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Variability of blood pressure, pulse pressure, and mean arterial pressure in hypertensive individuals Pius Almindu Leki Berek; Fransiska Amaral; Handrianus Akoit; Maria Paula Marla Nahak; Djulianus Tes Mau; Maria Fatimah Wilhelmina Abuk Fouk; Yovita Made
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 9 (2025): Volume 8 Number 9
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i9.1258

Abstract

Background: Hypertension is a major risk factor for cardiovascular disease and remains a public health issue, particularly in areas with limited access to healthcare services, such as the Indonesia–Timor Leste border region. Blood pressure variability, pulse pressure (PP), and mean arterial pressure (MAP) are important indicators for assessing the risks of long-term complications. Purpose: To determine the profile and variability of blood pressure, PP, and MAP among hypertensive individuals, as well as the relationship between sociodemographic characteristics and these parameters. Method: A quantitative descriptive design with a cross-sectional approach was employed. Data were collected from 124 respondents through blood pressure measurements taken at three different time points. Mean systolic and diastolic blood pressure (SBP and DBP), PP, and MAP were analyzed, along with comparisons between measurement times and respondent characteristics. Result: The mean systolic blood pressure (SBP) was 151.27 mmHg, and the mean diastolic blood pressure (DBP) was 89.86 mmHg, indicating that most participants fell into hypertension grade 1–2 categories. The mean PP was 61.43 mmHg and MAP was 110.32 mmHg, both exceeding normal thresholds, suggesting potential vascular complications. Significant fluctuations were found in SBP and PP between the second and third measurements (p=0.014 and p=0.032, respectively), while DBP and MAP remained relatively stable. No significant associations were found between sex, education level, or occupation with the blood pressure parameters. Conclusion: Blood pressure was relatively high and tended to be stable between measurements, with significant variability in systolic and pulse pressures (p<0.05). Meanwhile, sociodemographic characteristics such as age, gender, education, and occupation did not show a significant association with blood pressure, PP, or MAP. Suggestion: Hypertension control programs need to focus on an individualized approach with routine blood pressure monitoring using HBPM, stabilizing blood pressure variability, and improving patient education. Programs must also be tailored to sociocultural conditions and supported by simple digital technology for early detection in border communities.
Upaya Pemberantasan Penularan Penyakit TB Paru dan Manajemen Dahak Menuju Eliminasi TB 2030 Pius A. L. Berek; Maria Fatimah W. A. Fouk; Yovita Made; Francisca Amaral
Jurnal Pengabdian Masyarakat Waradin Vol. 4 No. 1 (2024): Januari : Jurnal Pengabdian Masyarakat Waradin
Publisher : Sekolah Tinggi Ilmu Ekonomi Pariwisata Indonesia Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56910/wrd.v4i3.593

Abstract

Pulmonary tuberculosis (TB) is one of the infectious diseases that is of global concern. This disease is caused by the bacteria Mycobacterium tuberculosis which attacks the lungs and can spread through the air when the sufferer coughs or sneezes. The method of community service activities in the form of education is an effort to provide an understanding of tuberculosis and its treatment, as well as good and correct phlegm management. The service results showed an increase in community knowledge regarding TB, including symptoms, how it was transmitted, preventive measures, and good and correct cough management. There was an increase in community knowledge where the pre-test results of 57.14 increased to 90.77 in the post-test. Collaboration between academics, village governments, NGOs, and community leaders as well as posbindu cadres is the key to the success of the government's program to eliminate TB in 2030. It was concluded that through ongoing efforts and adaptation to local needs, knowledge about TB and phlegm management can help reduce the transmission of this disease significantly and support government efforts to eliminate TB 2030 both at the Kabuna Village level, Belu Regency, and even Indonesia as a whole.