Association Of Anxiety And Insomnia With Hypertension Among Older Adults In Puskesmas Remaja

Lisa Wahidatul Oktaviani; Anisya Dea Rizkita

Authors

Lisa Wahidatul Oktaviani Public Health Program, Universitas Muhammadiyah Kalimantan Timur, Samarinda, Indonesia
Anisya Dea Rizkita Public Health Program, Universitas Muhammadiyah Kalimantan Timur, Samarinda, Indonesia

Keywords:

Anxiety, Insomnia, Hypertension, Elderly

Abstract

Hypertension is a significant health concern among the elderly, often associated with psychological factors such as anxiety and insomnia. This study aims to investigate the relationship between anxiety, insomnia, and hypertension in older adults at Remaja Health Center in Indonesia. Utilizing an analytic observational design with a cross-sectional approach, 95 elderly participants were selected using stratified proportional random sampling. Data were collected through sphygmomanometer readings, the KSPBJ-IRS insomnia questionnaire, and the ZSAS anxiety questionnaire. The results were analyzed using Spearman's rank correlation test. The findings revealed a significant and strong correlation between anxiety and hypertension, with a p-value of 0.001 and a correlation coefficient of 0.335. Similarly, insomnia also showed a significant association with hypertension, with a p-value of 0.004 and a correlation coefficient of 0.291. These results indicate that higher levels of anxiety and insomnia are linked to increased hypertension among the elderly. This study underscores the importance of addressing psychological well-being and sleep quality in managing hypertension in older adults. Routine monitoring at elderly Posyandu and interventions aimed at reducing anxiety and improving sleep could potentially mitigate the risk of hypertension in this population. Future research should explore the underlying mechanisms linking these psychological factors with hypertension and evaluate the effectiveness of targeted interventions.

References

Agustono, Zulfitri, R., & Agrina. (2018). Hubungan Kondisi Psikososial Lansia Hipertensi Dengan Kejadian Insomnia. Jurnal Online Mahasiswa (JOM) Bidang Ilmu Keperawatan, 5(2), 51–61.

BKKBN. (2019). Lansia Sehat, Aktif, dan Bermartabat.

Delavera, A., Siregar, K. N., Jazid, R., & Eryando, T. (2021). Hubungan Kondisi Psikologis Stress dengan Hipertensi pada Penduduk Usia ≥ 15 tahun di Indonesia. Jurnal Biostatistik, Kependudukan, Dan Informatika Kesehatan, 1(3), 148. https://doi.org/10.51181/bikfokes.v1i3.5249

Fabiana Meijon Fadul. (2019). HUBUNGAN ANTARA KECEMASAN DENGAN KEJADIAN HIPERTENSI PADA LANSIA DI PANTI SOSIAL TRESNA WERDHA.

Isussilaning Setiawati, E., Ulfah, M., Dewi, P., Studi, P. S., Fakultas Ilmu Universitas Harapan Bangsa Purwokerto, K., Raden Patah No, J., Kembaran, K., Banyumas, K., & Tengah, J. (2021). Gambaran Tingkat Insomnia pada Lanjut Usia di Rojinhome Kabushiki Kaisha Yoichi Yonabaruokinawa Jepang. Seminar Nasional Penelitian Dan Pengabdian Kepada Masyarakat, 881–889.

Kementerian Kesehatan RI. (2018). Laporan Nasional Riskesdas 2018. Laporan Nasional Riskesndas 2018, 44(8), 181–222.

Kusumaningtyas, R. D. A., & Murwani, A. (2020). Hubungan Tingkat Kecemasan dengan Kejadian Insomnia pada Lansia di BPSTW Unit Budi Luhur Kasongan Bantul Yogyakarta The Relationship Level of Anxiety with The Incidence of Insomnia in The Elderly at Budi Luhur Community Dwelling Kasongan Bantul Yogyakarta. Jurnal Keperawatan, 9(1), 1–8. https://doi.org/10.29238/caring.v9i1.443

Marliana, T., Kaban, I. S., & Chasanah, U. (2019). Hubungan kecemasan lansia dengan hipertensi di puskesmas kecamatan kramat jati jakarta jimur. Hubungan Kecemasan Lansia Dengan Hipertensi Di Puskesmas Kecamatan Kramat Jati Jakarta Jimur, 04(11), 306–311.

Putri, E. (2023). Aspiration of health journal. 01(01), 10–15.

RI, K. K. (2022). Lansia Berdaya, Bangsa Sejahtera.

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

Sinaga, A. (2022). Hubungan Gangguan Tidur Insomnia Lansia dengan Hipertensi di Puskesmas Sangkanhurip. 4, 1707–1715.

Suciana, F., Agustina, N. W., & Zakiatul, M. (2020). Korelasi Lama Menderita Hipertensi Dengan Tingkat Kecemasan Penderita Hipertensi. Jurnal Keperawatan Dan Kesehatan Masyarakat Cendekia Utama, 9(2), 146. https://doi.org/10.31596/jcu.v9i2.595

Suprayitno, E., & Huzaimah, N. (2020). Pendampingan Lansia Dalam Pencegahan Komplikasi Hipertensi. SELAPARANG Jurnal Pengabdian Masyarakat Berkemajuan, 4(1), 518. https://doi.org/10.31764/jpmb.v4i1.3001

Turana, Y., Tengkawan, J., Chia, Y. C., Shin, J., Chen, C. H., Park, S., Tsoi, K., Buranakitjaroen, P., Soenarta, A. A., Siddique, S., Cheng, H. M., Tay, J. C., Teo, B. W., Wang, T. D., & Kario, K. (2021). Mental health problems and hypertension in the elderly: Review from the HOPE Asia Network. Journal of Clinical Hypertension, 23(3), 504–512. https://doi.org/10.1111/jch.14121

Uchmanowicz, I., Markiewicz, K., Uchmanowicz, B., Kołtuniuk, A., & Rosińczuk, J. (2019). The relationship between sleep disturbances and quality of life in elderly patients with hypertension. Clinical Interventions in Aging, 14, 155–165. https://doi.org/10.2147/CIA.S188499

WHO. (2021). Hypertension Indicators for Improving Quality and Coverage of Service (Issue March).