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Non-communicable diseases cannot be transmitted to others, but their development occurs slowly over a long period of time. One of the non-communicable diseases that is a priority in global health today is hypertension. Hypertension often causes complications such as stroke, heart disease, and kidney failure. The aim is to describe the incidence of hypertension in Posbindu PTM Bumiroso participants. The quantitative descriptive method using the total sampling technique obtained 38 respondents. The data was analyzed descriptively to describe the results of the respondents' blood pressure examinations. The results of the study based on the classification of hypertension, participants who experienced pre-hypertension and hypertension level 1 were 12 (31.58%), hypertension level 2 was 9 (23.68%) and normal was 5 (12.16%). The conclusion is that more than half of Posbindu PTM participants experience hypertension, as a suggestion, they can carry out routine checks at the nearest health facility.    

Hypertension is a condition of the blood circulation system that causes an increase in blood pressure above normal values ​​or blood pressure ≥140/90 mmHg. Prolonged increase in blood pressure can trigger the risk of stroke, heart failure, and kidney failure. Community service activities are one of the efforts to implement physiotherapy services, one form of counseling is by addressing problems that are widely complained about by the community. The purpose of the counseling is to provide knowledge about hypertension and how to do exercises to reduce neck pain independently at home. The method used is in the form of education and stretching exercises using leaflets as a counseling medium. Counseling is carried out by providing pre-tests and post-tests in the form of questions to patients to assess the effectiveness of the counseling that will be given to the elderly community. The results of the counseling went smoothly and from the evaluation there was an increase in participant knowledge from 0% to 100%, which in counseling activities can increase participant knowledge about how to deal with neck pain caused by hypertension.

This study was motivated by the high prevalence of high blood pressure (hypertension) and uncontrolled blood sugar levels among the elderly, particularly in Kalitengah Village, Blitar Regency. The elderly are a vulnerable group to health problems due to a decline in physiological function, which can lead to serious complications such as stroke, heart failure, and diabetes mellitus. This study aims to determine the relationship between elderly exercise activities and blood pressure and blood sugar levels. The method used is quantitative with a correlational design. The study subjects consisted of 30 elderly individuals who actively participated in regular exercise activities at the Kalitengah Village Health Post. Measurements were taken of systolic and diastolic blood pressure and blood sugar levels before and after the exercise intervention. Based on the findings supported by previous literature reviews, it is known that physical activities such as elderly exercise significantly reduce blood pressure and help control blood sugar levels. The findings of this study indicate that regular exercise can improve blood pressure and blood glucose parameters. The results of this study are expected to serve as a basis for promotive and preventive efforts to improve the quality of life of the elderly through community-based interventions that are easy, affordable, and effective, namely elderly exercise.

Stroke is a type of cerebrovascular disease in which blockage, narrowing or rupture of blood arteries supplying the brain results in brain infarction or loss of brain tissue. This writing aims to analyze the process of family nursing care given to Mr. A, a stroke patient in Kalibuntu Village, Brebes Regency. A, a stroke patient in Kalibuntu Village, Brebes Regency, starting from assessment, nursing diagnosis, planning, implementation to evaluation. This writing uses a qualitative descriptive approach with a case study as the writing design. Data collection was done through in-depth interviews with the patient and family, as well as direct observation of the interaction between the nurse and the patient's family. The results of the writing are expected to contribute to the improvement of an effective family nursing care model for stroke patients in the community.    

Bay leaves are one of the toga plants (family medicinal plants) which can be used to stop excessive defecation. Apart from that, bay leaves can also be used to treat gout, stroke, high cholesterol, improve blood circulation, stomach inflammation, itching and diabetes. Therefore, there is a need for education in the form of counseling regarding the use of bay leaves and how to process them as herbal medicine to help cure diseases. Kaffir lime is a natural ingredient in various food and beverage products in Indonesia and other Asian countries. Kaffir lime plants contain compounds including essential oils which are also rich in benefits such as antioxidants, antimicrobials, antileuchemicals, antitussives, insecticides, illaricides and phenolic compounds such as flavonoids, flavanones, flavones, flavonols and glycerolipids which according to research function as a source of antioxidants, anti-inflammatory , antiviral, anti-allergic, and anti-carcinogenic, anti-aging for the human body. The planting of kitchen spices in the form of bay plants and orange leaves is grown using organic and environmentally friendly materials.

