POLTEKKES JAKARTA 3POLTEKKES JAKARTA 3

JKEPJKEP

The elderly population is particularly vulnerable to various health issues, including sleep disturbances and hypertension. Poor sleep quality can lead to increased blood pressure by stimulating the sympathetic nervous system and elevating stress hormones. This study explored the relationship between sleep quality and blood pressure among elderly women with hypertension. This study uses a quantitative method with an analytical descriptive design with a cross-sectional approach. The sampling technique in this study used purposive sampling with a sample of 67 elderly women with hypertension. The instruments used were the Pittsburgh Sleep Quality Index (PSQI) questionnaire to measure sleep quality and a digital sphygmomanometer to measure blood pressure. The data analysis in this study used the Chi-Square test. Most of the elderly had poor sleep quality as many as 50 elderly (74.6%) and degree II hypertension as many as 44 elderly people (65.7%). The results of statistical tests showed a significant relationship between sleep quality and blood pressure in elderly women with hypertension, as evidenced by obtaining a p-value of 0.000 (<0.05).Poor sleep quality in people with hypertension can lead to memory impairment, cognitive abilities, and decreased health. It is hoped that the role of the family and the community health center will be to carry out monitoring and evaluation and motivate the elderly to control blood pressure and sleep regularly.

The majority of participants were aged 60 to 69 years and had a family history of hypertension, with many experiencing poor sleep quality.A strong correlation was found between sleep quality and blood pressure levels, particularly in older women with pre-existing hypertension.Poor sleep quality can negatively impact stress hormone regulation, blood pressure control, and overall cardiovascular health in the elderly.

Penelitian lebih lanjut perlu dilakukan untuk menggali lebih dalam mekanisme biologis yang menghubungkan kualitas tidur dengan fluktuasi tekanan darah pada wanita lanjut usia dengan riwayat hipertensi, misalnya dengan mengukur kadar hormon kortisol dan aktivitas sistem saraf simpatik selama tidur. Selain itu, studi intervensi yang berfokus pada peningkatan kualitas tidur, seperti terapi perilaku kognitif untuk insomnia (CBT-I) atau edukasi tentang kebersihan tidur, perlu diuji efektivitasnya dalam mengendalikan tekanan darah pada populasi ini. Terakhir, penelitian kualitatif dapat dilakukan untuk memahami pengalaman dan persepsi wanita lanjut usia tentang kualitas tidur mereka dan bagaimana hal itu memengaruhi manajemen hipertensi mereka, sehingga dapat mengembangkan strategi perawatan yang lebih personal dan efektif.

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