ABSTRAK Pengelolaan pasien hipertensi di rumah sakit masih dominan pada upaya farmakologi.Konseling keperawatan (KP) sebagai upaya non farmakologi belum optimal. Pasienhanya mengandalkan obat dokter dan tidak mengubah gaya hidup sehat. Asuhankomprehensif dibutuhkan untuk menghindari dampak seperti penyakit jantung, stroke,gagal ginjal dan kematian dini. Besarnya biaya perawatan merupakan masalah serius.Konseling keperawatan diharapkan dapat mengubah gaya hidup menjadi lebih sehat.Tujuan penelitian untuk mengetahui prediktor pelaksanaan konseling keperawatan padapasien hipertensi. Metode survey crossectional dengan kuesioner pada 200 perawat.Analisis menggunakan uji chi-square, regresi logistik berganda. Ada hubungan yangsignifikan antara kemampuan konseling p value=0.001, pemahaman informasi pvalue=0.001, dukungan dan sistem kualitas p value=0.000, kondisi lingkungan pvalue=0.000 dengan pelaksanaan konseling keperawatan. Umur p value= 0,250, jeniskelamin p value= 0,57, pengalaman kerja p value= 0,177 dan pendidikan terakhir pvalue=0,583, tidak terdapat hubungan signifikan. Lingkungan dan dukungan sistemkualitas merupakan prediktor utama. Kondisi lingkungan dan dukungan yang baik, 8 kalilebih baik pada konseling keperawatan. lingkungan yang didukung dengan infrastrukturdan fasilitas yang baik sangat mendukung terlaksananya konseling keperawatan.

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ABSTRACT

Hypertensive Patients in hospitals in East Java, Indonesia

Counsellor :Agung Waluyo, Mustikasari, Ede Surya Darmawan

Management of hypertensive patients in hospitals is still dominant in pharmacological

efforts. Nursing counseling (KP) as a non-pharmacological effort is not optimal. Patients

only rely on doctor's medication and do not change their healthy lifestyle.

Comprehensive care is needed to avoid impacts such as heart disease, stroke, kidney

failure, and premature death. The cost of treatment is a serious problem. Nursing

counseling is expected to change lifestyle to be healthier. The aim of the study was to

determine the predictors of the implementation of nursing counseling in hypertensive

patients. Crossectional survey method with questionnaires on 200 nurses. Analysis using

the chi-square test, multiple logistic regression. There is a significant relationship

between expertise and skills p-value = 0.001, giving information p-value = 0.001,

support and quality systems p-value = 0.000, environment p-value = 0.000 with the

implementation of nursing counseling. Age p value= 0,250, gender p-value = 0,583,

work experience p value= 0,177 and education p-value=0,583 there is no significant

relationship. Environment and quality system support are the main predictors. Good

environmental conditions and support, 8 times better in nursing counseling. the

environment which is supported by good infrastructure and facilities strongly supports

the implementation of nursing counseling