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EFEK RELAKSASI OTOT PROGRESIF DISERTAI MUSIK KLASIK TERHADAP STRESS DAN TEKANAN DARAH PASIEN HIPERTENSI SECARA CEPAT Gultom, Agustina Boru; Batubara, Arbani; Afniwati, Afniwati
Jurnal Abdi Insani Vol 11 No 2 (2024): Jurnal Abdi Insani
Publisher : Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/abdiinsani.v11i2.1595

Abstract

The Sunggal Community Health Center is in Sunggal District, Medan City, and has several health problems. Hypertension is ranked third among the ten most common diseases in 2022. One of the work areas of the Sunggal Health Center in Medan City where there are many hypertensive patients is the Sunggal sub-district area, with hypertension patients. some experienced an increase in their blood pressure, some experienced an increase in tension in daily life. The aim of this activity is that people who experience hypertension will experience a decrease in stress and blood pressure through progressive muscle relaxation exercises accompanied by classical music. . Community service activities include measuring stress using the SUDS (Subjective Units of Distress Scale) questionnaire and blood pressure using an Omron brand digital blood pressure monitor before training begins. Then the intervention continued in the form of progressive muscle relaxation exercises accompanied by classical music using lecture, question and answer, demonstration and re-demonstration methods for progressive muscle relaxation exercises accompanied by classical music. Then, measure stress and blood pressure again using the same questionnaire and tools. The target was 30 hypertensive patients carried out in the Sunggal sub-district. The results of the activity showed a decrease in stress by 23.68%, a decrease in systolic blood pressure by 9.47 mmHg, diastolic by 4.00 mmHg. Progressive muscle relaxation exercises accompanied by classical music can make a good contribution as a non-pharmacological nursing intervention in reducing stress and lowering blood pressure in hypertensive patients quickly.
Intervention to Reduce Stress and Blood Pressure in Hypertension Patients Gultom, Agustina Boru; Batubara, Arbani; Sihombing, Nurmala Hayati
Bubungan Tinggi: Jurnal Pengabdian Masyarakat Vol 7, No 4 (2025): NOVEMBER 2025
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/btjpm.v7i4.16368

Abstract

Hypertension cases at the Mulyorejo Community Health Center, Deli Serdang Regency, continue to rise. The stress experienced by hypertensive patients with high blood pressure requires appropriate management. The community health center has implemented various health initiatives, but further efforts are needed. Therefore, efforts to reduce stress and blood pressure in hypertensive patients were crucial. This community service activity used a Participatory Action Research (PAR) approach to empower hypertensive patients through a progressive muscle relaxation intervention with classical music. Topics covered included understanding hypertension, stress, the relationship between stress and blood pressure, and the implementation of the progressive muscle relaxation intervention with classical music, packaged in a booklet. Before and after the intervention, community service personnel measured stress using the Subjective Units of Distress Scale (SUDS) and blood pressure using an Omron digital sphygmomanometer. The activity was conducted from June to July 2025. The target group was 40 adult hypertensive patients, divided into two groups of 20 participants each from Pujimulyo and Payageli Villages. Results: The Wilcoxon test showed a p-value of 0.0001 for stress and blood pressure, both systolic and diastolic. Participants responded positively to this intervention and will continue it at home. It can be concluded that progressive muscle relaxation intervention with classical music can significantly reduce stress and systolic and diastolic blood pressure in hypertensive patients. These findings indicate the need to integrate this intervention into routine programs at community health centers.
Hubungan Dukungan Keluarga Dengan Kualitas Hidup Pasien Tuberkulosis Winda Sridewi Butar-Butar; Agustina Boru Gultom; Arbani Batubara
JURNAL BIDANG ILMU KESEHATAN Vol 16, No 2 (2026): Jurnal Bidang Ilmu Kesehatan
Publisher : Universitas Respati Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/jbik.v16i2.8102

Abstract

Tuberculosis (TB) affects patients' quality of life and increases mortality rates. One possible contributing factor is family support, which serves as a guide for concrete policies and actions. The purpose of this study was to analyze the relationship between family support and quality of life in tuberculosis patients. This analytical study, using a cross-sectional approach, was conducted on 35 TB patients using a purposive sampling technique. Data analysis used the chi-square test. The results showed a p-value of 0.0001, concluding that there is a strong relationship between family support and quality of life in tuberculosis patients.
Back Massage in Reducing Anxiety and Back Pain in Third Trimester Pregnant Women Agustina Boru Gultom; Arbani Batubara; Masnila Masnila; Nurlama Siregar
Jurnal Ilmiah Kesehatan (JIKA) Vol. 8 No. 2 (2026): Volume 8 Issue 2 August 2026
Publisher : Sarana Ilmu Indonesia (Salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/jika.v8i2.1968

