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Journal : Health Dynamics

The Relationship Between Self-Management and Blood Pressure of Hypertension Sufferers in the Kediri I Health Center Region, Tabanan District Kumalasari, Ni Putu Putri; Gama, I Ketut; Achjar, Komang Ayu Henny; Suardana, I Wayan; Ngurah, I Gusti Ketut Gede; Mustika, I Wayan
Health Dynamics Vol 1, No 11 (2024): November 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd11105

Abstract

Background: Cases of hypertension in Indonesia show a significant increase. Hypertension continues to lead to complications when people with hypertension have not implemented self-management regularly. Management of hypertension which includes routine medication and healthy lifestyle changes requires good self-management. The purpose of this study was to determine the relationship between self-management and blood pressure of hypertensive patients in the Kediri I Health Center Working Area. Methods: This study uses a quantitative research design (non-experimental) using a cross-sectional approach. The sample amounted to 82 respondents obtained by purposive sampling technique, who met the inclusion criteria, namely hypertensive patients aged 15-59 years. Data collection instruments used the Hypertension Self-Management Behavior Questionnaire (HSMBQ) and blood pressure measurements using a sphygmomanometer. Results: Data analysis using the Spearman rank test showed the results of ρ = 0.000 and the correlation coefficient r = -0.732 which means that there is a significant and strong relationship (0.60 - 0.79) between the two variables. The majority of respondents showed poor self-management behavior 56.1%. Conclusion: It is hoped that it can be used as information for the relevant health centers, that the importance of implementing self-management to prevent an increase in blood pressure in hypertensive patients. 
The Impact of Prior Related Behavior on Stunting Incidents Abang I Health Center, Karangasem District, Bali, Indonesia Wulandari, Kadek Dina; Gama, I Ketut; Achjar, Komang Ayu Henny; Suardana, I Wayan; Ngurah, I Gusti Ketut Gede; Sudiantara, Ketut
Health Dynamics Vol 1, No 10 (2024): October 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd11004

Abstract

Background: Stunting is growth failure in children under 5 years due to chronic malnutrition, often occurring during the first 1000 days of life. Maternal behavior during pregnancy has a major impact on fetal development and the possibility of stunting. This study aims to analyze the relationship between prior related behavior, such as blood increasing tablets consumption, antenatal care checks, and animal protein consumption, with the incidence of stunting in the Abang I Community Health Center Work Area, Karangasem Regency. Methods: Using non-probability sampling technique with Purposive sampling, with a total of 70 respondents from a total population of 230 people who met the inclusion criteria, namely mothers aged 15-45 years, mothers who had stunted toddlers and were registered in the Abang I Community Health Center Working Area. Results: Based on non-probability statistical tests. Spearman Rank parametric, found a significant p-value for blood increasing tablets consumption behavior (p=0.002), Antenatal care examination (p=0.004), and animal protein consumption (p=0.002), showing a value <0.05 which means there is a relationship with stunting incident. The majority of respondents showed bad behavior in these three areas, namely consump blood increasing tabletstion behavior 55.7%, antenatal care examination 55.7% and animal protein consumption 52.9%. It is hoped that health workers at the Community Health Center will follow up with pregnant women and teenage girls in coordination with the village or Community Health Center for education about the importance of blood increasing tablets, antenatal care examinations, and animal protein intake to prevent stunting in toddlers. Conclusion: There is a relationship between maternal behavior in consuming blood supplement tablets, antenatal care and animal protein consumption with the incidence of stunting in the working area of Puskesmas Abang I, Karangasem district, Bali, Indonesia.
The Relationship Between Cultural Food of Metuakan and Megibung with the Incidence of Hypertension at Karangasem I Health Center, Karangasem District, Bali, Indonesia Padmi, Luh Sri Anggayoni Julia; Achjar, Komang Ayu Henny; Gama, I Ketut; Mustika, I Wayan; Lestari, Agus Sri; Sudiantara, Ketut; Suardana, I Wayan; Ngurah, I Gusti Ketut Gede
Health Dynamics Vol 2, No 2 (2025): February 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20205

