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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.

Sleep disorders such as insomnia are health problems that have a serious impact on quality of life. This research aims to design and build a brain wave stimulator based on Audio Visual Stimulation (AVS) as a non-invasive solution to help improve sleep quality. It utilizes a synchronized combination of light and sound, controlled by an Arduino NANO microcontroller, and supported by a DFPlayer Mini module, speakers, and blue LEDs as a stimulation medium. The research methods used are applied research with observation stages, literature studies, system design, tool implementation, and function testing. Functional tests were performed five times in a span of 15 minutes after the device was activated. The results of the voltage measurement on each component also show that the performance of the tool is within normal limits according to the datasheet. Thus, this tool successfully functions as designed and has the potential to be a viable solution to improve sleep quality.

Nowadays, insomnia symptoms are experienced by many people, especially those who are in the final semester and are working on their final assignments. The common causes of insomnia are anxiety and stress. Therefore, this study tries to investigate the correlation between anxiety and stress levels and the incidence of insomnia among college students completing the thesis at the Health Sciences Faculty of Universitas Abulyatama. This study employs an analytical design with a cross-sectional approach involving 134 college students as the sample chosen using a total sampling technique. The data was analyzed using univariate and bivariate data with the Chi-Square test. The result reveals that from 134 respondents, the majority experienced sleep disorder indicated by 51 students (38, 1%). On the anxiety variable, the majority experienced severe anxiety 36 students (26, 9%), and the variable of stress level indicated that the majority experienced moderate stress 63 students (47%). Based on the Chi-Square test, there is a correlation between the anxiety variable (p=0,008) and stress level variable (p=0,005) towards the incidence of insomnia in final-year students. This study concludes that the incidence of insomnia in final-year students is influenced by anxiety and stress. This study recommends campuses provide information consultation on insomnia, such as health socialization through social media on how to deal with anxiety and stress management.

Vitamin D is an essential steroid hormone that plays a role in calcium and phosphorus regulation and has the potential to affect sleep quality. Vitamin D deficiency in the elderly often occurs due to minimal exposure to sunlight and age-related physiological changes, which contribute to the high incidence of sleep disorders, including insomnia. This community service activity aims to screen vitamin D levels in the elderly as a cause of insomnia through the Plan-Do-Check-Act (PDCA) approach. The activity was carried out at Panti Bina Bhakti, South Tangerang, involving 93 elderly participants aged > 65 years. The results showed that the average vitamin D levels among the age groups 61-70 years, 71-80 years, 81-90 years, and 91-100 years were 7.6 mg/dl, 7.2 mg/dl, 7.6 mg/dl, and 13.9 mg/dl, respectively. Interventions through vitamin D supplementation, sunlight exposure, and education in the form of sleep hygiene are effective in improving the health and sleep quality of the elderly.

The prevalence of insomnia in Indonesia is still high compared to other countries, especially in adolescents. The prevalence is about 67% including low insomnia at 55, 8% and moderate insomnia at 23, 3%. The impact of insomnia on adolescents such as body weakness, lethargy, lack of concentration, and enthusiasm until it becomes a serious problem such as sleep disorders, heart attack, cancer, obesity, and other various lethal diseases. This study aimed to determine the correlation between smartphone addiction and stress levels on the incidence of insomnia in adolescents at SMA Negeri 8 Banda Aceh. The research method used was an analytical design with a cross-sectional approach. The population was 537 teenagers and the sample was 84, chosen using the Proportional Random Sampling technique and Univariate and bivariate analysis using the Chi-Square test. The data were gathered using the Perceived Stress Scale (PSS) questionnaire, Smartphone Addiction Scale Short Version (SAS-SV), and Biological Psychiatry Study Group Jakarta Insomnia Rating Scale (KSPBJ-IRS). The result showed that of 84 respondents, most of them did not experience insomnia 41 respondents (48,8%), did not experience smartphone addiction 43 respondents (51,2%), and experienced low stress 48 respondents (57,1%). So there was a relationship between smartphone addiction (p=0,002) and stress level (p=0,007) toward insomnia in adolescents. In conclusion, there was a correlation between smartphone addiction and stress levels toward the incidence of insomnia in adolescents. This research suggests that research institutes concerned with health education conduct cross-sector collaboration regarding smartphone usage, such as the Health Office and Public Health Centres.

