scholarly journals Reduction of stress and blood pressure with meditation therapy in elderly groups in balai pelayanan sosial tresna werdha (BPSTW) in Yogyakarta

2019 ◽  
Vol 1 (1) ◽  
pp. 31-38
Author(s):  
Fajarina Lathu A

Stress in elderly institution residents is an interesting phenomenon to study. Sustained stress in the elderly can be harmful and cause mental and physical health problems. Hypertension is one of the physical health problems that can result from stress. Nursing Intervention Classification 2013 recommends the use of Meditation Therapy to address the problem. Meditation is a self-directed exercise to relax and calm the mind, besides that meditation is an easy and inexpensive activity. This certainly provides benefits for the institution in caring for the elderly. Less information on meditation therapy, challenging nurses to perform scientific verification.Scientific proof of reduced stress and blood pressure in elderly groups at the Balap Pelayanan Tresna Werdha (BPSTW) in Yogyakarta This research is a quasy experiment with pretest and posttest with control group. The treatment group was given meditation therapy for 7 times a week, while the control group was not given treatment. Respondents were selected using simple random sampling. Stress measurement using the DASS (Depression Anxiety Stress Scale) and blood pressure were measured using a digital sphygmomanometer. The stress in intervention group of elderly after being treated results decreased by 1.8, whereas in the control group it increased by 0.029. The systole blood pressure in the intervention group of elderly decreased 6.257 mmHg and 0.457 mmHg in the control group. When the elderly diastole blood pressure in the intervention group experienced an average decrease of 3.4 mmHg, while in the control group it increased by 1.057 mmHg. Conclusion: Meditation therapy is significant for reducing stress and blood pressure in the elderly at the Balai Pelayanan Tresna Werdha (BPSTW) in Yogyakarta

2021 ◽  
Vol 15 (5) ◽  
pp. 1305-1308
Author(s):  
Su warsi

Background: Much alternative therapy such as cupping therapy in the community as one of the cheap treatment efforts without side effects makes the challenge and the goal for nursing staff improve nursing services. The unfinished scientific verification of cupping therapy's alternative therapy makes nurses need to prove decreased blood pressure and cholesterol levels in the elderly. Objective: Scientific proof of cholesterol and blood pressure decrease after Cupping Therapy in an elderly group in Wedomartani Village, Sleman Yogyakarta Indonesia. Method: quantitative type with pseudo experimental research design. Pre-test and Post-test nonequivalent control group. The treatment group was given wet cupping therapy, while the control group was given dry cupping. Respondents were selected using a purposive sampling technique. Blood pressure measurement uses a digital tensimeter and cholesterol measurement using a digital blood cholesterol level measuring device. Results: The elderly blood cholesterol levels after the average therapy decreased 42.89 mg/dl, whereas blood cholesterol levels in the control group decreased an average of 20.95 mg/dl. The blood pressure of the elderly systole in the intervention group after the average therapy decreased 10.74 mmHg, whereas the control group's systole blood pressure decreased an average of 1.58 mmHg. Diastole blood pressure in the treatment group decreased 3,48 mmHg, in the diastole blood pressure control group increased 5,26 mmHg. Conclusions: Wet and dry cupping are both significantly associated with decreased blood cholesterol and blood pressure levels, but wet cupping lowers blood cholesterol levels by a mean difference of 21.95 mg/dl and mean systole blood pressure of 3.74 mmHg and pressure diastole blood difference of mean 9.1 mmHg. Keyword: Blood Pressure. Cupping Therapy, Cholesterol, Elderly


2021 ◽  
Vol 7 (4) ◽  
pp. 697-703
Author(s):  
Fika Kusmawati ◽  
Sri Dinengsih ◽  
Risza Choirunisa Choirunisa

