Enhancing self-care in hypertensive pregnant women through WhatsApp application

Authors

  • Irma Rachmawati Universitas Padjadjaran
  • Yanti Hermayanti Universitas Padjadjaran
  • Ermiati Ermiati Universitas Padjadjaran

DOI:

https://doi.org/10.31101/jkk.4097
Abstract views 9 times

Keywords:

health education, pregnancy hypertension, self care, WhatsApp intervention

Abstract

Hypertension in pregnancy is currently the leading cause of maternal mortality. Self-care strategies, delivered via media adjusted to technological progress, accessibility, and pregnant women's needs, offer a practical means to manage this condition. represent a feasible option for the management of this condition. Because of its widespread use, WhatsApp could be used to improve self-care in hypertensive pregnant women. This study aims to determine the effect of WhatsApp on self-care in pregnant women with hypertension. A quasi-experimental pretest-posttest control group design. A total of 42 respondents were recruited by consecutive sampling from six community health centers, 21 respondents were in the intervention group and 21 respondents were in the control group. The outcomes were evaluated using the Hypertension Self-Care Profile (HBP-SCP) questionnaire, which was adapted for the Indonesian context and validated (r=0.517–0.957) and reliable (α=0.935) both before and after health education. Data analysis used nonparametric Wilcoxon matched-pairs and Mann-Whitney tests. In the intervention group, self-care scores improved significantly post-intervention (p<0.05), unlike the control group (p>0.05). The Mann-Whitney test confirmed a significant difference between groups (p<0.05).WhatsApp education boosted self-care scores, utilizing its accessibility and closed-group features for uniform information delivery. These findings advocate integrating such media into community health center protocols, bolstering health professional educational roles. Randomized trials on long-term adherence to WhatsApp-guided self-care protocols and studies comparing these to traditional in-person counseling recommended for future research.

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References

Afefi, E. N., & Kamel, D. A. (2019). Effect of an educational module on the knowledge and self-care of women suffering from pre-eclmpsia. IOSR Journal of Nursing and Health Science, 8(2), 33–42. https://doi.org/10.9790/1959-0802103342

Charchar, F. J., Prestes, P. R., Mills, C., Ching, S. M., Neupane, D., Marques, F. Z., Sharman, J. E., Vogt, L., Burrell, L. M., Korostovtseva, L., Zec, M., Patil, M., Schultz, M. G., Wallen, M. P., Renna, N. F., Islam, S. M. S., Hiremath, S., Gyeltshen, T., Chia, Y.-C., … Tomaszewski, M. (2024). Lifestyle management of hypertension: International Society of Hypertension position paper endorsed by the World Hypertension League and European Society of Hypertension. Journal of Hypertension, 42(1), 23–49. https://doi.org/10.1097/HJH.0000000000003563

Dinari, F., Sarabi, R. E., Mashouf, E., & Moulaei, K. (2022). The role of social networks in improving women’s self-care during pregnancy and postpartum. Frontiers in Health Informatics, 11. https://doi.org/10.30699/fhi.v11i1.371

Fasimi, H. R., Hapsari, D. E., & Widyawati. (2020). The Effect of Media Education via WhatsApp Group on Mother Knowledge of Preeclampsia Signs and Symptoms. 4(1), 2020.

Goddard, L., Tucker, K., Astbury, N. M., Roman, C., Chi, Y., Morgan, K., Devitt, P., & McManus, R. J. (2025). A Digital Lifestyle App for Hypertension During Pregnancy: Mixed Methods Intervention Development Study Using the Person-Based Approach. JMIR Formative Research, 9, e68927–e68927. https://doi.org/10.2196/68927

Heidari, N., Rajati, F., Heidari, P., & Rajati, M. (2025). Lifestyle modification intervention among pregnant women with hypertension based on the self-determination theory using M-Health. Frontiers in Public Health, 13, 1495281. https://doi.org/10.3389/fpubh.2025.1495281

Hudaya, S. (2018). Kementrian Kesehatan Republik Indonesia Warta KESMAS.

