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Hypertension is a non-communicable disease often referred to as a silent killer because it generally does not present noticeable symptoms. Several risk factors contribute to the development of hypertension, including high body mass index (BMI) and low levels of physical activity. However, data regarding the association between BMI, physical activity, and hypertension at Pakuan Baru Public Health Center, Jambi City, remain limited. Therefore, this study aimed to determine the relationship between body mass index and physical activity with hypertension among adults at Pakuan Baru Public Health Center, Jambi City. This study employed a quantitative approach with a cross-sectional design. The research was conducted at Pakuan Baru Public Health Center, Jambi City, from November 19 to December 6, 2025. The study population consisted of all adult patients with hypertension at Pakuan Baru Public Health Center, totaling 2,797 individuals. A sample of 93 respondents was selected using an accidental sampling technique. Data were collected using observation sheets through measurements of height and weight to calculate BMI, as well as the Global Physical Activity Questionnaire (GPAQ). Data analysis was performed using univariate and bivariate analyses with the chi-square statistical test. The univariate analysis showed that 27 respondents (29.0%) were classified as severely obese, 42 respondents (45.2%) had a low level of physical activity, and 28 respondents (30.1%) were categorized as having stage 2 hypertension at Pakuan Baru Public Health Center, Jambi City. The bivariate analysis revealed a significant relationship between body mass index and physical activity with blood pressure among patients with hypertension (p = 0.000). It is expected that healthcare providers at Pakuan Baru Public Health Center will continue to provide education regarding the importance of controlling body mass index and engaging in regular physical activity, as these factors contribute to increased blood pressure among patients with hypertension.

Hypertension is one of the most common chronic diseases among the elderly and is often accompanied by insomnia. This condition can increase anxiety and reduce quality of life. Progressive Muscle Relaxation (PMR) is an effective non-pharmacological therapy to lower blood pressure and improve sleep quality. This paper describes nursing care for elderly patients with hypertension and insomnia through PMR application at RSUD Embung Fatimah Batam City in 2025. A case study approach was used through the nursing process, including assessment, nursing diagnosis, intervention, implementation, and evaluation. The main nursing diagnosis was sleep pattern disturbance related to physical discomfort and anxiety. Interventions included education and PMR exercises for six consecutive days. Results showed blood pressure decreased from 180/100 mmHg to 130/80 mmHg, sleep quality improved from difficulty sleeping to 6–7 hours per night, and anxiety levels reduced. Progressive muscle relaxation therapy proved effective as an independent nursing intervention to reduce blood pressure and improve sleep quality in elderly patients with hypertension and insomnia. Nurses should use this therapy as a routine non-pharmacological intervention in gerontological nursing practice.

Background: Anxiety can affect physiological functions in patients prior to surgery, including increased heart rate and respiration, changes in blood pressure and temperature, relaxation of smooth muscles in the bladder, cold and clammy skin, and dry mouth, which may reduce the patient’s energy level. Psychologically, anxiety can lead to increased postoperative pain, delayed wound healing, increased physical disability, and decreased quality of life. One effective non-pharmacological intervention to reduce anxiety is Benson relaxation therapy. Objective: This study aimed to determine the effect of benson relaxation therapy on reducing anxiety levels in pre operative. Methods: This study used a case study design involving one preoperative patient with anxiety symptoms in the Teratai Ward of Prof. Dr. Margono Soekarjo Hospital, Purwokerto. Benson relaxation therapy was administered for 3 days, twice daily, with a duration of 15 minutes per session. Anxiety levels were measured using the Zung Self-Rating Anxiety Scale (ZSAS) before and after the intervention. Results: The patient showed a decrease in anxiety score from 55 (moderate anxiety) to 40 (mild anxiety) after receiving Benson relaxation therapy. Subjectively, the patient reported feeling calmer, more accepting, and motivated. Objectively, there was a reduction in heart rate and physical signs of anxiety. Conclusion: Benson relaxation therapy is effective in reducing anxiety levels in preoperative patients. This intervention can be used as a non-pharmacological alternative to support psychological recovery of pre-operative patients.

