Breathing and relaxation training for patients with hypertension and stress

This study evaluated the effects of the relaxation and breathing training for hypertensive patients on the index, levels and symptoms of stress and blood pressure among hypertensive patients suffering from stress. Nineteen patients from a hypertension and diabetes program in Rio de Janeiro participated in the study that which used, as instruments, Lipp's inventory of stress symptoms for adults, the psychological interview for hypertensive patients, the relaxation and breathing training for hypertensive patients protocol, weekly registration form and blood pressure monitors. The experimental group received the relaxation and breathing training for hypertensive patients in 13 sessions of 60 minutes and had blood pressure monitored before and after each session. The control group had blood pressure monitored weekly. It was observed that the relaxation and breathing training for hypertensive patients reduced the stress index and symptoms in the experimental group in isolation, except when compared to the control group. However, it did not reduce the levels of blood pressure in the experimental group in comparison to the control group. The results report that, besides the relaxation and breathing training for hypertensive patients, other strategies are necessary to control stress and hypertension.

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Microvascular decompression for the treatment of neurogenic hypertension with trigeminal neuralgia

BMC Neurology ◽

10.1186/s12883-019-1569-y ◽

2019 ◽

Vol 19 (1) ◽

Author(s):

Wenchao Lu ◽

Hui Wang ◽

Zhongnan Yan ◽

Yuangang Wang ◽

Hongmin Che

Keyword(s):

Blood Pressure ◽

Trigeminal Neuralgia ◽

Trigeminal Nerve ◽

Microvascular Decompression ◽

Effective Rate ◽

Ventrolateral Medulla ◽

Control Group ◽

Hypertensive Patients ◽

Significant Difference ◽

Experimental Group

Abstract Background To evaluate the efficacy of microvascular decompression (MVD) in reducing hypertension (HTN) in hypertensive patients with trigeminal neuralgia (TN). Methods The clinical data of 58 cases of neurogenic HTN with TN treated in our hospital were retrospectively reviewed. Preoperative MR revealed abnormal blood pressure in the left rostral ventrolateral medulla (RVLM) and the posterior cranial nerve root entry zone (REZ). The patients were divided into control group: only trigeminal nerve was treated with MVD; experimental group: trigeminal nerve, RVLM and REZ were treated with MVD at the same time. The patients were followed up for 6 months to 1 year to observe the changes of blood pressure. Results There was no significant difference in gender, age, course of TN, course of HTN, grade of HTN and preoperative blood pressure between the two groups. After operation, the effective rate of HTN improvement with MVD was 32.1% in the control group. There was no significant difference in the preoperative and post operative blood pressure. (P△SBP = 0.131; P△BDP = 0.078). In the experimental group, the effective rate was 83.3%. The postoperative blood pressure was significantly lower than preoperative values. (P△SBP < 0.001; P△DBP < 0.001). Conclusions MVD is an effective treatment for neurogenic HTN. However, the criteria for selecting hypertensive patients who need MVD to control their HTN still needs to be further determined. Possible indications may include: left trigeminal neuralgia, neurogenic HTN; abnormal blood pressure compression in the left RVLM and REZ areas on MR; and blood pressure in these patients can not be effectively controlled by drugs.

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Assessment of effectiveness of an interventional package on treatment adherence of hypertensive patients: a randomized control trial

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20211986 ◽

2021 ◽

Vol 8 (6) ◽

pp. 2862

Author(s):

Kmendalin Nongspung ◽

Kavita Narang ◽

J. S. Thakur

Keyword(s):

