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All Journal Ahmar Metastasis Health Journal (AMHJ) MEDICA (International Medical Scientific Journal)
Lola Felnanda Amri
Health Polytechnic of the Ministry of Health Padang, Padang City, West Sumatra, Indonesia
Chemistry Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Veterinary

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Intrinsic Motivation in The Development of Motivational Interviewing Method for Compliance Programs in Hypertension Patients Efitra Efitra; Lola Felnanda Amri; Yessi Fadriyanti; Evino Sugriarta
Ahmar Metastasis Health Journal Vol. 5 No. 4 (2026): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v5i4.791

Abstract

Hypertension is a non-communicable disease and a major contributor to global mortality, including in Indonesia. Uncontrolled hypertension over a prolonged period can lead to arterial damage and adversely affect organs supplied by these blood vessels. Increased blood pressure places excessive workload on the heart, impairing its ability to pump blood effectively. Furthermore, hypertension increases the risk of stroke, kidney failure, hypertensive retinopathy, and even blindness. Efforts to control blood pressure require not only medical management but also strong internal motivation from patients. This study aimed to explore the internal motivation of hypertensive patients in controlling blood pressure through “OBEY” behavior. This study employed a qualitative research design using Focus Group Discussion (FGD). The participants were patients diagnosed with hypertension. The analysis identified key themes related to the implementation of “OBEY” behavior among hypertensive patients. The findings of this study are expected to serve as a basis for developing a Motivational Interviewing module tailored for hypertension patients to improve adherence and blood pressure control.
Anxiety Levels and Associated Factors Among Elderly Patients with Cardiovascular Diseases: A Mixed-Methods Study Lola Felnanda Amri; Heppi Sasmita; Murniati Muchtar
MEDICA (International Medical Scientific Journal) Vol. 8 No. 2 (2026): MEDICA (International Medical Scientific Journal)
Publisher : Borneo Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/medica.v8i2.881

Abstract

The increasing prevalence of cardiovascular diseases among the elderly is often accompanied by psychological problems, particularly anxiety, which may worsen health outcomes and quality of life. However, limited studies have comprehensively explored anxiety levels and their associated factors among elderly patients in primary healthcare settings. This study aimed to assess anxiety levels and identify associated factors among elderly individuals with cardiovascular disorders in the working area of Puskesmas Anak Air, Padang City. A mixed-methods approach with an explanatory sequential design was employed, combining quantitative and qualitative data. The study involved 139 participants in the quantitative phase and eight participants in the qualitative phase. Most participants were aged 60–74 years (87.1%) and female (69.1%). A small proportion had both hypertension and cardiovascular disease (7.2%), while 30.9% experienced moderate anxiety. Qualitative findings revealed that anxiety was mainly triggered by exposure to distressing information, such as news about death, disasters, and conflicts. Participants commonly managed anxiety through distraction techniques, including light physical activity, watching television, and avoidance coping. In conclusion, moderate anxiety is prevalent among elderly individuals with cardiovascular disorders and is influenced by psychosocial factors. These findings highlight the need for appropriate coping strategies and supportive interventions to reduce anxiety and improve the well-being of the elderly.
Co-Authors Efitra Efitra Evino Sugriarta Heppi Sasmita Murniati Muchtar Yessi Fadriyanti