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All Journal Papua Medicine and Health Science
Afif Azhar Abulkhair Jayadie
Universitas Muhammadiyah Banjarmasin
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Combined Isometric Handgrip Exercise and Slow Deep Breathing for Blood Pressure Reduction: A Family Nursing Case Study Afif Azhar Abulkhair Jayadie; Hiryadi; Sri Sundari
Papua Medicine and Health Science Vol. 3 No. 1 (2026): Vol. 3 No. 1 (Juni 2026) : Papua Medicine and Health Science
Publisher : Fakultas Kedokteran, Universitas Papua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64141/pmhs.v3i1.81

Abstract

Hypertension requires continuous management, and family involvement may support self-care and sustained blood pressure control at home. This study aimed to describe the application of combined isometric handgrip exercise and slow deep breathing for blood pressure reduction within the context of family nursing care in a patient with hypertension. This single-case study involved a 59-year-old woman with a five-year history of hypertension. The combined intervention was implemented for 15–20 minutes daily over five consecutive days, with blood pressure measured before and after each session. The patient's blood pressure changed from 193/108 mmHg before the intervention on the first day to 164/92 mmHg after the intervention on the fifth day. The patient also reported reduced shortness of breath and tingling in the right leg, improved sleep quality, and an increased ability to perform the exercise independently. Family members participated by accompanying and encouraging the patient and supporting dietary changes. Combined isometric handgrip exercise and slow deep breathing may be considered an adjunctive non-pharmacological approach within family nursing care for patients with hypertension.
Factors Associated with DASH Diet Therapy in Blood Pressure Control among the Elderly Afif Azhar Abulkhair Jayadie; Solikin; Izma Daud
Papua Medicine and Health Science Vol. 2 No. 2 (2025): Papua Medicine and Health Science
Publisher : Fakultas Kedokteran, Universitas Papua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64141/pmhs.v2i2.55

Abstract

Hypertension is one of the non-communicable diseases with a high prevalence among the elderly in Indonesia. Efforts to control blood pressure through the Dietary Approaches to Stop Hypertension (DASH) diet therapy are essential; however, various factors are believed to influence its effectiveness at the primary healthcare level. This study aimed to analyze factors associated with DASH diet therapy in blood pressure control among the elderly at the Cempaka Public Health Center, Banjarmasin. This study employed a cross-sectional design with a sample of 188 elderly patients with hypertension selected using purposive sampling. Data were collected using a structured questionnaire covering age, sex, educational level, and dietary adherence, as well as data on the frequency of healthcare visits obtained from patients’ medical records. Blood pressure measurements were conducted after the implementation of the DASH diet for 30 days. Data analysis was performed using the Spearman Rank correlation test with a significance level of α = 0.05. The results showed significant associations between age (p = 0.000), sex (p = 0.000), educational level (p = 0.000), dietary adherence (p = 0.000), and frequency of healthcare visits (p = 0.000) with DASH diet therapy in blood pressure control. Age, sex, educational level, dietary adherence, and frequency of healthcare visits significantly influenced the success of DASH diet therapy.
Co-Authors Hiryadi Izma Daud, Izma Solikin Solikin Sri Sundari