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"[ABSTRAKKlien hipertensi berisiko mengalami ansietas yang dapat mempengaruhi kualitas hidup klien. Penanganan fisik saja pada klien hipertensi tidaklah cukup, karena ansietas dengan hipertensi saling mempengaruhi. Tujuan karya ilmiah akhir ini untuk memberikan gambaran tentang penerapan terapi keperawatan jiwa individu (terapi generalis dan terapi PMR) dan terapi kelompok (terapi suportif dan SHG) pada klien ansietas dengan hipertensi menggunakan pendekatan keperawatan transkultural. Tindakan keperawatan jiwa individu dan kelompok diberikan kepada klien ansietas dengan hipertensi sebanyak 16 klien. Hasil penerapan tindakan keperawatan jiwa individu adalah menurunkan tanda dan gejala ansietas rata-rata sebanyak 5 orang dan membuat klien memiliki rata-rata 24 kemampuan sedangkan hasil penerapan tindakan keperawatan jiwa individu dan kelompok adalah menurunkan tanda dan gejala ansietas rata-rata sebanyak 3 orang dan membuat klien memiliki rata-rata 34 kemampuan. Penelitian ini merekomendasikan agar pihak puskesmas dapat melanjutkan tindakan keperawatan individu dan kelompok secara berkesinambungan.

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ABSTRACTClients hypertension at risk of anxiety that can affect the quality of life of clients. Physical handling of the client hypertension is not enough, because anxiety and hypertension affect each other. This final goal of scientific work to provide an overview of the application of the individual soul nursing therapy (therapy and therapy generalist PMR) and group therapy (supportive therapy and SHG) on the client anxiety and hypertension approach transcultural nursing. Nursing action of individual and group life given to the client anxiety and hypertension as many as 16 clients. The results of the implementation of nursing actions of the individual soul is to lower the signs and symptoms of anxiety an average of 5 people and makes the client has an average of 24 capabilities, while the results of the implementation of nursing actions of individual and group life is to lower the signs and symptoms of anxiety mean average as many as three people and making the client has an average of 34 capabilities. This study recommends that the clinic can continue nursing actions of individuals and groups on an ongoing basis., Clients hypertension at risk of anxiety that can affect the quality of life of clients. Physical handling of the client hypertension is not enough, because anxiety and hypertension affect each other. This final goal of scientific work to provide an overview of the application of the individual soul nursing therapy (therapy and therapy generalist PMR) and group therapy (supportive therapy and SHG) on the client anxiety and hypertension approach transcultural nursing. Nursing action of individual and group life given to the client anxiety and hypertension as many as 16 clients. The results of the implementation of nursing actions of the individual soul is to lower the signs and symptoms of anxiety an average of 5 people and makes the client has an average of 24 capabilities, while the results of the implementation of nursing actions of individual and group life is to lower the signs and symptoms of anxiety mean average as many as three people and making the client has an average of 34 capabilities. This study recommends that the clinic can continue nursing actions of individuals and groups on an ongoing basis.]"

"Hipertensi dapat menyebabkan ansietas yang dapat mempengaruhi kualitas hidup dan beban bagi klien. Ansietas yang berkepanjangan menimbulkan perilaku maladaptif sehingga dapat menyebabkan ganggguan jiwa. Tujuan karya ilmiah akhir ini untuk memberikan gambaran tentang penerapan terapi suportif pada klien dengan hipertensi yang mengalami ansietas menggunakan pendekatan Social Support Theory. Terapi suportif diberikan kepada 15 klien hipertensi yang mengalami ansietas. Hasil penerapan terapi suportif ini menunjukan dapat menurunkan tanda dan gejala ansietas dan meningkatkan kemampuan klien dalam menggunakan sumber dukungan. Terapi suportif direkomendasikan sebagai terapi spesialis keperawatan untuk meningkatkan dukungan sosial dalam mengatasi ansietas.

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Hypertension can caused anxiety and may influence patient’s quality of life. Anxiety can be burden to patient with hypertension. Prolong anxiety may cause maladaptive behavior which can create mental health issues. The purpose of this final report is to describe the implementation of support therapy on hypertension patient who experience anxiety using social support theory. Support therapy was given onto hypertension 15 patients who experience anxiety. The result shows that the supportive therapy could decrease level of anxiety symptoms of hypertension patient and increase patient's ability in using supporting system. It is recommended that support therapy become nursing specialist therapy to improve social support in treating anxiety."

