QUALITY OF LIFE FEMALE PATIENTS WITH HYPERTENSION, EFFORTS TO DEVELOP IT THROUGH EDUCATION AND BOOKLET

Abstract Background: Hypertension is a condition that can lead to a decrease in quality of life. If this happens, it will be a challenge to control because patients can experience complications such as cardiovascular disease and can even cause death. It was necessary to consider using hypertension self-management behavior to prevent the disease. Women are the gender that experiences hypertension more in Indonesia, and their quality of life is lower than men in several countries in the world and Indonesia. Objective: The study aimed to examine the factors of self-management behavior of hypertensive women and their impact on quality of life through hypertension self-management education with guidance through booklets. This study used a quasi-experimental design without a control group with a sample size of 46 participant women aged 18-70 years, experiencing hypertension, taking hypertension medication, communicating and reading in Indonesian, and agreeing to participate in the activity, with consecutive sampling techniques. Each participant received health education on self-management of hypertension in groups of 11 to 12 people. This study provided a booklet for each participant. Then, each participant received monitoring activities. Data analysis used the McNemar test for two categories, the Marginal Homogeneity Test if more than two, and the Paired t-test. Results: Research showed marked changes in the self-management behavior of hypertensive patients including regular consumption of antihypertensive drugs (p value 0.006), controlling blood pressure (p value 0.0001), doing physical activity (p value 0.005), consuming salt (p value 0.016) and managing stress (p value 0.008), and changes in quality of life (p value 0.0001). Conclusion: Self-management education in women with hypertension with booklets can be used as an effort to strengthen self-control behavior and improve quality of life.