scholarly journals Pengaruh program brisk walking exercise terhadap penurunan tekanan darah pada penderita hipertensi

2021 ◽  
Vol 15 (2) ◽  
pp. 230-238
Author(s):  
Septi Andrianti ◽  
Ikhsan Ikhsan

The effect of brisk walking exercise program on blood pressure for people with hypertension Background: Some patients with hypertensive only use antihypertensive drugs to decrease their blood pressure. There are alternatives and more effective as non-pharmacological alternatives to help decrease blood pressure.Purpose: To determine the effect of brisk walking exercise program on blood pressure for people with hypertensionMethod: Quasi-experimental design, the participants were divided into two groups (intervention group and nonintervention group). The sample of this study was 20 participants with contraindications taken by consecutive Sampling. Brisk walking exercise program for 20-30 minutes with an average speed of 4-6km/hour. Three times a week for two months. Data analyzed using a dependent t-test with a 95% confidence level.Results: The study showed that the mean of the intervention systolic pressure before intervention (154.00±10.75) with range (140-170) and after intervention (140.00±8.17) with range (130-160)(p-value=0.001). In the control group, mean the systolic pressure (143.00±8.23) with range (130-150) and after two months (135.50±5.50) with range (130-150). The mean of the diastolic pressure (Intervention group) before (97.00±6.75)with range (90-110) and after (85.00±4.71) with range (80-90). The control group (93.00±6.32) (80-100) and after (89.00±5.16) with range (85-95)(p-value=0.001)Conclusion: There was a significant effect of the brisk walking exercise program in the intervention group, which was stronger than the control group.Keywords: Brisk walking exercise; Blood pressure; Hypertension Pendahuluan: Beberapa penderita hipertensi hanya menggunakan obat antihipertensi untuk menurunkan tekanan darahnya. Ada alternatif dan lebih efektif sebagai alternatif non-farmakologis untuk membantu menurunkan tekanan darah.Tujuan: Untuk mengetahui pengaruh program brisk walking exercise terhadap penurunan tekanan darah pada penderita hipertensi.Metode: Quasi-experimental design, peserta dibagi menjadi dua kelompok (kelompok intervensi dan kelompok Kontrol). Sampel penelitiannya 20 partisipan tanpa kontraindikasi yang diambil secara Consecutive Sampling. Program brisk walking exercise selama 20-30 menit dengan kecepatan rata-rata 4-6km/jam. Tiga kali seminggu selama dua bulan. Data dianalisis menggunakan uji-t dependen dengan tingkat kepercayaan 95%.Hasil: Menunjukkan bahwa rerata tekanan sistolik intervensi sebelum intervensi (154,00±10,75) dengan rentang (140-170) dan setelah intervensi (140,00±8,17) dengan rentang (130-160)(p-value=0,001). Pada kelompok kontrol, rata-rata tekanan sistolik (143,00±8,23) dengan kisaran (130-150) dan setelah dua bulan (135,50±5,50) dengan rentang (130-150). Rerata tekanan diastolik (kelompok intervensi) sebelum (97,00±6.75) dengan rentang (90-110) dan setelahnya (85,00±4,71) dengan rentang (80-90). Kelompok kontrol (93.00±6.32) dengan rentang (80-100) dan setelahnya (89,00±5,16) dengan rentang (85-95)(nilai-p=0,001)Simpulan: Ada pengaruh yang signifikan dari program brisk walking exercise pada kelompok intervensi yang lebih kuat dibandingkan kelompok kontrol.

2018 ◽  
Vol 7 (2) ◽  
pp. 116
Author(s):  
Budi Darmawan ◽  
Diyah Fatmasari ◽  
Rr. Sri Endang Pujiast

Background: Wet cupping, furthermore mentioned cupping, decreases blood pressures through the level of negative air pressures added by hydrostatics filtration pressure to reinforce the power of fluids filtration in capillaries. However, an appropriate negative air pressure to decrease blood pressure remains an uncertainty.Purpose: This study aimed to analyze negative air pressure differences on cupping in decreasing blood pressures in hypertensive patients.Methods: This is a quasi-experimental design conducted in three Community Health Centers in Langsa City, Aceh, Indonesia. The samples were 36 hypertensive males with age from 45 to 55, who were randomly stratified into two groups with cupping pressures 400 mbar (n=18) as the control group; and 540 mbar (n=18) as the intervention group. The cupping session was performed to each group on T1 (alkahil) point and in the middle line of both shoulders blade points. The systolic blood pressure (SBP) and diastolic blood pressures (DBP) were measured by validated automatic sphygmomanometer. The follow-up periods were one week and two weeks. The data were then analyzed by repeated measures ANOVA.Results: Cupping pressure of 400 mbar decreased the mean of SBP and DPB with a p-value of 0.450 and 0.026, respectively after two weeks of intervention. Meanwhile, cupping pressure of 540 mbar decreased the mean of SBP and DBP with a p-value of 0.006 and 0.057, respectively. Tests of within-subjects resulted in the p-value of 0.250 (SBP) and 0.176 (DBP) after two weeks of intervention. There were no significant differences in SBP and DBP between the intervention group and the control group.Conclusion: The cupping pressure between 400 mbar and 540 mbar could reduce blood pressure; however, the cupping pressure of 540 mbar yielded greater effect in decreasing blood pressure than the 400 mbar. Negative air vacuum pressure loads on cupping to decrease blood pressure should be considered between 400 to 540 mbar, and further studies are needed.


