A Holistic Nursing Approach to Elderly Hypertensive Patients: Integrating Physical, Psychological, Social, and Spiritual Dimensions
DOI:
https://doi.org/10.56359/ijhsc.v1i1.622Keywords:
Holistic nursing care, elderly, hypertension, quality of life, treatment adherenceAbstract
Introduction: Hypertension is one of the most prevalent chronic conditions affecting the elderly and requires comprehensive care that addresses not only physical symptoms but also psychological, social, and spiritual needs. Despite increasing recognition of holistic nursing, limited studies have quantitatively explored its perceived effectiveness among elderly hypertensive patients. Objective: To examine the influence of holistic nursing care integrating physical, psychological, social, and spiritual dimensions on the quality of life and treatment adherence among elderly patients with hypertension. Method: This quantitative, descriptive study employed a cross-sectional design and involved 12 elderly hypertensive patients at the Elderly Community Health Post in West Java, Indonesia. Participants were selected using purposive sampling and completed a structured questionnaire consisting of four validated instruments measuring perceptions of holistic care, medication adherence, and quality of life. Data were analyzed using descriptive statistics and Spearman’s rank correlation. Results: Participants reported high perceptions of holistic care across physical (M = 4.12), psychological (M = 3.98), and spiritual (M = 4.20) dimensions, while the social dimension was rated moderately high (M = 3.75). Treatment adherence scores were highest in medication use (M = 4.25) and check-up compliance (M = 4.00), with moderate scores for lifestyle management (M = 3.80). Quality of life was reported as high in psychological (M = 4.05) and physical domains (M = 3.85), but lower in social (M = 3.70) and environmental domains (M = 3.90). Conclusion: The study indicates that elderly patients with hypertension perceive holistic nursing care particularly physical, psychological, and spiritual support as beneficial to their adherence and well-being. These findings underscore the importance of integrating holistic approaches in geriatric nursing practice and suggest the need for broader implementation within community-based healthcare settings.
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