scholarly journals Effect of Progressive Muscle Relaxation and Slow Deep Breathing on Blood Pressure and Heart Rate on Hypertensive Clients

2019 ◽  
Author(s):  
Arlien J. Manoppo ◽  
Elisa Anderson

Background: Conclusions/Importance.Indicators of hypertension can be seen through the blood pressure (BP) and heart rate (HR). Several attempts continue to be made to control BP and HR, such as progressive muscle relaxation (PMR) and slow deep breathing(SDB). Objectives:The purpose of this study was to analyze the effect of PMR and SDB to control BP and HR on the hypertension clients. Methods: The research utilized a quasi-experimental design with pre-post test nonequivalent control group. Sample of 91 respondents were selected during May-July 2016 through convenience sampling techniques. The researcher used parametric statistical regression multiple linear regression to analyze the effect of PMR, SDB, and combination of PMR and SDB on BP and HR. Results: In the intervention group, PMR, SDB, and combined PMR-SDB are given twice a day for four days. The results showed the influence of PMR,SDB,combinedPMR-SDBtechniquestoBPandHR(p<0.05).PMRandcombined techniques (PMR-SDB) simultaneously and partially have a significant influence on BP and HR (p<0.05). SDB simultaneously only have a significant influence on diastolic BP and HR (p<0.05), but partially have a significant influence on BP and HR (p<0.05). Conclusions: The research concluded that there is significant influence of PMR, SDB, and combined PMR and SDB on BP and HR. PMR and SDB programs need to be developed as independent nursing interventions on the nursing care of patients with hypertension.  

2019 ◽  
Vol 8 (2) ◽  
pp. 71
Author(s):  
Claudia Fariday Dewi

Introduction: Stress among teachers has a significant relationship with the psychosomatic and depressive symptoms. Community nurses need to make efforts in preventing the adverse effects of stress on teachers. Progressive muscle relaxation with music and aromatherapy is an alternative intervention which can be practiced to reduce the level of stress among teachers. This study aimed to investigate the effects of progressive muscle relaxation which was combined with music and aromatherapy on decreasing the level of stress in teachers.Methods:This study employed a pre-post test quasi-experimental design with a control group. The samples were 46 teachers recruited by purposive sampling and were assigned to the intervention group (n=23) and the control group (n=23). The intervention of progressive muscle relaxation with music and aromatherapy was given to the intervention group for four sessions in four days; each session lasted for 20 minutes. The data were analyzed using the t-test to know the effects of the intervention on decreasing the stress level.Results:The results showed that the average level of stress of the teachers in the intervention group decreased from 50.65 ± 3.761 to 32.78 ± 8.426 after the intervention. Meanwhile, in the control group, the average stress level slightly decreased from 49.87 ± 3.348 to 49.17 ± 4.868. The result of the t-test obtained a p-value of 0.000 (<0.,05), indicating that there were significant differences in the stress levels between the intervention and the control group.Conclusion:Progressive muscle relaxation with music and aromatherapy could reduce the level of stress in school teachers. Based on the findings, it is recommended that the school teachers perform this relaxation therapy to decrease the stress level. The teachers could practice the therapy by the help of training from the community nurses.


2020 ◽  
Vol 9 (2) ◽  
pp. 886-892
Author(s):  
Denis Farida ◽  
Retno Ayu Yuliastuti

Quasi-experimental research design with a pre-post-test control group design approach. The sample size was 32 respondents divided into 16 intervention groups and 16 control groups. The intervention group was given a combination of PMR with music for 1 month. The control group was not given an action. The instrument uses an observation sheet. The study used a paired t-test and independent t-test with α <0.05. The results showed the mean value. intervention group before exercise 0.74 and after exercise 0.90 mg / dl. The control group before treatment has obtained an average. 0.77 and after treatment an average ABI was 0.75. Based on the independent t-test, blood sugar levels were obtained ρ 0.000 (α <0.05). So that H0 is rejected, meaning that there is an effect of the combination of PMR and music on (ABI). The combination of PMR with music that is routinely performed can increase the ABI value


