The Application of Five-Finger Hypnosis in Managing Sleep Pattern Disturbances to Elderly Who Has Hypertension in Palu City, Central Sulawesi Province.
Abstrak
Background: Hypertension is a condition characterized by high blood pressure with systolic values ≥140 mmHg and diastolic values ≥ 90 mmHg. This condition triggers sleep pattern disturbances that systemically decrease cognitive function, induce depression, and exacerbate metabolic and cardiovascular disorders. This technique is a form of self-distraction aimed at creating relaxation and peace of mind, thereby making it easier for the elderly to initiate night sleep. Research Objective: To describe the nursing care implementation of the five-finger hypnosis technique in addressing sleep pattern disturbances to the elderly who has hypertension in Palu City, Central Sulawesi Province. Research Methods: This research used a descriptive case study design on one hypertensive elderly subject with sleep pattern disturbances according to inclusion criteria. Data were collected through interview, observations, physical examinations, the Pittsburgh Sleep Quality Index (PSQI) questionnaires, and the application of the five-finger hypnosis SOP. Research Results: After providing the five-finger hypnosis intervention for 7 consecutive days, the pre- and post-evaluation results showed an improvement in sleep quality, with a decrease in the PSQI score from 15 (poor sleep quality) to 12 (moderate sleep quality). Conclusion: The implementation of the five-finger hypnosis technique is effective in improving the sleep quality of elderly individuals with hypertension, as indicated by the decrease in PSQI scores from the poor to the moderate category. Recommendations: The implementation of the five-finger hypnosis Standard Operating Procedure (SOP) can be recommended as an independent nursing intervention to improve sleep quality in the delivery of nursing care.
Referensi
Abrianto, W. A., & Adriani, P. (2023). Pemberian Intervensi Pijat Refleksi Kaki Pada Lansia Dengan Hipertensi Yang Mengalami Masalah Gangguan Pola Tidur Di PPSLU Dewanata Cilacap. Jurnal Ventilator : Jurnal Riset Ilmu Kesehatan Dan Keperawatan, 1(4), 170–176. https://doi.org/https://doi.org/10.59680/ventilator.v1i4.683
Aini, L. N., Pratiwi, T. F., Roni, F., Fitriyah, E. T., & Wijaya, A. (2024). Terapi Murotal Al Qur’an Sebagai Salah Satu Intervensi Pada Lansia Hipertensi Dengan Gangguan Pola Tidur. Jurnal Insan Cendekia, 11(1), 20–28.
Amalia, V. N., & Sjarqiah, U. (2023). Gambaran Karakteristik Hipertensi Pada Pasien Lansia di Rumah Sakit Islam Jakarta Sukapura Tahun 2020. Muhammadiyah Journal of Geriatric, 3(2), 62–68.
Artini, B., & Handayani, D. (2021). Penerapan Intervensi Terapi Akupresur Untuk Mengatasi Gangguan Pola Tidur Pada Lansia Dengan Hipertensi. Jurnal Kepetawatan, 10(2), 54–60. https://doi.org/https://doi.org/10.47560/kep.v10i2.294
Astuti, A., & Fauziyah, N. (2025). Buku Referensi Manajemen Keperawatan Pada Pasien Gangguan Pola Tidur (Cetakan Pe). Optimal Untuk Negeri.
Azzahra, Z. T., Dewi, R., & Waluya, A. (2024). Pengaruh Teknik Relaksasi Lima Jari Tehadap Kualitas Tidur Lansia Hipertensi. Jurnal Keperawatan ’Aisyiyah, 11(2), 111–118.
Bock, J. M., Vungarala, S., Covassin, N., & Somers, V. K. (2022). Sleep Duration and Hypertension: Epidemiological Evidence and Underlying Mechanisms. American Journal of Hypertension, 35(1), 3–11. https://doi.org/10.1093/ajh/hpab146
Dewi, R., Budhiana, J., Arsyi, D. N., Yulianti, M., & Dwifatmala, S. (2023). Penggunaan teknik relaksasi lima jari untuk mengurangi stres dan kualitas tidur pada pasien hipertensi. Jurnal Studi Kesehatan, 7(1), 20–29.
Makarem, N., Alcántara, C., Williams, N., Bello, N. A., & Abdalla, M. (2021). The Effect of Sleep Disturbances on Blood Pressure. Hypertension, 77(4), 1036–1046. https://doi.org/10.1161/HYPERTENSIONAHA.120.14479
Nopriani, Y., & Xesti, E. (2025). Pengaruh Intervensi Terapi Musik Klasik Terhadap Tekanan Darah Dan Kualitas Tidur Pada Lansia Penderita Hipertensi Diruang Hemodialisa. Jurnal Kesehatan Dan Pembangunan, 15(2), 172–177.
Nugroho, S. T., Yuniarsih, S. M., Widhowati, S. S., & Suraningsih, I. (2024). Peningkatan Kualitas Tidur Lansia Dengan Pelatihan Mandiri Hipnotis Lima Jari Di Puskesmas Wiradesa Kabupaten Pekalongan. Jurnal Pengabdian Kepada Masyarakat Wahana Usada, 6(2). https://doi.org/https://doi.org/10.47859/wuj.v6i2.473
Nurani, B. L., & Fazriana, E. (2025). Asuhan Keperawatan Gerontik pada Lansia Hipertensi dengan Masalah Keperawatan Gangguan Pola Tidur di RW 03 Kelurahan Pasirlayung Tahun 2025. Stikes Dharma Husada Bandung, 1–11.
Nurlela, L., Kirana, S. A. C., & Dewi, W. C. P. (2022). Pengaruh Terapi Hipnosis Lima Jari Terhadap Kualitas Tidur Pada Lansia Di Panti Tresna Werdha Hargo Dedali Surabaya. STIKES Hang Tuah Surabaya, 1–14.
Sakti, I. P., & Luhung, M. (2025). Penatalaksaan Lansia Hipertensi. In Penatalaksanaan lansia hipertensi (edisi 1). PT Literasi Nusantara Abadi Grup.
Sihombing, Y. A., & Paulina, M. M. (2022). Upaya Mengatasi Gangguan Pola Tidur pada Pasien Hipertensi Melalui Terapi Relaksasi Benson. Care Journal, 2(1), 57–62. https://doi.org/10.35584/carejournal.v2i1.129
Silvanasari, I. A., Maurida, N., & Vitaliati, T. (2022). Peningkatan Pengetahuan Penyakit Tidak Menular: Hipertensi Pada Lansia. Jurnal Pengabdian Masyarakat Kesehatan Stikes Pemkab Jombang, 8(2), 221–224.
Sumarsih, G. (2025). Asuhan keperawatan Lansia Dengan Gangguan Tidur (D. Larasati (ed.); 1st ed.). CV. Mitra Edukasi Negeri.
Tim Pokja SDKI DPP PPNI. (2017). Standar Diagnosis Keperawatan Indonesia Definisi dan Indikator Diagnostik (1st ed.). Dewan Pengurus Pusat Persatuan Perawat Nasional Indonesia.
Tim Pokja SIKI DPP PPNI. (2018). Standar Intervensi Keperawatan Indonesia Definisi dan Tindakan Keperawatan (1st ed.). Dewan Pengurus Pusat Persatuan Perawat Nasional Indonesia.
