RELATIONSHIP BETWEEN ANXIETY AND SLEEP QUALITY IN OLDER ADULTS WITH HYPERTENSION IN SUMBERSUKO VILLAGE, DAMPIT DISTRICT
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Abstract
Hypertension in older adults often occurs together with anxiety that affects their sleep quality. Excessive anxiety can worsen the physical and mental condition of older adults and raise blood pressure, while sleep disorders in older adults also affect their health. This study aimed to determine the relationship between anxiety and sleep quality in older adults with hypertension in Sumbersuko Village, Dampit District. This study used a quantitative design with a cross-sectional approach. Sampling used purposive sampling with 86 respondents. The research variables were anxiety and sleep quality, the instrument used was a questionnaire, and the data were analysed using the Spearman rank correlation test. The results showed that anxiety was mostly in the moderate category (45.3%) and sleep quality was mostly in the poor category (81.4%). The relationship between anxiety and sleep quality in older adults with hypertension showed a p value of 0.000, which was less than 0.05, and a correlation coefficient (r) of 0.377. It is concluded that there is a relationship between anxiety and sleep quality in older adults with hypertension in Sumbersuko Village, Dampit District.
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References
Apriliani, K. M., & Soetjipto, D. (2020). Sleep disorders in late-life depression. Jurnal Psikiatri Surabaya, 9(1), 1. https://doi.org/10.20473/jps.v9i1.16026
Bai, X., Liu, S., Lv, Y., Luo, Y., & Jiang, Y. (2025). Prevalence of sleep disorders among older adults in chinese older adults care institutions: A systematic review and meta-analysis. Frontiers in Public Health, 13. https://doi.org/10.3389/fpubh.2025.1664136
Dolu, İ., & Nahcivan, N. (2020). How to manage older adults' sleep disturbance? Symptom management theory and implications for nursing practice. Journal of Education and Research in Nursing. https://doi.org/10.5222/kuhead.2020.59260
Gao, X., Qiao, Y., Chen, Q., Wang, C., & Zhang, P. (2024). Effects of different types of exercise on sleep quality based on Pittsburgh sleep quality index in middle-aged and older adults: A network meta-analysis. Journal of Clinical Sleep Medicine, 20(7), 1193–1204. https://doi.org/10.5664/jcsm.11106
Harsismanto, Andri, J., Payana, T. D., Andrianto, M. B., & Sartika, A. (2020). Kualitas tidur berhubungan dengan perubahan tekanan darah pada lansia. Jurnal Kesmas Asclepius, 2(1), 1–11. https://doi.org/10.31539/jka.v2i1.1146
Indriyani, S. (2023). Hubungan kecemasan dan kualitas tidur dengan peningkatan tekanan darah pada lansia hipertensi di wilayah kerja puskesmas gerunggang. Coping: Community of Publishing in Nursing, 11(4), 266. https://doi.org/10.24843/coping.2023.v11.i04.p03
Juwita, D., Nulhakim, L., & Purwanto, E. (2023). Hubungan kecemasan dengan insomnia pada pralansia dan lansia hipertensi di posyandu lansia desa tengkapak kabupaten bulungan. Aspiration of Health Journal, 1(2), 240–251. https://doi.org/10.55681/aohj.v1i2.104
Karaş, H., Küçükparlak, İ., Özbek, M. G., & Yılmaz, T. (2022). Addictive smartphone use in the elderly: Relationship with depression, anxiety and sleep quality. Psychogeriatrics, 23(1), 116–125. https://doi.org/10.1111/psyg.12910
Latief, N., Susilaningsih, S., & Maulidia, R. (2020). Hubungan tingkat kecemasan dengan kualitas tidur pada lansia yang mengalami insomnia. PROFESSIONAL HEALTH JOURNAL, 2(1), 1–8. https://doi.org/10.54832/phj.v2i1.136
Li, L., Gan, Y., Zhou, X., Jiang, H., Zhao, Y., Tian, Q., He, Y., Liu, Q., Mei, Q., Wu, C., & Lu, Z. (2021). Insomnia and the risk of hypertension: A meta-analysis of prospective cohort studies. Sleep Medicine Reviews, 56, 101403. https://doi.org/10.1016/j.smrv.2020.101403
Li, Y., Quan, W., Gao, Z., Wang, X., Wang, Y., Meng, H., & Kang, J. (2025). Effects of exercise interventions on subjective sleep quality in older adults: A systematic review and meta-analysis of studies using the Pittsburgh sleep quality index. Frontiers in Medicine, 12. https://doi.org/10.3389/fmed.2025.1664567
Liu, D., Yu, C., Huang, K., Thomas, S., Yang, W., Liu, S., & Kuang, J. (2022). The association between hypertension and insomnia: A bidirectional meta‐analysis of prospective cohort studies. International Journal of Hypertension, 2022(1). https://doi.org/10.1155/2022/4476905