Background: The prevalence of hypertension in Indonesia is 45.9% for 55-64 years old, 57.6% for 65-74 years old and 63.8% for >75 years old. It is estimated that people with hypertension in Indonesia reach 15 million people but only 4% are controlled hypertension. The prevalence is 6-15% in the elderly, 50% are not aware of being hypertensive patients, so they tend to become severe hypertension because they do not avoid and do not know the risk factors and 90% are essential hypertension.The Purpose  Knowing the effect of giving cucumber juice on blood pressure in postmenopausal women in the work area of the Puskesmas baktijaya, south tangerang city in 2021 in the intervention group and control group.Methodology: The researcher used a quasi-experimental research design with a pre-test and with control design. The sample in this study amounted to 36 people consisting of 18 intervention groups and 18 control groups. The sampling technique used was purposive sampling. The research instrument consisted of an observation sheet on the state of blood pressure in patients with hypertension before being given cucumber juice and changes in blood pressure in postmenopausal women with hypertension after being given cucumber juice.Research result: There was an effect of giving cucumber juice on decreasing blood pressure in the intervention group with a mean rank of 13.72 and in the control group with a mean rank of 23.28. With a p value of 0.005 < 0.05. There is an effect of giving cucumber juice to decrease diastolic blood pressure in the intervention group with a mean rank of 23.94 and in the control group with a mean rank of 13.06. With a p value of 0.001 <0.05.Conclusions and suggestions: Giving cucumber juice can affect the reduction of blood pressure in postmenopausal women. Suggestion giving cucumber juice to menopausal women or the public can be applied and consumed regularly. Keywords:Menopausal Women, Hypertension, Cucumber ABSTRAK Latar Belakang: Prevalensi  hipertensi di  Indonesia  sebesar  45,9%  untuk  umur  55-64 tahun, 57,6% umur 65-74 tahun dan 63,8%  umur >75 tahun. Diperkirakan penderita hipertensi di Indonesia mencapai 15 juta jiwa tetapi  hanya  4%  yang  merupakan  hipertensi terkontrol. Prevalensi 6-15% pada orang lanjut usia, 50% tidak menyadari sebagai penderita hipertensi sehingga mereka cenderung menjadi hipertensi berat karena tidak menghindari dan tidak  mengetahui  faktor  risikonya  dan  90%  merupakan hipertensi esensial.Tujuan: Mengetahui pengaruh pemberian jus mentimun terhadap tekanan darah pada wanita menopause di wilayah kerja puskesmas baktijaya kota tangerang selatan tahun 2021 pada kelompok intervensi dan kelompok kontrol.Metodologi: Peneliti menggunakan desain penelitian quasi-eksperimen dengan rancangan pre-test and with control. Sampel dalam penelitian berjumlah 36 orang yang terdiri dari 18 kelompok intervensi dan 18 kelompok kontrol. Teknik pengambilan sampel menggunakan purposive sampling. Instrumen penelitian terdiri dari pada  lembar  observasi  keadaan  tekanan  darah pada  penderita  hipertensi sebelum diberikan jus mentimun dan  perubahan  tekanan  darah  pada  wanita menopause yang mengalami hipertensi setelah diberikan jus mentimun.Hasil Penelitian: Ada pengaruh pemberian jus mentimun terhadap penurunan tekanan darah pada kelompok intervensi dengan mean rank 13,72 dan pada kelompok kontrol dengan mean rank 23,28. Dengan nilai p value sebesar 0,005 < 0,05. Ada pengaruh  pemberian jus mentimun terhadap penurunan tekanan darah diastolik pada kelompok intervensi dengan mean rank 23,94 dan pada kelompok kontrol dengan mean rank 13,06. nilai p value sebesar 0,001 < 0,05.Simpulan Pemberian jus mentimun dapat berpengaruh terhadap penurunan tekanan darah pada wanita menopause.Saran pemberian jus mentimun pada wanita menopause atau masyarakat dapat diterapkan dan dikonsumsi secara rutin. Kata Kunci : Wanita Menopause, Hipertensi, Mentimun 


Circulation ◽  
2015 ◽  
Vol 132 (suppl_3) ◽  
Author(s):  
Martin CS Wong ◽  
Harry HX Wang ◽  
Mandy WM Kwan ◽  
Shannon TS Li ◽  
Sian M Griffiths

