Penerapan Kombinasi Pijat Punggung Dan Dzikir Terhadap Tingkat Stres Pada Penderita Hipertensi Di Desa Seturi Kabupaten Batang

AbstractHipertension is an increase of systolic blood pressure above 140 mmHg and diastolic above 90 mmHg. The patients get dizziness, anxiety, stress, restlessness, weakness, and worry about their health. The purpose of this case study was to determine the application of a combination of back massage and dhikr to stress levels in hypertension sufferers in Seturi Village, Batang Regency. The method used in this paper was a case study with the subject of two axienty clients. The focus of the intervention was providing non-pharmacological therapy, relaxcation, back massage and dhikr for 3 visits to the client’s home. The result of the case studies on these two client’s showed a change in the level of stress on hypertension reduced in client I from TD : 160/100 mmHg down to 140/90 mmHg, PSS-10 : Score 14 (moderate stress) to 0 (no stress), moderate client II from TD : 170/100 mmHg down to 140/90 mmHg, PSS-10 : Score 26 (moderate stress) to 0 (no stress). Therefore, it can be concluded that there is an effect of back massage therapy and dhikr on stress stress levels in patients with hypertension. There is also stress levels in patiens with hypertension.Keywords : Dhikir; Clients With Hipertension; Back Massage And Stress AbstrakHipertensi adalah peningkatan tekanan darah sistolik berada diatas 140 mmHg dan diastolik diatas 90 mmHg. Keluhan yang dirasakan adalah pusing, cemas, stress, gelisah, lemas, dan khawatir terhadap penyakitnya. Tujuan studi kasus ini adalah untuk mengetahui penerapan kombinasi pijat punggung dan dzikir terhadap tingkat stress pada penderita hipertensi di Desa Seturi Kabupaten Batang. Metode studi kasus ini adalah studi kasusdengan subyek dua klien ansietas. Fokus intervensi berupa pemberian terapi non farmakologi relaksasi pijat punggung dan dzikir selama 3 kali kunjungan kerumah klien. Hasil studi kasus pada kedua klien ini menunjukkan adanya perubahan tingkat stress terhadap hipertensipada kedua klien ini menunjukkan adanya perubahan tingkat stress terhadap hipertensi berkurang pada klien I dari TD : 160/100 mmHg turun menjadi 140/90 mmHg, PSS-10 : Skore 14 (stress sedang) menjadi 0 (tidak stress), sedang klien II dari TD : 170/100 mmHg turun menjadi 140/90 mmHg, PSS-10 : Skore 26 (stress sedang) menjadi 0 (tidak stress). Kesimpulan : Ada pengaruh terapi pijat punggung dan dzikir terhadap tingkat stress pada penderita hipertensi. Berdasarkan hasil penerapan tersebut maka disarankan peran perawatdapat memberikan terapi pijat punggung dan dzikir untuk menurunkan tingkat stress pada penderita hipertensi.Kata kunci : Dzikir; Klien Dengan Hipertensi; Pijat Punggung Dan Stress.

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Reduction Blood Pressureby Neck Massage Therapy Using Virgin Coconut Oil (VCO) and Dry Cupping Therapy

Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) ◽

10.26699/jnk.v8i1.art.p019-025 ◽

2021 ◽

Vol 8 (1) ◽

pp. 019-025

Author(s):

Nurul Faidah ◽

Ni Kadek Muliawati

Keyword(s):

Blood Pressure ◽

Systolic Blood Pressure ◽

Diastolic Blood Pressure ◽

Communicable Disease ◽

Massage Therapy ◽

Sampling Technique ◽

Complementary Therapy ◽

Cupping Therapy ◽

Pharmacological Therapy ◽

P Value

Hypertension is a non-communicable disease which increases every year, with the increasing incidence of Hypertension will have an impact on society, namely a decrease in health status which results in a decrease in the quality of life. Management of hypertension can be done with non-pharmacological therapy, one of the non-pharmacological therapies chosen by the community, namely complementary therapy, neck massage therapy using VCO and cupping is a complementary therapy that aims to reduce hypertension. The sampling technique used was purposive sampling. The sample in this study 16 respondents were given neck massage therapy with VCO and 16 respondents were given dry cupping therapy. The data analysis used was the Spearman rank because the data were not normally distributed. Before being given neck massage therapy with a mean VCO, systolic blood pressure was 156.25, diastolic blood pressure was 87.50 after being given a mean value of 124.38 and diastolic 81.25 with a systolic p value of 0.000 while for diastolic blood pressure of 0.008. Whereas in the group given dry cupping therapy systolic blood pressure with a mean of 158.82 and diastole a mean of 90.59, after being given dry cupping therapy, systolic blood pressure was 124.71 while diastole was 78.82 with a systolic p value of 0.000 and diastole of 0.009. The difference in blood pressure in the two interventions for the system p value was 0.968 while for diastole the p value was 0.625, which means there was no difference between the two interventions. So it can be concluded that both neck massage therapy with VCO and dry cupping therapy can reduce blood pressure in patients with hypertension.

