Afif Ghariza
Universitas Aisyah Pringsewu

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The Effectiveness of A Combination of Mindfulness Meditation and Spiritual Care in Lowering Blood Pressure in Hypertension Patients Muhammad Farhan Al Farisi; Mesya Mesya; Afif Ghariza; Usman Stiawan
Indonesian Journal of Global Health Research Vol. 7 No. 6 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i6.414

Abstract

Hypertension is a global health problem known as a silent killer because it often presents without symptoms but can lead to serious complications such as stroke, kidney failure, and heart attack. In Pringsewu Regency, hypertension cases have continued to increase from 2021 to 2023, yet the coverage of healthcare services remains low. Non-pharmacological approaches such as mindfulness meditation and spiritual care have been proven to reduce blood pressure and improve the quality of life for individuals with hypertension. Objective to determine the effectiveness of a combination of mindfulness meditation and spiritual care in lowering blood pressure among individuals with hypertension in Pringsewu Regency. This study used a one-group pretest-posttest design. A total of 100 respondents were selected using purposive sampling based on the inclusion criteria. The intervention, consisting of a combination of mindfulness meditation and spiritual care, was administered during the period of June up to July 2025. Blood pressure was measured before and after the intervention and analyzed using the Paired Samples T-Test. The majority of respondents were female (55%), aged 36–55 years (44%). In terms of smoking history, most respondents were non-smokers (61%), and based on family history, most did not have a family history of hypertension (59%). The results of the Paired Samples T-Test showed a p-value = 0.000 (p ≤ 0.05), indicating a significant difference in blood pressure before and after the intervention. The combination of mindfulness meditation and spiritual care is effective in lowering blood pressure among individuals with hypertension in Pringsewu Regency.
Lived Experiences of Productive-Age Hemodialysis Patients: A Phenomenological Study of Meaning-Making, Acceptance, and Adaptation Afif Ghariza; Hardono Hardono; Wisnu Sadhana; Rika Damayanti; Feri Kameliawati
Indonesian Journal of Global Health Research Vol. 8 No. 5 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i5.2473

Abstract

Chronic kidney disease (CKD) requiring lifelong hemodialysis creates multidimensional challenges for productive-age patients, affecting physical, psychological, social, and spiritual aspects of life. This study aimed to explore the lived experiences of productive-age patients undergoing hemodialysis in the processes of meaning-making, acceptance, and adaptation to CKD. This qualitative phenomenological study involved eight participants aged 18-40 years undergoing hemodialysis for at least six months at the Hemodialysis Unit of Pringsewu District Hospital, Indonesia. Data were collected through semi-structured in-depth interviews and analyzed using Colaizzi’s phenomenological method. Four themes were identified: spiritual struggles following diagnosis, meaning-making and spiritual transformation, the process of self-acceptance toward chronic illness, and sources of strength and adaptation through family support and active coping strategies. Adaptation to CKD and lifelong hemodialysis is a gradual and dynamic process involving spiritual reconstruction, emotional adjustment, and behavioral adaptation. Contribution to science: This study enriches nursing knowledge by providing deeper insight into the experiences of productive-age hemodialysis patients and emphasizing the importance of holistic, spiritually sensitive, and family-centered nursing interventions to support successful adaptation and improve patients’ well-being.