scholarly journals The Effect of Creative Arts Therapy on Stress Level and Blood Pressure of The Elderly With Hypertension

2021 ◽  
Vol 5 (2) ◽  
pp. 11
Author(s):  
Putu Ayu Sani Utami ◽  
Ni Made Dian Sulistiowati ◽  
Putu Ayu Emmy Savitri Karin

The elderly are vulnerable to hypertension due to the accumulation of unhealthy lifestyles for a long time and can be exacerbated by the stress due to the inability to adapt to the decline in physical conditions, changes in roles and social relations, economic ability, degenerative diseases and treatment in the long term. Risk factors for hypertension can caused by stress. Stress management can be done with a combination of creative arts therapy that is singing, drawing, and storytelling which has a relaxing effect. This study aims to determine the effect of creative arts therapy on stress levels and blood pressure of the elderly with hypertension in Kesiman Kertalangu Village, East Denpasar City, Bali, Indonesia. This research was a quasy experiment with pre-test and post-test design. Samples used were 63 elderly with hypertension who experience mild and moderate stress using simple random sampling technique divided into three groups of treatment with the amount 21 elderly of each groups. Stres level of of hypertension were evaluated using The Stress Assessment Questionnaire and blood pressure measurement using manometer. The main results of this study indicated that creative art therapy can reduce stress of the elderly significantly with p value 0.000<0.05. An average of blood pressure in creative art therapy has decreased. Wilcoxon test results showed the p value of  blood pressure (sistole;diastole) for singing (0.002;0.014), storytelling (0.009;0.008) and drawing (0.016;0.011) <0.05 which means that there is an effect of those therapy on elderly blood pressure. The results of the Ancova analysis showed no difference in blood pressure results after each intervention was given to the elderly (p value 0.244>0.05 for systole dan p value 0.738>0.05 for diastole). That means that each intervention has a similar effect on reducing blood pressure. Creative arts therapy provides a relaxing effect while performing art activities so that feeling calms down and stimulates the healing process. Further research with a larger population needs to be done to increase public awareness of the benefits of creative art therapy to reduce stress and blood pressure in the elderly with hypertension. Index Terms— : elderly, creative arts therapy, singing, drawing, story telling, hypertension

2020 ◽  
Vol 8 (1) ◽  
pp. 83
Author(s):  
Ellis Makawekes ◽  
Levi Suling ◽  
Vandri Kallo

ABSTRACTBackground: Physical activity in the elderly is very influential in blood pressure, the greater the physical activity carried out in the blood pressure of the elderly also increases. The purpose of the study is to investigate the effect of physical activity on blood pressure in the elderly 60-74 years. The research method used in this study is a cross sectional study. The sample in this study was 32 elderly people in Taloarane Village. Data colecton method in this study used physical activity observation sheet. Data analysis used statistical analysis with wilcoxon test. The results of this study revealed p- value = 0,000 which is less than significant value 0,005. Obtained are blood pressure before physical activity has a smaller value than blood pressure after physical activity where the avarage blood pressure is increased from before doing activities that is 142,25 to 159,81. Conclusion there was an influence of physical activity on blood pressure in the elderly in the village of Taloarane. The results of this study recommend for further research to add the type of physical activity.Keywords: Physical Activity, Blood Pressure, ElderlyABSTRAKLatar belakang :Aktivitas fisik pada lansia sangat berpengaruh pada tekanan darah, semakin besar aktivitas fisik yang dilakukan tekanan darah pada lansia juga meningkat. Tujuan penelitian diketahui pengaruh aktivitas fisik terhadap tekanan darah pada usia lanjut 60-74 tahun. Metode penelitian yang digunakan dalam penelitian ini adalah survey cross sectional. Sampel dalam penelitian ini adalah 32 orang lansia di Desa Taloarane. Penelitian menggunakan alat pengumpulan data berupa lembar observasi aktivitas fisik. Analisis data menggunakan uji wilcoxon. Hasil penelitian ini mengungkapkan p-value = 0,000 yang kurang dari nilai signifikan 0,005.  uji diperoleh yaitu tekanan darah sebelum aktivitas fisik memiliki nilai lebih kecil dari tekanan darah sesudah aktivitas  dimana didapatkan tekanan darah rata-rata meningkat dari sebelum melakukan aktivitas yaitu 142,25 menjadi 159,81.Kesimpulan  dari penelitian ini ada pengaruh aktivitas fisik dengan tekanan darah pada lansia didesa Taloarane. Hasil penelitian ini merekomendasikan untuk penelitian selanjutnya agar menambahkan jenis aktivitas fisik.Kata kunci : Aktivitas Fisik, Tekanan Darah, Lansia


