HUBUNGAN STATUS PSIKOLOGIS DENGAN TEKANAN DARAH PADA LANSIA DI BANJAR KAJENG KOTA DENPASAR
Abstract
Proses penuaan yang dialami lansia menyebabkan lansia rentan mengalami perubahan status psikologis yang dapat berpengaruh terhadap tekanan darah lansia. Penelitian ini bertujuan untuk mengetahui adanya hubungan status psikologis dengan tekanan darah pada lansia di Banjar Kajeng Kota Denpasar. Penelitian ini merupakan penelitian kuantitatif dengan metode cross sectional yang dilakukan selama satu minggu pada bulan Maret 2023. Pemilihan sampel dalam penelitian ini menggunakan purposive sampling (n=45). Data dikumpulkan menggunakan kuesioner The Depression Anxiety Stress Scales 21 (DASS-21) dan sfigmomanometer digital. Hasil penelitian yang didapatkan melalui uji spearman rank menunjukkan bahwa terdapat hubungan antara status psikologis dengan tekanan darah lansia di Banjar Kajeng Kota Denpasar dengan p=0,004, r=0,419 untuk hubungan status psikologis dengan tekanan darah sistolik dan nilai p=0,044, r=0,302 untuk hubungan status psikologis dengan tekanan darah diastolik. Kontribusi status psikologis terhadap peningkatan tekanan darah sistolik yaitu 17,56%, sedangkan kontribusi status psikologis terhadap peningkatan tekanan darah diastolik yaitu 9,12%. Status psikologis berhubungan dengan tekanan darah yang berarti jika nilai status psikologis tinggi, maka tekanan darah juga akan tinggi. Pelaksanaan kegiatan khusus bagi lansia, seperti posyandu, senam lansia, dan penyuluhan kesehatan dapat dilakukan untuk membantu menjaga kestabilan status psikologis dan tekanan darah lansia.
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References
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Widiharti, W., Widiyawati, W., & Fitrianur, W. L. (2020). Faktor-faktor yang berhubungan dengan tekanan darah pada masa pandemi covid-19. Jurnal Ilmu Kesehatan, 5(2), 61–67. https://doi.org/10.24929/jik.v5i2.1089
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Xu, K. (2022). Mechanism of negative emotions of the elderly in normalization period of covid-19: A mediated mediation model. Frontiers in Public Health, 10(June), 1–8. https://doi.org/10.3389/fpubh.2022.941958
Yunding, J., Megawaty, I., & Aulia, A. (2021). Efektifitas senam lansia terhadap penurunan tekanan darah: Literatur review. Borneo Nursing Journal, 3(1), 23–32. https://akperyarsismd.e-journal.id/BNJ/article/view/31
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Babazadeh, T., Sarkhoshi, R., Bahadori, F., Moradi, F., Shariat, F., & Sherizadeh, Y. (2016). Prevalence of depression, anxiety and stress disorders in elderly people residing in Khoy, Iran (2014-2015). Journal of Analytical Research in Clinical Medicine, 4(2), 122–128. https://doi.org/10.15171/jarcm.2016.020
Beevers, D. G., Lip, G. Y. H., & O’Brien, E. (2015). ABC of Hypertension Sixth Edition (6th ed.). BMJ Publishing Group Limited.
Benetos, A., Petrovic, M., & Strandberg, T. (2019). Hypertension management in older and frail older patients. Circulation Research, 124(7), 1045–1060. https://doi.org/10.1161/CIRCRESAHA.118.313236
Daviu, N., Bruchas, M. R., Moghaddam, B., Sandi, C., & Beyeler, A. (2019). Neurobiological links between stress and anxiety. Neurobiology of Stress, 11. https://doi.org/10.1016/j.ynstr.2019.100191
Dewi, N., & Purnomosidi, F. (2019). The role of depression, anxiety and stress against hypertension in the elderly. Psycho Idea, 17(2), 139. https://doi.org/10.30595/psychoidea.v17i2.4429
Dinas Kesehatan Kota Denpasar. (2022). Profil kesehatan Kota Denpasar tahun 2021. Diunduh dari: https://diskes.baliprov.go.id/download/profil-kesehatan-denpasar-2021/
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Dyah, R. K. (2021). Strategi coping menghadapi pandemi covid-19 pada populasi umum. Analitika Jurnal Magister Psikologi UMA, 13(1), 2502–4590.
