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Hypertension is a condition characterized by systolic blood pressure ≥140 mmHg and diastolic blood pressure ≥90 mmHg. In Indonesia, the prevalence of hypertension showed an increasing trend in 2018, reaching 34.1% based on national survey data. Effective control of hypertension is essential to prevent long-term complications and acute cardiovascular events. Non-adherence to antihypertensive medication can increase cardiac workload. In addition to adherence to pharmacological therapy, unhealthy dietary patterns also contribute to the rising prevalence of hypertension. Therefore, adequate health literacy is required to support patients with hypertension in maintaining regular medication use and adopting healthy lifestyle changes, particularly in dietary management. To determine the relationship between health literacy and dietary patterns, as well as medication adherence among patients with hypertension. This study employed a non-experimental descriptive analytic design with a cross-sectional approach involving 113 respondents. Data were collected using questionnaires with ordinal scales and analyzed using the Gamma test. The results showed a p-value of 0.00 (<0.05) with correlation coefficients of R = 0.982 and R = 1.000, indicating a positive and very strong relationship between health literacy and dietary patterns, as well as medication adherence. There is a positive and very strong relationship between health literacy and dietary patterns and medication adherence among patients with hypertension.

Preeclampsia remains a major contributor to maternal morbidity and mortality, particularly in developing countries such as Indonesia. Early detection and integrated management at the primary healthcare level are essential to prevent disease progression and improve maternal outcomes.  Modifiable risk factors such as maternal obesity, inadequate calcium intake, and poor clinical management contribute significantly to disease progression (WHO, 2021; Zhang et al., 2020). This study aimed to evaluate the effectiveness of an Integrated Maternal Health Model (IMHM) combining risk assessment, nutritional intervention, and clinical management for early prevention and control of preeclampsia in primary healthcare settings. A quasi-experimental cohort study was conducted among 104 pregnant women, consisting of 52 preeclamptic and 52 normotensive participants in community health centers in Medan, Indonesia. Data were collected across four antenatal visits, including blood pressure measurements, proteinuria (dipstick), calcium intake, supplementation adherence, and antihypertensive therapy. Statistical analyses included bivariate and longitudinal tests. The results showed that maternal obesity, history of preeclampsia, and hypertension were significant risk factors. Adequate calcium intake demonstrated a protective effect against preeclampsia (p < 0.05), consistent with recent evidence indicating that calcium supplementation can reduce the risk of preeclampsia by up to 49%. However, calcium supplementation did not significantly influence blood pressure among normotensive pregnant women. Antihypertensive therapy, particularly intensive nifedipine regimens, showed significant differences in blood pressure patterns across visits (p < 0.05). In addition, proteinuria levels significantly decreased over time (p < 0.001), indicating improvement in renal function. In conclusion, the IMHM is effective in improving maternal outcomes through a multi-component approach integrating clinical, nutritional, and monitoring strategies. This model provides a practical and scalable framework for early prevention and management of preeclampsia in primary healthcare settings.

Hypertension is a major non-communicable disease, particularly challenging in regions with extensive service areas. Community health volunteers are essential for prevention and management through blood pressure measurement. Existing training programs focus primarily on knowledge, highlighting the need to integrate cognitive learning with small-group skills practice to enhance practical competencies and community-based hypertension control. A quasi-experimental design with a pretest–posttest design was conducted to evaluate the effectiveness of combined lecture and small-group training. Knowledge was assessed before and after training, while skills were evaluated post-intervention. Thirty volunteers from the Public Health Center Selakau participated. The results showed that knowledge of blood pressure measurement improved significantly, with pretest scores of 74.67 ± 16.34 rising to posttest scores of 90.00 ± 10.50 (p < 0.005). Posttest evaluation of practical skills showed a mean score of 80.93 ± 13.35, indicating proficient performance in most assessed items. Combined lecture and small-group training effectively enhanced both knowledge and practical skills of community health volunteers in blood pressure measurement. Integrating cognitive learning with hands-on practice strengthens theoretical understanding and field competencies, supporting more effective community-based hypertension control programs.

