Empowerment and Partnership Programs in Healthy Community Movements Through Integrated Development Posts (IDP) of Non-Communicable Disease (NCD)

Tantut Susanto; Erwin Nur Rif'ah; Irawan Fajar Kusuma; Suyani Indriastuti

doi:10.19184/wrtp.v16i2.27270

Tantut Susanto Department of Community, Family & Geriatric Nursing, Faculty of Nursing, University of Jember http://orcid.org/0000-0002-9685-9869
Erwin Nur Rif'ah Department of Health Promotion & Behavior Sciences, Faculty of Public Health, University of Jember http://orcid.org/0000-0001-8784-5943
Irawan Fajar Kusuma Department of Internal Medicine, Faculty of Medicine, University of Jember
Suyani Indriastuti Department of International Relation, Faculty of Social and Political Sciences, University of Jember

DOI: https://doi.org/10.19184/wrtp.v16i2.27270

Abstract

Optimizing the role of the community in the Healthy Community Movement (HCM) through the facilitation of health cadres at the Integrated Development Post (IDP) of non-communicable diseases (NCDs) to become an effective solution of health promotion program using empowerment and partnerships in the community as a form of active participation in health. The purpose of this community service was to increase community empowerment and partnerships in overcoming NCDs problems through HCM to reduce hypertension in Glagahwero Village, Panti District, Jember Regency. The activities were carried out for 3 months (August - November 2020) in the form of education and health counseling about HCM and hypertension, anti-hypertensive exercise, hypertension diet, empowerment of family cooking in the management of family salt consumption, and IDP of NCDs. The fostered village service activities involved 70 target groups. The results were found that the community was able to do HCM to control blood pressure by doing anti-hypertensive exercises once a week, mothers were able to prepare a low-salt menu in their families, and IDP of NCDs activities were carried out once a month. The further impact was a decrease in mean systolic blood pressure (130.5 ± 22.5 mmHg Vs. 122.3 ± 18.3 mmHg; p = <0.001) and diastolic (81.83 ± 10.4 mmHg Vs. 79.4 ± 9.1 mmHg; p = 0.015), decreased body weight (60.6 ± 12.1 kg Vs. 59.7 ± 12 kg; p <0.001), and decreased abdominal circumference (88.5 ± 14.2 cm Vs 82.7 ± 14.1 cm; p <0.001) after 3 months of community service development. Thus, it can be concluded that the partnership and empowerment of the community in HCM is able to prevent PTM, so it is suggested that IDP of NCDs activities need to be carried out in a sustainable manner in the community.

Author Biography

Tantut Susanto, Department of Community, Family & Geriatric Nursing, Faculty of Nursing, University of Jember

Anderson, E T & J McFarlane, “Community as Partner: Theory and Practice in Nursing (6th ed.). Philadelphia: Wolters Kluwer Health. Lippincott Williams & Wilkins” (2011) Med Chir Dig.

Andriani, Indri et al, “Gambaran Konsumsi Garam pada Petani Hipertensi di Wilayah Kerja Puskesmas Panti Kabupaten Jember” (2020) 8:1 J Citra Keperawatan 30–37.

Aristi, Dwi Linda Aprilia et al, “Hubungan Konsumsi Makanan Tinggi Natrium dengan Kejadian Hipertensi pada Buruh Tani di Wilayah Kerja Puskesmas Panti Kabupaten Jember” (2020) 23:1 Bul Penelit Sist Kesehat 53–60.

Ghimire, Kamal et al, “Knowledge, attitudes, and practices related to salt consumption in Nepal: Findings from the community-based management of non-communicable diseases project in Nepal (COBIN)” (2019) 21:6 J Clin Hypertens 739–748.

Jaworska, Lilianna et al, “Effect of Progressive Muscle Relaxation on Pain Threshold and Effectiveness of Footballers’ Training” (2015) 16:4 Hum Mov 225–228.

Kholifah, Siti Nur et al, “Structural model of factors relating to the health promotion behavior of reproductive health among Indonesian adolescents” (2017) 4:4 Int J Nurs Sci 367–373.

Limsanon, Thatsanee & Rasmon Kalayasiri, “Preliminary Effects of Progressive Muscle Relaxation on Cigarette Craving and Withdrawal Symptoms in Experienced Smokers in Acute Cigarette Abstinence: A Randomized Controlled Trial” (2015) 46:2 Behav Ther 166–176.

Marketou, Maria E et al, “Salt-induced effects on microvascular function: A critical factor in hypertension mediated organ damage” (2019) 21:6 J Clin Hypertens 749–757.

Nola, J Pender, Carolyn L Murdaugh & Ann Parsons Mary, “Health Promotion in Nursing Practice” (2014) Pearson Educ.

Parás-Bravo, Paula et al, “Does Jacobson’s relaxation technique reduce consumption of psychotropic and analgesic drugs in cancer patients? A multicenter pre-post intervention study” (2018) 18:1 BMC Complement Altern Med 1–9.

Sulastini, Sulastini et al, “Effect of Progressive Muscle Relaxation on Anxiety in Congestive Heart Failure Patients” (2019) 14:2 J Keperawatan Soedirman.

Susanto, Tantut et al, “Occupational Health Nursing Model-Based Agricultural Nursing: A Study Analyzes of Farmers Health Problem” (2016) 11:1 Sosiol Pedesaan 45–50.

