scholarly journals Effects of progressive muscular relaxation and stretching exercises combination on blood pressure among farmers in rural areas of Indonesia: a randomized study†

2021 ◽  
Vol 8 (4) ◽  
pp. 365-374
Author(s):  
Tantut Susanto ◽  
Retno Purwandari ◽  
Emi Wuri Wuryaningsih ◽  
Hirohito Watanabe ◽  
Kana Kazawa ◽  
...  

Abstract Objective Maintaining blood pressure (BP) could improve the quality of life among farmers in agricultural health. The study aims to evaluate the effects of progressive muscular relaxation and stretching exercises (SEs) for BP in farmer subjects in rural areas. Methods A randomized controlled design was applied for this study. We performed a method, which is the combination of progressive muscle relaxation (PMR) and SEs for participants (30 in the control group and 60 in the intervention group). The intervention group self-practiced PMR and SEs through a video that providing instructions for 15 min. PMR practiced before going to sleeping in the night, and SEs practiced before going to farms in the morning per day for 3-months. Wilcoxon signed-rank test was performed to measure the difference between systolic blood pressure (SBP) and diastolic blood pressure (DBP) as one pre- and post-test comparison of baseline and 3 months data in control and intervention groups. Results There were no significant differences between SBP and DBP pre- and post-test in control group (P > 0.050). Meanwhile, there were significant differences in reducing SBP (M = 126.67; SD = 18.07; 95% CI = 120–147.5 mmHg) and DBP (M = 80.67; SD = 6.91; 95% CI = 80–90 mmHg) pre- and post-test combination of PMR and SEs in intervention group (P < 0.001). After 3-months of follow-up data, number type SBP and DBP still remained at the same levels of baseline and 3-month data in control group. While, there was an increased number of normal and prehypertension for SBP and DBP (10% vs. 10% and 20% vs. 31.6%) and reduced of hypertension stage I for SBP and DBP (30% vs. 41.6%). Conclusions This pilot study demonstrated effectively to reduce SBP and DBP among farmers using the combination of PMR and SEs in the agricultural health setting.

2021 ◽  
Vol 8 (2) ◽  
pp. 182-192
Author(s):  
Achwan Achwan ◽  
Abdurahman B.B. Laksono

Leg cramps are a common side effect of intradialysis CKD patients. Preventing intradialysis cramping pain can improve quality of life. Breathing and stretching exercises are non-pharmacological treatments for cramping pain. The purpose of this study was to prove the effect of breathing and stretching exercises on changes in the intensity of leg cramps in hemodialysis patients at the Haji Jakarta Hospital in 2018. This study was a quasi-experimental study with a two-group pre-post test research design. The sample was selected by purposive sampling, a sample of 34 patients. The intensity of muscle cramps was measured using the Numeric Rating Scale. The results of the analysis using the paired sample T-test. The results showed that the intervention group had a P-value = 0.01 and the control group had a P-value = 0.055, meaning that there was a difference in mean the intensity of cramping pain before and after breathing and stretching exercises was compared, so it was concluded that there was an effect of breathing and stretching exercises on the intensity of intradialysis leg cramps. Patients are advised to breathing and stretching exercises regularly, light exercise, eat and drink diet.


Author(s):  
Siska Sakti Anggraini ◽  
Siti Aisyah Nur ◽  
Honesty Diana Morika ◽  
Ratna Indah Sari Dewi

