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Hipertensi atau silent killer menjadi penyebab utama morbiditas dan mortalitas. Faktor yang berperan dalam peningkatan tekanan darah adalah kualitas tidur. Kualitas tidur yang buruk dapat menyebabkan aktivasi sistem saraf simpatis dan gangguan regulasi tekanan darah sehingga berkontribusi terhadap peningkatan derajat hipertensi. Tujuan penelitian ini mengetahui hubungan kualitas tidur dengan derajat hipertensi pada pasien dewasa di wilayah kerja Puskesmas Tanjung Karang. Metode Penelitian yakni desain penelitian kuantitatif dengan pendekatan cross-sectional. Populasi penelitian adalah seluruh pasien dewasa yang terdiagnosis hipertensi. Teknik pengammbilan sampel menggunakan purposive sampling. Kualitas tidur diukur menggunakan kuesioner Pitssburgh Sleep Quality Index (PSQI). Derajat Hipertensi ditentukan berdasarkan hasil pengukuran tekanan darah sesuai klasifikasi hipertensi. Analisis data menggunakan uji Chi-Square dengan tingkat signifikan 0,05. Hasil penelitian adalah terdapat hubungan antara kualitas tidur dengan dderajat hipertensi pada penderita hipertensi. Implikasi pada penelitian ini menunjukkan pentingnya pemantauan dan peningkatan kualitas tidur sebagai bagian dari upaya pengendalian hipertensi. Edukasi mengenai pola tidur yang baik dapat menjadi salah satu strategi untuk membantu menurunkan risiko peningkatan derajat hipertensi pada pasien dewasa.

This study aimed to examine the association between physical activity and nutritional status as risk factors for noncommunicable diseases among women of reproductive age. A descriptive quantitative study with a cross-sectional approach was conducted in Kranggan Village involving 35 respondents selected through purposive sampling. Data on physical activity were collected using questionnaires, while nutritional status was assessed based on Body Mass Index (BMI). The findings showed that most respondents had moderate physical activity levels (51.4%), followed by low physical activity levels (42.8%). Regarding nutritional status, the majority of respondents were classified as overweight (51.4%) and obese (28.6%). Statistical analysis demonstrated a significant relationship between physical activity and nutritional status (p = 0.003). The results indicate that inadequate physical activity is associated with increased nutritional status problems, particularly overweight conditions. Therefore, low physical activity and excessive body weight represent interconnected risk factors contributing to the development of noncommunicable diseases among women of reproductive age. This study highlights the importance of promoting regular physical activity and maintaining balanced nutritional status as preventive strategies to reduce the risk of noncommunicable illnesses.

Hypertension is one of the leading non-communicable diseases contributing significantly to cardiovascular morbidity and mortality worldwide. Despite the availability of extensive electronic medical record data in healthcare institutions, these data are often utilized only for administrative reporting rather than predictive analysis. Consequently, opportunities to identify age groups with a higher probability of developing hypertension remain underutilized. This study aims to implement the Naïve Bayes classification algorithm to analyze age distribution and classify the risk of hypertension among patients using healthcare data. The research adopted the Cross-Industry Standard Process for Data Mining (CRISP-DM) methodology, including business understanding, data understanding, data preparation, modeling, evaluation, and deployment. Patient medical record data consisting of demographic and clinical attributes, including age, systolic blood pressure, diastolic blood pressure, body weight, gender, and hypertension status, were processed using the Naïve Bayes algorithm. Model performance was evaluated using a confusion matrix by measuring accuracy, precision, recall, specificity, and balanced accuracy. The implementation demonstrates that the Naïve Bayes algorithm is capable of classifying hypertension risk efficiently while providing probabilistic information regarding age groups with a higher tendency to experience hypertension. The resulting classification model offers an effective decision-support tool for healthcare providers in conducting targeted screening, preventive interventions, and evidence-based health planning. The findings also indicate that data mining techniques can transform routinely collected medical records into valuable clinical knowledge for early hypertension prevention and healthcare decision-making.

