Management of Hypertension in the Elderly in Jember with the approval of the Self Transcendence Theory
Keywords:Elderly, Hypertension, Spiritual Care, Health Status
Background: Hypertension is one of chronic disease in elderly. Conventional treatment of hypertension using drugs are not always show positive outcome. Nurse as a health practitioner need to find out another aspect to enhance elderly health status. One of them is through holistic care with spiritual care as their core. This research is conduct to find out the effect of transcendence spiritual care to the health status of elderly with hypertension. Methode: It’s a quasy experimental research with 46 respondents taken by simple random sampling. The data was taken by using SF 12 questionnaire to find out health perception and by measuring respondent’s blood pressure at the beginning and at the end of research. Result and Analysis: The result show that there is significant difference between health perception among experimental group before and after treatment (p = 0,000 for physical and mental health). There is no significant difference between health perception among control group before and after treatment (p = 0,347 for physical health and p = 0,295 for mental health). There is significant difference among health perception among expertimental and control group after treatment (p = 0,000 for physical health and p = 0,004 for mental health). Blood pressure measurement show significant difference for sistolic blood pressure (p = 0,000) but not for diastolic blood pressure p = 0, 157) among experimental group before and after treatment. In control group, sistolic and diastolic blood pressure show no significant difference (p = 0,153 for sistolic blood pressure p = 0,317 for diastolic blood pressure).
Buck, A., Williams, D., Musick, M. & Sternthal, M., 2009. An Examinationof The Relationship Between Multiple DImension of Religiousity, Blood Pressure, and Hypertension. Social Science and Medicine, III(8), pp. 314-322.
Fitchett, G. & Powell, L., 2009. Daily Spiritual Experiences, Systolic Blood Presseure, and Hypertension among Midlife Women in SWAN. Behavioral Medicine, 3(37), pp. 257 - 267.
Fryback, J., Frey, B., Daaleman, T. & Peyton, V., 2001. Spirituality and people with Potentially Fatal Diagnosis. Nursung Forum Journal, 34(1), pp. 34-44.
Hanafi, M., 2014. Hidup Sehat Setiap Hari Seperti Nabi. Edisi 1 penyunt. Surakarta: Ziyad Book.
Harvey, I. & Siverman, M., 2007. The Role of Spirituality in The Self Management of Chronic Illness Among Older Africa and White. Journal Cross Cultural Gerontology, 22(2), pp. 205 - 220.
Haugan, G., 2013. Self Transcendence, Well being, and Nurse Patient Interaction in Cognitively Intact Nursing Home Patient, Torndheim: Not Published.
Hoshi, M., 2008. Self Transcendence, Vulnerability, and Well Being in Hospitalized Japanese Elders, Arizona: Not Published.
Jewel, A., 2004. Ageing, Spirituality and Well Being. 2nd Edition penyunt. London: Jesica Kingsley Comapany.
Kaplan, N., 2002. Hypertension in Elderly. 2nd edition penyunt. London: Taylor and Francise Group.
Koenig, H., 2012. Religion, Spirituality, and Health : The Research and Clinical Implication. International Scholarly Research Network ISRN Pyichiatry, 3(12), pp. 1 - 33.
Krause, N. & Bastida, E., 2009. Core Religious Beliefs and Providing Support to Others in Late LIfe. Mental Health Religious Culture, 12(1), pp. 75 - 96.
Kretchy, I., Daku, f. O. & Danquah, S., 2013. Spiritual and Religious Beliefs : Do They Matter in The Medication. Biopsycosocial Medicine, 7(15), pp. 1 - 7.
Lewa, A. F., Pramantara, I. D. P. & Rahayujati, B., 2010. Faktor - Faktor Resiko Hipertensi Sistolik Terisolasi pada Lanjut Usia. Berita Kedokteran Masyarakat, 26(4), pp. 171 - 178.
Lorentz, M., 2006. Stress and Psychoneuroimmunology Revisited : Using Mind and Body Intervention to Reduce Stres. Alternative Journal of Nursing , 3(11), pp. 1 - 11.
Parati, G. & Steptoe, A., 2005. Stress Reduction and Blood Pressure Control in Hypertension : A Role for Transcendental Meditation. Journal of HYpertension, 9(22), pp. 2057 - 2060.