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"Lansia merupakan individu dengan usia diatas 60 tahun dengan proses penuaan yang menyertainya. Semakin bertambah usia lansia maka akan semakin rentan terhadap penyakit, salah satunya hipertensi. Dengan keluhan yang paling banyak dialami oleh lansia adalah nyeri leher, dikarenakan kelelahan dan kurangnya latihan fisik yang dilakukan. Nyeri pada lansia menggambarkan ketidaknyamanan yang bermanifestasi sebagai kelelahan, ataupun ketegangan. Jika nyeri tidak diatasi maka dapat mempengaruhi kualitas hidup lansia. Penelitian ini menganalisis penerapan evidence-based practices berupa intervensi unggulan dalam mengatasi nyeri leher kronis pada lansia dengan hipertensi di Panti Sosial di wilayah Jakarta Timur. Intervensi tersebut yaitu exercise promotion strength training melalui pilates yang dilakukan 30 menit setiap pertemuannya dengan frekuensi 2 minggu. Hasil penelitian menunjukkan adanya penurunan tanda dan gejala nyeri leher kronis sekitar 3 sampai 4 skala setelah dilakukannya intervensi yang dievaluasi dengan menggunakan Visual Analog Scale (VAS), Neck Disability Index (NDI), dan The short-form McGill Pain Questionnaire (SF–MPQ). Berdasarkan hal tersebut, exercise promotion strength training melalui pilates dapat menjadi pilihan dalam mengatasi keluhan nyeri leher pada lansia dengan hipertensi. Selain itu, diharapkan dapat memberikan masukan kepada perawat dan staff lahan praktik untuk mengimplementasikannya dalam kegiatan sehari-hari.

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The elderly are individuals over 60 years of age with an accompanying aging process. The older the elderly, the more vulnerable they are to disease, one of which is hypertension. The most common complaint experienced by the elderly is neck pain, due to fatigue and lack of physical exercise. Pain in the elderly describes the discomfort that manifests as tiredness, or tiredness. If pain is not treated, it can affect the quality of life of the elderly. This study analyzes the application of evidence-based practice in the form of superior interventions in dealing with chronic neck pain in elderly people with hypertension at Social Institutions in the East Jakarta area. The intervention is exercise promotion strength training through pilates which is carried out 30 minutes each meeting with a frequency of 2 weeks. The results showed that there was a decrease in the signs and symptoms of chronic neck pain by about 3 to 4 scales after the intervention was carried out which was evaluated using the Visual Analog Scale (VAS), Neck Disability Index (NDI), and The Short-form McGill Pain Questionnaire (SF-MPQ). Based on this, exercise promotion strength training through pilates can be an option for overcoming complaints of neck pain in the elderly with hypertension. In addition, it is hoped that it can provide input to nurses and practice staff to implement it in their daily activities."

"Hipertensi sering disebut sebagai silent killer karena terjadi secara bertahap merusak jantung, pembuluh darah, dan organ tubuh lainnya tanpa adanya tanda dan gejala yang jelas. Salah satu faktor yang mempengaruhi peningkatan tekanan darah adalah kurangnya aktivitas fisik. Karya akhir ilmiah ners ini bertujuan untuk memberikan gambaran dan analisis asuhan keperawatan keluarga dengan hipertensi melalui penerapan brisk walking exercise dan terapi musik yang dilakukan selama 30 menit dalam 6 sesi selama 2 minggu. Hasil evaluasi setelah penerapan intervensi keperawatan dan brisk walking exercise bersamaan dengan terapi musik menunjukkan adanya penurunan tekanan darah dengan rerata penurunan 9 mmHg pada sistolik dan 7,1 mmHg pada diastolik. Penerapan intervensi brisk walking exercise dan terapi musik harus dilakukan sesuai dengan prinsip dalam menjalankan aktivitas fisik, yaitu dengan 2B (baik dan benar) dan 2T (terukur dan teratur). Brisk walking exercise dan terapi musik dapat digunakan sebagai salah satu intervensi alternatif bagi klien dengan hipertensi.

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Hypertension is frequently called as silent killer since it occurs gradually damaging the heart, blood vessel, and other body organ without any clear signs and symptoms. One of the factors influencing the increase of blood pressure is lack of physical activity. The aim of this nurse final scientific paper is to provide an overview of the analysis family nursing care with hypertension through the application of brisk walking exercise and musical therapy conducted for 30 minutes in 6 sessions for 2 weeks. The result of evaluation after application of nursing intervention and brisk walking exercise with musical therapy shows a decrease of blood pressure with average decrease of 9 mmHg at systolic and 7.1 mmHg at diastolic. The application of these brisk walking intervention exercises and natural sound musical therapy must be conducted in accuracy with the principle in conducting physical activity, namely with 2B (good and right) and 2T (measurable and regularly). Brisk walking exercise and natural sound musical therapy can be used as one of alternatives interventions for the client suffering hypertension."

