THE EFFECTIVENESS OF DEEP BREATHING AND SLOW STROKE BACK MASSAGE TO DECREASE THE BLOOD PRESSURE ON A PATIENT WITH HYPERTENSION

Author(s):  
Maria Anita Yusiana ◽  
Heru Suwardianto

Introduction: Many patients with hypertension have not got the proper treatment in controlling blood pressure (BP). The purpose of this study was to analyze the effectiveness of deep breathing (DB) and slow-stroke back massage (SSBM) in BP reduction to patients with hypertension. Method: The design was a True Experiment the Solomon Three-Group Design. Sampling technique was group randomized plan as many as 60 people. The treatment given was BP and SSBM. Blood pressure data retrieval used mercury spigmomanometer. Results: The results were ρ of BP values (systolic) was 0,000, while the value of ρ (diastolic) was 0,000. The value ρ of SSBM (systolic) was 0.000 while the value of ρ (diastolic) was 0.001. The statistical results of the effectiveness BP systolic reduction was the significant difference in both interventions with a control group with ρ = 0.000 and the most effective was the DB compare to SSBM with ρ = 0.05 (4.0 mmHg). While there are differences in BP diastolic reduction significantly in both interventions with the control group with ρ = 0.000 and the most effective was DB than SSBM with ρ = 0.01 (6.6 mmHg). Discussion: It can be concluded DB and SSBM are effective to lower BP (systolic mean difference of 9.3 mm Hg of DB and SSBM 5.3 mmHg, while diastolic mean DB 11.2 mmHg and SSBM. Keywords: deep breathing, slow stroke back massage, blood pressure, hypertension

2019 ◽  
Vol 1 (1) ◽  
pp. 106-118
Author(s):  
Ramadhan Trybahari ◽  
Busjra Busjra ◽  
Rohman Azzam

This study aims to determine the effect of combination therapy Back massage and Slow Deep Breathing on changes in blood pressure in hypertensive patients. Quantitative study Non equivalent control group pretest - posttest design involves 44 respondents into 2 groups, namely 22 respondents in the intervention group combined BM and SDB and 22 respondents in the SDB group. The results showed a significant difference in blood pressure between the combination group of BM and SDB with the SDB group (p = 0.000; α = 0.05) against systolic and diastolic blood pressure on the fifth day. The conclusion of this study is a combination of BM and SDB is an effective therapy for changes in blood pressure. This study recommends that further research be carried out with a larger number of respondents, longer training time and more complex patient conditions such as hypertension patients with complications  Keywords: Hypertension; Back Massage; Slow Deep Breathing


Author(s):  
Ni Komang Ayu Juni Antari ◽  
Alex Pangkahila ◽  
Muh. Ali Imron ◽  
I Putu Adiartha Griadhi ◽  
Luh Made Indah Sri Handari Adiputra ◽  
...  

ABTSRACT Introduction: Physical exercise as anticipate of hypertension along with nutrition and medicines. One of physical exercise that can be applicated here is relaxation techniques which is showed positive impact in decreased blood pressure. Objective: Determine the difference between PMR intervention with SSBM intervention to reduce blood pressure for grade I hypertension patients whose consumed anti-hypertension medicine in badung regency. Methods: Experimental method Pre and post-test control group design and used 24 subjects, divided in to 2 groups, in which the experimental group I (n=12) received progressive muscle relaxation (PMR) while the treatment group 2 (n=12) received slow stroke back massage (SSBM). Intervention is given 3 times a week for 4 weeks. This study was using simple random sampling. Blood pressure was measured by sphygmomanometer and stethoscope. Result: Independent Sample T-test showed there was significant difference between Group 1 and Group 2 which (p<0.05) for systolic and diastolic blood pressure. Conclusion: Progressive muscle relaxation intervention decrease blood pressure more than slow stroke back massage intervention in patients grade I hypertension whose consumed anti-hypertension medicine in Badung Regency.Keywords: progressive muscle relaxation, slow stroke back massage, grade I hypertension, blood pressure


2019 ◽  
pp. 1-12
Author(s):  
Rahmadhani Pratama ◽  
Wartono Wartono ◽  
Sentot Kusairi