Blood Pressure ◽

Treatment Adherence ◽

Randomized Control Trial ◽

T Test ◽

Control Group ◽

Sampling Frame ◽

Strict Adherence ◽

Hypertensive Patients ◽

Randomized Control ◽

Experimental Group

Background: Hypertension is the most common non-communicable diseases. Strict adherence to prescribed antihypertensive treatments is the key to blood pressure control. The present study was conducted with the objective to develop, implement and assess an interventional package on treatment adherence for hypertensive patients.Methods: A clustered randomized control trial of 3 months conducted in two community sites of Chandigarh. The two sites were first randomized by lottery method as experimental and control sites. Total of 250 subjects (n=125 on each sites) were selected by a systematic random sampling technique (every fourth) from the sampling frame. Diagnosed hypertensive patients taking treatment were included in the study and females with pregnancy induced hypertension were excluded. Participants were interviewed as per Interview schedule. Data was collected from July to November 2018. Interventional package was in the form of booklet and flash card, delivered as one to one teachings. Total of 5 face to face follow ups were done to the experimental group. Control group received routine care. Final evaluation was done at 3rd month in both the groups to assess the effectiveness of an interventional package on treatment adherence. Data analysis and interpretation was done by using chi square, paired t test, unpaired t- test, Mc Nemar test were applied to determine the level of significance at p<0.05.Results: The proportion of subjects who were adhered to the treatment has increased from 16% to 68% in the experimental group at third month of follow up. The mean change in systolic blood pressure and diastolic blood pressure were 26.29±12.81 mmHg and 7.74±8.95 mmHg respectively in the experimental group as compared to the control group (p<0.05).Conclusions: The interventional package on treatment adherence among hypertensive patients was effective in improving the treatment adherence.

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PENGARUH THERAPY BEKAM BASAH TERHADAP TEKANAN DARAH PASIEN HIPERTENSI

JURNAL MEDIA KESEHATAN ◽

10.33088/jmk.v6i2.198 ◽

2018 ◽

Vol 6 (2) ◽

pp. 102-105

Author(s):

Leli Mulyati

Keyword(s):

Blood Pressure ◽

Systolic Blood Pressure ◽

Cupping Therapy ◽

Control Group ◽

Pressure Measurements ◽

Hypertensive Patients ◽

Average Systolic Blood Pressure ◽

Before And After ◽

Post Test ◽

Quasi Experimental

This study aims to determined the effected of wet cupping therapy on blood pressure in hypertensive patients. The study used a quasi-experimental method with one group pre-test and post-test without a control group. The study subjects total 30 respondents consisting of patients with hypertension. All subjects are given wet cupping treatment twice with an interval of 2 weeks. Blood pressure measurements made before and after wet cupping. The results of analysis used a t-dependent, decrease in average systolic blood pressure was 13 333 ± 12 042 wet cupping mmHg and diastolic 4667 ± 3294 mmHg. At week 2 a decrease in average systolic blood pressure mmHg while the 8667 ± 8308 6667 ± 5525 mmHg diastolic. Decrease in average systolic and diastolic blood pressure there were significant differences (p <0.05) in the first wet cupping and second wet cupping. This shows that wet cupping therapy affects blood pressure in hypertension patients.

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Does Oxygen Uptake Before Physical Exercise Affect Tear Osmolarity?

Journal of Human Kinetics ◽

10.2478/hukin-2019-0118 ◽

2020 ◽

Vol 73 (1) ◽

pp. 297-304

Author(s):

Adam Wylęgała ◽

Jan Pilch ◽

Bartłomiej Bolek ◽

Bogumiła Sędziak-Marcinek ◽

Edward Wylęgała

Keyword(s):