Background: The rising global burden of hypertension presents a massive public health challenge, with its mitigation heavily tied to modifiable dietary factors. Among these, the escalating intake of sugar-sweetened beverages (SSBs) has emerged as a significant dietary risk. Objectives: This study aims to synthesize recent epidemiological evidence regarding the association between various types of sweetened beverages and the risk of hypertension. Methods: A narrative-analytical review was conducted by retrieving observational studies and meta-analyses published between 2023 and 2026 from the Scopus database using explicit keyword combinations targeting SSBs, prospective cohorts, and blood pressure outcomes. Findings: Synthesized data reveals that high consumption of traditional SSBs significantly increases hypertension risk by 13% (RR: 1.13) and elevates systolic blood pressure in children, primarily driven by excess liquid calories. Artificially sweetened beverages (ASBs) show a 14% risk increase in observational data, potentially confounded by reverse causation, whereas acute pure fructose ingestion triggers rapid transient blood pressure elevation. Energy drinks induce rapid 24-hour blood pressure spikes due to high caffeine content. Conversely, 100% pure fruit juice exerts a protective effect (RR: 0.74) via endothelial-improving polyphenols, while honey demonstrates a neutral effect. Implications: Public health policies must implement aggressive regulatory interventions, such as taxation on SSBs and energy drinks, alongside targeted dietary counseling that differentiates between harmful liquid sugars and protective natural fruit juices.

Hypertension is a condition in which systolic blood pressure exceeds 140 mmHg and diastolic blood pressure is above 90 mmHg. Hypertension is the leading chronic non-communicable disease among adults in Indonesia, with a prevalence of 26.5%, and tends to increase with age. Family nursing care plays an important role in helping patients manage hypertension through education, pharmacological and non-pharmacological interventions, and ongoing monitoring. This case study aimed to describe comprehensive nursing care for Ny. K, a 66-year-old patient from the family of Tn. I, diagnosed with hypertension in Desa Tonjong RT 02 RW 04, Kecamatan Tonjong, Kabupaten Brebes. Nursing care was conducted from December 27 to 29, 2025, using interview, physical examination, observation, and documentation methods. Two nursing diagnoses were identified: (1) Risk of ineffective cerebral tissue perfusion, and (2) Knowledge deficit related to hypertension. Nursing interventions included vital sign monitoring, oral medication administration (Amlodipine 10 mg), health education on hypertension, and non-pharmacological therapy using bay leaf (Syzygium polyanthum) decoction. Evaluation results showed that the knowledge deficit was resolved after one session of health education, while the risk of ineffective cerebral tissue perfusion was partially resolved, with blood pressure decreasing from 180/100 mmHg to 165/90 mmHg over three home visits. It is recommended that families continue the bay leaf decoction therapy for one week and maintain regular blood pressure monitoring at the nearest health facility.

Introduction: Hypertension is an increase in systolic blood pressure ≥140 mmHg and/or diastolic ≥90 mmHg that has the potential to cause serious complications. The prevalence of hypertension in Indonesia is 34.11% (Riskesdas, 2018), in Central Java 37.57%, and in Tonjong Village 15,951 patients aged ≥15 years were recorded (Tonjong Health Center, 2025). Purpose: To provide direct and comprehensive family nursing care to Ny. T, the family of Tn. D, with hypertension in Tonjong Village, Dukuh Kauman RT 03 RW 04, Tonjong District, Brebes Regency. Method: Case study with a nursing process approach. Data were collected through interviews, observation, physical examination, and documentation, conducted on December 26–29, 2025. Results: Assessment revealed that Ny. T complained of dizziness, neck pain, difficulty sleeping, and soreness in both legs with blood pressure of 167/100 mmHg. The family had no knowledge about hypertension. Two diagnoses were established: Acute Pain (D.0077) and Knowledge Deficit (D.0111). Interventions included complementary foot massage therapy to address acute pain and health education on hypertension. After three visits, the Acute Pain diagnosis was partially resolved with a decrease in pain scale from 3 to 2 and blood pressure from 167/100 mmHg to 150/95 mmHg, while the Knowledge Deficit diagnosis was fully resolved. Conclusion: Family Nursing Care with the SDKI, SLKI, and SIKI approach had a positive impact on improving the condition of Ny. T. It is recommended that the client continue foot massage independently, implement the five family health tasks, and routinely utilize health facilities.