Objective: A high prevalence of hypertension among the elderly has raised public concern in Asia particularly in Hong Kong. It is commonly observed among elderly being prescribed with more than one antihypertensive agent. However, poor adherence can serve as one of the major causes of suboptimal blood pressure (BP) control, and particular in elderly homes where the residents often lack family support. The study aimed to evaluate the effects of a new medication monitoring programme on BP control among elderly home residents with multiple medications. Methods: We recruited study subjects from three elderly homes enrolled in a pharmacist-led home-based medication monitoring programme launched by the Hong Kong Pharmaceutical Care Foundation. The programme aimed to optimise drug therapy and achieve better BP control. We used a cluster sampling to recruit elderly people (aged ≥65 years) prescribed with multiple medications, who were then followed up for six months. Subjects in the intervention group received medications under pharmacist-led medication monitoring programme, while the control group received usual care. Intention-to-treat analysis was adopted. Systolic BP and diastolic BP were measured at each 3-monthly follow-up as primary outcomes. Secondary outcomes included healthcare utilisation and staff satisfaction. Repeated measures analysis of variance (RMANOVA) was used to estimate the intervention effect after adjusting for other covariates. Results: A total of 290 residents were recruited. The study showed distinct patterns of changes in SBP and DBP between groups. After 6 months, participants in the intervention group (n=200) had an average of 5.16mmHg (p=0.134) and 2.66mmHg (p=0.198) decrease in SBP and DBP, respectively; while the control group (n=90) showed 12.40mmHg (p=0.027) and 6.60mmHg (p=0.061) increase in SBP and DBP, respectively, after adjusting for other covariates. Conclusions: Elderly home residents enrolled in this new pharmacist-led home-based medication monitoring programme had better BP parameters, suggesting that future programmes on other cardiovascular disease medications based on similar approach could potentially be effective in achieving favourable outcomes among the elderly population in primary care.


2018 ◽  
Vol 9 (2) ◽  
pp. 118
Author(s):  
Noor Cholifah ◽  
Suyatno Suyatno ◽  
Dewi Hartinah

Hypertension is an increase in systolic blood pressure of more than 140 mmHg and diastolic blood pressure of more than 90 mmHg in two measurements with an interval of five minutes in moderate rest. Hypertensive disease can attack at any age, including the elderly. The sweet carambola (Averrhoa Carambola linn) is one of the traditional antihypertensive drugs, because it contains high potassium which is useful as a diuretic, maintaining the stability of the body electrolyte through the sodium potassium pump, reducing the amount of water and salt in the body and loosening the blood vessels, this condition helps the pressure drop blood. The purpose of this study was to determine the effect of giving sweet starfruit juice to blood pressure in the elderly in the village of Lemah Putih Kec. Brati Kab. Grobogan. This research design is quasi experiment design with the randomized pre-test post-test control group design. The sample size is 30 respondents. The results showed that based on statistic t dependent test showed p value of intervention group at blood pressure of systole sebebsar 0.03, and diastole was 0.014 (p <0,05) hence Ho was rejected which mean in intervention group there was influence of sweet starfruit juice to elderly blood pressure with hypertension. While p value of control group at systole blood pressure was 0.786, and diastole was 0.953 (p> 0,05) so Ho was received which mean in the control group there was no effect of star fruit juice to blood pressure lansia with hypertension. 


Author(s):  
Kastubi Kastubi ◽  
Minarti Minarti ◽  
Noer Saudah

Stress stimulates the sympathetic nervous encouraging the heart and cause an increasing blood pressure. Efforts to reduce hypertension pharmacological and non-pharmacological. Non-pharmacological experiment of which is hypnosis. The research objective was to analyze the decrease of stress to elderly hypertensive therapy with hypnotherapy. The research design used experimental pretest - Posttest with Control Group. The population were all the elderly with hypertension in the elderly health care center PacarKeling , and Kemayoran Surabaya with 35 elderlies. Number of sample 15 intervention group, 15 control group. The sampling technique used Simple Random Sampling. Variable intervention was therapeutic applications of hypnosis to elderly hypertensive. The dependent variable was the stress in elderly hypertensive. The statistical test used paired t-test. It showed changes in stress to the control group -7.33, while the experminent group amounted to 14.60. Results can reduce stress in the group treated with hypnotherapy an average decrease of 14.6. Results showed that there were differences in the level of stress control and experiment groups with significant value of p = 0.000 (p <0.05), The effect of hypnotherapy was also shown in the systolic blood pressure change between control and experiment groups showed a mean difference of ranks. In the control group 20.8, while in the experimental group 10.2. Mann Whitney test results obtained by the significant value of p = 0.000 (p <0.05) in mean systolic blood pressure differences between control and experiment groups. Hypnotherapy can reduce stress and blood pressure in the experiment group. Causes of stress on the individual such as physical pain, and the outside factor could be due to family problems, economic. Suggestions that hypnosis can be used as a new experiment method stress problem in the elderly