"Hipertensi adalah penyakit yang banyak dijumpai di masyarakat. Masalah psikososial yang sering ditemukan pada klien hipertensi adalah ansietas. Dampak negatif dari ansietas akan mengganggu produktivitas dan kualitas hidup manusia. Untuk mengelola masalah ansietas di masyarakat dibutuhkan penatalaksanaan keperawatan dengan menggunakan pendekatan Community Mental Health Nursing. Proses penatalaksanaan keperawatan menggunakan pendekatan stres adaptasi Stuart. Tujuan dari karya tulis ilmiah ini adalah: 1) mengetahui karakteristik klien ansietas, 2) mengetahui gambaran ansietas 3) mengetahui efek terapi keperawatan spesialis untuk klien ansietas. Hasil karya tulis ilmiah ini adalah: 1) karakteristik klien ansietas yang berpengaruh adalah; usia, tingkat pendidikan, pekerjaan, status pernikahan, dan stressor klien yaitu: predisposisi, presipitasi, respon terhadap stressor, kemampuan mengatasi masalah dan mekanisme koping. 2) kombinasi terapi yang paling tepat untuk meningkatkan kemampuan klien dan keluarga dalam mengelola ansietas adalah: terapi relaksasi progresif, thought stopping, terapi kognitif, psikoedukasi keluarga, dan terapi kelompok suportif. Berdasarkan hasil ini perlu direkomendasikan bahwa terapi relaksasi progresif, thought stopping, terapi kognitif, psikoedukasi keluarga, dan terapi kelompok suportif dapat dijadikan standar terapi spesialis keperawatan jiwa dan perlu disosialisasikan pada seluruh tatanan pelayanan kesehatan khususnya di komunitas.

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Hypertension is a disease that is prevalent in community. Psychosocial problems are often found in hypertensive clients is anxiety. The negative impact of anxiety would interfere with productivity and quality of human life. To manage the problem of anxiety in the community is required to use the nursing management of Community Mental Health Nursing approach. Management of the nursing process approach Stuart stress adaptation.

The purpose of this scientific paper are: 1) investigate the characteristics of client anxiety, 2) know the description of anxiety 3) determine the effects of therapeutic nursing specialists to client anxiety. The results of this scientific paper are: 1) characteristics of the client's anxiety of influence are: age, education level, occupation, marital status, and stressors the client is: predisposition, precipitation, the response to stressors, the ability to solve problems and coping mechanisms. 2) the most appropriate combination of therapies to enhance the ability of clients and families in managing anxiety is: progressive relaxation therapy, thought stopping, cognitive therapy, psikoedukasi family, and supportive group therapy.

Based on these results need to be recommended that the progressive relaxation therapy, thought stopping, cognitive therapy, psikoedukasi family, and supportive group therapy can be used as standard therapy nursing specialists need to be socialized to people and the whole structure of health services especially in the community."

"Hipertensi atau tekanan darah tinggi merupakan masalah kesehatan yang umum terjadi pada masyarakat perkotaan. Prevalensi hipertensi lebih tinggi pada penduduk yang tinggal di perkotaan. Menurut Setiawan (2006) dalam perbandingan kota di Indonesia kasus hipertensi cenderung tinggi pada daerah urban seperti : Jabodetabek, Medan, Bandung, Surabaya, dan Makassar yang mencapai 30 - 34%. Dampak yang diberikan dari hipertensi tidak hanya menyangkut masalah fisik saja namun juga berpengaruh terhadap masalah psikososial seperti ansietas. Berdasarkan Riset Kesehatan Dasar Kementerian Kesehatan tahun 2007, diketahui bahwa 11,6% penduduk Indonesia usia di atas 15 tahun mengalami masalah gangguan kesehatan jiwa (depresi dan ansietas). Asuhan keperawatan yang telah dilakukan untuk mengatasi ansietas pada pasien ibu S adalah dengan memberikan pendidikan kesehatan terkait persiapan operasi dan melatih teknik relaksasi napas dalam. Hasil yang didapatkan dari pemberian asuhan keperawatan ini adalah tingkat ansietas ibu S dari ansietas sedang berkurang menjadi ansietas ringan. Rekomendasi untuk perawat adalah dengan menggabungkan dua tindakan keperawatan yaitu pendidikan kesehatan dan teknik relaksasi napas dalam untuk membantu mengurangi ansietas pasien dengan hipertensi.

