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Ni Komang Sukra Andini
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Medicine & Pharmacology Nursing

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The Care Giver Lived Experience in Caring for Elderly With Palliative Conditions Ni Komang Sukra Andini; Sang Ayu Ketut Candrawati
PROFESSIONAL HEALTH JOURNAL Vol. 6 No. 1 (2024): December
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v6i1.774

Abstract

Introduction: Elderly is the final stage of the human development cycle. Every year the number of elderly people increases in Indonesia in the Bali area based on the population census. The prevalence of the number of elderly people from 2021 to 2022 increases. According to a survey by the Indonesian Medical Gerontology Association (PERGEMI), as many as 24.6% of the elderly population (seniors) in Indonesia have a history of chronic disease. In the condition of the elderly who are unable to take care of themselves fully, they need a caregiver or companion who is often called a caregiver, the role of a caregiver is as a provider of nursing care to the patient. Objectives: This study aims to describe of the care giver's experience in caring for elderly people with palliative conditions. Methods: Data were collected using the face-to-face individual in deep interview, with semi structure interview questions. Results: The results of this study by using interviews and observations from 4 participants, 4 themes were obtained that show the Care Giver's experience in caring for the elderly with palliative conditions, namely: (1) End Stage of Life Phase (2) Routine Care (3) Psychological Support (4) Spiritual Support. Conclusions: The description of the Care Giver's experience is considering palliative conditions as conditions in the End Stage of Life Phase; Daily care focuses on Routine Care; Psychological support is really needed; Spiritual support is really needed. Based on the research results, it can be concluded that elderly people in nursing homes in the final phase of their lived experience worsening conditions between life and death and all their needs are assisted by caregivers. In palliative conditions, all daily needs are fulfilled by the caregiver. The main focus of care for elderly people with palliative conditions is providing psychological support and spiritual supported
Does acupressure therapy decrease blood pressure in hypertensive elderly? Sang Ayu Ketut Candrawati; Ni Komang Sukra Andini
PROFESSIONAL HEALTH JOURNAL Vol. 6 No. 2 (2025): In Progress issue
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v6i2.919

Abstract

ntroduction: Hypertension is a high blood pressure condition often referred to as the "silent killer" as it is frequently asymptomatic but can lead to a range of serious health complications, including heart disease and stroke. The prevalence of hypertension continues to rise worldwide, with projections of reaching 29% of the adult population by 2025. To control hypertension, complementary therapies such as acupressure are emerging as a supportive complement to the management of high blood pressure, especially for the elderly, to improve their quality of life and ease the burden on the healthcare system. Objectives: to analyze the effect of acupressure therapy on blood pressure in hypertensive elderly. Methods: Pre-Experimental Design, with a One-Group Pretest-Posttest Design. Results: The results showed a decrease in average systolic blood pressure by 24.08 mmHg, from 148.08 mmHg in the pre-test to 124.00 mmHg in the post-test, with a p value of 0.002. In addition, there was a decrease in mean diastolic blood pressure by 11.83 mmHg, from 85.83 mmHg in the pre-test to 74.00 mmHg in the post-test, with a value of (p value 0.013). These results indicate that acupressure therapy has a significant effect on reducing systolic and diastolic blood pressure in elderly hypertension. Conclusions: These findings support using acupressure as a complementary therapy to assist in managing hypertension in the elderly, potentially improving their quality of life and reducing the burden of hypertension-related health services.
The Care Giver Lived Experience in Caring for Elderly With Palliative Conditions Ni Komang Sukra Andini; Sang Ayu Ketut Candrawati
PROFESSIONAL HEALTH JOURNAL Vol. 6 No. 1 (2024): December
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v6i1.774