2020 ◽  
Vol 17 (7) ◽  
pp. 3021-3026
Author(s):  
Citra Dwi Yuliana ◽  
Harmayetty ◽  
Joni Haryanto

Hypertension is a degenerative disease that is common in elderly. This can be a risk factor for stroke, heart failure, and coronary disease. One of the factors of hypertension is high cholesterol levels, lack of sports activities, and poor food consumption habits. This study aims to investigate the effectiveness of the Walking, Passion fruit and Mineral Water (JAKI-MAAP) intervention on blood pressure and cholesterol levels in the elderly with hypertension and high cholesterol. This study conducted a quasi-experimental design. This study analyzed the effect of JAKI-MAAP treatment on cholesterol levels and blood pressure levels before and after treatment. By using purposive sampling technique, the number of respondents was 15 respondents in the treatment group and 15 respondents in the control group. The results showed that there was an effect of JAKI-MAAP on the average level of cholesterol reduction in the intervention group of 32 mg/dl (p = 0.000) and the control group 10.13 mg/dl (p = 0.003). There was an effect of JAKI-MAAP on the decrease in systolic and diastolic blood pressure in the intervention group (p = 0.000) whereas in the control group showed no significant changes (p > 0.05). In conclusion, the JAKI-MAAP intervention could effectively reduce cholesterol levels and blood pressure levels of the elderly who suffered from high cholesterol and mild hypertension.


Author(s):  
Kastubi Kastubi ◽  
Minarti Minarti ◽  
Noer Saudah

Stress stimulates the sympathetic nervous encouraging the heart and cause an increasing blood pressure. Efforts to reduce hypertension pharmacological and non-pharmacological. Non-pharmacological experiment of which is hypnosis. The research objective was to analyze the decrease of stress to elderly hypertensive therapy with hypnotherapy. The research design used experimental pretest - Posttest with Control Group. The population were all the elderly with hypertension in the elderly health care center PacarKeling , and Kemayoran Surabaya with 35 elderlies. Number of sample 15 intervention group, 15 control group. The sampling technique used Simple Random Sampling. Variable intervention was therapeutic applications of hypnosis to elderly hypertensive. The dependent variable was the stress in elderly hypertensive. The statistical test used paired t-test. It showed changes in stress to the control group -7.33, while the experminent group amounted to 14.60. Results can reduce stress in the group treated with hypnotherapy an average decrease of 14.6. Results showed that there were differences in the level of stress control and experiment groups with significant value of p = 0.000 (p <0.05), The effect of hypnotherapy was also shown in the systolic blood pressure change between control and experiment groups showed a mean difference of ranks. In the control group 20.8, while in the experimental group 10.2. Mann Whitney test results obtained by the significant value of p = 0.000 (p <0.05) in mean systolic blood pressure differences between control and experiment groups. Hypnotherapy can reduce stress and blood pressure in the experiment group. Causes of stress on the individual such as physical pain, and the outside factor could be due to family problems, economic. Suggestions that hypnosis can be used as a new experiment method stress problem in the elderly


2019 ◽  
Vol 1 (1) ◽  
pp. 40-47
Author(s):  
Sumitra Shrestha ◽  
Renu Karki ◽  
Mamita Ghimire

