scholarly journals Perbedaan Efektivitas Progressive Muscle Relaxation (PMR) dengan Slow Deep Breathing Exercise (SDBE) terhadap Tekanan Darah Penderita Hipertensi

2018 ◽  
Vol 2 (1) ◽  
pp. 356-370
Author(s):  
Andry Sartika ◽  
Anwar Wardi ◽  
Yani Sofiani

This study aimed to determine the differences between the effectiveness of Progressive Muscle Relaxation (PMR) and Slow Deep Breathing Exercise (SDBE) on BP of hypertension patients. The research was an experiment with a randomized pretest and posttest with three group design without a control group. The sample was 30 people with hypertension. The data were analyzed by univariate, bivariate and miltivariate. The results of the study showed a decrease in systolic and diastolic BP after the intervention to all groups. There was no significant difference on the effectiveness between the three groups after intervention. The optimal time of reduction in systolic BP in the PMR and SDBE groups occurred on day three. In diastolic BP, the optimal time of reduction did not occur. In conclusion, the three relaxation techniques effectively reduced blood pressure of hypertension patients. The effective time of blood pressure reduction occurred on the third day. The suggestion for patients from this study is the patients with hypertension can do the relaxation techniques Progressive Muscle Relaxation (PMR) and Slow Deep Breathing Exercise (SDBE) to lower the BP to close to normal. Keywords: Blood Pressure, Hypertension, Progressive Muscle Relaxation (PMR) and Slow Deep Breathing Exercise (SDBE)

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


Nursing Arts ◽  
2019 ◽  
Vol 12 (1) ◽  
pp. 31-35
Author(s):  
Norma Norma ◽  
Ade Supriatna

Effect of Progressive Muscle Relaxation Technique on Decreasing Blood Pressure in Hypertensive Patients in Mariat Health Center, Sorong Regency. Hypertension is a disease that results from an increase in systolic and diastolic blood pressure consistently above 140/90 mmHg. Hypertension is a factor that contributes to stroke deaths and factors that aggravate myocardial infarction (heart attack). The number of people with hypertension continues to increase along with the growing population, the world prevalence reaches 29.2% in men and 24% in women. This study was conducted with the aim to determine whether there is an effect of progressive muscle relaxation techniques on the reduction of blood pressure in hypertensive patients at the Mariat Health Center in Sorong Regency. In this study the researchers used the Quasi experimental Design design with a one-group pretest-posttest design approach (one pretest-posttest group). The population in this study were hypertensive patients who came to the Mariat Health Center in 2018 as many as 32 patients. While the research sample is a total population of 32 respondents. The results of the statistical test using the Paired Sample t-test obtained a value of p_value for systolic blood pressure 0,000 smaller than 0.05 and the value of p_value for a diastolic blood pressure of 0,000 less than 0.05. From the results of statistical tests show that there is an effect of progressive muscle relaxation techniques on blood pressure reduction in hypertensive patients at Mariat Health Center, Sorong Regency.  


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.  


2021 ◽  
Vol 11 (9) ◽  
pp. 44
Author(s):  
Agustina Boru Gultom ◽  
Arbani Batubara

