Case Study : The influence of deep breathing relaxation techniques in reducing blood pressure and pain caused by hypertension

Pain is a body signal to inform pathological condition. In hypertension patients, pain occured as one of the symptom of the disease. Hypertension is an increase if systolic and diastolic blood pressure out of normal range. In Indonesia, especially in Kebayoran Lama public health center district, prevelance of hypertension in elderly still consider public health issue. Aim of this study is to measure effect of deep breath relaxation technique in reducing pain and blood pressure for hypertension patients. This research used case study design. In this study, researcher in five days measured participants blood pressures and their pain scales. After that, researcher guided participant to do deep breathing relaxation technique five times consecutively, around fifteen minutes. Results pain scale of Mrs. M and Mrs. A that within five days there were slight reducing of pain level. Another finding, that there was trend of decreasing blood pressure of those patient within normal range. It can be concluded that in these two patients deep breathing relaxation techniques could reduces their pain scale and maintaining normal blood pressure level of hypertension patients. It is recommended to this research with bigger sample and using other research variables.

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A CASE STUDY, THE APPLICATION OF DEEF BREATHING RELAXATION TECHNIQUES TO CONTROL BLOOD PRESSURE IN PATIENT WITH HYPERTENSION

10.31227/osf.io/jw5xv ◽

2020 ◽

Author(s):

Ashar Prima ◽

Intan Oktaviani ◽

Hani fauziah

Keyword(s):

Blood Pressure ◽

Causes Of Death ◽

Communicable Diseases ◽

Relaxation Techniques ◽

Deep Breathing ◽

Control Blood Pressure ◽

Non Communicable Diseases ◽

Before And After ◽

The Subject

Non-communicable diseases in Indonesia has become one of the main causes of death, as many as 73% of all causes of death. One of the causes of death are non-communicable diseases still ranks first is cardiovascular diseases as much as 35% of all causes of death of non-communicable diseases. The aim this research is to describe the application of deep breathing relaxation techniques to control blood pressure on hypertension sufferers in the working area of Health Center Bekasi Jaya. Method in research is descriptive in the form of case studies of blood pressure before and after a deep breath relaxation techniques, in 2 subjects during the four days. The instrument used was a sphygmomanometer (blood pressure) digital. The results of the research two subjects experienced a decrease in blood pressure after a given breath relaxation techniques, in addition to decreased blood pressure both subjects also experienced an increase in blood pressure. The technique relaxation deep breaths can lower your blood pressure if you can stay focused not think of anything or conditions that occur around the subject when doing relaxation, and its reverse when the subject can not concentrate fully subject to increased blood pressure.Keywords : Hypertension, Relaxation, Breathing, Blood Pressure

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THE EFFECTIVENESS DIFFERENCES OF FINGER HANDHELD AND DEEP BREATHING RELAXATION TECHNIQUES IN REDUCING HEART RATE AND STRESS LEVELS IN PRIMARY HYPERTENSION PATIENTS

Jurnal Keperawatan Padjadjaran ◽

10.24198/jkp.v7i3.996 ◽

2019 ◽

Vol 7 (3) ◽

Author(s):

Arif Setyo Upoyo

Keyword(s):