Hypertension is a major public health concern with a high prevalence and a significant risk of complications if left uncontrolled. Effective management requires not only pharmacological treatment but also non-pharmacological approaches and active family involvement. One potential non-pharmacological therapy is the use of celery (Apium graveolens), which is believed to lower blood pressure. This study aimed to evaluate the effectiveness of family education combined with celery decoction administration in reducing blood pressure among patients with hypertension. A descriptive case study design was employed using a family nursing care approach over three home visits, each lasting 30–45 minutes. The intervention included health education on hypertension and a demonstration of how to prepare and administer celery decoction, which was consumed twice daily. Data were collected through interviews, observation, and blood pressure measurements. The results showed a reduction in blood pressure from 159/90 mmHg to 130/80 mmHg, along with a decrease in symptoms such as headaches and dizziness. In addition, there was an improvement in family knowledge, caregiving skills, and the ability to modify the home environment. In conclusion, family-based education combined with the administration of celery decoction appears to be effective in reducing blood pressure and enhancing the family’s role in managing hypertension.

Hypertension is one of the most common health problems among the elderly and has the potential to cause serious complications such as heart disease and stroke. Dietary patterns and lifestyle factors are known to play an important role in increasing blood pressure, particularly fat intake and sleep quality. This study aimed to analyze the relationship between fat intake and sleep quality with the incidence of hypertension among elderly individuals in the coastal area of Tuban District. This study used an analytical observational design with a case-control approach. The total number of respondents in this study was 136 elderly individuals, consisting of 68 cases (elderly with hypertension) and 68 controls (elderly without hypertension). Data on fat intake were obtained using a 24-hour food recall method, while sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI) questionnaire. Data were analyzed using the Pearson Chi-Square test with a significance level of α ≤ 0.05. The results showed that there were significant relationships between fat intake (p = 0.000) and sleep quality (p = 0.000) with the incidence of hypertension among the elderly in the coastal area of Tuban District. Elderly individuals with high fat intake and poor sleep quality were more frequently found in the hypertension group compared to the non-hypertension group. In conclusion, fat intake and sleep quality are associated with the occurrence of hypertension among the elderly. Hypertension control efforts can be carried out through limiting fat intake and maintaining good sleep quality.

Lifestyle changes, such as smoking habits, low physical activity, and suboptimal sleep patterns, have the potential to affect various health indicators. However, empirical evidence showing a direct link between lifestyle factors and objective health indicators still shows varying results. This study aims to analyze the relationship between lifestyle factors and health indicators in adult respondents, in an effort to provide an empirical picture of behavioral factors related to health conditions. This study used a quantitative approach with a cross-sectional observational analytic design. Data were obtained from 94 respondents who had complete lifestyle data and health examination results. Lifestyle factors analyzed included smoking habits, exercise frequency, and sleep duration, while health indicators included body mass index (BMI), systolic and diastolic blood pressure, blood sugar levels, cholesterol, uric acid, and pulse rate. Data analysis was performed using descriptive statistics, the Shapiro–Wilk normality test, and the Spearman correlation test according to the characteristics of the data distribution. The results showed that smoking habits were significantly associated with diastolic blood pressure (p < 0.05), exercise frequency was significantly associated with BMI and systolic blood pressure (p < 0.05), and sleep duration was significantly associated with uric acid levels (p < 0.05). Meanwhile, the relationship between lifestyle factors and other health indicators did not show statistical significance. These findings indicate that the influence of lifestyle on health is specific to certain indicators and is not evenly distributed across all health parameters. This study concludes that identifying lifestyle factors relevant to certain health indicators is important as a basis for formulating more targeted health promotion strategies.