This research aims at identifying conceptual understanding and Physics scientific processing skill of students in IDEAL learning strategy with formative feedback and IDEAL learning only without formative feedback. It employed semi-experimental design using posttest only control group design. The sampling technique used random sampling. This research took two classes of XI graders of Natural Science classes from SMAN 2 Banjarmasin. The control class was taught by using IDEAL strategy only without formative feedback. While the experimental class was taught by using IDEAL strategy with formative feedback. There is a significant difference of conceptual understanding and Physics scientific processing skill of students between IDEAL strategy with formative feedback and IDEAL strategy without formative feedback. It further affirms that students’ conceptual understanding in the class taught by IDEAL strategy with formative feedback is higher than the other. As well, students’ scientific processing skill in the class taught by IDEAL strategy with formative feedback is higher than the other.


2009 ◽  
Vol 6 (4) ◽  
pp. 59-63
Author(s):  
Il'ya Mikhaylovich Davidovich ◽  
Oleg Vladimirovich Afonaskov ◽  
Yuliya Konstantinovna Staroverova

Aim: to evaluate memory, attention and thinking functions indices in young hired military officers depending on their 24-hours blood pressure profiles. Materials and methods. The study was made in 49 patients with stage 1-2 arterial hypertension, aged 39,3±0,8, who did not take hypotensive medicines or took them occasionally. 24-hours blood pressure monitoring was performed with assessment of cognitive functions (memory, attention) depending on the stage, degree and duration of the disease. The control group included 12 men with no signs of arterial hypertension. Results. Comparing with the controls the memory, attention and thinking indices in hypertonic patients were found to be lower .even in those who had the first degree of hypertension and duration of the disease less than 5 years. The hypertonic patients showed lowering of attention and semantic memory scopes irrespective of duration of the disease. There was a negative correlation between monitored blood pressure data and memory, attention and thinking indices. Conclusions. Light cognitive dysfunctions can be found in young hired military officers with initial arterial hypertension but they are more typical for stage 2 of the disease


2020 ◽  
Vol 12 (01) ◽  
pp. 103
Author(s):  
Anisa Sevi Oktaviani

ABSTRAKLatar  Belakang  Masalah. Kegagalan involusi uterus untuk kembali pada keadaan tidak hamil akan menyebabkan sub involusi yang menyebabkan perdarahan masa postpartum. Angka Kematian Ibu karena perdarahan post partum mempunyai peringkat tertinggi dimana salah satu penyebab perdarahannya adalah subinvolusi uteri. Swedish Massage Therapy (SMT) mempertahankan kesehatan dan menambah baiknya fungsi tubuh, merangsang pengeluaran hormone endorphin yang melancarkan reflek let down untuk mengeluarkan hormon oksitosin. Tujuan penelitian untuk mengetahui pengaruh Swedish Massage Therapy (SMT) pada ibu pospartum sebagai upaya penatalaksanaan involusi uteri di wilayah Cilacap Kota. Metode: Studi eksperimental dengan Posttest Only Control Group Design. Alat yang digunakan dalam penelitian berupa metline. Diberikan perlakuan SMT pada kelompok intervensi dan tidak diberi perlakuan SMT pada kelompok kontrol, kemudian dilakukan pengukuran tinggi fundus uteri hari ke-3 dan hari ke-5. Pengambilan sampel menggunakan teknik incidental sampling sebesar 30 responden. Data dianalisis dengan uji Mann Whitney melalui program SPSS 20. Hasil penelitian. Terdapat perbedaan yang signifikan penurunan tinggi fundus uteri antara kedua kelompok pada hari ke-3 (p=0,31) dan hari ke 5 (p=0,33). Dari hasil penelitian dapat disimpulkan bahwa Swedish Massage Therapy (SMT) berpengaruh pada ibu postpartum sebagai upaya percepatan involusi uteri di wilayah Cilacap Kota. Kata Kunci: SMT, Involusi, Pospartum  SWEDISH MASSAGE THERAPY ATTEMPTS TO ACCELERATE INVOLUTION OF UTERI IN THE POSPARTUM MOTHER REGION IN CILACAP CITYABSTRACTBackground problem. Failure of the involution of the uterus to return to the Unexpectant state will cause a sub involution that causes the bleeding of postpartum period. The maternal mortality rate of post-partum hemorrhage has the highest ranking in which one of the causes of the land is the uterine atony or the involution of utero. Swedish Massage Therapy (SMT) maintains health and augments body function, stimulating the production of endorphin hormone that launches a quick reflec let down to secrete oxytocin hormones. The research aims to determine the effect of the Swedish Massage Therapy (SMT) on the Pospartum mother as an effort to manage utero involution in Cilacap Kota. Methods: Experimental studies with Posttest Only Control Group Design. The tools used in the study of the Metline. Administered SMT treatment in the intervention group and was not given SMT treatment in the control group, then carried out the high measurement of Fundus utero Day 3 and day-5. Sampling using the incidental sampling technique of 30 respondents. The Data is analyzed by Mann Whitney test statistic through the SPSS 20 program. Research results. There is a significant difference in the high decline of utero fundus between the two groups on day 3 (P = 0.31) and day 5 (P = 0.33). From the results of the study can be concluded that the Swedish Massage Therapy (SMT) has an effect on the mother postpartum as an attempt to accelerate utero involution in the area of Cilacap Kota. Keywords: SMT, Involusi, Pospartum


