Control of Elderly Hypertension with Merona Program

Hypertension is a silent killer is the most common health problem experienced by the elderly. Control of hypertension in the elderly is very necessary to reduce complications of hypertension. Based on these conditions, the MERONA Program was developed. The purpose is to provide an overview of the implementation of the blush program in the elderly with hypertension. The method used is a family case study and an aggregate using a family and community nursing process approach involving 10 foster families and 60 elderly people in the community selected using cluster random sampling. This program is an integration of hypertension self-management and relaxation therapy, namely music therapy, progressive muscle relaxation, and deep breathing relaxation which is carried out for 12 weeks. Evaluation of changes in behavior and family independence was carried out at the end of the 12th week using a questionnaire. Blood pressure measurements were carried out at weeks 4, 8, and 12. The results of the implementation were an increase in the behavior of the elderly, an increase in the level of family independence, and a significant decrease in systolic and diastolic blood pressure (p<0.05). The MERONA program is recommended to be applied in community health services.

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Penerapan Terapi Relaksasi Otot Progresif Untuk Menurunkan Tekanan Darah Pada Lansia Yang Mengalami Hipertensi

Prosiding Seminar Nasional Kesehatan ◽

10.48144/prosiding.v1i.898 ◽

2021 ◽

Vol 1 ◽

pp. 1572-1577

Author(s):

Jessica Putri Arifiani ◽

Dwi Fijianto

Keyword(s):

Blood Pressure ◽

Muscle Relaxation ◽

Blood Pressure Reduction ◽

The Elderly ◽

Progressive Muscle Relaxation ◽

Lower Blood Pressure ◽

Relaxation Therapy ◽

Measuring Device ◽

Lower Blood

AbstractHypertension in the elderly is the elderly who experience an increase in blood pressure above normal with a normal range of 120/80 mmHg on blood pressure examinion using a blood pressure measuring device. One of the actions to lower blood pressure is the progressive musle relaxation technique. The purpose of this scientific paper is to apply progressive muscle in Proto Tambahrejo village, Bandar sub district,Batang district. Case study method by applying muscle relaxation therapy progressive blood pressure reduction in the elderly with hypertension in Proto Tambahrejo Village Bandar Distract Batang Regency. The data Collection.The results of the application showed that during the 6-day visit, two elderly people were able to lower blood pressure, on the first day the client was 170/100 mmHg and the sixth day it was 130/90 mmHg, while on the second day the client was 160/100 mmHg and the sixth day 120/90 mmHgm Conclusion This case study shows that progressive muscle relaxation therapy is effective in the elderly with hypertension. Suggestions from the authors are expected that progressive muscle relaxation therapy can be used as an effective application in the elderly who have hypertension.Keywords: Hypertension, Progressive muscle relaxation, the elderly. AbstrakHipertensi pada lansia adalah lansia yang mengalami peningkatan tekanan darah diatas normal yaitu dengan rentang normal 120/80 mmHg pada pemeriksaan tensi darah menggunakan alat pengukur tekanan darah.Tindakan untuk menurunkan tekanan darah salah satunya adalah dengan teknik relaksasi otot progersif. Tujuan Karya Tulis Ilmiah ini adalah mengaplikasikan tindakan teknik relaksasi otot progresif untuk menurunkan tekanan darah pada lansia yang mengalami hipertensi. Metode studi kasus dengan menerapkan terapi relaksasi otot progresif untuk menurunkan tekanan darah pada lansia yang mengalami hipertensi. Subyek studi kasus yang digunakan adalah dua lansia yang mengalami hipertensi. Metode pengumpulan data yang digunakan berupa wawancara dan observasi. Hasil penerapan menunjukkan selama 6 hari kunjungan dua lansia mampu menurunkan nyeri tekanan darah, pada klien I hari pertama skala nyeri 7 tekanan darah 170/100 mmHg dan hari keenam menjadi skala nyeri 1 tekanan darah 130/90 mmHg, Sedangkan pada klien II hari pertama skala nyeri 5 tekanan darah 160/100 mmHg dan hari keenam menjadi skala nyeri 1 tekanan darah 120/90 mmHg. Kesimpulan dari studi kasus ini menunjukkan terapi relaksasi otot progresif efektif digunakan untuk menurunkan tekanan darah pada lansia yang mengalami hipertensi. Kata kunci: Hipertensi, relaksasi otot progresif, lansia

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Penerapan Relaksasi Otot Progresif Terhadap Penurunan Tekanan Darah Pada Pasien Hipertensi

Prosiding Seminar Nasional Kesehatan ◽

10.48144/prosiding.v1i.755 ◽

2021 ◽

Vol 1 ◽

pp. 799-805

Author(s):

Ella Listiana ◽

Firman Faradisi

Keyword(s):

