Kunoviana, Rizkiyah Diyan
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Tingkat kecemasan terhadap kualitas hidup pada penderita hipertensi usia produktif Kunoviana, Rizkiyah Diyan; Maliya, Arina
Holistik Jurnal Kesehatan Vol. 18 No. 11 (2025): Volume 18 Nomor 11
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v18i11.532

Abstract

Background: Hypertension is one of the most common non-communicable cardiovascular diseases, especially high blood pressure with systolic pressure ≥140 mmHg and diastolic >90 mmHg. This disease is a global problem and is a major cause of death worldwide. One of the factors causing hypertension is anxiety, such as worry, anxiety, and fear accompanied by physical complaints and health problems. Purpose: To determine the relationship between the level of hypertension anxiety and the quality of life of productive age patients. Method: Quantitative descriptive research involving two variables, namely anxiety level as the independent variable and quality of life as the dependent variable. The study population used were productive age hypertension sufferers in the Gatak Sukoharjo health center area and was carried out on September 5-24, 2024. Sampling using purposive sampling technique and obtained 84 respondents. Results: Most respondents were aged 56-64 years as many as 33 respondents (39.3%), the majority were female 78 (92.9%) and were married as many as 83 respondents (98.8%). The most recent education was only up to Elementary School as many as 34 respondents (40.5%), as a housewife as many as 65 respondents (77.4%). The majority experienced severe anxiety as many as 37 respondents (44.7%) and poor quality of life as many as 49 respondents (58.8%) with a p-value of 0.001 with a correlation coefficient of 0.765. Conclusion: There is a significant relationship between anxiety levels and quality of life in productive age hypertensive patients. Most respondents experienced severe anxiety followed by low quality of life. Suggestion: Hypertensive patients can improve their healthy lifestyle, check their health regularly, especially the physical health dimension, not feel hopeless in living their lives, get closer to God, and communicate with family and neighbors.   Keywords: Anxiety; Hypertension; Productive Age; Quality of Life.   Pendahuluan: Hipertensi merupakan satu dari penyakit kardiovaskular tidak menular yang paling umum, khususnya tekanan darah tinggi dengan sistolik ≥140 mmHg dan diastolic >90 mmHg. Penyakit ini menjadi masalah global dan sebagai penyebab utama kematian di seluruh dunia. Salah satu faktor yang menyebabkan terjadinya hipertensi adalah kecemasan, seperti khawatir, gelisah, dan takut yang disertai keluhan fisik dan gangguan kesehatan. Tujuan: Untuk mengetahui hubungan antara tingkat kecemasan dan kualitas hidup pasien hipertensi usia produktif. Metode: Penelitian deskriptif kuantitatif yang melibatkan dua variabel yaitu tingkat kecemasan sebagai variabel independen dan kualitas hidup sebagai variabel dependen. Populasi penelitian yang digunakan adalah penderita hipertensi usia produktif di wilayah puskesmas Gatak Sukoharjo dan dilaksanakan pada tanggal 5-24 September 2024. Pengambilan sampel menggunakan teknik purposive sampling dan didapatkan sebanyak 84 responden. Hasil: Sebagian besar responden berusia 56-64 tahun sebanyak 33 responden (39.3%), mayoritas perempuan 78 (92.9%) dan berstatus menikah sebanyak 83 responden (98.8%). Pendidikan terakhir paling banyak hanya sampai Sekolah Dasar sebanyak 34 responden (40.5%), sebagai ibu rumah tangga sebanyak 65 responden (77.4%). Mayoritas memiliki kecemasan berat sebanyak 37 responden (44.7%) dan kualitas hidup buruk sebanyak 49 responden (58.8%) dengan p-value 0.001 dengan correlation coefficient 0.765. Simpulan: Adanya hubungan signifikan antara tingkat kecemasan dengan kualitas hidup pada penderita hipertensi pada usia produktif. Mayoritas responden mengalami kecemasan kategori berat yang diikuti dengan rendahnya kualitas hidupnya. Saran: Penderita hipertensi dapat meningkatkan pola hidup sehat, memeriksa kesehatan secara rutin terutama dimensi kesehatan fisik, tidak merasakan putus asa untuk hidup, lebih mendekatkan diri pada Tuhan, serta melakukan komunikasi dengan keluarga dan tetangga.   Kata Kunci: Hipertensi; Kualitas Hidup; Kecemasan; Usia Produktif.
Facial Expression and Oral Motoric Exercises to Support Communication in Stroke and Aphasia Patients: A Case Study Kunoviana, Rizkiyah Diyan; Purwanti, Okti Sri
Jurnal Keperawatan Profesional (KEPO) Vol. 6 No. 2 (2025): Volume 6 Nomor 2 November 2025
Publisher : Sarana Ilmu Indonesia (salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/kepo.v6i2.1620

Abstract

Stroke often causes aphasia, a language disorder that hinders verbal and nonverbal communication and reduces the quality of life of patients. This study aims to evaluate the effectiveness of face expression exercises and oral motor exercises in improving face symmetry and communication skills in patients with aphasia stroke. A case study was conducted on two non-hemorrhagic stroke patients with aphasia at Dr. Soehadi Prijonegoro General Hospital in Sragen. The intervention was carried out for three consecutive days, twice a day, in the form of a combination of face expression and oral motor exercises using a mirror. The evaluation was conducted using the Sunnybrook Face Grading System and observation of oral motor function. The results showed an increase in the Sunnybrook score from 40 (grade IV, moderate to severe impairment) to 55 (grade III, mild to moderate) in the first subject, and from 47 (grade III, mild-moderate) to 65 (grade II, near normal) in the second subject. Both experienced an increase in face symmetry, tongue and lip muscle strength, and the ability to pronounce simple words. Face expression exercises and oral motor exercises proved to be effective as a simple, safe, and low-cost intervention to support communication recovery in stroke patients with aphasia.