Empowering Women and Families in Early Detection of Hypertension Complications in Pregnancy
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Hypertension is the main cause of death for pregnant women, which is 31,90% in 2022. Early detection of hypertension complications tends to be actively carried out by health workers rather than empowering mothers, husbands, and families. This study aims to identify the differences in knowledge and attitudes of pregnant women regarding the early detection of hypertensive complications and the role of family support in hypertension prevention, before and after receiving intervention through the use of booklets. This quasi-experimental study used a one-group pretest-posttest design with 60 hypertensive pregnant women. Participants completed questionnaires measuring knowledge and attitudes about hypertension. After receiving a hypertension booklet to read for three days, follow-up evaluations were conducted on family support (day 10), early detection of complications, and blood pressure (day 14). Data were analyzed using paired sample tests. The research results show that the knowledge significantly improved after the intervention (mean increase of 2.47, p=0.000), while no significant change was found in attitudes (p=0.214). Family support roles increased significantly (mean increase of 2.02, p=0.000). Additionally, 88.3% of respondents could detect early hypertension complications, and 81.7% had normal blood pressure after the intervention. The conclusion is there are differences in the knowledge of pregnant women and the role of family in the prevention of pregnancy hypertension before and after receiving the booklet intervention. There is no difference in the attitude of pregnant women before and after receiving the booklet intervention. Suggestions for researchers further need to formulate strategies related to early detection of pregnancy hypertension starting from the family level by involving a network of cooperation between the government and community organizations to prioritize health education at the family level.
Agbeno, E. K., Osarfo, J., Owusu, G. B., Opoku Aninng, D., Anane-Fenin, B., Amponsah, J. A., Ashong, J. A., Amanfo, A. O., Ken-Amoah, S., Kudjonu, H. T., & Mohammed, M. (2022). Knowledge of hypertensive disorders of pregnancy among pregnant women attending antenatal clinic at a tertiary hospital in Ghana. SAGE Open Medicine, 10. https://doi.org/10.1177/20503121221088432
Ahmad, Z., & Nurdin, S. S. I. (2019). Faktor Risiko Kejadian Preeklamsia Di RSIA Siti Khadijah Gorontalo. Akademika, 8(2), 150-162. https://doi.org/10.31314/akademika.v8i2.408
Basri, H., Akbar, R., & Dwinata, I. (2018). Faktor yang berhubungan dengan hipertensi pada ibu hamil di Kota Makassar. Jurnal Kedokteran dan Kesehatan, 14(2), 21-30. https://doi.org/10.24853/jkk.14.2.21-30
Behrens, I., Basit, S., Melbye, M., Lykke, J. A., Wohlfahrt, J., Bundgaard, H., Thilaganathan, B., & Boyd, H. A. (2017). Risk of post-pregnancy hypertension in women with a history of hypertensive disorders of pregnancy: Nationwide cohort study. BMJ (Online), 358. https://doi.org/10.1136/bmj.j3078
Bisson, C., Dautel, S., Patel, E., Suresh, S., Dauer, P., & Rana, S. (2023). Preeclampsia pathophysiology and adverse outcomes during pregnancy and postpartum. Frontiers in Medicine, 10(March), 1–10. https://doi.org/10.3389/fmed.2023.1144170
Braunthal, S., & Brateanu, A. (2019). Hypertension in pregnancy: Pathophysiology and treatment. SAGE Open Medicine, 7. https://doi.org/10.1177/2050312119843700
Carter, W., Bick, D., Mackintosh, N., & Sandall, J. (2021). Maternal help seeking about early warning signs and symptoms of pre-eclampsia: A qualitative study of experiences of women and their families. Midwifery, 98(July), 1–6. https://doi.org/10.1016/j.midw.2021.102992
Chang, K. J., Seow, K. M., & Chen, K. H. (2023). Preeclampsia: Recent Advances in Predicting, Preventing, and Managing the Maternal and Fetal Life-Threatening Condition. International Journal of Environmental Research and Public Health, 20(4), 2994. https://doi.org/10.3390/ijerph20042994
Dewi, R. G. A. I. (2018). Pengaruh Kemampuan Ibu Hamil Dalam Melakukan Deteksi Dini Risiko Preeklamsia Terhadap Paritas, Pengetahuan Dan Keterpaparan Informasi. Medical Technology and Public Health Journal, 1(1), 27–34. https://doi.org/10.33086/mtphj.v1i1.755
Dinkes Provinsi Gorontalo. (2022). Data Kematian Ibu. Dinas Kesehatan Provinsi Gorontalo.
