Therapeutic Lifestyle Changes (TLCs) Improve the Quality of Life in the Elderly with Hypertension

Abstract

Hypertension was one of the most serious diseases that affect many people in Indonesia in the age group of 18 years old and above. Hypertension can affect the quality of life, especially for the elderly, so the quality of life for the elderly will be disrupted and the life expectancy of elderly people will also decrease. Elderly people who have a good quality of life will have inner satisfaction, which can be judged from the physical, psychological and social aspects. This study only measured the quality of life of physical dimensions, especially blood pressure (systolic and diastolic). Improved quality of life of people with hypertension can be pursued with behavioral changes that increase blood pressure. One way can be given is the Therapeutic Lifestyle Changes (TLCs). The aim of this study was to determine the effect of the Therapeutic Lifestyle Changes (TLCs) on improving the quality of life of the elderly with hypertension in Puskesmas Pasirkaliki Bandung. This research is a quasi-experimental design with two group pre-post tests with control group. The statistical test used Wilcoxon test and Mann Whitney with a standard error of 5% or α = 0.05, because the data distribution was not normal. In the total sample, there were 52 respondents who had hypertension. Therapeutic Lifestyle Changes (TLCs) was done once a week for 4 weeks. The results prove that there is a statistically significant difference in systolic and diastolic blood pressure (quality of life) (Z = −4.415; Z = −4.208 p < 0.05). It is advisable for people with hypertension to expect to remain consistent in the Therapeutic Lifestyle Changes (TLCs) in their activity of daily life.