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Background: The number of hypertension cases in Boyol ali Regency in 2019 was 26,685 people. Hypertension not only reduces the quality of life, but can also be life-threatening. A lifestyle that is less considered will be one of the factors for hypertension in the elderly. There are two treatments that can be given to people with hypertension, namely pharmacological and non-pharmacological treatments. Non-pharmacological therapy that can be done is physical activity such as exercise, one of which is ergonomic gymnastics. Objective: To describe the results of the implementation of ergonomic gymnastics in elderly people with hypertension in Kapurancak Village, Boyolali Regency. Method: this application with a case study that uses descriptive data collection methods and makes observations on 2 elderly respondents with a history of grade 2 hypertension. The instruments used are observation sheets, and sphygmomanometer. Results: After ergonomic exercise therapy for 20-30 minutes with a frequency of four times in two weeks showed a decrease in blood pressure in both respondents from grade 2 hypertension to grade 1 hypertension. Conclusion: Ergonomic exercise therapy can reduce blood pressure in the elderly.

Background: Elderly is someone aged 60 years and over. Factors causing hypertension are genetics, an unhealthy lifestyle. WHO in 2021 the number of hypertension sufferers will double to 1.28 billion due to population and aging in the world. One of the efforts made to lower blood pressure is hypertension exercise. Objective: To determine the effectiveness of hypertension exercise on the blood pressure of elderly in the Surakarta city area. Method: Descriptive with application to 2 respondents. Respondents had their blood pressure measured 10 minutes before doing the exercise, then they were given exercise for 30 minutes, once a week for 3 weeks, and their blood pressure was measured 15 minutes after doing the exercise. Results: After applying hypertension exercises for 3 weeks, it was found the average blood pressure of Mrs.S before the exercise was 144/93 mmHg, and Mrs.W is 148/97 mmHg. Then the average blood pressure of Mrs.S after doing the exercise was 133/89 mmHg, and Mrs.W is 133/90 mmHg. Conclusion there was a decrease in blood pressure before and after being given hypertension exercises in respondents, result of a decrease in Mrs.S's blood pressure by 11/4 mmHg and Ny.W's blood pressure by 15/7 mmHg.    

Hypertension is a non-communicable disease (ncd) which is a major problem in the health sector and continues to increase every year even though many preventive and promotive measures have been developed following advances in science and technology. to find out analysis of risk factors related to the incident of hypertension in heads of families in tatinang and tita mandiri village waesala regency seram bagin barat tahun 2024. This type of research uses quantitative methods with a cross sectional approach. sampling method used a total sample population of 133 people. data analysis was carried out using univariate, bivariate analysis with chi square and multivariate analysis with logistic regression. Based on the results of the stress logistic regression test, p = 0.042; smoking p = 0.998; alcohol p = 0.996, and diet p = 0.000. diet is the dominant factor with a logistic regression value of p = 0.000 with an or or exp (b) = 12,722. There is a relationship between stress levels, smoking, alcohol and diet. these are the most dominant factors related to the incidence of hypertension in the tatitang and tita mandiri hamlets, while the age factor is not related to the incidence of hypertension.

Hypertension is a health problem that is quite dangerous in the world, because it is a major risk factor for cardiovascular disease. Hypertension can be treated with nonpharmacological therapies, such as hypertension exercise and natural music therapy. The purpose of this study was to determine the effect of a combination of hypertension exercise and natural sound music therapy on reducing blood pressure in hypertension sufferers in the working area of ​​the Modo Health Center. The research design used a pre-experimental one group pre-post test design on 52 hypertensive patients who were selected using a consecutive sampling technique from a total population of 109. The intervention was in the form of giving a combination of hypertension exercise and natural sound music for 10-15 minutes according to the SOP for hypertension exercise and natural sound music. After that, it was analyzed using paired t-test. The results showed that the average blood pressure before treatment was 168.77/95.12 mmHg. After being given treatment the average blood pressure was 156.69/85.88 mmHg. The results of the pre-post systolic and pre-diastolic statistical tests obtained a significance value of p=0.000 (p<0.005), which means that there is an effect of a combination of hypertension exercise and natural sound music therapy on reducing blood pressure. The mechanism for reducing blood pressure after exercise is because exercise can relax blood vessels, so that by dilating blood vessels blood pressure will decrease. Providing natural sound music therapy can cause relaxation of arteriolar smooth muscles which play an important role in maintaining blood pressure. It is hoped that the combination of hypertension exercise and natural sound music therapy can be applied as an intervention at the Prolanis Health Center in Modo.