Blood Pressure ◽

Communicable Disease ◽

Muscle Relaxation ◽

Pain Scale ◽

Progressive Muscle Relaxation ◽

Relaxation Therapy ◽

Pharmacological Treatments ◽

Hypertensive Patients ◽

Non Communicable Disease

AbstractHypertension is a non-communicable disease and is the most consistent risk factor for stroke.Most people with hypertension do not know that they suffer from hypertension so they do not get good treatment. Handling hypertension can be done pharmacological and non-pharmacological.One of the non-pharmacological treatments to reduce high blood pressure is progressive muscle relaxation therapy. The subjects in this case study were two patients who had high blood pressure.This study aims to apply progressive muscle relaxation therapy and its effect on reducing blood pressure in hypertensive patients.The research design is a case study on 2 hypertensive patients. The intervention is by applying progressive muscle relaxation for 3 consecutive days with one relaxation time of 15-30 minutes.The results show that Progressive Muscle Relaxation Therapy can decreases in blood pressure and pain scale in both patients.Accordance with this, nurses are suggested to apply Progressive Muscle Relaxation as a non-pharmacologic intervention to decrease blood pressure in hypertensive patients.Keywords: Hypertension; pain; progressive muscle relaxation AbstrakHipertensi merupakan salah satu penyakit yang tidak menular dan merupakan faktor resiko yang paling konsisten pemicu stroke.Sebagian besar penderita Hipertensi tidak mengetahui bahwa dirinya menderita Hipertensi sehingga tidak mendapatkan penanganan dengan baik. Penanganan hipertensi ini dapat dilakukan secara farmakologi maupun non farmakologi.Salah satu penanganan nonfarmakologi untuk menurunkan tekanan darah tinggi adalah terapi relaaksasi otot progresif.Subyek dalam studi kasus ini adalah dua pasien yang mengalami tekanan darah tinggi. Penelitian ini bertujuan untuk mengaplikasikan terapi relaksasi otot progresif dan pengaruhnya terhadap penurunan tekanan darah pada pasien hipertensi. Desain penelitian berupa studi kasus pada 2 pasien hipertensi.Intervensi dengan ngaplikasikan relaksasi otot progresif selama 3 hari berturut-turut dengan sekali relaksasi 15-30 menit. Hasil yang didapatkan pada pasien I maupun II mengalami penurunan tekanan darah dan skala nyeri. Kesimpulan dari studi kasus ini bahwa relaksasi otot progresif dapat menurunkan tekanan darah dan skala nyeri pada kedua pasien. Saran bagi perawat diharapkan dapat menerapkan relaksasi otot progresif sebagai tindakan nonfarmakoogi untuk menurunkan tekanan darah pada pasien hipertensi.Kata kunci: Hipertensi; nyeri; relaksasi otot progresif

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Pemeriksaan Tekanan Darah Dan Konseling Tentang Hipertensi dan Komplikasinya Pada Lansia Di Desa Kromasan Kabupaten Tulungagung

JANITA : JURNAL PENGABDIAN KEPADA MASYARAKAT ◽

10.36563/pengabdian.v1i1.283 ◽

2021 ◽

Vol 1 (1) ◽

pp. 31-36

Author(s):

Siti Suciati ◽

Ernik Rustiana

Keyword(s):

Blood Pressure ◽

Elderly People ◽

Community Service ◽

Muscle Relaxation ◽

The Elderly ◽

Progressive Muscle Relaxation ◽

Relaxation Techniques ◽

Healthy Life ◽

The World ◽

And Behavior

Abstract The main problem in various countries related to health is heart disease and blood vessels. Hypnosis is one of the first triggers in the world annually. The number of people with hypertension continues to increase every year. It is estimated that in 2025 there will be 1.5 billion people who suffer from hypertension, and it is predicted that 10.44 million people die annually due to hypertension and its complications. Management of hypertension can be done from the knowledge of the elderly about hypertension and hypertension diet regulation. Activities that have been carried out include providing health education related to hypertension, blood pressure checks, being taught progressive muscle relaxation techniques, and being given an understanding of making cucumber juice and starfruit to control hypertension. The purpose of this activity is expected to be an increase in awareness, knowledge, and behavior of the elderly in a healthy life regarding hypertension so that the elderly realizes the importance of maintaining blood pressure experienced at this time. Community service activities in Kromasan Village, NgunutTulungagungSubdistrict were carried out in September 2019. Of the 110 elderly people present, 41 elderly people were found with blood pressure above normal (140-90 mmHg). It can be said that the prevalence of hypertension is only 37.3%, because other elderly people have been controlled by using anti-hypertensive drugs given from the Ngunut Health Center. Abstrak Masalah utama di berbagai negara yang berkaitan dengan kesehatan adalah penyakit jantung dan pembuluh darah. Hipetensi merupakan salah satu pemicu pertama di dunia per tahunya. Angka penderita hipertensi terus mengalami peningkatan setiap tahunya. Diperkirakan pada tahun 2025 akan ada 1,5 Miliar orang yang menderita hipertensi, dan diprediksi per tahunnya 10,44 juta orang meninggal yang disebabkan karena hipertensi dan komplikasinya. Manajemen hipertensi dapat dilakukan dari pengetahuan lansia mengenai hipertensi serta pengaturan diet hipertensi. Kegiatan yang telah dilakukan yaitu memberikan pendidikan kesehatan terkait penyakit hipertensi, pemeriksaan tekanan darah, tehnik relaksasi otot progresif, dan diberi pemahaman tentang pembuatan jus timun dan belimbing untuk mengontrol hipertensi. Tujuan dari kegiatan ini diharapakan ada peningkatan kesadaran, pengetahuan, maupun perilaku lansia sehingga menyadari pentingnya menjaga tekanan darah yang dialami saat ini. Kegiatan dilaksanakan pada bulan September 2019. Dari110 lansia yang hadir, ditemukan 41orang lansia dengan tekanan darah diatas normal (140 90mmHg). Hal ini dapat dikatakan prevalensi yang memiliki hipertensi hanya 37,3%, dikarenakan lansia lainnya telah terkontrol dengan menggunakan obat anti hipertensi yang diberikan dari Puskesmas Ngunut.

