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All Journal International Journal of Nursing and Health Services (IJNHS) JURNAL PENELITIAN PERAWAT PROFESIONAL Citra Delima Scientific journal of Citra Internasional Institute
Wulandari, Ziara Arum
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Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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A Delphi consensus of Mindfulness Based Cognitive Therapy for managing anxiety and blood pressure in hypertensive patient protocol AM, Ady Irawan.; Janmabhumi, Anjani; Wulandari, Ziara Arum; Santoso, Aris Prio Agus; Putri, Anggie Pradana
International Journal of Nursing and Health Services (IJNHS) Vol. 6 No. 5 (2023): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35654/ijnhs.v6i5.762

Abstract

Hypertension not only stands as a primary contributor to cardiovascular diseases but also exhibits a strong interconnectedness with psychological aspects, one of which is anxiety. This study aims to develop a consensus-based protocol for the implementation of Mindfulness-Based Cognitive Therapy (MBCT) in managing anxiety and blood pressure among hypertensive patients. We conducted a Delphi consensus study included a panel of experts with diverse background in hypertension, mindfulness, and psychology. Eleven experts participated in the three rounds of Delphi consensus. The Delphi consensus process resulted in a robust and widely accepted protocol that integrates mindfulness technique, cognitive restructuring, and lifestyle modifications. The definition, aims, indication, and procedures. The core of MBCT covering introduction of mindfulness, mindful awareness of though and emotions, mindful eating and hypertension with D.A.S.H., cultivating gratitude and positivity, mindfulness in daily activities, mindfulness for coping with anxiety, mindfulness and self-compassion, and review and integration. The study represents a crucial step in bridging the gap between research and clinical also community nursing practice, providing a structures framework for healthcare professionals to address anxiety and hypertension simultaneously. This consensus holds significant clinical and community promise, offering a standardized approach to MBCT implementation in hypertensive patient care. By addressing both psychological and physiological aspects, it has the potential to reduce anxiety levels and contribute to improved blood pressure control.
Efektivitas Brisk Walking terhadap Kadar Glukosa Darah pada Pasien Diabetes Melitus Tipe II Wulandari, Ziara Arum; Firdaus, Insanul; Rahmasari, Ikrima
Jurnal Penelitian Perawat Profesional Vol 7 No 1 (2025): Februari 2025, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v7i1.4014

Abstract

Diabetes Mellitus (DM) adalah penyakit kronis yang beresiko fatal yang timbul ketika tubuh gagal memproduksi cukup insulin atau gagal menggunakannya secara efektif, sehingga mengakibatkan peningkatan kadar glukosa darah. Penderita Diabetes melitus disarankan untuk berjalan kaki selama 30 menit atau 20 menit dengan Brisk Walking sebagai aktivitas fisik Brisk Walking belum dikenal oleh masyarakat sebagai upaya penurunan kadar gula darah selain itu pada tempat penelitian belum diadakannya prolanis terkhusus untuk pemeriksaan gula darah secara rutin. pemeriksaan yang dilakukan selama ini hanya pengecekan Gula darah sewaktu apabila jumlah stik GDS berlebih. Tujuan: penelitian ini adalah untuk mengetahui efektivitas Brisk Walking terhadap kadar glukosa darah pasien diabetes tipe II. Penelitian kuantitatif Metode: Quasy Experiment dengan pendekatan one group pretest-posttest. Puskesmas Baki 1 Desa Kadilangu sebanyak 54 orang menderita penyakit Diabetes Mellitus, 14 sampel tersebut atau 25% dari total populasi diperoleh dengan menggunakan teknik purposive sampling. Hasil: Nilai rata-rata kadar glukosa darah sebelum dilakukan Brisk Walking menunjukkan 310,14 mg/dl sedangkan nilai rata-rata kadar glukosa darah setelah dilakukan Brisk Walking selama 6 kali ( 1 minggu 2 kali) dalam 3 minggu menunjukkan 154,93 mg/dl. Kesimpulan: Nilai P-Value sebesar 0,001 (p˂0,05) pada uji Wilcoxon Signed Ranks Test maka terdapat perbedaan yang signifikan terhadap kadar gula darah sebelum dan sesudah dilakukan Brisk Walking yang berarti Brisk Walking berpengaruh terhadap penurunan Kadar Glukosa darah pada penderita Diabetes Melitus.
Effect Of Mindfulness Based Cognitive Therapy (MBCT) on Anxiety and Blood Pressure for Hypertension: A scoping review Irawan am, Ady; Janmabhumi, Anjani; Wulandari, Ziara Arum; Putri, Anggie Pradana; Santoso, Aris Prio Agus
Citra Delima Scientific journal of Citra Internasional Institute Vol. 7 No. 2 (2024): Citra Delima Scientific journal of Citra Internasional Institute
Publisher : Institut Citra Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/citradelima.v7i2.379

Abstract

Hypertension, a prevalent and chronic medical condition, is often associated with elevated anxiety levels, contributing to its progression and complications. Mindfulness-Based Cognitive Therapy (MBCT) has emerged as a potential intervention to address both anxiety and hypertension. This scoping review aims to explore the existing literature on the effect of MBCT on anxiety and blood pressure in individuals with hypertension. Methods: A comprehensive search was conducted across electronic database, including Garuda, PubMed, Web of Science (WOS), and Science, for relevant articles published between 2013 to 2023. The searching process utilized PCC approach (Population: adult with hypertension; concept (C): mindfulness based cognitive therapy (MBCT), anxiety, high blood pressure, hypertension, cardiovascular disease; context (C): clinical and community settings). Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) was employed as guideline to the screening process of articles in this study. A total of eight articles were evaluated their quality using The Joanna Briggs Institute Checklist. Some characteristics of mindfulness were identified: MBCT general, MBCT for perinatal depression (MBCT-PD), MBCT for anxiety (MBCT-A), and telephone delivered MBCT (MBCT-T). In general, the timeframe for conducting MBCT is eight weeks, with each session lasting 2 to 2.5 hours. MBCT demonstrates promise as an adjunctive intervention for managing anxiety and blood pressure in individuals with hypertension. While preliminary evidence suggests its potential benefits, further research is needed to establish its efficacy and refine its application in clinical practice. Integrating MBCT into comprehensive hypertension management strategies may offer a multifaceted approach to improving the well-being of individuals with hypertension.
Co-Authors AM, Ady Irawan. Aris Prio Agus Santoso Irawan AM, Ady Janmabhumi, Anjani Putri, Anggie Pradana Rahmasari, Ikrima