Hypertension is a major modifiable risk factor contributing to the development of Acute Coronary Syndrome (ACS), which includes STEMI, NSTEMI, and unstable angina. The increasing prevalence of hypertension worldwide raises concern regarding its impact on cardiovascular outcomes. This study aimed to describe the profile of ACS patients with hypertension receiving angiotensin-converting enzyme inhibitors (ACEIs) or angiotensin receptor blockers (ARBs) therapy in the Intensive Coronary Care Unit (ICCU) of RSUD Dr. Soetomo Surabaya. Using a descriptive cross-sectional method, data from 91 patients treated between July 2021 and October 2024 were analyzed. Variables included demographic characteristics, clinical classification of ACS, hypertension degree, comorbidities, types and doses of ACEI/ARB administered. The results showed that most patients were male (73%) and aged over 65 years (40%). Chi-square analysis revealed no significant relationship between hypertension degree, ACS classification, or most comorbidities with drug selection or dosage (p>0.05), except for a significant association between coronary heart disease comorbidity and ARB selection. These findings suggest that in hypertensive ACS patients, the choice between ACEI and ARB therapy is predominantly based on individual comorbidity profiles rather than blood pressure severity or ACS type. The study highlights the importance of personalized treatment approaches considering patient comorbidities to optimize cardiovascular outcomes.

Hypertension is a public health problem that requires educational approaches and nonpharmacological interventions. This community service activity aimed to improve knowledge and support community-based hypertension management through health education, hypertension exercise, and cucumber juice therapy in RT 03 RW 08 Lenteng Agung, South Jakarta. The activity was conducted in three stages. The preparation stage included site selection, door-to-door screening of individuals with hypertension, which identified 32 hypertensive residents, obtaining informed consent, and preparing the instruments. The implementation stage consisted of hypertension education with pre-test and post-test knowledge assessments, as well as demonstrations of hypertension exercise and cucumber juice preparation involving 29 participants. Participants were encouraged to perform the exercise and consume cucumber juice regularly for seven days at home. The evaluation stage assessed changes in blood pressure after the intervention. The results showed improved knowledge and reduced blood pressure in most participants. This activity was effective in supporting hypertension management in the community.

Severe preeclampsia is a condition characterized by systolic blood pressure exceeding 160 mmHg and diastolic pressure exceeding 110 mmHg, occurring after 20 weeks of gestation and accompanied by edema and proteinuria. One intervention used to save both mother and fetus is a cesarean section. This final nursing scientific paper analyzes the implementation of evidence-based practice, specifically warm foot soak therapy, for mothers with severe preeclampsia during the pre- and postpartum periods who are at risk for ineffective cerebral perfusion. This descriptive case study method used a nursing care approach. Assessment results identified five major nursing problems, including the risk for ineffective cerebral perfusion. After four days of warm foot soak therapy, this problem was resolved, as blood pressure decreased from 147/101 mmHg to 120/88 mmHg. Conclusion: Warm foot soak therapy effectively lowers blood pressure in pre- and postpartum mothers with severe preeclampsia. Recommendation: Nurses can implement warm

Chronic kidney disease (CKD) is a growing global health concern that frequently remains undiagnosed until advanced stages. Early detection through simple laboratory screening is essential to prevent disease progression and associated cardiometabolic complications. This community service program aimed to assess kidney function using serum creatinine and estimated glomerular filtration rate (eGFR), while increasing public awareness regarding CKD prevention. A total of 59 participants were included, with a mean age of 39.15 ± 15.39 years (range 16–75 years), predominantly female (74.58%). The mean serum creatinine level was 1.0 ± 0.19 mg/dL, and the mean eGFR was 91.08 ± 20.53 mL/min/1.73 m². Most participants demonstrated normal kidney function (28.8%) or mild decline (21.6%). A progressive reduction in eGFR with increasing age was observed, reflecting the physiological decline in nephron mass and renal perfusion. The program also provided education on kidney-protective practices, including optimal blood pressure control, diabetes management, adequate hydration, and avoidance of nephrotoxic agents. This intervention improved participants’ understanding of CKD risk factors and the importance of regular screening. In conclusion, serum creatinine and eGFR evaluation offer simple, accurate, and practical tools for early CKD detection, supporting promotive–preventive strategies to slow disease progression and enhance quality of life in at-risk populations.

