scholarly journals Pengaruh Terapi Komplementer Massage Punggung Terhadap Tekanan Darah pada Lansia dengan Hipertensi

2021 ◽  
Vol 8 (1) ◽  
pp. 40
Author(s):  
IGA Ari Rasdini ◽  
Ni Made Wedri ◽  
VM Endang SP Rahayu ◽  
IDP Putrayasa

Sekitar 90% usia dewasa dengan tekanan darah normal akan berkembang menjadi hipertensi pada usia lanjut.  Hipertensi pada usia lanjut mempunyai beberapa kekhususan, umumnya disertai dengan faktor resiko yang lebih berat. Masage punggung  bermanfaat melancarkan peredaran darah dan memberikan efek tenang sehingga tekanan darah menjadi stabil. Penelitian ini bertujuan untuk mengetahui pengaruh  terapi  masase punggung terhadap tekanan darah  pada lansia dengan hipertensi. Rancangan penelitian menggunakan quasy experiment dengan desain pretest-posttest control group design, jumlah sampel 20 orang tiap kelompok, dengan  tehnik random sampling. Hasil penelitian menunjukkan rata rata  kelompok perlakuan berusia 73 tahun dan kontrol berusia 75 tahun, jenis kelamin tiap kelompok 10 orang laki laki dan 10 orang perempuan. Pada kelompok perlakuan nilai systole pre-post (164-148.5 mmHg), diastole pre-post (85-80 mmHg).  Kelompok control rata rata nilai systole pre-post  (167,7 - 151.2 mmHg), diastole (87.5-77.5 mmHg). Uji Wilcoxon test didapatkan ada perbedaan yang signifikan tekanan darah pada kelompok perlakuan dengan p value systole adalah 0.000, p value diastole 0.025. Tidak ada perbedaan yang signifikan tekanan darah pada kelompok kontrol baik systole dengan p value 0.086 dan p value diastole 0.140. Ada pengaruh yang signifikan terapi komplementer massage punggung  terhadap tekanan darah systole dengan p value 0.000 dan  p value diastole adalah 0,028. Direkomendasikan terapi massage punggung sebagai terapi non farmakologi untuk menstabilkan tekanan darah guna mencegah komplikasi kardiovaskuler Kata Kunci : massage punggung; tekanan darah; hipertensi; lansia. THE INFLUENCE OF COMPLEMENTER THERAPY ON BLOOD PRESSURE IN ELDERLY WITH HYPERTENSION AT GIANYAR SUKAWATI II HEALTH CENTRE ABSTRACT  Approximately 90% of adults with normal blood pressure will develop hypertension in old age. Hypertension in the elderly has several characteristics, generally accompanied by more severe risk factors. Back massage is useful for blood circulation and provides a calming effect so that blood pressure becomes stable. This study was aimed to determine the effect of back massage therapy on blood pressure in the elderly with hypertension. The research design used a quasi-experimental design with a pretest-posttest control group design, the number of samples were 20 people per group, with random sampling technique. The results showed that the average age of the treatment group was 73 years old and the control group was 75 years old, the sexes of each group were 10 men and 10 women. In the treatment group the value of pre-post systole (164-148.5 mmHg), pre-post diastole (85-80 mmHg). The control group averaged pre-post systole values (167.7 - 151.2 mmHg), diastole (87.5-77.5 mmHg). The Wilcoxon test showed that there was a significant difference in blood pressure in the treatment group with p-value of systole being 0.000, p-value of diastolic 0.025. There is no significant difference in blood pressure in the control group, both systole with p value 0.086 and p value diastole 0.140. There is a significant effect of complementary back massage therapy on systolic blood pressure with a p value of 0.000 and a diastolic p value of 0.028. Back massage therapy is recommended as a non-pharmacological therapy to stabilize blood pressure to prevent cardiovascular complications Key Ward ; back massage; blood pressure; hypertension; elderly