"Hipertensi menjadi salah satu penyebab kematian diseluruh dunia dan dapat diderita oleh kelompok usia mana saja, salah satunya lansia. Berdasarkan data Riskesdas tahun 2018, prevalensi hipertensi usia 55-64 tahun sebanyak 55,2%; usia 65-74 tahun sebanyak 63,2%; dan usia ≥ 75 tahun sebanyak 69,5%. Hipertensi dapat terus meningkat pada tahun 2050 karena jumlah lansia diperkirakan mencapai 2 milyar jiwa. Karya ilmiah ini bertujuan untuk menjabarkan asuhan keperawatan dengan foot massage sebagai upaya menurunkan tekanan darah pada keluarga yang memiliki agregat lansia dengan hipertensi. Intervensi foot massage diberikan dengan tujuan memberikan rasa rileks, menurunkan rasa nyeri, meningkatkan kenyamanan, dan memperlancar aliran darah sehingga tekanan darah menurun. Intervensi foot massage dilakukan 6 hari berturut-turut selama 15 menit. Pengukuran tekanan darah dilakukan 5-10 menit sebelum dan sesudah diberikannya intervensi foot massage untuk melihat stabilisasi tekanan darah sesuai dengan target yang ingin dicapai. Hasil evaluasi mendapatkan adanya penurunan darah, yaitu sebelum terapi foot massage menunjukkan rata-rata tekanan darah sistolik 145,16 mmHg dan rata-rata tekanan darah diastolik 69,67 mmHg, namun setelah dilakukan terapi foot massage rata-rata tekanan darah sistolik 134 mmHg dan rata-rata tekanan darah diastolik 68,83 mmHg. Pembatasan garam harian, mengkonsumsi obat antihipertensi secara rutin, melakukan aktivitas fisik, dan mengelola stres perlu dilakukan keluarga dalam mengontrol tekanan darah. Tindakan foot massage tidak memberatkan perekonomian keluarga dan gerakannya dapat diikuti masyarakat luas.

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Hypertension is one of the causes of death worldwide and can be suffered by any age group, one of which is the elderly. Based on Riskesdas data for 2018, the prevalence of hypertension aged 55-64 years was 55.2%; aged 65-74 years as much as 63.2%; and age ≥ 75 years as much as 69.5%. Hypertension can continue to increase in 2050 because the number of elderly people is estimated to reach 2 billion people. This scientific work aims to describe nursing care with foot massage as an effort to reduce blood pressure in families that have an aggregate of elderly people with hypertension. Foot massage interventions are given with the aim of providing a sense of relaxation, reducing pain, increasing comfort, and facilitating blood flow so that blood pressure decreases. The foot massage intervention was carried out 6 days in a row for 15 minutes. Blood pressure measurements were carried out 5-10 minutes before and after the foot massage intervention was given to see blood pressure stabilization according to the target to be achieved. The evaluation results found a decrease in blood pressure, namely before foot massage therapy showed an average systolic blood pressure of 145.16 mm Hg and an average diastolic blood pressure of 69.67 mm Hg, but after foot massage therapy the average systolic blood pressure was 134 mm Hg and the average diastolic blood pressure was 68.83 mm Hg. Restricting daily salt, taking antihypertensive drugs regularly, doing physical activity, and managing stress needs to be done by the family in controlling blood pressure. The act of foot massage does not burden the family's economy and the movement can be followed by the wider community."

"Tujuan: Untuk membuktikan bahwa olahraga yang sesuai dan minum obat dapat menurunkan tekanan darah diastolik (TDD) ≥ 5 mmHg. Metode Penelitian eksperimen kuasi selama 8 minggu di antara karyawan suatu instansi di Jakarta bulan Maret?Agustus 2008. Semua pengidap prahipertensi dan hipertensi yang ditemukan saat survei diundang mengikuti penelitian eksperimen kuasi. Ceramah diberikan pada awal penelitian, dan konseling sekali seminggu tentang olah raga, minum obat antihipertensi, serta hal terkait upaya penurunan TDD. Analisis memakai regresi Cox. Hasil: Sebanyak 1016 dari 1300 karyawan mengikuti survei tekanan darah, 318 subjek mempunyai TDD 80 mmHg atau lebih. Dari 120 subjek yang sukarela mengikuti eksperimen kuasi sebanyak 104 subjek yang menyelesaikannya. Dibandingkan dengan subjek yang tidak berolahraga dan juga tidak minum obat antihipertensi, subjek yang berolahraga sesuai dan minum obat antihipertensi teratur mempunyai kemungkinan penurunan TDD ≥ 5 mmHg lebih 12 kali [risiko relatif suaian (RRa) = 12,32; 95% interval kepercayaan (CI) = 0,65-234,54; P = 0,095], sedangkan subyek yang berolahraga sesuai atau minum obat antihipertensi namun tidak teratur mempunyai kemungkinan penurunan TDD ≥ 5 mmHg hampir 11 kali (RRa = 10,94; 95% CI = 2,04-58,74; P = 0,05. Subjek dengan TDD = 90-99 mmHg dibandingkan dengan yang TDD = 80-89 mmHg mempunyai kemungkinan penurunan TDD ≥ 5 mmHg 4,8 kali (RRa = 4,75; 95% CI = 1,19-18,65). Subjek yang obes, dengan denyut nadi istirahat bradikardia, serta tekanan nadi rata-rata tinggi tidak terjadi penurunan TDD ≥ 5 mmHg dengan olahraga dan minum obat antihipertensi. Kesimpulan: Kombinasi olahraga sesuai dan minum obat antihipertensi menurunkan TDD ≥ 5 mmHg di antara pengidap (pra-)hipertensi diastolik. Namun pada subjek yang obes, dengan denyut nadi istirahat bradikardi atau tekanan nadi rata-rata tinggi TDD tidak dapat diturunkan dengan olahraga dan minum obat antihipertensi.