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PENGARUH TERAPI SLOW STROKE BACK MASSAGE TERHADAP PERUBAHAN TEKANAN DARAH PADA PENDERITA HIPERTENSI DERAJAT 1 DI PANTI WREDA OMEGA SEMARANG

Jurnal Manajemen Asuhan Keperawatan ◽

10.33655/mak.v1i1.5 ◽

2017 ◽

Vol 1 (1) ◽

pp. 18-25

Author(s):

Pipit Septiari ◽

Dyah Restuning

Keyword(s):

Blood Pressure ◽

Sampling Technique ◽

Health Department ◽

Pharmacological Therapy ◽

Internal Organs ◽

Purposive Sampling ◽

Lower Blood ◽

Survey Results ◽

Back Massage

ABSTRAK Angka penderita hipertensi menduduki peringkat kedua di Indonesia dari hasil survei Departemen Kesehatan sebagai penyakit tidak menular. Hipertensi berjalan perlahan dan tidak dirasakan hingga akhirnya menimbulkan kerusakan pada organ-organ dalam. Salah satu terapi nonfarmakologis untuk menurunkan tekanan darah adalah slow stroke back massage. Tujuan dari penelitian ini adalah mengetahui pengaruh terapi slow stroke back massage terhadap perubahan tekanan darah pada penderita hipertensi derajat 1 di Panti Wreda Omega Semarang. Desain penelitian ini menggunakan rancangan deskriptif dengan pendekatan metode studi kasus. Pengambilan sampel menggunakan teknik Nonprobability Sampling dengan pendekatan Purposive Sampling, dengan jumlah sampel 5 orang. Pada karakteristik responden hipertensi jenis kelamin terdapat 1 (20%) pada laki-laki dan sebanyak 4 (80%) pada perempuan, sedangkan usia terbanyak pada usia <80 tahun sebanyak 3 (60%) responden. Selanjutnya sampel diberikan intervensi slow stroke back massage, data dikumpulkan dengan menggunakan sphygmomanometer air raksa, diobservasi dan dianalisa dengan metode domain analisis. Hasil penelitian menunjukkan tekanan darah mengalami penurunan. Slow stroke back massage menurunkan, dengan nilai maksimal penurunan sistolik dan diastolik sebesar 4,75 mmHg dan 4,5 mmHg. Kesimpulan dari penelitian ini, ada pengaruh terapi slow stroke back massage terhadap perubahan tekanan darah penderita hipertensi ditunjukkan dengan ada penurunan nilai dari responden. Diharapkan bagi perawat agar dapat menggunakan back massage dalam menurunkan tekanan darah. ABSTRACT The number of hypertensive patients ranked second in Indonesia from the survey results of the health department as non-communicable diseases. Hypertention runs slowly and is not felt until eventually cause damage to internal organs. One of the non-pharmacological therapy to lower blood pressure is slow stroke back massage. The purpose of this study is to determine the effect of slow stroke back massage on changes in blood pressure in patients with degree 1 hypertention in the Panti Wreda Omega Semarang. This research design use descriptive design with approach case study method. Sampling using nonprobability sampling technique with purposive sampling approach, with sample 5 people. From the hypertension respondents characteristics, it is 1 (20%) for male and 4 (80%) for females, meanwhile for factors of ages, the most hypertension respondents3 (60%) are upper 80 years old. Then the sample is given slow stroke back massage intervention, data was collected using mercury sphygmomanometer, observed and analyzed by domain analysis method. The results showed blood pressure decreased. Slow stroke back massage decreases, with a maximum value of systolic and diastolic decrease of 4,75 mmHg and 4,5 mmHg. Conclusion from this research, there influence of slow stroke back massage to change of blood pressure of hypertension patient indicated by there is degradation value from responder. It is suggested that the nurses should do back massage to decrease blood pressure.

