Vol. 21 No. 1 (2025)
Medic Nutricia : Jurnal Ilmu Kesehatan

Articles

ASUHAN KEPERAWATAN GERONTIK PADA NY. S DENGAN PEMBERIAN TERAPI ISOMETRIC HANDGRIP UNTUK MENURUNKAN TEKANAN DARAH PADA PENDERITA HIPERTENSI DI WILAYAH KERJA PUSKESMAS BATU AJI KOTA BATAM TAHUN 2025

Published 2025-09-29

  • Ernalis Ernalis
    • ,
  • Angga Putri

Ernalis Ernalis
Universitas Batam

Angga Putri
Universitas Batam

Abstract

Hypertension is one of the most common degenerative diseases in the elderly and can increase the risk of complications such as stroke, heart failure, and kidney disease. Non-pharmacological therapy, such as isometric handgrip exercise, has been proven effective in helping to reduce blood pressure naturally and safely, especially among the elderly population. This case study aims to describe the process of gerontological nursing care in Mrs. S, an elderly patient with hypertension, using an isometric handgrip approach at the Batu Aji Public Health Center, Batam City. The method used was a case study approach through the nursing process, which included assessment, nursing diagnosis, intervention planning, implementation, and evaluation. The main diagnosis identified was ineffective cerebral tissue perfusion related to increased blood pressure. Interventions provided included education, blood pressure monitoring, and the implementation of isometric handgrip therapy for three consecutive days. The evaluation results showed a gradual decrease in blood pressure, from an initial value of 160/100 mmHg to 140/90 mmHg after therapy. This therapy was well accepted by the patient, produced no side effects, and improved active participation in self-care. This study concludes that isometric handgrip therapy can be used as an effective and easily applied non-pharmacological nursing intervention in gerontological nursing practice. Educational support from nurses also plays an important role in improving compliance and independence of the elderly in managing hypertension.

Keywords

Elderly, Hypertension, Isometric Handgrip Therapy, Nursing Care, Gerontic

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