Hypertension is a chronic condition that requires long-term management due to its strong association with an increased risk of serious complications when blood pressure is not adequately controlled. One of the key factors influencing the success of hypertension management is patient adherence to antihypertensive medication. However, suboptimal adherence remains a common problem and may lead to poor therapeutic outcomes. This literature review aimed to examine the relationship between adherence to antihypertensive medication and blood pressure control among patients with hypertension. A systematic search of the literature was conducted using the PubMed and Google Scholar databases with relevant keywords combined through Boolean operators. The selected articles were screened based on predefined inclusion and exclusion criteria, including original research articles published within the last ten years, accessible in full text, and addressing the association between medication adherence and blood pressure in hypertensive patients. The findings of the reviewed studies indicate that most articles reported a significant relationship between medication adherence and blood pressure levels. Patients with higher adherence to antihypertensive therapy tended to achieve better blood pressure control compared to those with lower adherence. Although variations in the strength of the reported associations were observed across studies, the overall direction of the relationship was consistent. These results suggest that adherence to antihypertensive medication plays an essential role in achieving optimal blood pressure control. Therefore, this review highlights the importance of continuous efforts to improve patient adherence as part of effective hypertension management strategies aimed at reducing the risk of long-term complications.

Hypertension and diabetes mellitus are two highly prevalent non-communicable diseases that often coexist as comorbidities, significantly increasing the risk of cardiovascular complications. The coexistence of these conditions accelerates the onset of atherosclerosis, diabetic nephropathy, and kidney failure, thereby requiring more comprehensive clinical management. One of the key parameters in diabetes management is fasting blood glucose (FBG), which reflects the balance of glucose metabolism after a fasting period. Chronic hyperglycemia is known to contribute to endothelial dysfunction, increased peripheral vascular resistance, and activation of the sympathetic nervous system and renin-angiotensin-aldosterone system, ultimately leading to elevated blood pressure. This study employed a systematic literature review approach, analyzing articles published between 2021 and 2025. Narrative synthesis was conducted across various study designs, including cross-sectional, cohort, and meta-analysis studies. The findings indicate that most studies support a significant association between FBG levels and blood pressure, although some reported varying results. Cohort studies provide stronger evidence that elevated FBG increases the risk of new-onset hypertension. Age, treatment adherence, and lifestyle factors were also identified as confounding variables influencing outcomes. Overall, the evidence highlights that glycemic control through FBG monitoring is essential in managing hypertension among diabetic patients. Multidisciplinary strategies, patient education, and strengthening of primary healthcare services are required to reduce cardiovascular risks. Longitudinal studies are recommended to deepen the understanding of the relationship between FBG and blood pressure and to reinforce the scientific basis for evidence-based clinical interventions.

Hypertension substantially increases the risk of developing secondary conditions, including stroke, renal disease, coronary heart disease, and heart failure. Early management is therefore essential to prevent complications and adverse outcomes. Evidence indicates that untreated hypertension contributes to approximately 60% of stroke cases. Public knowledge regarding hypertension-related complications remains limited, and many individuals are unable to identify early signs of stroke the most common complication associated with hypertension. This study aimed to assess the knowledge of hypertensive patients regarding stroke risk and management at Santa Elisabeth Hospital Medan in 2024. A descriptive research design was employed. The sample consisted of 67 hypertensive patients attending the outpatient clinic, selected through purposive sampling. Data were presented using frequency distribution tables. The findings revealed that 52.2% of respondents demonstrated poor knowledge, 32.8% had moderate knowledge, and only 14.9% showed good knowledge regarding stroke risk and management. These results underscore the need for patients to adopt healthier lifestyles and for the hospital to strengthen educational efforts by providing more engaging and interactive learning materials for patients and their families.

