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Nasir Muna
Nursing Study Program, Poltekkes Kemenkes Kendari, Kendari, Indonesia

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The Effect of Elderly Exercise on Blood Pressure Among Older Adults with Hypertension: A Quasi-Experimental Study Nasir Muna; Hikmawati
Jurnal Ilmu Kesehatan Nusantara Vol. 1 No. 3 (2024): Jurnal Ilmu Kesehatan Nusantara
Publisher : PT. Nasyah Medika Care

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Background: Hypertension is one of the leading causes of cardiovascular morbidity and mortality among older adults worldwide. Regular physical activity, including elderly exercise, has been recommended as an effective non-pharmacological intervention to improve blood pressure control. However, evidence regarding the effectiveness of structured elderly exercise programs among hypertensive older adults in Buton Regency, Southeast Sulawesi, remains limited. Research Objective: This study aimed to determine the effect of an elderly exercise program on blood pressure among older adults with hypertension using a quasi-experimental design. Methods: A quasi-experimental one-group pretest–posttest study was conducted involving 32 older adults with hypertension selected through purposive sampling. Participants attended structured elderly exercise sessions three times per week for four weeks, with each session lasting 30–40 minutes. Blood pressure was measured before and after the intervention using a calibrated digital sphygmomanometer. Data were analyzed using descriptive statistics, the Shapiro–Wilk normality test, and the paired-samples t-test with a significance level of p < 0.05. Results: The mean systolic blood pressure decreased from 154.8 ± 9.7 mmHg before the intervention to 144.2 ± 8.5 mmHg after the intervention, while the mean diastolic blood pressure decreased from 94.6 ± 6.4 mmHg to 87.8 ± 5.5 mmHg. The paired-samples t-test demonstrated statistically significant reductions in both systolic and diastolic blood pressure after the elderly exercise program (p < 0.001). Conclusion: The elderly exercise program effectively reduced blood pressure among older adults with hypertension. Integrating structured elderly exercise into routine community health services may enhance hypertension management and promote healthy aging.
Exploring Families’ Experiences in Supporting Older Adults’ Care in the Community: A Community Nursing Perspective Hikmawati; Nasir Muna
Jurnal Ilmu Kesehatan Nusantara Vol. 2 No. 3 (2025): Jurnal Ilmu Kesehatan Nusantara
Publisher : PT. Nasyah Medika Care

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Background: Population ageing increases families’ responsibilities for providing long-term care to older adults in the community. However, family caregivers frequently perform complex tasks with limited knowledge, resources, and professional assistance. Research Objective: This study explored families’ experiences in supporting older adults’ care in Buton Regency from a community nursing perspective. Methods: A qualitative descriptive study involved 15 family caregivers recruited through purposive sampling. Data were collected using semi-structured interviews and field notes. Interviews were transcribed verbatim and analysed thematically. Trustworthiness was established through member checking, peer discussion, reflexive notes, contextual descriptions, and an audit trail. Results: Five themes emerged: caregiving as a moral and cultural responsibility; families as coordinators of everyday care; multidimensional caregiving challenges; adaptation, spirituality, and shared family support; and the need for accessible, family-centred community nursing. Participants provided care, managed medication and nutrition, monitored symptoms, and made healthcare decisions. However, they experienced fatigue, emotional strain, financial pressure, limited caregiving knowledge, and geographical barriers. Conclusion: Families constitute the foundation of community-based older-adult care but require structured professional support. Community nurses should provide regular home visits, practical education, caregiver assessment, accessible consultation, and coordinated referrals to improve care quality and caregiver well-being.