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PENGARUH RELAKSASI OTOT PROGRESIF TERHADAP PENURUNAN TEKANAN DARAH PADA LANSIA DENGAN HIPERTENSI DI DUSUN IV TANJUNG ANOM MEDAN TAHUN 2018

Elisabeth Health Jurnal ◽

10.52317/ehj.v3i2.243 ◽

2018 ◽

Vol 3 (2) ◽

pp. 26-35

Author(s):

Indra Hizkia P ◽

Ance Siallagan ◽

Mega Tresna Hulu

Keyword(s):

Blood Pressure ◽

Muscle Relaxation ◽

Muscle Tension ◽

The Elderly ◽

Progressive Muscle Relaxation ◽

Rank Test ◽

Test Statistic ◽

Post Intervention ◽

Post Test ◽

Wilcoxon Sign Rank

Hypertension in the elderly is characterized by an increase in systolic and diastolic blood pressure of ≥ 140/90 mmHg persistently and often occurs in ± 55 years old elderly. Progressive Muscle Relaxation is one technique that can relax muscle tension and create a relaxed feeling that can lower blood pressure. Goals : This study aims to determine the effect of progressive muscle relaxation on blood pressure decrease in elderly with hypertension in Dusun IV Tanjung Anom Medan Year 2018. Methods : The design used design is one group pretest and post test design with purposive sampling method that is 28 respondents elderly who are in Dusun IV Tanjung Anom Medan. The Instruments used for taking data were SOP, observation sheet, stethoscope, sphygmomanometer Result : Data analysis showed the result of pre intervention blood pressure mostly on 1st degree of hypertension 16 people (57,1%) and post intervention mostly on 2 prehypertension were 13 people (46,4%). The result of Wilcoxon Sign Rank Test statistic shows that p = 0,000 (p <0,05) means the effect of progressive muscle relaxation on blood pressure drop in elderly with hypertension in Dusun IV Tanjung Anom Medan Year 2018. Conclutions : The result of this study is expected elderly able to apply this progressive muscle relaxation routinely.

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EFEKTIVITAS TERAPI RELAKSASI OTOT PROGRESIF DALAM MENURUNKAN HIPERTENSI PADA LANSIA

Jurnal Akademika Baiturrahim Jambi ◽

10.36565/jab.v8i1.103 ◽

2019 ◽

Vol 8 (1) ◽

pp. 58

Author(s):

M Ilham ◽

Armina Armina ◽

Hasyim Kadri

Keyword(s):

Blood Pressure ◽

Systolic Blood Pressure ◽

Diastolic Blood Pressure ◽

Elderly People ◽

Muscle Relaxation ◽

The Elderly ◽

Progressive Muscle Relaxation ◽

P Value ◽

Relaxation Therapy ◽

Experimental Group

The prevalence of cases of hypertension is very high in the elderly, namely 60% -80% at the age above 65 years. The number of elderly people suffering from hypertension at Budi Luhur Jambi PSTW in November 2018 was 22 elderly and had received regular hypertension medication every day but the elderly blood pressure was still high. The purpose of this study is to see whether there is any effect of progressive muscle relaxation therapy on blood pressure in elderly people with hypertension. This study used the Quasi Experiment method with the design of Non Equivalent Control Group Pretest-Posttest, with random sampling technique, the number of samples was 20 elderly consisting of 10 elderly experimental groups given hypertension drugs as well as progressive muscle relaxation therapy and 10 elderly control groups who only given hypertension medication. This research was conducted at Budi Luhur PSTW Jambi on 28 January-2 February 2019. Progressive muscle relaxation therapy is given once a day every morning for six consecutive days. Based on the analysis using the Dependent T test in the experimental group, it was found that systolic blood pressure was p value 0.0001 and diastolic blood pressure was p value 0.002 <(0.05). the results of the analysis using the Independent T test found differences in the blood pressure of the experimental group and control where systolic blood pressure p value 0.031 <(0.05), while the diastolic blood pressure p value 0.009 <(0.05), it can be concluded that there significant to the blood pressure of elderly people with hypertension before and after being given progressive muscle relaxation therapy. This study is expected to be a new program at PSTW Budi Luhur Jambi to reduce high blood pressure in elderly people who suffer from hypertension.

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