Many teenagers now spend most of their time playing gadgets. The teenagers can spend all day playing gadgets. The teenagers can spend all day playing gadgets. Using for a long time causes them to take about 60 minutes longer to fall asleep than usual, resulting in them experiencing insomnia. The purpose of this study is to determine the relationship between the duration of gadget use and the incidence of insomnia in adolescents at Betzata ABD Leilem Junior High School. Sampling in this study with the Slovin formula, as many as 62 respondents. Data collection using questionnaires via google forms. The data analysis in this study was univariate and bivariate analysis (Chi square test) measuring the relationship between each variable with a valeα= 0.05. The results of the study were obtained, there was a relationship between the duration of gadget use and the incidence of insomnia with a value = 0.06 (value < 0.05). The conclusion in this study is that there is a relationship between the duration of gadget use and the incidence of insomnia in adolescents at Betzata ABD Leilem Junior High School.

This work aims to visualize various issues related to insomnia. It reflects the author's concern about how insomnia disrupts human activity and physical health. The creation of this artwork explores how to translate the concept of insomnia into figurative abstract painting. The methods and processes used in creating this abstract figurative artwork involve several stages: (1) Preparation, (2) Elaboration, (3) Synthesis, (4) Concept Realization, and (5) Completion. The technique employed is acrylic on canvas. The result of this work, visualized on a two-dimensional medium, has led to the development of titles such as “Keseimbangan” (Balance), “Kasih Sayang” (Affection), “Dedikasi Orang Tua” (Parental Dedication), “Pilihan” (Choice), “Cinta Pertama” (First Love), “Kampak Pertahanan” (Defense Axe), “Pistol Kehidupan” (Life Pistol), “Rumah Rantau” (Home Away), and “Sajian Bonsai” (Bonsai Presentation).

Sleep is something that must be fulfilled, if it it fulfilled it will cause disturbances in a person's biology and psychology. Many factors influence insomnia, including disease, fatigue, environment, stress, medication, diet, and alcohol and nicotine. The use of gadgets can also affect insomnia because addiction to bluelight gadgets will shift your sleep rhythm, causing insomnia. This research aims to determine the relationship between intensity of gadget and stress with insomnia in final class adolescents at Logos Health Vocational School. The research method used is Cross-Sectional. involving 99 final grade students of Logos Health Vocational School. By using the Chi-Square Statistical Test and the results of this research, the P value = 0.001, which means that the value is <0.05. Conclusion: There is a relationship between the intensity of gadget and stress and insomnia in final class adolescents at Logos Health Vocational School, Kabupaten Bogor in 2023. The results of this research are expected to provide benefits for parents and schools in efforts to prevent the occurrence of insomnia, as well as handling stress and use. gadgets.

Insomnia is one of the most common sleep problems in the elderly due to aging. These sleep problems have an impact on reducing the quality of sleep in the elderly. Lavender aromatherapy and English music are one way to increase sleep needs. This study aims to analyze the effect of a combination of lavender aroma therapy and English music on the sleep quality of elderly people with insomnia. The design of this research is quasi-experimental with a pre-test and post-test control group approach. The population is elderly people with sleep disorders at the Roasro Simalingkar B Medan Foundation. The total sample was 32 elderly people with insomnia who were divided into two groups using random sampling who met the inclusion criteria. The independent variables of this research are lavender aromatherapy and English music, while the dependent variable is the sleep quality of elderly people with insomnia. Data were collected using a structured questionnaire and analyzed using the Wilcoxon Signed Rank Test and Mann Whitney Test with a significance level of 0.05. The results showed that there was an effect of the combination of lavender aromatherapy and English music on sleep quality (p=0.000) in the treatment group. Meanwhile, in the control group there was no effect on sleep quality results (p=0.564). The comparison results stated that there was a difference in the post test sleep quality (p=0.000). The combination of lavender aromatherapy and English music has a significant effect on the sleep quality of elderly people with insomnia.

