Electronic Theses and Dissertation

Stres merupakan hal yang sangat berpengaruh terhadap peningkatan tekanan darah serta merupakan faktor terjadinya hipertensi. Hubungan antara stres dan hipertensi primer oleh aktivitas saraf simpatis yang dapat meningkatkan tekanan darah yang intermitten . Adanya masalah ini, maka penggunaan strategi koping Problem Focused Coping (PFC) maupun Emotional Focused Coping (EFC) diperlukan untuk mengurangi stress. Penelitian ini bertujuan untuk mengetahui gambaran tingkat stresss dan mengidentifikasi gambaran manajemen stress pada lansia dengan hipertensi di kota Banda Aceh. Metode penelitian yang digunakan yaitu deskriptif kuantitatif dengan pendekatan cross sectional. Responden berjumlah 192 orang yang dipilih menggunakan teknik accidental sampling. Pengumpulan data menggunakan kuesioner Depression Anxienty Stress Scale (DASS) dan The Ways of Coping Questionnaire Revised (WOCQ). Analisa data menggunakan analisis univariat. Hasil penelitian menunjukkan gambaran tingkat stress pada lansia hipertensi di kota Banda Aceh berada pada kategori normal yaitu 186 responden (96,9%) dan hasil manajemen stres (85,9%) lansia menggunakan Problem Focused Coping (PFC) dengan domain yang paling sering digunakan yaitu planful problem dan (14,1%) lansia menggunakan EFC dengan domain yang sering digunakan seeking social support,accepting responsibility dan positive reappraisal. Direkomendasikan kepada masyarakat dan tenaga kesehatan untuk meningkatkan upaya manajemen stres kepada lanjut usia seperti melakukan aktivitas fisik yang cukup seperti senam lansia.

Stress is closely related to the increase in blood pressure and is a factor in the occurrence of hypertension. The correlation between stress and hypertension is primarily due to sympathetic nerve activity that can increase blood pressure intermittently. Hence, strategies such as Problem-Focused Coping (PFC) and Emotional-Focused Coping (EFC) are needed to reduce stress. This study aimed to determine the level of stress and identify stress management among the elderly with hypertension in Banda Aceh. The research used a descriptive quantitative method with a cross-sectional approach. The respondents were 192 people, selected using a accidental sampling technique. The data was collected using the Depression Anxiety Stress Scale (DASS) questionnaire and The Ways of Coping Questionnaire-Revised (WOCQ). Data analysis used univariate analysis. The results showed that the description of stress levels in elderly hypertension in Banda Aceh city was in the normal category, namely 186 respondents (96.9%). The results of stress management showed that 85.9% of the elderly used PFC strategies with planful problems as the most frequently used domain, and 14.1% of the elderly used EFC with seeking social support, accepting responsibility, and positive reappraisal domains as the most often used domain. The community and health workers are recommended to develop stress management efforts for the elderly such as making sure that elderly physical activity is sufficient by conducting activities such as gymnastics, aerobic exercise, leisurely walks, and others.