Lilik Supriati
brawijaya university

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STRESS, INDEKS MASSA TUBUH (IMT) DENGAN KEJADIAN HIPERTENSI PADA LANSIA DI KABUPATEN MALANG Lilik Supriati
Jurnal Kesehatan Mesencephalon Vol 3, No 1 (2017): Jurnal Kesehatan Mesencephalon - April 2017
Publisher : Sekolah Tinggi Ilmu Kesehatan Kepanjen

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (103.592 KB) | DOI: 10.36053/mesencephalon.v3i1.36

Abstract

Abstract : The elderly was the last human development phase causing change on all aspects of physical ,psychological , social and economic. The most problem of  physical disorders in  elderly was hypertension.  Hypertension was condition that  systole blood pressure higher than 140 mmHg relating to psychological stress .Other modification factor relating to hypertension prevalence  was the body mass index .The purpose of this research knew the relation between  stress and body mass index  to hypertension prevalence. The method  used analytic correlational with cross sectional design. Techniques sampling used  purposive sampling included 81 respondents. Research instruments variable stress used  quisioner modification of HARS. BMI  and blood pressure was obtained through assessing directly. Statistical analysis used the correlation spearman .The result showed that stress elderly mostly in category moderate  stress. Mean of  score BMI is  23,53 that in nomal category  ( 60,49 % ). Based on the bivariat statistic show there is significant relation between stress with hypertension ( r = 0,723 ) and there is  significant correlation between  BMI  with hypertension ( r = 0,486 ) .The Nurse must do implementation  stress  management in elderly to lower the risk of a rise in blood pressure like  techniques of relaxation progressive and nurse must give information to elderly to control weight to prevent increasing  in BMI with the activity like doing  sports and having  good eating habit.Keywords : stress , body mass index , hypertension Abstrak : Lansia merupakan fase tahap tumbuh kembang terakhir manusia menyebabkan perubahan pada semua aspek fisik, psikologis, sosial dan ekonomi. Permasalahan gangguan fisik terbanyak lansia adalah hipertensi.Kejadian  Hipertensi pada lansia dengan kondisi peningkatan tekanan darah sistol > 140 mmHg berkaitan dengan kondisi psikologis stress lansia. Faktor modifikasi lain yang berkaitan dengan kejadian hipertensi adalah indeks masa tubuh. Tujuan penelitian ini mengetahui hubungan stress dan IMT dengan kejadian hipertensi.  Rancangan penelitian ini adalah analitik korelasional dengan pendekatan cross sectional. Teknik sampling menggunakan purposive sampling dengan jumlah 81 responden. Instrumen penelitian variabel stress dengan menggunakan kuisioner modifikasi HARS. IMT dan tekanan darah didapatkan dengan melakukan pengukuran langsung kepada lansia. Analisis statistik menggunakan uji korelasi spearman. Hasil penelitian menunjukkan bahwa stress lansia sebagian besar dalam kategori stress sedang (53,53%), rata-rata score IMT sebesar 23,53 dengan kategori normal (60,49%). Berdasarkan uji bivariat menunjukkan ada hubungan signifikan antara stress dengan kejadian hipertensi (r = 0,723) dan ada hubugan signifikan IMT dengan hipertensi (r = 0,486). Untuk itu perlu melakukan manajemen stress lansia untuk menurunkan resiko peningkatan tekanan darah seperti teknik relaksasi progresif serta pengontrolan berat badan lansia untuk mencegah peningkatan IMT dengan aktivitas olah raga dan pola makan yang baik.Kata kunci : stress, indeks masa tubuh, kejadian hipertensi
Therapeutic adherence and somatic symptom perception in patients with heart failure: a scoping review Tri Andayani; Kumboyono Kumboyono; Lilik Supriati
International Journal of Public Health Science (IJPHS) Vol 15, No 2: June 2026
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v15i2.27004

Abstract

Heart failure is a chronic condition associated with high morbidity and frequent hospital readmissions, requiring effective self-management strategies. Therapeutic adherence and somatic symptom perception are essential components of self-management, enabling early symptom recognition and timely intervention. However, evidence regarding the relationship between these two factors remains limited. This scoping review aimed to map current evidence on the relationship between therapeutic adherence and somatic symptom perception in patients with heart failure and to identify influencing factors. The review followed the Joanna Briggs Institute methodology and PRISMA-ScR guidelines. Literature searches were conducted in ProQuest, ScienceDirect, Springer, and Google Scholar for studies published between 2016 and 2025. Eligible studies involved adult patients with heart failure and assessed therapeutic adherence and somatic symptom perception using validated instruments. Eight studies were included, comprising four cross-sectional studies, three randomized controlled trials, and one quasi-experimental study. Findings indicated a positive association between adherence to self-care behaviors and improved somatic symptom perception. Patients with consistent symptom monitoring demonstrated better recognition of early deterioration signs. However, a greater symptom burden was associated with lower adherence in several studies. Integrating symptom perception training, motivational strategies, and caregiver involvement may improve adherence, enhance early symptom detection, and reduce hospital readmissions.