Indah Yulitasari, Brune
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Application of Swedish Massage Therapy on Reducing Blood Pressure in Elderly with Hypertension at BPSTW Budi Luhur: A Nursing Case Study Nur Fatimah, Tri; Indah Yulitasari, Brune
Nursing Case Insight Journal Vol. 4 No. 1 (2026): Nursing Case Insight Journal
Publisher : CV. Literasi Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63166/z3h03z88

Abstract

Hypertension is a common cardiovascular disease in the elderly and is known as a "silent killer" because it often causes no symptoms. Uncontrolled hypertension can increase the risk of cardiovascular complications and reduce the quality of life in the elderly. One non-pharmacological therapy that can be used as a complementary therapy to help lower blood pressure is Swedish massage. This study aimed to determine the effect of Swedish massage therapy on reducing blood pressure in elderly patients with hypertension at BPSTW Budi Luhur, Yogyakarta Social Services. The method used was a descriptive case study involving two elderly respondents. Nursing care was provided for three consecutive days, applying Swedish massage therapy interventions. Blood pressure measurements were taken using a sphygmomanometer before and after 30 minutes of Swedish massage using effleurage, friction, petrissage, and tapotement techniques. Two nursing diagnoses were identified: acute pain and disturbed comfort. After three days of Swedish massage intervention, the average blood pressure before intervention was 163/101 mmHg, and after intervention it was 154/99 mmHg, with a reduction of 8 mmHg in systolic blood pressure and 2 mmHg in diastolic blood pressure. These results indicate that Swedish massage can be used as a non-pharmacological complementary therapy to help reduce blood pressure in elderly patients with hypertension
The Relationship Between Cognitive Function and Quality of Life Among Elderly Patients in the Prolanis Program at Sleman Primary Health Center, Yogyakarta Cantika Puteri, Mariska; Indah Yulitasari, Brune; Mulyanti
Nursing Case Insight Journal Vol. 3 No. 3 (2025): Nursing Case Insight Journal
Publisher : CV. Literasi Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63166/qt0kzy26

Abstract

Increasing age leads to physical, psychological, and social changes that affect the quality of life of the elderly, especially those suffering from chronic diseases such as Diabetes Mellitus (DM). The elderly are prone to cognitive function impairment, including decline in memory, concentration, and problem-solving abilities. Data from BPS (2023) show an increase in the elderly population, with the Special Region of Yogyakarta being the province with the highest proportion. A preliminary study at Sleman Primary Health Center indicated that 40% of the elderly experience mild to severe cognitive function impairment. To determine the relationship between cognitive function and quality of life among elderly patients in the Prolanis program at Sleman Primary Health Center, Yogyakarta. This study employed a quantitative research design using a cross-sectional approach. The total population was 476 respondents, with a sample of 83 respondents selected through purposive sampling. The study was conducted at Sleman Primary Health Center, Yogyakarta. The research instruments used were the MMSE questionnaire and the WHOQOL-BREF questionnaire. Bivariate analysis was performed using Kendall's Tau test. The majority of the elderly were aged 60–74 years (69.9%), female (75.9%), unemployed (49.4%), and had had DM for more than 5 years (44.6%). A total of 48.2% had moderate cognitive function, and 62.7% had moderate quality of life. The Kendall's Tau test showed a positive and significant relationship between cognitive function and quality of life (r = 0.301; p = 0.002). There is a positive and significant relationship between cognitive function and quality of life among the elderly. The better the cognitive ability of the elderly, the higher their perceived quality of life.