Skripsi
KAJIAN FAKTOR LINGKUNGAN, KOGNITIF DAN SOSIAL BUDAYA TERHADAP PENGENDALIAN STRES PADA PASIEN HIPERTENSI DI WILAYAH KERJA PUSKESMAS GANDUS KOTA PALEMBANG
Hypertension is a global health problem known as the “silent killer” because it often shows no symptoms. In Indonesia, hypertension is one of the non-communicable diseases that is prioritized with a prevalence rate of 34.11%. This study aims to identify environmental, cognitive, and sociocultural factors associated with stress in hypertensive patients in the working area of the Gandus Community Health Center in Palembang City. The method used is a descriptive qualitative approach through in-depth interviews with 23 informants and field observations. Based on the results of the study, air quality is still relatively good and not stuffy, noise levels are still normal, but changes in temperature and high humidity contribute to discomfort and increased stress. Family social interaction through emotional support in the form of attention, empathy, open communication, and doing activities together has been proven to reduce stress, but family conflicts such as differences of opinion, economic problems, and lack of communication can increase stress. Workload and pressure at work, such as urgent tasks, tight deadlines, sudden schedule changes, and unstructured work, contribute to increased stress. In addition, work environment factors such as hot room temperatures, noise, inadequate ventilation, and uncomfortable work facilities also affect stress levels. Most informants view hypertension not as a threat, but as a challenge that can be managed through self-awareness, discipline in treatment, and the adoption of a healthy lifestyle. In addition, effective stress management is achieved through self-acceptance, positive thinking, family support, and a healthy lifestyle, such as controlling diet, regular physical activity, adequate rest, and regular health monitoring. However, traditions and social customs, including the use of traditional medicine and communal activities, provide a sense of comfort, but still require balance with medical treatment. The research recommends that the Gandus Community Health Center improve education on healthy homes, stress and hypertension management, the appropriate and evidence-based use of traditional medicine, and family involvement in supporting therapy compliance and healthy lifestyles.
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