Aulia Pradana Satya Kiran
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Effectiveness of Imagery Relaxation Therapy on Blood Pressure Levels Among Elderly Patients with Hypertension Aulia Pradana Satya Kiran; Suri Salmiyati; Zubaida Rohmawati
Journal of Medical Practice and Research Vol 2 No 1 (2026): June: Essentia: Journal of Medical Practice and Research
Publisher : CV SCRIPTA INTELEKTUAL MANDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65310/e0cc8252

Abstract

Hypertension remains a leading contributor to cardiovascular morbidity among older adults, particularly in rural populations with limited access to comprehensive management strategies. This study examined the effectiveness of imagery relaxation therapy on blood pressure levels among elderly patients with hypertension using a quantitative pre-experimental one-group pretest–posttest design. Forty-nine participants aged 60–70 years underwent a structured 10–15 minute imagery relaxation session, and blood pressure was measured immediately before and after the intervention. Paired sample t-tests revealed a significant reduction in systolic blood pressure (mean difference = 17.43 mmHg; 95% CI: 13.76–21.10; p < 0.001) and diastolic blood pressure (mean difference = 7.71 mmHg; 95% CI: 6.56–8.87; p < 0.001). Additionally, 69.4% of participants demonstrated improvement in blood pressure category, with no cases of deterioration observed. These findings indicate that imagery relaxation therapy yields clinically meaningful hemodynamic benefits and may serve as an effective adjunctive intervention within community-based hypertension management for elderly populations.
Psychosocial Factors Associated with Depression among Elderly with Chronic Disease Aulia Pradana Satya Kiran; Rafli Bagas Nugroho; Ahmad Qolbiy
Journal of Medical Practice and Research Vol 2 No 1 (2026): June: Essentia: Journal of Medical Practice and Research
Publisher : CV SCRIPTA INTELEKTUAL MANDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65310/wjm0sm17

Abstract

Depression represents a significant mental health concern among elderly individuals living with chronic diseases, particularly in community healthcare settings where long-term illness management may generate psychological stress. This study aimed to examine the association between psychosocial factors and depression among older adults with chronic diseases. A quantitative analytic study with a cross-sectional design was conducted among 52 elderly individuals diagnosed with hypertension or type 2 diabetes mellitus in the working area of Patuk II Primary Health Care, Gunungkidul Regency, Indonesia. Data were collected using standardized instruments including the Brief COPE Inventory, the Family Support Scale, and the Patient Health Questionnaire-9 (PHQ-9). Descriptive analysis indicated that most participants demonstrated high coping mechanisms and moderate to high levels of family support, while depressive symptoms were present in a smaller proportion of respondents. Spearman rank correlation analysis revealed significant negative associations between coping mechanisms and depression (r = −0.523; p < 0.001) as well as between family support and depression (r = −0.499; p < 0.001). These findings highlight the importance of strengthening psychosocial resources in order to reduce depression risk and promote psychological well-being among elderly individuals with chronic diseases.