The Effect Of Cognitive Behavioral Therapy (CBT) Application On Lifestyle In Hypertension Patients At Royal Prima Marelan Hospital 2022

Authors

  • Abdi Kurniawan Purba Magister Student of Magister Public Health, Faculty of Medicine, Universitas Prima Indonesia
  • Ermi Girsang Magister Public Health, Faculty of Medicine, Universitas Prima Indonesia
  • Mangatas Silaen Magister Public Health, Faculty of Medicine, Universitas Prima Indonesia

DOI:

https://doi.org/10.51601/ijhp.v3i3.187

Abstract

Hypertension is still a health problem in the elderly group. As a result of rapid development and a prosperous
standard of living and health services can increase life expectancy, so that the number of elderly people increases
every year. This increase in age is often followed by an increase in degenerative diseases and other health problems
in this group. Psychological interventions are believed to be able to change a person's behavior towards a better
direction in disease control and prevention. This study measures the impact of cognitive behavioral therapy (CBT)
interventions on self-care management of hypertensive patients.This type of research is a quasi-experimental design
with a pretest-posttest and control group design. The research subjects were divided into two groups, namely the
intervention group (35 people) and the intervention group (35 people). control group (35 people). The research was
conducted at the Royal Prima Marelan Hospital in 2022. Data were analyzed using the t-dependent test (α =
0.05).The results showed that in the intervention group there were differences in self-care management of
hypertensive patients before and after being given CBT which included diet (p <0.001; 95% CI -6.663-(-4.796)),
physical activity (p<0.001; 95 %CI -5.344-(-4.370)), and attitude (p=<0.001; 95%CI -13.086-(-10.115)). In the
control group, there was no difference in self-care management of hypertensive patients, including diet n (p= 0.083;
95% CI -0.183-0.012), physical activity (p= 0.058; 95% CI- 0.291-0.005), and attitude T2DM patients (p = 0.094;
95% CI -0.225-0.003). This means that CBT is effective in improving self-care management of Hypertension
patients.It is suggested to the Management of Royal Prima Marelan Hospital to implement routine physical activities
such as hypertension gymnastics in order to prevent hypertension among young people.

References

Alavi, M., Molavi, H., & Molavi, R. (2017). The impact of cognitive behavioral therapy on self-esteem and

quality of life of hospitalized amputee elderly patients. Nursing and Midwifery Studies, 6(4), 162.

American Diabetes Association. (2015). Diagnosis and classification of diabetes mellitus. Diabetes care, 37

(Supplement 1), S81-S90.

Beck, JS (2011). Cognitive-behavioral therapy. Clinical textbook of addictive disorders, 491, 474-501.

Daniels, J., & Sheils, E. (2017). A complex interplay: cognitive behavioral therapy for severe health anxiety in

Addison's disease to reduce emergency departmental hypertension issues. Behavioral and cognitive

psychotherapy, 45(4), 419-426.

Dobson, R., Whittaker, R., Jiang, Y., Shepherd, M., Maddison, R., Carter, K., ... & Murphy, R. (2016). Text

message-based diabetes self-management support (SMS4BG): study protocol for a randomized controlled trial.

Trials, 17(1), 179.

Dowdle, C., Suh, S., Nowakowski, S., Ong, JC, Siebern, AT, & Manber, R. (2012, January). The Role Of Sleep

Effort In Reducing Depressive Symptoms For Individuals Participating In Cognitive-Behavioral Therapy For

International Journal of Health and Pharmaceutical

https://ijhp.net

Insomnia (Cbt-I). In Sleep (Vol. 35, Pp. A241-A241). One Westbrook Corporate Ctr, Ste 920, Westchester, IL

USA: AMER ACAD SLEEP MEDICINE.Ekoé, JM, Punthakee, Z., Ransom, T., Prebtani, AP, &

Goldenberg, R. (2018). Screening for type 1 and type 2 hypertension Canadian journal of diabetes, 37, S12-

S15.

Hara, Y., Hisatomi, M., Ito, H., Nakao, M., Tsuboi, K., & Ishihara, Y. (2016). Effects of gender, age, family

support, and treatment on perceived stress and coping of patients with type 2 diabetes mellitus. BioPsychoSocial

medicine,8(1), 16.

Hewitt, J., Smeeth, L., Chaturvedi, N., Bulpitt, CJ, & Fletcher, AE (2017). Self management and patient

understanding of diabetes in the older person. Diabetic medicine, 28(1), 117-122.

Huang, CY, Lai, HL, Chen, CI, Lu, YC, Li, SC, Wang, LW, & Su, Y. (2016). Effects of motivational

enhancement therapy plus cognitive behavior therapy on depressive symptoms and health-related quality of life

in adults with type II diabetes mellitus: a randomized controlled trial. Quality of Life Research, 25(5), 1275-

Huang, M., Zhao, R., Li, S., & Jiang, X. (2014). Self-management behavior in patients with type 2 diabetes: a

cross-sectional survey in western urban China. PloS one, 9(4), e95138.

Hutchins, CM (2016). Managing depression in foster care: An enhanced therapeutic approach for adolescents

(Doctoral dissertation, Capella University).

Indonesia, PE (2015). Management and prevention of type 2 hypertension in Indonesia. Pb. Perkeni.

Inzucchi, SE, Bergenstal, RM, Buse, JB, Diamant, M., Ferrannini, E., Nauck, M., ... & Matthews, DR (2016).

Management of hyperglycemia in type 2 diabetes, 2015: a patient-centered approach: update to a position

statement of the American Diabetes Association and the European Association for the Study of Hypertension

Diabetes care, 38(1), 140-149.

International Diabetes Federation. IDF Diabetes Atlas 6th Edition 2016: International Diabetes Federation; 2016.

Kaku, K. (2017). Pathophysiology of Type 2 Diabetes and Its Treatment Policy, JMAJ, Volume 53 ( 1 ) : 41–46.

Karimi, F., Abedini, S., & Mohseni, S. (2017). Self-care behavior of type 2 diabetes mellitus patients in Bandar

Abbas in 2015. Electronic physician, 9(11), 5863.

Kanapathy, J., & Bogle, V. (2019). The effectiveness of cognitive behavioral therapy for depressed patients with

diabetes: A systematic review. Journal of health psychology, 24(1), 137-149.

Ministry of Health, RI, (2018). Let's Prevent Diabetes Smartly. Accessed fromwww.depkes.google.id/index.php.

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Published

2023-01-05

How to Cite

Kurniawan Purba, A. ., Girsang, E. ., & Silaen, M. . (2023). The Effect Of Cognitive Behavioral Therapy (CBT) Application On Lifestyle In Hypertension Patients At Royal Prima Marelan Hospital 2022. International Journal of Health and Pharmaceutical (IJHP), 3(3), 424–429. https://doi.org/10.51601/ijhp.v3i3.187

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