Background/Objective: Hypertension is still a public health problem both in the world and in Indonesia. Even though women with hypertension are already taking antihypertensive drugs, often blood pressure remains high. Women are more likely to be stressed, and stress increases hypertension. The study aimed to analyze the use of progressive muscle relaxation with classical music on stress and blood pressure in hypertensive women.Methods: This study used a quasi-experimental design with a control group. There were three groups of hypertensive women who took anti-hypertensive drugs, consisting of those who received progressive muscle relaxation with classical music, accepted progressive muscle relaxation without classical music, and did not get treatment, each of which totaled 36 participants. The activity was carried out from July to October 2020. The stress instrument used was the Cohen’s Perceived Stress Scale, while blood pressure was measured with the OMRON digital tensimeter.Results: The group that received progressive muscle relaxation with classical music from Bach described high significance for stress (p = .0001), systolic (p = .0001), diastolic (p = .0001). The group that received progressive muscle relaxation alone also showed high significance for stress (p = .010), systolic (p = .003), diastolic (p = .006). While the untreated group showed significance for systolic (p = .013), but did not show significance for stress (p = .758), diastolic (p = .123). The use of ANOVA showed a significant difference in the effect of the three intervention on stress (p = .005), systolic blood pressure (p = .009), but did not have a significant effect on diastolic blood pressure (p = .500).Conclusions: Progressive muscle relaxation with classical music and antihypertensive drugs provides a greater chance of controlling stress, lowering systolic and diastolic blood pressure than just progressive muscle relaxation and antihypertensive drugs or antihypertensive drugs alone in women with hypertension.


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


2021 ◽  
Vol 1 ◽  
pp. 413-420
Author(s):  
Fauzan Kukuh Permadi ◽  
Dafid Arifiyanto

AbstractIt is commonly hypertension is a non-communicable disease which is one of the main causes of premature death in the world. The management of this disease includes a non-pharmacological and pharmacological matter. One of the non-pharmacological alternatives for reducing the problem is by applying a technique of progressive muscle relaxation. To examine the effect of progressive muscle relaxation therapy in controlling blood pressure in hypertensive patients. Since it is a literature review, it has searched articles published during 5 years. from 2017 to 2021 in Scilit and Garba Garuda. It obtained 5 articles with 163 respondents and the were according to the keyword and inclusion criteria. Then, it was analyzed by Discern instrument then processed using the Mann-Whitney test and concluded. After analyzing process, it started that the characteristics of the majority of respondents with hypertension are female and >45 years old, there is a significant difference in mean different systolic blood pressure between the control group and the intervention group with a p-value , 0.001. Beside, there is a significant difference in the mean different diastolic blood pressure between the control group and the intervention group with a p-value, 0.001. The results of the analysis and synthesis showed that progressive muscle relaxation therapy was effective in lowering blood pressure.Keywords: Hypertension, progressive muscle relaxation, blood pressure AbstrakHipertensi merupakan penyakit tidak menular yang menjadi salah satu penyebab utama kematian dini di dunia. Penatalaksanaan hipertensi meliputi non farmologis dan farmologis. Salah satu terapi non farmologis alternatif untuk menurunkan tekanan darah yaitu dengan teknik relaksasi otot progressif. Untuk mengetahui pengaruh terapi relaksasi otot progresif dalam mengontrol tekanan darah pada pasien hipertensi. Metode yang digunakan dalam penelitian ini adalah korelasi dengan pengumpulan data literature review, pencarian artikel pada rentang waktu 5 tahun yaitu dari tahun 2017-2021 melalui penelusuran Scilit dan Garba Garuda. Didapatkan 5 artikel dengan 163 responden. Hasil pencarian didapatkan sesuai kata kunci dan kriteria inklusi, dianalisa menggunakan instrument Discern yang kemudian diolah menggunakan uji Mann-Whitney lalu disimpulkan. Hasil Analisa dari kelima artikel didapatkan hasil penelitian pada karakteristik responden mayoritas penderita hipertensi berjenis kelamin perempuan dan berusia >45 tahun, ada perbedaan yang signifikan mean different tekanan darah sistole antara kelompok kontrol dengan kelompok intervensi dengan nilai..p-value..0,001 dan ada perbedaan yang signifikan mean different tekanan darah diastole antara kelompok kontrol dengan kelompok intervensi dengan nilai..p-value..0,001. Hasil analisa dan sintesa menunjukkan terapi relaksasi otot progresif efektif dalam menurunkan tekanan darah.Kata kunci: Hipertensi, relaksasi otot progessif, tekanan darah