Background: Hypertension is called the silent killer because it does not provide specific symptoms, it can increase the incidence of strokes, heart attacks, chronic kidney disease if not controlled and controlled properly. Management of hypertension is generally with pharmacological therapy that has not shown improvement. Non-pharmacological treatment using rosella flower tea which functions to open blood vessels wider, reduce blood viscosity and increase urine production so as to reduce blood volume. The purpose of this study was to study the effect of rosella tea on reducing blood pressure in hypertensive patients.  Methods: This study uses a quasi-experiment design with the two-group pre-test and post-test design approach. This research was conducted on patients with hypertension at the Padang city health center with an intervention group of 16 respondents and a control of 16 respondents. Data analysis in this study used univariate and bivariate using independent t-test statistics.  Results: The results of the study showed the average blood pressure in the systolic pretest intervention group 147.81 for 94.69 diastole and posttest systole 129.06 posttest diastole 78.75 while the control group for systole pretest 154.6 for diastole 96.25 and posttest without posttest treatment systole 129.06 postest diastole 78.75. Obtained a p value 0,000 statistical test for systole and a p value 0,000 diastole.  Conclusions: There is an effect of rosella flower tea on reducing blood pressure in patients with hypertension at the Padang city health center.


2018 ◽  
Vol 9 (2) ◽  
pp. 170
Author(s):  
Aries Triatna ◽  
Adi Sucipto ◽  
Cristin Wiyani

<p>The most common response by preoperative patients is anxiety. The results of research on the incidence of anxiety in preoperative patients in RS PKU Yogyakarta mentioned that 60% of patients experience anxiety from mild to severe level (Wuryani, 2015). There are several ways to reduce anxiety, one of them is by giving music therapy. Based on the result of interviews with five patients who were going to have an operation, the patients expressed that they were anxious because they were afraid of the operation and that was worried if the operation may fail. To determine whether three is an influence of listening to “Langgam Jawa” music genre on the level of anxiety of preoperative patients at “Kasuari” room of RSPAU, dr. S. Hardjolikito. This is a quasi-experiment research which used a pre-test and post-test non-equivalent control group design. There were 30 respondents involved as samples. The samples were selected using a systematic random sampling technique. The instrument used in this research waZung’s self-rating anxiety scale (SAS). The statistical test used a Wilcoxon signed rank test with an error level of 0.05. In the control group, which was not given “langgam jawa” music, during pre-test most patients experienced medium level anxiety (26,7%), during post-test most patients experienced medium level anxiety (60%); in the intervention group, before “langgam jawa” music treatment was given, most patients experienced medium level of anxiety (26,7%), after the music treatment was given, most patients experienced a medium level of anxiety (56,7%). Based on the research result, there is a significant influence from “langgam jawa: music therapy with a p-value=0.007. There is an influence of listening to “langgam jawa” music genre on the level of anxiety of preoperative patients at “Kasuari” Ward, dr. S. Hardjolikito Hospital.</p>


Author(s):  
Jule Eriç Horasanlı ◽  
NUR DEMIRBAS

Background: Anxiety is commonly experienced during the delivery process and has been shown to have adverse effects on maternal and infant health outcomes. Music interventions tend to mitigate the effects of anxiety in a variety of populations, are low-cost and easily accessible, and have high acceptability. The aim of this study is to evaluate the effectiveness of music intervention on expectant mothers’ vital signs and anxiety levels during cesarean section. Methods: This study is a single-center, controlled, randomized study. The women in the intervention group listened to music via earpieces during the operation. The control group received standard treatment without music. Cesarean section was performed under regional anesthesia. The State-Trait Anxiety Inventory (STAI) was administered to the patients before and after the operation. Results: There was no significant difference between the pre- and postoperative systolic blood pressure, diastolic blood pressure, heart rate, respiratory rate, or O2 saturation parameters of the music group and the control group (p>0.05). The pre-operative STAI anxiety score was similar in the music (45.58±4.60) and control (43.82±4.33) groups (p=0.183). After the operation, the anxiety score of the music group (35.88±5.39) was found to be statistically significantly lower than the anxiety score of the control group (42.14±3.75) (p<0.001). Conclusion: This study supports the hypothesis that slow, rhythmic Sufi music during cesarean section can reduce patients’ anxiety. It is possible to distract the patient from negative thoughts and reduce stress. The results show that patients who listened to music during surgery had significantly lower anxiety levels than patients who did not listen to music.