Preeclampsia is a pregnancy complication that significantly contributes to maternal and neonatal morbidity and mortality worldwide. Globally, it affects approximately 3–8% of pregnancies and causes more than 70,000 maternal deaths each year. In Indonesia, preeclampsia accounts for around 30% of the 4,151 maternal deaths reported in 2024. In Padang City, there were 254 cases in 2023 and 129 cases in 2024, with Puskesmas Bungus having the highest prevalence (7.2% and 3.77%). This study aimed to analyze the association between body mass index (BMI), history of hypertension, and history of preeclampsia with the incidence of preeclampsia among pregnant women at Puskesmas Bungus, Padang. This study used a quantitative case-control design involving 50 cases and 50 controls. Data were analyzed using chi-square and logistic regression tests. The results showed significant associations between obesity (p=0.031; OR=2.897), history of preeclampsia (p=0.006; OR=13.821), and history of hypertension (p=0.002; OR=17.216) with the incidence of preeclampsia. Multivariate analysis identified history of hypertension as the most dominant factor associated with preeclampsia. This study concludes that obesity, history of hypertension, and history of preeclampsia are significant risk factors for preeclampsia among pregnant women. Strengthening early detection and routine antenatal care for high-risk pregnancies is necessary to reduce maternal complications associated with preeclampsia.

Background: Non-communicable diseases (NCDs) are a major global public health concern, with hypertension affecting an estimated 1.4 billion adults worldwide. In Indonesia, the prevalence of hypertension among individuals aged 18 years and above reached 30.8% in 2023. In Kecamatan Tonjong, Kabupaten Brebes, the number of hypertension sufferers aged 15 years and above reached 15,951 people in 2025. Objective: To implement comprehensive family nursing care for Ny. S, family of Tn. F, who experienced cardiovascular system disorders due to hypertension in Desa Karang Jati RT 01 RW 05, Kecamatan Tonjong, Kabupaten Brebes. Method: This study used a descriptive narrative method with a nursing process approach (assessment, diagnosis, intervention, implementation, and evaluation), conducted through home visits over three days from December 26–28, 2025. Data were collected through interviews, observation, physical examination, and documentation. Results: Two nursing diagnoses were identified: acute pain related to hypertension and knowledge deficit regarding hypertension. Nursing interventions included pain management, oral medication administration (captopril 25 mg), and health education. Complementary non-pharmacological therapy using cucumber juice was applied once daily for three days. Conclusion: After three days of nursing implementation, both nursing diagnoses were fully resolved. Blood pressure decreased from 165/90 mmHg to 132/77 mmHg and the pain scale reduced from 4 to 1. Discharge planning was provided including recommendations for routine blood pressure monitoring, healthy lifestyle, and consistent medication adherence.

Maternal hypertension remains one of the major contributors to maternal morbidity and mortality in Indonesia and globally. This study aimed to analyze the prevalence, mortality trends, and geographical disparities of maternal hypertension in Indonesia during the 2022–2023 period. The research employed a descriptive design using secondary data obtained from official reports of the Indonesian Ministry of Health, national health surveys, and Maternal Perinatal Death Notification (MPDN) data. Data analysis was conducted descriptively by examining prevalence rates, maternal mortality due to hypertension, regional distribution, and temporal trends across provinces in Indonesia. The findings showed a slight but consistent decline in both the prevalence and mortality rates of maternal hypertension from 2022 to 2023 in most provinces. However, significant regional disparities remained evident. Provinces in eastern Indonesia, including Papua Barat, Nusa Tenggara Timur, Maluku, and several provinces in Sulawesi and Kalimantan, consistently recorded higher prevalence and mortality rates compared to provinces in Java and Bali. Meanwhile, provinces with better healthcare infrastructure and maternal referral systems demonstrated lower mortality outcomes. The study also revealed a strong association between high prevalence and increased maternal mortality, indicating the importance of healthcare accessibility, antenatal care quality, and emergency obstetric services in reducing maternal health burdens. These findings emphasize the need for region-specific maternal health interventions, improved healthcare distribution, early detection programs, and strengthened referral systems to reduce maternal hypertension disparities and improve maternal health outcomes in Indonesia.