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Pengaruh Terapi Slow Stroke Back Massage (SSBM) Terhadap Perubahan Tekanan Darah Pada Pasien Stroke Non Hemoragik Di Ruang Melati 4 RSUP. Dr. Soeradji Tirtonegoro Klaten

(JKG) JURNAL KEPERAWATAN GLOBAL ◽

10.37341/jkg.v3i1.47 ◽

2018 ◽

Vol 3 (1) ◽

Author(s):

Sekar Pinasthika

Keyword(s):

Blood Pressure ◽

Hemorrhagic Stroke ◽

Massage Therapy ◽

Haemorrhagic Stroke ◽

Pharmacological Therapy ◽

Wilcoxon Test ◽

Pharmacologic Therapy ◽

Test Analysis ◽

Before And After ◽

Back Massage

Background. Almost 50% of stroke caused by blood pressure increase. Management Non-Haemorrhagic Stroke patients in non-critical phase to lowering blood pressure can be done with non-pharmacologic therapy and pharmacologic therapy. Slow Stroke Back Massage is one of the non-pharmacological therapy relaxations which can lower blood pressure. The purpose of this research is to 1) Determine the effect of slow stroke back massage therapy to changes in blood pressure in patients with non-hemorrhagic stroke. 2) To describe characteristics of patients with non-hemorrhagic stroke 3) Determine the change in blood pressure in patients with non-hemorrhagic stroke before and after the slow-stroke back massage therapy. Methods. Type of this research is quasi-experiment with the design of One Group Pretest-Posttest Design. The Results. The result of this research is their influence of Slow Stroke Back Massage therapy to changes in blood pressure in patients with non-hemorrhagic stroke in Melati 4. This is evidenced by the results of the Wilcoxon test analysis where the systolic blood pressure before and after therapy SSBM ρ = 0.000 and a significance value of diastolic blood pressure before and after therapy SSBM ρ = 0.003. Because the value of ρ <0.05, then Ho is rejected and Ha accepted, Conclusion. There is the influence of Slow Stroke Back Massage therapy to changes in blood pressure in patients with non-hemorrhagic stroke in Melati 4 Dr. Soeradji Tirtonegoro, Klaten General Hospital.

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METODE MASSAGE TERHADAP TEKANAN DARAH PADA PENDERITA HIPERTENSI: A LITERATUR REVIEW

Jurnal Penelitian Keperawatan ◽

10.32660/jurnal.v5i1.334 ◽

2019 ◽

Vol 5 (1) ◽

Author(s):

Ardiansyah . ◽

Titih Huriah

Keyword(s):

Blood Pressure ◽

Literature Review ◽

Massage Therapy ◽

Whole Body ◽

Scalp Massage ◽

Back Massage

Terapi non farmakologi saat ini digunakan untuk hipertensi adalah mssage. pijat (massage) memberikan rangsangan akan menimbulkan efek relaksasi (pelemasan) otot-otot kaku sertaakibat vasodilatasi umum akan menurunkan tekanan darah secara stabil. Tujuan penelitian ini untuk mengetahui efektifitas beberapa metode massage terhadap tekanan darah pada penderita hipertensi. Metode Literature review ini menggunakan database Science Direct, Proquest, Goggle Scholar.Pada tahap awal pencarian dengan keywords: “Therapy Massage, Blood Pressure, Hypertension” didapatkan hasil 17 jurnal internasional dari rentang tahun 2013 sampai 2017 yang sesuai dengan kriteria inklusi dan eksklusi. Hasil yang diperoleh dari 17 jurnal yang diperoleh, 9 penelitian dilakukan pada responden perempuan, 8 penelitian pada responden laki-laki dan perempuan. Mengungkapkan hasil bahwa ada perbedaan penurunan efek secara signifikan antara tekanan darah sistolik dan tekanan darah diastolik setelah dilakukan bebrapa jenis metode swedish massage, aroma massage, massage therapy, acupoint massage, scalp massage, without massage, back massage, classic massage, singel session massage, mechanical massage, foot massage, dan whole body massage. Kesimpulan tinjauan literatur review ini mendapatkan hasil bahwa ada pengaruh efek signifikan pemberian dari beberapa jenis metode massage. Metode massage adalah salah satu terapi pijat yang paling efektif untuk menurunkan atau menstabilkan tekanan darah khususnya pada penderita hipertensi.

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Acute Hemodynamic Changes Associated with Zumba and ZOCA Dance Exercises among Females of Selected Gyms in Lusaka, Zambia

Journal of Preventive and Rehabilitative Medicine ◽

10.21617/jprm2020.223 ◽

2020 ◽

Vol 2 (1) ◽

pp. 84-91

Author(s):

Chanda Grace Chisunka ◽

◽

Gibson Sijumbila ◽

Fastone Goma ◽

◽

...

