Applying The Roy Adaptation Model: An Empowerment Approach to Build Psychosocial Resilience in Hypertensive Pregnant Women

Liliek Pratiwi, Siti Harnina Bintari, Dina Nur Anggraini Ningrum, Chatila Maharani

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ABSTRACT

 

Hypertensive Disorders of Pregnancy (HDP) significantly drive Maternal Mortality Rates (MMR) in Garut Regency, exacerbated by poor psychosocial support. This program aimed to empower hypertensive pregnant women by enhancing psychosocial resilience through Roy’s Adaptation Model. Using a Participatory Technology Development approach, 30 pregnant women with gestational hypertension or mild preeclampsia at Tarogong Public Health Center participated in a four-session workshop addressing physiological, self-concept, role function, and interdependence modes. Pre- and post-tests evaluated knowledge, resilience via the Connor-Davidson Resilience Scale (CD-RISC), and blood pressure stability. Participants with 'Good' knowledge surged from 10% to 86.7%. Resilience scores substantially improved in self-concept (+35.7), role function (+27.3), and interdependence (+31.3), shifting coping mechanisms from maladaptive to adaptive. Clinically, average blood pressure decreased by 14.4 mmHg (systolic) and 8.7 mmHg (diastolic), with 83.3% of participants achieving controlled, stable levels. Interventions based on Roy's Adaptation Model effectively strengthen the psychosocial and physiological capacities of hypertensive pregnant women. Integrating a sustainable WhatsApp consultation group with village midwives serves as a vital preventive strategy for early detection and maternal mortality reduction.

 

Keywords: Blood Pressure Stability, Hypertensive Disorders of Pregnancy, Psychosocial Resilience, Roy's Adaptation Model.


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Blood Pressure Stability, Hypertensive Disorders of Pregnancy, Psychosocial Resilience, Roy's Adaptation Model.

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Referensi


Alligood, M. R. (2021). Nursing Theorists and Their Work (10th ed.). Elsevier Health Sciences.

Brown, A., & Davis, L. (2025). Psychosocial resilience and physiological outcomes in high-risk pregnancies. Journal of Maternal-Child Nursing, 40(1), 12-25.

Dinas Kesehatan Kabupaten Garut. (2023). Profil Kesehatan Kabupaten Garut Tahun 2022. Dinas Kesehatan.

Garcia, M., & Lee, H. (2024). The future of maternal healthcare: Integrating public health and advanced nursing models. Journal of Public Health Nursing, 41(2), 112-125.

Gillon, T. E., Pels, A., von Dadelszen, P., & Magee, L. A. (2020). Hypertensive disorders of pregnancy: A systematic review of international clinical practice guidelines. PLoS ONE, 15(12), e0244125.

Johnson, R. T., & Smith, A. K. (2023). Socio-ecological approaches to reducing maternal mortality: A public health perspective. Global Health Action, 16(1), 2145678.

Liliek Pratiwi, Aticeh Aticeh, Winancy Winancy, Endah Dian Marlina, Raudhatul Munawaroh, Mudy Oktiningrum, & Tresia Umarianti. (2024). Determinants of Hypertension in Pregnancy (HDK) Disorders. International Journal of Health and Social Behavior, 1(4), 107–113. https://doi.org/10.62951/ijhsb.v1i4.128

Miller, K. S., Thompson, R., & Garcia, M. (2023). Needs analysis of hypertensive pregnant women in urban settings: A qualitative study. International Journal of Nursing Practice, 29(3), e13102.

Pemerintah Provinsi Jawa Barat. (2024). Laporan Kinerja Instansi Pemerintah (LKjIP) Dinas Kesehatan Provinsi Jawa Barat Tahun 2023. Dinas Kesehatan Provinsi Jawa Barat.

Smith, J. A., & Jones, L. B. (2022). The impact of gestational hypertension on maternal mental health: A systematic review. Women and Birth, 35(4), 310-318.

Taylor, S., & White, P. (2024). Nursing interventions based on Roy's Adaptation Model for chronic illness management. Nursing Science Quarterly, 37(2), 145-154.

Turner, J. A. (2020). Diagnosis and management of pre-eclampsia: An update. International Journal of Women's Health, 12, 1107-1116.

Ward, L., & Mitchell, K. (2021). The role of social support systems in reducing maternal stress for high-risk hypertensive pregnancies. Journal of Advanced Nursing, 77(9), 3780-3791.

Wijaya, A., & Lestari, S. (2022). Efektivitas model adaptasi roy terhadap tingkat kecemasan dan status fisiologis ibu hamil trimester III dengan preeklampsia. Jurnal Keperawatan Klinis Indonesia, 13(2), 88-97.

Williams, P., & Davis, C. (2025). Shifting paradigms: Psychosocial resilience in community nursing interventions. Nursing Outlook, 73(1), 55-64.

Xu, Y., & Zhang, H. (2023). Psychological resilience training interventions for high-risk pregnant women: A randomized controlled trial. International Journal of Behavioral Medicine, 30(4), 542-553.

Yanti, R., & Handayani, T. (2024). Analisis faktor keterlambatan rujukan (Three Delays) pada kasus kegawatdaruratan eklamsia di Jawa Barat. Jurnal Kesehatan Masyarakat, 19(1), 45-56.

Zhang, L., & Roberts, S. (2025). Neural and endocrine pathways linking maternal psychosocial stress to gestational hypertension. Frontiers in Endocrinology, 16, e10432.

Zimmerman, M. A., & Carter, R. (2021). Community-based participatory research (CBPR) and empowerment models in maternal health promotion. Health Education & Behavior, 48(3), 295-308.




DOI: https://doi.org/10.33024/jkpm.v9i7.26287

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