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Hypertension or high blood pressure is a common health problem in urban communities. The prevalence of hypertension is higher among people living in urban areas. According to Setiawan (2006) in a comparison of cities in Indonesia tend to be higher in the case of hypertension urban areas such as: Jabodetabek, Medan, Bandung, Surabaya, and Makassar which reaches 30-34%. Given the impact of hypertension is not only a physical problem, but also the psychosocial problems such as anxiety.

Based on the Ministry of Health (Primary Health Research) in 2007, found that 11.6% of Indonesia's population aged over 15 years of experience mental health problems (depression and anxiety). Nursing care that has been done to overcome anxiety problem in Mrs. S is to provide health education related to the preparation of operations and training deep breathing relaxation techniques.

The results obtained from the provision of nursing care are anxiety level Mrs. S was reduced from medium anxiety to mild anxiety. Recommendation for nurses is to combine the two of nursing care, health education and deep breathing relaxation techniques to help reduce anxiety in patients with hypertension."

"ABSTRAKAnsietas merupakan masalah kejiwaan yang sering dialami oleh seseorang dalam kehidupan sehari-hari dan khususnya yang mengalami penyakit fisik seperti hipertensi. Tindakan keperawatan ners, Thought Stoping, psikoedukasi keluarga dan terapi suportif diberikan pada klien ansietas dengan tujuan untuk melihat tanda gejala, kemampuan klien mengontrol ansietas, dan kemampuan keluarga dalam merawat. Tindakan keperawatan terhadap 5 klien ansietas dengan hipertensi yang dilaporkan dalam bentuk case series. Hasil yang didapatkan adalah terjadi hillagnya tanda gejala yaitu fokus pada kondisi sakit, takut pada konsekuensi tidak spesifik, adanya perubahan fisiologis, kurang mampu memecahkan masalah dan kurang konsentrasi. Sedangkan tanda gejala yang masih ditemukan diantaranya adalah adanya perubahan dalam kehidupan dan merepotkan kelurga. Kemampuan klien yang dimiliki mengalami peningkatan dalam mengontrol ansietas dan kemampuan keluarga dalam merawat. Studi ini merupakan salah satu evidence based efektivitas dari tindakan keperawatan ners dan ners spesialis terhadap klien dengan ansietas yang memerlukan evaluasi lanjut dengan jumlah sampel yang lebih besar dan jumlah pertemuan yang lebih sering.

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ABSTRACT

Anxiety is a psychiatric problem that is often experienced by a person in everyday life and especially those experiencing physical illnesses such as hypertension. Nursing care, Thought Stoping, family psychoeducation and supportive therapy are given to anxiety clients in order to see signs of symptom, the ability of the client to control anxiety, and the ability of the family to care for. Nursing action against 5 anxiety clients with hypertension reported in case series form. The results obtained are hillagnya signs of symptoms that focus on the condition of the pain, fear of non-specific consequences, the physiological changes, less able to solve problems and lack of concentration. While the signs of symptoms that are still found among them is a change in life and troublesome kelurga. The client's ability has improved in controlling anxiety and the ability of the family to care for. This study is one of the evidence-based effectiveness of nursing ners and specialist ners actions against clients with anxiety requiring further evaluation with larger sample quantities and more frequent meetings."

