scholarly journals EFFECTIVENESS OF LAVENDER AROMATHERAPY AND CLASSICAL MUSIC THERAPY IN LOWERING BLOOD PRESSURE IN PREGNANT WOMEN WITH HYPERTENSION

2017 ◽  
Vol 3 (6) ◽  
pp. 750-756
Author(s):  
Sri Maisi ◽  
Suryono Suryono ◽  
Melyana Nurul Widyawati ◽  
Ari Suwondo ◽  
Suryati Kusworowulan

Background: Hypertension during pregnancy remains high in Indonesia. It is a major cause of maternal death. Aromatherapy lavender and classical music therapy are considered effective in lowering blood pressure in hypertension.Objective: To examine the effect of lavender aromatherapy and classical music therapy in lowering blood pressure in pregnant women with hypertension.Methods: A quasy experimental study with pretest-posttest control group design. There were 52 pregnant women with the inclusion criteria selected as samples using simple random sampling, divided into lavender aromatherapy group, classical music group, combination of aromatherapy and music group, and control group. Sphygmomanometer was used to measure blood pressure. Mann Whitney and Post Hoc test were used for data analysis.Results: Results showed that four groups have a significant decrease in systolic blood pressure after given intervention with p-value <0.05. The mean decrease of systolic blood pressure among four groups was: lavender group (5.77 mmHg), music group (7.23 mmHg), combination group (9.54 mmHg), and control group (3.67 mmHg); and the mean decrease of diastolic blood pressure was: the lavender group (2.77 mmHg), music group (0.61 mmHg), combination group (8.23 mmHg), and control group (3.42 mmHg).Conclusion: there was a significant effect of lavender aromatherapy and classical music therapy in lowering blood pressure in pregnant women with hypertension. However, the combination of both interventions was more effective than lavender aromatherapy or music therapy alone.

2020 ◽  
Vol 2 (3) ◽  
pp. 163-169
Author(s):  
Rifi Wulandari

Anemia during pregnancy is one of the most common disorders in pregnant women in Indonesia. Rosella (Hibiscus sabdariffa) is considered able to increase the hemoglobin levels in pregnant mothers. To analyze the effect of Rosella flower on the increase of Hemoglobin level in pregnant women receiving Fe tablet. This study was a quasi-experiment with a pretest-posttest control group design. 32 participants were selected using accidental sampling, which assigned in the experiment and control group. All samples were pregnant women in the third trimester and receiving iron tablets. Independent t-test and paired t-test were used for data analysis. The result indicated that there was an increase in hemoglobin levels in both the experiment and the control group. The mean increase of hemoglobin levels in the control group was 0.59gr and in the experiment group was 1.11. The hemoglobin levels in the experiment group were higher than the levels in the control group. Independent t-test obtained a p-value of 0.241 indicating that there wasn’t a significant mean difference of hemoglobin levels between the control group and the treatment group. The consumption of rosella combined with Fe tablet showed a significant increase of hemoglobin levels compared to pregnant women. Therefore, it is suggested for midwives to use the result of this research as evidence-practice through counseling for pregnant mothers about the utilization of rosella that can increase hemoglobin levels in pregnant.


1970 ◽  
Vol 36 (3) ◽  
pp. 97-99 ◽  
Author(s):  
Saila Parvin ◽  
Latifa Samsuddin ◽  
Ahammed Ali ◽  
Safiqul Alam Chowdhury ◽  
Ibrahim Siddique

This study was carried in BSMMU from July 2001 to June 2003. During the study period, 60 pregnant women were studied. Thirty patients were preeclamptic and thirty were normal healthy pregnant women served as control. Serum lipoprotein(a) was found significantly higher in preeclamptic women 56.63±22.6 mg/dl and found within limit in normal healthy pregnant women, 12.89±4.59mg/dl. Result is statistically highly significant (P<0.001). Mean Systolic Blood Pressure was 163.33±29.63 mmHg and 117.00±11.19mmHg in case and control and Diastolic Blood Pressure was 108.53±14.54 mmHg and 76.00±6.87mmHg respectively in case and control group. Result was highly significant as P <0.001. The mean (±SD) serum lipoprotein(a) concentration in normal pregnancies and preeclampsia were found to be 12.91±4.94 and 56.65±22.62. Moderate Proteinuria was found in 77.5% and severe proteinuria in 22.2% cases of preeclampsia respectively. Regardless of mechanism and pathophysiology of preeclampsia, we found high serum level of lipoprotein (a) in preeclampsia patients. These high levels of lipoprotein (a) significantly correlated with blood pressure and proteinuria. DOI: 10.3329/bmrcb.v36i3.7289Bangladesh Med Res Counc Bull 2010; 36: 97-99


2019 ◽  
Author(s):  
Mulastin Mulastin ◽  
Sugiharto .

