PENGELOLAAN GANGGUAN POLA TIDUR DENGAN TERAPI PIJAT TENGKUK MENGGUNAKAN VIRGIN COCONUT OIL PADA LANSIA HIPERTENSI DI MENOREH SALAMAN MAGELANG

Abstract

Hypertension is a medical condition characterized by an increase in blood pressure above the normal range (≥140/90 mmHg), which can lead to serious complications such as heart disease, stroke, and even death. One of the common problems faced by individuals with hypertension is sleep pattern disturbances, often caused by increased sympathetic nervous system activity and impaired blood circulation. Sleep disorders may negatively impact quality of life and further aggravate hypertension. Non-pharmacological therapies, such as neck massage, present a potential alternative to help reduce sleep disturbances in hypertensive patients. This study aims to describe nursing care management through the application of neck massage therapy to address sleep pattern disturbances in a hypertensive patient in the Menoreh area, Salaman, Magelang. This research used a descriptive case study approach. The subject was Mrs. T, who had been suffering from hypertension for five years and experienced severe sleep disturbances. The intervention involved neck massage therapy using virgin coconut oil, administered over 8 sessions, each lasting 20 minutes in the morning and evening. Before the intervention, Mrs. T experienced poor sleep quality (PSQI score: 19), had difficulty falling asleep, frequently woke during the night, and slept only about 5 hours per night. After the therapy, her sleep quality significantly improved, with a final PSQI score of 0. The patient and her family were able to independently perform neck massage as taught, helping to fulfill the patient's sleep needs.