"[Senam dan relaksasi otot progresif (Serelak) merupakan bentuk intervensi keperawatan dalam upaya pengendalian hipertensi pada usia dewasa. Penulisan ini bertujuan memberikan gambaran pelaksanaan terapi Serelak dalam asuhan keperawatan komunitas pada usia dewasa hipertensi di Kelurahan Sukamaju Baru Depok. Pelaksanaan terapi dilaksanakan selama 8 kali pengukuran pada 60 responden penderita hipertensi. Hasil upaya pengendalian hipertensi menunjukkan peningkatan kemampuan kelompok pendukung sebesar 42%; peningkatan perilaku kesehatan kelompok usia dewasa: pengetahuan 14,5 (87,4%), sikap 26,5 (82,67%), keterampilan 24,9 (71,5%), penurunan rata-rata tekanan darah usia dewasa hipertensi setelah melakukan terapi Serelak: tekanan sistol 6,6 mmHg, tekanan diastol 5,05 mmHg dengan p value 0,00. Peningkatan perilaku kesehatan pada keluarga yaitu pengetahuan sebesar 16,4 (76,4%), sikap 26 (93%), dan ketrampilan sebesar 22 (83%). Penggunaan terapi nonfarmakologi seperti terapi senam dan relaksasi otot progresif dapat dilakukan dalam menurunkan tekanan darah tinggi dalam upaya pengendalian hipertensi secara optimal.;Exercise and progressive muscle relaxation (Serelak) is a form of nursing interventions in an effort to control hypertension in adulthood. The purpose of this paper was to give an overview of the implementation Serelak therapy in nursing care for community in adulthood hypertension in Sukamaju Baru village Depok. The Implementation of the therapy was conducted over eight times of measurement in 60 respondents have hypertension. The results showed, increase in the ability to support group by 42%; improvement of health behavior an among adult age groups: knowledge by 14.5 (87,4%), attitude by 26.5 (82,6%), skill by 24.9 (71,5%), the average reduction in blood pressure after Serelak therapy: systolic pressure of 6.6 mmHg, diastolic pressure of 5,05 mmHg (p value 0.00). Improved health behaviors in the family that is the knowledge by 16.4 (76,4%), attitude by 26 (93%), and skills by 22 (83%). The use of nonpharmacological therapies such as exercises and progressive muscle relaxation can be carried out in lowering high blood pressure among adulthood., Exercise and progressive muscle relaxation (Serelak) is a form of nursing interventions in an effort to control hypertension in adulthood. The purpose of this paper was to give an overview of the implementation Serelak therapy in nursing care for community in adulthood hypertension in Sukamaju Baru village Depok. The Implementation of the therapy was conducted over eight times of measurement in 60 respondents have hypertension. The results showed, increase in the ability to support group by 42%; improvement of health behavior an among adult age groups: knowledge by 14.5 (87,4%), attitude by 26.5 (82,6%), skill by 24.9 (71,5%), the average reduction in blood pressure after Serelak therapy: systolic pressure of 6.6 mmHg, diastolic pressure of 5,05 mmHg (p value 0.00). Improved health behaviors in the family that is the knowledge by 16.4 (76,4%), attitude by 26 (93%), and skills by 22 (83%). The use of nonpharmacological therapies such as exercises and progressive muscle relaxation can be carried out in lowering high blood pressure among adulthood.]"

"Lansia hipertensi merupakan kelompok rentan (vulnerable) karena adanya perubahan fisiologis sistem kardiovaskuler, keterbatasan sumber daya ekonomi, gaya hidup tidak sehat dan berbagai kejadian kehidupan seperti kehilangan pasangan serta meningkatnya prevalensi hipertensi dari tahun 2007 sebesar 7,2% menjadi 9,4% pada tahun 2013. Penulisan Karya Ilmiah Akhir ini bertujuan untuk mengetahui pengaruh intervensi MANSET HT terhadap pengendalian hipertensi pada lansia dengan menggunakan integrasi model teori manajemen, Community as Partner, Familiy Centered Nursing, dan Self Care Activity. Besar sampel 30 lansia dengan hipertensi. Intervensi selama 9 bulan terdiri dari kombinasi relaksasi meditasi, olahraga, relaksasi otot progresif dan pengaturan diet hipertensi. Hasil uji statistik terjadi penurunan tekanan darah yang signifikan (p value 0,000). Intervensi terbukti efektif sehingga direkomendasikan sebagai salah satu program pembinaan kesehatan lansia secara berkelanjutan oleh Dinas Kesehatan dan Puskesmas melalui program perawatan kesehatan masyarakat.

