Latar belakang: Lansia hipertensi mengalami perubahan pada aspek fisik, psikologis, sosial, dan spiritual. Penyakit hipertensi dan penatalaksanaannya dipengaruhi oleh kebiasaan atau budaya yang dimiliki. Intervensi keperawatan holistic berbasis budaya dapat mengurangi dampak negative dan mencegah komplikasi hipertensi. Tujuan: penelitian bertujuan mengidentifikasi pengalaman lansia hipertensi dan faktor budaya yang mempengaruhi, serta mengidentifikasi efektifitas model PASTI BERDAYA terhadap kepatuhan, tingkat, stres, koping, dan tekanan darah lansia hipertensi. Metodologi: Penelitian menggunakan penelitian operasional melalui tiga tahapan. Tahap pertama melalui studi fenomenologi deskriptif melibatkan 15 partisipan, tahap kedua penyusunan model dan modul PASTI BERDAYA melibatkan 3 orang pakar, dan tahap ketiga melalui studi quasi ekperimen with control group melibatkan 100 responden dengan pengambilan sampel dilakukan dengan purposive sampling. Hasil : teridentifikasi 10 tema yang menjadi dasar pengembangan model. Tersusunnya model PASTI BERDAYA dan tiga modul sebagai perangkat model PASTI BERDAYA. Hasil menunukan adanya perbedaan bermakna dari pretest, post test I setelah 3 bulan perlakukan, dan Post test II setelah 6 bulan perlakuan antara kelompok intervensi dan kelompok control pada variabel kepatuhan pengobatan (nilai p <0,001), kepatuhan pengendalian risiko hipertensi (nilai p <0,001), tingkat stres (nilai p <0,001), koping (nilai p <0,001), tekanan darah sistole (nilai p <0,001), dan tekanan darah diastole (nilai p <0,001). Simpulan: Model PASTI BERDAYA mampu meningkatkan kepatuhan pengobatan, kepatuhan pengendalian risiko hipertensi, dan koping serta mampu menurunkan tingkat stres dan tekanan darah lansia hipertensi setelah evaluasi 3 bulan dan 6 bulan perlakuan. Model PASTI BERDAYA tepat untuk diaplikasikan pada lansia dengan hipertensi atau penyakit kronik degenerative lainnya dengan masalah ketidakpatuhan, stres dan koping yang kurang.

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Background: Elderly hypertensive patients experience changes in physical, psychological, social, and spiritual aspects Hypertension and its management are influenced by habits or culture. Holistic nursing interventions based on culture can reduce negative impacts and prevent complications of hypertension. Objective: The study aims to identify the experiences of elderly hypertensive patients and the cultural factors that influence them, as well as to identify the effectiveness of the PASTI BERDAYA model on compliance, levels stress, coping, and blood pressure of elderly hypertensive patients. Methodology: The study used operational research through three stages. The first stage was through a descriptive phenomenological study involving 15 participants, the second stage was the preparation of the PASTI BERDAYA model and module involving 3 experts, and the third stage was through a quasi-experimental study with a control group involving 100 respondents with sampling conducted by purposive sampling. Results: 10 themes were identified as the basis for developing the model. The PASTI BERDAYA model and three modules were compiled as PASTI BERDAYA model devices. The results showed a significant difference from the pretest, post-test I after 3 months of treatment, and post-test II after 6 months of treatment between the intervention group and the control group on the variables of medication adherence (p value <0.001), hypertension risk control adherence (p value <0.001), stress level (p value <0.001), coping (p value <0.001), systolic blood pressure (p value <0.001), and diastolic blood pressure (p value <0.001). Conclusion: The PASTI BERDAYA model is able to improve medication adherence, hypertension risk control adherence, and coping and is able to reduce stress levels and blood pressure in elderly hypertensives after 3-month and 6-month evaluations of treatment. The PASTI BERDAYA model can be adopted to improve the health of elderly hypertensives and other chronic degenerative diseases with problems of non-compliance, stress and poor coping.