2019 ◽  
Vol 4 (2) ◽  
pp. 57-68
Author(s):  
Zatul Haefa ◽  
Hamdana ◽  
Amirullah

Elderly is the final stage of development in the human life cycle. In the elderly there is an anatomic decline and function of the organs. Decreased function of blood vessels can cause hypertension. Hypertension or high blood pressure is a condition where when the blood pressure in the blood vessels increases, the measurement results are 140/90 mmHg. One that affects the reduction in hypertension without drugs is exercise that is not too heavy on a regular basis such as hypertension gymnastics. Hypertension or elderly exercise is a form of aerobic exercise that is beneficial for the elderly. Regular elderly exercise can help maintain blood pressure balance. The purpose of this study was to determine the effect of hypertension exercise on reducing blood pressure in the elderly in the work area of ​​the Bontonyeleng Health Center. The design of this study used a pre-experimental research design (One-group pre-post test design) obtained a sample of 30 people by using a sampling technique that is Nonprobability sampling with incidental sampling approach. The results of the normality test show that the data are not distributed so that they do not meet the paired T test and an alternative test is used is the Wilcoxon test. P value obtained is 0,000 (p <0.05) on systolic and diastolic blood pressure, so Ho is rejected and Ha is accepted. It can be concluded that there is an effect of hypertension gymnastics on the decrease in systolic and diastolic blood pressure in the elderly in the work area of ​​the Bontonyeleng Health Center. And it is advisable to have information about hypertension and further increase the frequency of exercise in the elderly at least 2-3 times a week to get better results.


2021 ◽  
Vol 8 (1) ◽  
pp. 40
Author(s):  
IGA Ari Rasdini ◽  
Ni Made Wedri ◽  
VM Endang SP Rahayu ◽  
IDP Putrayasa

Sekitar 90% usia dewasa dengan tekanan darah normal akan berkembang menjadi hipertensi pada usia lanjut.  Hipertensi pada usia lanjut mempunyai beberapa kekhususan, umumnya disertai dengan faktor resiko yang lebih berat. Masage punggung  bermanfaat melancarkan peredaran darah dan memberikan efek tenang sehingga tekanan darah menjadi stabil. Penelitian ini bertujuan untuk mengetahui pengaruh  terapi  masase punggung terhadap tekanan darah  pada lansia dengan hipertensi. Rancangan penelitian menggunakan quasy experiment dengan desain pretest-posttest control group design, jumlah sampel 20 orang tiap kelompok, dengan  tehnik random sampling. Hasil penelitian menunjukkan rata rata  kelompok perlakuan berusia 73 tahun dan kontrol berusia 75 tahun, jenis kelamin tiap kelompok 10 orang laki laki dan 10 orang perempuan. Pada kelompok perlakuan nilai systole pre-post (164-148.5 mmHg), diastole pre-post (85-80 mmHg).  Kelompok control rata rata nilai systole pre-post  (167,7 - 151.2 mmHg), diastole (87.5-77.5 mmHg). Uji Wilcoxon test didapatkan ada perbedaan yang signifikan tekanan darah pada kelompok perlakuan dengan p value systole adalah 0.000, p value diastole 0.025. Tidak ada perbedaan yang signifikan tekanan darah pada kelompok kontrol baik systole dengan p value 0.086 dan p value diastole 0.140. Ada pengaruh yang signifikan terapi komplementer massage punggung  terhadap tekanan darah systole dengan p value 0.000 dan  p value diastole adalah 0,028. Direkomendasikan terapi massage punggung sebagai terapi non farmakologi untuk menstabilkan tekanan darah guna mencegah komplikasi kardiovaskuler Kata Kunci : massage punggung; tekanan darah; hipertensi; lansia. THE INFLUENCE OF COMPLEMENTER THERAPY ON BLOOD PRESSURE IN ELDERLY WITH HYPERTENSION AT GIANYAR SUKAWATI II HEALTH CENTRE ABSTRACT  Approximately 90% of adults with normal blood pressure will develop hypertension in old age. Hypertension in the elderly has several characteristics, generally accompanied by more severe risk factors. Back massage is useful for blood circulation and provides a calming effect so that blood pressure becomes stable. This study was aimed to determine the effect of back massage therapy on blood pressure in the elderly with hypertension. The research design used a quasi-experimental design with a pretest-posttest control group design, the number of samples were 20 people per group, with random sampling technique. The results showed that the average age of the treatment group was 73 years old and the control group was 75 years old, the sexes of each group were 10 men and 10 women. In the treatment group the value of pre-post systole (164-148.5 mmHg), pre-post diastole (85-80 mmHg). The control group averaged pre-post systole values (167.7 - 151.2 mmHg), diastole (87.5-77.5 mmHg). The Wilcoxon test showed that there was a significant difference in blood pressure in the treatment group with p-value of systole being 0.000, p-value of diastolic 0.025. There is no significant difference in blood pressure in the control group, both systole with p value 0.086 and p value diastole 0.140. There is a significant effect of complementary back massage therapy on systolic blood pressure with a p value of 0.000 and a diastolic p value of 0.028. Back massage therapy is recommended as a non-pharmacological therapy to stabilize blood pressure to prevent cardiovascular complications Key Ward ; back massage; blood pressure; hypertension; elderly