Direktorat Kesehatan Keluarga. (2022). Laporan Kinerja Direktorat Kesehatan Keluarga Tahun 2021. Kementerian Kesehatan Republik Indonesia.
Fox, R., Kitt, J., Leeson, P., Aye, C. Y. L., & Lewandowski, A. J. (2019). Preeclampsia: Risk factors, diagnosis, management, and the cardiovascular impact on the offspring. Journal of Clinical Medicine, 8(10), 1–22. https://doi.org/10.3390/jcm8101625
Gudeta, T. A., & Regassa, T. M. (2019). Pregnancy Induced Hypertension and Associated Factors among Women Attending Delivery Service at Mizan-Tepi University Teaching Hospital, Tepi General Hospital and Gebretsadik Shawo Hospital, Southwest, Ethiopia. Ethiopian Journal of Health Sciences, 29(1), 831–840. https://doi.org/10.4314/ejhs.v29i1.4
Helou, A., Stewart, K., Ryan, K., & George, J. (2021). Pregnant women’s experiences with the management of hypertensive disorders of pregnancy: a qualitative study. BMC Health Services Research, 21(1), 1–13. https://doi.org/10.1186/s12913-021-07320-4
Herwanti, E., & Sambriong, M. (2021). Efektifitas Edukasi Hipertensi Dengan Media Booklet Terhadap Perilaku Self Management Hipertensi di Puskesmas Penfui Kota Kupang. Flobamora Nursing, 1(1), 5–11. Retrieved from https://jurnal.poltekkeskupang.ac.id/index.php/fnj/article/view/652
Hinton, L., Tucker, K. L., Greenfield, S. M., Hodgkinson, J. A., Mackillop, L., McCourt, C., Carver, T., Crawford, C., Glogowska, M., Locock, L., Selwood, M., Taylor, K. S., & McManus, R. J. (2017). Blood pressure self-monitoring in pregnancy (BuMP) feasibility study; A qualitative analysis of women’s experiences of self-monitoring. BMC Pregnancy and Childbirth, 17(1), 1–9. https://doi.org/10.1186/s12884-017-1592-1
Ho, Y. C. L., Mahirah, D., Ho, C. Z. H., & Thumboo, J. (2022). The role of the family in health promotion: a scoping review of models and mechanisms. Health Promotion International, 37(6), 1–14. https://doi.org/10.1093/heapro/daac119
Imani Ramazani, B. E., Mabakutuvangilanga Ntala, S. D., Katuashi Ishoso, D., & Rothan-Tondeur, M. (2023). Knowledge of Obstetric Danger Signs among Pregnant Women in the Eastern Democratic Republic of the Congo. International Journal of Environmental Research and Public Health, 20(8), 1–15. https://doi.org/10.3390/ijerph20085593
Ishaku, S. M., Jamilu, T., Innocent, A. P., Gbenga, K. A., Lamaran, D., Lawal, O., Warren, C. E., Olorunfemi, O. O., Abubakar, H. D., Karima, T., Patience, O. O., Musa, A., Azubuike, O. K., Baffah, A. M., Franx, A., Grobbee, D. E., & Browne, J. L. (Kusumaw). Persistent hypertension up to one year postpartum among women with hypertensive disorders in pregnancy in a low-resource setting: A prospective cohort study. Global Heart, 16(1), 1–13. https://doi.org/10.5334/GH.854
Kaimmudin, L., Pangemanan, D., & Bidjuni, H. (2018). Hubungan Usia Ibu Saat Hamil Dengan Kejadian Hipertensi Di RSU GMIM Pancaran Kasih Manado. E-Journal Keperawatan (e-Kp), 1(6), 1–5.
Kholifah, S. H., Budiwanto, S., & Katmawanti, S. (2020). Sosioekonomi, Obesitas, dan Riwayat Diabetes Melitus (DM) dengan Kejadian Hipertensi. Jurnal Penelitian Dan Pengembangan Kesehatan Masyarakat Indonesia, 1(2), 157–165. https://doi.org/10.15294/jppkmi.v1i2.40323
Kurniawan, A., Sistiarani, C., & Hariyadi, B. (2017). Early Detection of High Risk Pregnancy. Jurnal Kesehatan Masyarakat, 12(2), 225–232. https://doi.org/10.15294/kemas.v12i2.5998
Kusumawati, Y., & Zulaekah, S. (2021). Booklet sebagai Media Edukasi dalam Meningkatan Pengetahuan Kesehatan Mental Ibu Hamil. Proceeding of The URECOL, 13, 50–58.
