pengaruh penerapan rebusan daun kelor dalam mengatasi gangguan perfusi perifer tidak efektif pada penderita hipertensi di Kelurahan Sihaporas Nauli, Kecamatan Pandan, Kabupaten Tapanuli Tengah pada tahun 2026

ABSTRACT
APPLICATION OF MORINGA LEAF DECOCTION TO MANAGE INEFFECTIVE PERIPHERAL TISSUE PERFUSION IN PATIENTS WITH HYPERTENSION IN SIHAPORAS NAULI URBAN VILLAGE, PANDAN SUBDISTRICT, CENTRAL TAPANULI REGENCY, 2026
Aulia Maisarah Pasaribu*, Tiur Romatua Sitohang**, Dame Evalina Simangunsong**
Medan Health Polytechnic of the Ministry of Health
Email: auliamaisarahpsb@gmail.com
Background: Hypertension, often referred to as a silent killer, is a non-communicable disease (NCD) that often causes serious complications, one of which is ineffective peripheral tissue perfusion due to chronic vascular disorders. Non-pharmacological interventions based on natural ingredients, such as moringa leaves (Moringa oleifera), may potentially improve vascular function and support blood pressure control. Based on a preliminary survey conducted by the researchers at the Central Tapanuli District Health Office, the number of people with hypertension was 47,568 in 2024 and increased to 48,574 in 2025. In 2025, 47 people with hypertension were recorded in Sihaporas Urban Village, Pandan Subdistrict, Central Tapanuli Regency.
Objective: To describe the application of moringa leaf decoction to manage ineffective peripheral tissue perfusion in patients with hypertension.
Research Methods: This study employed a descriptive qualitative design using a case study approach involving two respondents with hypertension and ineffective peripheral tissue perfusion. The study was conducted in Sihaporas Nauli Urban Village, Pandan Subdistrict, Central Tapanuli Regency, in 2026. Data were collected through interviews, observations, physical examinations, and documentation studies.
Results: Peripheral perfusion indicators and blood pressure improved after administering moringa leaf decoction. On the first day, Patient 1 had a blood pressure of 160/100 mmHg, with warmer extremities and improved capillary refill of less than 2 seconds. On the seventh day, the patient's blood pressure decreased to 120/70 mmHg. Patient 2 had a blood pressure of 158/95 mmHg on the first day, with warmer extremities and improved capillary refill of less than 2 seconds. On the seventh day, the patient's blood pressure decreased to 120/70 mmHg.
Conclusion: Ineffective peripheral perfusion disorders in hypertensive patients can be addressed by applying Moringa leaf decoction over 7 days.

Keywords: hypertension, ineffective peripheral tissue perfusion, moringa leaf decoction, Moringa oleifera

Literature: 23 references