LEVEL of PARTICIPATION in PROLANIS EXERCISE and BLOOD PRESSURE CONTROL among ELDERLY HYPERTENSIVE PATIENTS in KARTOHARJO, MAGETAN

Abstract

Hypertension remains one of the most prevalent non-communicable diseases among older adults and is a major contributor to cardiovascular complications when blood pressure is not adequately controlled. Prolanis (Chronic Disease Management Program) exercise is one of the non-pharmacological interventions that can support blood pressure control among elderly patients with hypertension. This study aimed to determine the relationship between the level of participation in Prolanis exercise and blood pressure control among elderly patients with hypertension at Kartoharjo Community Health Center, Magetan Regency. An analytical observational study with a cross-sectional design was conducted involving 53 respondents selected through simple random sampling from 110 elderly patients with hypertension registered in the Prolanis hypertension class. Data on the level of participation in Prolanis exercise were obtained from six-month attendance records, while blood pressure control status was assessed based on blood pressure measurements. Data were analyzed using the Chi-square test with a 95% confidence level. The results showed that 41 respondents (77.4%) were classified as active participants in Prolanis exercise, while 12 respondents (22.6%) were classified as inactive. Furthermore, 38 respondents (71.7%) had controlled blood pressure, while 15 respondents (28.3%) had uncontrolled blood pressure. Statistical analysis showed a significant relationship between the level of participation in Prolanis exercise and blood pressure control (p = 0.001), with a contingency coefficient of 0.461, indicating a moderate association. The study concludes that active participation in Prolanis exercise is significantly associated with blood pressure control among elderly patients with hypertension. Strengthening participation in Prolanis exercise may therefore support hypertension management at the primary healthcare level.