scholarly journals The Effect of Progressive Muscle Relaxation and Slow Deep Breathing Toward Vital Signs of Patients’ Hypertension in The Working Area of Bengkuring Medical Center (Puskesmas)

Author(s):  
Ismansyah Ismansyah ◽  
Andi Parellangi ◽  
Rivan Firdaus ◽  
Wiadiastuti Wiadiastuti ◽  
Hesti Prawita

This study aims to determine the effect of progressive muscle relaxation and slow deep breathing toward the vital signs of hypertensive patients. Using the quasi experiment with pre and post-test without control. The sample size 22 respondent, of each group of 11 people was conducted 7 times intervention, both with progressive muscle relaxation and slow deep breathing. The data collection was conducted using an observation form. The results of hypothesis testing with the Paired T-Test and Wilcoxon found that there was an effect of progressive muscle relaxation toward the vital signs, systolic blood pressure, diastolic, and pulse values obtained p = 0.000, while respiration 0.020, body temperature 0.006. Interventions with slow deep breathing obtained p value of systolic 0.011, diastolic 0.001, pulse 0.000, respiration 0.012, and body temperature 0.043. Analysis of differences in the two groups with Independent T-Test obtained the value of systolic blood pressure = 0.001, diastolic 0.066, pulse 0.000, respiration 0.011, and body temperature 0.055. In addition, it concludesthe progressive muscle relaxation has an effect on systolic, diastolic, pulse, body temperature compared to slow deep breathing, but slow deep breathing intervention has more influence on respiration than progressive muscle relaxation.

2020 ◽  
Vol 8 (Spl-2-AABAS) ◽  
pp. S336-S340
Author(s):  
Suyami . ◽  
◽  
Devi Permata Sari ◽  

Adolescence was characterized by the adolescent identity crisis. Adolescents who experienced difficulty can be able to stress. Adolescents who experience academic stress are caused by exhaustion in learning, so many tasks, and full schedules of activities. Treatment which diminishes was of scholastic pressure thought reformist muscle unwinding and profound breathing unwinding methods. The reason for this exploration was to discover the viability of reformist muscle unwinding and procedures profound breathing unwinding toward stress scores in adolescents in the case of high school students in SMK N 1 Jogonalan, Klaten, Indonesia. During this research a quasi experimental design was used. The respondent for this investigation was the students of class X, each group has 9 participants. A random sampling technique was used for sampling. The instruments used were booklets, leaflets, and DASS. Bivariate factual test utilizing Paired t-test and Independent t-test was used for statistical analysis. The stress score was 19.00 before being given progressive muscle relaxation technique and after given progressive muscle relaxation technique, it was reported 16.33. Further, the stress score was 16.67 before the deep breathing relaxation was given and this was 13.78 after the technique of deep breathing relaxation was given. There was a difference in the viability of reformist muscle unwinding with profound breathing unwinding procedures in a pressure score that appeared p-value > 0.05.


2021 ◽  
Vol 4 (4) ◽  
pp. 819-826
Author(s):  
M Arifki Zainaro ◽  
Sekardhyta Ayuning Tias ◽  
Rahma Elliya

ABSTRAKHipertensi merupakan suatu keadaan meningkatnya tekanan darah sistolik lebih dari sama dengan 140 mmHg dan diastolik lebih dari sama dengan 90 mmHg. Beberapa penanganan dalam hipertensi yaitu penanganan non farmakologis yaitu teknik relaksasi napas dalam, pijat refleksi kaki, hipnoterapi dan relaksasi otot progresif (Progressive Muscle Relaxation), beberapa keistimewaan dari teknik relaksasi otot profresif ini yaitu menurunkan ketegangan otot, sakit kepala, menurunkan tekanan darah sistolik dan diastolic. Tujuan penelitian, untuk mendapatkan pengalaman dan kompetensi lebih dalam pemberian asuhan keperawatan komprehensif pemberian terapi Progressive Muscle Relaxation (PMR)  terhadap penurunan tekanan darah. Adapun kegiatan yang dilakukan berupa penyuluhan menggunakan leaflet dan demonstrasi terapi Progressive Muscle Relaxation (PMR). Terdapat penurunan tekanan darah setelah dilakukan terapi Progressive Muscle Relaxation (PMR) pada penderita hipertensi. Dengan demikian, terapi Progressive Muscle Relaxation (PMR) sangat efektif dalam menurunkan tekanan darah.                                                                                            Kata Kunci: Progressive Muscle Relaxation (PMR), Hipertensi, Tekanan Darah ABSTRACTHypertension is a state of increased systolic blood pressure of more than 140 mmHg and diastolic more than equal to 90 mmHg. Some treatments in hypertension are non-pharmacological treatments namely deep breathing relaxation techniques, foot reflexology massage, hypnotherapy and progressive muscle relaxation (Progressive Muscle Relaxation). diastolic. The goal of the study was to gain more experience and competence in the provision of comprehensive nursing care in the provision of Progressive Muscle Relaxation (PMR) therapy for reducing blood pressure. The activities carried out in the form of counseling using leaflets and demonstrations of Progressive Muscle Relaxation (PMR) therapy. There is a decrease in blood pressure after Progressive Muscle Relaxation (PMR) therapy in patients with hypertension. Thus, Progressive Muscle Relaxation (PMR) therapy is very effective in lowering blood pressure. Keywords: Progressive Muscle Relaxation (PMR), Hypertension, Blood Pressure


2019 ◽  
Vol 8 (1) ◽  
pp. 58
Author(s):  
M Ilham ◽  
Armina Armina ◽  
Hasyim Kadri

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.