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Elderly with hypertension is one of the vulnerable groups. The factors that influence the vulnerability in elderly with hypertension consist of cardiovascular system changes due to the aging process, the economic resources, unhealthy lifestyle and life events such as loss of partner. The prevalence of hypertension in Indonesia increased from 7.2% in 2007 to 9.4% in 2013. The purpose of this study was asses the effect of the intervention MANSET HT to control hypertension in the elderly using the integration model of management theory, the community as a partner, familiy centered nursing, and self-care activity. MANSET HT intervention was conducted on 30 elderlies with hypertension for 9 months consisted of a combination of relaxation meditation, exercise, progressive muscle relaxation and hypertension diet management. Statistical test results showed a significant decrease in blood pressure after the intervention (p value 0.000). This intervention was effective to control the hypertension. It is recommended that elderly health coaching program development should be done in a sustainable manner in the ministry of health and community health center by community nursing cara programme."

"Salam aktif yang dimodifikasi merupakan bentuk intervensi keperawatan komunitas untuk menurunkan hipertensi lansia yang dapat dilanjutkan keluarga dan masyarakat melalui kepung tensi. Penulisan bertujuan memberikan gambaran pelaksanaan salam aktif dalam pelayanan dan asuhan keperawatan komunitas melalui integrasi CAP, FCN, konsekuensi fungsional, dan manajemen pada lansia dengan hipertensi di Kelurahan Cisalak Pasar. Hasil peningkatan perilaku pada 19 kader yaitu pengetahuan 82,89; sikap 82,46; 47,4% sangat baik dan 52,6% baik melakukan salam aktif; dari 10 keluarga 80% mandiri tingkat IV dan 20% tingkat III; 73 lansia pengetahuan 80,04; keterampilan 53,9; sikap 79,77; penurunan tekanan darah tinggi dan melakukan salam aktif secara mandiri.

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The modified 'Salam Aktif' is a community nursing intervention to reduce hypertension elderly which can be continued by families and communities through the 'kepung tensi' This study aimed to provide an overview of the implementation of the 'Salam Aktif' in management and community health care nursing through the integration of the CAP FCN functional consequences and management theory of hypertension in the elderly with Cisalak Pasar Village It resulted 19 cadres have increased the behavior of knowledge 82 89 attitude 82 46 and very good 47 4 and good 52 6 conduct 'Salam Aktif' than 10 families independent level IV 80 and level I 20 73 elderly knowledge 80 04 skills 53 9 attitude 79 77 lowering high blood pressure and performa."

"Hipertensi merupakan penyakit umum lansia Tujuan penelitian adalah untuk mengetahui adanya hubungan antara jenis makanan dengan hipertensi pada lansia Penelitian ini menggunakan desain potong lintang dengan sampel 93 yang dipilih secara acak sederhana Hasil penelitian menunjukkan bahwa prevalensi hipertensi sebesar 59 1 jenis makanan yang dikonsumsi lansia adalah tinggi garam 58 1 rendah sayur 41 9 rendah buah 35 5 dan tinggi lemak 57 serta terdapat hubungan yang bermakna antara jenis makanan dengan hipertensi Upaya pencegahan dengan mengubah konsumsi makanan disarankan untuk dilakukan masyarakat Dinas kesehatan dan Puskesmas kota Bogor perlu merancang program pembinaan lansia yang terkait pengendalian hipertensi.

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Hypertension is a common disease for elderly This research aims to determine the relationship between food type and hypertension in the elderly This study applied cross sectional design with 93 randomly selected samples The results showed that the prevalence of hypertension was 59 1 the food type consumed high salt 58 1 low vegetable 41 9 low fruit 35 5 and high fat 57 There is a significant relationship between food type and hypertension Prevention efforts by changing the consumption of foods recommended to be done by society Health District Office and Public Health Center need to design programs related to elders rsquo hypertension control "

