scholarly journals Terapi Relaksasi Otot Progresif terhadap Penurunan Tekanan Darah pada Pasien Hipertensi : Literature Review

2021 ◽  
Vol 1 ◽  
pp. 413-420
Author(s):  
Fauzan Kukuh Permadi ◽  
Dafid Arifiyanto

AbstractIt is commonly hypertension is a non-communicable disease which is one of the main causes of premature death in the world. The management of this disease includes a non-pharmacological and pharmacological matter. One of the non-pharmacological alternatives for reducing the problem is by applying a technique of progressive muscle relaxation. To examine the effect of progressive muscle relaxation therapy in controlling blood pressure in hypertensive patients. Since it is a literature review, it has searched articles published during 5 years. from 2017 to 2021 in Scilit and Garba Garuda. It obtained 5 articles with 163 respondents and the were according to the keyword and inclusion criteria. Then, it was analyzed by Discern instrument then processed using the Mann-Whitney test and concluded. After analyzing process, it started that the characteristics of the majority of respondents with hypertension are female and >45 years old, there is a significant difference in mean different systolic blood pressure between the control group and the intervention group with a p-value , 0.001. Beside, there is a significant difference in the mean different diastolic blood pressure between the control group and the intervention group with a p-value, 0.001. The results of the analysis and synthesis showed that progressive muscle relaxation therapy was effective in lowering blood pressure.Keywords: Hypertension, progressive muscle relaxation, blood pressure AbstrakHipertensi merupakan penyakit tidak menular yang menjadi salah satu penyebab utama kematian dini di dunia. Penatalaksanaan hipertensi meliputi non farmologis dan farmologis. Salah satu terapi non farmologis alternatif untuk menurunkan tekanan darah yaitu dengan teknik relaksasi otot progressif. Untuk mengetahui pengaruh terapi relaksasi otot progresif dalam mengontrol tekanan darah pada pasien hipertensi. Metode yang digunakan dalam penelitian ini adalah korelasi dengan pengumpulan data literature review, pencarian artikel pada rentang waktu 5 tahun yaitu dari tahun 2017-2021 melalui penelusuran Scilit dan Garba Garuda. Didapatkan 5 artikel dengan 163 responden. Hasil pencarian didapatkan sesuai kata kunci dan kriteria inklusi, dianalisa menggunakan instrument Discern yang kemudian diolah menggunakan uji Mann-Whitney lalu disimpulkan. Hasil Analisa dari kelima artikel didapatkan hasil penelitian pada karakteristik responden mayoritas penderita hipertensi berjenis kelamin perempuan dan berusia >45 tahun, ada perbedaan yang signifikan mean different tekanan darah sistole antara kelompok kontrol dengan kelompok intervensi dengan nilai..p-value..0,001 dan ada perbedaan yang signifikan mean different tekanan darah diastole antara kelompok kontrol dengan kelompok intervensi dengan nilai..p-value..0,001. Hasil analisa dan sintesa menunjukkan terapi relaksasi otot progresif efektif dalam menurunkan tekanan darah.Kata kunci: Hipertensi, relaksasi otot progessif, tekanan darah

2021 ◽  
Vol 6 (2) ◽  
pp. 45-52
Author(s):  
Reny Sulistyowati

Fatigue is a widespread clinical complaint among adults with type 2 diabetes. Fluctuating glucose levels can cause fatigue. Several factors are associated with fatigue in diabetic patients, including physiological factors such as hypoglycemia or hyperglycemia, psychological factors such as depression associated with diabetes. Progressive muscle relaxation is a procedure to get relaxation in the muscles through two steps, namely by applying tension to a muscle group and stopping the tension then focusing on how the muscle relaxes, feeling the sensation of relaxation and fatigue is reduced. The aim of this study was to identify the effect of progressive muscle relaxation on fatigue symptoms in type II DM clients in 15 control groups and 15 intervention groups. The research method used a quasi-experimental design with a pretest-posttest control group design approach, consisting of one treatment (in the intervention group) and a control group. Data analysis was performed using univariate and bivariate analysis using t-independent and t-dependent tests. Wilcoxon test results in the intervention group and the control group showed a significant p-value of 0.002 (<0.05), meaning that there was a significant difference in fatigue symptoms in the intervention group before and after the intervention. This shows that there was a decrease in fatigue symptoms in the intervention group before and after combination OHO therapy and progressive muscle relaxation exercises (previously the average respondent in the intervention group experienced symptoms of severe fatigue, after intervention, the average value of fatigue symptoms turned into mild fatigue ). Conclusion: Progressive muscle relaxation combined with OHO therapy can reduce symptoms of fatigue compared to only OHO therapy.