Preeclampsia is one of the causes of the Maternal Mortality Rate (MMR). In Central Java Province in 2016 reached 109.65 from 100,000 live births. Data obtained from pregnant women with preeclampsia at the Kaliwungu holy health center were 64 pregnant women. One of the symptoms of preeclampsia is high blood, there are several ways to improve body condition with music therapy, and listen to murottal. The goal is to know the influence of murottal Al-Qur’an letter Ar-Rahman to blood presure of pregnant women who have preeclampsia. This type of research is an experimental study using the Quasy design experiment pretest-posttest control group design.Thepopulationofthisstudywereallpregnantwomenwhohadpreeclampsiaat Puskesmas Kaliwungu Kudus which were 64 pregnant women in September-October 2017, and the sample was pregnant women who had preeclampsia, 32 as intervention group and 32 as control group. Sampling techniques with quota sampling (non probability). Data analysis of the research with using the Independent T Test. The results of the research showed that the blood pressure were significantly higher in intervension than the case of control groups. average systolic blood pressure in the intervention group was 122.78 mmHg and the control group was 126.75 mmHg with the results of the statistical test 0.001<P value so that there was an effect. There was a decrease in systolic blood pressure of 3.97 mmHg. While the average value of diastole blood pressure in the intervention group was 82.22 mmHg and the control group was 81.92 and the results of the statistical test were 0.015<P value. There is a decrease in diastolic blood pressure of 0.3 mmHg. Which means there is an Ar-Rahman letter’s morattal influence on blood pressure decrease in pregnant women who have preeclampsia. Expected at the time of ANC or at the time of pregnant mother class to be given listening murottal technique of Ar-Rahman letter by improvingservicesforpregnantmotherforpregnantmotherwhospendspreeclampsia.


2021 ◽  
pp. 72-74
Author(s):  
Deepak Jain ◽  
Ajith Thomas ◽  
Rajinder Singh Gupta

Background: The association of raised serum uric acid levels with various cardiovascular risk factors has often led to the debate of whether raised serum uric acid levels could be an independent risk factor in essential hypertension. Hence, the present study was conducted for assessing the serum uric acid levels in cases of essential hypertension and comparing them with normal healthy, non-hypertensive controls. Materials & Methods: Sixty patients visiting in the department of general medicine, MMIMSR with newly diagnosed cases of essential hypertension [according to the Indian guidelines on Hypertension(IGH) III-2013] , fullling the inclusion criteria and after verifying the exclusion criteria were nally taken up for the study. Sixty controls of age and sex matched were taken from the same catchment area. Results: The mean age of the subjects of the essential hypertension group and control group was found to be 45.75 years and 47.8 years respectively. Mean systolic blood pressure and diastolic blood pressure among the subjects of the essential hypertension group was 161.3 and 102.3 mm of Hg. Mean systolic blood pressure and diastolic blood pressure among the subjects of the control group was 116.8 and 77.4 mm of Hg. Mean serum uric acid levels among the subjects of the essential hypertension group and control group was found to be 6.45 mg/dL and 5.57 mg/dLrespectively. Signicant results were obtained while comparing the mean serum uric acid levels among the subjects of the essential hypertension group and the control group. Hyperuricemia was present in 38.33 percent of the patients (23 patients) of the essential hypertension group and 13.33 percent of the patients (8 patients) of the control group. Signicant results were obtained while comparing the prevalence of hyperuricemia in between the two study groups.Conclusion: An independent relationship of elevated serum uric acid levels with hypertension and indicates the signicance of maintaining normal serum uric acid concentration to prevent hypertension.


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.


2021 ◽  
Vol 15 (1) ◽  
pp. 158-165
Author(s):  
Rahma Elliya ◽  
Satria Baharuddin ◽  
Dessy Hermawan

