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Hypertension is one of the most common cardiovascular diseases and is most common in society. Hypertension is now a major problem for all of us, not only in Indonesia but in the world, because hypertension is a risk factor for heart disease, kidney failure, diabetes and stroke (Indonesian Ministry of Health, 2019). Data from the World Health Organization (WHO) in 2018 shows that around 1.13 billion people in the world have hypertension, meaning that 1 in 3 people in the world are diagnosed with hypertension. The number of people with hypertension continues to increase every year, it is estimated that by 2025 there will be 1.5 billion people affected by hypertension and it is estimated that every year 10.44 million people die due to hypertension and its complications (Ministry of Health, 2019). Based on Riskesdas 2018, the prevalence of hypertension based on measurement results in the population aged 18 years was 34.1%, the highest in South Kalimantan (44.1%), while the lowest was in Papua (22.2%). Hypertension occurred in the age group 31-44 years (31.6%), age 45-54 years (45.3%), age 55-64 years (55.2%). From the prevalence of hypertension of 34.1%, it is known that 8.8% were diagnosed with hypertension and 13.3% of people diagnosed with hypertension did not take medication and 32.3% did not regularly take medication. This shows that the majority of hypertension sufferers do not know that they have hypertension and therefore do not receive treatment (Ministry of Health, 2019).

Hypertension causes high rates of morbidity (sickness) and mortality (death). Hypertension is an increase in blood pressure in systolic and diastolic that comes and goes or persists. Hypertension is pressure higher than 140/90mmHg (Pangestika et al., 2022). Hypertension is also called the silent killer because this disease does not have specific symptoms, can attack anyone, and can cause degenerative diseases, even death (Yanita N.I.S, 2022).

In the digital era and now it stimulates human life in the world to adopt new patterns such as eating patterns and so on. The current era of information technology and globalization has brought many changes to people's lives, including changes in lifestyle, especially diet. Consuming excessive amounts of fast food can cause various health problems, such as obesity (overweight), diabetes (diabetes), hypertension (high blood pressure), atherosclerosis (hardening of the arteries), coronary heart disease, appendicitis (appendicitis), stroke, cancer. , and others (Amalia et al., 2022). Appendicitis is a health problem that often occurs in Indonesia. Appendicitis requires surgical intervention, because it is an acute inflammation (Rahayu et al., 2021).

Hypertension is now a global problem because its prevalence continues to increase in line with lifestyle changes. Blood pressure that continues to increase causes the heart's workload to become excessive, triggering damage to blood vessels, heart failure, kidney failure, and blindness. Hypertension can be treated with non-pharmacological techniques, one of which is with morning walks. Purpose: to determine the effect of implementing morning walks on blood pressure in elderly people with hypertension in Bendungan Village, Sragen Regency. Method: This research method is a case study and descriptive research using pretest and posttest observation sheets. In this case study, the researcher used a tensimeter to measure the respondent's blood pressure, carried out for 30 minutes a week (frequency 4 times). Results: The results of the implementation showed that there was a different decrease in blood pressure between respondent 1 and respondent 2 after implementing morning walks for 30 minutes 4 times a week. Both respondents were categorized as grade 2 hypertension decreasing to degree 1 hypertension. Conclusion: The conclusion from the application results is that the rate of decrease in blood pressure in Mrs. M is greater, namely systolic pressure of 24 mmHg diastolic 1 mmHg while Ny. W decreased systolic pressure 15 mmHg diastolic 6 mmHg.

Background: Diabetes Mellitus (DM) is a group of metabolic diseases characterized by hyperglycemia. Type 2 diabetes mellitus is the most common type of diabetes mellitus, accounting for about 90% of all diabetes cases. If not treated immediately can cause damage to the eyes, kidneys, heart disease, hypertension, stroke and even cause gangrene. One of the non-pharmacological treatments is progressive muscle relaxation therapy. Objective: To determine changes in blood sugar levels in patients with type 2 diabetes mellitus before and after progressive muscle relaxation therapy. Method: Descriptive method with a case study approach to 2 respondents in Jengglong Hamlet, Karanganyar Regency. The duration of giving progressive muscle relaxation therapy to respondents was 20 minutes in the morning and evening for 7 days from 25 May 2023 to 31 May 2023. Results: The blood sugar levels of the two respondents before applying progressive muscle relaxation therapy were 243 mg/dL and 255 mh/dL. After application, blood sugar levels dropped to 167 mg/dL and 221 mg/dL. Conclusion: The application of progressive muscle relaxation is able to reduce blood sugar levels in both type 2 diabetes mellitus patients in Jengglong Hamlet, Karanganyar Regency.