Hypertension, or high blood pressure, is a medical condition characterized by a persistent increase in blood pressure exceeding normal thresholds. The aim of this study was to examine the relationship between coping mechanisms and psychological stress among elderly individuals with hypertension in Meunasah Papeun Village, Krueng Barona Jaya District. This research employed a quantitative design with a descriptive-analytic approach using the Cross-Sectional Study method. The total population consisted of 77 participants, and the sampling technique utilized total sampling. The study was conducted from June 25 to July 16, 2025. Data collection instruments included the Brief Cope questionnaire and a stress questionnaire developed by the researcher, with a reliability value of Cronbach’s alpha P-Value = 0.693. Data analysis was carried out using the Chi-Square test. The study findings revealed a P-Value = 0.503 (>0.05), indicating no significant relationship between coping mechanisms and stress among elderly individuals with hypertension in Gampong Meunasah Papeun. Respondents are advised to maintain emotional stability to prevent psychological stress; although the findings indicate no direct correlation, it remains essential to preserve mental well-being through effective communication, participation in positive activities, and seeking family support. The village as the research site is encouraged to continue developing stress reduction programs through educational and preventive approaches, such as counseling on coping mechanisms for stress and group discussions.

Non-communicable diseases (NCDs) are a major challenge in today's health development. One category of these diseases is hypertension, which is classified as a chronic disease with a relatively high mortality rate. Hypertension serves as a major predictor for various chronic diseases and is a common disease found in the community (Putri et al., 2025). If not managed properly, hypertension can lead to more serious complications such as stroke, coronary heart disease, diabetes, kidney failure, and blindness. Stroke (51%) and coronary heart disease (45%) are the leading causes of death related to hypertension (Pokhrel, 2024). The increasing prevalence of hypertension along with changes in lifestyle and unhealthy eating patterns adds to the global health burden. Therefore, effective management of hypertension is essential to prevent further complications. Appropriate hypertension management and regular monitoring can reduce the risk of related diseases, improve quality of life, and reduce mortality caused by complications of heart disease and stroke. Preventive and promotive efforts through health education are key to reducing the prevalence of hypertension in the community.

Cardiac arrest is a medical emergency that results in the sudden cessation of heart function, leading to more than 7 million deaths worldwide annually. In Indonesia, its prevalence is not well-documented. Ischemic heart disease is the primary cause, with other risk factors like hypertension, diabetes, obesity, and smoking also contributing. Clinical signs include loss of responsiveness, impaired breathing, and the absence of a pulse. Diagnosis is based on history, physical examination, electrocardiography, laboratory tests, and imaging to determine the underlying cause. Treatment follows the 2020 American Heart Association (AHA) guidelines, starting with basic life support (BLS), followed by Advanced Cardiac Life Support (ACLS). ACLS includes high-quality cardiopulmonary resuscitation (CPR), early defibrillation for shockable rhythms, epinephrine administration, and airway management through intubation. Once Return of Spontaneous Circulation (ROSC) is achieved, post-cardiac arrest care is crucial, including hemodynamic stabilization, Targeted Temperature Management (TTM), and critical care to prevent recurrence and neurological damage. A clear understanding of cardiac arrest's diagnosis, risk factors, and management is vital for reducing mortality. Adherence to AHA guidelines, especially rapid resuscitation, improves survival rates, making continuous CPR education essential for healthcare providers and the public.

