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All Journal Nurse Professional Education Journal
Sang Ayu Ketut Candrawati
STIKES Wira Medika Bali, Indonesia

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Self-efficacy and adherence to a low-salt diet among elderly patients with hypertension Ni Wayan Citra Dewi; Sang Ayu Ketut Candrawati; Ni Wayan Suniyadewi
Nurse Professional Education Journal Vol. 1 No. 2 (2025): November 2025
Publisher : Kadewa Bakti Cendekia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.67958/nurseedu.v1i2.20

Abstract

Hypertension is a chronic health problem commonly experienced by the elderly, requiring long-term management. One way to manage hypertension is through low-salt diet therapy, but in practice, this is often influenced by psychological factors, including self-efficacy. This study aims to analyze the relationship between self-efficacy and adherence to low-salt diet therapy in elderly people with hypertension. The study employed a cross-sectional, quantitative, correlational design. The sample consisted of 93 elderly individuals selected using purposive sampling. Data were collected through a structured questionnaire that measured self-efficacy and adherence to a low-salt diet, and analyzed using Spearman's rank correlation test. The results showed a significant positive correlation between self-efficacy and adherence to a low-salt diet. Elderly people with higher levels of self-efficacy tended to be more consistent in implementing dietary recommendations. These findings confirm that self-efficacy plays a crucial role in shaping health behaviours among elderly individuals with hypertension. Therefore, nursing interventions that emphasize strengthening self-efficacy, continuing education, and family involvement have the potential to enhance dietary compliance and support more effective control of hypertension.
Knowledge of complementary acupressure therapy for blood pressure management among the pre-elderly Ni Kadek Calista Dewi; Sang Ayu Ketut Candrawati; Nurul Faidah
Nurse Professional Education Journal Vol. 1 No. 2 (2025): November 2025
Publisher : Kadewa Bakti Cendekia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.67958/nurseedu.v1i2.47

Abstract

Hypertension is the most common chronic health problem experienced by pre-elderly people, increasing their risk of cardiovascular disease. Acupressure, as a complementary therapy, is increasingly recognized as a supportive approach to blood pressure management, but knowledge among pre-elderly people remains uneven. This study aims to describe the level of knowledge among pre-elderly individuals regarding complementary acupressure therapy for blood pressure management. The study used a descriptive quantitative design with a cross-sectional approach. The research sample consisted of 69 pre-elderly individuals selected using purposive sampling. Data were collected through a structured questionnaire that measured respondents' understanding of the basic concepts of acupressure, its benefits, pressure points, and its role in blood pressure management. Data analysis was performed descriptively, presenting the frequency distributions and percentages of respondents' knowledge levels. The results showed that most respondents had a moderate level of knowledge, with a better understanding of the general benefits of acupressure than of its technical aspects. Pre-elderly people's knowledge of acupressure therapy still needs strengthening. The development of integrated health education should improve the safe and appropriate use of complementary therapies for blood pressure management in the pre-elderly group.
Effects of dry cupping therapy on blood pressure in older adults with hypertension I Kadek Teguh Wijana; Sang Ayu Ketut Candrawati; Dewa Putu Arwidiana
Nurse Professional Education Journal Vol. 2 No. 1 (2026): May 2026
Publisher : Kadewa Bakti Cendekia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.67958/nurseedu.v2i1.68

Abstract

Hypertension is one of the most common chronic conditions among older adults. It is a major risk factor for cardiovascular and cerebrovascular diseases, as well as kidney disorders. Complementary therapies have emerged as a supportive approach to blood pressure management. This study aims to analyze the effect of dry cupping therapy on blood pressure in older adults with hypertension. The study employed a pre-experimental design using a one-group time-series approach. A total of 20 older adults with hypertension were selected using purposive sampling in the service area of the Banjarangkan I Community Health Center, Klungkung Regency, Bali. Participants received dry cupping therapy four times at one-week intervals. Blood pressure measurements were taken before the first intervention and after the final intervention. Data were analyzed using the Wilcoxon signed-rank test. The results showed that dry cupping therapy significantly reduced systolic and diastolic blood pressure in older adults with hypertension. The findings suggest that dry cupping therapy has the potential to serve as a safe and effective complementary nursing intervention to support hypertension management in primary health care and community settings.
Blood pressure changes following dry cupping among patients with hypertension: a pre-experimental study Kadek Mery Pradnyadita; Ni Kadek Yuni Lestari; Sang Ayu Ketut Candrawati
Nurse Professional Education Journal Vol. 2 No. 1 (2026): May 2026
Publisher : Kadewa Bakti Cendekia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.67958/nurseedu.v2i1.73

Abstract

Hypertension requires sustained management, yet some patients seek complementary approaches that may support conventional care. This study aimed to examine changes in systolic and diastolic blood pressure following dry cupping among patients with hypertension. A quantitative pre-experimental study with a one-group pretest–posttest design was conducted at Usada Dawa Clinic, Klungkung Regency, Bali. Twenty-two participants were selected through purposive sampling and received dry cupping for 7–8 minutes per session, twice weekly for two consecutive weeks. Blood pressure was measured before the first session and after the final session using an aneroid sphygmomanometer and a stethoscope. Descriptive statistics summarized participant characteristics and blood pressure values, while paired-samples t tests compared pre-intervention and post-intervention measurements. Systolic and diastolic blood pressure were lower after completion of the intervention, and both pre–post differences were statistically significant. These findings provide preliminary evidence that dry cupping may be considered as an adjunctive approach within complementary nursing care when delivered safely and integrated with prescribed medication, lifestyle modification, and routine monitoring. However, the absence of a control group, the small sample, and the single-clinic setting limit causal interpretation and broader generalization. Larger controlled studies are needed to determine whether these changes are sustained and clinically meaningful.
Co-Authors Dewa Putu Arwidiana I Kadek Teguh Wijana Kadek Mery Pradnyadita Ni Kadek Calista Dewi Ni Kadek Yuni Lestari Ni Wayan Citra Dewi Ni Wayan Suniyadewi Nurul Faidah