Hypertension is a highly prevalent non-communicable disease often referred to as "The Silent Killer" because it rarely shows symptoms until it causes serious complications such as stroke, kidney failure, and heart disease. This community service activity aims to optimize the Mobile Blood Pressure Monitoring Program as a hypertension screening method in Sanahu Village. The methods used include participant data collection, blood pressure checks with a manual sphygmomanometer, and health education on hypertension prevention. A total of 96 participants participated in this activity, and the results showed that 58 participants (60.4%) were hypertensive. This program has proven effective in reaching communities with limited access to health services and raising public awareness about the importance of early detection of non-communicable diseases. In addition, this activity succeeded in providing knowledge to the community about how to prevent hypertension and the importance of maintaining a healthy lifestyle, which is expected to reduce the incidence of hypertension in the future.

Hypertension is a major public health problem with an increasing prevalence and is often undetected due to its asymptomatic nature, leading to serious complications if not properly controlled. Low levels of public knowledge and poor adherence to preventive behaviors, routine health checks, and treatment remain significant challenges in hypertension management at the community level. This community service program aimed to improve public knowledge and awareness of hypertension through the implementation of the CERDIK and PATUH approaches. The program employed a community-based promotive and preventive method, including health education, blood pressure screening, and interactive discussion and counseling. The activity was conducted in RW 013, Kapuk Subdistrict, Cengkareng District, involving 60 adult and elderly participants. Knowledge levels were assessed using pre-test and post-test questionnaires and analyzed descriptively. The results demonstrated a substantial improvement in participants’ knowledge after the health education intervention, with the mean knowledge score increasing from 35 before the intervention to 80 after the intervention. In addition, the variation in knowledge levels among participants became more homogeneous following the educational activities. High community enthusiasm and active participation during the program reflected positive acceptance and engagement with the hypertension education initiative. This community service activity confirms that community-based health education using the CERDIK and PATUH approaches is effective as a promotive and preventive strategy to enhance public knowledge of hypertension. Improved knowledge is expected to encourage healthier lifestyle behaviors and greater adherence to hypertension control practices, thereby supporting sustainable and independent blood pressure management within the community.

Hypertension is a chronic disease that shows blood pressure above normal limits and is a global health problem and is a risk factor for cardiovascular disease. Treatment adherence is defined as the patient's level of willingness and the extent to which they strive and behave to follow medical directives, regulations, or recommendations provided by healthcare professionals in an effort to assist the patient's recovery. Adherence to taking medication allows patients to keep their blood pressure stable in order to avoid complications. This study aims to see the compliance of hypertension drug patients at the Heart Poly of Santa Elisabeth Hospital Medan in 2024. The research method used is a descriptive approach. The population in this study is 178 people, the number of samples is 82 people. Sampling technique with accidental sampling technique. The results of the study showed that from 82 respondents, the data obtained that the most age respondents were 38-53 years old with a total of 36 respondents (47.6%), the data on the most gender respondents were women as many as 48 respondents (48.5%), the data on the most education respondents was education as many as 32 respondents (39%), the data on the most respondents suffering from hypertension was 2 years of hypertension as many as 24 respondents (29.3%). The picture of the level of drug compliance of hypertension patients at the Heart Polyclinic of Santa Elisabeth Hospital Medan in 2024 is at a moderate level of 31 respondents (37.8%).

Blood pressure is the pressure exerted by blood pumped by the heart against the walls of the arteries. Abnormalities in blood pressure can take the form of high blood pressure or hypertension and low blood pressure or hypotension. Hypertension is a non-communicable disease that is one of the risk factors for cardiovascular disease, and sufferers often do not show any symptoms. This community service activity aimed to examine the results of blood pressure measurements among inmates at the Class IIB Detention Center in Masohi City. This study used a descriptive observational design with a cross-sectional approach. There were 95 inmates who participated in this activity. Data analysis was conducted using quantitative descriptive methods to describe the blood pressure measurement results based on demographic data such as age, gender, education level, occupation, height, and weight. The results showed that most respondents were in the 20-30 age range (44.2%) and male (91.6%). The level of education shows that most respondents only completed high school (54.7%) and the majority worked as farmers (30.5%). Anthropometric characteristics in terms of height show that most respondents were between 140-160 cm (47.4%) and weighed between 51-60 kg (43.2%). The distribution of blood pressure shows that most respondents are in the pre-hypertension (40%), normal (29.5%), grade 1 hypertension (17.9%), and grade 2 hypertension (10.5%). Therefore, routine blood pressure checks need to be carried out so that inmates in detention centers can avoid hypertension, which can be a risk factor for cardiovascular disease.

