A Case Study of Nursing Care for Patients with Uterine Myoma in the Midwifery Ward

  • Sri Dewi Poltekkes Kemenkes Padang
  • Tiza Desriani Health Polytechnic of the Ministry of Health Padang, Indonesia
  • Deharnita Health Polytechnic of the Ministry of Health Padang, Indonesia
  • Tintin Sumarni Health Polytechnic of the Ministry of Health Padang, Indonesia
  • Anita Mirawati Health Polytechnic of the Ministry of Health Padang, Indonesia
Keywords: Hypertension, Sodium Intake, Physical Activity

Abstract

Background: Hypertension remains a major global health problem contributing significantly to morbidity and mortality. High sodium intake, excess body weight, and low physical activity are recognized as key modifiable risk factors. These factors influence blood pressure through increased vascular resistance and metabolic imbalance. Understanding their relationship is essential to support effective prevention strategies and promote healthy lifestyles in the community, particularly in reducing the burden of hypertension.

Methods : A quantitative cross-sectional study was conducted among 94 respondents selected through simple random sampling. Sodium intake was assessed using a semi-quantitative Food Frequency Questionnaire (SQ-FFQ). Physical activity was measured using the Physical Activity Level (PAL), while nutritional status was determined using Body Mass Index (BMI). Blood pressure was measured with a digital monitor. Data were analyzed using the chi-square test.

Results: The prevalence of hypertension was 66.0%. High sodium intake was observed in 63.8% of respondents, 62.8% were overweight, and 48.9% had low physical activity. Significant associations were found between hypertension and sodium intake, nutritional status, and physical activity (p < 0.05).

Conclusion: High sodium intake, overweight status, and low physical activity are significantly associated with hypertension, highlighting the importance of lifestyle modification for prevention and control..

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References

Bull, F. C., Al-Ansari, S. S., Biddle, S., Borodulin, K., Buman, M. P., Cardon, G., et al. (2020). World Health Organization 2020 guidelines on physical activity and sedentary behaviour. British Journal of Sports Medicine, 54(24), 1451–1462.

Ekelund, U., Tarp, J., Fagerland, M. W., Johannessen, J. S., Hansen, B. H., Jefferis, B. J., et al. (2019). Joint associations of accelerometer-measured physical activity and sedentary time with all-cause mortality. BMJ, 366, l4570.

Filippini, T., Malavolti, M., Whelton, P. K., Naska, A., Orsini, N., & Vinceti, M. (2021). Blood pressure effects of sodium reduction: A dose-response meta-analysis of experimental studies. Circulation, 143(15), 1542–1567.

Filippini, T., Malavolti, M., Whelton, P. K., & Vinceti, M. (2022). Sodium intake and risk of hypertension: A systematic review and dose-response meta-analysis. Current Hypertension Reports, 24(5), 133–144.

Graudal, N., Hubeck-Graudal, T., & Jürgens, G. (2021). Effects of low sodium diet vs high sodium diet on blood pressure. American Journal of Hypertension, 34(3), 245–257.

Hall, J. E., do Carmo, J. M., da Silva, A. A., Wang, Z., & Hall, M. E. (2021). Obesity-induced hypertension. Circulation Research, 128(7), 991–1006.

He, F. J., Tan, M., Ma, Y., & MacGregor, G. A. (2020). Salt reduction to prevent hypertension and cardiovascular disease: JACC state-of-the-art review. Journal of the American College of Cardiology, 75(6), 632–647.

Huang, L., Trieu, K., Yoshimura, S., Neal, B., Woodward, M., Campbell, N. R., et al. (2020). Effect of dose and duration of sodium reduction on blood pressure. BMJ, 368, m315.

Jiang, S. Z., Lu, W., Zong, X. F., Ruan, H. Y., & Liu, Y. (2021). Obesity and hypertension. Clinical and Experimental Hypertension, 43(4), 321–327.

Kotsis, V., Stabouli, S., Papakatsika, S., Rizos, Z., & Parati, G. (2020). Mechanisms of obesity-induced hypertension. Hypertension Research, 43, 386–393.

Mills, K. T., Stefanescu, A., & He, J. (2020). The global epidemiology of hypertension. Nature Reviews Nephrology, 16(4), 223–237.

NCD Risk Factor Collaboration. (2021). Worldwide trends in hypertension prevalence. The Lancet, 398(10304), 957–980.

Novitasari, E., Wardani, H. E., Tama, T. D., Gayatri, R. W., & Hapsari, A. (2024). Physical activity, sodium intake, and abdominal circumference with hypertension incidence. Sport Science and Health.

Rumjani, Z. J., Darmin, D., Iksan, M., & Juraidin, J. (2026). Association of obesity, high salt intake, and physical activity with hypertension. Syifa Medika.

Sari, V. F., Sunarti, S., & Ranee, S. (2024). Evaluating hypertension risk factors in Indonesia: A cross-sectional study. Journal of Health Sciences and Medical Development.

Wang, N. X., Arcand, J., Campbell, N. R. C., Johnson, C., Malta, D., Petersen, K., Rae, S., Santos, J. A., Sivakumar, B., & Thout, S. R. (2022). The World Hypertension League science of salt: A systematic review of salt and health outcomes. Journal of Human Hypertension, 36, 1048–1058.

World Health Organization. (2023a). Global report on sodium intake reduction.

World Health Organization. (2023b). Reducing sodium intake to reduce blood pressure and cardiovascular risk.

Zhang, X., et al. (2021). The role of body mass index in the association between sodium intake and blood pressure. Nutrition, Metabolism and Cardiovascular Diseases.

Zhou, B., Carrillo-Larco, R. M., Danaei, G., Riley, L. M., Paciorek, C. J., Stevens, G. A., et al. (2021). Worldwide trends in hypertension. The Lancet, 398(10304), 957–980.

Published
2026-10-05
How to Cite
Sri Dewi, Tiza Desriani, Deharnita, Tintin Sumarni, & Anita Mirawati. (2026). A Case Study of Nursing Care for Patients with Uterine Myoma in the Midwifery Ward. Journal of Applied Holistic Nursing Science, 3(1), 14-19. https://doi.org/10.70920/jahns.v3i1.411