2018 ◽  
Vol 2 (2) ◽  
pp. 163
Author(s):  
Arum Reyan Safitri ◽  
Rita Ismawati

Background: Hypertension is the silent disease which a person will not know if he has increased blood pressure. The incidence rate of hypertension is very high especially in the elderly population over 60 years. Hypertension management can be done in pharmacological ways such as medicines and can use natural ingredients in lowering blood pressure that is by utilizing the noni fruit.Objectives: This study aimed to analyze the effectiveness of Noni fruit tea in lowering elderly blood pressure with hypertensionMethod: This research was quasy experimental throug with Pretest-Postest Control Group Design design. Determination of research sample by using inclusion and exclusion criteria. The sample of the study was 34 respondents divided into two groups. Intervention of Noni fruit tea given as much as 5 gram for 30 days with frequency of giving 2 times a day in the morning and afternoon. Blood pressuremeasurement was performed at the beginning of the study and at the end of the study. Data were analysed using wilcoxon test and Mann Whitney test.Result: Mann Whitney test results showed that there was significant effect after the intervention of noni fruit tea in treatment group compared with control group with systolic blood pressure value (p =0.000171) and diastolic blood pressure (p = 0.000480) with α = 0.05Conclusions: Blood pressure in the treatment group after the intervention of noni fruit tea decreased blood pressure compared with the control group. It is Suggested of research, need to do periodic nutrition education and giving noni fruit tea as alternative medicine that effectively decrease hypertension, scheduled.ABSTRAKLatar Belakang : Hipertensi merupakan the silent disease dimana seseorang tidak akan mengetahui jika dirinya mengalami peningkatan tekanan darah. Angka insiden hipertensi sangat tinggi terutama pada populasi lanjut usia diatas 60 tahun. Penatalaksaan hipertensi dapat dilakukan dengan cara farmakologis seperti obat-obatan serta dapat menggunakan bahan alami dalam menurunkan tekanan darah yaitu dengan memanfaatkan buah mengkudu.Tujuan : Penelitian ini bertujuan menganalisis efektifitas teh buah mengkudu dalam menurunkan tekanan darah lansia dengan hipertensiMetode : Penelitian ini bersifat quasy eksperimental dengan desain Pretest-Postest Control Group Design. Penentuan sampel penelitian dengan menggunakan kriteria inklusi dan eksklusi. Sampel penelitian sebanyak 34 responden yang dibagi menjadi dua kelompok. Intervensi teh buah mengkudu diberikan sebanyak 5 gram selama 30 hari dengan frekuensi pemberian 2 kali sehari pada pagi dan sore hari. Pengukuran tekanan darah darah dilakukan pada awal penelitian dan di akhir penelitian. Analisis data penelitian menggunakan uji wilcoxon dan uji Mann Whitney.Hasil : Hasil uji Mann Whitney menunjukkan bahwa terdapat pengaruh yang signifikan sesudah intervensi teh buah mengkudu pada kelompok perlakuan dibandingkan kelompok kontrol dengan nilai tekanan darah sistolik (p=0.000171) dan tekanan darah diastolik (p=0,000480) dengan α=0.05Kesimpulan : Tekanan darah pada kelompok perlakuan susudah intervensi teh buah mengkudu mengalami penurunan tekanan darah dibandingkan dengan kelompok kontrol. Saran penelitian, perlu dilakukan pendidikan gizi secara berkala dan pemberian teh buah mengkudu sebagai obat alternatif yang efektif menurunkan hipertensi, secara terjadwal.


2021 ◽  
Vol 1 (2) ◽  
pp. 145-157
Author(s):  
Elsy Syafrina Putri ◽  
Elmia Kursani ◽  
Syukaisih Syukaisih