Chronic kidney disease is an increasingly prevalent health issue that requires more precise clinical data-based early detection methods to enable timely and appropriate treatment. This study focuses on developing a predictive model for chronic kidney disease using the Light Gradient Boosting Machine (LightGBM) algorithm and enhancing its performance through hyperparameter optimization with the Grey Wolf Optimizer (GWO). The dataset used originates from public sources and undergoes several preprocessing steps, including missing value imputation, categorical feature encoding, outlier handling, initial feature selection, and stratified data splitting to maintain model quality. Three modeling approaches were evaluated: LightGBM with default parameters, LightGBM enhanced using Random Search, and LightGBM optimized with GWO. The experimental results indicate that the baseline model already performs well, Random Search improves accuracy and F1-score, and GWO achieves the highest AUC-ROC value despite requiring longer computation time. Significance testing through cross-validation shows that the performance differences among the three models are not statistically significant, suggesting that the observed improvements are not strong enough to determine a definitively superior optimization method. The feature importance analysis highlights that clinical indicators such as creatinine levels, glomerular filtration rate, blood pressure, and urine protein contribute most prominently to the prediction. Overall, the study demonstrates that LightGBM is a reliable model for early detection of chronic kidney disease, and hyperparameter optimization still offers added value that can support the development of AI-based clinical decision-support systems

Hypertension is a condition in which systolic blood pressure exceeds 140 mmHg and diastolic pressure exceeds 90 mmHg persistently. Uncontrolled high blood pressure can cause disorders in the circulatory system and vital organs such as the heart and brain. One non-pharmacological effort to lower blood pressure in hypertensive patients is through deep breathing relaxation exercises, performed twice a day for ten minutes. RSU Siaga Medika Purbalingga, located in Padamara District, has recorded the highest number of hypertension cases in the area, totaling 4,470 patients. Based on a preliminary survey, many hypertensive patients were unaware of the benefits of deep breathing relaxation therapy; therefore, a Community Service (PkM) activity was conducted in the hospital’s Internal Medicine Clinic. The method involved educational sessions using lectures and demonstrations, supported by leaflets and videos. Participants’ knowledge was evaluated using pretest and posttest questionnaires. The results showed that most respondents were female (60%) and aged between 46–55 years (40%). Knowledge levels significantly improved, from the “low” category (40%) before education to the “good” category (90%) after education. Thus, deep breathing relaxation therapy has the potential to be an effective alternative method to help reduce blood pressure in patients with hypertension.

A high-sodium and low-potassium consumption pattern can increase the risk of hypertension. Excess sodium can cause fluid retention and increase blood volume, while potassium plays a role in regulating fluid balance and blood pressure. This study aims to determine the relationship between high-sodium and high-potassium consumption patterns and the incidence of hypertension at the City Community Health Center (UPT Puskesmas) in Bantaeng Regency. The research method used was quantitative analytic with a cross-sectional study approach. The study population was all 278 patients visiting the City Community Health Center (UPT Puskesmas) in Bantaeng Regency. The sample size was 74 residents of the community at the City Community Health Center (UPT Puskesmas). Purposive sampling was used. The research instrument used was a questionnaire, which was distributed to respondents. The Food Frequency Questionnaire (FFQ) was used for sodium and potassium consumption. The results showed a relationship between sodium consumption and the incidence of hypertension (p=0.003 meaning Ha was accepted.The results showed a relationship between potassium consumption and the incidence of hypertension (p=0.001) meaning Ha was accepted. Researchers hope that this research can be used as a support or source of information to develop knowledge in the field of community health, especially in nursing, related to sodium and potassium consumption in reducing blood pressure in hypertension patients.