Background: Elderly is an aging process with increasing age which is characterized by a decrease in the ability of organ functions and an increase in the loss of active tissue, which makes the body more susceptible to various types of diseases. One of the diseases that elderly people often suffer from is hypertension or high blood pressure. One non-pharmacological treatment that can be done is the foot reflexology massage method..Purpose: To describe the results of comparing blood pressure before and after applying the foot reflexology massage method to elderly hypertensive people. Method: his study used a descriptive design on 2 elderly respondents with hypertension, which was carried out 3x a week with a frequency of 1x a day for 15-20 minutes. Results: There was a decrease in blood pressure after applying the foot reflexology massage method to Mrs. Y went from stage I hypertension to still being in the stage I hypertension category but has experienced a decline and Mrs. S from stage II hypertension to stage I hypertension.. Conclusion: Application of the foot reflexology massage method can reduce blood pressure in elderly people with hypertension.

Background: Hypertension is a condition where systolic blood pressure exceeds 140 mmHg and/or diastolic pressure exceeds 90 mmHg. One non-pharmacological method to reduce blood pressure is the recitation of Quranic verses. Method: The method used in this research is quantitative, employing a case study approach by comparing pretest and posttest results. Objective: This study aims to describe the effectiveness of murottal therapy in reducing blood pressure in clients with hypertension. Results: The application of Al-Qur'an Surah Ar-Rahman murottal therapy for 11 minutes at a volume of 41-60 dB on two respondents showed a decrease in blood pressure from 161/94 mmHg and 164/100 mmHg to 140/85 mmHg and 145/90 mmHg, respectively. This study discusses an intervention focused on auditory therapy. Conclusion: There is a reduction in blood pressure following the application of Al-Qur’an Surah Ar-Rahman murottal therapy.

Preeclampsia is a disease that appears with signs of hypertension, edema, and urine protein that arise due to pregnancy and childbirth. Childbirth with preeclampsia is one of the most critical problems in midwifery care. In Indonesia 30% of maternal deaths are caused by hypertension in pregnancy and in North Sumatra 9 the number of maternal deaths is always dangerously caused by preeclampsia. The aim of this service is to increase and increase knowledge and be able to empower pregnant women in the prevention and early detection of preeclampsia in pregnant women in Bangun Rejo village in 2024.. Results of service to the community shows that the implementation of counseling for pregnant women in improving the quality of life of pregnant women before and after carrying out counseling for pregnant women has obtained significant results in Bangun Rejo village. This can be seen, many pregnant women who have not carried out early detection of preeclampsia have a poor quality of life, as many as 23 people. (76.7%), but after providing counseling to pregnant women, the quality of pregnant women was good, as many as 27 people (90%) in the same group. It is hoped that pregnant women can improve their health by checking themselves from early pregnancy and looking at each examination for signs of preeclampsia and treating it immediately and early detection of preeclampsia can be carried out routinely in Bangun Rejo village once a month by having their pregnancy checked at the Health Facility in 2024.