2019 ◽  
Vol 7 (2) ◽  
pp. 164
Author(s):  
Ni Luh Suantari . ◽  
Dr. Putu Aditya Antara, S.Pd., M.Pd. . ◽  
Putu Rahayu Ujianti, S.Psi., M.Psi., Psi .

Abstrak Penelitian ini bertujuan untuk mengetahui perbedaan yang signifikan kemampuan kosakata bahasa Inggris, antara anak yang diberikan pembelajaran menggunakan metode total physical response (TPR) dengan anak yang diberikan pembelajaran menggunakan metode expositori pada anak kelompok B TK Gugus IV Kecamatan Buleleng. Tahun Pelajaran 2018/2019. Jenis penelitian ini adalah penelitian eksperimen semu dengan desain non equivalen control group design. Populasi dari penelitian ini adalah seluruh anak kelompok B TK Gugus IV Kecamatan Buleleng, yang berjumlah 220 orang. Teknik pengambilan sampel yaitu dengan teknik cluster sampling. Sampel dalam penelitian ini adalah anak kelompok B TK Santo Rafael yang berjumlah 18 anak sebagai kelompok eksperimen serta anak kelompok B1 TK Ganesa yang berjumlah 19 anak sebagai kelompok kontrol. Data hasil kosakata Bahasa Inggris anak dikumpulkan dengan teknik observasi menggunakan lembar observasi. Data yang diperoleh dianalisis menggunakan analisis statistik deskriptif dan analisis statistik inferensial dengan uji-t. Berdasarkan hasil analisis data diperoleh hasil uji-t yaitu thitung = 31,874 dan ttabel dengan taraf signifikan 5% pada derajat kebebasan (db) 35 adalah 2,030. Hasil uji-t menunjukkan bahwa thitung>ttabel, maka H0 ditolak dan HA diterima. Dengan demikian dapat diketahui bahwa, terdapat perbedaan yang signifikan kemampuan kosakata Bahasa Inggris antara anak yang diberikan pembelajaran dengan metode total physical response dengan anak yang diberikan metode expository.Kata Kunci : anak kelompok B, total physical response, kosakata. Abstract The aim of this study is to know the significant difference of English vocabulary capability, between children who are given learning using total physical response method with children who are given learning using expository method in children group B of TK Group IV Buleleng District, Academic Year 2018 / 2019. This research type is quasi-experiment research with non-equivalent control group design. The population of this research is all the children of group TK Group IV Buleleng District. The total amount of population of this research is 220 people. The sampling technique is using cluster sampling technique. The sample in this research is the children of group B TK Santo Rafael which consists of 18 children as experiment group and children of group B1 TK Ganesa which consists of 19 children as control group. The data of children's English vocabulary is collected by observation technique using observation sheet. The data obtained is analyzed using descriptive statistical analysis and inferential statistical analysis with T-test. Based on the result of data analysis, the result of t-test is thitung 3,875 and ttabel with significant level 5% at degrees of freedom (db) 35 is 2,030. The result of t-test shows that thitung> ttabel, then H0 is rejected and HA is accepted. Thus, it can be seen that, there is a significant difference in the ability of English vocabulary between children who are given learning with total physical method with children who are given expository method.keyword : children of B group, total physical response, vocabulary.