2018 ◽  
Vol 5 (2) ◽  
pp. 121-129
Author(s):  
Siti Khoiroh

Background : Hypertension is a condition of high blood pressure in the arteries that lasted continuously for the long term. Hypertension can be overcome in two ways: pharmacology and non-pharmacology. Pharmacology treatment usually use medicine while one of the ways for non-pharmacology treatment is to consumes apple juice.Research Objective : The aim of this research is to know the effect of apple juice on blood pressure decrease in elderly people with hypertension at Muara Kaman Community Health Center.Methods : The design of this research used quasi experimental design (quasi experiment) with pretest posttest control group design. The sample of the research was hypertensive respondents at Muara Kaman Community Health Center as many as 30 respondents were divided into 2 groups, 15 intervention groups and 15 control groups. The sampling technique used purposive sampling. The research instruments were stethoscope and sphygmomanometer, data analysis using t test dependent and t test independent.Results : There were a significant influence between pretest and posttest of apple juice in the intervention group (P value = 0,000; P <0.005). The mean difference in systolic blood pressure in the intervention group and the control group also had significant differences (P value = 0.002; P <0.05), where as the mean difference in diastolic blood pressure in the intervention group and the control group also had significant differences (P value = 0,039; P <0,05).The Conclusions : The results of this research showed that consumes apple juice gives an effect on the blood pressure of hypertensive patients by consumes regularly.The Suggestions : Nurses and the public can use apple juice as one of the ways to handling to hypertension sufferers besides antihypertensive drugs.


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 


2020 ◽  
Vol 10 (2) ◽  
pp. 119-129
Author(s):  
Halimah Wenny Yulina Astuti ◽  
Murti Agustin ◽  
Sri Padma Sari ◽  
Diyan Yuli Wijayanti ◽  
Widodo Sarjana ◽  
...  

Background: Hope has an essential role in the recovery journey for people with schizophrenia. Current studies showed that people with schizophrenia reported having low hope. There is growing evidence that mindfulness has favorable effects on mental health in populations with chronic illness, including people with schizophrenia. However, the studies evaluating effects of mindfulness on hope and recovery for people with schizophrenia are limited.Purpose: This study aimed to examine the effects of mindfulness on hope and recovery among people with schizophrenia.Methods: This quasi-experimental study was carried out on 54 patients with schizophrenia based on purposive sampling in a psychiatric hospital in Indonesia. The respondents were divided into two groups with 27 patients each in the intervention and the control group. The intervention group received 2-session mindfulness, while the control group received standard care. The data were collected using the demographic questionnaire, the Schizophrenia Hope Scale (SHS-9), and Recovery Assessment Scale (RAS), and analyzed using the Chi-Square and Mann-Whitney tests. Results: After mindfulness therapy, the intervention group showed a higher mean score of hope than the control group (14.30±2.50 and 9.04±2.15, respectively) as well as in the mean of recovery (86.78±4.00 and 73.56±6.04, respectively). There were significant differences in hope and recovery levels between the two groups with p-value <0.001.Conclusion: This study showed that mindfulness is an effective strategy to stimulate hope and recovery among people with schizophrenia. Nurses can apply mindfulness as one of the nursing interventions for helping the recovery process among this population. 


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.