Abstract

Introduction: Elderly is the final stage of the human development cycle. Every year the number of elderly people increases in Indonesia in the Bali area based on the population census. The prevalence of the number of elderly people from 2021 to 2022 increases. According to a survey by the Indonesian Medical Gerontology Association (PERGEMI), as many as 24.6% of the elderly population (seniors) in Indonesia have a history of chronic disease. In the condition of the elderly who are unable to take care of themselves fully, they need a caregiver or companion who is often called a caregiver, the role of a caregiver is as a provider of nursing care to the patient. Objectives: This study aims to describe of the care giver's experience in caring for elderly people with palliative conditions. Methods: Data were collected using the face-to-face individual in deep interview, with semi structure interview questions. Results: The results of this study by using interviews and observations from 4 participants, 4 themes were obtained that show the Care Giver's experience in caring for the elderly with palliative conditions, namely: (1) End Stage of Life Phase (2) Routine Care (3) Psychological Support (4) Spiritual Support. Conclusions: The description of the Care Giver's experience is considering palliative conditions as conditions in the End Stage of Life Phase; Daily care focuses on Routine Care; Psychological support is really needed; Spiritual support is really needed. Based on the research results, it can be concluded that elderly people in nursing homes in the final phase of their lived experience worsening conditions between life and death and all their needs are assisted by caregivers. In palliative conditions, all daily needs are fulfilled by the caregiver. The main focus of care for elderly people with palliative conditions is providing psychological support and spiritual supported
Does acupressure therapy decrease blood pressure in hypertensive elderly? Sang Ayu Ketut Candrawati; Ni Komang Sukra Andini
PROFESSIONAL HEALTH JOURNAL Vol. 6 No. 2 (2025): June
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v6i2.919

Abstract

ntroduction: Hypertension is a high blood pressure condition often referred to as the "silent killer" as it is frequently asymptomatic but can lead to a range of serious health complications, including heart disease and stroke. The prevalence of hypertension continues to rise worldwide, with projections of reaching 29% of the adult population by 2025. To control hypertension, complementary therapies such as acupressure are emerging as a supportive complement to the management of high blood pressure, especially for the elderly, to improve their quality of life and ease the burden on the healthcare system. Objectives: to analyze the effect of acupressure therapy on blood pressure in hypertensive elderly. Methods: Pre-Experimental Design, with a One-Group Pretest-Posttest Design. Results: The results showed a decrease in average systolic blood pressure by 24.08 mmHg, from 148.08 mmHg in the pre-test to 124.00 mmHg in the post-test, with a p value of 0.002. In addition, there was a decrease in mean diastolic blood pressure by 11.83 mmHg, from 85.83 mmHg in the pre-test to 74.00 mmHg in the post-test, with a value of (p value 0.013). These results indicate that acupressure therapy has a significant effect on reducing systolic and diastolic blood pressure in elderly hypertension. Conclusions: These findings support using acupressure as a complementary therapy to assist in managing hypertension in the elderly, potentially improving their quality of life and reducing the burden of hypertension-related health services.
The Effect of Slow Stroke Back Massage on Headache Intensity in Hypertensive Older Adults Sang Ayu Ketut Candrawati; Ni Komang Sukra Andini; Desak Made Ari Dwijayanti
PROFESSIONAL HEALTH JOURNAL Vol. 7 No. 2 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v7i2.1212

Abstract

Introduction: A Headache is a common complaint among individuals with hypertension and is often associated with elevated blood pressure. One form of complementary therapy that can be applied to alleviate this symptom is Slow Stroke Back Massage (SSBM). Objectives: This study aimed to examine the effect of Slow Stroke Back Massage on headache intensity in older adults with hypertension. Methods: This quantitative research employed a quasi-experimental design with a non-equivalent control group pretest-posttest approach. Thirty-four hypertensive older adults participated in the study and were selected through purposive sampling. The intervention group received SSBM therapy three times per week for 10 minutes over four weeks, while the control group received only standard antihypertensive medication. Headache intensity was measured using the Numeric Rating Scale (NRS). Results: The mean pre-test headache intensity score was 6.12 ± 1.62 in the intervention group and 5.82 ± 1.55 in the control group. After the intervention, the mean scores decreased to 2.71 ± 1.53 and 3.82 ± 1.55, respectively. The reduction in headache intensity was 3.41 points in the intervention group and 2.00 points in the control group. The Wilcoxon test showed a significant difference in the intervention group (p = 0.000), while the paired sample t-test confirmed significance in the control group (p = 0.000). The pre-test comparison between groups using the independent t-test indicated no significant difference (p = 0.592), whereas the post-test comparison using the Mann-Whitney U test showed a significant difference (p = 0.041). These findings suggest that SSBM significantly reduces headache intensity among hypertensive older adults. Conclusions: Slow Stroke Back Massage is an effective, safe, and non-pharmacological intervention for reducing headache intensity in hypertensive patients. Its application is recommended as a complementary therapy in elderly care.
Co-Authors Desak Made Ari Dwijayanti Sang Ayu Ketut Candrawati