2021 ◽  
Vol 14 (1) ◽  
pp. 27-34
Author(s):  
Nur Kholifah ◽  
Sutanta Sutanta

Background : Hypertensian can occur anyone, both men and women at any age. The elderly are at high risk of developing age-related degenerative diseases such as hypertension, one way to lower blood pressure in hypertensive sufferers using music therapy instrumental . The Aim :To Find out the effect of music therapy instrumental on blood pressure in elderly of hypertension at Panti Wredha Budhi Dharma Umbulharjo Yogyakarta. Methods :This research uses the pra ekperiment with One Group Pretest-Postest. The study population amounted to 52 elderly people , there are 30 samples elderly people by sampling methods using purposive sampling method. The research the method of data analysis uses Wilcoxon. Results : After performing music therapy instrumental showed blood pressure there are 28 people down (normal) and 2 fixed (high). The results ofthe Wilcoxon test, Z count value of -6.174 with p value 0,000 α = 0,05. Conclusion :There is a effect of music therapy instrumental on blood pressure in elderly of hypertension at Panti Wredha Budhi Dharma Umbulharjo Yogyakarta.


Author(s):  
O. O. Olonite ◽  
E. O. Oyetola ◽  
F. O. Oginni ◽  
A. A. Adewale ◽  
A. M. Oluwadaisi

Aim: To assess the level of awareness and perceptions of Creative Arts Therapy (CAT) among practicing Nigerian clinicians in Obafemi Awolowo University, Teaching Hospital Complex (OAUTHC) Ile-Ife with a view to determining their willingness to incorporate CAT as an adjunctive tool in their routine patient care. Methodology: A Cross-sectional study carried out at the general outpatient department, medical outpatient department, Surgical outpatient department and Dental Hospital units of OAUTHC between April 2018 and September 2019. One hundred participants were selected using simple random method from the pool of clinicians. Data were collected from the participants using self-administered structured questionnaire. Data were analyzed using STATA 14 statistical software. Results: A total of 100 clinicians participated, 46% male 54% female. Their average age was 23.9 2.1years. Seventy-one (71%) were medical practitioner while 29(29%) were dentist. Resident doctors made up 70% of respondents while 30% were consultants. As a necessary adjunctive tool, about one-third 31(31%) strongly agreed, 42(42%) agreed while only 1(1%) participant disagreed. Dance was chosen as the most relevant art to clinical practice by 36(36%) of respondents. Significant improvements by CAT on patients’ prognosis was strongly agreed with by 36(36%), 50(50%) agreed, 18(18%) were indifferent. The majority of respondents attributed lack of available institutions offering Creative Art Therapy courses a major hindrance to its clinical application. The majority 90(90%) of clinicians agreed to the possible incorporation of Creative Art Therapy into the Nigerian healthcare system. Nine participants (9%) strongly agree to prescribe art therapy if such services are readily available in Nigerian healthcare system, 62(62%) agree, 25(25%) were indifferent while 4(4%) disagreed. Conclusion: This study showed that a larger percentage of clinicians, claimed awareness of Art therapy being used as an adjunctive tool in patient care, and believes in its therapeutic benefits. Lack of facilities was identified as an obstacle to the use of art therapy in patient care.