Background; Blood pressure can be said to be normal depending on a person's age and daily activities. Based on data from the World Health Organization (WHO) in 2019 shows around 1.13 million people in the world have hypertension. Non-pharmacological methods of reduction are by exercise, one of which is hypertensive gymnastics. Tera gymnastics is a physical and mental exercise combined with motion. Tera gymnastics has many benefits, one of which is improving heart conditions and blood circulation and can control blood pressure. Purpose; Knowing the results of the application of tera gymnastics on blood pressure in the elderly in Sragen Wetan District. Method; This research design uses a case study method with a descriptive research method on hypertensive elderly using a spygmomanometer. Result; Blood pressure before the application of tera gymnastics in respondents was included in the category of Grade I hypertension. There were differences in the development of blood pressure in the elderly with hypertension before and after the tera gymnastics intervention became Grade I hypertension. Conclusion; There are differences in development before and after tera gymnastics in the elderly with hypertension.  

Hypertension is a condition that experiences an abnormal increase in blood pressure, the elderly are said to be hypertensive if their blodd pressure reaches ≥130/80 mmHg and is a non-communicable disease. A study has been carried out regarding the Evaluation of Prescribing in Outpatient Geriatric Hypertension Based on the Beers Criteria for Internal Medicine at RSUD dr. Soekardjo City of Tasikmalaya using a descriptive method of retrospective medical record data of hypertensive geriatric patients. This study aims to determine the treatment profile and the percentage of drug use included in the 2019 beers criteria list. The results showed that the most commonly prescribed treatment combination in this study was the combination of the ACE Inhibitor drug class (Ramipril) and the CCB drug group (Amlodipine), and Inappropriate drug prescribing in geriatric patients with hypertension in the outpatient installation of RSUD dr. Soekardjo City of Tasikmalaya in the 2020 period is still high with the number of inappropriate prescriptions as many as 47 (67,1%) prescriptions classified as PIMs (Potentially Inappropriate Medication). So it can be concluded that the high mismatch of therapy can be caused becaused because patients receive more than one drug that is not suitable for geriatric when getting drug prescriptions and to reduce these incidents it can be done by increasing the selection os safe drugs in geriatric using the 2019 beers criteria

Background: Age 60 years and over is the final stage of the aging process which has a biological impact, one of which is susceptibility to disease, for example hypertension, which is a chronic increase in blood pressure of more than 140/90 mmHg. Cases of elderly people with hypertension in Susukan Village, according to the elderly posyandu cadres, were 53 people. Hypertension can be treated pharmacologically by using drugs and non-pharmacologically by therapy with warm water foot soaks. Purpose: Knowing the difference in blood pressure before and after soaking feet in warm water. Methods: This case study is intended to obtain the results of applying warm water foot soaks to elderly people with hypertension with two elderly people living in Susukan Village, Semarang Regency as subjects. Results: After soaking the feet, it was found that the average decrease in systolic blood pressure in Mrs. H 6 mm Hg and Mrs. N 5 mmHg while the average diastolic blood pressure in Mrs. H 5 mm Hg and on Mrs. N 4 mmHg every day. Conclusion: Researchers concluded that there was a decrease in blood pressure after a 5-day study as indicated by a decrease in systolic pressure in Mrs. H 28 mm Hg and Mrs. N 24 mmHg while there was a decrease in diastolic in Ny. H 23 mmHg and Mrs. N 18 mmHg.

. Hypertension is a problem that needs attention because it does not have extraordinary manifestations. One procedure that can be used to overcome the problem of hypertension is non-pharmacological vegetables and other natural ingredients. The aim of this study was to determine the effect of giving labusiam therapy in reducing blood pressure in hypertensive patients. Method: This research is quantitative using a pre-experimental design method with a one group pre-post test design. The number of samples used was 15 respondents, the sampling technique used an accidental sampling approach. The statistical test in this study used the Wilcoxon Test. This research was conducted in Bogor, West Java. Results: It is known that the average MAP value before the intervention was 117 mmHg and after the intervention it decreased to 106 mmHg. Based on the Wilcoxon test, it is known that there is a difference in the average MAP value before and after the intervention (0.001 < 0.005). Conclusion: givinbusiam food has a significant positive effect on reducing blood pressure in hypertensive