2018 ◽  
pp. 1-5
Author(s):  
Wa Ode Sri Asnaniar ◽  
Tutik Agustini

Aging or growing old is a process of gradual disappearance of the ability of the network to repair itself or replace and maintain its normal function so that it can not survive the infection and repair the damage it suffered (Santoso, et al, 2009) .The purpose of this study was to determine the effect of relaxation progressive muscle to depression level in elderly at Tresna Werdha Gau Mabaji Social House (PSTW) Gowa District. This research uses quasi experimental or quasi experimental method with pretest and posttest design with control group design. Population in this research is elderly who live in PSTW Gau Mabaji Gowa which amounted to 95 people. The sample used is the elderly who experienced depression that is 20 people with the technique of proportional random sampling. The intervention group numbered 10 elderly and control group amounted to 10 elderly people. All respondents followed the study until the end of the study. Test statistics by using independent t-test. There is the effect of progressive muscle relaxation on the depression of depression in the elderly. It is expected that progressive muscle relaxation can be a non-pharmacological treatment in nursing care in elderly patients with depression because it can be done alone by the elderly at all times, does not require much cost, and does not require a long time.      


2018 ◽  
Vol 2 (3) ◽  
pp. 33-42
Author(s):  
Ridawati Sulaeman ◽  
Muhasidah ◽  
Dewi Purnamawati ◽  
Zulkifli ◽  
Sitti Rusdianah Jafar ◽  
...  

Progressive muscle relaxation using video is used hypertensive patients to conduct movement activities to reduce stress. Therefore, the muscles of the body are relax. Hypertension or high blood pressure is still a serious threat that affects the productivity of a person’s life in NTB. The study was intended to determine the effectiveness of progressive muscle relaxation using video aids to reduce blood pressure in hypertension patients. This research was conducted in the Work Area of Dasan Agung Public Health Center, Mataram City in May to September 2017. Quasi-experimental design of pre and post-test control group. The number of respondents was 60 people consisting of 30 controls and 30 interventions for sampling Random Sampling. Data analysis using T-test.  The results showed there were differences of changing in blood pressure of respondents who were given progressive muscle relaxation using video aids compared to those who did not use. Conclusion Progressive muscle relaxation with video ads decreases blood pressure in hypertension patients compared to those who did not.


MEDISAINS ◽  
2020 ◽  
Vol 17 (3) ◽  
pp. 62
Author(s):  
Habid Al Hasbi ◽  
Nur Chayati ◽  
Sri Nabawiyah Nurul Makiyah

Background: Hemodialysis is a kidney replacement therapy, but it has many complications identified, one of them is pain. Thus, we need non-pharmacological interventions that can be done by nurses, among them is progressive muscle relaxation (PMR), which is economically-efficient and no side effects.Objective: To determine the effect of progressive muscle relaxation on pain in hemodialysis patients.Methods: This is a quasi experimental design of time series design. The number of samples was 100 patients taken by simple random sampling. Progressive muscle relaxation (PMR) was given every day for 4 weeks. Research instrument  applied was Brief Pain Inventory. The data analysis employed independent t-test.Results: There was a decrease in pain level from week to week after the intervention, from the scale of 6 (moderate pain) to scale 3 (mild pain). There was a difference in the level of pain between the intervention group and the control group p <0.001.Conclusion: The therapy of non-pharmacological using a progressive muscle relaxation is proven to reduce pain in hemodialysis patients.