Abstract

Background: Hypertension, a non-communicable disease, is defined by a systolic pressure of ≥ 140 mmHg and/or a diastolic pressure of ≥ 90 mmHg. Factors contributing to hypertension include alcohol consumption and diets high in salt and saturated fats. This study aims to explore the relationship between community cultural practices and the occurrence of hypertension. Methods: This study employed a quantitative correlational approach with a cross-sectional design. A probability sampling technique, specifically stratified random sampling, was used to select 90 participants who met the inclusion and exclusion criteria. Data analysis was conducted using the Spearman Rank correlation test. Results: The findings revealed that most respondents' cultural practices were categorized as poor (29 participants, 32.2%), followed by normal (17 participants, 18.9%), good (16 participants, 17.8%), very poor (15 participants, 16.7%), and very good (13 participants, 14.4%). Regarding hypertension severity, the majority of respondents experienced grade 1 hypertension (61 participants, 67.8%), while 29 participants (32.2%) had grade 2 hypertension. The study identified a significant relationship between community culture and hypertension incidence, with a p-value of 0.000. Conclusion: This study underscores the importance of increasing public awareness and educating hypertension patients about cultural practices that elevate the risk of hypertension, such as consuming alcohol and diets rich in salt and saturated fats.
The Effect of Gayatri Mantra Meditation on Blood Pressure Reduction in Elderly Individuals with Hypertension in Pemecutan Kelod Village, Denpasar, Indonesia Dewi, Ni Putu Diah Trisna; Sudiantara, Ketut; Mustika, I Wayan; Ngurah, I Gusti Ketut Gede; Suardana, I Wayan; Lestari, Agus Sri
Health Dynamics Vol 2, No 3 (2025): March 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20305

Abstract

Background: Hypertension is one of the most common cardiovascular diseases experienced by many elderly people. This study intends to assess the impact of Gayatri Mantra meditation on lowering blood pressure in elderly hypertension in Banjar Abiantimbul, Pemecutan Kelod Village, Denpasar, Indonesia. Methods: This study used a pretest and posttest research design. The samples consisted of 20 participants in the intervention group and 20 in the control group. The meditation intervention was carried out for 3 weeks, with a frequency of two sessions a week, each lasting 15 minutes. Results: Before the intervention, 55% of participants in the intervention group had Stage 2 hypertension, while 60% in the control group had Stage 1 hypertension. After the intervention, 70% of the intervention group experienced a reduction in blood pressure to Stage 1, whereas the control group exhibited no significant change. A paired sample t test showed a p-value of 0.000 (<0.05), indicating a statistically significant effect. Conclusions: The study concludes that Gayatri Mantra meditation significantly reduces blood pressure in elderly individuals with hypertension in Banjar Abiantimbul, Pemecutan Kelod Village, Denpasar, Indonesia. These results suggest that meditation-based interventions could be integrated into hypertension management programs for elderly populations.
The Effect of Acupressure Therapy at SP6 And LI4 Points on Lowering Blood Pressure in Elderly with Hypertension Dewintasari, Ni Nyoman Paramitha; Mustika, I Wayan; Sudiantara, I Ketut; Lestari, Agus Sri; Henny Achjar, Komang Ayu; Gama, I Ketut; Suardana, I Wayan; Ngurah, I Gusti Ketut Gede; Harini, I Gusti Ayu
Health Dynamics Vol 2, No 6 (2025): June 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20602