Hypertension is one of the most common non-communicable diseases, posing serious health risks such as heart disease, stroke, and kidney failure. The increasing prevalence of hypertension is mainly due to limited public knowledge about the risks associated with the condition and the importance of consistent, long-term medication adherence to prevent complications. This study aims to examine the relationship between the level of knowledge about hypertension and medication adherence among hypertensive patients. A quantitative research method with a descriptive correlational design was employed. Purposive sampling was used to select respondents, and the data were analyzed using the Chi-Square test. The results showed that the majority of respondents were female (53%), aged between 46 and 64 years (74%), had an elementary school education level (42%), worked as housewives (51%), and had been diagnosed with hypertension for an average of 7 to 10 years (46%). Statistical analysis revealed a p-value of 0.000 (α < 0.05), indicating a significant relationship between the patients’ knowledge level and their adherence to antihypertensive medication. This finding emphasizes the need for continuous health education and counseling to enhance patients’ understanding of hypertension and its management. Effective communication and support strategies are essential in improving medication adherence, which is crucial for preventing hypertension-related complications and improving the quality of life for patients. These results provide valuable insights for healthcare providers to develop targeted interventions.

One of the key indicators of nation’s health development is life expectancy, which reflects the overall quality of public health. As life expectancy increases, the prevalence of non-communicable diseases (NCDs) also tends to rise, with Type 2 Diabetes Mellitus (DM) being one of the most common. In Indonesia, the number of individuals with Type 2 DM has reached approximately 10.7 million, and this figure is projected to increase significantly to 21.3 million cases by 2030, posing a serious public health challenge. This study aimed to describe the process of clinical nutrition care based on the Nutrition Care Process (NCP) for a patient diagnosed with Radiculopathy accompanied by Non-Insulin-Dependent Diabetes Mellitus (without complications), Essential (Primary) Hypertension, Spondylosis, and Spinal Stenosis, through the application of a regulated diabetic diet (DM RG) during hospitalization. The case study was conducted in November 2024 at RSI Ayani Surabaya and involved systematic monitoring of food intake and clinical outcomes during treatment. Findings indicated that within three days of observation, the patient’s dietary intake reached the target goals, demonstrating effective implementation of the prescribed meal plan. From physical and clinical monitoring, a notable decrease in blood pressure was observed on the second and third days, suggesting improvements in cardiovascular response to dietary management. Additionally, the patient’s temperature, pulse, respiratory rate, and oxygen saturation remained within the normal range throughout the treatment period, further supporting the effectiveness of the intervention. These results emphasize the importance of structured nutrition care in managing patients with multiple comorbidities, particularly those with diabetes and hypertension, as dietary regulation plays a central role in stabilizing health conditions. Overall, the study demonstrates that the application of the NCP framework combined with consistent monitoring can lead to positive patient outcomes and highlights its potential as a model for improving clinical nutrition management in hospital settings.

Hypertension is referred to as “the silent killer”, the World Health Organization (WHO) estimates that 29% of the world's population will experience hypertension in 2025, the potential increase in essential hypertension in adolescents can continue into adulthood due to lifestyle changes. So, it is necessary to provide nutrition education as a prevention of hypertension through the media of card games. The purpose of this study was to determine the effect of nutrition education on the prevention of hypertension through card game media on increasing the knowledge and attitudes of adolescents at SMAN 1 Krian. This type of research is quasi-experimental with Two Group Pre test-Post test Control Group Design. The research sample was 48 adolescents at SMAN 1 Krian, divided into experimental and control groups. Knowledge data with multiple choice knowledge test and attitude from attitude questionnaire using linkert scale. Data analysis of the Wilcoxon test was 0.00 < 0.05 for the increase in knowledge in the control group and the experimental group, while the increase in attitude was 0.00 < 0.05 for the control group and the experimental group. Data analysis using the Mann-Whitney Test (p>0.05), obtained a different test for increasing knowledge (0.22> 0.05), while a different test for increasing attitudes (0.02 < 0.05).  The results showed that there was no significant difference in nutrition education on the prevention of hypertension through card game media on improving knowledge, while there was a significant difference in nutrition education on the prevention of hypertension through card game media on improving adolescent attitudes at SMAN 1 Krian.

