Implementation of Coaching Therapy in Hypertension Patients with Ineffective Family Care Management Problems: A Case Study

Abstract

Hypertension is a non-communicable disease (NCD) that significantly 
contributes to increased morbidity and mortality rates (Jend & Yani, 2023). 
This disease is known as the "silent killer" because it often does not cause 
symptoms in sufferers, so most individuals are unaware that they have 
hypertension (Kusuma, Aryawangsa, & Satyarsa, 2020). Controlling 
hypertension risk factors requires awareness from sufferers and family 
support. One educational approach that can help individuals and families 
develop motivation, awareness, and the ability to manage health problems 
is through coaching therapy, through a collaborative and supportive 
approach. The research design used in this study is a descriptive case 
study. This study will present a case related to hypertension, where there 
are two families with members who have hypertension. Next, nursing care 
will be provided for three weeks. The assisted families will receive nursing 
care through five family nursing processes, starting with nursing 
assessment, formulation of nursing diagnoses, nursing interventions, 
nursing implementation, and evaluation of family nursing. Then, coaching 
therapy will be provided on heads of families and media related to 
hypertension and a low-salt diet. Measurements were taken before and 
after the coaching therapeutic intervention in the form of hypertension 
knowledge level, namely the Hypertension Knowledge Level Scale (HKLS), 
a low-salt diet with the Dietary Sodium Restriction Questionnaire and 
blood pressure