Abstract

Background: Hypertension is a condition in which blood pressure is higher than normal values of ≥140/≥90 mmHg. Effective blood pressure control is the main goal to prevent and treat hypertension. In addition to pharmacological approaches, blood pressure can be controlled with non-pharmacological approaches such as acupressure therapy. This study aims to determine the effect of acupressure therapy at the SP6 and LI4 points on reducing blood pressure in elderly individuals with hypertension. Methods: This study was designed with a quasy-experiment with the type of research pre and post-test with control group with purposive sampling technique. Data were analyzed using the Wilcoxon test and the Mann-Whitney test. The population amounted to 81 elderly people with hypertension with the number of samples used in this study as many as 46 elderly samples with hypertension (23 in intervention group and 23 in control group). The majority of respondents were aged 65-69 years, female, worked as traders, and had elementary school education and did not go to school. Blood pressure was measured using a sphygmomanometer. Acupressure on SP6 and LI4 points was given to the intervention group for 3 weeks with a frequency of 2 times in 1 week, while the control group was given conventional treatment. Results: The results of the post-test difference in blood pressure between the intervention group and the control group with the Mann Whitney U-Test test showed a p-value = 0.000 (p <0.05), it can be concluded that there is a significant difference between the intervention group and the control group. Conclusions: The study concludes that there is an effect of acupressure therapy at point SP 6 and LI 4 on lowering blood pressure in the elderly with hypertension. It is hoped that the results of the study can be used as an alternative therapy in lowering blood pressure.
Bay Leaf Brewing Lowers Blood Sugar Levels in Elderly People with Type 2 Diabetes Mellitus Satriawati, Ni Nyoman Ayu; Ngurah, I Gusti Ketut Gede; Suardana, I Wayan; Sudiantara, Ketut; Gama, I Ketut; Achjar, Komang Ayu Henny; Mustika, Wayan; Lestari, Agus Sri
Health Dynamics Vol 2, No 6 (2025): June 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20603