Severe hypertension in the country is many. One effort can be made with non-pharmacological therapies in which practice is Senior Elastic Band Exercise in  combination with religious music therapy. The purpose of this research is to know how a combination of Senior Elastic Band (SEB) exercise and religious music therapies affect a drop in blood pressure on hypertensive patients in Bangeran Village, Dukun District, Gresik Regency. The design of this research uses pre-experimental, with a sample of 35 people taken consecutive samples. A combination of practice and religious music therapy is performed twice a week for 20 minutes each exercise. Research instruments using sphygmomanometer, observation sheet blood pressure and SOP. The data analyzed is pre intervention 1 and the post data intervention 2 uses the wilcoxon test. Studies show that action can affect drop in blood pressure before and after action with a value of p= 0,000 (p<0.05) against a systolic 13.43 mmHg and diastolic 6.54 mmHg. SEB exercises can improve flexibility, fitness, promote blood circulation and improve vascularization of lower blood pressure. Exposure to religious music causes the body to relax so that the heart pumps slower and there will be a drop in blood pressure. The POSBINDU of bangeran village need to take precautions non-pharmacological hypertension besides doing pharmacological treatment.

Clinical Features of End Stage Renal Disease (ESRD) will appear if urea blood levels is more than 200 mg/dl. Uremia can cause malfunctioning of all organ systems, such as; disorder of fluid and electrolyte balance, endocrine- metabolic, neuromuscular, cardiovascular and lung, skin, gastrointestinal, hematology and immunology systems. The objective of this study was to determine the clinical features of patients with ESRD that undergoing hemodialysis at RS Tk.II dr. Soedjono Magelang. This was a descriptive observational method based on secondary data obtained from medical records. Samples included all patients with ESRD underwent hemodialysis at RS Tk.II dr. Soedjono Magelang in 2023 who were fulfilled inclusion criteria, with total 104 samples. Data were analyzed by using univariate analysis. The study showed that patients with ESRD were mostly at ranged 40 to 60 years (62.5%) and predominantly men (59 patients, 56.7%). The most clinical features of the patient were moderate nutritional status (94.2%), with Hb concentration 7-10g/dl (68.3%), conjunctival anemia (62.5%), peripheral edema (53.8%), stage 1 hypertension (32.7%), weakness and tired (30.8%), and nausea (12,7%). The conclusion is the most common clinical features of the patients with ESRD undergoing hemodialysis at RS Tk.II dr. Soedjono Magelang were anemia, with first stage hypertension, moderate nutritional status and peripheral edema.

Hypertension is one of the diseases that perimenopausal mothers are susceptible to. Based on data at the Rajabasa Indah Community Health Center in 2022, the number of elderly hypertensive sufferers undergoing examination was 1050 people, this number has increased compared to 2021, which was 989 people and 2020, which was 793 people. The cause of high levels of hypertension is the lack of public attention to the importance of regular health checks. One effort to reduce hypertension is to give beet juice mixed with lime which contains nitrates and potassium which can reduce hypertension. The aim of the research was to determine the effect of beetroot juice mixed with lime on reducing hypertension in perimenopausal mothers at the elderly posyandu in Rajabasa Village, Bandar Lampung in 2024. Quantitative research type, one group pretest-posttest design. The population of this study was all perimenopausal mothers who experienced hypertension who were registered at the Posyandu for the Elderly, Rajabasa Village, Bandar Lampung, totaling 50 respondents. The sample for this research was 33 respondents. 250ml/day of beetroot juice mixed with lime was given for 7 consecutive days. Data collection used observation sheets, univariate and bivariate data analysis (paired sample t-test).Based on the research results, it is known that the average systolic blood pressure of perimenopausal mothers before being given beet juice mixed with lime was 158.15mmHg with a standard deviation value of 9.111mmHg, a minimum value of 145mmHg and a maximum value of 178mmHg, while the average systolic blood pressure of perimenopausal mothers after being given beetroot juice mixed with lime is 125.91mmHg with a standard deviation value of 8.064mmHg, a minimum value of 110mmHg and a maximum value of 141mmHg with a p-value of 0.000. And it is known that the average diastolic blood pressure of perimenopausal mothers before being given beetroot juice mixed with lime was 99.21mmHg with a standard deviation value of 4.477mmHg, a minimum value of 87mmHg and a maximum value of 105mmHg, while the average diastolic blood pressure after being given mixed beetroot juice lime is 83.03mmHg with a standard deviation value of 5.725mmHg, a minimum value of 74mmHg and a maximum value of 94mmHg with a p-value of 0.000. There is an effect of giving beetroot juice mixed with lime on reducing hypertension in perimenopausal mothers at the elderly posyandu, Rajabasa Village, Bandar Lampung in 2024    