The effect of classic music therapy (mozart) on blood pressure in elderly with hypertensionBackground: Based on the Health Profile of North Lampung Regency in 2018 the number of people with hypertension in the last three years increased to 600 in 2017 and in 2018 the number of sufferers was 741 sufferers.Purpose: To determine the effect of classical music therapy (Mozart) on blood pressure.Method: Quantitative research uses a quasi-experimental approach. The population was patients with hypertension at the Elderly Post health service (Posyandu) at Kalibalangan Health Center, which amounts to 80 people. A sample of 62 participants divided into 2 groups, 31 participants by music therapy + antihypertensive drug (amlodipine), and 31 other participants only take the antihypertensive drug as amlodipine. Data collection techniques by monitoring of blood pressure. The statistical test used is the Independent Test.Results:The average blood pressure of systole before being given Classical Music (Mozart) + Amlodiphine is 164.2 mmHg, diastole 102.7 mmHg. The average blood pressure of systole before being given Amlodipine is 163.5mmHg, diastole 103.9 mmHg. Average blood pressure of systole after given Classical Music (Mozart) + Amlodipine is 147.1mmHg, diastole 89.03mmHg. The mean systole blood pressure after Amlodipine is 152.3mmHg, diastole 95.2 mmHg. There are differences in systolic blood pressure in patients with moderate hypertension between the intervention groups (classical music therapy (mozart) ) and the control group (p-value = 0,000) There is a difference in diastolic blood pressure in patients with moderate hypertension between the intervention group (classical music therapy (mozart) and the control group (p value = 0.016).Conclusion: There is an influence of classical music therapy (mozart) on blood pressure, it is recommended to use the results of this study as an alternative therapy in the treatment of primary hypertension and so that it can be socialized to the communityKeywords: Classical Music Therapy (Mozart); Blood Pressure; Hypertension; ElderlyPendahuluan: Jumlah penderita hipertensi di Kabupaten Lampung Utara dalam tiga tahun terakhir mengalami peningkatan tahun 2015 sebesar 10.743 penderita tahun 2016 sebesar 13.039 penderita dan tahun 2017 sebesar 11.228 penderita. Sementara di Puskesmas Kalibalangan tahun 2015 sejumlah 604 turun menjadi 458 tahun 2016, kemudian meningkat menjadi 600 tahun 2017 dan tahun 2018 sejumlah 741 pasien, musik klasik merupakan salah satu terapi non farmakalogik yang mampu menurunkan tekanan darah.Tujuan: Diketahui pengaruh terapi music klasik (Mozart) terhadap tekanan darah pada lansia.Metode: Penelitian kuantitatif menggunakan pendekatan eksperimen semu. Populasi dalam penelitian ini adalah penderita hipertensi di Posyandu Puskesmas Kalibalangan yang berjumlah 80 orang. Sampel sebanyak 62 partisipan dibagi menjadi 2 kelompok, 31 partisipan dengan terapi musik + obat anti hipertensi (amlodipine), dan 31 partisipan lainnya hanya mengkonsumsi obat anti hipertensi sebagai amlodipine. Teknik pengumpulan data dengan mengamati tekanan darah. Uji statistik yang digunakan adalah Independent Test.Hasil: Rata-rata tekanan darah systole sebelum diberi Musik Klasik (Mozart) + Amlodiphine adalah 164.2 mmHg, diastole 102,7 mmHg, pada kelompok yang diberi Amlodipine adalah 163.5mmHg, diastole 103.9 mmHg. Rata-rata tekanan darah systole sesudah diberi Musik Klasik (Mozart) + Amlodipine adalah 147.1 mmHg, diastole 89.03 mmHg, pada kelompok yang diberi Amlodipine adalah 152.3 mmHg, diastole 95.2 mmHg. Ada perbedaan tekanan darah sistolik pada penderita hipertensi sedang antara kelompok intervensi (terapi music klasik (mozart) dan kelompok control (p-value = 0,000). Ada perbedaan tekanan darah diastolic pada penderita hipertensi sedang antara kelompok intervensi (terapi music klasik (mozart) dan kelompok control (p value =0,016).Simpulan: Ada pengaruh terapimusik klasik (Mozart) terhadap tekanan darah pada lansia, sehingga disarankan agar menggunakan hasil penelitian ini sebagai salah satu terapi alternative dalam pengobatan hipertensi primer dan agar dapat disosialisasikan kepada masyarakat.


2021 ◽  
Vol 10 (1) ◽  
pp. 89-98
Author(s):  
Aanisah Zahran ◽  
Irma Nurbaeti

Background: Preeclampsia is one of three causes of death for pregnant women, contributed to about 27% of maternal mortality in Indonesia. One of intervention that can be made for pregnant women to handling preeclampsia is diet for preeclampsia. Objectives: The purpose this study was to investigate the effectiveness of diets program for preeclampsia on decreasing blood pressure in pregnant women. Methods: A pre-experimental design with one group pretest – posttest was carried out. Population was all pregnant women who experience preeclampsia in Public Health Center in Ciputat South Tangerang. Twenty pregnant women who met criteria and completed the intervention were included in this study by using purposive sampling. Researcher explained the program diet and participants received program diets for preeclampsia in the form of a food list table, and fill in a table of food they consumed every day. Sphygmomanometer to measure blood pressure was used. Data collection with measure blood pressure was performed three times, before intervention, two weeks after diet program and one month after diet program. Repeated Measures ANOVA was applied to analysis with α = 0.05. Results: The mean scores of Systolic blood pressure was 147.06; 143.81; 140.38 in first, second and third collection, respectively. Systolic blood pressure in pregnant women with preeclampsia significantly decreased within two weeks after intervention (F = 31.30; p-value = 0.0001; Eta Squared= 0.676). The mean score of diastolic blood pressure was 102.31, 99.00 and 91.56 respectively. Diastolic blood pressure within two weeks after intervention decreased (F= 19.05; p-value= 0.0001; Eta Squared= 0.560). Conclusion: Diets Programs for Preeclampsia could decrease both systole and diastole blood pressure. The recommendation for pregnant women who have Preeclampsia is to manage preeclampsia diets regularly.   Keywords: Blood pressure, diets program, preeclampsia, pregnant.


