scholarly journals Intradialytic Exercise on Changes in Blood Pressure in Chronic Kidney Failure Patients during Hemodialysis Therapy

2022 ◽  
Vol 10 (G) ◽  
pp. 1-5
Author(s):  
Wahyu Rima Agustin ◽  
Wahyuningsih Safitri ◽  
Dyan Kurniasari ◽  
Setiyawan Setiyawan ◽  
Atiek Murharyati ◽  
...  

Abstract BACKGROUND: Chronic renal failure (CRF) is a reduction in chronic renal function that leads to non-reversible and progressive kidney tissue damage. Blood pressure is a major risk factor that can increase the mortality rate by up to 20 times in patients with chronic renal failure who are undergoing hemodialysis therapy. Intradialytic exercise is an intervention that can be used to control systolic blood pressure. AIM: This study was to analyze the effect of intradialytic exercise on changes in blood pressure in chronic renal failure patients undergoing hemodialysis therapy at Indriati Solo Baru Hospital. METHODS: The research method is quasi-experimental design pre-post with control group design. The study population was 97 dialysis patients. The sampling technique used a purposive sampling of 30 people. Data analysis using Paired t-Test. RESULTS: The research results showed  that the sex characteristics of most respondents were male as many as 17 people (56.7%), the average age of the respondents was 51.03 years, the pre-intervention in the control group obtained an average systolic blood pressure of 168.93 mmHg and 106 diastole, 120 mmHg, while the blood pressure in the control group post was 173.13 mmHg systole and 107 mmHg diastoles. In the treatment group, the average blood pressure in the pre-intradialytic exercise showed 162.20 mmHg systole and 104.27 mmHg diastole, while the post-intradialytic exercise system blood pressure was 153.13 mmHg and diastole 94.33 mmHg. CONCLUSION: There is an effect of intradialytic exercise on changes in blood pressure in chronic renal failure patients undergoing hemodialysis therapy at Indriati Solo Baru Hospital with a p-value of 0.025. Intradialytic exercise can be recommended as structured physical exercise therapy for hemodialysis therapy patients.   KEYWORDS: intradialytic exercise, chronic renal failure, patients, changes in blood pressure, hemodialysis

2020 ◽  
Vol 9 (2) ◽  
pp. 1771-1778
Author(s):  
Reni Hariyanti ◽  
Suharyo Hadisaputro ◽  
Sri Sumarni ◽  
Erna Widyastuti

This study was conducted to examine the effectiveness of cucumber suri juice (Cucumis Sativus) on blood pressure in hypertensive menopausal women. The study was a quasi-experimental pretest-posttest with control group design. It was 20 respondents selected by purposive sampling, divided into two groups there were intervention group (10 respondent) and control group (10 respondent). Data were analyzed used paired T test. The results showed that the decrease systolic blood pressure in the intervention group was 31,30 mmHg and diastolic blood pressure 16,60 mmHg (p value 0,000) and in the control group decreased systolic blood pressure by 2,0 mmHg and diastolic blood pressure 1.3 mmHg (p value> 0.05). There was a significant effect of cucumber suri juice on blood pressure in the intervention group. Therefore that the cucumber suri juice can be an alternative treatment among menopausal women with hypertension


2021 ◽  
Vol 9 (1) ◽  
pp. 28-32
Author(s):  
Eliza Eliza ◽  
Ayu Lestari ◽  
Sumarman Sumarman ◽  
Andi Eka Yunianto

Background : Hypertension is a condition when systolic blood pressure ≥ 140 mmHg and diastolic blood pressure  ≥ 90 mmHg blood. One of herbal therapies to help lowering blood pressure is by utilizing foods which contain high potassium, such as bananas, melons, and young coconut water.Objective : To analyze the effect of banana melon and young coconut water pudding on lowering blood pressure levels of hypertensive patients at the Palembang Public Health Center.Method : A quasi-experimental study with pre and pos test control group design. The subjects were 60 hypertensive patients at Palembah PHC who were eagerly fulfilled inclusion and exclusion criteria. Data analysis were used t-dependent and t-independent tests to analyze the effect of melon banana pudding and young coconut water with blood pressure.Results : The results showed there was an average decrease in systolic and diastolic blood pressure in the treatment group of 13.07 mmHg (p= 0.000) and 6.93 mmHg (p= 0,000). Consumption of banana melon pudding and young coconut water showed a significant effect on reducing 6.1 mmHg systolic blood pressure (p=0.003) and 4.56 mmHg diastolic blood pressure (p=0,000). T-independent test showed that systolic blood pressure in the treatment and control groups obtained p-0.005 and diastolic blood pressure obtained p-value 0.048.Conclusion : Consumption of banana melon pudding and young coconut water could lower blood pressure levels f hypertensive patients