Keyword(s):

Blood Pressure ◽

Heart Rate ◽

Systolic Blood Pressure ◽

Hemodynamic Changes ◽

Aerobic Dance ◽

Arterial Blood ◽

Effective Dynamic ◽

Blood Pressure Monitors ◽

Blood Pressures

Background: Dynamic exercises are known to elicit hemodynamic changes such as an increase in arterial blood pressure and heart rate. Zumba and ZOCA are part of a fast growing group of dance fitness programmes designed to provide a cardiovascular dynamic workout. Despite their growing popularity, very few studies have been done to provide knowledge regarding the hemodynamic changes associated with these exercises. Methods: Case study in which 27 females took part in either a Zumba or ZOCA class. Using digital blood pressure monitors, recordings of blood pressure and heart rate were taken, firstly, before commencement of the exercise, secondly, after 30 minutes after exercise and thirdly, at the end of the class.Results: Mean baseline blood pressures were 118 (SD = 14) mmHg and 77 (SD = 7) mmHg, systolic and diastolic blood pressures, respectively. After 30 minutes of dancing, mean systolic blood pressure increased to 130 (SD = 19) mmHg (p˂ 0.05) while diastolic blood pressureonly rose to an average of 80 (SD = 8) mmHg (p˃ 0.05). At the end of the class (after the cool down phase) mean systolic blood pressure reduced to 109 (SD = 13) mmHg (p˂0.05) while diastolic blood pressure reduced to 74(SD = 12) mmHg (p˂ 0.05). Conclusions: Zumba and ZOCA elicited significant hemodynamic changes that can be attributed to these exercises stimulating the cardiovascular regulatory mechanisms (e.g central command and exercise-pressor) sufficiently and hence resulting in autonomic adjustmentsthat were concurrent with effective dynamic exercise. Keywords: Blood Pressure, Heart Rate, Aerobic, Dance Exercise

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Abstracts and Case Studies From the College of American Pathologists 2009 Annual Meeting (CAP ‘09)

Archives of Pathology & Laboratory Medicine ◽

10.5858/133.10.1608 ◽

2009 ◽

Vol 133 (10) ◽

pp. 1608-1716

Keyword(s):

Case Studies ◽

Annual Meeting ◽

Poster Session ◽

Poster Sessions ◽

Subject Areas ◽

The Subject

Abstract Abstract and case study poster sessions will be conducted during the College of American Pathologists Annual Meeting (CAP '09), which is scheduled for October 11 to October 14, 2009. The meeting will take place at the Gaylord National Resort, National Harbor, Maryland. The poster sessions will occur in the Connection Café and Exhibits Hall. Specific dates and times for each poster session are listed below. Also shown below each poster session listing are the subject areas that will be presented during that session.

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Case Studies of Quality-Related Costing in Engineering Manufacture

Proceedings of the Institution of Mechanical Engineers Part B Management and engineering manufacture ◽

10.1243/pime_proc_1988_202_054_02 ◽

1988 ◽

Vol 202 (2) ◽

pp. 99-105 ◽

Cited By ~ 1

Author(s):

J J Plunkett ◽

B G Dale

Keyword(s):

Case Studies ◽

Manufacturing Companies ◽

Research Project ◽

The Status ◽

The Subject

As part of a research project on the determination and use of quality-related costs, case study work has been carried out at four manufacturing companies. This paper presents the major findings from each case study. A measure of the status of quality costing is that it is not featured in the quality manuals at any of the four companies. The aspects of quality which will need to be developed if the subject is to be raised to the level enjoyed by other major business parameters are outlined.

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Comparison of Cardiorespiratory and Metabolic Responses Between Kettlebell Half Marathon and Treadmill Running at the Same Average Oxygen Consumption: A Case Study

Journal of Science in Sport and Exercise ◽

10.1007/s42978-020-00084-z ◽

2020 ◽

Author(s):

Davide Greco ◽

Luca Calanni ◽

Giuseppe Cerullo ◽

Massimo Negro ◽

Giuseppe D’Antona

Keyword(s):