Perimenopause is a transitional phase between premenopause and postmenopause. This phase is characterized by an irregular menstrual cycle with prolonged heavy menstrual bleeding and relatively large amounts of menstrual blood, sometimes accompanied by menstrual pain (dysmenorrhea). In certain women, vasomotor complaints and complaints of premenstrual syndrome have arisen (Baziat, Ali. 2020). The most common complaints include vasomotor symptoms such as hot flushes, night sweats, insomnia, fatigue and palpitations.

Insomnia is one of the main disorders in initiating and maintaining sleep among the elderly. Insomnia is defined as a complaint about a lack of quality sleep caused by one of the reasons why it is difficult to get into sleep, frequent awakenings at night and then difficulty getting back to sleep, waking up too early, and not sleeping well. The poor quality of sleep in the elderly is caused by increased sleep latency, reduced sleep efficiency and early awakening due to the aging process. The purpose of this study was to determine the effect of progressive muscle relaxation therapy on insomnia in the elderly in posbindu, patikraja village. This type of research is one group pretest-posttest with pre-experimental. The sample size used in this study was 19 respondents. The sampling technique used is purposive sampling. Methods of data collection using a questionnaire. The statistical test used in this study was the Wilcoxon Sign Rank Test with 0.05. The results of this study note that there are differences before and after being given progressive muscle relaxation therapy. The results of the analysis of the Wilcoxon Sign Rank Test obtained a p value of 0.000 <0.05, meaning that there is an effect of progressive muscle relaxation therapy on changes in insomnia in the elderly in Posbindu, Patikraja Village.

Pain is an unpleasant sensory-nervous response experience associated with tissue damage. Pain in children during invasive procedures that are not handled properly can make them uncooperative and refuse action, which can hinder the treatment process. Long-term effects that can arise if a child's pain is not reduced or treated are the psychological and physical stress suffered by the child, such as insomnia, depression, changes in appetite, and fatigue. Efforts to overcome pain during blood sampling procedures include audiovisual therapy and  cool  packs.  This  study  aims  to  analyze  the  differences  in  the  effectiveness  of audiovisual therapy and cool packs on pain levels during blood sampling procedures in preschool children.  This  research  is  quantitative  with  a  quasi-experimental two-group posttest  design.  The number  of samples  in this  study was 44  respondents,  who  were divided into two groups using the consecutive sampling technique. Based on the Mann- Whitney test, the results showed that there were differences in the effectiveness of audiovisual therapy  and  cool packs  on  pain  levels  in  blood  sampling  procedures  for preschool children, with a p-value of 0.000 (<0.05). Audiovisual therapy and cool packs can  be  used  as  nursing  actions  to  reduce  pain  during  blood  sampling  procedures  in preschool children.

Pregnancy is a period when pregnant women experience physiological and psychological changes. Physical changes that occur during pregnancy can cause complaints or discomfort during pregnancy, which include physical discomfort during pregnancy including back pain, low back pain, difficulty sleeping at night/insomnia, and leg cramps. Meanwhile, psychological discomfort that can occur in pregnant women is anxiety and fear of facing the birth process. Anxiety is one of the psychological changes in the third trimester because it is getting closer to the birth process. Resulting in excessive anxiety during pregnancy can trigger abortion, premature birth, low birth weight, fetal defects, fetal growth retardation, and postpartum depression. Three out of five third trimester pregnant women who were encountered experienced anxiety approaching labor, namely sleep disturbances. Practicing yoga during pregnancy is a useful solution as a self-help medium that will reduce discomfort during pregnancy and help with the birthing process. When pregnancy enters the third trimester, the mother will experience increasingly serious and intense anxiety in dealing with the birth process.