Author(s):  
Indra Yulianti ◽  
Rina Mardiyana ◽  
Ifa Roifah

  Hypertension often results in dangerous conditions that are often not realized and often do not cause complaints. Hypertension is also often referred to as the silent kiler because it is a deadly disease. Even hypertension can lead to other deadly diseases and can increase the risk of heart attack, stroke and kidney failure. The research design used Quasi Experiment with Non Equivalent Control Group design with pre-postest control one group design. The research was conducted in the working area of ​​the Dlanggu Health Center on September 2020. The population in this study were all hypertension sufferers. The sampling technique used simple random sampling of 60 people. The instrument used was a sphygmomanometer, measuring height and weight and an observation sheet. Data analysis used the Ancova test with the assumption of normal and homogeneous data distribution. Ancova analysis results showed that BMI did not affect systolic blood pressure (F = 0.014, p value 0.907> α), but there was a difference in systolic blood pressure between the control group and the treatment group (F = 105.06, p-value 0,000 <α). The results of the ancova analysis showed that BMI did not affect diastolic blood pressure (F = 0.003, p value 0.953> α), but there was a difference in diastolic blood pressure between the control group and the treatment group (F = 80.899, p-value 0.000 <α). It can be concluded that the difference in systolic and diastolic blood pressure after being given Touch Therapy is not controlled by the BMI variable. This is because blood pressure is controlled by other influencing factors, including stress and physical activity.  


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).


2017 ◽  
pp. 88-92
Author(s):  
Van Hien Pham ◽  
Huu Vu Quang Nguyen ◽  
Tam Vo

Background: Cardiovascular diseases are the leading cause of death in patients with chronic renal failure. When a patient undergoes dialysis, making AVF or AVG causes cardiovascular events. Understanding the relationship between complications: hypertension, heart failure, AVF or AVG (formation time, position, diameter) helps us monitor, detect, prevent and treatment of complications to limit the risk of death in patients with dialysis. Objective: Relationship between cardiovascular diseases and anatomosis of arteriovenous fistular in patients with regularly hemodialysis at Cho Ray Hospital. Methods: A cross-sectional study was conducted at Cho Ray Hospital from 2015 to 2016. The survey some cardiovascular diseases are done by clinical examination, tests for diagnostic imaging such as X-ray, electrocardiogram and echocardiogram: heart and diameter of anastomosis AVF, AVG. Results: The study population included 303 patients with chronic renal failure who were dialysis. Of which, patients aged 25-45 accounted for the highest proportion (43.9%). The proportion of male and female patients was similar (48.5% and 51.5% respectively). The mean value of systolic blood pressure on patients made AVF, AVG less than 12 months is higher than patients made AVF, AVG over 12 months, and there is negative correlation (r = -0.43) between AVF, AVG and systolic blood pressure (p <0.05). The mean value of diastolic blood pressure on patients made AVF, AVG less than 12 months is lower than patients made AVF, AVG over 12 months, and and there is positive correlation (r = -0.43) between AVF, AVG and diastolic blood pressure (p <0.05) (p <0.05). The prevalence of patients with heart failure made AVF, AVG over 12 months is higher than that of the under 12 months group, there is a negative correlation (r = - 0.43) between AVF, AVG diameter and EF index (p <0.05). Conclusion: It is important to note the diameter of anastomosis AVF, AVG in patients with chronic renal failure dialysis to limit cardiovascular complications, especially heart failure. Key words: Chronic kidney disease, hemodialysis.


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.


2003 ◽  
Vol 222 (3) ◽  
pp. 322-329 ◽  
Author(s):  
Frederic Jacob ◽  
David J. Polzin ◽  
Carl A. Osborne ◽  
James D. Neaton ◽  
Chalermpol Lekcharoensuk ◽  
...  

2020 ◽  
Vol 3 (1) ◽  
pp. 67-74
Author(s):  
Diah Evawanna Anuhgera ◽  
Rizky Yolanda ◽  
Riris Sitorus ◽  
Nikmah Jalilah Ritonga ◽  
Damayanti .

Woman menopause in hypertension is often associated with increase vascularity and physiological changes during menopause. This study aims to examine the effect of celery leaf stew on blood pressure levels in menopausal woman in hypertension. This study was a quasy experiment with pretest-posttest control group design, conducted in the Sidodadi Village District Beringin, Deli Serdang on Januari to March 2020. There were 28 participants selected using purposive sampling, with 14 assigned in the experimental and control group. Data were analyzed using paired t-test and unpaired t-test. There were statistically significance difference of blood pressure levels before and after intervention in the experiment group with p value sitolic level  0.000 dan diastolic level 0.001 (<0.05). Celery leaf stew has a significant effect in reducing  blood pressure level in menopausal woman in hypertension. This intervention could be applied as an alternative theraphy in treating menopausal woman in hypertension.


