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Journal : Jurnal%20Ners%20dan%20Kebidanan%20Indonesia

The Correlation between Insomnia with Blood Pressure in the Elderly in Banjar Wangaya Kajathe Work Area of Public Health Center III North Denpasar Yuni Antari; Sang Ayu Ketut Candrawati; Putu Gede Subhaktiyasa
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 8, No 2 (2020)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2020.8(2).108-115

Abstract

Elderly is a term for an individual who has entered the period of late adolescence or old age. The number of elderly in the province of Bali in 2018 reached 572.518 inhabitants. Elderly degeneration in terms of both aspects of the psychological and physiological aspects. One form of setbacks is a sleep disorder (insomnia). Insomnia is a disorder of the quantity and quality of sleep that inhibit its function. The elderly who suffer from insomnia to be an increase in sympathetic activity will increase blood pressure and decreased parasympathetic activity lowers blood pressure, in which blood pressure is influenced by the autonomous system that is sympathetic and parasympathetic. This study aims to determine the correlation betweeninsomnia with blood pressure in the elderly in Banjar Wangaya Kaja the work area of Public Health Center III North Denpasar. This research is an analytic correlational research aimed to see whether or not the correlation insomnia with blood pressure exist in the elderly by using cross sectional approach. The sample consisted of 88 respondents to the sampling technique used purposive sampling. Collecting data using questionnaires insomnia and blood pressure measurements using a mercury sphygmomanometer. Most elderly people experience severe insomnia that 68 (77.3%), and as many as 58 people (65.9%) of elderly hypertensive level 1. Based on the results-Spearman rank correlation test in getting the results p (value) = 0,000 <0 , 05 then Ho is rejected and Ha accepted which means there is a significant correlation between insomnia with blood pressure in the elderly in Banjar Kaja Wangaya. The results showed a correlation coefficient of r = 0,702,, it means the correlation is in a strong level, the positive direction of correlation means the higher the insomnia in the elderly, the higher blood pressure will be
The Effect Of Four Square Step Excercise On The Risk Of Falling Elderly At Pstw Wana Seraya Denpasar 2019 Desak Gede Nanda Amaria Dewi; Sang Ayu Ketut Candrawati; Ni Kadek Muliawati
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 8, No 2 (2020)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2020.8(2).100-107

Abstract

Elderly undergoes various changes due to the aging process, one of them is the musculoskeletal system which results in the elderly being vulnerable to falls and if not be treated, it can cause injury to the elderly and even death. One way to reduce the level of fall risk in elderly is to do balance exercises, especially four square step exercises which is not only train the muscle strength of elderly but also train the visual coordination. The purpose of this study was to determine the effect of four square step exercises on the fall risk in elderly. This study used a design of pre-experimental one group pre-test and post-test without control group. The study was conducted at PSTW Wana Seraya Denpasar. The respondens in this study selected through purposive sampling technique. Among 36 elderly who living at PSTW Wana Seraya Denpasar, there were 17 people who met the inclusion and exclusion criteria. After calculating the sample, there were 15 samples were obtained. The results of the study, the fall risk in elderly before four square step exercise were 12 respondents (80%) at moderate level and three respondents (20%) at high level. After training, nine respondents (60%) had a moderate fall risk and six respondents (40%) had low fall risk. Based on the results of Wilcoxon signed rank test statistical test, it was obtained p value = 0.003 <α 0.005 which means there is an influence of four square step exercises towards the fall risk in elderly. Based on the results of the study, the four square step exercise is an effective exercise to reduce the fall risk in elderly because it is a light exercise which is easily carried out by the elderly independently. This exercise is recommended to be applied as a method to reduce the fall risk in elderly.