Background: The impact of hypertension that is not treated properly and uncontrolled will cause various complications, such as heart failure and coronary heart disease, in the brain there is a stroke, if it hits the kidneys there is chronic kidney failure, and if it hits the eyes there will be visual impairment. The various complications that may arise are very serious diseases and have an impact on the patient's psychology because of their low quality of life. Objective: To describe the results of blood pressure comparison before and after the application of Red Ginger Water Foot Soak Therapy in the elderly. Methods: This study used a descriptive research design with a case study approach by observing blood pressure in 2 elderly respondents, carried out 5 days for 1 consecutive week within 15 minutes. The instruments used are observation sheets, Blood Plesure Monitor, and stopwatch. Results: There is a decrease in blood pressure after giving Warm Red Ginger Water Foot Soak to Mrs. T from stage 2 hypertension to stage 1 hypertension and to Mr. S from stage 1 hypertension to stage 1 hypertension. S from stage 1 hypertension to prehypertension. Conclusion: The application of warm red ginger water foot soak therapy can potentially reduce blood pressure in the elderly with hypertension in both respondents.

Stroke is a disease that causes nerve damage caused by bleeding or blockage in the affected part of the brain. This disease can cause disability or death. According to the World Health Organization (WHO), there has been a significant increase in deaths due to stroke since 2000, from 2 million to 8.9 million (11%) in 2019. Data from the Kecipir Health Center, stroke sufferers in Kalibuntu village were 20 people out of 2560 (0 .08%) the number of productive residents experienced a stroke. The results of the patient's assessment showed that his right hand had not been able to move since 6 years ago and his right leg also experienced weakness in movement so that it was difficult for him to walk. The nursing diagnoses raised were knowledge deficit, impaired physical mobility and ineffective family health management.    

Background: Hypertension or what can be called high blood pressure that occurs when blood vessel pressure is too high, said to be high if the blood pressure is 140/90 mmHg or more. According to the World Health Organization (WHO), the prevalence year is 1.28 billion people who experience hypertension aged 30-79 years. The prevalence of hypertension in Pucangsawit Health Center in 2022 was 4.492 hypertensive patients in Surakarta City, One of the non-pharmacological therapies that can be given to hypertensive patients is anti-stroke gymnastics. Objective: Describe the results of blood pressure comparison and after the application of Anti- Stroke Gymnastics in patients with hypertension. Method: This study uses a descriptive research design with a case study approach by observing blood pressure in 2 respondents with hypertension, conducted 2 weeks for 6x within 30 minutes. The instruments used are observation sheets, Blood Pressure Monitors, and anti-stroke gymnastics SOP videos. Results: There is a decrease in blood pressure after giving Anti-Stroke Gymnastics to Mrs. E from 148/81 mmHg to 130/78 mmHg and to Mrs. S from 157/111 mmHg to 143/101 mmHg. Conclusion: The application of anti-stroke gymnastics can potentially reduce blood pressure in hypertensive patients in both respondents.    

The development of time has changed the types of diseases from infectious to non-communicable or degenerative such as asthma, cancer, stroke, chronic kidney disease, diabetes, and hypertension that are influenced by lifestyle, nutrition, and physical activity. Insulin resistance or lack of pancreas triggers diabetes mellitus, causing hyperglycemia that damages the nervous system and blood vessels. International Diabetes Federation predictions show an increase in diabetes mellitus cases worldwide, including in Central Java, which ranks second only to hypertension. Diabetes mellitus can be identified through blood glucose monitoring and symptoms include hunger, thirst, and frequent urination. Risk factors for diabetes include age, genetics, obesity, inactivity, hypertension, dyslipidemia, and poor nutrition. Prevention and management of diabetes can be done through family care that involves educators, counselors, and collaborators to help families manage the disease well. This study examines the nursing care of Mr. K's family. K with endocrine system disorders Diabetes Militus in Kalibuntu Village, Losari District, Brebes Regency, with the results of the patient's lack of understanding about diabetes and rarely doing exercise.