2021 ◽  
Vol 8 (1) ◽  
pp. 18-23
Author(s):  
Eviyanti Eviyanti ◽  
Heny Noor Wijayanti ◽  
Sitti Khadijah

Most diseases in the elderly are non-communicable diseases such hypertension, arthritis,stroke,Chronic Obstructive Pulmonary Disease(COPD) and DM. Hypertension is the highest prevalence of disease undergone by the elderly. Efforts to reduce blood pressure in hypertension sufferers can be made non-pharmacologically. One of the non-pharmacological efforts is physical exercise (sports). The result of a preliminary study in 128 elderly people indicated that 67 had hypertension, and the elderly routinely did elderly gym five times a week. Objective: To reveal the effects of elderly gym on reducing blood pressure in the elderly at BPSTW Yogyakarta of Abiyoso unit.This research employed preexperimental quantitative research using One Group Pretest-Post Design. The research subjects were elderly with hypertension who lived at BPSTW of Sleman Regency,Yogyakarta. Samples were taken using purposive sampling. Data were analyzed using dependent t-test and Wilcoxon.The results of systolic blood pressure analysis before and after the elderly gym using paired t-test indicated p-value of 0.000 which was less than 0.05(p<0.05) and diastolic blood pressure using Wilcoxon test indicated p-value of 0.039 which was less than 0.05(p<0.05), so that Ho was rejected. There is an effect of elderly gym on reducing systolic and diastolic blood pressure in elderly with hypertension at BPSTW Yogyakarta of Abiyoso unit.


2018 ◽  
pp. 115-119
Author(s):  
Kartika Dian Listyaningsih ◽  
Hutari Puji Astuti ◽  
Ika Budi Wijayanti

ABSTRAK Jagung merupakan bahan makanan yang mempunyai kandungan gizi terdiri dari karbohidrat dan lemak. Karbohidrat jagung terdiri dari pati, gula, serat kasar dan pentosan.  Pati jagung terdiri dari amilosa dan amilopektin, sedangkan gulanya berupa sukrosa. Lemak jagung sebagian besar terdapat pada bagian lembaganya. Jumlah kandungan protein dan lemak jagung ini bervariasi tergantung dari umur dan varietasnya. Kandungan lemak dan protein jagung muda lebih rendah dibandingkan dengan jagung tua. Di Thailand, jagung manis banyak diolah menjadi corn milk (susu jagung) karena susu jagung menyegarkan dan menyehatkan tubuh karena tidak mengandung kolesterol. Kolesterol merupakan salah satu manifestasi dari masalah gizi lebih. Kadar kolesterol tinggi merupakan salah satu problema yang sangat serius karena merupakan salah satu factor yang paling utama untuk terjadinya penyakit jantung pada seseorng ,masalah lainnya ialah pada seseorang yang bertekanan darah tinggi dan perokok. Macam-macam masalah kesehatan tersebut yang sering menimpa lansia. Bukti-bukti yang ada menunjukkan bahwa latihan dan olah raga pada usia lanjut dapat mencegah atau melambatkan kehilangan fungsional. Tujuan penelitian adalah mengetahui pengaruh konsumsi susu jagung dan senam lansia terhadap tekanan darah dan kadar kolesterol pada lansia. Penelitian ini menggunakan metode quasy experiment (eksperimen semu) dengan rancangan one group pretest-postest design. Dilakukan Posyandu Lansia RW 06   Kelurahan Gonilan Kecamatan Kartasura Kabupaten Sukoharjo. Waktu penelitian dilakukan mulai bulan Juli sampai dengan Agustus 2017. Subyek penelitian yaitu Lansia berjumlah 34 orang. Hasil yang didapatkan dari 34 sampel adalah bahwa p-value uji wilcoxon tersebut lebih kecil α (0,05) sehingga dapat disimpulkan bahwa terdapat perubahan pengaruh pemberian susu jagung dan pelaksanaan senam lansia sebelum (pre test) dan setelah (post test).   Kata kunci : susu jagung, senamlansia, tekanan darah, kolesterol       ABSTRACT Corn is the foodstuffs which have nutrient content consists of carbohydrates and fats. Corn starch is composed of carbohydrates, sugar, coarse fibers and pentosan. Corn starch  consists of amylopectin and amylose ,while the sugar in the form of sucrose. Fat  corn mostly contained on the part of the institution. The amount of protein and fat in corn varies depending on the age and varietasnya. Fat and proteincontent of young corn is lower compared to the old corn. In Thailand, many sweet corn processed into corn (the corn milk) milk because milk corn refreshing and invigorating the body because it contains no cholesterol. Cholesterol is one manifestation of a more nutritional problems high cholesterol levels is one of the very serious problems because it is one of the most important factors for the onset of heart disease in seseorng, other problems is someone that high blood pressure and smokers (Anwar Bahri, 2003). All kinds of health problems that often afflicts the elderly. The existing evidence suggests that exercise and sports on the elderly can prevent or delay the loss of functional.The purpose of the study is to know the influence of maize and milk consumption gymnastics elderly against blood pressure and cholesterol levels in the elderly. This research method using quasy experiment (experiment of the artificial) with one group pretest-postest design. Do Elderly Posyandu RW 06 Kelurahan Gonilan Kartasura Subdistrict Sukoharjo Regency. Time research was done starting in July up to August 2017. The subject of research, namely the elderly amounted to 34 people.The results obtained from 34 sample is that the p-value smaller the wilcoxon test α(0.05) so that it can be concluded that there is a change of the influence the granting of maize and milk the implementation elderly gymnastics before (pre test) and after (post test).   Keywords: Corn, elderly gymnastics, blood pressure, cholesterol


