Peningkatan Kesehatan Keluarga dengan Hipertensi menggunakan Pendekatan Mcgill Model of Nursing : Laporan Kasus
Bibliographic record
Abstract
ABSTRACT Hypertension is a condition when a person's blood pressure increases beyond the normal limit. A person is considered to have hypertension if their systolic blood pressure reaches ≥130 mmHg or their diastolic pressure ≥80 mmHg. The prevalence of hypertension in Indonesia reaches 36%. Based on the Indonesian Basic Health Research, the incidence of hypertension was recorded at 34.1%. Hypertension and pre-hypertension are health problems that are often found in families. Providing family nursing care focuses on empowering families to manage health problems independently. The application of the McGill Model of Nursing is an approach in nursing designed to support family-based care, which focuses on empowering families to manage health through strengthening their own abilities, in improving the health of families who have members with hypertension. This study uses a holistic approach that includes cognitive, affective, and behavioral aspects based on the results of observations, interviews, and medical record reviews, a case study model with a nursing care approach based on the McGill model of Nursing in one of the families with hypertension. The interventions provided were health education about hypertension, progressive muscle relaxation technique training and strategies for creating daily schedules and medication schedules. The intervention integrated the McGill Model approach, with the Nursing Intervention Standards (SIKI), and research findings related to hypertension. Implementation was carried out in two meetings with a duration of 15–30 minutes, involving all family members. After the 6th day of implementation, the results of the cognitive evaluation of the family showed a better understanding of hypertension, psychomotor evaluation of the family was able to perform the progressive muscle relaxation technique themselves and create a daily activity schedule. The application of the McGill Model of Nursing in nursing care for Hypertension families successfully demonstrated a holistic, strength-based, and collaborative approach in supporting families facing health problems, especially hypertension and pre-hypertension so that they had a better understanding of hypertension, motivation to take medication, and willingness to see a doctor, this shows that the application of the McGill Model can improve family coping, although challenges remain in encouraging consistent healthy behaviors on an ongoing basis. Although the implementation of the McGill Model of Nursing in Indonesia still requires adjustments to address local challenges, the results achieved in this case indicate the model's significant potential to support family nursing practice. Going forward, intensive training for nurses and the integration of this model into the family nursing system could be strategic steps to improve the quality of family-based care in Indonesia. Keywords: Hypertension, Family Nursing, Mcgill Model Of Nursing, Family Empowerment ABSTRAK Hipertensi adalah kondisi ketika tekanan darah seseorang meningkat melebihi batas normal. Seseorang dianggap mengalami hipertensi jika tekanan darah sistoliknya mencapai ≥130 mmHg atau tekanan diastoliknya ≥80 mmHg. Prevalensi hipertensi di Indonesia mencapai 36%. Berdasarkan Riset Kesehatan Dasar Indonesia, angka kejadian hipertensi tercatat sebesar 34,1% . Hipertensi dan pra-hipertensi adalah masalah kesehatan yang sering ditemui di dalam keluarga. Pemberian asuhan keperawatan keluarga berfokus pada pemberdayaan keluarga untuk mengelola masalah kesehatan secara mandiri. Penerapan McGill Model of Nursing adalah pendekatan dalam keperawatan yang dirancang untuk mendukung perawatan berbasis keluarga, yang berfokus pada pemberdayaan keluarga untuk mengelola kesehatan melalui penguatan kemampuan mereka sendiri, dalam meningkatkan kesehatan keluarga yang memiliki anggota dengan hipertensi. Penelitian ini menggunakan pendekatan holistik yang mencakup aspek kognitif, afektif, dan perilaku yang didasarkan pada hasil observasi, wawancara, dan tinjauan rekam medis, model studi kasus dengan pendekatan asuhan keperawatan berdasarkan model McGill of Nursing pada salah satu keluarga dengan Hipertensi. Intervensi yang diberikan adalah pendidikan kesehatan tentang hipertensi, latihan teknik relaksasi otot progresif dan strategi pembuatan jadwal harian dan jadwal pengobatan. Intervensi mengintegrasikan pendekatan McGill Model, dengan Standar Intervensi Keperawatan (SIKI), dan hasil penelitian terkait hipertensi. Implementasi dilakukan dalam dua kali pertemuan dengan durasi 15–30 menit, melibatkan seluruh anggota keluarga. Setelah implementasi hari ke 6, hasil evaluasi secara kognitif keluarga menunjukan pemahaman lebih baik tentang hipertensi, evaluasi secara psikomotor keluarga dapat melakukan sendiri tehnik relaksasi otot progresif dan dan membuat jadwal aktivitas harian. Penerapan McGill Model of Nursing dalam asuhan keperawatan keluarga Hipertensi berhasil menunjukkan pendekatan yang holistik, berbasis kekuatan, dan kolaboratif dalam mendukung keluarga menghadapi masalah kesehatan, khususnya hipertensi dan pra-hipertensi sehinga memiliki pemahaman lebih baik tentang hipertensi, motivasi untuk meminum obat, serta kesediaan memeriksakan diri ke dokter, hal ini menunjukkan bahwa penerapan McGill Model dapat meningkatkan koping keluarga, meskipun tantangan tetap ada dalam mendorong konsistensi perilaku sehat secara berkelanjutan. Meskipun implementasi McGill Model of Nursing di Indonesia masih memerlukan penyesuaian untuk menghadapi tantangan lokal, hasil yang dicapai dalam kasus ini mengindikasikan potensi besar model ini dalam mendukung praktik keperawatan keluarga. Untuk ke depannya, pelatihan intensif bagi perawat dan pengintegrasian model ini ke dalam sistem keperawatan keluarga dapat menjadi langkah strategis untuk meningkatkan kualitas pelayanan berbasis keluarga di Indonesia. Kata Kunci: Hipertensi, Keperawatan Keluarga, Mcgill Model Of Nursing, Pemberdayaan Keluarga
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".