VYODIA untuk Pengelolaan Hipertensi pada Pasien Hemodialisis
DOI:
https://doi.org/10.25047/j-remi.v7i2.6487Keywords:
Android, Behaviour Change Wheel, Hemodialysis, Hypertension, YogaAbstract
Hypertension among hemodialysis patients is a serious health concern, with a prevalence of 34.1%, increasing the risk of cardiovascular disease, renal complications, and economic burden. Suboptimal management of hypertension may lead to a decline in patients’ quality of life. This study aims to develop a mobile application, VYODIA-App, which provides personalized yoga video interventions to assist hemodialysis patients in managing blood pressure. The application was developed using the Behaviour Change Wheel framework to analyze factors influencing patients’ behavioral changes in engaging with yoga therapy, and the Successive Approximation Model, applied iteratively to ensure that the application meets user needs. Usability testing using the System Usability Scale involving 32 respondents yielded a score of 77.1, indicating good user acceptability, although there remains room for improvement in interface design and response speed. The application addresses identified barriers by offering educational modules to enhance users’ understanding of yoga, providing time flexibility through automated reminders, and incorporating anonymity features to increase motivation. Supportive policies for mobile application use in healthcare settings, along with training for healthcare professionals, are also considered essential for successful implementation.
References
[1] A. Silvianah and I. Indrawati, “Hubungan Kepatuhan Minum Obat Hipertensi dengan Perubahan Tekanan Darah pada Lansia di Posyandu Lansia,” J. Keperawatan, vol. 17, no. 2, pp. 52–61, Jul. 2024, doi: 10.56586/jk.v17i2.361.
[2] S. Syahrizal, H. Kurniawan, N. Wijaya, R. Rifqatunnisak, and C. D. Anggreiny, “Studi Kasus: Edukasi Aspek Preventif pada Pengelolaan Hipertensi,” ABDIKAN J. Pengabdi. Masy. Bid. Sains dan Teknol., vol. 4, no. 1, pp. 11–21, Feb. 2025, doi: 10.55123/abdikan.v4i1.4804.
[3] T. T. Maskoen and D. Akbar, “Injuri Ginjal Akut Akibat Sepsis pada Pasien di ICU,” JAI (Jurnal Anestesiol. Indones., vol. 15, no. 1, pp. 69–85, Mar. 2023, doi: 10.14710/jai.v0i0.49464.
[4] P. E. Stevens et al., “KDIGO 2024 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease,” Kidney Int., vol. 105, no. 4, pp. S117–S314, Apr. 2024, doi: 10.1016/j.kint.2023.10.018.
[5] I. Rismawan and N. Renaningtyas, “Peluang Efisiensi Layanan Hemodialisa di Rumah Sakit Tipe C dengan Sistem Pembayaran JKN: Systematic Literature Review,” J. Kesehat. Tambusai, vol. 4, no. 3, pp. 4477–4492, 2023, doi: https://doi.org/10.31004/jkt.v4i3.17226.
[6] P. J. Blankestijn et al., “Effect of Hemodiafiltration or Hemodialysis on Mortality in Kidney Failure,” N. Engl. J. Med., vol. 389, no. 8, pp. 700–709, Aug. 2023, doi: 10.1056/NEJMoa2304820.
[7] M. Evans et al., “A Narrative Review of Chronic Kidney Disease in Clinical Practice: Current Challenges and Future Perspectives,” Adv. Ther., vol. 39, no. 1, pp. 33–43, Jan. 2022, doi: 10.1007/s12325-021-01927-z.
[8] A. J. Parekh and A. Prakasam, “Effectiveness of Yoga and Meditation on Quality of Life Among Patients Undergoing Hemodialysis,” Indian J. Nephrol., vol. 34, pp. 533–536, Jun. 2024, doi: 10.25259/IJN_98_2024.
[9] V. Raghunandan and A. A. Saoji, “Modified yoga program for Chronic Kidney Disease (CKD) patients undergoing hemodialysis: Study protocol for a randomized controlled trial,” Adv. Integr. Med., vol. 11, no. 4, pp. 285–290, Dec. 2024, doi: 10.1016/j.aimed.2024.08.013.
[10] Z. KauricKlein, “Effect of yoga on physical and psychological outcomes in patients on chronic hemodialysis,” Complement. Ther. Clin. Pract., vol. 34, pp. 41–45, Feb. 2019, doi: 10.1016/j.ctcp.2018.11.004.
[11] W. T. Pratama, I. P. Y. P. Putra, and I. V. Juhanna, “Yoga sebagai Penanganan Kasus Hipertensi,” J. Syntax Admiration, vol. 5, no. 3, pp. 1032–1039, Apr. 2024, doi: 10.46799/jsa.v5i3.1082.
[12] I. Nurhidayati, M. Muflih, and R. Erwanto, “Persepsi Lansia Terhadap Penggunaan Terapi Komplementer dan Alternatif Sebagai Mitigasi Masalah Kesehatan,” J. Keperawatan Komplementer Holist., vol. 2, no. 2, pp. 14–23, 2024.
[13] L. A. Baker et al., “Clinical practice guideline exercise and lifestyle in chronic kidney disease,” BMC Nephrol., vol. 23, no. 1, pp. 1–36, Feb. 2022, doi: 10.1186/s12882-021-02618-1.
[14] A. A. Loujien, Z. A. Anwari, P. D. Maharanny, K. D. A. Kusuma, and G. S. Mahendra, “Penginputan Data Donor Darah PMI Menggunakan Aplikasi Berbasis Website,” J. Teknol. Ilmu Komput., vol. 1, no. 1, pp. 1–6, 2022, doi: https://doi.org/10.56854/jtik.v1i1.30.