The prevalence of hypertension in Indonesia in 2020 is 31.7% of the population aged 18 years and over. Around 80% of people with hypertension are classified as essential hypertension. Blood pressure in hypertensive sufferers can be lowered pharmacologically and non-pharmacologically. Pharmacological reduction can be done by taking drugs recommended to lower blood pressure. Non-pharmacologically, you can reduce blood pressure by modifying your lifestyle and consuming medicinal plants. Medicinal plants can be used as alternative medicines for the prevention and control of hypertension which do not have side effects, are cheap and easy to obtain because they can be cultivated yourself. The aim of this community service is to provide education about the benefits of medicinal plants for first aid for minor health problems through traditional medicine which has the potential to treat and prevent hypertension. The service method carried out consists of two stages, namely counseling and planting traditional medicinal plants. This activity was attended by 20 participants. From the results of the evaluation and discussion, participants enthusiastically asked about herbs around their homes and people were willing to plant herbs in their yards.

Herpes zoster and crusted scabies are dermatological conditions that pose a higher risk and clinical severity in immunocompromised patients, particularly those with chronic comorbidities such as diabetes mellitus and hypertension. This case report presents a 55-year-old woman with painful vesicular eruptions on the right neck and generalized thick, crusted, itchy plaques across the body. She had a longstanding history of type 2 diabetes mellitus and hypertension. Clinical diagnosis of herpes zoster and crusted scabies was confirmed through physical examination and KOH microscopic testing, which identified Sarcoptes scabiei. The patient was treated with oral acyclovir, topical permethrin, and supportive therapy to manage pain and prevent secondary infections. The coexistence of herpes zoster and crusted scabies in a diabetic patient highlights the role of impaired immunity in disease severity and presentation. Early recognition and integrated management are essential to improve prognosis and prevent complications.

Hypertension is a prevalent health problem among the elderly and may lead to severe complications if not properly managed. One of the effective non-pharmacological approaches is the DASH diet (Dietary Approaches to Stop Hypertension). This study aims to examine the relationship between elderly knowledge about the DASH diet and their behavior in applying it, particularly among hypertensive elderly at the Posyandu Lansia in Campurejo Village, Bojonegoro District. This correlational study applied a cross-sectional design and involved a total sampling of 36 elderly respondents with hypertension. The data were collected using a closed-ended questionnaire that had been validated and tested for reliability. Data were analyzed using the Spearman Rho test. The findings revealed that most respondents had moderate levels of knowledge and behavior related to the DASH diet. The statistical test indicated a significant relationship between knowledge and DASH diet behavior (ρ = 0.000; p < 0.05). These results suggest that the higher the knowledge of the elderly about the DASH diet, the better their implementation behavior. Effective health education is essential to improve compliance among the elderly in managing hypertension through the DASH diet.

Resistant hypertension (RH) is defined as the failure to attain a controlled blood pressure in spite of the use of a triple combination therapy comprising a renin-angiotensin system inhibitor (RAS-i), a calcium antagonist, and a diuretic.Endothelin has been identified as a potential therapeutic agent target in the treatment of resistant hypertension. In hypertension and end-organ damage, endothelin plays a key role as a vasoconstrictor, comitogenic agent, and mediator of aldosterone and catecholamine release. ET inhibitors (receptor antagonist), currently approved by FDA in 2024 for the treatment of resistant and pulmonary hypertension. Aprocitentan seem to be also very useful for both essential hypertension and RH as well and could be used in combination of other hypertension drugs to get the best blood pressure control. Aprocitentan (Tryvio) is a novel new drug that administrated orally and showed well tolerated dual ET receptor antagonist, which has been inspected in numerous scientific studies and many clinical trials that showed hopeful results for RH control. As a result, that has been approved and optimistically it will help patients and prevent further cardiovascular disease and other organs damages. This article discusses several research that studied Aprocitentan from all aspects.

