ENHANCING FAMILY AUTONOMY IN MANAGING RISING BLOOD PRESSURE AMONG FAMILY MEMBERS THROUGH THE IMPLEMENTATION OF BRISK WALKING EXERCISE

Abstract

Background: Hypertension is a noncommunicable disease with a high prevalence both globally and specifically in Indonesia. Various efforts have been made to reduce this prevalence through both pharmacological and nonpharmacological management. Brisk walking is one option for people with hypertension to lower their blood pressure. This intervention requires family involvement to promote the family’s independence in managing hypertension. Case Summary: The client participating in this case study, a single mother, has had elevated blood pressure for the past 5 years. She had been receiving regular medical care but had stopped treatment 5 months prior. During the examination, her blood pressure was measured at 170/87. Investigation and Diagnosis: The client was diagnosed with Grade II hypertension; the nursing diagnosis identified was ineffective health management. Management: The case study was conducted using a family nursing care approach, with an emphasis on achieving the family’s primary tasks (TUK), which include understanding the issue of hypertension, making decisions regarding care for family members with hypertension, caring for the ill family member through brisk walking exercises, environmental modifications, and utilizing healthcare facilities. Outcome: In addition to improving literacy regarding hypertension, the primary focus of this case study is the family’s independence in performing brisk walking exercises 3–4 times per week for 15–20 minutes. Blood pressure decreased from an initial reading of 170/89 mmHg to 118/74 mmHg after 5 sessions of brisk walking exercises. The family is now able to perform brisk walking exercises independently and implement preventive measures. Conclusion: The implementation of family nursing care—which enhances family autonomy through education and the independent practice of brisk walking exercises—can lower blood pressure.