[15] R. A. Pradana, A. A. Supianto, and A. D. Herlambang, “Pengembangan Platform Pelatihan Programming DB2 berbasis Moodle menggunakan Successive Approximation Model (SAM),” J. Pengemb. Teknlogi Inf. dan Ilmu Komput., vol. 5, no. 5, pp. 1721–1728, 2021.
[16] A. Kusumaningtyas and P. Prihandoko, “Evaluasi Layanan Kesehatan Aplikasi Depok Single Window Dengan Metode System Usability Scale dan Heuristic Evaluation,” J. Teknol. Inf. dan Ilmu Komput., vol. 11, no. 1, pp. 167–174, Feb. 2024, doi: 10.25126/jtiik.20241117714.
[17] A. R. Maulana, A. Amrulloh, and M. Septiara, “Evaluasi Usability pada Aplikasi Rsms Online Menggunakan Metode System Usability Scale (SUS),” JATI (Jurnal Mhs. Tek. Inform., vol. 8, no. 4, pp. 5674–5682, Jun. 2024, doi: 10.36040/jati.v8i4.10009.
[18] I. K. Wardani, P. Utomo, A. Budiman, and D. N. Amadi, “Pemanfaatan Metode Design Thinking dan Pengujian SUS untuk UI/UX Aplikasi Home Care Madiun Berbasis Android,” J. Comput. Inf. Syst. Ampera, vol. 4, no. 2, pp. 106–125, 2023, doi: https://doi.org/10.51519/journalcisa.v4i2.399.
[19] Y. Amraeni, Issu Kesehatan Masyarakat dalam SDG’s. Pekalongan: Penerbit NEM, 2021.
[20] Y. Widjaja, W. Tjongarta, and W. H. Fadhilah, “Peningkatan Pengetahuan Pencegahan Hipertensi Pada Masa Pandemi Covid-19,” in Prosiding SENAPENMAS, Nov. 2021, pp. 683–689. doi: 10.24912/psenapenmas.v0i0.15078.
[21] M. Nurtandhee, “Estimasi Biaya Pelayanan Kesehatan sebagai Upaya Pencegahan Defisit Dana Jaminan Sosial untuk Penyakit Gagal Ginjal,” J. Jaminan Kesehat. Nas., vol. 3, no. 2, pp. 84–101, Dec. 2023, doi: 10.53756/jjkn.v3i2.104.
[22] I. K. A. Asmarajaya and G. S. Mahendra, “Konservasi Wayang Kamasan dengan Permainan Jigsaw Puzzle pada Smartphone Android Menggunakan Successive Approximation Model,” TEKNOMATIKA, vol. 13, no. 2, pp. 17–27, 2023, doi: https://doi.org/10.61423/teknomatika.v13i02.627.
[23] N. Bansal et al., “Hypertension in Patients Treated With In-Center Maintenance Hemodialysis: Current Evidence and Future Opportunities: A Scientific Statement From the American Heart Association,” Hypertension, vol. 80, no. 6, pp. 1–11, Jun. 2023, doi: 10.1161/HYP.0000000000000230.
[24] Y. Wu et al., “Yoga as Antihypertensive Lifestyle Therapy: A Systematic Review and Meta-analysis,” Mayo Clin. Proc., vol. 94, no. 3, pp. 432–446, Mar. 2019, doi: 10.1016/j.mayocp.2018.09.023.
[25] R. Suetsugu-Ishizawa et al., “Efficacy of a mobile health application on self-management among Japanese patients with chronic kidney disease,” Clin. Exp. Nephrol., vol. 29, no. 10, pp. 1354–1362, Oct. 2025, doi: 10.1007/s10157-025-02713-9.
[26] K. Kostopoulou et al., “Multidomain Behavioral Change Digital Coaching for Chronic Disease Management in Patients With Type 2 Diabetes: Framework Development and Preliminary Evaluation,” JMIR Form. Res., vol. 9, pp. 1–20, Jul. 2025, doi: 10.2196/73807.
[27] N. Couto et al., “Behavior change wheel as a tool to promote physical activity in online intervention: a case study,” Front. Psychol., vol. 16, pp. 1–11, Apr. 2025, doi: 10.3389/fpsyg.2025.1498351.
[28] J. Farao, B. Malila, N. Conrad, T. Mutsvangwa, M. X. Rangaka, and T. S. Douglas, “A user-centred design framework for mHealth,” PLoS One, vol. 15, no. 8, pp. 1–18, Aug. 2020, doi: 10.1371/journal.pone.0237910.
[29] M. T. Truong et al., “A Yoga Exercise App Designed for Patients With Axial Spondylarthritis: Development and User Experience Study,” JMIR Form. Res., vol. 6, no. 6, pp. 1–12, Jun. 2022, doi: 10.2196/34566.
[30] K. Albrink, D. Schröder, C. Joos, F. Müller, and E. M. Noack, “Usability of an App for Medical History Taking in General Practice From the Patients’ Perspective: Cross-Sectional Study,” JMIR Hum. Factors, vol. 11, pp. 1–15, Jan. 2024, doi: 10.2196/47755.
[31] M. T. Khah, Z. Farsi, and S. A. Sajadi, “Comparing the effects of mHealth application based on micro-learning method and face-to-face training on treatment adherence and perception in haemodialysis patients: a randomised clinical trial,” BMJ Open, vol. 13, no. 6, pp. 1–10, Jun. 2023, doi: 10.1136/bmjopen-2023-071982.
[32] H. Mumtaz et al., “Current challenges and potential solutions to the use of digital health technologies in evidence generation: a narrative review,” Front. Digit. Heal., vol. 5, pp. 1–8, Sep. 2023, doi: 10.3389/fdgth.2023.1203945.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Ni Wayan Udayani, Marwati Marwati, I Made Agus Widiana Putra

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.