Blood Pressure ◽

Heart Rate ◽

T Test ◽

Primary Hypertension ◽

Relaxation Technique ◽

Relaxation Techniques ◽

Deep Breathing ◽

Significant Difference ◽

Stress Levels ◽

Before And After

Stress and hypertension have a reciprocal relationship where hypertension can increase stress, and stress will also increase blood pressure. Therefore we need an effort to control stress in patients with hypertension to prevent increasing blood pressure that can cause complications such as congestive heart failure, myocardial infarction, and stroke. The aim of the study was to determine the effectiveness differences of finger handheld and deep breathing relaxation techniques to decrease heart rate and stress levels of primary hypertension patients. The research design used experimental quasi. The research was conducted in Kembaran and East Purwokerto District, Banyumas, Indonesia. The sampling technique used a simple random sampling approach, with a total sample of 50 respondents, 25 respondens got finger handheld relaxation intervention and 25 respondents got intervention deep breathing relaxation. Heart rate and stress level were measured before and after treatment using heart rate (HR) recordings on digital tensimeter and Subjective Units of Distress Scale (SUDS). Data analysis used paired t test and independent t test. The results showed there were significant differences in HR and stress levels before and after finger handheld relaxation (p = 0,000). There were significant differences in HR (p = 0.010) and significant levels of stress (p = 0.000) before and after deep breathing relaxation. There were significant difference in HR (p = 0.02) and there were no significant difference in stress levels (p = 0.23) after treatment (post test) between those who received finger handheld and deep breathing relaxation techniques. Conclusion: finger handheld and deep breathing relaxation techniques are equally effective in reducing stress levels in primary hypertension patients. Finger handheld relaxation technique is more effective in reducing HR than deep breathing relaxation technique.

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Penerapan Relaksasi Otot Progresif Terhadap Penurunan Tekanan Darah Pada Pasien Hipertensi

Prosiding Seminar Nasional Kesehatan ◽

10.48144/prosiding.v1i.755 ◽

2021 ◽

Vol 1 ◽

pp. 799-805

Author(s):

Ella Listiana ◽

Firman Faradisi

Keyword(s):

Blood Pressure ◽

Communicable Disease ◽

Muscle Relaxation ◽

Pain Scale ◽

Progressive Muscle Relaxation ◽

Relaxation Therapy ◽

Pharmacological Treatments ◽

Hypertensive Patients ◽

Non Communicable Disease

AbstractHypertension is a non-communicable disease and is the most consistent risk factor for stroke.Most people with hypertension do not know that they suffer from hypertension so they do not get good treatment. Handling hypertension can be done pharmacological and non-pharmacological.One of the non-pharmacological treatments to reduce high blood pressure is progressive muscle relaxation therapy. The subjects in this case study were two patients who had high blood pressure.This study aims to apply progressive muscle relaxation therapy and its effect on reducing blood pressure in hypertensive patients.The research design is a case study on 2 hypertensive patients. The intervention is by applying progressive muscle relaxation for 3 consecutive days with one relaxation time of 15-30 minutes.The results show that Progressive Muscle Relaxation Therapy can decreases in blood pressure and pain scale in both patients.Accordance with this, nurses are suggested to apply Progressive Muscle Relaxation as a non-pharmacologic intervention to decrease blood pressure in hypertensive patients.Keywords: Hypertension; pain; progressive muscle relaxation AbstrakHipertensi merupakan salah satu penyakit yang tidak menular dan merupakan faktor resiko yang paling konsisten pemicu stroke.Sebagian besar penderita Hipertensi tidak mengetahui bahwa dirinya menderita Hipertensi sehingga tidak mendapatkan penanganan dengan baik. Penanganan hipertensi ini dapat dilakukan secara farmakologi maupun non farmakologi.Salah satu penanganan nonfarmakologi untuk menurunkan tekanan darah tinggi adalah terapi relaaksasi otot progresif.Subyek dalam studi kasus ini adalah dua pasien yang mengalami tekanan darah tinggi. Penelitian ini bertujuan untuk mengaplikasikan terapi relaksasi otot progresif dan pengaruhnya terhadap penurunan tekanan darah pada pasien hipertensi. Desain penelitian berupa studi kasus pada 2 pasien hipertensi.Intervensi dengan ngaplikasikan relaksasi otot progresif selama 3 hari berturut-turut dengan sekali relaksasi 15-30 menit. Hasil yang didapatkan pada pasien I maupun II mengalami penurunan tekanan darah dan skala nyeri. Kesimpulan dari studi kasus ini bahwa relaksasi otot progresif dapat menurunkan tekanan darah dan skala nyeri pada kedua pasien. Saran bagi perawat diharapkan dapat menerapkan relaksasi otot progresif sebagai tindakan nonfarmakoogi untuk menurunkan tekanan darah pada pasien hipertensi.Kata kunci: Hipertensi; nyeri; relaksasi otot progresif

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Healthcare Waste Management: A Case Study from Sudan

Environments ◽

10.3390/environments5080089 ◽

2018 ◽

Vol 5 (8) ◽

pp. 89 ◽

Cited By ~ 3

Author(s):