Degenerative disease is a health condition of an organ or related tissue whose condition can deteriorate over time due to changes in body cells that affect organ function as a whole. The factor is due to unhealthy life changes such as lack of activity and frequent exposure to harmful substances into the body. Degenerative diseases include hypertension, diabetes, cholesterol, cancer, and death. Harmful substances or free radicals can be inhibited by antioxidants. One drug that has antioxidant activity is ascorbic acid (Vitamin C) which functions as an immune booster and is used by the public because it is effective as an antioxidant and health therapy but there are side effects in the form of gastrointestinal. The research aimed to find candidate drug ingredients from compounds contained in black pepper seeds (Piper nigrum L.) as in silico antioxidants. The methods used are molecular docking and molecular dynamics. The results showed BLH19 had better toxicity than the comparator drug and had hydrogen interactions that could be stabilized by the amino acid Gln139. The results of molecular dynamic calculations for BLH19 have an RMSD value of 1.5 Å with a ΔGTotal of -33.50 Kcal/mol. While the comparator drug has an RMSD value of 1.6 Å with ΔGTotal -3.39 Kcal/mol. The results showed that the affinity level of ascorbic acid compared to BLH19 for the 4RP9 receptor was predicted to be a candidate for a new antioxidant drug.

Background; Hypertension in the elderly increases every year, in Pacitan Regency there are 6,211 people, in Nawangan District there are 1,290 people with hypertension and in Sempu Village there are 87 elderly people with hypertension. The cause of high hypertension is influenced by lifestyle, scale factors and environmental factors, and if not immediately overcome it will cause premature death and disability rates for sufferers.Purpose; Knowing changes in blood pressure in elderly people with hypertension before and after the application of ergonomic gymnastics. Method; This application is with descriptive research methods and observing an event. Descriptive research is research conducted to describe or describe an event that occurs in society. Result; The results of blood pressure measurements before ergonomic exercise were carried out on the two respondents, namely Mrs.T with a blood pressure of 165/90 mmHg and Mrs. W with a blood pressure of 160/100 mmHg, both classified as having stage 2 hypertension or moderate hypertension.. The results of blood pressure measurements after ergonomic exercise on Mrs. T 150/80 mmHg and Mrs. W to 140/90 mmHg classified as stage 1 or mild hypertension.. Conclusion; This ergonomic exercise can lower blood pressure in elderly people with hypertension

Background; Hypertension is a "sillent killer" disease that is mostly experienced by the elderly. According to data from the World Health Organization (WHO) in 2021, the prevalence is 1.28 billion people with hypertension aged 30-79 years. The prevalence of the elderly in the world and Indonesia continues to increase because the elderly experience a decline in physical conditions, including the cardiovascular system, which increases the risk of degenerative diseases such as hypertension. Therefore, progressive muscle relaxation can be used as an alternative therapy for the elderly with hypertension. The Objectives of the research; Knowing the results of the implementation of progressive muscle relaxation on blood pressure in the elderly with hypertension. Method; This application uses a case study method by observing blood pressure in two elderly respondents. The instruments used are observation sheets, sphygmomanometer, and stopwatch. Results; After application for 20 minutes with a frequency of four times a week for two consecutive weeks showed a decrease in blood pressure in both respondents to prehypertension. Summary; Progressive muscle relaxation therapy can potentially reduce blood pressure in the elderly with hypertension.

Hypertension is one of the issues challenging the medical community today. In Indonesia, the prevalence of hypertension is 34.1%, or 63,309,630 million individuals. Since hypertension is frequently referred to as the "silent killer," it needs to be treated right once in order to prevent problems like heart failure, stroke, and kidney failure as well as other disorders caused by hypertension. One of the treatments for hypertension is complementary therapy such as yoga therapy. Objective: This research aims to determine the changes in blood pressure as a result of the implementation of yoga exercises in hypertensive patients in Jebres Village, Surakarta City. Methods: This research used a descriptive case study  method by observing 2 female respondents aged 45-55 years who were given the implementation of yoga exercises for 4 meetings in 2 weeks with a time of ± 15-20 minutes. Results: Blood pressure dropped following the application of yoga exercises, and grade 1 patients were included. Conclusion: The application of yoga exercises can reduce blood pressure in patients with hypertension.

