.26911/thejhpb.2018.03.02.07


Singh S, Shankar R, Singh GP (2017). Prevalence and associated risk factors of hypertension: a cross-sectional study in urban varanasi. Int J Hypertens. 201:1-10. doi:10.1155/2017/5491838.


Wahyudi CT, Jadmiko AW, Ritanti R (2020). Family support on the adherence to nutrition intake among Adults with Primary hypertension in Kalanganyar, Lebak, Banten, Indonesia. J Epidemiol Public Health. 5(2): 132-140. doi:10.26911/jepublic-health.2020.05.02.01.

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