Electronic Theses and Dissertation

Hipertensi masih menjadi permasalahan kesehatan global dengan prevalensi yang terus meningkat, termasuk di Indonesia dan khususnya di Aceh. Wanita menopause memiliki risiko lebih tinggi mengalami hipertensi akibat penurunan hormon estrogen yang menyebabkan kekakuan pembuluh darah dan peningkatan resistensi vaskular. Kualitas tidur yang buruk dapat meningkatkan aktivitas sistem saraf simpatik dan mengaktifkan sumbu hipotalamus–hipofisis–adrenal (HPA) berkontribusi pada peningkatan tekanan darah. Penelitian ini bertujuan menganalisis hubungan antara kualitas tidur dengan kontrol tekanan darah pada wanita menopause di Puskesmas Kopelma Darussalam. Penelitian menggunakan desain observasional analitik dengan pendekatan cross-sectional. Data primer diperoleh melalui wawancara menggunakan kuesioner Pittsburgh Sleep Quality Index (PSQI), sedangkan data sekunder berasal dari rekam medis terkait status tekanan darah. Analisis dilakukan menggunakan uji Chi-Square pada convidence interval 95% dan α=0,05. Penelitian dilakukan mulai tanggal 17 Oktober – 16 November dengan jumlah sampel 92 orang, rerata usia responden 59 tahun, rerata IMT sebesar 26, rerata tekanan darah sistolik adalah 144 mmHg dan rerata skor PSQI sebesar 7. Hasil penelitian menunjukkan bahwa mayoritas responden memiliki kualitas tidur yang buruk (79,3%) dan sebagian besar memiliki tekanan darah yang tidak terkontrol (62%). Analisis bivariat menunjukkan adanya hubungan antara kualitas tidur dengan kontrol tekanan darah (p-value = 0,011). Upaya pengendalian tekanan darah pada wanita menopause dapat diperhatikan dalam berbagai aspek, salah satunya adalah kualitas tidur.
Kata Kunci: Kualitas Tidur, Kontrol Tekanan Darah, Menopause

Hypertension remains a global public health problem with a continuously increasing prevalence, including in Indonesia, particularly in Aceh Province. Menopausal women have a higher risk of developing hypertension due to decreased estrogen levels, which lead to increased arterial stiffness and vascular resistance. In addition, poor sleep quality can increase sympathetic nervous system activity and activate the hypothalamic–pituitary–adrenal (HPA) axis, thereby contributing to elevated blood pressure. This study aimed to analyze the relationship between sleep quality and blood pressure control among menopausal women at the Kopelma Darussalam Primary Health Care Center. This research employed an analytical observational design with a cross-sectional approach. Primary data were collected through interviews using the Pittsburgh Sleep Quality Index (PSQI) questionnaire, while secondary data were obtained from medical records related to blood pressure status. Data analysis was performed using the Chi-Square test with a 95% confidence interval and a significance level of α = 0.05. The study was conducted from October 17 to November 16 and involved 92 respondents. The mean age of the participants was 59 years, the mean body mass index (BMI) was 26, the mean systolic blood pressure was 144 mmHg, and the mean PSQI score was 7. The results showed that the majority of respondents had poor sleep quality (79.3%) and uncontrolled blood pressure (62%). Bivariate analysis revealed a significant association between sleep quality and blood pressure control (p-value = 0.011). In conclusion, sleep quality is an important factor that should be considered in efforts to control blood pressure among menopausal women. Keywords: Sleep Quality, Blood Pressure Control, Menopause