Vertigo is a sensation or sensation of movement from the body and surrounding environment that is described as a circular sensation, usually accompanied by complaints of nausea and vomiting, and balance disturbances. Vertigo is the third most common complaint by patients who come to general practice, after headaches, and strokes. A 31-year-old man came to the emergency room of Cut Meutia Hospital with complaints of dizziness since 5 days ago and disappeared. Patients also complained of nausea but were not accompanied by vomiting since complaints of dizziness appeared. Dizziness is felt by patients when looking at the surrounding environment and is not triggered by a change in head position. In addition, the patient also has a buzzing tingling tingling tingling along with spinning dizziness attacks. The patient's hearing begins to fade when the patient's ears ring and finally settle down. Based on anamnesis, physical examination and extenuation examination, the patient was treated with peripheral vertigo et causa meniere disease. Governance is carried out in the form of inf. RL 20 gtt/min, inj. Omeprazol 2x1, inj. Ondansetron 2x1 and oral in the form of betahistin 2x1 and hydrochlorothiazide 1x1.    

Background; Hypertension in Central Java Province affects 8.700.512 (30,4%) with a prevalance of hypertension in Sragen is 250.035 people. Generally, hypertension is suffered by elderly people. As they age, the elderly develop hypertension due to physiological factors that cause loss of elasticity and stiffness in blood vessels. Uncontrolled hypertension can cause complications and affect the quality life for elderly. Non-pharmacological therapies such as massage to lowering blood pressure. One of the non-pharmacological therapies is Slow Stroke Back Massage (SSBM). Purpose; To describe the results  observations of Slow Stroke Back Massage (SSBM) therapy as an effort to reduce blood pressure in elderly people with hypertension. Method; This method uses descriptive case study analysis and a sphygmomanometer to measure blood pressure. SSBM therapy is applied for 10 minutes, 3 times a week, over 4 weeks. Results; After applying SSBM therapy, there was a decrease in respondent I and II's within the category range of stage I hypertension. Conclusion; The application of SSBM therapy in elderly people with hypertension can reduce blood pressure.    

The frequency of strokes is increasing, with World Health Organization (WHO) data showing that around 15 million people suffer strokes every year. From the increase in the incidence of stroke above, death and disability due to stroke are still the biggest problems from year to year. Stroke can be prevented by early detection of stroke. This research aims to determine the effect of early stroke detection training using the fast method for cadres in Nania Village, Baguala District, Ambon City.This type of research is quantitative research. This research uses a quasi-experiment research design with a pre-post test control group design. Researchers provided an explanation to respondents about the FAST Act for early detection of signs of stroke. The sample in this study was 30 health cadres in the working area of ​​the Nania Community Health Center.The research results of the Pre Test knowledge scores were (10, 12 and 13) out of the highest total score of 20, the lowest score was 8 for 1 person (3.3%) and the highest score was 15 for 1 person (3.3%). Meanwhile, the Post Test Knowledge (17 and 18) of the highest total score was 20. The lowest score was 14, amounting to 1 person (3.3%), and the highest score was 20, amounting to 4 people (13.3%).The conclusion is that there is an influence of early stroke detection training using fast methods for cadres at the Nania Community Health Center, Baguala District, Ambon City. It is hoped that the research results will provide additional knowledge for medical personnel about the importance of preventing complications in diabetes sufferers, so that as much as possible we can help reduce the rate of death or disability in stroke patients.

Background: Impaired mobility in stroke patients often causes excessive pressure on the skin, increasing the risk of pressure ulcers. If left untreated, decubitus wounds can get worse and lead to infection. Based on evidence, regular right-left tilt mobilization is a potential intervention to prevent pressure ulcers. Objective: Analyze the application of right-slant-left-slant mobilization to prevent pressure ulcers in stroke patients at Ibu Fatmawati Soekarno Regional Hospital, Surakarta City. Method: Descriptive research design with a case study approach, carried out every 3 hours on 2 respondents to explore the application of right oblique-left oblique mobilization in preventing pressure ulcers in stroke patients. Results: Before implementing the right oblique-left oblique mobilization every 3 hours the respondent was at moderate risk with a score of Tn .S 15, Ny.S 16 and pressure ulcers can be prevented. Conclusion: There is an effect of tilting mobilization to the right and left which is indicated by a decrease in the risk of developing pressure ulcers at the Ibu Fatmawati Soekarno Regional Hospital, Surakarta City. 

This research aims to develop a web-based expert system with the Forward Chaining method that can diagnose and provide treatment for people with stroke disease. The expert system will be used to help the diagnosis process by analyzing the symptoms reported by the patient. The Forward Chaining method will be used as an inference approach in this expert system. The system will use a knowledge base that contains medical rules obtained from experts. The inference process will be carried out by linking the symptoms reported by the patient with the information in the knowledge base to determine possible diagnoses and appropriate treatments. This expert system will be implemented in the form of a web-based application that can be accessed by the general public. The results of this study show that the expert system to diagnose and provide treatment using the forward chaining method is successfully built and the application can be used to help the general public diagnose by entering the symptoms felt and the expert system will provide diagnostic results and provide treatment.