Esprensa, A., Ekacahyaningtyas, M., & Saelan. (2022). Gambaran tingkat stress pada lansia di era new normal. Jurnal Keperawatan Notokusumo, 10(1), 44–50. http://jurnal.stikes-notokusumo.ac.id/index.php/jkn/article/view/197/134
Falah, M. (2019). Hubungan jenis kelamin dengan angka kejadian hipertensi pada masyarakat di Kelurahan Tamansari Kota Tasikmalaya. Jurnal Keperawatan & Kebidanan STIKes Mitra Kencana Tasikmalaya, 3(1), 88.
Gholamzadeh, S., Pourjam, E., & Kalyani, M. N. (2019). Effects of continuous care model on depression, anxiety, and stress in Iranian elderly in Shiraz. International Journal of Community Based Nursing and Midwifery, 7(1), 13- 21. https://doi.org/10.30476/ijcbnm.2019.40842
Istiqomah, F., Tawakal, A. I., Haliman, C. D., & Atmaka, D. R. (2022). Pengaruh pemberian edukasi terhadap pengetahuan hipertensi peserta prolanis perempuan di Puskesmas Brambang, Kabupaten Jombang. Media Gizi Kesmas, 11(1), 159- 165. https://doi.org/10.20473/mgk.v11i1.2022.159-165
Jaul, E., & Barron, J. (2017). Age-related diseases and clinical and public health implications for the 85 years old and over population. Frontiers in Public Health, 5(December), 1–7. https://doi.org/10.3389/fpubh.2017.00335
Jing, Z., Li, J., Wang, Y., Ding, L., Tang, X., Feng, Y., & Zhou, C. (2020). The mediating effect of psychological distress on cognitive function and physical frailty among the elderly: Evidence from rural Shandong, China. Journal of Affective Disorders, 268(February), 88–94. https://doi.org/10.1016/j.jad.2020.03.012
Kario, K. (2021). Home blood pressure monitoring: Current status and new developments. American Journal of Hypertension, 34(8), 783–794. https://doi.org/10.1093/ajh/hpab017
Kemenkes RI. (2016). Peraturan Menteri Kesehatan Republik Indonesia Nomor 25 Tahun 2016 Tentang Rencana Aksi Nasional Kesehatan Lanjut Usia Tahun 2016-2019.
Kemenkes RI. (2019). Riset kesehatan dasar (Riskesdas) 2018. Diunduh dari: https://kesmas.kemkes.go.id/assets/upload/dir_519d41d8cd98f00/files/Hasil-riskesdas-2018_1274.pdf
Kementerian Kesehatan Republik Indonesia. (2019). Infodatin hipertensi si pembunuh senyap. Diunduh dari: www.p2ptm.kemkes.go.id
Laurent, S., & Boutouyrie, P. (2020). Arterial stiffness and hypertension in the elderly. Frontiers in Cardiovascular Medicine, 7(October), 1- 13. https://doi.org/10.3389/fcvm.2020.544302
Matud, M. P., & García, M. C. (2019). Psychological distress and social functioning in elderly spanish people: A gender analysis. International Journal of Environmental Research and Public Health, 16(3). https://doi.org/10.3390/ijerph16030341
Mermerelis, A., Kyvelou, S. M., Vellinga, A., Papageorgiou, C., Stefanadis, C., & Douzenis, A. (2016). Association between anxiety and depression symptoms with resistant hypertension and central hemodynamics: A pilot study. Hellenic Journal of Cardiology, 57(3), 203- 204. https://doi.org/10.1016/j.hjc.2016.07.004
Mushtaq, M., & Najam, N. (2014). Depression, anxiety, stress and demographic determinants of hypertension disease. Pakistan Journal of Medical Sciences, 30(6), 1293–1298. https://doi.org/10.12669/pjms.306.5433
Mustalqimah, U. K. (2020). Pengaruh terapi spiritual dzikir sebelum tidur terhadap kualitas tidur pasien preoperasi dengan general anestesi di RS PKU Muhammadiyah Yogyakarta. Thesis, Poltekkes Kemenkes Yogyakarta.