Blood Pressure ◽

Oxygen Consumption ◽

Respiratory Exchange Ratio ◽

Minute Ventilation ◽

Treadmill Running ◽

Metabolic Responses ◽

Breathing Frequency ◽

Exercise Routine ◽

The Subject

Abstract Purposes In kettlebell sport (KS) half marathon, the lift of the kettlebell is required for the highest number of repetitions in 30 min. No data are available on cardiorespiratory and metabolic responses during this exercise routine. The aim of the study was to evaluate cardiopulmonary and metabolic responses to KS half marathon compared to 30 min treadmill running, chosen as a reference paradigm of aerobic exercise, at the same average oxygen consumption (VO2). Methods A male elite KS athlete was enrolled in two trials separated by 7 days of rest. In the first trial, one-hand long-cycle KS exercise with a 1/3 body weight kettlebell was performed for 30 min (kettlebell half marathon, KT); in the second trial, 30 min treadmill running (TR) was performed at the same average VO2 measured in the first trial (speed 9–10 km/h at 1° uphill inclination). Metabolic and cardiopulmonary assessments [respiratory exchange ratio (RER), tidal volume (TV), breathing frequency (f), minute ventilation (VE)], blood lactate (BL) kinetics, heart rate (HR), and blood pressure (BP) were measured in both experimental sessions. Results The average VO2 was 33.3 mL/min/kg in KT and 30.6 mL/min/kg in TR. The subject achieved RERpeak 1.17, RERmean 0.98, HRpeak 172 bpm (94% HRmax), HRmean 86% of HRmax, BPpeak 220/100 mmHg in KT, BLpeak 7.2 mmol/L (during trial) in KT and RERpeak 1.13, RERmean 0.89, HRpeak 142 bpm (78% HRmax), HRmean 70% of HRmax, BPpeak 160/80 mmHg, BLpeak 3.5 mmol/L (4 min after trial) mmol/L in TR. Conclusion Data indicate that a KS half marathon determines much higher cardiopulmonary and metabolic responses to treadmill running performed at similar VO2.

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Probabilistic Fatigue Reliability of Large Diameter Steel Catenary Risers (SCR) for Ultra-Deepwater Operations

Volume 2: Structures, Safety and Reliability; Petroleum Technology Symposium ◽

10.1115/omae2007-29556 ◽

2007 ◽

Cited By ~ 4

Author(s):

U. O. Akpan ◽

T. S. Koko ◽

P. A. Rushton ◽

A. Tavassoli ◽

M. Else

Keyword(s):

Fatigue Strength ◽

Case Studies ◽

Material Properties ◽

Large Diameter ◽

Random Variables ◽

Fatigue Reliability ◽

Strength Parameters ◽

Stress Levels ◽

Steel Catenary Risers

For deepwater development in the Gulf of Mexico, steel catenary risers (SCRs) supported from both SPAR and semi-submersible platforms have proven to be successful solutions for in-field flowlines, tie-backs, and export systems. It is envisaged that this will continue to be a promising solution in ultra deep-water applications, up to and beyond 10,000 ft. The study, commissioned by the Mineral Management Service (MMS), investigated the reliability of large-diameter SCRs in ultra-deepwater operations. The primary damage mode considered is fatigue failure. A probabilistic methodology for fatigue reliability is developed, which utilizes deterministic cumulative fatigue damage indicators, namely the stress levels and cycles associated with the various sea states and the fatigue strength of the members. Uncertainties in structural load and material properties are accounted for by assigning probability distributions and standard deviations to the deterministic stress levels. Furthermore, fatigue strength parameters, Miner’s indices, and capacities are modeled as random variables. First order reliability method (FORM) is employed for estimating fatigue reliability. The methodology is applied to three deterministic case studies presented by Intec Engineering (2006a, 2006b). The case studies involved either a SPAR or a semi-submersible platform. For the sake of brevity, a case study involving only a SPAR platform is presented in this paper. The effect of uncertainties in parameters on fatigue reliabilities is investigated. It is observed that the fatigue reliability estimates followed similar trends as the deterministic cumulative damage results, and hence can be used to complement deterministic estimates. Additional benefit and insight gained from the probabilistic study, which can be used for design decisions, include information regarding probabilistic importance and probabilistic sensitivity analysis. For case study presented here, it is seen that in general, uncertainty in the fatigue strength exponent (m) has the highest impact on fatigue reliability of SCRs. The second most important random variable is the stress range (S), which captures uncertainties in parameters such as loads and material properties. Parametric sensitivity studies on the fatigue strength parameters indicate that SCR reliability is sensitive to both the standard deviation and probability distribution of the parameters, thus highlighting the need for accurate probabilistic calibration of the random variables.

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