2021 ◽  
Vol 3 (3) ◽  
pp. 340-352
Author(s):  
Gustini Gustini ◽  
Djunizar Djamaludin ◽  
Rika Yulendasari

ABSTRACT: THE DIFFERENCE BETWEEN FOOT MASSAGE AND PROGRESSIVE MUSCLE RELAXATION EFFECTIVENESS ON REDUCTION OF BLOOD PRESSURE AND ANXIETY OF HYPERTENSION  Background: Hypertension is persistent blood pressure with systolic pressure above 140 mmHg and diastolic pressure above 90 mmHg. According to WHO (World Health Organization) hypertension cases in the world has increased and in 2025 will be about 1.5 billion people. In the working of Ogan Lima Community Health Centre of North Lampung in 2019, hypertension placed the fifth rank with 19 hypertension people. The previous study obtained the result that most people with hypertension did not know about nonpharmacologic therapy to ease hypertension such as foot massage and progressive muscle relaxation (PMR).Method: This research is quantitative with two groups with intervention design. The population in this research was hypertension patients in the medical record of Ogan Lima Community Health Centre with a sample of 18 respondents. Data analysis using paired T-Test and independent T-Test.Result: This research result showed blood pressure of systole and diastole result before therapy was P-value 0,866 and 0,618, systole and diastole value after therapy was p-value 0,764 and 0,346, anxiety level before therapy was p-value 0,567 and anxiety level after therapy was p-value 0,913.Conclusion: There was no different effectivity before therapy on reduction of blood pressure (p-value 0,866 and 0,618), there was no different effectivity after therapy on reduction of blood pressure (p-value 0,567), and there was no different effectivity after therapy on anxiety (p-value 0,913). Keywords: Foot Massage; Progressive Muscle Relaxation; Blood Pressure;  Anxiety; Hypertension  INTISARI: PERBEDAAN EFEKTIFITAS FOOT MASSAGE DAN PROGRESSIVE MUSCLE RELAXATION TERHADAP PENURUNAN TEKANAN DARAH DAN KECEMASAN PENDERITA HIPERTENSI Pendahuluan : Hipertensi adalah tekanan darah persisten dengan tekanan sistolik diatas 140 mmHg dan tekanan diastolik diatas 90 mmHg. Menurut WHO (World Health Organization) penderita hipertensi di dunia terus bertambah dan pada tahun 2025 diperkirakan meningkat menjadi 1,5 miliar orang. Di Wilayah Kerja Puskesmas Ogan Lima Kabupaten Lampung Utara pada tahun 2019 hipertensi menempati urutan kelima dengan jumlah penderita  819 orang. Studi pendahuluan mendapatkan hasil bahwa banyak pasien hipertensi yang belum mengetahui terapi nonfarmakologis untuk mengatasi hipertensi seperti foot massage dan progressive muscle relaxation (PMR).Metode :Penelitian ini adalah penelitian kuantitatif dengan pendekatan two groups with intervention design. Populasi dalam penelitian ini adalah pasien yang terdiagnosa hipertensi dalam rekam medik Puskesmas Ogan lima dengan jumlah sampel 18 responden. Analisa data yang digunakan menggunakan uji statistik paired T-Test dan independent T-Test.Hasil : Hasil penelitian ini menunjukan tekanan darah nilai sistole dan diastole sebelum terapi adalah  p value 0,866 dan 0,618, nilai sistole dan diastole setelah terapi adalah p value 0,764 dan 0,346, tingkat kecemasan sebelum terapi dengan p value 0,567, dan tingkat kecemasan setelah terapi dengan p value 0,913.Simpulan : Tidak ada perbedaan efektifitas sebelum diberikan terapi terhadap penurunan tekanan darah (p value 0,866 dan 0,618),Tidak ada perbedaan efektifitas setelah diberikan terapi terhadap penurunan tekanan darah (p value 0,764 dan 0,346), Tidak ada perbedaan efektifitas sebelum diberikan terapi terhadap tingkat kecemasan (p value 0,567), dan tidak ada perbedaan efektifitas setelah diberikan terapi terhadap tingkat kecemasan ( p value 0,913). Kata Kunci: Foot Massage; Progressive Muscle relaxation; Tekanan Darah; Kecemasan;   Hipertensi


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.