Nancye, P. M., Husni, A., & Sawitri, D. R. (2022). Peningkatan integritas diri lansia melalui life review. Jurnal Keperawatan, 14, 163–170. https://doi.org/https://doi.org/10.32583/keperawatan.v14i1.50
Oliveros, E., Patel, H., Kyung, S., Fugar, S., Goldberg, A., Madan, N., & Williams, K. A. (2020). Hypertension in older adults: Assessment, management, and challenges. Clinical Cardiology, 43(2), 99–107. https://doi.org/10.1002/clc.23303
Pabebang, Y., Handayani Mangapi, Y., & Kelong, P. (2022). Faktor-faktor yang berhubungan dengan mekanisme koping pada lansia di Lembang Benteng Ka’do Kecamatan Kapalapitu Kabupaten Toraja Utara tahun 2019. Jurnal Ilmiah Kesehatan Promotif, 6(2), 157–169. https://doi.org/10.56437/jikp.v6i2.68
Rantung, J. (2019). Gambaran tingkat depresi pada lanjut usia di wilayah kerja Puskesmas Parongpong. Jurnal Skolastik Keperawatan, 5(2), 177- 184. https://doi.org/10.35974/jsk.v5i2.2195
Rindayati, R., Nasir, A., & Astriani, Y. (2020). Gambaran kejadian dan tingkat kecemasan pada lanjut usia. Jurnal Kesehatan Vokasional, 5(2), 95. https://doi.org/10.22146/jkesvo.53948
Sagala, D. S. P., & Pasaribu, S. M. (2018). Hubungan strategi koping dengan kualitas hidup pada pasien gagal ginjal kronik yang menjalani hemodialisa di RSU Imelda Medan. Jurnal Ilmiah Keperawatan Imelda, 4(2)(2).
Sanger, A. Y., & Lainsamputty, F. (2022). Stres dan komponen tekanan darah pada penderita hipertensi. Nutrix Journal, 6(1), 1. https://doi.org/10.37771/nj.vol6.iss1.604
Saraswati, G. A. A. C., & Wahyuni, A. A. S. (2019). Gambaran depresi pada orang lanjut usia di perhimpunan werdha sejahtera (PWS) Kota Denpasar. Jurnal Medika Udayana, 8(9). https://ojs.unud.ac.id/index.php/eum/article/view/53026
Sartika, A., Betrianita, Andri, J., Padila, & Nugrah, A. V. (2020). Senam lansia menurunkan tekanan darah pada lansia. Journal of Telenursing, 2, 11–20. https://doi.org/https://doi.org/10.31539/joting.v2i1.1126 SENAM
Setyarini, E. A., Niman, S., Parulian, T. S., & Hendarsyah, S. (2022). Prevalensi masalah emosional: Stres, kecemasan dan depresi pada usia lanjut. Bulletin of Counseling and Psychotherapy, 4(1), 21–27. https://doi.org/10.51214/bocp.v4i1.140
Sutini, Winahyu, K. M., & Rayanti, L. (2022). Perilaku pengendalian hipertensi lansia ditinjau dari dukungan penghargaan dan emosional keluarga. Jurnal Ilmiah Keperawatan Indonesia, 5(2), 134–144. http://jurnal.umt.ac.id/index.php/jik/article/view/6493
Whelton, P. K., Carey, R. M., Aronow, W. S., Casey, D. E., Collins, K. J., Dennison H., C.,… Wright, J. T. (2018). 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: A report of the american college of cardiology/american heart association task force on clinical pr. Journal of the American College of Cardiology, 71(19), e127–e248. https://doi.org/10.1016/j.jacc.2017.11.006
Widiharti, W., Widiyawati, W., & Fitrianur, W. L. (2020). Faktor-faktor yang berhubungan dengan tekanan darah pada masa pandemi covid-19. Jurnal Ilmu Kesehatan, 5(2), 61–67. https://doi.org/10.24929/jik.v5i2.1089
World Health Organization. (2021). Hypertension. Diunduh dari: https://www.who.int/news-room/fact-sheets/detail/hypertension
Wu, S., Jin, C., Li, S., Zheng, X., Zhang, X., Cui, L., & Gao, X. (2019). Aging, arterial stiffness, and blood pressure association in Chinese adults. Hypertension, 73(4), 893–899. https://doi.org/10.1161/HYPERTENSIONAHA.118.12396
Xu, K. (2022). Mechanism of negative emotions of the elderly in normalization period of covid-19: A mediated mediation model. Frontiers in Public Health, 10(June), 1–8. https://doi.org/10.3389/fpubh.2022.941958
Yunding, J., Megawaty, I., & Aulia, A. (2021). Efektifitas senam lansia terhadap penurunan tekanan darah: Literatur review. Borneo Nursing Journal, 3(1), 23–32. https://akperyarsismd.e-journal.id/BNJ/article/view/31
Published
2024-05-26
How to Cite
MARISKA, Luh Putu Melda et al.
HUBUNGAN STATUS PSIKOLOGIS DENGAN TEKANAN DARAH PADA LANSIA DI BANJAR KAJENG KOTA DENPASAR.
Coping: Community of Publishing in Nursing, [S.l.], v. 12, n. 2, p. 130-140, may 2024.
ISSN 2715-1980.
Available at: <https://ojs.unud.ac.id/index.php/coping/article/view/105531>. Date accessed: 26 june 2024.
doi: https://doi.org/10.24843/coping.2024.v12.i02.p03.
Section
Articles
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