"[ABSTRAKPrevalensi dan mortalitas gagal ginjal kronis pada masyarakat urban di indonesia mengalamipeningkatan dari tahun ke tahun. Penulisan karya ilmiah ini bertujuan untuk menganalisis asuhankeperawatan dengan pendekatan Keperawatan Kesehatan Masyarakat Perkotaan pada areaKeperawatan Medikal Bedah pada klien dengan gagal ginjal kronis dengan komplikasi hipertensi.Perawat dalam melakukan asuhan keperawatan melakukan tindakan preventif baik primer,sekunder, ataupun tersier. Masalah keperawatan yang ditemukan meliputi kelebihan volumecairan, penurunan curah jantung, nyeri akut, dan risiko perubahan nutrisi kurang dari kebutuhantubuh. Manajemen keperawatan terkait hipertensi yang dilakukan meliputi modifikasi gaya hidupmelalui diet, teknik relaksasi, dan aktivitas. Setelah dilakukan asuhan keperawatan pada pasiengagal ginjal kronis, terdapat penurunan nilai tekanan darah pasien meskipun belum mencapaitarget yang dianjurkan. Perawat dapat memberikan asuhan keperawatan menggunakan pendekatankeperawatan kesehatan masyarakat perkotaan untuk dapat memperkirakan perilaku berisiko terkaitkomplikasi yang dapat terjadi, seperti hipertensi dan penyakit kardiovaskular lainnya, serta tingkatkepatuhan terhadap terapi yang diberikan. Asuhan keperawatan tersebut dilakukan gunamendukung upaya pencegahan komplikasi dan peningkatan kualitas hidup pasien dengan gagalginjal kronis.

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ABSTRACTThe prevalence and mortality of chronic renal failure in urban society in Indonesia has increasedfrom year to year. This paper aimed to analyze the nursing care with the approach of the UrbanPublic Health Nursing in the Medical Surgical Nursing setting in clients with chronic renal failurewith complication of hypertension. Nurses performed preventive action both primary, secondary,or tertiary. Various nursing problems were revealed including fluid volume excess, decreasedcardiac output, acute pain, and risk for imbalanced nutrition: less than body. The application ofnursing management related hypertension included lifestyle modification, diet, relaxationtechniques, and activity. The result of implementation of nursing intervention to the patients,showed that there was a decrease in the patient's blood pressure despite not reaching therecommended targets. Nurses can provide nursing care using urban nursing health care approachto be able to estimate the risk behaviors of patients related complication that can happen, likehypertension,and other cardiovascular disease and the level of adherence to therapy. The nursingcare is done in order to support efforts to prevent complications and improve the quality of life ofpatients with chronic renal failure.;The prevalence and mortality of chronic renal failure in urban society in Indonesia has increasedfrom year to year. This paper aimed to analyze the nursing care with the approach of the UrbanPublic Health Nursing in the Medical Surgical Nursing setting in clients with chronic renal failurewith complication of hypertension. Nurses performed preventive action both primary, secondary,or tertiary. Various nursing problems were revealed including fluid volume excess, decreasedcardiac output, acute pain, and risk for imbalanced nutrition: less than body. The application ofnursing management related hypertension included lifestyle modification, diet, relaxationtechniques, and activity. The result of implementation of nursing intervention to the patients,showed that there was a decrease in the patient's blood pressure despite not reaching therecommended targets. Nurses can provide nursing care using urban nursing health care approachto be able to estimate the risk behaviors of patients related complication that can happen, likehypertension,and other cardiovascular disease and the level of adherence to therapy. The nursingcare is done in order to support efforts to prevent complications and improve the quality of life ofpatients with chronic renal failure., The prevalence and mortality of chronic renal failure in urban society in Indonesia has increasedfrom year to year. This paper aimed to analyze the nursing care with the approach of the UrbanPublic Health Nursing in the Medical Surgical Nursing setting in clients with chronic renal failurewith complication of hypertension. Nurses performed preventive action both primary, secondary,or tertiary. Various nursing problems were revealed including fluid volume excess, decreasedcardiac output, acute pain, and risk for imbalanced nutrition: less than body. The application ofnursing management related hypertension included lifestyle modification, diet, relaxationtechniques, and activity. The result of implementation of nursing intervention to the patients,showed that there was a decrease in the patient's blood pressure despite not reaching therecommended targets. Nurses can provide nursing care using urban nursing health care approachto be able to estimate the risk behaviors of patients related complication that can happen, likehypertension,and other cardiovascular disease and the level of adherence to therapy. The nursingcare is done in order to support efforts to prevent complications and improve the quality of life ofpatients with chronic renal failure.]"