Blood Pressure ◽

Heart Rate ◽

Exhaustive Exercise ◽

Control Group ◽

Study Group ◽

Plasma Osmolarity ◽

Exercise Protocol ◽

Before And After ◽

Rate Of Recovery ◽

Experimental Group

AbstractRecently, it has been reported that tear osmolarity (Tosm) is correlated with plasma osmolarity and will increase during exertion. We aimed to assess whether inhaling oxygen-enriched air between exercises could significantly change the Tosm value. Thirty men aged 24.9 years were included in the study. A cycloergometer was used to perform the exercise protocol. We recorded the participants’ Tosm (mOsm/L), heart rate (HR, beats/minute), oxygen saturation, and blood pressure values. After the first exhaustive exercise (T1), participants inhaled oxygen in the experimental group and a placebo in the control group. After the second exercise (T2), another set of measurements was obtained. The Tosm value before exercise was 297.4 ± 1.21 and 296.53 ± 1.11 mOsm/L (p = 0.61718) and the HR was 72.6 ± 2.59 and 73 ± 2.59 beats/minute (p = 0.39949) in the study and the control group, respectively. At T1, Tosm was 303.67 ± 1.25 and 302.2 ± 1.25 mOsm/L (p = 0.41286) and the HR reached 178.04 ± 2.60 and 176.4 ± 2.60 beats/minute (p = 0.65832), respectively. At T2, Tosm in the study group reached 305.73 ± 0.86 mOsm/L (correlation with the use of oxygen: r = −0.3818), and in the control group, it was 308.4 ± 0.86 mOsm/L (p = 0.0373), while the HR reached 172.20 ± 2.53 beats/minute in the study group and 178.2 ± 2.53 beats/minute in the control group (p = 0.057). It was concluded that inhaling oxygen before and after exercise could increase the rate of recovery after exhaustive exercise.

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EFFECTIVENESS OF COCONUT WATER AGAINST BLOOD PRESSURE REDUCTION FOR HYPERTENSION PATIENTS

Collaborative Medical Journal (CMJ) ◽

10.36341/cmj.v3i2.1362 ◽

2020 ◽

Vol 3 (2) ◽

pp. 82-90

Author(s):

Andalia Roza ◽

Nalaratih Nalaratih ◽

Yulia Febrianita

Keyword(s):

Blood Pressure ◽

Sampling Method ◽

Blood Pressure Reduction ◽

Sampling Technique ◽

Coconut Water ◽

Control Group ◽

P Value ◽

The People ◽

Before And After ◽

Experimental Group

High blood pressure or hypertension is a state where a person experiences an increase in blood pressure above normal figures indicate the upper number (systolic) reached 140 mmHg, and the bottom number (diastolic) reaches above 90mmHg. Patients with hypertension in the world reached 1 billion, or 1 out of 4 adults. Hypertension caused 1 of 7 deaths or totaled 7 million annually that cause damage to heart, brain, eyes, and kidneys. The objective of study was to find out the effectiveness of coconut water on the reduction of blood pressure in patients with hypertension. This type of research was quasy experiment with non-equivalet research design. The population of study were all the people in Beringin Makmur Village RT 01 RW 01 Pelalawan District Riau Province aged 30-50 years with hypertension who meet the criteria. The sample of study amounted to 30 people. The sampling technique was taken using total sampling method. The sample of study consisted of two groups as the experimental group and the control group, then followed by pretest in both groups and the intervention in the experimental group. There were significant differences in blood pressure (both systolic and diastolic) final adult patients with hypertension before and after the control group in Beringin Makmur Village Pelalawan District Riau Province p-value for sistole 0.334 and p-value 0.253 for diastolic p-value > 0.05. The result of study indicates means that the coconut water therapy effective in lowering blood pressure in patients with hypertension. More people were expected to know that coconut water could lowering blood pressure and prevent hypertension.

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Capnometric feedback training decreases 24-h blood pressure in hypertensive postmenopausal women

BMC Cardiovascular Disorders ◽

10.1186/s12872-021-02240-x ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

David E. Anderson ◽

Alexis N. Reeves ◽

Wolf E. Mehling ◽

Margaret A. Chesney

Keyword(s):

