Authors :
Endang Sri Wahyuni; Roh Hastuti Prasetyaningsih; Umy Yonaevy
Volume/Issue :
Volume 10 - 2025, Issue 12 - December
Google Scholar :
https://tinyurl.com/ys5hmsrd
Scribd :
https://tinyurl.com/5yesr8du
DOI :
https://doi.org/10.38124/ijisrt/25dec599
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Abstract :
Background:
The elderly population in Indonesia is rapidly increasing, following the global trend. This demographic shift poses
complex health challenges, particularly related to hypertension and sleep disturbances. Both conditions are interrelated
and may significantly reduce the quality of life in older adults. This study aimed to analyse the relationship between blood
pressure and sleep quality among older adults in Sindon Village, Boyolali, from an occupational therapy perspective.
Objective:
This study aimed to analyse the relationship between blood pressure and sleep quality among older adults in Sindon
Village, Boyolali, from an occupational therapy perspective.
Methods:
A cross-sectional analytic observational design was employed, involving 30 older adults selected through purposive
sampling. Data collection was carried out using a demographic survey instrument, the Pittsburgh Sleep Quality Index
(PSQI), and blood pressure measurements with an OMRON HEM-7121 digital sphygmomanometer. Data analysis was
performed using Pearson correlation and independent mean difference tests.
Results:
The findings revealed that 70% of participants had hypertension, with a mean systolic blood pressure of 142.8 mmHg
and a diastolic pressure of 85.1 mmHg. A total of 63.3% of participants reported poor sleep quality (mean PSQI = 6.4).
Significant positive correlations were found between systolic blood pressure and sleep quality (r = 0.72; p = 0.001) and
between diastolic blood pressure and sleep quality (r = 0.65; p = 0.002). Hypertensive participants had higher PSQI scores
compared to non-hypertensive participants (7.1 vs. 4.3; p = 0.003).
Conclusion:
Elevated blood pressure is strongly associated with poor sleep quality in older adults. Occupational therapy–based
interventions, such as sleep hygiene education, stress management, and environmental modifications, should be integrated
into community health services to enhance quality of life and promote healthy aging.
Keywords :
Elderly, Blood Pressure, Sleep Quality, Hypertension, Occupational Therapy.
References :
- World Health Organization. World report on ageing and health 2023 [Internet]. Geneva: WHO; 2023 [cited 2025 Nov 25]. Available from: https://www.who.int/publications/i/item/9789241565042
- Badan Pusat Statistik. Statistik penduduk lanjut usia Indonesia 2023 [Internet]. Jakarta: BPS; 2023 [cited 2025 Nov 25]. Available from: https://www.bps.go.id/id/publication/2023/12/29/5d308763ac29278dd5860fad/statistik-penduduk-lanjut-usia-2023.html
- Global Burden of Disease Study. Global prevalence and risk factors of hypertension. Lancet. 2022;400(10357):1234–45.
- Badan Penelitian dan Pengembangan Kesehatan. Laporan Nasional Riskesdas 2022. Jakarta: Kementerian Kesehatan RI; 2022.
- Ohayon MM, Reynolds CF, Dauvilliers Y. Epidemiology of sleep disorders in older adults. Sleep Med Clin. 2021;16(2):135–50.
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- Javaheri S, Redline S, Patel SR. Sleep apnea and hypertension in older adults. Curr Hypertens Rep. 2018;20(9):79.
- Liu Y, Sun J, Zhang H. Sleep quality and cardiovascular outcomes: Mechanisms and interventions. Nat Rev Cardiol. 2023;20(5):313.
- American Heart Association. Understanding Blood Pressure Readings [Internet]. 2023 [cited 2025 Nov 25]. Available from: https://www.heart.org
- Hirshkowitz M, Whiton K, Albert SM. National Sleep Foundation’s sleep time duration recommendations. Sleep Health. 2015;1(1):40–3.
- Sack RL, Auckley D, Auger RR. Circadian rhythm sleep disorders in older adults. Sleep. 2020;43(12)
- Vitiello MV, Vgontzas AN. Impact of medications on sleep in the elderly. Sleep Med Rev. 2022;61.
- Zhang Y, Li X, Chen Y. Hypertension and sleep disorders: A population-based study among older adults. J Clin Sleep Med. 2022;18(5):1241–50.
- Gangwisch JE, Heymsfield SB, Boden-Albala B, Buijs RM, Kreier F, Pickering TG, et al. short sleep duration as a risk factor for hypertension. Hypertension. 2023;81(1):48–55.
- Huang Y, Zhao X, Liu Q. Nocturia and hypertension in elderly patients: A bidirectional relationship. J Clin Hypertens. 2023;25(4):389–96.
- Christiansen C, Baum C. Occupational therapy: Performance, participation, and well-being. 5th ed. Thorofare (NJ): Slack Incorporated; 2023.
- Coster W, DeWitt A. Person-centered sleep interventions: Implications for occupational therapy practice. OTJR Occup Particip Health. 2022;42(4):243–52.
- Fernández-Castillo E, López-Rodríguez MM, Romero A. Community-based occupational therapy interventions to promote healthy aging. Int J Environ Res Public Health. 2022;19(18):11621.
- Bennett S, Thomas K, Kearney R. Occupational therapy approaches to sleep health in older adults: A systematic review. Br J Occup Ther. 2023;86(2):87–99.
- Santos R, Oliveira L, Costa P. Community-based occupational therapy programs to improve sleep quality in older people: A randomized trial. Clin Interv Aging. 2021; 16:1879–89.
- García AI, Muñoz R, López J. Sleep hygiene education and lifestyle modification among older adults: An occupational therapy perspective. Healthcare. 2023;11(2):213.
Background:
The elderly population in Indonesia is rapidly increasing, following the global trend. This demographic shift poses
complex health challenges, particularly related to hypertension and sleep disturbances. Both conditions are interrelated
and may significantly reduce the quality of life in older adults. This study aimed to analyse the relationship between blood
pressure and sleep quality among older adults in Sindon Village, Boyolali, from an occupational therapy perspective.
Objective:
This study aimed to analyse the relationship between blood pressure and sleep quality among older adults in Sindon
Village, Boyolali, from an occupational therapy perspective.
Methods:
A cross-sectional analytic observational design was employed, involving 30 older adults selected through purposive
sampling. Data collection was carried out using a demographic survey instrument, the Pittsburgh Sleep Quality Index
(PSQI), and blood pressure measurements with an OMRON HEM-7121 digital sphygmomanometer. Data analysis was
performed using Pearson correlation and independent mean difference tests.
Results:
The findings revealed that 70% of participants had hypertension, with a mean systolic blood pressure of 142.8 mmHg
and a diastolic pressure of 85.1 mmHg. A total of 63.3% of participants reported poor sleep quality (mean PSQI = 6.4).
Significant positive correlations were found between systolic blood pressure and sleep quality (r = 0.72; p = 0.001) and
between diastolic blood pressure and sleep quality (r = 0.65; p = 0.002). Hypertensive participants had higher PSQI scores
compared to non-hypertensive participants (7.1 vs. 4.3; p = 0.003).
Conclusion:
Elevated blood pressure is strongly associated with poor sleep quality in older adults. Occupational therapy–based
interventions, such as sleep hygiene education, stress management, and environmental modifications, should be integrated
into community health services to enhance quality of life and promote healthy aging.
Keywords :
Elderly, Blood Pressure, Sleep Quality, Hypertension, Occupational Therapy.