Abstract

Background: Type 2 diabetes mellitus in the elderly can cause increased blood sugar levels that risk damaging various body systems. One natural alternative to help lower blood sugar levels is to utilize bay leaves, which are known to have active ingredients that have the potential to be antidiabetic. This study aims to determine the effect of boiled bay leaves on blood sugar levels in elderly people with type 2 diabetes mellitus. Methods: The study used a pre-experimental design with a one group pre and post test design approach. The study population was elderly people with type 2 diabetes mellitus in the Abang II Health Center, Karangasem, Bali Province, Indonesia with a sample size of 49 people selected using the proportional stratified random sampling technique. Respondents were given an intervention in the form of consuming 220 ml of boiled bay leaf water every morning before eating for seven consecutive days. The bay leaves used were old leaves weighing 2 grams. Blood sugar levels were measured using the Easy Touch tool, with established standard procedures. Results: The results showed that before the intervention, all respondents had random blood sugar levels >200 mg/dL. After the intervention, 93.9% of respondents experienced a decrease in blood sugar levels to <200 mg/dL. The paired t-test statistical test showed a p value = 0.001 (p <0.05), which means there was a statistically significant decrease in blood sugar levels. Conclusions: The conclusion of this study is that boiled bay leaf water is effective in lowering blood sugar levels in elderly people with type 2 diabetes. It is recommended to use it as a safe and natural additional therapy, while continuing to consult a doctor for further monitoring.
Co-Authors Abdul Manan Achjar, Komang Ayu Henny Adirinata, I Komang Pasek Agus Sri Lestari Amrulloh, Muhammad Faqih Anak Agung Gde Bagus Udayana Andi Isma Lestari Amin, Andi Isma Ardika, I Gusti Ngurah Putu Ari Yuniastuti Aribaten, Ni Nengah Zinnia Arimbawa, I Gede Artayani, Ida Ayu Gede Asyauqi Ilham Perdana, Asyauqi Ilham Bambang Sumiarto Bq Nurlita Anugrah BUDI SETIADI DARYONO Budi Setiadi Dayono Chandra Yowani D. A. Widiasih Denny Widaya Lukman Devi Dwi Jayanti Dewa Gede Agung Widyadnyana Dewa Putu Oka Prasiasa Dewi, Ni Putu Diah Trisna Dewintasari, Ni Nyoman Paramitha Dwi Lestari Dyah Ayu Widiasih Dyah Ayu Widiasih Dyah Ayu Widiasih Eka Putri Suryantari Emmanuella Felice’anna Dije Karisoh Febrianti, Andri Nurdiana Franciska, Juliana Gama, I Ketut Gama, Ketut Gede Arimbawa, I Made Hana Kristal Alamanda Septiara Harini, I Gusti Ayu Hartati, Ni Nyoman Henny Achjar, Komang Ayu I Dewa Made Sukrama I G. Wijana I Gede Gian Saputra, I Gede I Gusti Agung Ayu Suartini I Gusti Made Krisna Erawan I Gusti Putu Bagus Sasrawan Mananda I Ketut Adi Sugita I Ketut Mangku Budiasa I Ketut Muka I Ketut Suada I Ketut Suardana I Ketut Suatha I Komang Gede Wiryawan I Made Adikampana, I Made I Made Kardena I Made Sukada I Made Sukarja I Made Walesa Putra I Nengah Kerta Besung I Nengah Sujaya I Nengah Wirakesuma, I Nengah I Nyoman Ariana I Nyoman Suarsana I Nyoman Sudiarta I Nyoman Sukma Arida I Nyoman, suardina I Putu Sampurna I Putu Sudiarta I Wayan Adnyana I Wayan Mustika I Wayan Seriyoga Parta I. H. U Utama Ida Bagus Ngurah Swacita Iga Prassetyo Adji, Iga Prassetyo INDAYATI LANYA Iwan Harjono Utama Karuni, Ni Kadek Khamid Yusuf Baehaqi, Khamid Yusuf Komang Januartha Putra Pinatih Kondra, I Wayan Korbinianus Feribertus Rinca Kumalasari, Ni Putu Putri Laba, I Nyoman MAS DJOKO RUDYANTO Meitisrilatifatulain Fitriadewi Mariana Mertanadi, I Made Michael Haryadi Wibowo Mita Ekamelinda Ngurah, I Gusti Ketut Gede Ngurah, IGK Gede Ni Kadek Lyming Lestari Ni Ketut Suwiti Ni Luh Sustiawati Ni Luh Watiniasih Ni Made Ariani Ni Made Ayu Aryati Dinarini Ni Made Ruastiti Ni Putu Ratna Sari Nuria Fitrianti Putri Nyoman Dewi Pebryani NYOMAN SEMADI ANTARA Oktivia Chandra Mustika, Oktivia Chandra P. Sampurna Padmi, Luh Sri Anggayoni Julia Piartrini, Saroyeni Pitriyantini, Putu Eka Pramesti, Kadek Diah Pratiwi, Ida Ayu Windhari Kusuma Putra, I Kadek Aldi Margareta Perdana Putu Ayu Sisyawati Putriningsih Putu Cahaya Semesta Putu Januari Ratna Apsari Putri R Susanti Raharjo, Anis Rasdianah Rasdianah Remawa, Anak Agung Gede Rai Reny Navtalia Sinlae Rian Ka Praja Ribek, Nyoman Richard Christian Daud Ruspawan, Dewa Made Ruta, I Made Satriawati, Ni Nyoman Ayu Siti Helmyati Sri Anggreni Lindawati Sri Wahyuni Suarya Putra, I Nyoman Agus Sudiantara, I Ketut Sudiantara, Ketut Suharsono, Hamong Sukoco, Hendro Sunatha Putra, Agus Surya, I Kadek Adi Tjokorda Sari Nindhia Totton, Mary Louise Victor Bangun Mulia Wahyu Hananto, Wahyu Wayan Tunas Artama Wayan Tunas Artama Widya Asmara Wilantari, Ni Nyoman Ayu Wulandari, Andi Dewi Wulandari, Kadek Dina Yan Ramona Yuli Darmawan, Yuli Yunita Sri Hastuti, Yunita Sri