Susanto, Tantut, Retno Purwandari & Emi Wuri Wuryaningsih, “Prevalence and associated factors of health problems among Indonesian farmers” (2017) 4:1 Chinese Nurs Res 31–37.

Susanto, Tantut, Iis Rahmawati & Wantiyah, “A community-based friendly health clinic: An initiative adolescent reproductive health project in the rural and urban areas of Indonesia” (2016) 3:4 Int J Nurs Sci 371–378.

Susanto, Tantut & Nur Widayati, “Quality of life of elderly tobacco farmers in the perspective of agricultural nursing: a qualitative study” (2018) 22:3 Work with Older People 166–177.

Unger, UC, D Busse & IS Yim, “The Effect of Guided Relaxation on Cortisol and Affect : Stress reactivity as a Moderator” (2017).

World Health Organization (WHO), REGIONAL OFFICE FOR Europe, “Dietary Salt Intake Survey” (2016).

Yanti, Dewi Negeri Atika et al, “Hubungan Beban Kerja Dengan Kejadian Hipertensi Pada Petani Di Kecamatan Panti Kabupaten Jember” (2020) 8:2 Skripsi 54–61.

Guraf, RS & SK Nahar, Effect of Progressive Muscle Relaxation on Anxiety in Geriatric Population (2019).

References

Anderson, E T & J McFarlane, “Community as Partner: Theory and Practice in Nursing (6th ed.). Philadelphia: Wolters Kluwer Health. Lippincott Williams & Wilkins” (2011) Med Chir Dig.
Andriani, Indri et al, “Gambaran Konsumsi Garam pada Petani Hipertensi di Wilayah Kerja Puskesmas Panti Kabupaten Jember” (2020) 8:1 J Citra Keperawatan 30–37.
Aristi, Dwi Linda Aprilia et al, “Hubungan Konsumsi Makanan Tinggi Natrium dengan Kejadian Hipertensi pada Buruh Tani di Wilayah Kerja Puskesmas Panti Kabupaten Jember” (2020) 23:1 Bul Penelit Sist Kesehat 53–60.
Ghimire, Kamal et al, “Knowledge, attitudes, and practices related to salt consumption in Nepal: Findings from the community-based management of non-communicable diseases project in Nepal (COBIN)” (2019) 21:6 J Clin Hypertens 739–748.
Jaworska, Lilianna et al, “Effect of Progressive Muscle Relaxation on Pain Threshold and Effectiveness of Footballers’ Training” (2015) 16:4 Hum Mov 225–228.
Kholifah, Siti Nur et al, “Structural model of factors relating to the health promotion behavior of reproductive health among Indonesian adolescents” (2017) 4:4 Int J Nurs Sci 367–373.
Limsanon, Thatsanee & Rasmon Kalayasiri, “Preliminary Effects of Progressive Muscle Relaxation on Cigarette Craving and Withdrawal Symptoms in Experienced Smokers in Acute Cigarette Abstinence: A Randomized Controlled Trial” (2015) 46:2 Behav Ther 166–176.
Marketou, Maria E et al, “Salt-induced effects on microvascular function: A critical factor in hypertension mediated organ damage” (2019) 21:6 J Clin Hypertens 749–757.
Nola, J Pender, Carolyn L Murdaugh & Ann Parsons Mary, “Health Promotion in Nursing Practice” (2014) Pearson Educ.
Parás-Bravo, Paula et al, “Does Jacobson’s relaxation technique reduce consumption of psychotropic and analgesic drugs in cancer patients? A multicenter pre-post intervention study” (2018) 18:1 BMC Complement Altern Med 1–9.
Sulastini, Sulastini et al, “Effect of Progressive Muscle Relaxation on Anxiety in Congestive Heart Failure Patients” (2019) 14:2 J Keperawatan Soedirman.
Susanto, Tantut et al, “Occupational Health Nursing Model-Based Agricultural Nursing: A Study Analyzes of Farmers Health Problem” (2016) 11:1 Sosiol Pedesaan 45–50.
Susanto, Tantut, Retno Purwandari & Emi Wuri Wuryaningsih, “Prevalence and associated factors of health problems among Indonesian farmers” (2017) 4:1 Chinese Nurs Res 31–37.
Susanto, Tantut, Iis Rahmawati & Wantiyah, “A community-based friendly health clinic: An initiative adolescent reproductive health project in the rural and urban areas of Indonesia” (2016) 3:4 Int J Nurs Sci 371–378.
Susanto, Tantut & Nur Widayati, “Quality of life of elderly tobacco farmers in the perspective of agricultural nursing: a qualitative study” (2018) 22:3 Work with Older People 166–177.
Unger, UC, D Busse & IS Yim, “The Effect of Guided Relaxation on Cortisol and Affect : Stress reactivity as a Moderator” (2017).
World Health Organization (WHO), REGIONAL OFFICE FOR Europe, “Dietary Salt Intake Survey” (2016).
Yanti, Dewi Negeri Atika et al, “Hubungan Beban Kerja Dengan Kejadian Hipertensi Pada Petani Di Kecamatan Panti Kabupaten Jember” (2020) 8:2 Skripsi 54–61.
Guraf, RS & SK Nahar, Effect of Progressive Muscle Relaxation on Anxiety in Geriatric Population (2019).

Empowerment and Partnership Programs in Healthy Community Movements Through Integrated Development Posts (IDP) of Non-Communicable Disease (NCD)