Jacome-Hortua, A. M., Rincon-Rueda, Z. R., Sanchez-Ramirez, D. C., & Angarita-Fonseca, A. (2024). Effects of a WhatsApp-Assisted Health Educational Intervention for Cardiac Rehabilitation: A Randomized Controlled Clinical Trial Protocol. Methods and Protocols, 7(2), 35. https://doi.org/10.3390/mps7020035

Junaidi, T., Yuliana, Y., Idawati, I., & Amni, N.. (2024). Hubungan Self Care Behavior dengan Kualitas Hidup Pada Pasien Hipertensi Dalam Kehamilan di Rumah Sakit Umum Daerah Cut Nyak Dhien. Jurnal Ners, 8(2), 2124–2134. https://doi.org/10.31004/jn.v8i2.36505

Kemenkes RI. (2022). Profil Kesehatan Indonesia. Kementerian Kesehatan Republik Indonesia, Jakarta.

Lv, Y., Hu, R., Liang, Y., Zhou, Y., Lian, Y., & He, T. (2024). Effect of daily physical activity on ambulatory blood pressure in pregnant women with chronic hypertension: A prospective cohort study protocol. PLoS ONE, 19(1 January), 1–11. https://doi.org/10.1371/journal.pone.0296023

Magee, L. A., Smith, G. N., Bloch, C., Côté, A. M., Jain, V., Nerenberg, K., von Dadelszen, P., Helewa, M., & Rey, E. (2022). Guideline No. 426: Hypertensive Disorders of Pregnancy: Diagnosis, Prediction, Prevention, and Management. Journal of Obstetrics and Gynaecology Canada, 44(5), 547-571.e1. https://doi.org/10.1016/j.jogc.2022.03.002

Mai, T. D. T., Katsuragawa, S., McDougall, A., Nguyen, P., Romero, L., Vogel, J., & Makama, M. (2025). Self‐Care Interventions for Preventing Cardiovascular Diseases After Hypertensive Pregnancy Disorders: A Systematic Review and Meta‐Analysis. Bjog, 132(10), 1350–1361. https://doi.org/10.1111/1471-0528.18152

Manji, K., Hanefeld, J., Vearey, J., Walls, H., & de Gruchy, T. (2021). Using WhatsApp messenger for health systems research: A scoping review of available literature. Health Policy and Planning, 36(5), 594–605. https://doi.org/10.1093/heapol/czab024

Moulaei, K., Sheikhtaheri, A., Ghafaripour, Z., & Bahaadinbeigy, K. (2021). The Development and Usability Assessment of an mHealth Application to Encourage Self-Care in Pregnant Women against COVID-19. Journal of Healthcare Engineering, 2021. https://doi.org/10.1155/2021/9968451

Owen, M. D., Ismail, H. M., Goodman, D., Batakji, M., Kim, S. M., Olufolabi, A., & Srofenyoh, E. K. (2022). Use of WhatsApp messaging technology to strengthen obstetric referrals in the Greater Accra Region, Ghana: Findings from a feasibility study. PLoS ONE, 17(4 April), 1–15. https://doi.org/10.1371/journal.pone.0266932

Pahria, T., Nugroho, C., & Yani, D. I. (2022). Factors Influencing Self-Care Behaviors in Hypertension Patients With Complications. Vascular Health and Risk Management, 18, 463–471. https://doi.org/10.2147/VHRM.S366811

Parsa, S., Khajouei, R., Baneshi, M. R., & Aali, B. S. (2019). Improving the knowledge of pregnant women using a pre-eclampsia app: A controlled before and after study. International Journal of Medical Informatics, 125(October 2018), 86–90. https://doi.org/10.1016/j.ijmedinf.2019.03.001

