Effect of a digital application on knowledge, treatment adherence, and blood pressure control in hypertensive patients: a quasi-experimental study
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Background: The prevalence of hypertension increases annually, posing a significant public health concern. Digital health applications have emerged as potential tools to support hypertension management; however, most existing applications lack features that provide adequate information and education to patients.
Objective: To evaluate the effect of a digital application on patients’ knowledge, treatment adherence, and blood pressure control in hypertensive patients.
Methods: A quasi-experimental study with a pre-test and post-test design and control group was conducted in 2024. Sixty respondents diagnosed with hypertension were selected through purposive sampling and divided equally into intervention (n = 30) and control (n = 30) groups. The intervention group received access to a custom-developed digital application, while the control group received standard care. Data were analysed using the Mann–Whitney test.
Results: The results showed that the use of the digital application significantly increased knowledge, improved adherence, and reduced blood pressure among hypertensive patients (p = 0.013).
Conclusion: The digital application had a positive and statistically significant effect on patients’ knowledge, treatment adherence, and blood pressure control, indicating its potential as a supportive tool for hypertension management in primary health care.
1. Wahyuni, S., Khairunnisa, K. & Harahap, U. Pengembangan Aplikasi Digital untuk Manajemen dan Sumber Informasi Hipertensi. J. Farm. Dan Ilmu Kefarmasian Indones. 7, 7 (2021).
2. Suyoto, S., Agushybana, F. & Suryoputro, A. Pengaruh Penggunaan Aplikasi Patuh Terhadap Kepatuhan Melakukan Diet Hipertensi pada Pasien Hipertensi di Kabupaten Wonosobo. J. Penelit. dan Pengabdi. Kpd. Masy. UNSIQ 7, 31–37 (2020).
3. Nurakysh, S. et al. Evaluation of the Effectiveness of the Mobile Application on Adherence of Patients With Arterial Hypertension. Acta Inform. Medica 30, 18–24 (2022).
4. Minasari, S., Azam, M. & Rahayu, S. R. Pengembangan Aplikasi Monitoring Penyakit Hipertensi dan Diabetes Mellitus Terintegrasi. J. Manaj. Kesehat. Indones. 10, 28–42 (2022).
5. Ariyani, A. R. Kejadian Hipertensi pada Usia 45-65 Tahun. Higeia J. Public Heal. Res. Dev. 4, 506–518 (2020).
6. Wulandari, A., Sari, S. A. & Ludiana. Penerapan Relaksasi Benson Terhadap Tekanan Darah Pada Pasien Hipertensi Di Rsud Jendral Ahmad Yani Kota Metro Tahun 2022. J. Cendikia Muda 3, 163–171 (2023).
7. Hermansyah. Pengaruh Spiritual Emotional Freedom Technique (SEFT) Dan Murrotal Al-Quran Terhadap Penurunan Tekanan Darah Pada Penderita Hipertensi. (Yayasan Sahabat Alam Rafflesia, Bengkulu-Yogyakarta, 2022).
8. Yuzianti., Sawitri, H., Nadira, C. Tingkat Pengetahuan Penderita Hipertensi Tentang Terapi Non Farmakologi. J. Ilm. Kesehat. 18, 80–85 (2023).
9. Juniarti, B., Setyani, F. A. R. & Amigo, T. A. E. Tingkat Pengetahuan Dengan Kepatuhan Minum Obat Pada Penderita Hipertensi. Cendekia Med. J. Stikes Al-Ma`arif Baturaja 8, 43–53 (2023).
10. Safitri, W., Ismail, S. & Isnuwardana, R. Hubungan Konsumsi Herbal dengan Kepatuhan Minum Obat Standar pada Pasien Hipertensi di Wilayah Kerja Puskesmas Lempake Samarinda. J. Kesehat. Andalas 12, 20 (2023).
11. Rodiyyah, E. & Tohri, T. Hubungan Tingkat Pengetahuan dengan Pengendalian Tekanan Darah pada Hipertensi di Puskesmas Garuda Bandung Tahun 2020 Relationship between Knowledge Level and Blood Pressure Control in Hypertension at Garuda Bandung Health Center in 2020. J. Kesehat. Rajawali 10, 68–82 (2020).
12. Agustina, N. W. P. D., Nursasi, A. Y. & Permatasari, H. Edukasi Kesehatan dalam Meningkatkan Kepatuhan Minum Obat pada Lansia Hipertensi. J. Keperawatan Silampari 6, 2049–2059 (2023).
13. Munir, M. Efektivitas Metode Edukasi Mobile Health Berdasarkan Self-Efficacy dan Diet DASH pada Penderita Hipertensi. Media Publ. Promosi Kesehat. Indones. 7, 946–953 (2024).
14. Kusuma Negara, I. G. N. M., Jiryantini, N. W. S. & Parwati, N. W. Hubungan Tingkat Pengetahuan Tentang Hipertensi Terhadap Kepatuhan Pasien Untuk Kontrol Tekanan Darah. J. Ris. Kesehat. Nas. 3, 73–77 (2019).
15. Andari, F. N., Vioneery, D., Panzilion, P., Nurhayati, N. & Padila, P. Penurunan Tekanan Darah pada Lansia dengan Senam Ergonomis. J. Telenursing 2, 81–90 (2020)
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