Author(s):  
Tiara Dewi Salindri Pratama ◽  
Nanang Munif Yasin ◽  
Susi Ari Kristina

Medication therapy management (MTM), is a service model aimed at helping general health problems by preventing morbidity and mortality. Hypertension is a non-communicable disease which is a serious health problem which requires long-term therapy.  This study aims to see the effect of MTM on clinical Outcomes and quality of life of patients in hypertensive patients. This type of research is a quasi experimental one group with a pretest-posttest design. Analysis using paired sample t-test and Wilcoxon test with a significance used P <0,05. Respondents were 70 people, 67,1% were women. The characteristics of the majority age are 55-64 years with a percentage of 51,4%, the majority of education level is high school with 42,8%, non-civil servant jobs with a percentage of 45,7%, the length of diagnosis is dominated by 1-10 years (77,1%) and comorbidities diabetes mellitus occurred the most (10,0%). The results showed that the quality of life increased from before getting MTM 54,4 ± 8,9 and after MTM intervention 60,4 ± 6,6 (P value <0,001). Clinical outcome from systolic 159,2 ± 8,9 mmHg and diastolic 103,8 ± 8,0 mmHg before MTM to 144,1 ± 14,4 mmHg for systolic and 89,7 ± 8,8 mmHg for diastolic with p value <0,001 (p <0,05) for systolic blood pressure and p value: 0,016 (p <0,05) after receiving MTM intervention. Medication Therapy Management (MTM) has a significant influence on improving the quality of life and clinical Outcomes of hypertensive patients. The higher the quality of life of patients, blood pressure becomes more controlled.


2017 ◽  
Vol 1 (2) ◽  
pp. 52-57
Author(s):  
Ria Muji Rahayu

Tomato (Lycopersicum commune) contains potassium and lycopene which has the effect blood pressure. The study aims to understand the effect of tomato juice in menopause women with hypertension. This was a pre experimental research. The population was menopausal women and hypertension case amount 11 persons, using total sampling. The research instrument was observational paper dan sphigmanometer. The research result was analyzed by normality test of Shapiro-Wilk test. Statistical test with Wilcoxon test. The research result shown there is no difference mean value between blood pressure before and after treated by tomato juice. They are 6,00 mmHg (systole) and 1,82 mmHg (diastole). Data analyzed by It is 0,05. obtains p value systole 0,072 and diastole 0,334 where p value < α, this H0 is accepted and H1 is rejected. The analysis result shown there is no difference between blood pressure before and after treated by tomato juice at Posyandu Kantil sub-district of Mojoroto, Kediri. Based on the research result revealed there are still many shortcomings that research do so very influential on the final result, and is expected to be study in the future.