Chronic diseases are degenerative conditions that significantly impact an individual's quality of life. Various degenerative diseases, such as diabetes mellitus, hypertension, and heart stroke, require immediate attention. Indonesia faces a dual burden in healthcare, grappling with both rampant infectious diseases and the rising prevalence of chronic degenerative illnesses. Therefore, health promotion efforts are crucial in preventing degenerative diseases among adolescents. This initiative targets teenagers due to their unhealthy lifestyle choices, which are evident in their smoking habits, poor dietary practices, insufficient consumption of fruits and vegetables, and a lack of physical activity. The primary objective of this initiative is to enhance awareness regarding the prevention of degenerative diseases among youth and to address the emergence of such conditions in this age group. The results of the community service activities indicate a notable increase in average knowledge from 6.61 to 13.80 and an improvement in attitudes from 9.61 to 14.47. The community service activities were successfully executed, as evidenced by the smooth conduct of the events and the active participation of the adolescents. To improve health quality, it is essential to foster awareness and enhance education among teenagers about the prevention of degenerative diseases.

Hypertension is a disorder characterized by elevated blood pressure originating from abnormalities in blood vessels, leading to impaired delivery of oxygen and nutrients to essential body tissues. Family involvement in assisting relatives afflicted with hypertension constitutes a supportive mechanism to facilitate effective self-care management of the condition.This study aimed to investigate the correlation between familial support and self-care management in hypertensive patients at Tuminting Health Center. Cross-sectional methods. The study sample comprised 49 individuals selected by purposive sampling. A questionnaire was employed as the study instrument. The gathered data was analyzed with the SPSS 16.0 software employing the Chi Square statistical test at a significance level (α) of <0.05. The results indicated that the predominant age group was 56-65 years, including 27 respondents, which represents 55.1%. The majority of respondents were female, totaling 39 individuals, accounting for 79.6%. The most common educational attainment was high school, with 22 respondents, corresponding to 44.9%. The statistical test yielded a P value of 0.0001, which is less than the alpha value (α) of ≤0.05. This study concludes that a correlation exists between family support and self-care management in hypertension patients at Tuminting Health Center. The findings of this study are anticipated to serve as a resource for individuals with hypertension, emphasizing the importance of self-care management to prevent problems and facilitate recovery.

Hypertension and diabetes mellitus are significant health issues that can lead to serious complications such as cardiovascular diseases, stroke, and kidney failure. Efforts to control these diseases are essential to improving the quality of life for communities. Based on this background, the community service team from Mitra Bunda Health Institute organized health education and screenings on Nguan Island, Batam City. This initiative aimed to provide prevention and management of hypertension and diabetes mellitus for residents of RT 001 and RT 002 of Nguan Island. The implementation methods included blood pressure and blood sugar tests, health education through visual media, and health promotion adhering to health protocols. The high level of community participation reflects a positive response to efforts aimed at preventing and managing these diseases. Evaluation results show that the activities were successfully carried out, with participants following health education sessions and screenings in an orderly manner according to the established health protocols. Collaboration among the community, cadres, neighborhood heads, and local authorities has had a positive impact on raising awareness about the importance of managing hypertension and diabetes mellitus. These activities are planned to be conducted regularly to create a healthier environment on Nguan Island. Full support from various parties is essential to ensure the sustainability of this program for the improvement of community health.

Non-communicable diseases (NCDs) such as diabetes, hypertension, heart disease, and cancer have become urgent global health issues. In recent decades, the incidence of NCDs has continued to increase significantly, creating a huge health burden worldwide. Various factors contribute to the high rate of this disease, and a deep understanding of its background is essential for designing effective prevention strategies. One of the prevention strategies carried out is to conduct education on the prevention of non-communicable diseases with SI CEKIT TINULAR (Non-Communicable Disease Prevention Application).The method used is to create an application that can be used as a guide in preventing non-communicable diseases and socialization to program holders and the community of health service users.Result: availability of the SI CEKIT TINULAR (Non-Communicable Disease Prevention Application) application. and this application is planned to be IPR through the Polindra KI Center and the implementation of socialization for Kertasemaya Health Center program holders.