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


2020 ◽  
Vol 6 (1) ◽  
pp. 14-17
Author(s):  
Siti Hadrayanti Ananda ◽  
Narmawan Narmawan

Background: Hypertension remains a big challenge for people in Indonesia, especially in adults. Therefore, an effort to reduce high blood pressure is needed. Nigella sativa or known as habbatussauda is one of herbs that is assumed to be able to reduce high blood pressure.Objective: This study aims to determine the effect of nigella sativa oil on blood pressure in hypertensive adults.Method: A quasi-experimental research design with pretest-posttest with control group design. A total of 60 respondents were selected using simple random sampling technique, which 30 were randomly assigned in an intervention and a control group. Nigella sativa oil was given every day for three months. Data were analyzed using descriptive statistics and ANOVA.Results: There was a significant effect of nigella sativa oil on changes in systolic and diastolic blood pressure (p0.001).Conclusion: Nigella sativa oil is significantly reducing blood pressure among adults with hypertension. Therefore, nigella sativa oil can be used as an alternative therapy for hypertension.


2018 ◽  
Vol 10 (2) ◽  
Author(s):  
Nur Muji Astuti ◽  
I Ketut Sudiana ◽  
Joni Haryanto

Hypertension intradialytic can affect the quality of life and quality of life can affect hypertension too. An area of concern to nurses is related to non-pharmacological treatment to prevent the occurrence of intradialitic hypertension and improved quality of life. One of them is with stretching exercise and yoga breathing. This research used quasi experimental pre post control group design design, sample size was 28 ESRD clients intradialysis in Dr. Rumkital. Ramelan Surabaya. Sampling technique used purposive sampling. Variables in this study were stretching exercise, yoga breathing, stretching exercise modification and yoga breathing, systolic blood pressure, diastolic blood pressure, and quality of life. Data collection using mercury sygmomanometer, and KDQOL SF 1.3 questionnaire. Data were analyzed using paired t test and multiple linear regression. The results of this study showed that the most effective intervention for lowering blood pressure 27,143 mmHg is a combination of stretching exercise and respiratory yoga, whereas the most effective yoga breathing improves the quality of life 5,143. ESRD clients intradialysis are expected to remain active in applying stretching exercises and breathing yoga during hemodialysis, and for nurses is expected to increase client motivation as well as arrange a daily program and actively involved in applying stretching exercise and yoga breathing. Key Word: Stretching Exercise, Yoga Breathing, Blood pressure, Quality Of Life


2021 ◽  
Vol 9 (T4) ◽  
pp. 296-299
Author(s):  
Harmilah Harmilah ◽  
Bondan Palestin ◽  
Ana Ratnawati ◽  
Agus Sarwo Prayogi ◽  
Catur Budi Susilo

BACKGROUND: Hypertension is a symptom of a cardiovascular degenerative disease that is mostly experienced by the elderly and cause is not certain. However, the reduction of blood pressure with drugs and non drugs can reduce damage to target organs and prevent cardiovascular diseases. AIM: Identified the effect of hypertension exercise videos of lowering blood pressure. METHODS:  The type of research that has been used is quasi experimental with Pretest and Posttest design with control group. The sampling technique used was random sampling, the number of samples was 30 samples which were the treatment group and 30 samples were control the control group. The data analysis used  was the T test and Wilcoxon and Mann Whitney test. RESULTS:  The mean reduction in systolic blood  pressure in respondents who did exercise  was 13.67 mm Hg with a standard deviation of 10.57, while the mean  in systolic  blood  pressure in respondents who did not exercise was 0.50 mmHg  a pressure were 40.95 in the group of respondents who did hypertension exercise with p value =0.000.This mean that there is significant difference, in the mean reduction in systolic and diastolic blood pressure between respondents those who do exercise. CONCLUSION. Hypertension exercise video reduce blood pressure of hypertension patients.


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