Author(s):  
Nur Afifah Mursyida Zaujan ◽  
Asma’ Ali ◽  
Malina Osman ◽  
Hui Yee Chee ◽  
Nur Raihana Ithnin ◽  
...  

(1) Background: Lack of food safety awareness and preventive behaviour when dining out increases the risk of food poisoning. Furthermore, food poisoning cases among rural communities have been rising in recent years. However, the health-related mobile application is a promising tool in improving food poisoning prevention knowledge, attitude, practice, and perception (KAP2) among consumers. Therefore, the current study developed a novel smartphone app, MyWarung©, and determined its efficacy in increasing awareness, attitude, practice, and perception of food poisoning and its prevention when dining out, especially among rural consumers. (2) Methods: A quasi-experimental pre-and post-intervention study with a control and intervention group were performed on 100 consumers in Terengganu. (3) Results: The intervention’s inter-group outcomes were analysed using the Mann–Whitney test, while the within-group effects were ascertained using the Wilcoxon sign rank test via the SPSS software. It was found that the control group had higher median scores in knowledge (30.0, IQR 7.0), attitude (46.0, IQR 5.0), and practice (34.0, IQR 3.0) than the intervention group before intervention. After the intervention programme, the intervention group showed significant improvement in food poisoning knowledge (p = 0.000), attitude (p = 0.001), and practice (p = 0.000). However, the intervention group’s perceived barriers (p = 0.129) and susceptibility (p = 0.069) and the control group’s perceived barriers (p = 0.422) did not show any significant improvement. (4) Conclusion: The findings indicated that the MyWarung© mobile app usage enhanced the food poisoning knowledge, preventive attitude, and practice among consumers when dining out.


Jurnal NERS ◽  
2020 ◽  
Vol 14 (3) ◽  
pp. 117
Author(s):  
Moomina Siauta ◽  
Selpina Embuai ◽  
Hani Tuasikal

Hypertension is a leading cause of death if it is not properly treated. Handgrip relaxation is an intervention that can be used to reduce the blood pressure in patients with hypertension. The purpose of this study was to determine the effects of handgrip relaxation on decreasing blood pressure in patients with hypertension. This study used a pre-test-post-test design with a control group and it was conducted at RSUD Dr. M. Haulussy, Ambon. The sample consisted of 14 patients aged 18 to 75 who suffered from hypertension type 1 and 2. The sampling method was consecutive sampling and the patients were divided into the intervention (n=7) and control group (n=7). Handgrip relaxation was administered to the patients in the intervention group. The data was analyzed using a One-Way ANOVA test. The results showed a decrease in the systolic and diastolic blood pressures on the 3rd day with the highest mean value found in the intervention group and the control group had a significance value of 0.003 (p<0.05) and 0.014 (p<0.05) Handgrip relaxation had an effect on the decrease of systolic and diastolic blood pressures in patients with hypertension. Handgrip relaxation that was given for fifteen minutes over three days can be recommended as a nursing intervention to decrease the blood pressure of hypertensive patients.


2018 ◽  
Vol 1 (1) ◽  
pp. 34
Author(s):  
Sigit Priyanto

Elderly (elderly) is a group of people who experience a process of gradual change over a period of time and are at risk of experiencing various health problems. Problems that are often experienced by elderly people are malnutrition, balance disorders, and the cardiovascular system, namely hypertension. Objective: To determine the effect of betel leaf decoction on blood pressure reduction in elderly hypertension in Pasuruhan village, Mertoyudan district, Magelang regency. Method: The research design used in this study was a quasi experiment using two groups pre post test with control group design. The number of samples was 36 for the intervention group and 36 for the control group. Hypothesis test analysis using Wilcoxon test analysis. Results: The results of statistical tests showed the effect of betel leaf decoction on blood pressure reduction in elderly hypertension in Pasuruhan village, Mertoyudan district, Magelang regency. p-value = 0.000 (<0.05), with a mean pre-test of 167/115 mmHg and post-test was 157/105 mmHg in the intervention group. The average control group of blood pressure before treatment was 169/119 mmHg and after treatment was 162/113 mmHg. Conclusion: There is an effect of betel leaf decoction on decreasing blood pressure in elderly hypertension in Pasuruhan village, Mertoyudan district, Magelang regency. Suggestion: Decoction of betel leaf can be given as a support therapy for hypertensive patients.