Abstract

Anxiety is a common problem among pregnant women, especially during the third trimester. Maternal anxiety refers to the experience of excessive and distressing worry, fear, and anxiety related to childbirth, concerns about the well-being of the developing fetus, and the challenges of parenthood. Lower back pain can reduce a pregnant woman's quality of life. Back massage is an intervention that can be offered to pregnant women in the third trimester to relieve anxiety and back pain. The aim of this study was to analyze the effect of back massage on anxiety and back pain in pregnant women in the third trimester. This quantitative research used a quasi-experimental approach with a pretest-posttest design for one group of 30 subjects, using consecutive sampling as the sampling technique. The research was conducted from July to December 2025 in the Mulyorejo Community Health Center Working Area, Deli Serdang Regency. The data collected were primary data, derived from guided interviews using a questionnaire.  This study used the Perinatal Anxiety Screening Scale to assess maternal anxiety and the Numeric Rating Scale to assess back pain. Data were analyzed using IBM SPSS Stats 22 software using the Wilcoxon test with a 95% confidence level (p-value < 0.05). The study results showed a decrease in anxiety from 16.60 to 10.87, and a decrease in pain from 2.10 to 0.47, with p = 0.0001 for both outcomes. It can be concluded that back massage reduces anxiety and pain in pregnant women in the third trimester.
Diabetes Self-Management and Self-Efficacy Training for Diabetes Mellitus Patients Arbani Batubara; Agustina Boru Gultom; Dedy Fernandes
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 9, No 9 (2026): Volume 9 Nomor 9 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v9i9.27202

Abstract

ABSTRACT This community service program aimed to improve self-efficacy and reduce stress in diabetes mellitus patients. The training was held on April 28 and 29, 2026, involving 30 diabetes mellitus patients from two villages in the working area of the Sei Semayang Community Health Center, Deli Serdang Regency, each with 15 participants from Sei Semayang Village and Serba Jadi Village. The approach used was the Participatory Action Research (PAR) method, this activity included a pre-test measuring self-efficacy and stress using a questionnaire, a discussion on the description of diabetes mellitus, a discussion accompanied by demonstrations and redemonstrations regarding diabetes mellitus self-management, and diabetes mellitus self-efficacy, with the help of a booklet, and a post-test with the same measurements and questionnaires. The results of community service activities show a positive impact on the self-efficacy of diabetes mellitus patients increasing from a score of 48.33 to a score of 55.23, on stress decreasing from a score of 36.00 to a score of 22.00 and based on the Wilcoxon test showing significant results with a p value of 0.0001 each. This increase indicates that the training effectively increases self-efficacy and reduces stress in diabetes mellitus patients to be able to manage daily life regarding diet, physical activity, foot care and foot exercises, control their own blood glucose, stress management and manage their self-efficacy. This activity contributes to strengthening the attitudes and emotions of participants to be able to improve their quality of life in living their daily lives. Keywords: Diabetes Self-Management and Self-Efficacy Training, Self-Efficacy, Stress, Diabetes Mellitus.
Korelasi Stress dan Kualitas Hidup Pasien Hipertensi Gultom, Agustina Boru; Siregar, Abdul Hanif; Yahya, Syarif Zen
Jurnal Kesehatan Vokasional Vol 3, No 2 (2018): November
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkesvo.38151

Abstract

 AbstrakHipertensi merupakan masalah yang sering dialami masyarakat diseluruh belahan dunia. Setengah kematian akibat penyakit jantung, penyebabnya  adalah hipertensi di seluruh dunia, dimana Indonesia mengalami peningkatan kasus hipertensi yang bermakna. Kualitas hidup pasien hipertensi dapat mengalami penurunan dalam beberapa aspeknya dibanding dengan pasien yang tekanan darah normal dan tanpa meminum obat antihipertensi.  Disisi lain, pasien hipertensi dan terapi yang sama dapat menunjukkan gambaran kualitas hidup berbeda dikarenakan stress yang dialami seseorang berbeda-beda. Tujuan penelitian ini  adalah  untuk menganalisis hubungan stress dengan kualitas hidup pada pasien hipertensi di Wilayah Kerja Puskesmas Muliorejo Kabupaten Deli Serdang.. Jenis penelitian kuantitatif dengan desain penelitian korelasi, dimana sampel sebanyak 53 responden dan tehnik pengambilan sampel consecutive sampling.            Hasil penelitian didapatkan bahwa rerata nilai skor stress 20,5472, skor kualitas hidup domain fisik 52,2453, skor kualitas hidup domain psikologis 57,0943, skor kualitas hidup domain sosial 52,4151, skor kualitas hidup domain lingkungan 54,1132 dan berdasarkan uji korelasi spearman’s rho  menunjukkan hubungan stress dengan kualitas hidup domain fisik dengan nilai p 0,003, hubugan stress dengan kualitas hidup domain psikologis nilai p 0,001, hubungan stress dengan kualitas hidup domain sosial  dengan nilai p 0,028, dan hubungan stress dengan kualitas hidup domain lingkungan dengan nilai p 0,054. Disarankan agar dapat meningkatkan kualitas hidup pada pasien hipertensi terkhusus pada domain fisik, psikologis dan sosial  dengan berbagai upaya dalam  pengendalian stress sehari-hari.Kata Kunci : Stress, Kualitas Hidup. Hipertensi