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Nasywa Benita Trismantoro
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Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health

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TRANSFORMING THE HEALTH OF THE ELDERLY THROUGH THE COMBINATION OF HATHA YOGA AND CHAYOTE JUICE FOR MENTAL HEALTH AND BLOOD PRESSURE Nurul Imam; Shinta Wurdiana Rhomadona; Nasywa Benita Trismantoro; Savira Agustina
Nursing Sciences Journal Vol 9 No 2 (2025): Oktober 2025
Publisher : Universitas Kadiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30737/nsj.v9i2.6941

Abstract

Hypertension in the elderly is still a serious health problem, especially in the Surabaya area with the highest prevalence in East Java. This condition not only affects the physical, but also has an impact on the mental health of the elderly, such as anxiety and depression, which often go unnoticed and actually worsen blood pressure. This study aims to examine the effectiveness of the combination of Hatha Yoga therapy and chayote juice in lowering blood pressure and improving the psychological condition of the elderly. The research design used a quasi-experiment with a pre-post test approach in two groups. A total of 100 elderly hypertensive patients in RW 04, Sumber Rejo Village, Surabaya, were divided into treatment groups (n=50) and control groups (n=50) through purposive sampling techniques. The treatment group underwent Hatha Yoga and consumed chayote juice twice a week for four weeks. Meanwhile, the control group participated in routine elderly gymnastics. Data were collected through questionnaires and observations, then analyzed using Wilcoxon and Mann-Whitney tests. The results showed a significant improvement in the emotional aspects of the elderly and a marked decrease in blood pressure in the treatment group with significant difference results (p = 0.000). This combination therapy has been shown to be effective and can be recommended as a safe, easy-to-apply, and beneficial nursing intervention in treating hypertension and mild psychological disorders in the elderly.  Keywords: Hypertension, Elderly, Mental Health, Hatha Yoga, Chayote.
THE EFFECT OF INTEGRATED MULTIMODAL RELAXATION THERAPY (MRT) ON QUALITY OF LIFE AND COMPLICATION RISK AMONG OLDER ADULTS WITH HYPERTENSION Nurul Imam; Hendro Djoko Tjahjono; Shinta Wurdiana Rhomadona; Nasywa Benita Trismantoro; Savira Agustina; Dheyl Lady Clara; Abel Meylani Setya Pramudita
Nursing Sciences Journal Vol 10 No 2 (2026): Oktober 2026
Publisher : Universitas Kadiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30737/nsj.v10i2.7949

Abstract

Hypertension in the elderly is associated with reduced quality of life and increased cardiovascular risk. A complementary non-pharmacological intervention addressing both physical and psychological aspects is needed. Multimodal Relaxation Therapy (MRT), combining several relaxation techniques, may improve quality of life and cardiovascular risk profiles in elderly individuals with hypertension. This study used a quasi-experimental design with a pretest–posttest control group design. A total of 120 elderly hypertensive patients were divided into an intervention group (n=60) and a control group (n=60). The intervention group received MRT, while the control group received standard care. Quality of life was measured using WHOQOL-BREF, while the risk of complications was assessed using the Framingham Risk Score (FRS). Data analysis was conducted using the Wilcoxon Signed Rank Test and the Mann Whitney U Test with a significance level of 5%.  The intervention group showed a significant improvement in quality of life after the intervention (81.85±18.34 to 98.78±15.19; p<0.001), while the control group did not experience significant changes (p=0.114). The risk of cardiovascular complications measured using the Framingham Risk Score (FRS) also decreased significantly in the intervention group, from 24.25±18.50 to 14.97±12.65 (p <0.001), while the control group showed no significant change (p=0.906). Multimodal Relaxation Therapy (MRT) is associated with improved quality of life and reduced cardiovascular risk scores based on the Framingham Risk Score (FRS) among elderly individuals with hypertension. MRT has potential as a complementary non-pharmacological intervention to support gerontic nursing care and hypertension management in primary healthcare settings.  
Co-Authors Abel Meylani Setya Pramudita Dheyl Lady Clara Hendro Djoko Tjahjono Imam, Nurul Savira Agustina Shinta Wurdiana Rhomadona