dc.description.abstract | Older people (OP) have a high risk for hypertension related to changing during
older process in particularly system of cardiovascular. The purpose of this study is
to identify prevalence of hypertension and related factors among OP in nursing
home of Jember, East Java, Indonesia. A cross-sectional study was conducted among
42 of OP in nursing home. A self-administered questionnaire was used to identify
characteristic of participants. Data of activity daily living, cognitive function, emotional
status, depression status, and spiritual activity were measured using Katz
Index of Independence in Activities of Daily Living (ADL), Short Portable Mental
Status Questionnaire (SPMSQ), The Mini Mental State Examination (MMSE), Depression
Anxiety Stress Scale 14 (DASS-14), and Daily Spiritual Experience Scale
(DSES), respectively. Blood pressure was measured using a standard protocol utilizing
a stethoscope and sphygmomanometer. A logistic regression analysis was
used to determine factors related to hypertension among OP. The mean of blood
pressure of systolic and diastolic among OP were 131.90 ± 16.56 mmHg and 82.02
± 10.18 mmHg, respectively. The prevalence of systolic and diastolic hypertension
among OP in nursing home were 38.1% and 21.4%, respectively. The factors of
systolic hypertension were age (p= 0.038), activity daily living (p= 0.043), depression
status (p= 0.012), and spiritual activity (p= 0.015). Meanwhile, factors of
diastolic hypertension were age (p= 0.041) and education (p= 0.049). Increasing
age of OP related to risk factor of hypertension with psychological problems like
depression. It could be reduced by existence of spiritual activity of OP. Provision of
health education on changes in the cardiovascular system and adaptation of lifestyle
changes in the OP will be able to reduce hypertension factors in the OP. | en_US |