RETNO NAFIRIYANTI, NIM. 202303213 (2025) ASUHAN KEPERAWATAN PADA PASIEN HIPERTENSI DENGAN MASALAH KEPERAWATAN GANGGUAN TIDUR DI RUANG BUGENVIL RSUD KRT. SETJONEGORO WONOSOBO. KIA thesis, UNIVERSITAS MUHAMMADIYAH GOMBONG.

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Abstract

Background: Hypertension is a condition of high blood pressure that can cause serious complications, such as heart disease, stroke, and sleep disorders. Globally, the prevalence of hypertension reaches 22%, with Asia ranking third (25%). In Indonesia, the prevalence of hypertension is 34.11% among individuals aged 18–75 years. The 4-7-8 breathing technique has been proven as an effective non-pharmacological therapy to reduce blood pressure, alleviate anxiety, and improve sleep quality. Method: The research design used was a qualitative descriptive method with a case study approach in nursing care. The case study subjects were hypertensive patients experiencing sleep disorders with a medical diagnosis of hypertension. The study was conducted in October 2024 in the Bougenvil Room of RSUD KRT Setjonegoro, focusing on the implementation of the 4-7-8 breathing technique to address sleep disorders. Results: Assessment and data analysis showed that hypertensive patients with an average PSQI score of 9 were diagnosed with sleep pattern disturbances. The intervention focused on the 4-7-8 breathing technique and sleep education. This technique was applied for 2–3 days before bedtime, and patients were able to perform it independently. Evaluation results showed that the PSQI score decreased to 4–5, sleep quality improved, and patients experienced a significant reduction in blood pressure, with systolic reductions of 25–70 mmHg and diastolic reductions of 10–30 mmHg. Conclusion: The 4-7-8 breathing technique effectively improves sleep quality, reduces PSQI scores from 9 to 4-5, and significantly lowers systolic and diastolic blood pressure.

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