Hypertension is one of the most common chronic diseases encountered in primary healthcare and may lead to serious complications if left uncontrolled. This case report aims to describe the management of a 48-year-old female patient with grade II hypertension through a family medicine approach at Nisam Primary Health Center, North Aceh Regency. The patient presented with intermittent headaches for one week, which worsened after physical activity and were accompanied by numbness in both legs. She had a five-year history of hypertension with poor adherence to antihypertensive medication. Physical examination revealed a blood pressure of 165/70 mmHg, leading to a diagnosis of grade II hypertension. Comprehensive management was conducted using patient-centered and family-centered approaches, including education regarding hypertension, lifestyle modification, DASH diet implementation, physical activity, medication adherence, and family support through home visits and family folders. The interventions were expected to improve blood pressure control, prevent complications, and enhance the patient’s quality of life. A family medicine approach plays an important role in comprehensive hypertension management at the primary healthcare level.

Hypertension is a non-communicable disease that is still a major health problem in Batam City. This study aims to determine the relationship between energy, carbohydrate, fat, protein, and sodium intake with the incidence of hypertension in the elderly at the Sei Langkai Public Health Center, Batam City. This type of study is observational with a cross-sectional design. A sample of 73 elderly people was selected using a purposive sampling technique based on predetermined inclusion and exclusion criteria. The results showed that the majority of elderly participants had adequate energy intake (54.8%) and carbohydrate intake (57.5%), while inadequate intake was observed for fat (56.2%), protein (52.1%), and sodium (79.5%). In addition, 54.8% of the participants were found to have hypertension. Statistical analysis revealed significant associations between energy intake (p=0.020), carbohydrate intake (p=0.004), fat intake (p=0.009), and protein intake (p=0.015) and the incidence of hypertension among the elderly. However, no significant association was found between sodium intake (p=0.300) and the incidence of hypertension among the elderly. It can be concluded that energy, carbohydrate, fat, and protein intake were significantly associated with the incidence of hypertension among the elderly, whereas sodium intake was not. The elderly are advised to implement a healthy and balanced dietary intake.

Hypertension in pregnant women and Women of Reproductive Age remains a significant health problem in West Java Province. The prevalence of hypertension among pregnant women in West Java is approximately 10.57%, higher than the national rate of 6.18%, while the prevalence among WRA ranges from 25% to 30%. This study employed a pretest–posttest design with health counseling provided to 25 pregnant women and Women of Reproductive Age in RW 05, Kertamaya Subdistrict, Bogor City. Data were collected using knowledge and attitude questionnaires before and after the counseling and analyzed using the Paired Sample T-test. The results showed a significant increase in participants’ average knowledge and attitude scores after the educational intervention (p < 0.05). Based on the Paired T-test, the intervention yielded a p-value of 0.000, indicating a statistically significant improvement in both knowledge and attitudes. These findings demonstrate that health education is effective in increasing knowledge and fostering positive attitudes regarding hypertension among pregnant women and Women of Reproductive Age.

Gestational hypertension is one of the leading causes of maternal mortality in Indonesia. Non-pharmacological interventions such as lavender aromatherapy have gained attention as complementary therapies due to their natural properties and minimal side effects. This study aims to evaluate the effect of lavender aromatherapy on blood pressure among pregnant women with gestational hypertension. The research employed a quasi-experimental design using a one-group pretest-posttest approach. A total of 15 participants meeting the inclusion criteria received an intervention consisting of lavender aromatherapy inhalation for 10–15 minutes. The results showed a decrease in mean systolic blood pressure from 141.53 mmHg before the intervention to 139.27 mmHg after the intervention. However, the mean diastolic blood pressure slightly increased from 90.20 mmHg to 90.27 mmHg. The reduction in systolic pressure indicates a potential relaxation effect of lavender, likely mediated through parasympathetic nervous system stimulation. Although the change in diastolic pressure was minimal and not clinically significant, these findings support the use of lavender aromatherapy as a supportive approach in managing blood pressure in pregnant women with gestational hypertension. This complementary therapy is expected to enhance maternal healthcare, particularly in improving comfort and reducing stress during pregnancy.