Hypertension is a condition where the systolic pressure is above 140 mmHg, while the diastolic pressure is above 90 mmHg. Some hypertension patients often complain of headache, weakness, fatigue, shortness of breath, restlessness, nausea and vomiting, epistaxis and decreased consciousness. This can cause sleep problems in hypertensive patients. Sleep disorders are a collection of conditions characterized by disturbances in the amount, quality or timing of sleep in an individual. One technique to improve sleep quality is progressive muscle relaxation therapy and murotal Al-Quran.This research method uses Pre-Experimental with one group pre-post test approach. The population is 40 respondents and uses a total sampling (technique).The instrument used was a sleep quality questionnaire, measured by the Indonesian version of the Pittsburgh Sleep Quality Index (PSQI), then data were collected through Editing, Coding, Scoring, and Tabulating processes. The data obtained were analyzed using the Wilcoxon test.The results showed that the average value of sleep quality before progressive muscle relaxation and murotal Al-Quran therapy was performed was 8.30, while after progressive muscle relaxation and murotal Al-Quran the average value of sleep quality was 6.08. The results of the analysis test showed that there was an effect of progressive muscle relaxation therapy and murotal Al-Quran on improving sleep quality of hypertensive patients with -value = 0.000 <α = 0.05. This therapy performs 15 relaxation movements accompanied by the sound of murotal Al-Quran which makes a person relax and calm so that this calmness acts as a pain reliever that makes the patient happy and gives positive energy in a person. this makes the mood to be happy so as to create a good quality sleep.   Keywords: Hypertension, sleep quality, progressive muscle relaxation therapy and murotal Al-Quran.  

Hypertension is a condition in which blood vessels have high blood pressure (systolic blood pressure ≥140 mmHg or diastolic blood pressure ≥ 90 mmHg). Hypertension is often referred to as the silent killer because it can attack anyone suddenly and it is a disease that can result in death. This community service aims to invite the public to understand the emergency management of the elderly with hypertension. This community service was carried out for 30 people with hypertension at RT 013 RW 007 Kel. Kedaung Kec. Cengkareng, West Jakarta. This activity was carried out on July 8 2022, including; checking blood pressure and education on emergency management of elderly people with hypertension. The knowledge evaluation instrument uses a hypertension knowledge questionnaire and blood pressure assessment using a sphygmomanometer. Providing emergency education for the elderly with hypertension increases the knowledge score, the score before is 42 and the score after is 83 so that the post-test score increases 98% from the pre-test score. The results of blood pressure examinations for elderly people with BP > 140/90 mmHg were 21 people (70%) and elderly people with BP < 140/90 mmHg were 9 people (30%). Providing emergency education for the elderly with hypertension can increase the knowledge of the elderly regarding hypertension so that their quality of life is maintained.

Hypertension is a condition with blood pressure that exceeds normal limits. If hypertension is not controlled properly, it can cause damage to blood vessels and can even lead to the risk of death. According to the 2018 Riskesdas, it shows that the prevalence of people with high blood pressure is 34.11%. The prevalence of high blood pressure in women is 36.85% higher than that of men, 31.34%. Data obtained from the Sitinjak Health Center, Angkola Barat District, South Tapanuli Regency, the number of hypertension sufferers has increased from 2019-2021. This study aims to determine the risk factors (hereditary, obesity, smoking habits, eating habits, and physical activity) associated with the incidence in adult women in the Working Area of ??the Sitinjak Health Center, Angkola Barat District, South Tapanuli Regency. The type of research used was an analytical design. cross sectional. The population in this study was adult women aged 30-49 years in the Working Area of ??the Sitinjak Health Center, Angkola Barat District, South Tapanuli Regency, as many as 105 people. The sample in this study amounted to 51 people, the sampling technique was this study using a non-probability sampling technique, namely accidental sampling. Data were obtained from the Community Health Center and through interviews using a questionnaire. Methods of data analysis were analyzed univariately, bivariately using Chi-Square test at 95% confidence level (P<0.05) and multivariate test with multiple regression tests. The results showed that hereditary variables, obesity, eating habits were related to the incidence of hypertension. The most dominant variable is eating habits. It is suggested to respondents to change their bad living habits for the better to prevent hypertension and for health workers to conduct health education to the public about how to prevent hypertension, for example by reducing consumption of foods that trigger hypertension.