Author(s):  
Ni Komang Ayu Juni Antari ◽  
Alex Pangkahila ◽  
Muh. Ali Imron ◽  
I Putu Adiartha Griadhi ◽  
Luh Made Indah Sri Handari Adiputra ◽  
...  

ABTSRACT Introduction: Physical exercise as anticipate of hypertension along with nutrition and medicines. One of physical exercise that can be applicated here is relaxation techniques which is showed positive impact in decreased blood pressure. Objective: Determine the difference between PMR intervention with SSBM intervention to reduce blood pressure for grade I hypertension patients whose consumed anti-hypertension medicine in badung regency. Methods: Experimental method Pre and post-test control group design and used 24 subjects, divided in to 2 groups, in which the experimental group I (n=12) received progressive muscle relaxation (PMR) while the treatment group 2 (n=12) received slow stroke back massage (SSBM). Intervention is given 3 times a week for 4 weeks. This study was using simple random sampling. Blood pressure was measured by sphygmomanometer and stethoscope. Result: Independent Sample T-test showed there was significant difference between Group 1 and Group 2 which (p<0.05) for systolic and diastolic blood pressure. Conclusion: Progressive muscle relaxation intervention decrease blood pressure more than slow stroke back massage intervention in patients grade I hypertension whose consumed anti-hypertension medicine in Badung Regency.Keywords: progressive muscle relaxation, slow stroke back massage, grade I hypertension, blood pressure


2021 ◽  
Vol 1 ◽  
pp. 799-805
Author(s):  
Ella Listiana ◽  
Firman Faradisi

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


2019 ◽  
Vol 8 (2) ◽  
pp. 71
Author(s):  
Claudia Fariday Dewi

Introduction: Stress among teachers has a significant relationship with the psychosomatic and depressive symptoms. Community nurses need to make efforts in preventing the adverse effects of stress on teachers. Progressive muscle relaxation with music and aromatherapy is an alternative intervention which can be practiced to reduce the level of stress among teachers. This study aimed to investigate the effects of progressive muscle relaxation which was combined with music and aromatherapy on decreasing the level of stress in teachers.Methods:This study employed a pre-post test quasi-experimental design with a control group. The samples were 46 teachers recruited by purposive sampling and were assigned to the intervention group (n=23) and the control group (n=23). The intervention of progressive muscle relaxation with music and aromatherapy was given to the intervention group for four sessions in four days; each session lasted for 20 minutes. The data were analyzed using the t-test to know the effects of the intervention on decreasing the stress level.Results:The results showed that the average level of stress of the teachers in the intervention group decreased from 50.65 ± 3.761 to 32.78 ± 8.426 after the intervention. Meanwhile, in the control group, the average stress level slightly decreased from 49.87 ± 3.348 to 49.17 ± 4.868. The result of the t-test obtained a p-value of 0.000 (<0.,05), indicating that there were significant differences in the stress levels between the intervention and the control group.Conclusion:Progressive muscle relaxation with music and aromatherapy could reduce the level of stress in school teachers. Based on the findings, it is recommended that the school teachers perform this relaxation therapy to decrease the stress level. The teachers could practice the therapy by the help of training from the community nurses.


2019 ◽  
Author(s):  
Arlien J. Manoppo ◽  
Elisa Anderson

Background: Conclusions/Importance.Indicators of hypertension can be seen through the blood pressure (BP) and heart rate (HR). Several attempts continue to be made to control BP and HR, such as progressive muscle relaxation (PMR) and slow deep breathing(SDB). Objectives:The purpose of this study was to analyze the effect of PMR and SDB to control BP and HR on the hypertension clients. Methods: The research utilized a quasi-experimental design with pre-post test nonequivalent control group. Sample of 91 respondents were selected during May-July 2016 through convenience sampling techniques. The researcher used parametric statistical regression multiple linear regression to analyze the effect of PMR, SDB, and combination of PMR and SDB on BP and HR. Results: In the intervention group, PMR, SDB, and combined PMR-SDB are given twice a day for four days. The results showed the influence of PMR,SDB,combinedPMR-SDBtechniquestoBPandHR(p<0.05).PMRandcombined techniques (PMR-SDB) simultaneously and partially have a significant influence on BP and HR (p<0.05). SDB simultaneously only have a significant influence on diastolic BP and HR (p<0.05), but partially have a significant influence on BP and HR (p<0.05). Conclusions: The research concluded that there is significant influence of PMR, SDB, and combined PMR and SDB on BP and HR. PMR and SDB programs need to be developed as independent nursing interventions on the nursing care of patients with hypertension.  


