ANALISIS ASUHAN KEPERAWATAN PADA LANSIA DENGAN HIPERTENSI MELALUI PENERAPAN INTERVENSI ISOMETRIC HANDGRIP EXERCISE DI PANTI SOSIAL TRESNA WERDHA BENGKULU

Abstract

Hypertension represents a common health problem among older adults and requires a comprehensive approach that integrates pharmacological treatment with suitable non-pharmacological interventions. This case study aimed to illustrate the application of isometric handgrip exercise (IHE) within the nursing care of older adults diagnosed with hypertension at Panti Sosial Tresna Werdha Bengkulu. A descriptive case-study design was employed involving three older adults who were recruited through purposive sampling. The nursing care process included comprehensive assessment, formulation of nursing diagnoses, intervention planning, implementation, and evaluation using the SOAP format. The identified primary nursing diagnosis was Risk for Decreased Cardiac Output (D.0011). The IHE protocol was performed at 30% of the Maximum Voluntary Contraction (MVC), consisting of four sets with a duration of 2 minutes per set. The exercise was performed alternately using both hands, with a 1-minute recovery period between sets, and was conducted once daily over three consecutive days. Baseline blood pressure measurements were 160/90 mmHg in Patient A, 155/88 mmHg in Patient S, and 165/92 mmHg in Patient G. Following the intervention, the final documented blood pressure values decreased to 145/82 mmHg, 140/80 mmHg, and 150/84 mmHg, respectively. Comparison between the initial and final measurements indicated a reduction of 15/8 mmHg in each patient. Throughout the intervention, all participants demonstrated the ability to perform the prescribed exercise and expressed greater physical comfort. These findings suggest that IHE can serve as a complementary nursing intervention to support blood-pressure control among older adults with hypertension. Nevertheless, its implementation should be individualized by considering the patient's clinical status, potential contraindications, ongoing medication, and regular blood-pressure assessment.