The 2nd Joint International Conferences | http://proceeding.tenjic.org/jic2 | ISBN: DOI: Effectiveness of Self Care-Management to Changes Blood Pressure In Hypertension Patients at Puskemas Bendo Pare Kediri Nurul Laili a,1* , Wahyu Tanoto b,2 a Stikes Karya Husada, Jl.Soekarno Hatta 7, Pare Kediri, Indonesia b Stikes Karya Husada, Jl.Soekarno Hatta 7, Pare Kediri, Indonesia 1 nurullaili230279@gmail.com* ; 2 wahyutanoto.ui@gmail.com ; * corresponding author A B S T R A C T Introduction: Hypertension can be defined as a systolic pressure of more than 140 mmHg and diastolic pressure greater than 90 mmHg. This disease is categorized as the silent disease because the patient does not know himself suffering from hypertension before checking his blood pressure. Morbidity and mortality due to hypertension can be controlled by self-care management to control the factors that affect blood pressure. This study aims to analyze the effectiveness of self-care management of changes in blood pressure in hypertensive patients. Method: The design of this study was analytic or analytical observational (non experimental) survey with cross sectional approach, and using sampling non probability sampling technique with purposive sampling involving 56 respondents. Results: Wilcoxon test results obtained Significancy value of blood pressure systole is 0,000 (p <0.05) and blood pressure diastole 0,233 (p> 0,05), mean that in blood pressure of sistole there is difference of mean in change of blood pressure, whereas in blood pressure of diastole there is no difference of mean which is meaningful between before and after giving self care management on Hypertension patient. Analysis: Self care management in hypertensive patients by modifying behavior and lifestyle changes such as: pharmacological therapy, weight loss, limiting alcohol consumption, reducing salt intake, healthy diet, smoking cessation, regular exercise / physical activity and relaxation. Conclusion: The results showed that by doing self-care management in hypertensive patients there can be a change of blood pressure systole, but there can be no change of blood pressure in diastole. Nevertheless self care management is expected to remain as a therapy in controlling blood pressure in patients with hypertension. Keywords: hypertension, blood pressure, self care management. Introduction Hypertension can be defined as a systolic pressure of more than 140 mmHg and diastolic pressure greater than 90 mmHg. Hypertension a syndrome of progressive cardiovascular disease (Thomas D.Giles, et al; 2009). Blood pressure is an important check in determining diagnosis. One of the problems of blood pressure abnormalities is increased blood pressure or hypertension. The phenomenon is caused by changes in the lifestyle of people globally, modernization has led to changes in lifestyle in the community, such as the easier to get fast food makes the consumption of fresh vegetables and fiber is reduced, then consumption of salt, fat, sugar, and calories are increasing, smoking, psychological stressors due to high life demands, lack of exercise, and not control weight regularly so that it plays a major role in increasing the incidence of hypertension. The prevalence of hypertension in Indonesia reaches 31.7% of the population at the age of 18 years and over. Approximately 60% of hypertensive patients end up in stroke. While the rest lead to heart disease, kidney failure, and blindness. Riskesdas (2013) mentioned the prevalence of hypertension in Indonesia by 26.5%. This disease is categorized as the silent disease because the patient does not know himself suffering from hypertension before checking his blood pressure. The prevalence of hypertension continues to increase, and the level of control varies, with the majority of people with hypertension under control. Inadequate client compliance and continuous ignorance of service providers the need to administer a holistic treatment protocol