Background: Poor adherence (compliance) is common with antihypertensive medications among elderly patients. As the elderly people are prone to multiple comorbidities, they are at higher risk of polypharmacy and therefore may present with a higher risk of non-adherence to medications compared to the younger population. The study was conducted to investigate the impact of pharmacist counseling on medication adherence among elderly hypertensive patients. Methods: The elderly hypertensive patients who visited the out-patient department at Chitwan Medical College (CMC) between August to November 2018. The face-to-face interview was conducted among 332 elderly hypertensive patients, selected with the purposive sampling technique. A paired t-test was used to show the difference between pre-test and post-test medication adherence. Results: It was found that 13.85% of patients were poor adherent and 86.14% low adherent in the intervention and the control group. The major reason for non-adherence was found to be carelessness about taking medicine (97%). The adherence score for intervention group changed from 1.60±0.83 to 3.95±0.56 (p-value < 0.001) while in the control group the average score before and after follow up was 1.48±0.77 and 1.51±0.80 (p=0.373) respectively. Blood pressure status improved in the intervention group than the control group (p<0.001). Polypharmacy was 27.71%, 15.66% of whom experienced adverse drug reactions. Conclusion: The patient medication counseling had a good impact on hypertensive patients. All factors of the Morisky Green Levine adherence scale improved after counseling and motivation. Pharmacist-led counseling improved medication adherence among elderly hypertensive patients. Keywords: Blood Pressure, Counseling, Elderly, Hypertension, Medication Adherence, Pharmacist


2021 ◽  
Vol 6 (2) ◽  
pp. 117
Author(s):  
Rina Budi Kristiani ◽  
Sindi Surya Ningrum

Hypertension is a major modifiable risk factor to prevent cardiovascular disease and death, especially in the elderly. The increase in blood pressure in the elderly is affected by the loss of elastic tissue in the arteries and a concomitant increase in arterial stiffness. Management of hypertension is making lifestyle changes by limiting alcohol and sodium consumption, quitting smoking, increasing physical activity and adjusting diet. The therapy that will be used is ginger drink therapy. The aim of the study was to determine the effect of ginger drink therapy on blood pressure of hypertensive patients at the posyandu for elderly Suraya Kencana. The design of this research is Quasy Experimental using the Nonequivalent Control Group Design model. The sample of this study was 30 elderly people with hypertension without a history of hyperkalemia, kidney disease and gastritis. Determination of the sample using simple random sampling. Data analysis used the Mann-Whitney U test. Most of the respondents aged 60-65 years, women, had a history of cholesterol disease. The results of blood pressure in the intervention group before giving ginger drink in Grade 1 hypertension were 66.6% and after doing the Pre Hypertension category therapy amounted to 46.6%. The results of statistical tests showed the p value = 0.000 (<0.05) and the Z value count -3,758. Based on these results, it can be concluded that the effect of giving ginger drink to the blood pressure of hypertensive patients at the Posyandu for the Elderly Surya Kencana Bulak Jaya Surabaya.  Keywords: Ginger Drink, Blood Pressure, Elderly, Hypertension


Author(s):  
Ashley D. Givens ◽  
Amy Blank Wilson ◽  
Tonya B. Van Deinse ◽  
Andrea Murray-Lichtman ◽  
Gary S. Cuddeback

BACKGROUND Individuals with severe mental illnesses experience high rates of chronic health conditions; however, the extent to which risk of chronic physical health problems varies by race and gender among these individuals is understudied. AIMS This study examines variations in health problems by race and gender among individuals with severe mental illnesses. METHOD Administrative data, which included blood pressure, body mass index (BMI), and glycated hemoglobin (HbA1c) values, were obtained from 603 individuals with serious mental illnesses who received integrated health and behavioral health services from a large mental health agency in the Midwest. Bivariate and multivariate statistical models were used to examine variation in physical health problems by race and gender. RESULTS Compared with men, women with severe mental illnesses were more likely to have BMI levels indicating obesity or morbid obesity ( p < .001). Compared with White participants, Black participants were less likely to have high HbA1c levels ( p < .001) but were more likely to have high blood pressure ( p < .001). Among race and gender groups, Black women were more likely to have high BMI ( p < .05), Black men were more likely to have high blood pressure ( p < .001), and White men were more likely to have high HbA1c levels ( p < .01) when holding constant all other variables. CONCLUSIONS There is evidence that types and severity of physical health problems among individuals with severe mental illnesses varies by race and gender. Replication of these results and more research is needed to ensure that health-related education and integrated health and behavioral health interventions meet the needs of individuals with serious mental illnesses.


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