ABSTRAK Hipertensi disebut juga penyakit tekanan darah tinggi merupakan salah satu penyakit yang paling sering muncul di negara berkembang seperti Indonesia. Nilai tekanan darah sistolik ? 140 mmHg atau diastolik ? 90 mmHg. Prevalensi untuk lansia penderita hipertensi lebih dari 60 tahun diestimasikan lebih dari 60%. Penelitian ini bertujuan untuk mengetahui perbedaan tekanan darah sistole dan diastole lansia penderta hipertensi dengan pemberian pisang ambon di Wilayah Kerja Puskesmas Harapan Raya. Penelitian ini ekperimen dengan jenis penelitian Quasy Experiment dan menggunakan Nonrandomized Pretest-Posttest Control Group Design. Penelitian ini dilakukan pada kelompok kontrol 16 orang dan kelompok perlakuan 16 orang. Kelompok kontrol tidak diberikan pisang ambon dan hanya dilakukan pengukuran tekanan darah dan kelompok perlakuan diberikan pisang ambon dan dilakukan pengukuran tekanan darah selama 7 hari. Hasil penelitian menunjukkan terdapat perbedaan rata-rata tekanan darah sebelum dan sesudah pemberian pisang ambon. Dari hasil uji efektifitas dengan mann whitney dapat disimpulkan bahwa pemberian pisang ambon kepada lansia efektif terhadap penurunan tekanan darah (tekanan darah sistole p value 0,000 dan tekanan darah diastole p value 0,006). ABSTRACT Hypertension, also known as high blood pressure, is one of the most common diseases in developing countries like Indonesia. Systolic blood pressure values ??? 140 mmHg or diastolic ? 90 mmHg. The prevalence for elderly people with hypertension more than 60 years is estimated to be more than 60%. This study aims to determine the differences in systolic and diastolic blood pressure of the elderly with hypertension with the provision of Ambon banana in the work area of ??the Harapan Raya Community Health Center.This research is an experiment with Quasy Experiment and uses the Nonrandomized Pretest-Posttest Control Group Design. This research was conducted in a control group of 16 people and a treatment group of 16 people. The control group was not given Ambon banana and only measured blood pressure and the treatment group was given Ambon banana and measured blood pressure for 7 days. The results showed that there were differences in the average blood pressure before and after giving Ambon banana. From the results of the effectiveness test with Mann Whitney, it can be concluded that giving Ambon banana to the elderly is effective in reducing blood pressure (systolic blood pressure p value 0.000 and diastolic blood pressure p value 0.006).


Author(s):  
Idola Perdana Sulistyoning Suharto

The research purpose was to analysis effect of giving mahkota dewa fruits (Phaleria macrocarpa) extract to epithelialization in incision wound of white rats (Rattus norvegicus). The method was randomized posted-only control group design. There were 30 male rats (Rattus norvegicus) grouped on control and treatment group. Control group divided into three groups (KK1, KK2, KK3) and also treatment group divided into three groups (KP1, KP2, KP3). Control group just given CMC 1% peroral without mahkota dewa fruits extract, the treatment group given mahkota dewa fruits extract 22.5 mg/kg body weight. The data was analyzed by Kruskall Wallis. Based on Kruskall Wallis test, obtained result that there was a significant difference (p<0.05) epithelialization variable with p value p = 0.000 between control and treatment group. And based on One-way Anova test, obtained result that there was a significant difference (p<0.05) with p value p =0.000 between control and treatment group. The conclusion of this research was giving mahkota dewa fruits (Phaleria macrocarpa) extract can increase epithelialization in incision wound of white rats (Rattus norvegicus). Keywords : Mahkota Dewa Fruits (Phaleria Macrocarpa) Extract, Epithelialization, Incision Wound 


Author(s):  
Lutfatul Latifah ◽  
Dian Ramawati

Introduction: Every woman who undergo Sectio Caesaria (SC) surgery for delivery their babies often complain about pain after the surgery and it become very distrubing. The effect of the pain cause mobilisation limitation, interrupting bonding attachment between mother and child, and postponning breastfeeding inititation. This study conduct EFT or tapping as the pain management in women post SC surgery.The aim of this study is to identify the effect of EFT or tapping for reducing pain after SC surgery. Methods: Quasy experimental with pre-post non randomized control group design was used in this study. The data been colleted using Numeric Rating Scale (NRS) to measure the pain in participants before and after EFT or tapping treatment. The number of participants was 30 mothers with 15 women in control and treatment group respectively. The t-test was used to analize the effect of the EFT. Results: The mean of pain scale before treatment in control group was 5.20 dan 6.20 for the treatment group. The pain scale after treatment in control group was 5.00 and 4.27 in treatment group. There was a significant difference between the reducing pain scale in treatment group with p value = 0,000 (α = 0.05). Discussion: EFT or tapping can be one of many non farmacologic treatment as complementer therapy to reduce pain after SC surgery. Keywords: post SC pain, EFT, pain scale decline, non farmacologic therapy


2018 ◽  
Vol 6 (3) ◽  
pp. 461
Author(s):  
Mahda Febriyanti Eka Pertiwi Putri ◽  
Murtaqib Murtaqib ◽  
Mulia Hakam