2018 ◽  
Vol 1 (1) ◽  
pp. 59-66
Author(s):  
Rizky Rahma Nova ◽  
Roxsana Devi Tumanggor

Patient with breast cancer is experienced a psychological pressure with cancer diagnosis. This condition leads to anxiety and hopeless feeling toward life. One of the therapies which found effective to minimize anxiety is progressive muscle relaxation. The objective of the reasearch was to find the influence of progressive muscle relaxation therapy as the nursing intervention in reducing the anxiety level of the patient with breast cancer. The research applied quasi experiment method with pre-test and post-test control group design. The samples involved are 26 patients with breast cancer, which consist of 13 patients with intervention and 13 patient without intervention. The research instrument used to assess the anxiety level was HRS-A (Hamilton Rating Scale-Anxiety) questionnaire. The research conducted at RSUP Haji Adam Malik Medan from May to June,2016. Progressive muscle relaxation theraphy was carried out in 3 days with the frequency of 6 times exercise. The result of the research showed that t-value was -4.275 and p-value=0.000 or p-value < 0.05 (0,000) which indicated that there was the influence of progressive muscle relaxation therapy on the decrease in the level of anxiety of breast cancer patients. Therefore, nurse can use progressive muscle relaxation as non-pharmacological in coping with breast cancer patients. Patient with breast cancer mostly experienced  psychological pressure . This condition leads to anxiety and hopeless feeling toward life. One of the therapies which regarded effective to minimize anxiety is progressive muscle relaxation. The objective of this study was to determine the effects of progressive muscle relaxation therapy as  intervention in reducing the anxiety level of the patient with breast cancer. This study employed quasi experiment method with a pre-test and post-test control group design. The sample was composed of 26 breast cancer patients; 13 patients with intervention and 13 patients without intervention. The research instrument used to assess the anxiety level was HRS-A (Hamilton Rating Scale-Anxiety) questionnaire. The study was conducted in Haji Adam Malik Hospital Medan from May to June, 2016. Progressive muscle relaxation theraphy was carried out for 3 days, with a frequency of 6  exercises  The results showed that t-value was -4.275 and p-value=0.000  indicating that there was an effect of progressive muscle relaxation therapy in reducing the level of anxiety of breast cancer patients. Therefore, nurse can use progressive muscle relaxation as non-pharmacological in coping with breast cancer patients.


2021 ◽  
Vol 11 (9) ◽  
pp. 44
Author(s):  
Agustina Boru Gultom ◽  
Arbani Batubara

Background/Objective: Hypertension is still a public health problem both in the world and in Indonesia. Even though women with hypertension are already taking antihypertensive drugs, often blood pressure remains high. Women are more likely to be stressed, and stress increases hypertension. The study aimed to analyze the use of progressive muscle relaxation with classical music on stress and blood pressure in hypertensive women.Methods: This study used a quasi-experimental design with a control group. There were three groups of hypertensive women who took anti-hypertensive drugs, consisting of those who received progressive muscle relaxation with classical music, accepted progressive muscle relaxation without classical music, and did not get treatment, each of which totaled 36 participants. The activity was carried out from July to October 2020. The stress instrument used was the Cohen’s Perceived Stress Scale, while blood pressure was measured with the OMRON digital tensimeter.Results: The group that received progressive muscle relaxation with classical music from Bach described high significance for stress (p = .0001), systolic (p = .0001), diastolic (p = .0001). The group that received progressive muscle relaxation alone also showed high significance for stress (p = .010), systolic (p = .003), diastolic (p = .006). While the untreated group showed significance for systolic (p = .013), but did not show significance for stress (p = .758), diastolic (p = .123). The use of ANOVA showed a significant difference in the effect of the three intervention on stress (p = .005), systolic blood pressure (p = .009), but did not have a significant effect on diastolic blood pressure (p = .500).Conclusions: Progressive muscle relaxation with classical music and antihypertensive drugs provides a greater chance of controlling stress, lowering systolic and diastolic blood pressure than just progressive muscle relaxation and antihypertensive drugs or antihypertensive drugs alone in women with hypertension.