2019 ◽  
Vol 2 (3) ◽  
pp. 158-163
Author(s):  
Andi Herman ◽  
Budi Santoso ◽  
Esty Yunitasari

Cesarean section is a surgical intervention that most significantly affects the central nervous system and slows down bowel movements post section Caesarea. Intestinal function in women undergoing section caesarian surgery is essential, starting early. The study aimed at examining the effect of chewing gum on increasing the intestinal peristalsis in post-cesarean section. This study used a quasi-experimental, pre, and post with a control group was applied in this study. Seventy-two samples were recruited using a non-probability sampling such as consecutive sampling. CG was given to the intervention group 3 times, per 3 hours for 5 minutes with a frequency of chewing 30 times. Data analysis was performed and presented in descriptive statistics, and significant findings were computed using the paired t-test. The results showed that the mean Intestine Peristaltic intervention group increases from 11,47+1,647 to 16,61+2,487 after the intervention. Meanwhile, in the control group, the mean Intestine Peristaltic level slightly increases from 11,31+1,470 to 14,22+1,290. The t-test obtained a p-value of 0.000, indicating that there were significant differences in the increase Intestine Peristaltic between the intervention and the control group. Chewing gum can increase intestinal peristalsis in cesarean section patients. Based on the findings, The nurse profession can use chewing gum to become one of the nursing independent interventions because easy. Keywords: cesarean section, peristaltic, chewing gum.


2021 ◽  
Vol 4 (2) ◽  
pp. 329-336
Author(s):  
Siti Badriah

This study aims to determine the Sundanese culture-sensitive family nursing model's effectiveness in increasing family knowledge and reducing blood sugar levels in older people with diabetes. The research design used in this study was a quasi-experimental pre and post-test. The results showed an increase in the mean family knowledge and blood sugar levels of older people with diabetes in the intervention group was higher than the control group with a p-value of 0.000. In conclusion, the Sundanese culture-sensitive family nursing model can increase family knowledge in caring for older people with diabetes and impact controlling blood sugar levels after the model intervention.   Keywords: Sundanese Culture, Older People with Diabetes, Blood Sugar, Knowledge


2019 ◽  
Vol 3 (1) ◽  
pp. 36
Author(s):  
Rr Sri Endang Pujiastuti ◽  
Sawab Sawab ◽  
Safitri Zummy Afiyati

Hipertensi disebut silent disease karena biasanya pasien tidak sadar bahwa dirinya mengalami hipertensi. Hipertensi dapat menyerang siapa saja dari berbagai kelompok umur maupun kelompok sosial ekonomi. Pengobatan Hipertensi tidak harus menggunakan tidakan farmakologis, namun hipertensi dapat diobat menggunakan terapi non farmakologis berupa terapi yang berbentuk meditasi berupa terapi yoga. Penelitin ini bertujuan untuk mengetahui pengaruh pemberian terapi yoga terhadap penurunan kecemasan dan tekanan darah pada penderita Hipertensi. Metode ini adalah desain Quasi-eksperimental dilakukan di Kelurahan Pedalangan RW 01. Sampel adalah 60 penderita hipertensi primer, yang secara acak dikelompokkan menjadi dua kelompok yaitu kelompok intervensi (n = 30) dan kelompok kontrol  (n = 30). Hasil Analisa penelitian ini menunjukkan pada tekanan darah sistole dengan nilai p value 0,001 (p <0.05) dan tekanan darah diastole dengan nilai p value 0,000 (p <0.05) pada kelompok intervensi dan kontrol setelah dilakukan yoga. Ada pengaruh yoga terhadap penurunanmtekanan darah pada penderita hipertensi. Peneliti menyarankan kepada semua tenaga kesehatan untuk menerapkan terapi yoga kepada pasien hipertensi karena yoga mampu menurunkan  tekanan darah. Kata kunci: Yoga, tekanan darah, hipertensi Abstract The effect of yoga therapy to decrease blood pressure in patients with hypertension. Hypertension is called the silent disease, it’s usually caused an patient not be aware that they was being hypertension. Hypertension can affect anyone of various age groups and socio-economic groups. Hypertension can treatment should not used pharmacological, measure, however hypertension can treatment by nonpharmacologycal teraphy a form of transcedental meditation or yoga. The purpose of this research is conducted to determine the effect of yoga therapy to decrease blood pressure in patients with hypertension. This  method design Quasi-experimental done in Pedalangan village RW 01. The sample was 60  subject primary hypertension, who were randomized include 2 groups: there was intervention group (n = 30) and control group (n = 30). Analysis result Man Whitney experiment systolic blood pressure  p value 0.001 (P <0.05) and diastolic blood pressure with p value 0.000 (p <0.05) in the intervention and control groups after yoga. There is the influence of yoga to lowering blood pressure in  hypertensive patients. Researchers suggest to all health workers to apply yoga therapy to patients with hypertension because yoga can lower blood pressure.Keywords: Yoga, blood pressure, hypertension


2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 100.3-100
Author(s):  
Y. Wang ◽  
X. Liu ◽  
Y. Shi ◽  
X. Ji ◽  
W. Wang ◽  
...  