During the quality of sleep the elderly is good, some changes that will occur to the elderly arenormal as well, but if not, it will cause health problems. This research aims to analyze theeffect of jasmine aromatherapy relaxation on sleeping quality to the elderly at elderlyassociation in Jenggawah Jember. This research used quasy experimental design methodwith pre-post test and control group design. Sleeping quality was measured using a PSQIquestionnaire and interventions which were given for 28 days. The result of dependent t testshowed no significant difference on the average score of control group (p value = 1,000).While in the intervention group there was a decrease in the mean score of PSQI after beinggiven jasmine aromatherapy relaxation, so that there was a significant difference in sleepingquality of the intervention group (p value = 0,001). Independent t tests showed significantdifferences between the control group and the intervention group after jasmine aromatherapyrelaxation (p value = 0,001). Overall, jasmine aromatherapy relaxation can improve sleepingquality in the elderly, so that jasmine aromatherapy relaxation may be used as an alternativenon-pharmacological treatment which has no adverse side effects compared to the use oflong-term sleeping pills that would give negative side effects to its users. Keywords: aromatherapy, sleeping quality, elderly.


2020 ◽  
Vol 9 (2) ◽  
pp. 801-812
Author(s):  
Dwi Apriyani ◽  
Masrifan Djamil ◽  
Suryati Kumorowulan

Post partum hypertension contributes to maternal mortality. Postpartum hypertension management can be in the form of pharmacological therapy, but it causes side effects for mother and baby. Several studies have shown that chayote can play a role in lowering blood pressure. This research aimed to prove the effect of chayote extract on reducing blood pressure in postpartum with hypertension. Quasy experiment pretest and posttest control group design. The number of samples was 19 interventions and 19 controls. The intervention group received 400 mg of chayote extract and 10 mg of nifedipine, while the control group received only 10 mg of nifedipine. The intervention was carried out for 7 days. The treatment group experienced significant changes in systolic blood pressure and diastolic blood pressure with p value = 0.000 compared to the control group. The chayote extract has a significant effect on reducing blood pressure in postpartum with hypertension


2017 ◽  
Vol 8 (3) ◽  
pp. 396
Author(s):  
Nehemia Bangkit Pangestu ◽  
Maria Dyah Kurniasari ◽  
Antonius Tri Wibowo

<p>Old age is often attacked the cardiovascular diseases such as hypertension. Ministry of Health Republic of Indonesia (2012) states that hypertension is one of the most influential risk factors for the incidence of heart disease and blood vessels. High blood pressure continuously increases the burden of the arteries slowly. The arteries undergo hardening process becomes thick and rigid, thus reducing its elasticity. Hypertension can also lead to heart disease because if high blood pressure is left without regular treatment, the heart must pump very strongly to push blood into the arteries, over time the walls of the heart muscle become thicker. An abnormally enlarged heart is an unhealthy heart because the heart becomes stiff and the beat tends to be irregular. This will make pumping less effective and eventually lead to heart failure. Pharmacologic treatment using drugs have the risk of side effects. The purpose of this study was to analyze the effectiveness of laughter yoga as non-pharmacological therapy in the elderly with hypertension by measuring the difference in blood pressure before and after being treated laughter yoga. Quantitative experimental research with pretest-posttest with a control group design. The sample used purposive sampling that is 20 elderly that is 10 elderly with treatment and 10 elderly as a control. The instrument was used analog tensimeter. Wilxocon different test results obtained from pre-treatment group of post systole and diastole p-value 0,007 and 0,003. While in control group of pre-post systole and diastole p-value 0,831 and 0,084. Laughter yoga effectively against decreased blood pressure in the elderly with grade 2 hypertension at the Panti Wredha Salib Putih Salatiga.</p>


2020 ◽  
Vol 8 (1) ◽  
pp. 34
Author(s):  
Bima Adi Saputra ◽  
Galih Gipta Widodo