Blood Pressure ◽

Postmenopausal Women ◽

Auditory Feedback ◽

Control Group ◽

Hypertensive Patients ◽

Feedback Training ◽

Before And After ◽

The Difference ◽

End Tidal ◽

Regular Practice

Abstract Background High normal resting pCO2 is a risk factor for salt sensitivity of blood pressure (BP) in normotensive humans and has been associated with higher resting systolic BP in postmenopausal women. To date, however, no known studies have investigated the effects of regular practice of voluntary mild hypocapnic breathing on BP in hypertensive patients. The objective of the present research was to test the hypothesis that capnometric feedback training can decrease both resting pCO2 and 24-h BP in a series of mildly hypertensive postmenopausal women. Methods A small portable end tidal CO2 (etCO2) monitor was constructed and equipped with software that determined the difference between the momentary etCO2 and a pre-programmed criterion range. The monitor enabled auditory feedback for variations in CO2 outside the criterion range. 16 mildly hypertensive postmenopausal women were individually trained to sustain small decreases in etCO2 during six weekly sessions in the clinic and daily sessions at home. 24-h BP monitoring was conducted before and after the intervention, and in 16 prehypertensive postmenopausal women in a control group who did not engage in the capnometric training. Results Following the intervention, all 16 capnometric training participants showed decreases in resting etCO2 (− 4.3 ± 0.4 mmHg; p < .01) while 15 showed decreases in 24-h systolic BP (− 7.6 ± 2.0 mmHg; p < .01). No significant changes in either measure was observed in the control group. In addition, nighttime (− 9.5 ± 2.6; p < .01) and daytime (− 6.7 ± 0.2 mmHg) systolic BP were both decreased following capnometric training, while no significant changes in nighttime (− 2.8 ± 2.2 mmHg; p = .11) or daytime (− 0.7 ± 1.0 mmHg; p ≤ .247) systolic BP were observed in the control group. Conclusions These findings support the hypothesis that regular practice of mild hypocapnic breathing that decreases resting etCO2 reliably decreases 24-h blood pressure in hypertensive postmenopausal women. The extent to which these effects persist beyond the training period or can be observed in other hypertensive subgroups remains to be investigated.

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Applied Relaxation (Coping) in Control of Laboratory Pain: Effects of Signalled Pain and Instructions of When to Relax

Psychological Reports ◽

10.2466/pr0.1983.53.2.467 ◽

1983 ◽

Vol 53 (2) ◽

pp. 467-476 ◽

Cited By ~ 1

Author(s):

Steven J. Linton ◽

K. Gunnar Götestam

Keyword(s):

Pain Threshold ◽

Relaxation Training ◽

Cold Pressor ◽

Warning Signal ◽

Control Measures ◽

Control Group ◽

Subjective Evaluations ◽

Before And After ◽

Applied Relaxation ◽

Experimental Group

This experiment was designed to test the idea that using a warning signal and relaxing before a pain stimulus was applied (a common coping strategy) would lead to significantly greater improvements in pain threshold and tolerance than relaxing after pain was first experienced. Three groups of 10 subjects participated in cold-pressor pain tests before and after relaxation training. The relaxation training was exactly the same for all three groups, but the experimental group was provided a warning signal 1 min. before the posttest began, and they relaxed at the signal. One control group was given the same signal, but they relaxed when they first felt pain. A second control group had no signal, and they also relaxed when they felt the pain. The results did not support the hypothesis. Both control groups improved significantly more in pain threshold and tolerance than the experimental group. There were no significant differences between the groups on subjective evaluations of the pain or on control measures of expectancy level, compliance, or ability to relax. These results point to the need for research concerning the use of warning signals and early relaxation in coping programs.

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Effectiveness of Acupressure on the Taichong Acupoint in Lowering Blood Pressure in Patients with Hypertension: A Randomized Clinical Trial

Evidence-based Complementary and Alternative Medicine ◽

10.1155/2016/1549658 ◽

2016 ◽

Vol 2016 ◽

pp. 1-9 ◽

Cited By ~ 2

Author(s):

Gan-Hon Lin ◽

Wei-Chun Chang ◽

Kuan-Ju Chen ◽

Chen-Chen Tsai ◽

Sung-Yuan Hu ◽

...

Keyword(s):