2019 ◽  
Vol 19 (1) ◽  
pp. 11
Author(s):  
Mareta Akhriansyah

Hypertensioncan we call as “silent killer” because it could be making an ice mountain fenomenal. Hypertension prevalence will increasing with getting older of that people. Identical of Hypertension is a increasing of blood pressure more than normal limit.The aim of this study was to know an influence of relationship between  progresive muscle relaxationtoward decreasing blood pressure of old peoplehypertension in Nursing Home. This study used“Quasi Experimental Pre-Post Test With Control Grup”design withProgresive Muscle Relaxation (PMR) intervension, sample is taking by purposive sampling technique with 30 respondents, which they are divided into 2 group as treatment group and control group. Both of that groups are getting measurement of their blood pressure. The result showed that after Progresive Muscle Relaxation Exercise there is a decreasing systolic of blood pressure 28,7 mmHg and decreasing dyastolic of blood pressure 18 mmHg.And finally this study having conclusion that Progresive Muscle Relaxation Exercise can make decreasing blood pressure systolic and dyastolic with certainly result(p=0.000<α =0.05). To increasing a healthy Old People meassurement there must be a policy development  to make progressive muscle relaxation exercise will application well to Old People Hypertension


2018 ◽  
Vol 2 (1) ◽  
pp. 356-370
Author(s):  
Andry Sartika ◽  
Anwar Wardi ◽  
Yani Sofiani

This study aimed to determine the differences between the effectiveness of Progressive Muscle Relaxation (PMR) and Slow Deep Breathing Exercise (SDBE) on BP of hypertension patients. The research was an experiment with a randomized pretest and posttest with three group design without a control group. The sample was 30 people with hypertension. The data were analyzed by univariate, bivariate and miltivariate. The results of the study showed a decrease in systolic and diastolic BP after the intervention to all groups. There was no significant difference on the effectiveness between the three groups after intervention. The optimal time of reduction in systolic BP in the PMR and SDBE groups occurred on day three. In diastolic BP, the optimal time of reduction did not occur. In conclusion, the three relaxation techniques effectively reduced blood pressure of hypertension patients. The effective time of blood pressure reduction occurred on the third day. The suggestion for patients from this study is the patients with hypertension can do the relaxation techniques Progressive Muscle Relaxation (PMR) and Slow Deep Breathing Exercise (SDBE) to lower the BP to close to normal. Keywords: Blood Pressure, Hypertension, Progressive Muscle Relaxation (PMR) and Slow Deep Breathing Exercise (SDBE)


2018 ◽  
Vol 6 (6) ◽  
Author(s):  
Omi Haryati ◽  
Nur Halimah Gunawan ◽  
Nurdiana Siahaan

Emotional mental disorders experienced by caregiver due to treating palliative patients which can threaten the integrity of both internal and external self. The study was conducted to determine the effect of progressive relaxation and deep breathing to reduce anxiety in caregiver when treating palliative patients in hospitals. The design of this study is "experimental quasi pre-post test with control group". In the intervention group given progressive relaxation therapy and deep breathing. The number of samples of this study was 40 respondents in each group (intervention and control). The instrument in this study uses the HARS (Hamilton Anxiety Rating Scale). Data analysis includes univariate analysis carried out to describe the characteristics of each variable measured in the study. Bivariate analysis was carried out to identify the effect of progressive relaxation packages on reducing levels of caregiver anxiety in treating palliative patients. Homogeneity of the characteristics of respondents in two groups, that is variables of age, sex, education, occupation, marital status, duration of illness is done by Chi-Square test. From the results of the study there was no decrease in the response of physical anxiety (p = 0.493), cognitive (p = 0.223), attitude (p = 0.953) and psychological (p = 0.933) in the intervention group. As well in the control group (p> 0.05) except for the attitude element (p = 0.013), The results of this study concluded that there was no significant decrease in anxiety response after intervention in deep breath relaxation and progressive muscle relaxation in caregiver who treated palliative patients.