2020 ◽  
Vol 14 (2) ◽  
pp. 177-186
Author(s):  
Asep Badrujamaludin ◽  
Budiman Budiman ◽  
Tifany Desty Erisandi

The effect of celery (apium graveolens) leaf and bay leaf (Syzygium polyanthum wight) on the blood pressure in pre-elderly with primary hypertensionBackground: Hypertension, also known as high blood pressure, is as medical condition in which the blood pressure in arteries is persistently elevated. This condition can increase risk of cardiovascular diseases such as stroke, kidney failure, heart attack, and kidney damage. Hypertension requires proper treatment to prevent uncontrolled blood pressure that can cause damaged organs. One of traditional treatment for hypertension is using celery leaves (Apium graveolens L) and bay leaves (Syzygium polyantum).Purpose: This research is to determine the difference of blood pressure after the consumption of boiled water celery leaves and bay leaves in pre-elderly with hypertension at Cigugur Tengah Public Health Center.Method: The type of this research is the numerical comparative analytic with Quasi Experiment design with Non Equivalent Control Group Design. This research used purposive sampling technique using 22 responden with inclusion and exclusion criteria. Data collection was performed by measuring the blood pressure before and after the consumption of celery leaves and bay leaves boiled water that consume twice a day in one week. The data are processed including univariate and bivariate data analysis.Results: The statistical result of T-independent test obtain p value of 0,365 > α (0,05)  for the systolic blood pressure and 0,574 > α (0,05) for diastolic blood pressure.Conclusion: Result showed that there is no average difference of blood pressure in group intervention boiled water of celery leaves and bay leaves after consumption of boiled water celery leaves and bay leaves. However, both intervention have decreased blood pressure of hypertension patient.Suggestion of this research is to consume boiled water of celery leaves and bay leaves for longer time as additional therapy for hypertension patient.Keywords: Pre-elderly; Celery leaf; Bay leaf; Primary hypertensionPendahuluan: Hipertensi merupakan suatu keadaan tekanan darah yang tinggi di dalam arteri, sehingga meningkatkan risiko terhadap penyakit-penyakit yang berhubungan dengan kardiovaskuler seperti stroke, gagal ginjal, serangan jantung, dan kerusakan ginjal. Hipertensi membutuhkan penanganan yang tepat untuk mencegah tidak terkontrolnya tekanan darah yang dapat menyebabkan organ tubuh menjadi rusak. Salah satu pengobatan alami hipertensi yang dilakukan adalah pengobatan dengan menggunakan daun seledri (Apium graveolens L) dan daun salam (Syzygium polyanthum).Tujuan: Untuk mengetahui perbedaan tekanan darah sesudah pemberian air rebusan daun seledri dan air rebusan daun salam terhadap penurun tekanan darah pada pra lansia dengan hipertensi primerMetode: Analitik komparatif numerik tidak berpasangan dengan desain Quasi Eksperimen dengan rancangan Non Equivalent Control Group. Pengambilan sampel dilakukan secara teknik purposive sampling sebanyak 22 responden. Pengumpulan data dilakukan dengan cara mengukur tekanan darah responden sebelum dan sesudah diberikan perlakuan dua kali sehari selama satu minggu. Pengolahan dengan menggunkan uji T-independent diperoleh nilai p value tekanan darah sistolik 0,365 > α (0,05) dan p value tekanan darah diastolik 0,574 > α (0,05).Hasil: Tidak terdapat perbedaan yang signifikan rerata tekanan darah pada kelompok intervensi baik yang diberikan air rebusan daun seledri dan air rebusan daun salam.Simpulan: Terdapat penurunan tekanan darah dari kedua kelompok intervensi tersebut bagi penderita hipertensi. Saran dari penelitian ini diharapkan penderita yang mengalami hipertensi dapat mengaplikasikan air rebusan daun seledri dan air rebusan daun salam dalam kurun waktu lama sebagai tambahan terapi untuk hipertensi.


2019 ◽  
Vol 3 (2) ◽  
pp. 1-8
Author(s):  
Apriyani Puji Hastuti ◽  
Hanim Mufarokhah

Introduction: Most people with hypertension assume that consumption drugs can control their blood pressure. In fact, lifestyle factor such as physical activity contribute to the burden of account for substantial morbidity, mortality, and rising in hypertension, highlighly the much for prevention afford to curb public health epidemic. Health coaching was one way for the nurse to improve motivation and patient’s beliefs concerning their disease so that they would show good compliance behavior. Objective of this study was to analyze the effect of health coaching toward physical activity. Methods: This study used quasi experiment design with pre-post test control group design. Sample collection technique was by purposive sampling. The amount of sample was 26 person for each group. There were two variables, the dependent and independent variables, the dependent variable was physical activity and the independent variable was health coaching. The location in the work Pandanwangi health public care  and the time was April- Juli 2019. Statistical data test used were Mann Whitney and Sign Rank Test Wilcoxon. Result: Health coaching has effect to systolic blood pressure only. Difference test in treatment group using Wilcoxon obtain p value 0,000, while differece test with Mann Whitney obtain p value 0,000 . Discussion : There is blood pressure differences between treatment and control group. It is expected hypertension patients should be always doing use hypertension management to control blood pressure. Keywords: health coaching, hypertension, blood pressure


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