Pereira, A. A. C., Destro, J. R., Picinin Bernuci, M., Garcia, L. F., & Rodrigues Lucena, T. F. (2020). Effects of a WhatsApp-Delivered Education Intervention to Enhance Breast Cancer Knowledge in Women: Mixed-Methods Study. JMIR mHealth and uHealth, 8(7), e17430. https://doi.org/10.2196/17430

Prihazty, A. W., Atika, Wittiarika, I. D., & Ernawati. (2024). Level of knowledge on preeclampsia following health education through a WhatsApp group. Majalah Obstetri & Ginekologi, 32(1), 22–28. https://doi.org/10.20473/mog.v32i12024.22-28

Puspita, T., & Rismayanti, T. (2024). The Effectiveness of Education Using WhatsApp About the Importance of Pregnancy Checks for Increasing the Knowledge of Pregnant Women in Karangsinom Village, Tirtamulya District, Karawang Regency in 2023. International Journal of Health and Pharmaceutical (IJHP), 4(2), 352–356. https://doi.org/10.51601/ijhp.v4i2.275

Rachmawati, I., Hermayanti, Y., & Ermiati. (2024). Effectiveness of Self-Care Teaching Media for Pregnant Women and Pregnant Women with Hypertension. 15(3), 419–433.

Sing, K. S., Sinha, N., Bera, P. O., Saleem, M. S., Tripathi, S., Shikha, D., Goyal, M., & Bhattacharya, S. (2021). Effects of diet on hypertensive disorders during pregnancy: A cross-sectional study from a teaching hospital. Journal of Family Medicine and Primary Care. https://doi.org/10.4103/jfmpc.jfmpc

Sugiyono. (2022). Metode Penelitian Kuantitatif, Kualitatif, dan R&D (Revisi 2022). Alfabeta.

Utami, R. B., Sari, U. S. candra, & Sopianingsih, J. (2020). Jurnal Kebidanan Khatulistiwa Efektifitas Penggunaan Media Melalui Whatsapp Dan Booklet Kecamatan Benua Kayong Kabupaten Ketapang Effectiveness of Using Media Whatsapp and Booklet Against Asian Father Attitude in the Working Center of Health. Jurnal Kebidanan Khatulistiwa, 6(1), 83–90.

Wang, Y., Liu, Y., Liu, L., Hong, L., & Chen, H. (2023). Comparative Analysis of Hypertension Guidelines: Unveiling Consensus and Discrepancies in Lifestyle Modifications for Blood Pressure Control. Cardiology Research and Practice, 2023(1), 5586403. https://doi.org/10.1155/2023/5586403

WHO. (2024). Maternal mortality. https://www.who.int/news-room/fact-sheets/detail/maternal-mortality

Yeh, P. T., Rhee, D. K., Kennedy, C. E., Zera, C. A., Lucido, B., Tunçalp, Ö., Gomez Ponce de Leon, R., & Narasimhan, M. (2022). Self-monitoring of blood pressure among women with hypertensive disorders of pregnancy: A systematic review. BMC Pregnancy and Childbirth, 22(1), 454. https://doi.org/10.1186/s12884-022-04751-7

Zakirman, & Rahayu, C. (2018). Popularitas WhatsApp sebagai media komunikasi dan berbagi informasi akademik mahasiswa. Shaut Al-Maktabah Jurnal Perpustakaan, Arsip Dan Dokumentasi, 10(1), 27–38. https://doi.org/10.15548/shaut.v10i1.7

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Published

2025-12-29

How to Cite

Rachmawati, I., Yanti Hermayanti, & Ermiati, E. (2025). Enhancing self-care in hypertensive pregnant women through WhatsApp application. Jurnal Kebidanan Dan Keperawatan Aisyiyah, 21(2), 120–128. https://doi.org/10.31101/jkk.4097

Issue

Vol. 21 No. 2 (2025): Desember

Section

Original Research

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