A clot or bleeding in the brain causes a stroke or a cerebral vascular disease that damages the nervous system. Patients suffering from strokes may have physical, mental, sensory, and intellectual disabilities that impede their interaction with the environment and prevent them from performing daily activities and quality of life. This research determines the correlation between the disability level and the quality of life of patients suffering from stroke treated at the Kedungmundu Public Healt Care. The quatitative research applied a cross sectional approach and collected the samples from 67 respondents using proposive sampling. The applied measuring tools were mRS and SSQOL. The Spearmen Rank statistical test obtained a p-value of 0,000. The result accepts Ha, indicating a significant  correlation between  the disability level and the quality of life of the post-stroke patient with a value of r = -0,542. The value indicates a moderate and negative correlation between the level of disability and the life quality of post-stroke patients. The research result suggest the implementation of the intervention to lower the disability level because it influences post-stroke patients with low quality life.

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.  

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.    

Hipertensi seringkali terjadi di masyarakat yang menyebabkan kecacatan dan kematian. Penting sekali self management behaviors untuk meningkatkan perawatan secara mandiri oleh pasien hipertensi agar dapat terhindar dari komplikasi penyakit stroke Adapun tujuan penelitian ini adalah untuk mengetahui gambaran self management behaviours pasien hipertensi komorbiditi stroke. Metode yang akan digunakan yaitu penelitian deskriptif dengan menggunakan self management behaviors questionnaire versi Bahasa Indonesia. Partisipan dalam penelitian ini yaitu pasien hipertensi dengan komorbiditi stroke sebanyak 89 partisipan. Rumah sakit yang akan digunakan yaitu RSUD dr. Soeratno Gemolong Sragen. Hasil penelitian ini menunjukkan bahwa gambaran self management behaviour pada pasien hipertensi di RSUD dr. Soeratno Gemolong Sragen sebagian besar berada pada kategori cukup yaitu 41 orang (46,1%), sedangkan pada kategori baik didapatkan sebanyak 27 orang (30,3%) dan pada kategori kurang sebanyak 21 orang (23,6%).

Word Health Organization defines a cause of death as an illness, disease or injury that causes or contributes to death. Diabetes mellitus is a major comorbidity and cardiac arrest is the highest cause of death. Cardiovascular disease is more common in men with an average age of 57 years. There are many types of cardiovascular disease, but the most common and well-known are coronary heart disease and stroke. Basic Health (Riskesdas) in 2018 reported that the incidence of heart and blood vessel disease is increasing from year to year. The main factor in heart disease is uncontrolled blood sugar, while the most common macrovascular complication of diabetes mellitus is coronary heart disease. Causative factors The prevalence of type 2 diabetes mellitus is caused by the interaction between gene susceptibility factors and environmental exposure as follows Genetics and Environment The occurrence of coronary heart disease is closely related to the presence of disorders affecting the blood vessels called atherosclerosis. This research uses a systematic review based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). with inclusion and exclusioncriteria, the risk of cardiovascular death and myocardial infarction was higher with increasing values ​​of lysis time and maximum turbidity.

Non hemorrhagic stroke is a disorder caused by ischemia, thrombosis, embolism, and narrowing of the lumen so that blood flows to the brain stops. This type of stroke can have an impact on various body functions including muscle weakness. Rubber ball grip exercises can stimulate movement in the hands for gripping function so that it can restore brain control over weakened upper extremity muscles. This study aimed to describe the application of rubber ball grip exercises to upper extremity muscle strength in non-hemorrhagic stroke patients. The research design used a case study approach. Data collection was carried out on May 30 - June 1 2023 at Kardinah Hospital, Tegal City with 2 patients having a medical diagnosis of non-hemorrhagic stroke. Both patients experienced an increase in upper extremity muscle strength. Patient 1 during 3 days of therapy experienced a change in muscle strength from 4 to 5. In patient 2 after 3 days of therapy experienced a change in muscle strength from 3 to 4.. The results showed that subject 1 experienced an increase in muscle strength from 4 to 5, subject II experienced an increase in muscle strength from 3 to 4. patients with non-hemorrhagic stroke are used to do rubber ball grip therapy for 10-15 minutes per day within 3 days to stimulate weak muscle strength.