2020 ◽  
Vol 8 (2) ◽  
pp. 86-93
Author(s):  
Habibi Habibi

Hypertension is a deadly disease in the world and can affect anyone. One of the treatments that can be done to control blood pressure is progressive muscle relaxation therapy. The purpose of this literature review is to analyze the application of progressive muscle relaxation therapy in lowering blood pressure in families with hypertension based on empirical studies over the last ten years. The design of this study is a literature review. The method of this study was carried out by analyzing articles related to progressive muscle relaxation therapy in reducing blood pressure in families with hypertension through google scholar data in an empirical study in the last 10 years as many as 5 journals according to the study. The results of the analysis show that the application of progressive muscle relaxation can lower blood pressure in families with hypertension. Thus it is expected that progressive muscle relaxation therapy can be applied by nurses as an implementation strategy in reducing blood pressure in families with hypertension.Keywords: Hypertensive, Blood Pressure, Progressive Muscle RelaxationABSTRAKHipertensi merupakan penyakit yang mematikan di dunia dan dapat menyerang siapa saja. Salah satu penanganan yang dapat dilakukan untuk mengontrol tekanan darah yaitu dengan terapi relaksasi otot progresif. Tujuan literature review ini untuk menganalisis penerapan terapi relaksasi otot progresif dalam menurunkan tekanan darah pada keluarga penderita hipertensi berdasarkan studi empiris selama sepuluh tahun terakhir. Desain penelitian ini adalah literature review. Metode studi ini dilakukan dengan menganalisis artikel yang berkaitan dengan terapi relaksasi otot progresif dalam menurunkan tekanan darah pada keluarga dengan hipertensi melalui data google scholar secara study empiris dalam 10 tahun terakhir sebanyak 5 jurnal yang sesuai dengan penelitian. Hasil analisis menunjukkan bahwa penerapan relaksasi otot progresif dapat menurunkan tekanan darah pada keluarga dengan hipertensi. Dengan demikian diharapkan terapi relaksasi otot progresif dapat diterapkan perawat sebagai strategi pelaksanaan dalam penurunan tekanan darah pada keluarga dengan hipertensi. Kata kunci: Hipertensi, Tekanan Darah, Relaksasi Otot Progresif 


2021 ◽  
Vol 9 (T4) ◽  
pp. 300-308
Author(s):  
Erna Sulistyawati ◽  
Allenidekania Allenidekania ◽  
Dewi Gayatri

BACKGROUND: Sleep disturbance affects quality of life in children receiving chemotherapy. AIM: The aim of this study was to identify the effect of progressive muscle relaxation on the sleep quality and side effects of chemotherapy in children with cancer. METHODS: This study used randomized clinical trial with single blind method, where 30 children were allocated randomly to the control group and intervention group. The intervention group received progressive muscle relaxation twice a day, in the morning and evening, 15 minutes each session for 7 days. Control group received routine nursing care. RESULTS: The study concluded there was no significant difference in the two groups on fatigue and pain. However, progressive muscle relaxation had significant relation to decreased sleep quality score. CONCLUSION: Relaxation therapy, particularly progressive muscle relaxation, may be one of the nursing cares to improve sleep quality and reduce the side effects of chemotherapy in children with cancer.


2018 ◽  
Vol 2 (1) ◽  
pp. 356-370
Author(s):  
Andry Sartika ◽  
Anwar Wardi ◽  
Yani Sofiani

This study aimed to determine the differences between the effectiveness of Progressive Muscle Relaxation (PMR) and Slow Deep Breathing Exercise (SDBE) on BP of hypertension patients. The research was an experiment with a randomized pretest and posttest with three group design without a control group. The sample was 30 people with hypertension. The data were analyzed by univariate, bivariate and miltivariate. The results of the study showed a decrease in systolic and diastolic BP after the intervention to all groups. There was no significant difference on the effectiveness between the three groups after intervention. The optimal time of reduction in systolic BP in the PMR and SDBE groups occurred on day three. In diastolic BP, the optimal time of reduction did not occur. In conclusion, the three relaxation techniques effectively reduced blood pressure of hypertension patients. The effective time of blood pressure reduction occurred on the third day. The suggestion for patients from this study is the patients with hypertension can do the relaxation techniques Progressive Muscle Relaxation (PMR) and Slow Deep Breathing Exercise (SDBE) to lower the BP to close to normal. Keywords: Blood Pressure, Hypertension, Progressive Muscle Relaxation (PMR) and Slow Deep Breathing Exercise (SDBE)


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