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I Ketut Andika Priastana
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Babali Nursing Research
Published by Babali Health
ISSN : 27766993     EISSN : 27215989     DOI : https://doi.org/10.37363/bnr
Core Subject : Health,
Nursing
The Babali Nursing Research provides a forum for original research and scholarship about health care delivery, organisation, management, workforce, policy and research methods relevant to nursing, midwifery and other health related professions. The BNR aims to support evidence informed policy and practice by publishing research, systematic and other scholarly reviews, critical discussion, and commentary of the highest standard. The journal particularly welcomes studies that aim to evaluate and understand complex health care interventions and health policies and which employ the most rigorous designs and methods appropriate for the research question of interest. The journal also seeks to advance the quality of research by publishing methodological papers introducing or elaborating on analytic techniques, measures, and research methods.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 12 Documents
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Search results for , issue "Vol. 7 No. 1 (2026): January" : 12 Documents clear
Evidence-Based Practice in Hypertension Management: A Review of Acupressure, Progressive Muscle Relaxation, and Mobile Health Interventions Jaya Kusuma, I Made; Suyasa, I Gede Putu Darma; Nuryanto, Kadek; Wulandari, Sarah Kartika
Babali Nursing Research Vol. 7 No. 1 (2026): January
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2026.71545

Abstract

Introduction: Despite the availability of pharmacological treatments, poor adherence and low patient awareness remain barriers to effective long-term management. Non-pharmacological interventions such as acupressure and progressive muscle relaxation (PMR) have demonstrated consistent benefits, yet broader implementation is limited by inadequate education, practical guidance, and patient engagement. Mobile health (mHealth) technologies offer opportunities for real-time monitoring and self-management support, but integrating complementary therapies into digital platforms remains underexplored. It aims to synthesize current evidence on the effectiveness of acupressure, progressive muscle relaxation (PMR), and mobile health (mHealth) interventions in enhancing self-management among individuals with hypertension.Methods: A narrative review with narrative synthesis was conducted in accordance with PRISMA 2020 and the PICOS framework. Searches were performed in PubMed, ProQuest, ScienceDirect, and Google Scholar using predefined keywords. No artificial intelligence (AI)–based tools were employed. Fifteen eligible studies were identified and thematically analyzed. The review included 15 eligible studies that examined non-pharmacological and digital interventions for hypertension management. Results: Specifically, three studies on acupressure explicitly reported significant reductions in systolic and diastolic blood pressure, while eight studies on progressive muscle relaxation (PMR), including multimodal formats combined with breathing exercises, music, or audiovisual support, consistently demonstrated improvements in blood pressure, stress, and sleep quality. In addition, three studies on mobile health (mHealth) interventions reported enhanced adherence, patient engagement, and self-monitoring behaviors. One additional study investigated acupuncture (needle-based stimulation rather than manual acupressure); this study was retained for completeness but not synthesized with the primary findings due to differences in intervention characteristics.Conclusion: Overall, although strong evidence supports the effectiveness of acupressure, PMR, and mHealth individually, none of the included studies integrated acupressure and PMR within a single mHealth platform, underscoring a critical gap in digital hypertension management research.
Gait Parameters and Fall Risk Among Older Adults in Tabanan Regency Dewi, Ni Putu Indira Prana; Wirata, Gede; Sudiman, Jaqueline; Muliani
Babali Nursing Research Vol. 7 No. 1 (2026): January
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2026.71547

Abstract

Introduction: Fall risk is a major geriatric concern linked to age-related gait instability. Changes in gait parameters, such as step length, step width, and walking speed, reflect neuromuscular decline and increase instability. While international evidence supports this association, local data among community-dwelling older adults in Tabanan Regency, Bali, remain limited. This study aimed to examine the association between gait parameters and fall risk.Methods: This cross-sectional observational study included 119 community-dwelling adults aged 60–79 years. Gait parameters, including step length, step width, and walking speed, were assessed using the 10-meter walk test, and fall risk was measured using the Timed Up and Go (TUG) test. Chi-square tests were used for bivariate analysis, and binary logistic regression was used to identify independent predictors.Results: A total of 36.1% of participants were classified as at risk of falling. Bivariate analysis showed significant associations between fall risk and step length (p = 0.050), step width (p = 0.006), walking speed (p < 0.001), and age (p < 0.001). Multivariate analysis identified walking speed (AOR = 0.150; p = 0.005), leg-length symmetry (AOR = 0.292; p = 0.026), and step width (AOR = 0.345; p = 0.038) as independent predictors. Step length was excluded from the multivariate analysis due to complete separation in the data.Conclusion: Walking speed, step width, and leg-length symmetry were independent predictors of fall risk. These findings support the use of simple gait assessments for early fall risk screening in community and primary care settings.

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