Background:Clinical practice guidelines recommend that exercise is an essential component in the self-management of Ankylosing Spondylitis (AS). Attending supervised interventions requiring periodic medical center visits can be burdensome and patients may decline participation, whereas, effective home-based exercise interventions that do not need regular medical center visits are likely to be more accessible and acceptable for patients with AS. Recently, increasing evidences have been accumulated that the wearable devices could facilitate patients with inflammatory arthritis by giving exercise instructions and improving self-efficacy. Therefore, patients with AS may benefit from an effective technology-assisted home-based exercise intervention.Objectives:To investigate the efficacy of a comprehensive technology-assisted home-based exercise intervention on disease activity in patients with AS.Methods:This study was a 16-week assessor-blinded, randomized, waiting-list controlled trial (ChiCTR1900024244). Patients with AS were randomly allocated to the home-based exercise intervention group and the waiting-list control group. A 16-week comprehensive exercise program consisting of a moderate intensity (64%-76% HRmax) aerobic training for 30min on 5 days/week and a functional training for 60min on 3 days/week was given to patients in the intervention group immediately after randomization, with 1.5h training sessions for two consecutive days by a study physical therapist at baseline and Week 8. The aerobic exercise intensity was controlled by a Mio FUSE Wristband with a smartphone application. The functional training consisted of the posture training, range of motion exercises, strength training, stability training and stretching exercises. Patients in control group received standard care during the 16-week follow-up and started to receive the exercise program at Week 16. The primary outcome was ASDAS at Week 16. The secondary outcomes were BASDAI, BASFI, BASMI, ASAS HI, peak oxygen uptake, body composition and muscle endurance tests. The mean difference between groups in change from baseline was analyzed with the analysis of covariance.Results:A total of 54 patients with AS were enrolled (26 in intervention group and 28 in control group) and 46 (85.2%) patients completed the 16-week follow-up. The mean difference of ASDAS between groups in change from baseline to 16-week follow-up was −0.2 (95% CI, −0.4 to 0.003, P = 0.032), and the mean change from baseline was -0.4 (95% CI, -0.5 to -0.2) in the intervention group vs -0.1 (95% CI, -0.3 to 0.01) in the control group, respectively. Significant between-group differences were found between groups for BASDAI (−0.5 [95% CI, −0.9 to −0.2], P = 0.004), BASMI (−0.7 [95% CI, −1.1 to −0.4], P <0.001), BASFI (−0.3 [95% CI, −0.6 to 0.01], P=0.035), peak oxygen uptake (2.7 [95% CI, 0.02 to 5.3] ml/kg/min, P=0.048) and extensor endurance test (17.8 [95% CI, 0.5 to 35.2]s, P=0.044) at Week 16. Between-group differences were detected in ASAS HI (−0.9 [95% CI, −1.7 to −0.1], P=0.030), body fat percentage (−1.0 [95% CI, −2.0 to −0.01] %, P=0.048) and visceral adipose tissue (−4.9 [95% CI, −8.5 to −1.4] cm2, P=0.008) at Week 8, but not at Week 16. No significant between-group differences were detected in the total lean mass, time up and go test and the flexor endurance test during the follow-up.Conclusion:Comprehensive technology-assisted home-based exercise has been shown to have beneficial effects on disease activity, physical function, spinal mobility, aerobic capacity, and body composition as well as in improving fatigue and morning stiffness of patients with AS.References:[1]van der Heijde D, Ramiro S, Landewé R, et al. Ann Rheum Dis 2017;76:978–991.Disclosure of Interests:None declared


2020 ◽  
Vol 7 (1) ◽  
pp. 71-87
Author(s):  
Tasbihul Anwar ◽  
Anwar Wardi Warongan ◽  
Fitrian Rayasari

Laparotomy is one of the major surgeries. Laparotomy is an operative technique that can be performed on digestive and urinary sistem disorders that will cause pain. This study aims to determine thes effects of kinesio taping on the level of pains in post laparotomy patients. The methods of this study use a pre-post and control group quasi experimental design research. Consisting of the intervention group and the control group, the number of sample was 24 samples with 12 respondent in the kinesio taping installation intervention group and 12 respondent in the control group giving standar drug, using a simple random sampling technique. Dependent t-test obtained an average difference of 2.08 in the control group while ansaveragesdifferencesof 3.84 insthe intervention group. Independent T test results obtained P value (0.001)<(0.05). The conclusion there was assignificant difference in the level of pain in the kinesio taping intervention group and the control group that did not have kinesio taping. Variable confounding has been performed statistically. The results shows that here is no relationships between age, attitude and belief in the pain of Laparotomy, while age is related to post-Laparotomy pain, kinesio taping can be used as an independent nursing intervention to reduce the intensity of pain in post-Laparotomy patients.


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