2018 ◽  
Vol 5 (1) ◽  
pp. 12
Author(s):  
Tenang Aristina ◽  
Shanti Wardhaningsih ◽  
Moh Affandi

Background : The problem of self confidence in student should be a common concern considering that we are now in global era that free for competition with countries in the world. It requires a character that is self confident that will deliver the students to have a strong believe and motivation to dare to compete with the people of various countries. Purpose : Determining the influence of character education modul of attitude and self confidence competences on the students. Research method : This research design was quasy experiment with pre-post test design. The sample were total sampling. There were 68 of population at the first year divided into two class. Class 1a was 34 students as a control group and class 1b was 34 students as a intervention group. The variable of attitude and self confidence was measured with Wilcoxon sign rank test and Mann-Whitney test. Result : The result showed that an increase on self confidence variable by application of character education modul. Statistic analysis ρ=0,009 on attitude variable of intervention group and ρ=0,317 on control group. On self confidence variable for intervention group ρ=0,001 and control group ρ=0,063. Differences of self confidence ρ=0,025. Conclusion : The coaching of character education modul was able to elevate the self confidence on students. There was significant changes on self confidence at intervention and control group.


2021 ◽  
Vol 10 (2) ◽  
pp. 469
Author(s):  
Dwi Yunita Rahmadhani

Non-Communicable Diseases (PTM) is one of the world's health problems that is still a concern in the world of health because it is one of the causes of death. Hypertension is a condition where systolic blood pressure is 140 mmHg or higher and diastolic blood pressure is 90 mmHg or higher. The cause of hypertension is due to abnormal water and salt retention, sensitivity to angiostensin, obesity, hypercholesteroemia, disturbed emotions / stress and smoking. One of the non-pharmacological therapies that can be used for the management of hypertension is to use wet cupping therapy. The purpose of this study was to analyze the effect of wet cupping on the blood pressure of hypertensive patients.Blood pressure as the dependent variable and wet cupping as an independent variable. This study uses a Pre Experimental Design study with "Two Group Pre Test and Post Test Design". The sample consisted of 20 people with hypertension with 10 respondents in the intervention group and 10 respondents in the control group in the Al-Thaf Nursing home in Jambi City on March to July 2021 with the Purposive Sampling technique. He statistical test carried out is to use paired t-test. From the results obtained p value systolic blood pressure = 0,000 and p value diastolic blood pressure = 0,000.The conclusion of this study is that there is an effect of wet cupping therapy on blood pressure stabilization in hypertensive patients in the city of Jambi


2020 ◽  
Vol 6 (2) ◽  
pp. 59
Author(s):  
La Rangki

Benson relaxation therapy to be used alternative therapy to normalize blood pressure. The aim of this study was to determine the effect of benson relaxation therapy on blood pressure in eldery hypertension and to know the difference in blood pressure between the intervention group and the control group at Social Institution of Tresna Werdha Minaula Kendari. This study used the Quasi experimental pre-post test with control group.The sampling techique used total sampling with 14 respondents. Data analysis used paired T-test to test one group in the intervention and control group and Mann Whitney test to see differences between the two groups ( p = < 0,05). The results showed a significant effect of benson relaxation therapy on stystolic and diastolic blood pressure in the intervention group (p = 0,000 for systolic and p = 0,004 for diastolic). ). Whereas in the control group there was no change in systolic blood pressure ( p = 0,069 for systolic and diastolic show blood pressure p = 0,016).


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