2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 914.2-914
Author(s):  
S. Boussaid ◽  
M. Ben Majdouba ◽  
S. Jriri ◽  
M. Abbes ◽  
S. Jammali ◽  
...  

Background:Music therapy is based on ancient cross-cultural beliefs that music can have a “healing” effect on mind and body. Research determined that listening to music can increase comfort and relaxation, relieve pain, lower distress, reduce anxiety, improve positive emotions and mood, and decrease psychological symptoms. Music therapy has been used greatly in various medical procedures to reduce associated anxiety and pain. Patients have a high level of anxiety when they are in the hospital, this is the case of patients with rheumatic diseases who consult regularly to have intravenous infusion of biological therapies.Objectives:The purpose of this study was to examine the effectiveness of music therapy on pain, anxiety, and vital signs among patients with chronic inflammatory rheumatic diseases during intravenous infusion of biological drugs.Methods:Fifty patients were divided into two groups: The experimental group G1 (n=25) received drug infusion while lestening to soft music (30 minutes); and the control group G2 (n=25) received only drug infusion. Measures include pain, anxiety, vital signs (blood pressure, heart rate and respiratory rate). The pain was measured using visual analogic scale (VAS). The state-trait anxiety inventory (STAI) was used for measuring anxiety, low anxiety ranges from 20 to 39, the moderate anxiety ranges from 40 to 59, and high anxiety ranges from 60 to 80. Vital signs (systolic blood pressure [SBP], diastolic blood pressure [DBP], heart rate [HR], and respiratory rate [RR]) were measured before, during and immediately after the infusion.Statistical package for social sciences (SPSS) was used for analysis.Results:The mean age in G1 was 44.45 years (26-72) with a sex ratio (M/F) of 0.8. Including the 25 patients, 12 had rheumatoid arthritis, 10 had ankylosing spondylitis and 3 had psoriatic arthritis. The mean disease duration was 8 years. In G2, the mean age was 46 years (25-70) with a sex ratio (M/F) of 0.75, 12 had rheumatoid arthritis, 11 had ankylosing spondylitis and 2 had psoriatic arthritis. The mean disease duration was 7.5 years. The biological drugs used were: Infliximab in 30 cases, Tocilizumab in 12 cases and Rituximab in 8 cases.Before the infusion, the patients of experimental group had a mean VAS of 5/10±3, a mean STAI of 50.62±6.01, a mean SBP of 13.6 cmHg±1.4, a mean DBP of 8.6 cmHg±1, a mean HR of 85±10 and a mean RR of 18±3. While in control group the mean VAS was 5.5±2, the mean STAI was 50.89±5.5, the mean SBP was 13.4±1.2, the mean DBP was 8.8±1.1, the mean HR was 82±8 and the mean RR was 19±2.During the infusion and after music intervention in G1, the mean STAI became 38.35±5 in G1 versus 46.7±5.2 in G2 (p value=0.022), the mean SBP became 12.1±0.5 in G1 versus 13±1 in G2 (p=0.035), the mean DBP became 8.1±0.8 in G1 versus 8.4±0.9 in G2 (p=0.4), the mean HR became 76±9 in G1 versus 78±7 in G2 (p=0.04) and the mean RR became 17.3±2.1 in G1 versus 18.2±1.7 in G2 (p=0.39).This study found a statistically significant decrease in anxiety, systolic blood pressure and heart rate in patients receiving music interventions during biological therapies infusion, but no significant difference were identified in diastolic blood pressure and respiratory rate.Conclusion:The findings provide further evidence to support the use of music therapy to reduce anxiety, and lower systolic blood pressure and heart rate in patients with rheumatic disease during biological therapies infusion.References:[1] Lin, C., Hwang, S., Jiang, P., & Hsiung, N. (2019).Effect of Music Therapy on Pain After Orthopedic Surgery -A Systematic review and Meta-Analysis. Pain Practice.Disclosure of Interests:None declared


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.


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