2018 ◽  
Vol 2 (1) ◽  
pp. 33
Author(s):  
Niken Setyaningrum ◽  
Iman Permana ◽  
Falasifah Ani Yuniarti

ABSTRAKTujuan penelitian: untuk mengetahui efektivitas teknikprogressive muscle relaxation dan slow deep breathing terhadap peningkatan kualitas tidur dan penurunan tingkat stres. Metode: penelitian ini menggunakan quasi experimental design with comparison group. Pengambilan sampel penelitian menggunakan purposive sampling. Penelitian dilakukan di wilayah kerja Puskesmas Gamping 2 Yogyakarta. Besar sampel dalam penelitian ini sebanyak 60 responden dengan pembagian sampel masing-masing 20 responden pada kelompok intervensi, kelompok kontrol 1, dan kelompok kontrol 2. Pengambilan data dilakukan pada bulan April sampai Juni 2015. Instrumen penelitian ini menggunakan PSQI (Pittburgh Sleep Quality Index) untuk mengukur kualitas tidur dengan nilai validitas 0,89 dan reliabilitas sebesar 0,73, sedangkan PSS (Perceived Stress Scale) untuk mengukur tingkat stres dengan nilai validitas 0,85 dan reliabilitas sebesar 0,75. Analisis data dalam penelitian ini menggunakan Anova dilanjutkan uji post-hoc Bonferroni. Hasil: Terdapat perbedaan yang signifikan antara kelompok intervensi, kelompok kontrol 1, dan kelompok kontrol 2 terhadap peningkatan kualitas tidur (p = 0,025). Terdapat perbedaan yang signifikan antara kelompok intervensi, kelompok control 1 dan kelompok kontrol 2 terhadap penurunan tingkat stres (p = 0,009). Diskusi: Hipertensi berkaitan dengan kualitas tidur dan tingkat stres karena berhubungan dengan respons saraf simpatis. Jika tidak diidentifikasi dengan baik, hal tersebut dapat memperburuk kondisi penderita hipertensi. Hipertensi dapat dikontrol dengan terapi nonfarmakologi menggunakan teknik relaksasi progressive muscle relaxation dan slow deep breathing. Kesimpulan: teknik progressive muscle relaxation efektif untuk meningkatkan kualitas tidur dan slow deep breathing efektif untuk menurunkan tingkat stres.Kata Kunci: hipertensi, kualitas tidur, tingkat stres, progressive muscle relaxation, slow deep breathingPROGRESSIVE MUSCLE RELAXATION AND SLOW DEEP BREATHING IN HYPERTENSION PATIENTSABSTRACTObjective: to identify the effectiveness of progressive muscle relaxation and slow deep breathing on improving sleep quality and decreasing stress levels. Methods: This study employed quasi experimental design with comparison group. Samples were taken using purposive sampling. The study was conducted in the working area of Puskesmas (Public Health Center) Gamping 2 Yogyakarta. The sample size was 60 respondents with 20 respondents in each of the intervention group, control group 1, and control group 2. Data were collected from April to June 2015. The research used PSQI (Pittsburgh Sleep Quality Index) to measure the quality of sleep with a validity value of 0.89 and a reliability value of 0.73 and PSS (Perceived Stress Scale) to measure stress levels with a validity value of 0.85 and a reliability value of 0.75. Data were analyzed using Anova and followed by using Bonferroni post-hoc test. Results: There were significant differences between intervention group, control group 1, and control group 2 in the sleep quality improvement (p=0.025). There were significant differences between intervention group, control group 1 and control group 2 in the decreased stress levels (p=0,009). Discussion: Hypertension is related to sleep quality and stress levels because it is associated with sympathetic nerve response. Unless they are well identified, they may worsen the condition of patients with hypertension. Hypertension can be controlled with non-pharmacological therapy using progressive muscle relaxation and slow deep breathing relaxation. Conclusion: Progressive muscle relaxation is effective to improve sleep quality and slow deep breathing is effective to reduce stress level.Keywords: hypertension, sleep quality, stress level, progressive muscle relaxation, slow deep breathing


2020 ◽  
Vol 3 (1) ◽  
pp. 59
Author(s):  
Asri Wiwi Marwati ◽  
Cucu Rokayah ◽  
Yeti Herawati