Author(s):  
Riska Putri Meiyana ◽  
Cornelia Dede Yoshima Nekada ◽  
Adi Sucipto

Abstrak Terapi komplementer merupakan salah satu alternatif untuk mengatasi masalah kesehatan. Hidroterapi dan relaksasi Benson merupakan terapi komplementer yang efektif terhadap tekanan darah dan nadi, namun masih jarang masyarakat yang memanfaatkannya. Diketahui ada pengaruh kombinasi hidroterapi dan relaksasi Benson (disebut hidroson) terhadap tekanan darah dan nadi. Metode penelitian pra-eksperimen, pre- and post- design dengan teknik purposive sampel pada 32 responden usia 26-65 tahun. Penelitian dilakukan dari tanggal 1-18 Maret 2019 di RT 19 dan 20, Sungapan V Desa Wahyuharjo, Kecamatan Lendah, Kabupaten Kulon Progo dengan tiap responden diberikan intervensi selama 3 hari berturut-turut. Instrumen yang digunakan adalah sphygmomanometer digital untuk mengukur tekanan darah dan nadi 5 menit sebelum dan sesudah pemberian terapi. Tekanan darah dianalisis dengan wilcoxon test dan paired t-test untuk nadi. Hasil analisis menunjukkan tekanan darah sistolik sebelum terapi sebesar 118,25 mmHg dan setelah terapi sebesar 111,00 mmHg, sehingga disimpulkan terjadi penurunan sebesar 7,25 mmHg dengan ρ Value 0,0001. Tekanan darah diastolik sebelum terapi sebesar 81,25 mmHg dan setelah terapi sebesar 78,75 mmHg, sehingga disimpulkan terjadi penurunan sebesar 2,50 mmHg dengan ρ value 0,002. Nadi sebelum terapi sebesar 82,30 x/menit dan setelah terapi sebesar 80,64 x/menit, sehingga disimpulkan terjadi penurunan sebesar 1,66 x/menit dengan ρ value 0,003. Ada pengaruh yang signifikan terhadap pemberian kombinasi hidroterapi dan relaksasi Benson (hidroson) terhadap penurunan tekanan darah dan nadi di RT 19 dan 20, Sungapan V. Kata kunci: hidroterapi, Relaksasi Benson, tekanan darah, nadi Abstract Complementary therapy is one alternative to solving health problems. Hydrotherapy and Benson's relaxation are effective complementary therapies for blood pressure and pulse, but still few patients utilize it. There is a known effect of hydrotherapy and Benson relaxation combination (called hydrosol) on blood pressure and pulse. The study method was pre-experimental with pre and post design with a purposive sampling technique on 32 respondents aged 26-65 years. The study was conducted from 1-18 March 2019 in neighborhood 19 and 20, Sungapan V, Wahyuharjo Village, Lendah District, Kulon Progo. Regency Each respondent was given intervention with hydrosol therapy for 3 consecutive days. The instrument used was a digital sphygmomanometer to measure blood pressure and pulse 5 minutes before and after the administration of therapy. Blood pressure was analyzed by the Wilcoxon test while pulsing by paired t-test. The analysis showed that systolic blood pressure before therapy was 118.25 mmHg and after therapy became 111,00 mmHg, so there was a decrease of 7,25 mmHg with a p-value of 0,0001. The diastolic blood pressure before treatment was 81,25 mmHg and after therapy became 78,75 mmHg, so there was a decrease of 2,50 mmHg with a p-value of 0,002 mm. The pulse before therapy was 82,30 x / min and after therapy became 80,64 x / min, so there was a decrease of 1,66 x / min with ρ-value 0,003. There is a significant effect of giving a combination of hydrotherapy and Benson relaxation (hydrosol) on reducing blood pressure and pulse among 32 subjects in neighborhood 19 and 20, Sungapan V. Keywords: hydrotherapy, Benson Relaxation, blood pressure, pulse


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