Hypertension is a global health problem that requires ongoing management, one of which is through a low-salt diet. However, many people with hypertension do not adhere to this diet due to a lack of information and understanding of the disease's risks. The Health Belief Model (HBM) can be utilized as a health education method to encourage hypertension management behavior using leaflets. This study aims to analyze the application of the HBM theory in the use of leaflets to increase knowledge about a low-salt diet among hypertensive patients in the community. The method used in this study was a literature review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines through the steps of identification, screening, eligibility assessment, and selection of articles until 16 articles were obtained that met the inclusion criteria. The results of this study indicate that leaflets are effective in increasing knowledge about a low-salt diet, adherence to health behaviors, and blood pressure control for people with hypertension. The components of the HBM, such as perceived susceptibility, perceived severity, perceived benefits, perceived barriers, and cues to action, play a role in shaping risk perceptions and encouraging changes in health behavior. Therefore, leaflets based on HBM are highly recommended as a form of promotional and preventive intervention in nursing practice in the community because they are easy to use, low cost, and support self-management of hypertension.

Hypertension is a global health problem that requires ongoing management, one of which is through a low-salt diet. However, many people with hypertension do not adhere to this diet due to a lack of information and understanding of the disease's risks. The Health Belief Model (HBM) can be utilized as a health education method to encourage hypertension management behavior using leaflets. This study aims to analyze the application of the HBM theory in the use of leaflets to increase knowledge about a low-salt diet among hypertensive patients in the community. The method used in this study was a literature review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines through the steps of identification, screening, eligibility assessment, and selection of articles until 16 articles were obtained that met the inclusion criteria. The results of this study indicate that leaflets are effective in increasing knowledge about a low-salt diet, adherence to health behaviors, and blood pressure control for people with hypertension. The components of the HBM, such as perceived susceptibility, perceived severity, perceived benefits, perceived barriers, and cues to action, play a role in shaping risk perceptions and encouraging changes in health behavior. Therefore, leaflets based on HBM are highly recommended as a form of promotional and preventive intervention in nursing practice in the community because they are easy to use, low cost, and support self-management of hypertension.

Hypertension is a condition where blood pressure increases above normal limits as indicated by systolic and diastolic values ​​during examination. In Karanglangit Village, the community's low level of knowledge regarding risk factors, prevention and treatment of hypertension is an obstacle in controlling this disease. This service activity aims to increase public understanding so that they are able to implement efforts to prevent and manage hypertension independently. The method used is direct counseling with the help of presentation media and educational posters. The activity stages include completing a pre-test, providing material about hypertension, an interactive discussion session, and a post-test. The activity was carried out in January 2026 at the Karanglangit Village Hall, Lamongan District, with 26 PKK women participating. The results show an increase in participants' knowledge, marked by an increase in the average score from 76.92% in the pre-test to 100% in the post-test. The paired t-test showed a significant difference before and after the counseling (p<0.001), so that the activity was considered effective in increasing community knowledge. Apart from that, participants also better understand the importance of a healthy lifestyle, regular check-ups, and compliance in maintaining stable blood pressure.

Hypertension is a chronic condition characterized by systolic blood pressure >130 mmHg and diastolic >80 mmHg, which can lead to serious complications such as stroke and heart failure if left unmanaged. This study aims to describe the application of warm water foot soak intervention in reducing blood pressure among hypertensive patients in the Dongkelan Kauman area. This was a descriptive study with a case study approach involving three elderlies with hypertension. The intervention was conducted for 20 minutes daily using warm water at a temperature of 38-40°C for three consecutive days. Data were collected through interviews and blood pressure measurements using a tensimeter before and after the intervention. The results showed a decrease in blood pressure in all three subjects after routinely implementing the intervention. The highest systolic reduction reached 15 mmHg, while the average diastolic reduction was 5 mmHg. Physiologically, warm water stimulates blood vessel vasodilation, which facilitates blood flow and reduces muscle tension. The study concludes that warm water foot soak therapy potentially effective as a non-pharmacological complementary intervention for controlling blood pressure in elderly patients with hypertension.