Insomnia is one of the most common diseases in modern society, with its characteristics being difficulty sleeping at night or failure to maintain effective sleep after sleep. Conventional treatments for existing insomnia have undesirable effects when used for a long time. Treatment with acupuncture and herbs can be used as an alternative and complementary therapy in the treatment of insomnia. Research purposes to determine the effect of a combination of acupuncture and herbal therapy Bai Zi Yang Xin Tang  on client insomnia with heart and kidney disharmony syndrome at Yayasan Dharma Warga Surabaya. Research methods is one group pre-test and post-test design. Respondents in the study amounted to 14 people received acupuncture therapy at point (Feng Chi, An Mian, Bai Hui, Si Shen Cong, Shen Men, Nei Guan, Zu San Li, San Yin Jiao, Tai Xi, Tai Chong) and consumed Bai Zi Yang Xin Tang. The average length of sleep for respondents before therapy was 3.75 ± 0.47 hours and after therapy 6.0 ± 0.65 hours (p < 0.05). The combination of acupuncture and  Bai Zi Yang Xin Tang for insomnia with heart and kidney disharmony syndrome can increase the patient's sleep duration after therapy.

The increasing number of elderly people will have an impact on all arrangements in the community or family. Problems that often occur in the elderly will be a burden on the elderly, one of the problems that occur is insomnia. So this study aims to find out the relationship between insomnia and blood pressure in the elderly. Research method with quantitative survey analysis design, crossectional. The research was conducted in a nursing home with a sample size of 30 active elderly respondents with insomnia disorders. The results showed that there was no relationship between the level of insomnia and blood pressure with a significance value of 0.757> p value 0.05. These results indicate that statistically there is no relationship between the elderly with insomnia and blood pressure. Suggestions for home managers to provide interventions for elderly people who experience insomnia disorders with light therapy that is fun and has a positive impact on the elderly..

Explores the relationship between obesity and insomnia, two prevalent and growing health concerns in today's society. Research has shown that there is a bidirectional relationship between these two conditions, with each contributing to the development and exacerbation of the other. The paper examines the various mechanisms that link obesity and insomnia, such as hormonal imbalances, inflammation, and sleep-disordered breathing. Additionally, the paper discusses the implications of this relationship on public health, as well as potential interventions for preventing and treating both conditions. By understanding the complex interplay between obesity and insomnia, healthcare providers and policymakers can better address these important health issues and improve patient outcomes.

Merendam kaki dengan air hangat merupakan pemberian aplikasi panas pada tubuh untuk mengurangi gejala rasa tidak nyaman. Terapi ini efektif untuk mengatasi ketegangan otot dan kelancaran peredaran darah. Tujuan untuk mengetahui Pengaruh Terapi Rendam Air Hangat Pada Kaki Terhadap Insomnia Pada Iansia Di panti sosiaI Griya Iansia Jannati  Kota GorontaIo. penelitian ini menggunakan metode peneIitian Quasi Eksperimen dengan pendekatan pre post test controI group. Sampel diambil secara dengan teknik purposive sampling dengan jumlah sampel 20 responden. Pengumpulan data menggunakan kuesioner dan analisis data menggunakan uji Independen T Test dengan nilai kemaknaan p value < 0,05. HasiI peneIitian Terapi rendam air hangat pada kaki berpengaruh terhadap insomnia pada Iansia di panti sosiaI Griya Iansia Jannati  Kota GorontaIo,Terdapat perbedaan atara keIompok kontoI yang mendapatkan perIakuan daIam PerIakuan Treatment dimana pada keIompok  dengan hasiI uji anaIisis paired T-tes terdapat pengaruh dengan naIai pVaIue 0.000<0.05 maka dengan ini hipotesis diterima. Kesimpulan penelitian ini adannya pengaruh siginifikan Terapi Rendam Air Hangat Pada Kaki Terhadap Insomnia Pada Iansia Di Panti SosiaI Griya Iansia Jannati  Kota GorontaIo. Dibimbing oIeh Harismayanti seIaku ketua dan HasIinda Damansyah seIaku anggota.