Banyaknya ibu post section dapat menimbulkan masalah pada luka sayatan di area abdomen yaitu nyeri. Ibu paska operasi Sectio Caesaria merasakan nyeri yang lebih tinggi dibandingkan dengan persalinan secara pervaginam sehingga kebutuhan ibu akan mobilisasi, perawatan diri dan bayinya, serta pemberian ASI kerapkali terganggu. Penelitian ini bertujuan untuk mengetahui pengaruh Progressive Muscle Relaxation (PMR) terhadap skala nyeri pada pasien post sectio caesaria di RSKIA Kota Bandung. Jenis penelitian ini berupa quasi eksperimen dengan metode pre test dan post test. Populasi penelitian sebanyak 34 pasien dibagi menjadi dua kelompok yaitu kelompok kontrol dan intervensi masing-masing 17 pasien. Metode pengumpulan data dengan carapurposive sampling. Instrumen penelitian ini menggunakan skala NRS (Numeric Rating Scale). Hasil penelitian menunjukkan skala nyeri sebelum dilakukan teknik PMR pada kelompok kontrol berada pada tingkat nyeri sedang sebanyak 7 responden (41.2%) dan pada kelompok intervensi berada pada tingkat sedang sebanyak 14 orang (82.4%). Skala nyeri sesudah dilakukan teknik PMR pada kelompok kontrol berada pada tingkat nyeri sedang sebanyak 10 orang (58.8%) dan pada kelompok intervensi pada tingkat sedang sebanyak 11 orang (64.7%).Pengaruh PMR pada kelompok kontrol memiliki nilai p-value 0.059. Pengaruh teknik PMR pada kelompok intervensi memiliki nilai p-value 0.001 sehingga terdapat pengaruh Progressive Muscle Relaxation pada pasien post sectio caesaria di RSKIA Kota Bandung. Pengaruh teknik PMR terhadap skala nyeri memiliki nilai p-value 0.030 sehingga dapat disimpulkan terdapat pengaruh Progressive Muscle Relaxation pada pasien post section caesaria di RSKIA Kota Bandung. Kata kunci: nyeri, progressive muscle relaxation, sectio caesaria THE EFFECT OF PROGRESSIVE MUSCLE RELAXATION ON THE SCALE OF PAIN IN POST SECTIO CAESARIA ABSTRACTSection caesare caused by problems in wound incisions in the abdominal area, namely pain. Respondent with section caesaria has a higher pain scale compared to respondents with normal delivery, so that the mother's need for mobilization, self-care and her baby, and breastfeeding are often disrupted. This study aims to determine the effect of Progressive Muscle Relaxation (PMR) on the scale of pain in post sectio caesaria patients at RSKIA in Bandung. This type of research is quasi-experimental. The study population was 34 patients divided into two groups, namely the control and intervention groups. This type of research is quasi-experimental with the pre-test and post-test methods. The instrument of this study uses the NRS (Numeric Rating Scale).The results showed the scale of pain before the PMR technique in the control group was at the level of moderate pain as many as 7 respondents (41.2%) and the intervention group was at a moderate level of 14 people (82.4%). The scale of pain after the PMR technique in the control group was at a moderate level of pain of 10 people (58.8%) and in the intervention group at a moderate level of 11 people (64.7%). The effect of PMR techniques on the control group has a p-value of 0.059. The effect of PMR technique on the intervention group has a p-value of 0.001 so that there is an effect of Progressive Muscle Relaxation in post sectio caesaria patients at RSKIA Bandung City. The effect of PMR technique on pain scale has a p-value of 0.030 so it can be concluded that there is an effect of Progressive Muscle Relaxation in post sectio caesaria patients at RSKIA Bandung City.It is hoped that the results of this study can be used as guidelines for nurses' interventions that can be taught to patients and families as a patient companion in conducting this PMR technique. Keywords: pain, progressive muscle relaxation, sectio caesaria


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