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Natashia, Dhea
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Humanities Dentistry Education Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Physics Public Health Other

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Journal : Jurnal Persatuan Perawat Nasional Indonesia (JPPNI)

 1 
EXPLORING THE RELATIONSHIPS BETWEEN PSYCHOLOGICAL CHANGES, SLEEP QUALITY, AND HYPERTENSION AMONG COMMUNITY-DWELLING ELDERLY Natashia, Dhea; Rahma, Pricelia Alifa; Fitria, Dian; Syamsir, Syamikar Baridwan; Irawati, Diana
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 9, No 3 (2024)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v9i3.618

Abstract

Objective: to examine the relationship between psychological changes and sleep quality with the incidence of hypertension in the elderly.Method: This cross-sectional study, conducted with a purposive sample of 126 elderly participants, assessed psychological changes using the Depression, Anxiety, and Stress Scale (DASS-42) questionnaire and sleep quality using the Pittsburgh Sleep Quality Index (PSQI) questionnaire. Blood pressure was measured using a sphygmomanometer to assess hypertension. Data analysis included independent t-tests and chi-square tests, with logistic regression used to identify predictors of hypertension. Results: The independent t-test revealed significant differences in stress levels between participants with and without hypertension (t = -6.614, p = 0.020). Similarly, significant differences in depression levels were observed between these two groups (t = -0.044, p = 0.014). Elderly individuals with poor sleep quality had a 5 times higher risk of experiencing hypertension (OR = 4.625, p = 0.008). Multivariate analysis indicated that age was a predictor of hypertension incidence (β = 0.208, p = 0.004), and sleep quality was also a predictor (β = -1.501, p = 0.023). Discussion: The findings suggest that psychological factors and sleep quality influence hypertension development in the elderly, likely through physiological mechanisms such as heightened sympathetic activity and vascular stress. These results highlight the importance of addressing both psychological health and sleep quality in managing hypertension risk. Conclusion: Sleep quality is a predictor of hypertension incidence in the elderly. Those with poor sleep quality have a 5 times greater risk of developing hypertension compared to those with good sleep quality. Keywords: elderly, hypertension, psychological changes, sleep quality
Co-Authors Achmad Fauzi Agung, Rizki Nugraha Agus Setiawan Arsyi, Dila Nurul Astuti Astuti Awaliah, Awaliah Bani Bacan Hacantya Yudanagara Berliana, Diksi Hera Chen, Hsing Mei Dais, Exsos Grend Damai Yanti Damayanti, Sri Utami Dewi Anggraini Dewi Gayatri Dina Rahmawati E.P, Tria Astika Fadhillah, Harif Fadilah, Riska Febryandy, Valentino Feriadianto, Feriadianto Fitria, Dian Fitriana, Anantusia Fitriyati, Fitriyati Hamidah . Handayani, Rosmawati Handayani, Roswati Hartati, Yeni Hasanah, Idyatul Henny Permatasari Heny Purwati, Nyimas Herawati, Eva Heriadi, Ronny Heru Supriyatno Huang, Chen-Hui Humairah, Faradila Ikhsan Ibrahim Irawan, Aprianto Guntur Irawati, Diana Ismail, Ii Istinganah Istinganah Jumaiyah, Wati Karmi, Rudi Karwati, Eti Komalawati, Dedeh La Ramba, Hardin Laily, Dayang Lakoro, Danny Des Kartyko Lily Herlinah Lusty, junita Mar'ah, Novya Ashlahatul Maria Yulianti, Maria Muhammad Hadi Mursiah, Mursiah Narawangsa, Asri Noor Latifah Noviana Noviana Nursanti, Irna Nusanti, Irna Oktavina, Risa Pinamiranti, Firza Pramono, Cahyo Purwati, Nyimas Heny Puspasari, Jehan Rachmawati, Utami Rahma, Pricelia Alifa Rahmania, Sarah Rani, Amelia Hartika Rayasari, Fitrian Resnayati, Yeti Ruriwinita, Ruriwinita Sismanto, Bayu Aji Siswandi, Iyar Slametiningsih, Slametiningsih Sofiani, Yani Sofyan, Evi Sugiyono Sugiyono Suhartini, Euis Sumedi Sumedi Susanti, Yuanita Suwito, Kafi Pangki Syamikar Baridwan Syamsir Tri Setyaningsih Tuti Nuraini Uly, Nilawati Upik Rahmi, Upik Uswatun Hasanah Wahdaniyah Wahdaniyah, Wahdaniyah Wahyuni, Emmy Putri Wanandi, Eka Wisnu Wasilah, Hinin Wulandari, Reissa Amalia Yen, Miaofen Yeni, Veronica Yulianti, Dian Anggur Yuniarsih, Winda