Latar belakang: Peningkatan usia harapan hidup pada lansia mengindikasikan terjadinya masalah berbagai kesehatan, diantaranya masalah biologis, psikologis dan sosial. Kondisi tersebut menyebabkan seorang lansia lebih rentan untuk mengalami berbagai masalah kesehatan termasuk gangguan tidur . Gangguan tidur yang paling sering ditemukan pada lansia adalah  insomnia. Salah satu tindakan komplementer yang dapat dilakukan perawat untuk menangani insomnia adalah dengan terapi musik gamelan. Tujuan : Penelitian ini bertujuan untuk menganalisa pengaruh terapi musik gamelan terhadap derajat insomnia pada lansia. Metode: Rancangan penelitian yang digunakan adalah quasi experimental pretest posttest control group design. Jumlah sampel sebanyak 12 lansia yang diambil dengan teknik purposive sampling dan dibagi ke kelompok intervensi (n=12) dan kontrol (n=12). Bentuk intervensi berupa pemberian terapi musik gamelan sebanyak 8 kali selama 2 bulan. Instrumen yang digunakan adalah KSPBJ-IRS (Kelompok Studi Psikiatri Biologi Jakarta-Insomnia Rating Scale). Data dianalisa dengan uji Mann-Whitney. Hasil: Hasil penelitian menunjukkan hasil pengukuran derajat insomnia pada kelompok intervensi memiliki mean pre test 20 (derajat ringan) dan post test 18 (tidak ada keluhan insomnia). Hasil analisis dengan uji independent t pada kelompok intervensi menunjukkan nilai p=0,002 yang artinya ada perbedaan signifikan antara pre dan post test (p<?, ?=0,05). Hasil yang berbeda diperoleh pada kelompok kontrol yaitu nilai mean pre test 22 (insomnia ringan) dan post test 22 (insomnia ringan,) nilai p=0,310 yang artinya tidak ada perbedaan signifikan antara derajat insomniai pre dan post test (p> ?, ?=0,05). Hasil penelitian membuktikan terapi musik gamelan berpengaruh terhadap penurunan derajat insomnia pada lansia. Saran : terapi musik gamelan digunakan sebagai intervensi keperawatan pada lansia yang mengalami insomnia.

Hypertension is a condition where systolic blood pressure is equal to or more than 140 mmHg and diastolic blood pressure is more than or equal to 90 mmHg. The cause of hypertension can be influenced by genetic factors, environmental factors or influenced by a combination of these two factors. From the causative factors, hypertension can be classified into 2, namely: primary or essential hypertension for which the cause is not known, and secondary hypertension which is hypertension arising from other diseases. According to the American Heart Association in 2019, there were about 4 billion people on the Asian continent, but levels of awareness, treatment and blood pressure control tend to be low. The Chinese population has a presentation of 47% of the population who are aware and check themselves for hypertension, 14% of whom are undergoing treatment. Singapore has 74% of people aware of hypertension and 69% undergoing treatment. In America, about 46% of adults have hypertension, about 40% of whom are African-American-non-Hispanic men and women. Women aged 20 to 34 years, 13% had hypertension; nearly 86% of the condition was in their mid-70s. Men at that age also had the same condition, increasing from about 26% to 80%.

Elderly is an end stage in the span of human life. Age that is not young makes the elderly vulnerable to degenerative diseases such as insomnia. Insomnia is a condition where a person has difficulty sleeping, especially sleeping at night. Foot soak therapy is a therapy using warm water which aims to overcome insomnia. The purpose of this case study is to describe the application of foot bath therapy with warm water to insomnia in the elderly. This type of research belongs to descriptive using the case study approach method. The subjects used were two respondents with criteria for elderly who were over 60 years old and experienced mild, moderate and severe insomnia. The form of intervention was the application of foot soak therapy with warm water for 2 days. The measuring instrument used was an insomnia rating scale questionnaire. The results of the case study showed that there was a decrease in the score of insomnia after doing foot bath therapy with warm water, proven in subject I from a score of 28 (weight) to a score of 25 (mild) and in subject II from a score of 26 (mild) to a score of 24 (mild).