Ma, K., Gao, X., & Fu, X. (2026). Sleep quality and hypertension: Correlation between Pittsburgh sleep quality index (PSQI) scores and the prevalence of hypertension and blood pressure reduction patterns. Sleep Medicine, 138, 108486. https://doi.org/10.1016/j.sleep.2025.108486
Maulana, N. (2021). Edukasi kualitas tidur pada lansia penderita hipertensi. Jurnal Peduli Masyarakat, 3(3), 303–308. https://doi.org/10.37287/jpm.v3i3.623
Nurhayati, T., Susumaningrum, L. A., Rasni, H., Susanto, T., & Kholida, D. (2020). Hubungan kecemasan dengan pola tidur lansia hipertensi dan tidak hipertensi. JKEP, 5(2), 122–136. https://doi.org/10.32668/jkep.v5i2.325
Papi, S., Barmala, A., Amiri, Z., Vakili-Basir, A., Cheraghi, M., & Nejadsadeghi, E. (2023). Mediating roles of stress, anxiety, and depression in the relationship between constipation and sleep quality among the elderly: Structural equation modeling (sem). Sleep Science, 16(01), 001–006. https://doi.org/10.1055/s-0043-1767750
Puspita, T., Ramadan, H., Budhiaji, P., & Sulhan, M. H. (2020). Hubungan tingkat kecemasan dengan kualitas tidur pada lansia penderita hipertensi. Jurnal Keperawatan 'Aisyiyah, 6(2), 53–58. https://doi.org/10.33867/jka.v6i2.141
Ramadhani, Y. (2022). Kualitas tidur pada lansia penderita hipertensi di masa pandemi COVID-19. Jurnal Kesehatan Ilmiah Indonesia (Indonesian Health Scientific Journal), 7(2), 10–15. https://doi.org/10.51933/health.v7i2.816
Ramadia, A., Valentino, F., & Rahmaniza, R. (2023). Hubungan ansietas dengan kualitas tidur lansia hipertensi diwilayah puskesmas uptd indra giri hilir. Al-Asalmiya Nursing: Jurnal Ilmu Keperawatan (Journal of Nursing Sciences), 12(1), 1–8. https://doi.org/10.35328/keperawatan.v12i1.2427
Rusdi, J. M., Aziz, A. R., & Huda, N. (2024). Hubungan tingkat kecemasan dengan kualitas tidur lansia hipertensi di wilayah pesisir. JUKEJ : Jurnal Kesehatan Jompa, 3(2), 34–38. https://doi.org/10.57218/jkj.vol3.iss2.1231
Shafiee, A., Mohammadi, I., Rajai, S., Jafarabady, K., & Abdollahi, A. (2024). Global prevalence of anxiety symptoms and its associated factors in older adults: A systematic review and meta‐analysis. Journal of General and Family Medicine, 26(2), 116–127. https://doi.org/10.1002/jgf2.750
Siregar, R. A., Batubara, N. S., Lubis, A. H. S., & Tarigan, D. (2024). Penyuluhan tentang hipertensi pada lansia di desa lubuk raya kecamatan padangsidimpuan hutaimbaru tahun 2024. Jurnal Pengabdian Masyarakat Aufa (JPMA), 6(1), 35–39. https://doi.org/10.51933/jpma.v6i1.1292
Springall De Pablo, M., & Lauderdale, D. S. (2024). Associations of actigraph sleep characteristics with blood pressure among older adults. Sleep Health, 10(4), 455–461. https://doi.org/10.1016/j.sleh.2024.04.002
Sulkarnaen, S., Sampurno, E., & Rofiyati, W. (2022). Hubungan tingkat kecemasan dengan kualitas tidur pada lansia dengan hipertensi di wilayah kerja puskesmas kasihan ii bantul yogyakarta. Jurnal Kesehatan Tambusai, 3(3), 317–324. https://doi.org/10.31004/jkt.v3i3.5737
Yan, Y., Du, X., Lai, L., Ren, Z., & Li, H. (2022). Prevalence of depressive and anxiety symptoms among chinese older adults during the COVID-19 pandemic: A systematic review and meta-analysis. Journal of Geriatric Psychiatry and Neurology, 35(2), 182–195. https://doi.org/10.1177/08919887221078556
Zhou, B., Carrillo-Larco, R. M., Danaei, G., Riley, L. M., Paciorek, C. J., Stevens, G. A., Gregg, E. W., Bennett, J. E., Solomon, B., Singleton, R. K., Sophiea, M. K., Iurilli, M. L., Lhoste, V. P., Cowan, M. J., Savin, S., Woodward, M., Balanova, Y., Cifkova, R., Damasceno, A., … Ezzati, M. (2021). Worldwide trends in hypertension prevalence and progress in treatment and control from 1990 to 2019: A pooled analysis of 1201 population-representative studies with 104 million participants. The Lancet, 398(10304), 957–980. https://doi.org/10.1016/s0140-6736(21)01330-1
Zitser, J., Allen, I. E., Falgàs, N., Le, M. M., Neylan, T. C., Kramer, J. H., & Walsh, C. M. (2022). Pittsburgh sleep quality index (PSQI) responses are modulated by total sleep time and wake after sleep onset in healthy older adults. PLOS ONE, 17(6), e0270095. https://doi.org/10.1371/journal.pone.0270095