Ahmed Hassan ◽

Terry Tudor ◽

Mentore Vaccari

Keyword(s):

Public Health ◽

Waste Management ◽

Public Health Issue ◽

Healthcare Waste ◽

Effective Manner ◽

Healthcare Waste Management ◽

Treatment Technologies ◽

Waste Segregation ◽

Suitable Treatment

Healthcare waste (HCW) represents a major public health issue, especially in developing countries. Among HCW categories, sharps waste is one of the most hazardous. Exposure to needle-stick injuries can lead to blood-borne pathogens, therefore HCW should be managed in an effective manner. The main aims of this study were to assess the current management of used needles and to suggest suitable recommendations for an improved and safer system for needle management in Khartoum, Sudan. The study showed that the management of both healthcare and home-generated HCW in Sudan is inefficient, as all wastes are mixed together and disposed of improperly, especially used needles. The study attributes this to many reasons, including lack of waste segregation at the source, lack of policies, failure of planning, inadequate training, lack of awareness of the hazardous nature of such kinds of waste, weak infrastructure, and a lack of suitable treatment technologies. The estimated average generated rate of HCW ranged from 0.38 to 0.87 kg/bed/day in 2009 and 2012, respectively. Such ineffective healthcare waste management HCWM, especially used needles, can put public health as well as the environment at risk, particularly waste workers, thus urgent action needs to be taken by all involved parties and at all levels.

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Pengaruh Teknik Relaksasi Nafas Dalam terhadap Penurunan Nyeri pada Pasein Fraktur

Jurnal Kesehatan ◽

10.26630/jk.v9i2.905 ◽

2018 ◽

Vol 9 (2) ◽

pp. 262 ◽

Cited By ~ 1

Author(s):

Lela Aini ◽

Reza Reskita

Keyword(s):

Sampling Method ◽

Health Workers ◽

Relaxation Technique ◽

P Value ◽

Relaxation Techniques ◽

Subject Group ◽

Deep Breathing ◽

Physical Energy ◽

Patient Will ◽

Test Result

<p>Fracture is a crack on bones that is caused by trauma, or other physical energy so that the medical fracture patient will experience start from light until a heavy level of pain. According to data RSI Siti Khadijah Palembang, the number one of patients fractures tend to increase in 2016 as many 423 people. The aim of this study is to see whether there is or is not any breath relaxation technique in case of relieving the pain of fracture patients. This study is using the pre-experimental design in an involving a subject group, with One group Pretest-Posttest project. Sample taking technique is performed with Purposive Sampling method that consumes 30 respondents. This study is performed on 15th of June- 14th of July 2017 in RSI Siti Khadijah Palembang. The summary of the research shows that before the internal breath relaxation technique is done from 30 respondents, 10 of them experience the pain on scale of 4 as equal as (35,7%), either experience the reduction after the breath relaxation technique is done on scale of 2 and 3 each 8 respondents or as equal as (28,6%). The statistics test result that is using the Wilcoxon check (p-value=0.001) < α (0,05) is obtained which that means there is an effect of breath relaxation technique according to the pain revelation of medical fracture patients in RSI Siti Khadijah Palembang on 2017. With this study, it is expected that health workers can implement deep breathing relaxation techniques to reduce pain in fracture patients.</p>

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Pemberian Relaksasi Otot Progresif pada Lansia Dengan Hipertensi Essensial di Kota Jambi

Jurnal Ilmiah Universitas Batanghari Jambi ◽

10.33087/jiubj.v18i2.481 ◽

2018 ◽

Vol 18 (2) ◽

pp. 368

Author(s):

Salvita Fitrianti ◽

Miko Eka Putri

Keyword(s):

