The Relationship Between Participation in the Chronic Disease Management Program (Prolanis) and Physical Activity with Blood Pressure Stability Among Older Adults in the Working Area of Andoolo Community Health Center

Abstract

Hypertension in the elderly requires comprehensive management to prevent cardiovascular complications. This study aims to determine the relationship between Prolanis participation and physical activity with blood pressure stability in the elderly. This quantitative study utilized a cross-sectional design. A sample of 35 respondents was selected using a total sampling technique. Program participation and physical activity level data were collected through questionnaires, while blood pressure stability was sourced from medical records in April 2026. Bivariate data analysis was performed using Fisher's Exact Test.The results showed that the majority of respondents actively participated in Prolanis (82.9%), engaged in heavy physical activity (74.3%), and had stable blood pressure (85.7%). Statistical analysis revealed no significant relationship between Prolanis participation and blood pressure stability (p = 0.195), and no significant relationship between physical activity level and blood pressure stability (p = 1.000).The absence of a statistical relationship was driven by the homogeneity effect and the ceiling effect, where the elderly's blood pressure was already uniformly stable (homogeneous) due to routine program attendance and regular physical labor (farming). In conclusion, from a community nursing clinical perspective, the combination of Prolanis and daily physical activity significantly contributes to maintaining cardiovascular health in the elderly, despite being statistically insignificant due to data uniformity. Public health centers (Puskesmas) are advised to maintain the Prolanis program and enhance independent monitoring regarding medication adherence and low-salt diet compliance at home