Larasati, M. D. (2020). Studi Analisis Deteksi Dini Tanda Bahaya Kehamilan di Puskesmas Kecamatan Senen. 3(2), 1–12.
Mardiyanti, I., & Anggasari, Y. (2020). Analysis of Factors That Influence The Behavior of Pregnant Woman in Early Detection of High Risk Pregnancy. Jurnal Ilmiah Kesehatan (Journal of Health Science), 13(2), 134-143. https://doi.org/10.33086/jhs.v13i2.1473
Marifah, A. N., Masriadi, & Sartika. (2021). Pengaruh Dukungan Keluarga, Manajemen Diri, Kecemasan Dan Usia Kehamilan Terhadap Kejadian Hipertensi Kehamilan. Window of Public Health Journal, 2(6), 1136–1144. https://doi.org/10.33096/woph.v2i6.1397
Mariati, P., Anggraini, H., Rahmawati, E., & Suprida. (2022). Faktor - Faktor Yang Berhubungan Dengan Kejadian Preeklampsia Pada Ibu Hamil Trimester III. Jurnal Aisyiyah Medika, 7(2), 246–258. https://doi.org/10.57151/jsika.v2i1.63
Mattsson, K., Juárez, S., & Malmqvist, E. (2022). Influence of Socio-Economic Factors and Region of Birth on the Risk of Preeclampsia in Sweden. International Journal of Environmental Research and Public Health, 19(7). https://doi.org/10.3390/ijerph19074080
Mills, K. T., Stefanescu, A., & He, J. (2020). The global epidemiology of hypertension. Nature Reviews Nephrology, 16(4), 223–237. https://doi.org/10.1038/s41581-019-0244-2
Montazeri, M., Shabani, F., Rezaie, R., & Mirghafourvand, M. (2023). Relationship between health practices with attitudes towards pregnancy and motherhood and pregnancy symptoms in Iranian pregnant women: A cross-sectional study. BMJ Open, 13(9), 1–8. https://doi.org/10.1136/bmjopen-2023-074048
Musa, I. R., Osman, O. E., & Adam, I. (2023). The association between parity and hypertension: a cross-sectional, community-based study. Frontiers in Cardiovascular Medicine, 10(October), 1–7. https://doi.org/10.3389/fcvm.2023.1247244
Nath, A., Sheeba, B., Raj, S., & Metgud, C. S. (2021). Prevalence of Hypertension in Pregnancy and its Associated Factors among Women Attending Antenatal Clinis in Bengaluru. Journal of Family Medicine and Primary Care, 10(2), 1621–1627. https://doi.org/10.4103/jfmpc.jfmpc
Putri, A. O., Rahmadayanti, T. N., Chairunnisa, A. R., Khairina, N., & Santi, S. (2021). Penyuluhan Online Dengan Booklet Dan Video Sebagai Upaya Pengendalian Hipertensi. SELAPARANG Jurnal Pengabdian Masyarakat Berkemajuan, 4(2), 451. https://doi.org/10.31764/jpmb.v4i2.4469
Ratnasari, P., Yusran, M., & Iriyanti, M. (2022). Faktor Faktor Yang Mempengaruhi Kurangnya Minat Ibu Hamil Melakukan Pemeriksaan Antenatal Care (ANC) Di Wilayah Kerja Puskesmas Ronga-Ronga Kabupaten Bener Meriah. Jurnal Sains Dan Aplikasi, 10(2), 102–109.
Sambah, F., Malau-Aduli, B. S., Seidu, A. A., Malau-Aduli, A. E. O., & Emeto, T. I. (2023). Ghana’s Adherence to PASCAR’s 10-Point Action Plan towards Hypertension Control: A Scoping Review. International Journal of Environmental Research and Public Health, 20(2). https://doi.org/10.3390/ijerph20021425
Shamanewadi, A. N., Pavithra, M.B., & Madhukumar, S. (2020). Level of awareness of risk factors and danger signs of pregnancy among pregnant women attendeing antenatal care in PHC, Nandagudi. Journal of Family Medicine and Primary Care, 9(9), 4717–4722. https://doi.org/10.4103/jfmpc.jfmpc
Sharma, A., Khapre, M., Meshram, R., & Gupta, A. (2023). Determinants of utilization of antenatal care services among recently delivered women residing in urban poor areas of Rishikesh, Uttarakhand, India—a cross-sectional study. Journal of Rural Medicine, 18(2), 87–95. https://doi.org/10.2185/jrm.2022-030
Suciati, R., & Wiyoko, P. F. (2022). Hubungan Paritas dengan kejadian Hipertensi pada Kehamilan. Borneo Student Research, 4(1), 9–15.