Healthcare ◽  
2021 ◽  
Vol 9 (10) ◽  
pp. 1319
Author(s):  
Mei-Li Tsai ◽  
Tsan-Hwang Cheng ◽  
Yen-Kuang Yang ◽  
Chi-Jane Wang

(1) Background: A variety of stressors may be potentially harmful to adolescents’ health and well-being. Relaxation techniques have been recognized as a valid method for stress release, but the challenge is to apply them practically in schools to produce the desired effects. (2) Methods: This feasibility study used the Perceived Stress Scale (PSS) and hair cortisol concentration (HCC) to test the effects of an abbreviated progressive muscle relaxation (APMR) program on female adolescents. The participants were recruited from a high school and assigned by class cluster to either the experimental group (EG, n = 40) or the control group (CG, n = 35). Both received 4 weeks of stress-related lessons. The EG received 60 additional sessions of APMR over 12 weeks. (3) Results: The program dropout rate of the participants was 1.3%. The EG’s program adhesion rate was 99.1%, and nearly half felt satisfied with the program. After adjusting for the BMI and the pretest in the ANCOVA, it was found that the CG had a greater change in HCC between the pre- and post-tests than the EG, while the PSS did not change significantly in either group. (4) Conclusion: APMR is a valid practice for physiological homeostasis of HCC for female adolescents, but it has no significant effect on perceived stress.


2021 ◽  
Vol 2 (3) ◽  
pp. 592-598
Author(s):  
Barto Mansyah ◽  
Ns. Syam’ani

Diabetes mellitus is one of the diseases with great impact on health and society, not only for its high prevalence but also for chronic complications and high mortality.. The psychological impact of diabetes began to be felt by the patient since he was diagnosed the doctor. Patients begin to experience psychological disorders such stress on himself related to the care and treatment should be undertaken. Conditions of emotional stress that require proper handling in order not to fall on the more severe conditions. This study aims to identify the influence of combination therapy progressive muscle relaxation and deep breathing relaxation against stress levels of patients with diabetes mellitus in Prolanis BPJS Kesehatan Kota Palangka Raya. The design used in this study using the design of the study : “PRE-TEST-POST-TEST DESIGN WITH CONTROL GROUP”. In this study population was patients with diabetes mellitus in Prolanis BPJS Kesehatan Kota Palangka Raya. The sampling technique in this study using total sampling technique, as many as 48 people. This research is expected to contribute positively to the management of emotional stress in patients with diabetes mellitus.


2021 ◽  
Vol 6 (2) ◽  
pp. 45-52
Author(s):  
Reny Sulistyowati

Fatigue is a widespread clinical complaint among adults with type 2 diabetes. Fluctuating glucose levels can cause fatigue. Several factors are associated with fatigue in diabetic patients, including physiological factors such as hypoglycemia or hyperglycemia, psychological factors such as depression associated with diabetes. Progressive muscle relaxation is a procedure to get relaxation in the muscles through two steps, namely by applying tension to a muscle group and stopping the tension then focusing on how the muscle relaxes, feeling the sensation of relaxation and fatigue is reduced. The aim of this study was to identify the effect of progressive muscle relaxation on fatigue symptoms in type II DM clients in 15 control groups and 15 intervention groups. The research method used a quasi-experimental design with a pretest-posttest control group design approach, consisting of one treatment (in the intervention group) and a control group. Data analysis was performed using univariate and bivariate analysis using t-independent and t-dependent tests. Wilcoxon test results in the intervention group and the control group showed a significant p-value of 0.002 (<0.05), meaning that there was a significant difference in fatigue symptoms in the intervention group before and after the intervention. This shows that there was a decrease in fatigue symptoms in the intervention group before and after combination OHO therapy and progressive muscle relaxation exercises (previously the average respondent in the intervention group experienced symptoms of severe fatigue, after intervention, the average value of fatigue symptoms turned into mild fatigue ). Conclusion: Progressive muscle relaxation combined with OHO therapy can reduce symptoms of fatigue compared to only OHO therapy.


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