Blood Pressure ◽

Clinical Trial ◽

Randomized Clinical Trial ◽

Care Plan ◽

Control Group ◽

Optimal Dosage ◽

Hypertensive Patients ◽

Significant Difference ◽

And Control ◽

Experimental Group

Objectives. To evaluate the effectiveness of acupressure on the Taichong acupoint in lowering systolic and diastolic blood pressure (BP) in hypertensive patients.Methods. Eighty patients with hypertension attending a cardiology outpatient department in central Taiwan were included in this randomized clinical trial. Acupressure was applied to the Taichong acupoint in the experimental group (n=40) and to the first metatarsal (sham acupoint) in the control group (n=40). Blood pressure was measured by electronic monitoring before and immediately 15 min and 30 min after acupressure.Results. The average age of the experimental and control participants was 59.3 ± 9.2 years and 62.7 ± 8.4 years, respectively. The two groups were similar for demographics and antihypertensive drug use. Mean systolic and diastolic BP in the experimental group decreased at 0, 15, and 30 min after acupressure (165.0/96.3, 150.4/92.7, 145.7/90.8, and 142.9/88.6 mmHg); no significant changes occurred in the control group. There was a significant difference in systolic and diastolic BP between the experimental and control groups immediately and 15 and 30 min after acupressure (p<0.05).Conclusion. Acupressure on the Taichong acupoint can lower BP in hypertensive patients and may be included in the nursing care plan for hypertension. However, additional studies are needed to determine the optimal dosage, frequency, and long-term effects of this therapy.

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The effect of Reiki on blood hypertension

Acta Paulista de Enfermagem ◽

10.1590/1982-0194201400078 ◽

2014 ◽

Vol 27 (5) ◽

pp. 479-484 ◽

Cited By ~ 3

Author(s):

Léia Fortes Salles ◽

Luciana Vannucci ◽

Amanda Salles ◽

Maria Júlia Paes da Silva

Keyword(s):

Blood Pressure ◽

Repeated Measures ◽

Study Groups ◽

Control Group ◽

Double Blind Study ◽

Double Blind ◽

Anova Model ◽

Significant Difference ◽

Before And After ◽

Experimental Group

Objective Determining the immediate effect of Reiki on abnormal blood pressure. Methods An experimental, double-blind study, in which were included 66 hypertensive patients, randomized to the three following study groups: control, placebo and experimental. The intervention lasted 20 minutes, the control group remained at rest, the placebo group received an imitation of the studied technique (mock Reiki) and the experimental group received the Reiki technique. Blood pressure was measured before and after the intervention by the same person with the same instrument. Results There was a decrease in blood pressure in the three groups and the reduction was greater in the experimental group, followed by the placebo and the control group. The ANOVA model for repeated measures showed a statistically significant difference among the groups (p <0.0001). Conclusion Reiki had a positive effect on reducing abnormal blood pressure, suggesting to be a complementary technique for the control of hypertension.

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PENGARUH ZIKIR TERHADAP PENURUNAN TEKANAN DARAH PADA PASIEN STROKE AKUT DI RSUP DR.M. DJAMIL PADANG

Jurnal Sehat Mandiri ◽

10.33761/jsm.v16i1.383 ◽

2021 ◽

Vol 16 (1) ◽

pp. 151-161

Author(s):

Hendri Budi ◽

Herwati Herwati

Keyword(s):

Blood Pressure ◽

Acute Stroke ◽

Diastolic Blood Pressure ◽

Intervention Group ◽

Control Group ◽

Stroke Patients ◽

Before And After ◽

Quasi Experimental ◽

Experimental Group ◽

Therapy Intervention

70-94% of acute stroke patients have an increase in blood pressure. Relaxation can be done to treat hypertension. Relaxation in Islam uses zikr (remembering Allah SWT). The purpose of this study was to determine the effect of zikr on reducing blood pressure in acute stroke patients. The research design was quasi-experimental, with two group pretest-posttest design with a control group. The experimental group was given the zikr therapy intervention. The sample of the study was acute stroke patients in the Nervous Room of RSUP Dr. M. Djamil Padang. There were 40 samples, 20 people in the experimental group and 20 people in the control group obtained by purposive sampling. Data collection is September to November 2020 by measuring the patient's blood pressure before and after the intervention. The data is processed manually. Analysis of data with non-parametric Mann Whitney test. The results showed that there was no difference between systolic blood pressure before treatment in the intervention group and the control group (p = 0.976), but there was a difference after treatment (p = 0.000). There was no difference between diastolic blood pressure before treatment in the intervention group and the control group, (p = 0.294), but there was a difference after treatment (p = 0.000). The study concludes that zikr therapy can reduce systolic and diastolic blood pressure in acute stroke patient. It is recommended to the head of the Nerve room to apply zikr therapy in acute stroke patients.

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