Background:  Elderly is a condition where a person is 60 years old. Hypertension is a condition of a person who has mixture of salt and lemongrass that can facilitate blood circulation in the body. systolic blood pressure of 140 mmHg and diastolic 80 mmHg. Data from the Kaliwungu Health Center (2023) shows that the number of hypertensive elderly is 18 elderly people. Non-pharmacological therapy that can be done by soaking warm water feet with aObjective: to determine the effect of the application of foot soak therapy using warm water with salt and lemongrass on blood pressure in elderly people with hypertension in Kaliwungu Village, Semarang Regency. Method: this application uses a case study research design with prestest and post-test design. Samples were 2 elderly people who had 2nd degree hypertension. Results: the application of  there was a decrease in blood pressure that was different between respondent 1 and respondent 2 after the application of warm water foot soak with salt and lemongrass for 3 consecutive days for 20 minutes. Both respondents were categorized as grade 2 hypertension decreased to normal-high based on the PDHI classification (2019). Conclusion: Application of warm water foot soak with a mixture of salt and lemongrass can lower blood pressure in elderly people with hypertension.  

Background:Nearly 70-94% of acute stroke patients experience increased blood pressure (hypertension). Hypertension is the main triggering factor for the occurrence of strokes, both hemorrhagic and ischemic strokes, one way is to provide non-pharmacological therapy with dhikr relaxation (remembrance of Allah). Objective: to find out the application of dhikr therapy to reduce blood pressure in acute stroke patients at HCU Neuro Anggrek 2 RSUD Dr. Moewardi Surakarta. Method: the application of this journal uses a descriptive method with a case study approach to 2 respondents according to the inclusion and exclusion criteria, the independent variable of the research is dhikr therapy, namely therapy that is carried out by reminding respondents to Allah SWT through recordings of reading recitation sentences, by adjusting the position of the respondent first first, namely supine position with head elevation of 30o, then listen to the recorded dhikr sentences using hands-free to the respondent 3 times a day for 10 minutes for 3 days. Results: Based on the results of the application that has been carried out, there is a decrease in blood pressure before and after the dhikr relaxation therapy is performed. Conclusion: There is a decrease in blood pressure before and after the application of dhikr from first degree hypertension to prehypertension.  

Hypertension is  a health problem that is commonly found in the elderly. The number of people with  hypertension  continues to increase every year, it is estimated that by 2025 there will be 1.5 billion people affected by hypertension. Hypertension can occur due to various factors,  namely: unhealthy diet / diet, smoking lifestyle and alcohol consumption, obesity or excessive weight, lack of  exercise / physical activity, excessive salt intake, consumption of saturated fat, use of estrogen, lack of fruit and vegetable intake. Efforts to overcome hypertension can be done with pharmacological  and non-pharmacological therapies  .  Non-pharmacological therapies  can be done by modifying lifestyle, complementary therapies  such as; hydrotherapy (foot bath) and physical exercise. In the Nursing Interventions Classification (NIC) warm water foot soak is one of the interventions of nursing diagnosis, namely peripheral tissue perfusion disorders. Descriptive research using case study design. There was a decrease in  blood pressure in  hypertensive elderly after  hydrotherapy soaked feet warm water. There are differences in  the development of lowering blood  pressure in  hypertensive elderly before and after  hydrotherapy soak feet warm water.    

Old age is one of the risk factors that affect hypertension because the higher the age, the higher the risk of getting hypertension, this is caused by natural changes in the body that affect blood vessels, hormones, heart. by using non-pharmacological treatment, namely the administration of cucumber infused water and acupressure therapy at the point of LI 4 (Hegu) can reduce blood pressure for people with hypertension.  Purpose : This study aims to determine the effectiveness of cucumber infused water and acupressure therapy at the point of LI 4 (hegu) on reducing hypertension in the elderly. Methods: The population in this study was the elderly affected by hypertension with a total of 240 patients. In this study, the sample number was 30 respondents with each intervention group of 15 respondents. The type of this study is quantitative research that uses a two-group pretest-postest experimental model and is analyzed using statistical tests. Results: Based on the results of the study, it can be concluded that the results of the Wilcoxon test data there is an effectiveness between the administration of cucumber infused water and acupressure therapy at the LI4 (Hegu) point against reducing hypertension. With the results of v – palue 0.003 for the results of cucumber infused water against reducing hypertension and p-value 0.002 for the results of giving acupressure therapy at the LI4 point (Hegu) against reducing hypertension. In this study, there was a significant influence before and after intervention and blood pressure measurement was given in the working area of the Karangtengah Health Center. Conclusion : the effectiveness of cucumber infused water intervention and acupressure therapy at the LI4 (Hegu) point for the elderly affected by hypertension in the working area of the Karangtengah Health Center.