Sugiartini, D. K. (2020). The Influence of Pregnant Women Classes on Knowledge, Attitudes and Skills of Conducting Early Detection of Danger Signs during the Second Trimester of Pregnancy in Buleleng Regency. Journal for Quality in Public Health, 3(2), 564–574. https://doi.org/10.30994/jqph.v3i2.106
Sulistiawati, R., & Yulianti, E. (2023). Pengaruh Pemberian Media Booklet terhadap Ibu Hamil di Wilayah Kerja Puskesmas Kota Pontianak. Media Ilmiah Kesehatan Indonesia, 1(2), 69–76. https://doi.org/10.58184/miki.v1i2.136
Sunaringtyas, W., & Rachmania, D. (2023). Dukungan Keluarga Dengan Kejadian Preeklamsia Pada Ibu Hamil. Hospital Majapahit, 15(1), 39–51. https://doi.org/10.55316/hm.v15i1.849
Sungkar, A., Irwinda, R., Surya, R., & Kurniawan, A. P. (2021). Maternal Characteristics, Pregnancy, and Neonatal Outome in Preeclampsia and HELLP Syndrome: a Comparative Study. EJournal Kedokteran Indonesia, 9(1), 7. https://doi.org/10.23886/ejki.9.15.7
Triguno, Y., Wardana, K. E. L., & Ayu Wulandari, K. (2021). Health Education On The Danger Signs Of Pregnancy In Primigravidan And Multigravida. Journal of Applied Nursing and Health, 3(2), 71–76. https://doi.org/10.55018/janh.v3i2.8
Warren, C. E., Hossain, S. M. I., Ishaku, S., Armbruster, D., & Hillman, E. (2020). A primary health care model for managing pre-eclampsia and eclampsia in low- and middle- income countries. Reproductive health, 17(1), 46. https://doi.org/10.1186/s12978-020-0897-0.
Wenger, N. K., Arnold, A., Bairey Merz, C. N., Cooper-DeHoff, R. M., Ferdinand, K. C., Fleg, J. L., Gulati, M., Isiadinso, I., Itchhaporia, D., Light-McGroary, K. A., Lindley, K. J., Mieres, J. H., Rosser, M. L., Saade, G. R., Walsh, M. N., & Pepine, C. J. (2018). Hypertension Across a Woman’s Life Cycle. Journal of the American College of Cardiology, 71(16), 1797–1813. https://doi.org/10.1016/j.jacc.2018.02.033
Wijayanti, W., & Mulyadi, B. (2019). Pendidikan Kesehatan Menggunakan Booklet Terhadap Pemahaman Pasien Hipertensi Di Puskesmas. Jurnal Ilmiah Ilmu Keperawatan Indonesia, 8(01), 372–739. https://doi.org/10.33221/jiiki.v8i01.324
Yeh, P. T., Rhee, D. K., Kennedy, C. E., Zera, C. A., Lucido, B., Tunçalp, Ö., Gomez Ponce de Leon, R., & Narasimhan, M. (2022). Self-monitoring of blood pressure among women with hypertensive disorders of pregnancy: a systematic review. BMC Pregnancy and Childbirth, 22(1), 1–16. https://doi.org/10.1186/s12884-022-04751-7
Yuill, C., McCourt, C., Cheyne, H., & Leister, N. (2020). Women’s experiences of decision-making and informed choice about pregnancy and birth care: A systematic review and meta-synthesis of qualitative research. BMC Pregnancy and Childbirth, 20(1), 1–21. https://doi.org/10.1186/s12884-020-03023-6
Yunitasari, E., Matos, F., Zulkarnain, H., Kumalasari, D. I., Kusumaningrum, T., Putri, T. E., Yusuf, A., & Astuti, N. P. (2023). Pregnant woman awareness of obstetric danger signs in developing country: systematic review. BMC Pregnancy and Childbirth, 23(1), 1–24. https://doi.org/10.1186/s12884-023-05674-7
Yuwono, G. A., Ridwan, M., & Hanafi, M. (2017). Pengaruh Pendidikan Kesehatan Tentang Hipertensi Terhadap Tingkat Kecemasan Pada Penderita Hipertensi Di Kabupaten Magelang. Jurnal Keperawatan Soedirman, 12(Maret), 55–65.
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