Hypertension or high blood pressure is a medical condition that can cause serious complications, such as stroke and heart disease. The causes of hypertension are very diverse, ranging from unhealthy diet, lack of physical activity, stress, to genetic factors. The phenomenon that occurs at the UPTD Menteng Palangka Raya Health Center, namely that there are still many families who have not carried out their role as the right family members and have not been able to overcome family health problems, for example, such as compliance with taking hypertension medication in family members who suffer from hypertension. The purpose of this study is to determine the relationship between family roles and medication adherence in family members with hypertension. This type of research is correlational using a cross-sectional  approach using a spearman rank statistical test. The sampling technique used in consecutive sampling at the Menteng Palangka Raya Health Center. Sampling in this study is based on the inclusion criteria set. Data collection in this study used questionnaires on family roles and medication adherence that had gone through validity and reliability tests with Cronbach's alpa for family role 0.89 and Cronbach's alpa for medication adherence 0.92. Based on statistical tests using  Spearman's rank , a correlation coefficient value of 0.812 with a significance value of <0.001 was obtained. It can be concluded that there is a significant relationship between the role of the family and medication compliance at the Menteng Palangka Raya Health Center. The relationship between family roles and medication adherence in family members with hypertension at the Menteng Palangka Raya Health Center.”

Based on data from the South Nias District Health Office, the number of hypertension cases at Bawomataluo Public Health Center increased steadily from 2022 to 2024. This condition posed a high risk of leading to severe complications such as heart disease, stroke, kidney failure, and damage to other organs. This study aimed to examine the factors influencing compliance with blood pressure control among hypertensive patients within the working area of Bawomataluo Public Health Center in the year 2025. This research employed a quantitative method using an analytic survey design with a cross-sectional approach. The population consisted of 185 individuals who had been diagnosed with hypertension over the past six months (from July to December 2024). A purposive sampling technique was used to select 127 participants. Data analysis included univariate, bivariate, and multivariate analyses. Using logistic regression with the forward method, the results showed that knowledge had a significance value of 0.002 with an Exp(B) of 5.680; family support had a significance value of 0.000 with an Exp(B) of 6.740; motivation had a significance value of 0.000 with an Exp(B) of 6.947; and self-confidence had a significance value of 0.001 with an Exp(B) of 5.706. Among these, motivation was identified as the most dominant factor due to having the highest odds ratio (Exp(B)). The findings indicated that knowledge, family support, motivation, and self-confidence significantly affected compliance with blood pressure control among hypertensive patients at Bawomataluo Public Health Center. Motivation emerged as the most influential factor. It was recommended that the health center actively provide support and encouragement to patients suffering from hypertension.

Hypertension in the elderly is one of the common and significant health problems. The purpose of this study was to determine the effect of elderly exercise on hypertension in the working area of ​​the Krueng Barona Jaya Aceh Besar Community Health Center. The study method applied was a quasi-experimental design through a pre-test-post-test approach with a total population of 413 hypertension sufferers and a total sample of 15 people. The sample collection method was through Snowball Sampling. This research was conducted on April 20-24, 2025 in Meunasah Village, Papeun, with the research instrument in the form of an observation sheet with a measuring instrument using a sphygmomanometer. First, blood pressure was measured before the intervention, using a blood pressure monitor. Next, the elderly were given 20 minutes of exercise, followed by another 30-minute evaluation to assess changes in blood pressure. The results showed that before being given elderly exercise activities, the average systolic blood pressure of respondents was 179.60 mmHg and diastolic blood pressure was 102.73 mmHg, while after being given elderly exercise activities, the average systolic blood pressure of respondents was 170.80 mmHg and diastolic pressure was 92.80 mmHg with a difference of 8.8 mmHg systolic blood pressure and 10.13 mmHg diastolic blood pressure using a paired t-test of ρ value 0.000 (ρ <0.05). The conclusion is that there is an effect of elderly exercise on hypertension. It is hoped that hypertension sufferers and researchers will carry out routine elderly exercise activities, educational institutions will provide books on hypertension and complementary materials to increase students' knowledge and insight, and further research will be able to use the findings of this study as reference material and can improve this study through different variables.