THE EFFECT OF SELF-MANAGEMENT BEHAVIOR ON BLOOD PRESSURE OF PREGNANT WOMEN WITH PREECLAMPSIA IN THE WORKING AREA OF THE PUBLIC HEALTH CENTER IN SURABAYA CITY

Abstract

Preeclampsia is specific complication that often during pregnancy. Blood pressure is too high in
pregnant women increases maternal and fetal morbidity and mortality. In fact, there are still many pregnant
women have risky behaviors such as non-compliance with ANC, an uncontrolled diet, a lack of exercise, and
non-compliance with taking medication. One effort to improve the quality of life of preeclampsia mothers by
implementing self-management behaviors. The research design was quasy-experimental pretest-posttest
control group design. The subjects of the study were 36 pregnant women with preeclampsia in May–July 2023
at Pucang Sewu and Tambakrejo Health Centers in Surabaya, which were divided into 18 treatment and
control groups. Data were collected by measuring blood pressure and daily observation sheets and analyzing
the data using the Mann-Whitney Wilcoxon sign rank test (p ≤ 0.05). The results of this study showed that self-
management behavior before being given treatment was more than half (56%) in the bad category, and after
treatment, most (89%) were in the good category. The systolic and diastolic blood pressures of preeclampsia
pregnant women in the pre-intervention group had an average value of 144.7/87.78 mmHg, and after the
intervention, had an average value of 137.78/81.94 mmHg. There is an influence of self-management behavior
on blood pressure of pregnant women with preeclampsia in the work area of the Surabaya City Health Center.
So the researchers suggest pregnant women with preeclampsia always maintain a healthy lifestyle and obey the
rules given by health workers.