Self-Management Hipertensi sebagai Determinan Kualitas Hidup Lansia di Wilayah Pedesaan Kabupaten Garut

Iwan Wahyudi, Iwan (2020) Self-Management Hipertensi sebagai Determinan Kualitas Hidup Lansia di Wilayah Pedesaan Kabupaten Garut. Scientific Periodical of Public Health and Coastal Health, 8 (2).

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Abstract

Stunting remains a major public health problem in developing countries, including Indonesia. In addition to nutritional factors, maternal psychological stress may indirectly affect caregiving quality and child well-being. Objective: This study aimed to examine the effect of telenursing-based five-finger hypnosis therapy on maternal stress levels among mothers of children with stunting. A quasi-experimental non-randomized controlled study with a pretestposttest design was conducted from March to May 2024 in Wanaraja Village, Garut Regency, Indonesia. A total of 34 mothers of children with stunting were recruited using purposive sampling and allocated to an intervention group (n = 17) and a control group (n = 17). The intervention group received telenursing-based five-finger hypnosis therapy for seven sessions over four weeks, while the control group received routine care from the community health centers. Maternal stress was measured using a 14-item maternal stress scale adapted from the stress domain of the DASS-42 questionnaire. Data were analyzed using Jamovi statistical software version 2.6.45, with the Friedman test for within-group comparisons and the MannWhitney U test for between-group comparisons. Maternal stress in the intervention group decreased progressively from pretest to posttest 1 and posttest 2. The mean maternal stress score in the intervention group decreased from 18.4 (SD = 3.12) at baseline to 16.4 (SD = 2.50) at week 2 and 14.5 (SD = 2.40) at week 4. In the control group, the mean score decreased slightly from 18.9 (SD = 2.29) at baseline to 17.9 (SD = 2.77) at week 2 and 17.6 (SD = 2.50) at week 4. The reduction in maternal stress was significantly greater in the intervention group than in the control group at week 2 (p = 0.036) and week 4 (p < 0.001). These findings suggest that telenursing-based five-finger hypnosis therapy may be a supportive psychosocial nursing intervention for reducing maternal stress among mothers of children with stunting. Further studies with larger samples and randomized designs are needed to confirm these findings

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