Hypertension is a Non-Communicable Disease (NCD) characterized by elevated blood pressure above the normal value of 140/90 mmHg. Evaluation of antihypertensive drug use aims to ensure rational and effective medication use in hypertensive patients. Improper medication use can lead to treatment failure. The objective of this study is to evaluate the pattern of antihypertensive treatment among hypertensive outpatients at the Community Health Center (Puskesmas) of Sumberlawang Sub-District, Sragen in 2023. The research was descriptive observational with a cross-sectional study design. Sample selection used purposive sampling based on inclusion and exclusion criteria. The instrument for this study utilized medical records data of hypertensive outpatients at the Community Health Center (Puskesmas) Sumberlawang, Sragen from January to December 2023. Results from the study involving 100 hypertensive patients showed that the majority were female (78%), aged between 51-61 years (40%), with amlodipine being the most frequently used antihypertensive medication (62%), and Calcium Channel Blockers being the most commonly prescribed class of antihypertensive drugs (60%). Evaluation of antihypertensive treatment patterns among 100 patients revealed percentages indicating appropriate indication (100%), patient suitability (100%), correct drug selection (97%), and correct dosage (97%).

Background: The prevalence of hypertension in Indonesia in 2021 reached 34.1% or more than 70 million people, and in Central Java in 2021 hypertension patients reached 37.57%. One of the interventions that supports is isometric handgrip exercise, to reduce blood pressure. Objective: To determine the effect of isometric handgrip exercise on blood pressure in elderly with hypertension in Gringging Village, Sragen Regency. Methods: The type of research is quantitative, the research method uses Pre-Exsperiment with One Group Pre Test-Post Test design. Using nonprobability sampling technique with purposive sampling method. Sampling as many as 15 respondents. The research instrument uses a sphygmomanometer. Data analysis with wilcoxon test. Results: in the study isometric handgrip exercise was given for 5 consecutive days with a time of 3 minutes and each hand got 2 contractions with a duration of 45 seconds per contraction. The results of the Wilcoxon test obtained a p-value of 0.000 <0.05. Conclusion: There is a significant effect of isometric handgrip exercise on blood pressure in elderly with hypertension in Gringging Village, Sragen Regency.

Introduction: Hypertension is a chronic condition in which blood vessel walls experience increased blood pressure, requiring a faster heart rate to pump blood throughout the body. The presence of hypertension influences changes in the results of mean arterial pressure, if the mean arterial pressure is more than 100 mmHg it can cause cerebral circulation disorders resulting in cerebral vascular resistance in hypertensive patients. One non-pharmacological effort to overcome and reduce MAP can be done by providing foot massage therapy. Method: This type of research is quantitative research with a pre-experimental one group pre-post test design approach. The instruments used by researchers were a digital spygmomanometer and observation sheet. Results: Descriptive statistical results showed that the average MAP value before giving a foot massage was 112.49 mmHg and the average MAP after giving a foot massage was 108.43 mmHg. Conclusion: The results of the Wilcoxon sign rank test, a non-parametric statistical test, obtained a p value of 0.000 (? = 0.05). So that p < a, it can be concluded that H0 is rejected and H1 is approved, this shows that foot massage therapy can influence the results of mean arterial pressure in elderly hypertensive patients in the Kalijati Health Center working area. This research is expected to provide initial information by carrying out foot massage therapy 6 times in 6 consecutive days as an effort to control hypertension and reduce mean arterial pressure (MAP) results.