<p><em>Blood pressure most likely increases with age. If the elderly’s systolic pressure is more than 140 mmHg and their diastolic pressure is 90 mmHg, serious attention is definitely needed to decrease the risk of getting cardiovascular disease in the future. This study aims to determine the effect of diaphragmatic breathing relaxation techniques on reducing blood pressure in the elderly with primary hypertension. This study uses a Quasi Experiment study with a non-equivalent control group design. The population in this study is the elderly who suffer from primary hypertension and live in a Social Rehabilitation Unit on the Western Indonesia. The sampling technique used in this study was proportionate stratified random sampling, with 15 elderly in the intervention groups and 15 elderly in the control groups. The intervention group was given diaphragmatic breathing relaxation exercises once a day for five days straight, and each exercise lasted for 10-15 minutes. The measurement of blood pressure using a mercury spygmomanometer and a stethoscope was done on the first day before implementing diaphragmatic breathing relaxation techniques and on the fifth day after breathing diaphragm breathing techniques was given. Based on the Mann Whitney test, the Z-score for cystolic blood pressure was -3,932 with a p-value of 0.001, while the Z-score for diastolic blood pressure was -4.019 with a p-value of 0.001. Given that these two p-values are smaller than a (0,05), it can be concluded that there is an influence of diaphragmatic breathing relaxation techniques on blood pressure in the elderly with primary hypertension. Thus, diaphragmatic breathing relaxation technique can be used to improve the elderly’s health, particularly as an alternative intervention to reduce blood pressure.</em></p><p><strong>BAHASA INDONESIA ABSTRAK: </strong>Seiring pertambahan usia tekanan darah mengalami peningkatan. Jika tekanan sistolik pada lansia mencapai lebih dari 140 mmHg dan diastolik 90 mmHg, maka diperlukan perhatian serius untuk menanganinya karena kondisi ini dapat meningkatkan resiko penyakit kardiovaskular di masa mendatang. Penelitian ini bertujuan untuk mengetahui Pengaruh Teknik Relaksasi Pernafasan Diafragma Terhadap Penurunan Tekanan Darah Pada Lansia dengan Hipertensi Primer. Penelitian ini menggunakan penelitian <em>Quasi Eksperiment </em>dengan rancangan <em>non equivalent control group design.</em> Populasi dalam penelitian ini adalah lansia yang menderita hipertensi primer yang tinggal di satu Unit Rehabilitasi Sosial Indonesia Bagian Barat. Teknik sampling yang digunakan pada penelitian ini adalah <em>proportionate stratified random sampling </em>berjumlah 15 lansia kelompok intervensi dan 15 lansia kelompok control. Pada kelompok intervensi diberikan latihan teknik relaksasi pernapasan diafragma satu kali dalam sehari selama lima hari berturut-turut, setiap latihan dilakukan selama 10-15 menit. Pengukuran tekanan darah menggunakan <em>spygmomanometer</em> air raksa dan stetoskop pada hari pertama sebelum dilakukan teknik relaksasi pernafasan diafragma dan pada hari ke lima setelah dilakukan teknik relaksasi pernapasan diafragma. Berdasarkan uji <em>Mann Whitney</em>, diperoleh Z hitung untuk tekanan darah sistole sebesar -3,932 dengan p-value sebesar 0,001, sedangkan Z hitung untuk tekanan darah diastole sebesar -4,019 dengan p-value 0,001. Oleh karena kedua p-value ini lebih kecil dari a (0,05), sehingga dapat disimpulkan bahwa ada pengaruh teknik relaksasi pernafasan diafragma terhadap tekanan darah pada lansia dengan hipertensi primer. Upaya untuk meningkatkan kesehatan, teknik relaksasi pernafasan diafragma dapat digunakan sebagai alternatif intervensi untuk menurunkan tekanan darah terutama  pada lansia.</p>


2019 ◽  
Vol 3 (1) ◽  
pp. 8
Author(s):  
Elisa Anderson ◽  
Juwyensi A. Taareluan

Surgery is a medical procedure that can trigger anxiety, lavender aromatherapy is one alternative intervention that can be done to overcome this anxiety. The purpose of this study was to analyze the effect of lavender aroma therapy on the anxiety of pre cataract surgery patients. The research method used was quasi experimental pre and post test with control group design. This study was conducted on 30 respondents selected through consecutive sampling technique and divided into two groups, namely 15 people in the control group and 15 people in the treatment group. The results of this study showed that through the Wilcoxon test found p=0.008, there was a significant effect of lavender aromatherapy on anxiety in the treatment group. In the Mann Whitney test found p=0.006, there was a significant difference in the effect of lavender aromatherapy on anxiety in the treatment and control groups. Thus, there is a significant effect of the lavender aromatherapy on the anxiety of pre-cataract surgery patients. Nurses can provide aromas of lavender therapy to reduce the anxiety of preoperative patients so that the surgical procedure can work well.


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. 


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