Diabetes Mellitus merupakan salah satu penyakit degeneratif dengan prevalensi yang terus meningkat, terutama pada kelompok usia lanjut. Kegiatan pengabdian kepada masyarakat ini bertujuan meningkatkan pengetahuan masyarakat mengenai pencegahan dan pengelolaan diabetes melitus melalui edukasi pola hidup sehat dan pemanfaatan tanaman obat. Kegiatan dilaksanakan di Desa Sambirata dengan sasaran ibu-ibu Posyandu Lansia. Metode yang digunakan meliputi penyuluhan kesehatan, pemeriksaan tekanan darah, pemeriksaan gula darah sewaktu, dan edukasi pemanfaatan tanaman obatantidiabetes. Sebanyak 44 peserta mengikuti kegiatan penyuluhan dan 71 peserta mengikuti pemeriksaan kesehatan. Hasil pemeriksaan menunjukkan 29 peserta mengalami hipertensi, 3 peserta memiliki kadar gula darah di atas normal, dan 50 peserta memiliki faktor risiko diabetes melitus. Kegiatan ini meningkatkan pengetahuan dan kesadaran masyarakat mengenai pentingnya pola hidup sehat serta penggunaan tanaman obat secara rasional dalam pencegahan diabetes melitus.

Hypertension is a chronic condition characterized by systolic blood pressure >130 mmHg and diastolic >80 mmHg, which can lead to serious complications such as stroke and heart failure if left unmanaged. This study aims to describe the application of warm water foot soak intervention in reducing blood pressure among hypertensive patients in the Dongkelan Kauman area. This was a descriptive study with a case study approach involving three elderlies with hypertension. The intervention was conducted for 20 minutes daily using warm water at a temperature of 38-40°C for three consecutive days. Data were collected through interviews and blood pressure measurements using a tensimeter before and after the intervention. The results showed a decrease in blood pressure in all three subjects after routinely implementing the intervention. The highest systolic reduction reached 15 mmHg, while the average diastolic reduction was 5 mmHg. Physiologically, warm water stimulates blood vessel vasodilation, which facilitates blood flow and reduces muscle tension. The study concludes that warm water foot soak therapy potentially effective as a non-pharmacological complementary intervention for controlling blood pressure in elderly patients with hypertension.

According to the WHO and the Ministry of Health, hypertension is defined as blood pressure ≥ 140/90 mmHg, consistent with the ESC/ESH guidelines. Hypertension is one of the leading causes of premature death worldwide. Symptoms experienced by patients with hypertension include headaches, sweating, palpitations, snoring, daytime sleepiness, muscle weakness, cramps, and cardiac arrhythmia. Clinical manifestations of hypertensive urgency include elevated blood pressure, severe headache, anxiety, and shortness of breath. Mrs. M, a 68-year-old woman, came to the Samudera Community Health Center complaining of a headache that had worsened approximately 3 days ago. The headache is felt at the back of the head, feeling heavy, and sometimes radiates throughout the entire head. The patient also describes the headache as throbbing. The headache was exacerbated when the patient could not sleep, consumed salty foods, and did not take her medication regularly.  The headache subsides slightly when the patient takes medication and sleeps with their head elevated.  The patient reported that the symptoms were also accompanied by nausea, dizziness, palpitations, and an inability to sleep at night. The patient has been diagnosed with hypertension for approximately 5 years. On physical examination, the patient’s blood pressure was 190/100 mmHg. The patient was advised to adopt a healthy diet by reducing salt intake. The patient was also prescribed the following medications: Captopril 25 mg twice daily, Amlodipine 5 mg once daily, Paracetamol 500 mg three times daily, and Domperidone 10 mg twice daily, to be taken as needed.