Public Health ◽

Blood Pressure ◽

Essential Hypertension ◽

Health Center ◽

Muscle Relaxation ◽

Progressive Muscle Relaxation ◽

P Value ◽

Relaxation Techniques ◽

Public Health Center ◽

The Public

Based on health surveys, 30% of Indonesians are hypertensive. Hypertension is a risk factor for the third-leading cause of death after stroke and tuberculosis, i.e. 67% of the population of deaths at all ages. The number of an elderly female with essential hypertension at the public health center Simpang Kawat Jambi city year 2017 as many as 191 people. This study aimed to determine is there the effect of giving progressive muscle relaxation techniques toward changes in blood pressure in elderly with essential hypertension. This study used one group pre-post test design method; it used simple random sampling technique, numbers of samples were 20 respondents. This study was conducted at Auditorium the public health center Simpang Kawat Jambi city from July 24th – 30th 2017. The instruments are Blood pressure measurement results, data analyzed as univariate and bivariate. The findings indicated that p-value Systole blood pressure p-value = 0.000 and diastole p-value = 0.000, so it can conclude that there is the significant effect of Changes in blood pressure in the elderly with essential hypertension before and after the technique of progressive muscle relaxation at the public health center Simpang Kawat Jambi city. It expected to Health workers can provide knowledge about progressive muscle relaxation technique exercises so that people with essential hypertension can control blood pressure independently at home.

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Efektifitas Teknik Relaksasi Nafas Dalam dan Pijatan Effleurage terhadap penurunan skala nyeri pada post sectio caesarea

NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871 ◽

10.36089/nu.v1i1.37 ◽

2019 ◽

Vol 1 (1) ◽

pp. 61-69

Author(s):

Siti Rochimatul Lailiyah

Keyword(s):

Sampling Technique ◽

Pain Scale ◽

Sectio Caesarea ◽

Relaxation Techniques ◽

Light Weight ◽

Deep Breathing ◽

Moderate Pain ◽

Test Results ◽

Post Operative Pain ◽

The Difference

Deep breathing relaxation techniques and massagetechniques is an act that can reduce the pain inpostpartum mother sectio caesarea. The purpose ofthis study was to determine the difference in theintensity of post operative pain sectio caesarea withthe technique of deep breathing relaxation andmassage at irna C RSUD Syarifah Ambami RatoEbu Bangkalan. This study uses an experimental quasiapproach. The population is patients who havesevere pain, moderate pain, and mild pain aftersurgery sectio caesarea in irna C RSUD SyarifahAmbami Rato Ebu Bangkalan as many as 57patients. 10-19 year old girls. the sample of 9respondents who taught the technique of deepbreathing relaxation and 9 respondents in givingmassage techniques. sampling technique that isused is probability sampling. Data collection usingSOP and pain scale sheets. Data analysis usingpaired t-test. The results showed that of the 9 respondentsmost respondents after the technique of breathrelaxation in light weight scale as much as 7 (77.8%)postpartum. And from 9 respondents most ofrespondent after done massage technique of lightweight scale as much as 8 (89.9) postpartum.Wilcoxon test results show probability value greaterthan expected significant value (0.317 <0.05). Thismeans there is no difference in the intensity ofpostoperative postoperative pain of caesarea withthe application of deep breathing relaxation andmassage Effleurage. Deep breathing relaxation techniquesand massage techniques are important factors inpreventing the occurrence of severe pain.postpartum is expected to post sectio caesarea tofamiliarize with the technique of deep breathingrelaxation and massage techniques to reduce pain..

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Media manipulation of information on the health effects of 5G? A small-sample case study of the Croatian news website Index.hr

10.31235/osf.io/dpjbf ◽

2020 ◽

Author(s):

Petar Gabrić

Keyword(s):

