Manajemen Asuhan Keperawatan Keluarga Yang Service excellent Pada Ny S. Dengan Hipertensi di Desa Bangun Rejo, Kecamatan Tanjung Morawa, Kabupaten Deli Serdang, Provinsi Sumatera Utara Tahun 2025

Hypertension is a chronic, non- ommunicable disease that significantly affects global public health, contributing to hing rates of morbidity and mortality. This scientific writing aims to implement family nursing care management using a service excllent approach for Mrs. S, a 46 year-old female resident of Bangun Rejo Village, Tanjung Morawa Subdistrict, Deli serdang District, North Sumatra Province, diagnosed with savere hypertension. The case study method was applied with a descriptive design, planning, implementation, and evaluation. Initial assessment revealed that Mrs. S had a blood pressure of 188/136 mmHg, along with clical symptoms such as persistent headache, dizziness, numbness in both hands and feet, and occasional nosebleeds. For nursing diagnoses were identified : ineffective cerebral tissue perfusion, acute pain, ineffective family health management, and decreased cardiac output. Interventions focused on health education, dietary regulation, routine vital signs monitoring, stress management through relaxation techniques, and empowering the family to provide daily support and care. The outcomes showed significantimprovement in the patient’ s clinical condition and family engagement. The family became more responsive and capable in managing the disease, inculding understanding medication compliance, identifying triggers, and adoping healthier lifestyles.
Furthermore, the service excllent approach-centered on respect, empathy, and patient centered care helped build trust between the patient , family and healthcare provider, making the care process more effective.
Keywords:nursing care,hypertension is families, role of teh familiy