Hypertension is a problem that needs to be watched out for, because there are no specific signs and symptoms of hypertension and some people still feel healthy to do activities as usual. This is what makes hypertension a silent killer, people will realize they have hypertension when the symptoms they feel get worse and check themselves to health services (Purwono et al., 2020). Purpose: This study aims to determine the Relationship between Lifestyle Knowledge in the Elderly and Hypertension at the Anggrek Bulan Negeri Rutong Elderly Posyandu, Hutumuri Inpatient Health Center Work Area, South Leitimur District. Method: The research design used in this study was Quantitative with a correlational method. Results: There was a relationship between Lifestyle knowledge in the elderly and hypertension (ρ-value = 0.000). Conclusion: There is a relationship between Lifestyle and hypertension in the elderly at the Anggrek Bulan Negeri Rutong Posyandu, Leitimur District

A relaxation technique known as slow deep therapy is a non-pharmaceutical method for treating high blood pressure. The same matter goes for rose aromatherapy. The research attempts to relieve pregnant women’s hypertension using rose aromatherapy. This quasi-experimental research used a cross-sectional approach with one group pretest-posttest design. The respondents were 35 individuals taken with a total sampling technique. The results showed that 31 respondents (88.6%) were aged between 20 and 35 years, 20 of them were multigravida (57.1%), and 33 respondents had no concomitant disease (94.3%). Before the implementation of combined slow-deep breathing and rose aromatherapy, the mean score of pre-systolic blood pressure was 138.66 mmHg while the mean of pre-diastolic pressure was 86.69 mmHg. After the intervention, the pre-systolic blood pressure mean was 130.80 mmHg while the pre-diastolic blood pressure was 85.06 mmHg. The Wilcoxon statistic test obtained a p-value of 0.000 lower than 0.05, This means that there is an effect of Slow Deep Breathing therapy combined with Rose Aromatherapy on the blood pressure of pregnant women with hypertension at the Semarang City Health Center. It is hoped that the results of this research can be used as another alternative to reducing blood pressure in pregnant women with hypertension.      

Pregnancy is a physiological process and can be pathologically risky if there are changes in blood pressure and DJJ. Therefore, to maintain stable blood pressure or DJJ, prenatal yoga is needed. The purpose of this study was to determine the effect of prenatal yoga on blood pressure and DJJ. This research method is a quasi-experimental design using a one group pretest posttest design. Sampling of 50 respondents, using an observation sheet. The results of the study showed that the majority were aged 20-35 years as many as 43 respondents (86.0%), the majority of multigravida parity as many as 42 respondents (84.0%). Analysis of the average blood pressure pre-test 91.430 and post-test 84.810. In DJJ, the average pre-test was 144.48 and post-test 135.54, before being given prenatal yoga intervention showed MAP in the pre-hypertension category and DJJ in the normal category, then after being given intervention showed MAP and DJJ in the normal category. The conclusion of the statistical test using the paired sample t test obtained a MAP P-Value of 0.000 or P-Value ? 0.05 and for DJJ P-Value 0.000 or P-Value ? 0.05, namely Ha is accepted and Ho is rejected, which means that there is an effect of prenatal yoga on Blood Pressure and DJJ. Suggestions for further researchers to be able to add variables by involving her husband.

Stroke is a fuctional disorder tahat manifest as nerve paralysis, resulting from either an obstruction of blood flow to the brain due to a lock of oxygen or a cessation of blood supply due to blockage or bleeding. The risk factors are blood pressure, cholesterol, history of diabetes mellitus, history of smooking, atrial fibrillation, body mass index, physical activity, and family history of stroke. This study aims to determine the factors associated with stroke incidence. This typeof researchis descriptive and has a retrospective study design. The sampling technique used was accidental sampling wit a sample size of 60 respondents, where the population was 4355stroke patients. The research results used the stroke risk scorecard (SRSC)measuring tool. The statistical is Chi-square. The research results showed that the majority of respondents were erderly, aged 46-65 tahun years (80,0%), male (50,0%), female (50,0%) and had comorbid hypertension (56,7%). N  The Chi-square test revealed several risk factors, including blood pressuare, a history ofdiabetes mellitus,smoking history, atrial fibrilation, BMI, and family history of risk. Menwhile, the results of the multiple linear regression test show that the most dominant variable is physical activity, with a standardized cooefficient betta valueof 0,366. It is hoped that the results of this research can be used as a basis for input for health servise providers to provide comprehensive nursing care for stroke patients.  