Public Health ◽

Health Effects ◽

Small Sample ◽

Health Issue ◽

Public Health Issue ◽

Simultaneous Increase ◽

News Website ◽

Opinion Expression ◽

The Media

A history of research on radio frequency radiation, and recent scant research on the newly emerging 5G suggests that the expansion of 5G poses a possible public health issue. The media play a decisive role in how the public responds to a public health issue, and what it knows about it. However, there is an increasing amount of misinformation on health topics in the media. The present case study investigated whether the Croatian news website Index.hr manipulates information on the health effects of 5G. We constructed one experimental corpus, containing all articles by Index.hr on health effects of 5G, and two control corpora, one with articles about health effects of 5G published by reliable mainstream media, and one with articles about science (but not 5G) published by Index.hr. We assessed the presence of references, scientific references, misinformation, opinion expression, and opinion subjectivity. Compared to Index.hr science articles, Index.hr 5G articles were 10.78 times likelier to contain no references, 4.20 times likelier to contain no scientific references, 10.78 times likelier to contain misinformation, 288.14 times likelier to express the author’s opinion on the issue, and 16.95 times likelier to express a subjective opinion. The simultaneous increase in misinformation and reduction in referencing suggests that misinformation doesn’t stem from other unreliable sources of information, but that the misinformation is produced within Index.hr. An increase in opinion expression, and opinion subjectivity in the context of misinformation suggests that Index.hr is manipulating the information on health effects of 5G. This is corroborated by the fact that the two types of misinformation identified in the present study included erroneous referencing, and denial of the existence of scientific literature on the topic. Furthermore, all articles on both 5G, and scientific topics were written by different authors, indicating that this phenomenon is systematic within Index.hr. We conclude that our data point to a manipulation of information on health effects of 5G by Index.hr. Still, the small sample size warrants a degree of caution.

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PENERAPAN TEKNIK RELAKSASI NAFAS DALAM MENURUNKAN INTENSITAS NYERI PADA PASIEN APPENDICITIS DI RSUD WATES

Nursing Science Journal (NSJ) ◽

10.53510/nsj.v1i1.17 ◽

2020 ◽

Vol 1 (1) ◽

pp. 25-28

Author(s):

Wahyu Widodo, Neli Qoniah

Keyword(s):

Pain Intensity ◽

Acute Pain ◽

Pain Scale ◽

Relaxation Techniques ◽

Deep Breathing ◽

Moderate Pain ◽

Mild Pain ◽

Reduce Pain Intensity

Appendicitis is a condition in which an infection occur in the appendix. In mild cases it can be cured without treatment, but many cases require a laparotomy by removing the tufts of infected worms (Kowalak, 2011). Objective : to determine the effect of deep breathing relaxation with acute pain nursing problems in appendicitis clients. Method : The design of this research is descriptive, in the form of case studies.The subjects in this study were two clients who had appendicitis. The study was conducted in February - March 2019. Results : before taking breath relaxation measures on the scale of pain 6 and 5, after the pain scale measures were carried out to 3 and 2. The results showed a decrease in the scale of moderate pain to a mild pain scale. Conclusion : Breath relaxation techniques can reduce pain intensity in appendicitis patients, So this nonpharmacological technique is highly recommended.

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Pengaruh latihan napas dalam terhadap perubahan tekanan darah pada penderita hipertensi esensial Di Puskesmas Putri Ayu Kota Jambi

Riset Informasi Kesehatan ◽

10.30644/rik.v6i2.88 ◽

2017 ◽

Vol 6 (2) ◽

pp. 168

Author(s):

Fithri Yani

Keyword(s):

Public Health ◽

Blood Pressure ◽

Essential Hypertension ◽

Health Center ◽

Blood Pressure Measurement ◽

P Value ◽

Deep Breathing ◽

Public Health Center ◽

The Public ◽

Breathing Exercises

Abstract Background : Based on health surveys, 30% of Indonesians are hypertension. Hypertension is a risk factor for third-leading cause of death after stroke and tuberculosis i.e. 67% of the population death at all ages. Total patients with essential hypertension at the public health center Putri Ayu Jambi city year 2016 as many as 2490 patients. This study aimed to determine is there any effect of provision of nursing interventions in the form of deep breathing relaxation to changes in blood pressure in patients with essential hypertension at the public health center Putri Ayu Jambi city. Method :This study used one group pre-post test design method; it used purposive sampling technique, with total samples as many as 30 respondents from total population as many as 378 patients. Instruments are Blood pressure measurement results, data analyzed as univariate and bivariate by using paired t-test analysis. Results :The findings indicated that p-value Systole blood pressure p-value = 0.000 and diastole p-value = 0.006, so it concluded that there is significant effect to Changes in blood pressure in patients with essential hypertension Before and after being given deep breathing exercises at the public health center Putri Ayu Jambi city. Conclusion :It is expected that health officer to increase the Giving nursing care and can provide knowledge about deep breathing exercises so that people with essential hypertension can control blood pressure independently at home.

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