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Esteriani Lahagu
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HUBUNGAN KUALITAS TIDUR DENGAN TEKANAN DARAH PADA PASIEN HIPERTENSI DI DESA TANJUNG ANOM Elpriska; Esteriani Lahagu; Ovi Krisna Ndraha
Jurnal Kesehatan Akimal Vol 5 No 1 (2026): EDISI APRIL 2026
Publisher : Akademi Keperawatan Kesdam Iskandar Muda Lhokseumawe

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58435/jka.v5i1.211

Abstract

Hipertensi merupakan penyakit kronis yang ditandai dengan peningkatan tekanan darah ≥130/80 mmHg dan berisiko menimbulkan komplikasi kardiovaskular. Kualitas tidur yang buruk dapat memengaruhi regulasi tekanan darah melalui mekanisme neurohormonal dan aktivitas sistem saraf otonom. Mengetahui hubungan antara kualitas tidur dengan tekanan darah pada pasien hipertensi di Desa Tanjung Anom, Kecamatan Pancur Batu, Kabupaten Deli Serdang. Penelitian kuantitatif dengan desain cross-sectional. Sampel berjumlah 64 pasien hipertensi yang dipilih menggunakan teknik purposive sampling. Kualitas tidur diukur menggunakan Pittsburgh Sleep Quality Index (PSQI), sedangkan tekanan darah diukur menggunakan sfigmomanometer digital sesuai prosedur standar. Analisis data dilakukan secara univariat dan bivariat menggunakan uji Chi Square dengan tingkat signifikansi α = 0,05. Mayoritas kualitas tidur responden dalam kategorik buruk sebanyak sebanyak 56 responden (78,9%) dan mayoritas tekanan darah responden yaitu hipertensi derajat 2 sebanyak 36 responden (50,7%) dan hasil uji Chi Square menunjukkan terdapat hubungan yang signifikan antara kualitas tidur dengan tekanan darah (p < 0,05), dimana semakin buruk kualitas tidur maka semakin tinggi tekanan darah. Terdapat hubungan bermakna antara kualitas tidur dan tekanan darah pada pasien hipertensi. Tenaga kesehatan perlu memberikan edukasi mengenai pentingnya perbaikan kualitas tidur sebagai bagian dari pengendalian hipertensi.
The Relationship Between Work Motivation and Nurse Performance in Mitra Sejati Hospital Medan Esteriani Lahagu; Nadya Gusva
Jurnal Kesehatan Akimal Vol 5 No 2 (2026): EDISI OKTOBER 2026
Publisher : Akademi Keperawatan Kesdam Iskandar Muda Lhokseumawe

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58435/jka.v5i2.281

Abstract

Background: Nursing services largely shape a hospital's quality and public image, and these services depend on how well nurses perform. Weak performance among nurses frequently arises from an unsupported work climate and heavy workloads, both of which reduce patient satisfaction. Work motivation, whether intrinsic or extrinsic, acts as a psychological force that sustains professional achievement and productivity. An initial survey at Mitra Sejati General Hospital in Medan found that the nurse-to-patient ratio was inadequate, that rewards for high-achieving staff were not applied optimally, and that limited attention from supervisors had weakened motivation. Objective: To analyze the association between work motivation and the performance of nurses working in the inpatient wards of Mitra Sejati General Hospital, Medan. Methods: A descriptive-correlational study with a cross-sectional design was carried out. Of the 100 nurses in the inpatient wards, 49 were recruited through purposive sampling. Structured questionnaires gathered demographic data, work motivation scores, and performance scores. The data were examined with frequency distributions (univariate) and the chi-square test (bivariate) at a significance threshold of alpha < 0.05. Results: Most nurses (n=46; 93.9%) reported fairly good work motivation, and 43 nurses (87.8%) showed fairly good performance. The chi-square test produced a p-value of 0.000 (p < 0.05), which signals a significant association between the two variables. Conclusion: Work motivation is significantly associated with nurse performance at Mitra Sejati General Hospital, Medan, and stronger motivation accompanies better quality of nursing care.
Co-Authors Elpriska Nadya Gusva Ovi Krisna Ndraha