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AbstractAim: To prove that proper exercise and taking antihypertensive medicine may reduce diastolic blood pressure (DBP) by ≥ 5 mmHg. Method: A quasi-experimentation study was done on employees of a government bureau in Jakarta, for 8 weeks from March to August 2008. All prehypertensive and hypertensive subjects were detected through a survey prior to the quasi-experimentation study. A talk was given at the beginning of the quasi-experimentation study, and weekly counseling sessions on exercise, taking medications, and other related topics continued for 8 weeks. Cox regression was used for calculating relative risk. Results: A total 1,016 employees out of 1,300 were involved in this blood pressure survey. Of these, 318 subjects had a DBP of 80 mmHg or more. Out of 120 subjects who voluntarily participated, 104 subjects completed the quasi-experimentation study. Compared to those who did not exercise properly and did not take antihypertensive medicines, subjects who did exercise properly and took medicines regularly had a lower diastolic blood pressure DBP ≥ 5 mmHg by more than 12-fold [adjusted relative risk (RRa) = 12.32; 95% confidence interval (CI) = 0,65-234,54; P = 0.095. However subjects who exercised properly or took antyhypertensive medicines irregularly were found to lower their DBP ≥ 5 mmHg by almost 11 fold [adjusted relative risk (RRa) = 10.94; 95% confidence interval (CI) = 2.04-58.74]; P = 0.005. Subjects with DBP = 90-99mmHg had a decrease of DBP ≥ 5 mmHg 4.8 fold (RRa = 4.75; 95% CI = 1.19-18.65) compared to those with DBP = 80-89mmHg. Compared to the normal subjects, the obese, resting pulse rate bradycardia, and high average pulse pressure subjects had less probability of lowering DBP ≥ 5mmHg, by 87%, 90%, and 65%, respectively. Conclusion: Combine proper exercise and taking antihypertensive medicine was reduce DBP by ≥5 mmHg among DBP (pre-) hypertensive subjects. The obese, bradycardia, or high pulse pressure subjects failed to lowering their DBP ≥5 mmHg by proper exercise and taking antihypertensive medicine."

"Edukasi yang kurang terkait berbagai macam penyakit berdampak pada meningkatnya prevalensi penyakit di masyarakat, salah satunya hipertensi. Sebagai salah satu tenaga kesehatan, perawat memegang peran penting dalam mengatasi masalah hipertensi di masyarakat seperti memberi asuhan keperawatan berbasis keluarga. Tujuan dari karya ilmiah akhir ners ini untuk memberi gambaran tentang asuhan keperawatan keluarga pada masalah hipertensi. Penulisan karya ilmiah ini didasari pada penerapan intervensi berupa kompres hangat pada tengkuk pada klien hipertensi dan berisiko hipertensi. Selain itu, penulisan karya ilmiah ini dianalisis berdasarkan berbagai konsep dan penelitian terkait. Hasil intervensi menunjukkan bahwa penerapan kompres hangat efektif untuk menurunkan tekanan darah dan mengurangi nyeri pada tengkuk. Oleh karena itu, perawat dapat mengaplikasikan kompres hangat tengkuk sebagai intervensi non farmakologi dalam memberikan asuhan keperawatan dalam keluarga dengan hipertensi dan menganjurkan keluarga untuk melakukan kompres hangat sebagai cara untuk melakukan perawatan hipertensi di rumah.

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Less education related to various diseases has an impact on the increasing prevalence of disease in the community, one of which is hypertension. As one of the health workers, nurses play an important role in overcoming the problem of hypertension in the community such as providing family-based nursing care. The purpose of this final scientific work is to provide an overview of family nursing care on the problem of hypertension. The writing of this scientific work is based on the application of interventions in the form of warm compresses to the nape of the neck in hypertensive patients and at risk of hypertension. In addition, the writing of this scientific paper is analyzed based on various concepts and related research. The results of the intervention show that the application of warm compresses is effective for lowering blood pressure and reducing pain in the neck. Therefore, nurses can apply the warm neck compress as a non-pharmacological intervention in providing nursing care in families with hypertension and encourage families to do warm compresses as a way to treat hypertension at home."