Background: The impact of anemia in adolescents can be in the form of decreased immunity, concentration, learning achievement fitness & activity, if not properly addressed, when pregnant continues to become pregnant women with anemia, at risk of giving birth to premature babies or LBW and giving birth to the next generation of stunting which is not only short but has low intelligence (IQ), psychological disorders and is at risk of diabetes, hypertension, and other chronic diseases in the future. Prevention of anemia can be started from increasing adolescent hemoglobin levels using red guava juice which in 100 grams contains 228.3 grams of vitamin C which can help iron absorption up to 30%. Objective: to determine the effect of giving Red Guava Juice on increasing hemoglobin levels in adolescent girls. Method: using Quasi Experiment with the research design used is two group pre test- post test design. Giving Red Guava Juice with a dose of 100 grams taken 1x a day for 7 days and giving health care to the control group. The number of 30 respondents was divided into 2 groups and the data were analyzed using the Independent Sample T Test statistical test. Results: the test results showed p=0.00 <0.05 which means Ha is accepted. Conclusion: There is an effect of giving Red Guava Juice on increasing Hemoglobin levels in adolescent girls at SMA Negeri 1 Seputih Agung Lampung Tengah.

Hypertension is a cardiovascular disease and chronic medical condition in which blood pressure increases with systolic 140 mmHg and diastolic 90 mmHg. The longer the patient suffers from hypertension, it will lead to complications such as heart failure, kidney failure, and stroke and also cause physical symptoms such as psychological problems, namely anxiety, which can affect a person's quality of life. The purpose of this study was to determine the relationship between anxiety levels and quality of life in hypertensive patients at Kalijati Subang Health Center. The research method used is quantitative. The sampling technique in this study used purposive sampling and obtained a total sample of 91 people. Data analysis in this study used bivariate analysis with the Spearman RankTest. The study's results obtained a p-value of 0.001 (<0.05), which can be interpreted as a relationship between anxiety and quality of life in hypertensive patients at Piskesmas Kalijati Subang. The conclusion that can be explained is that the level of anxiety is related to the quality of life in hypertensive patients at the Kalijati Subang Health Center. From this study, it is hoped that puskesmas can maintain in intervening with patients who experience anxiety so that the quality of life in hypertensive patients is getting better.    

Soursop is a traditional medicinal plant used as a therapy for hypertension. One of them is Flavonoids which work as ACE inhibitors which will inhibit the change of AIR into AIR thereby reducing the secretion of antidiuretic hormone (ADH ) thus causing a drop in blood pressure.This study aims to determine the effect of boiled soursop leaves on reducing blood pressure in elderly people with hypertension in the Sukawangi Village area, Warungkondang District, Cianjur Regency in 2023. This research uses a quantitative experimental research method using a quasi-experimental design with pre and post using a one group pre test and post test design. The population in this study was elderly people suffering from hypertension in the Sukawangi Village area, Warungkondang District, Cianjur Regency with a sample of 17 people. The analysis used is Univariate and Bivariate using the Paired Sample T test. The blood pressure of hypertensive patients before being given soursop leaf decoction treatment to obtain information on the Mean Arterial Preasure value) before being given the intervention, the mean MAP value was 124.09 mmHg from 17 respondents. After being given the intervention, the results obtained were an average MAP value of 95.24 mmHg.That there is an effect of boiled soursop leaves on reducing blood pressure in elderly people with hypertension in the Sukawangi Village area, Warungkondang District, Cianjur Regency in 2023. Should be more overcoming the problems of the Indonesian people due to the increase in patients with hypertension.