Author(s):  
Tiurmaida Simandalahi ◽  
Honesty Diana Morika ◽  
Puteri Fannya

Background: Changes in vital signs such as tachycardia, dyspnea, tachipnea, decreased oxygenation, caused by the inability of the heart to pump enough blood to meet the needs of oxygen and nutrients needed by the tissue, so that alternative therapies are needed: alternate nostril breathing exercise (ANBE) as a companion to pharmacological therapy for congestive heart failure (CHF) patients. The purpose of this study was to see the effect of ANBE on the vital sign of CHF patients.Methods: This Quasy experimental study was used one group pretest and Posttes design, conducted at one of the Padang City Hospitals from March to August 2019. Study population includes CHF sufferers, with a sample of 16 people, using accidental sampling technique. Univariate data analysis to get the mean of vital sign and bivariate measurements using parametric test i.e. Paired t-test to see the effect of this therapy.Results: Mean vital signs pretest and posttest was given in a row The observations are: respiratory rate (RR): 5.4978; 4.6078, pulse: 10.1804; 8,7770, systolic blood pressure (SBP): 12,5963; 11,1481, and diastolic blood pressure (DBP): 10,3009; 8.8606. Paired t-test obtained p-value of RR, pulse, SBP and DBP: 0.000, and existing t count> from t table (t count> 2.13145), so that there is an effect of ANBE on vital signs.Conclusions: ANBE affects the vital sign of CHF patients and can be continued as an intervention that can be carried out independently by CHF sufferers.


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.  


2018 ◽  
Vol 18 (2) ◽  
pp. 368
Author(s):  
Salvita Fitrianti ◽  
Miko Eka Putri

Based on health surveys, 30% of Indonesians are hypertensive.  Hypertension is a risk factor for the third-leading cause of death after stroke and tuberculosis, i.e. 67% of the population of deaths at all ages. The number of an elderly female with essential hypertension at the public health center Simpang Kawat Jambi city year 2017 as many as 191 people. This study aimed to determine is there the effect of giving progressive muscle relaxation techniques toward changes in blood pressure in elderly with essential hypertension. This study used one group pre-post test design method; it used simple random sampling technique, numbers of samples were 20 respondents. This study was conducted at Auditorium the public health center Simpang Kawat Jambi city from July 24th – 30th 2017. The instruments are Blood pressure measurement results, data analyzed as univariate and bivariate.  The findings indicated that p-value Systole blood pressure p-value = 0.000 and diastole p-value = 0.000, so it can conclude that there is the significant effect of Changes in blood pressure in the elderly with essential hypertension before and after the technique of progressive muscle relaxation at the public health center Simpang Kawat Jambi city.  It expected to Health workers can provide knowledge about progressive muscle relaxation technique exercises so that people with essential hypertension can control blood pressure independently at home.    


2020 ◽  
Vol 8 (1) ◽  
pp. 25-32
Author(s):  
Eka Nadya Rahmania ◽  
Jum Natosba ◽  
Karolin Adhisty

Kanker serviks merupakan masalah global terkait penyakit tidak menular yang dapat menyebabkan kesakitan hingga kematian pada wanita. Penderita kanker serviks umumnya mengalami keluhan nyeri dan kecemasan yang dapat mempengaruhi kualitas hidup. Salah satu bentuk penerapan perawatan paliatif dengan kualitas hidup sebagai prioritas pengobatan untuk pasien dengan penyakit kronik seperti kanker serviks ialah Progressive Muscle Relaxation. Tujuan penelitian untuk mengetahui pengaruh Progressive Muscle Relaxation terhadap nyeri dan kecemasan pasien kanker serviks. Jenis penelitian ini ialah penelitian kuantitatif dengan pra eksperimental dalam klasifikasi one group pretest and posttest design. Sampel penelitian berjumlah 16 orang responden kanker serviks yang diambil dengan teknik purposive sampling. Hasil analisis skala nyeri dan skor kecemasan menggunakan uji paired t-test dan uji alternatif wilcoxon menunjukkan bahwa Progressive Muscle Relaxation dapat menurunkan skala nyeri dan skor kecemasan dengan p-value=0,000. Progressive Muscle Relaxation dapat merangsang sistem saraf parasimpatis yang akan mengontrol aktivitas dan mempengaruhi neurotransmitter yang mengantarkan ke sistem saraf pusat. Stimulus tersebut dapat memacu pelepasan hormon endorphin yang menimbulkan ketegangan otot berkurang sehingga tubuh menjadi relaks dan energi positif akan muncul. Energi tersebut akan menghambat jalur ujung-ujung saraf yang menimbulkan nyeri dan kecemasan sehingga tidak dapat diinterpretasikan oleh tubuh. Mekanisme tersebut dapat mengatasi keluhan nyeri dan kecemasan pasien kanker serviks. Progressive Muscle Relaxation dapat dijadikan sebagai intervensi mandiri khususnya perawatan paliatif bagi pasien kanker serviks guna beradaptasi dengan keluhan nyeri dan kecemasan.


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