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INDONESIA
Journal Of Health Science Community
Published by Universitas Strada Indonesia
ISSN : 27147789     EISSN : 27453561     DOI : https://doi.org/10.30994/jhsc
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health
Journal of Health Science Community (JHSC) is an open access journal (e-journal) which publishes scientific works for health worker, academic people, and practitioners. JHSC welcomes and invites original and relevant research articles in health science, as well as literature study and case report particularly in health.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 282 Documents
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Effectiveness of Community Based Interventions on Stroke Risk and Psychological Distress in Elderly Patients with Hypertension: A Systematic Review Ahmad Syauqi Mubarok; Sri Iswahyuni; Hakim Anasulfalah; Aris Widiyanto; Joko Tri Atmojo; Alfian Muhajir; Kharisma Charisma Noviyanti
Journal of Health Science Community Vol. 6 No. 4 (2026): May
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jhsc.v6i4.363

Abstract

Hypertension is a major risk factor for stroke and is closely associated with increased psychological distress among older adults. Community based interventions have emerged as a promising strategy to address both conditions simultaneously. However, current evidence regarding their effectiveness from randomized clinical trials remains to be systematically synthesized. To evaluate the effectiveness of community-based interventions on stroke risk and psychological distress (anxiety and depression) among older adults with hypertension. This systematic review was conducted in accordance with the PRISMA 2020 guidelines. Literature searches were performed in PubMed/MEDLINE, Scopus, Cochrane Library, and CINAHL databases. Inclusion criteria comprised randomized controlled trials (RCTs) or quasi experimental studies involving older adults (≥60 years) with hypertension, community-based interventions, and outcomes related to stroke risk and/or psychological distress, published between 2019 and 2024. Exclusion criteria included systematic reviews, meta-analyses, scoping reviews, literature reviews, and observational studies. Study quality was assessed using the Critical Appraisal Skills Program (CASP) checklist for cohort studies and RCTs. Of the 3,247 records identified, 9 studies met the inclusion criteria, involving a total of 35,206 participants. The evaluated interventions included community based physical activity programs, coordinated community clinic care models, multicomponent behavioral interventions, stroke health education, intensive blood pressure controlled by non-physician health workers, and community based cognitive behavioral therapy. All included studies reported significant reductions in systolic blood pressure (mean reduction ranging from 8–15 mmHg). Six studies demonstrated significant reductions in stroke risk (OR 0.64–0.82). Five studies assessing psychological distress reported significant decreases in anxiety and depression scores following the interventions. Community based interventions are effective in reducing stroke risk and psychological distress among older adults with hypertension. Multicomponent approaches integrating blood pressure management, health education, and psychological support produced the most favorable outcomes. These findings support the implementation of integrated community-based programs within primary healthcare systems.
The Effect Of Consumptionambon Banana On Blood Pressure And Pulse Rate In Menopausal Women At Karang Anyar Rt. 49, Tarakan City, North Kalimantan Siti Komariyah; Suberly
Journal of Health Science Community Vol. 6 No. 4 (2026): May
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jhsc.v6i4.364

Abstract

Hypertension is a non-communicable disease that often occurs in menopausal women due to hormonal changes and decreased blood vessel elasticity. One non-pharmacological therapy that can be used to help lower blood pressure is consuming Ambon bananas because they contain high levels of potassium and magnesium. This study aims to determine the effect of Ambon bananas on blood pressure and pulse in menopausal women with hypertension in Karang Anyar Village, RT. 49, Tarakan City, North Kalimantan. The study used a quasi-experimental design with a one-group pretest-posttest approach. The study population was 79 menopausal women with hypertension with a sample of 44 respondents selected using simple random sampling. Data were collected using blood pressure and pulse observation sheets, then analyzed using the Wilcoxon test. The results showed that before the intervention, most respondents had moderate blood pressure (84.1%), while after the intervention, most were in the normal category (70.5%). Pulse rates before the intervention were mostly normal (63.6%) and after the intervention increased to 91%. Statistical test results showed a significant difference in blood pressure of p=0.000 and pulse rate of p=0.046, indicating that Ambon bananas have an effect on blood pressure and pulse rate in menopausal women with hypertension. The potassium and magnesium content in Ambon bananas plays a role in helping vasodilate blood vessels and maintain stable heart function. Consuming Ambon bananas can be used as an alternative non-pharmacological therapy to help control hypertension in menopausal women.

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