Penerapan Terapi Rendam Kaki Air Hangat Untuk Menurunkan Tekanan Darah Pada Ibu Hamil Hipertensi Di Wilayah Petarukan

2021 ◽  
Vol 1 ◽  
pp. 709-714
Author(s):  
Novana Devita Ikhtiari ◽  
Windha Widyastuti

AbstractHypertension in pregnancy is a major cause of maternal morbidity and mortality. Warm Water Foot Soak Therapy is one of non-pharmacological therapies that can be applied to reduce blood pressure in pregnant women with hypertension. This research was a case study aiming to describe the application of Warm Water Foot Soak Therapy in reducing blood presure in hypertensive pregnant women. A blood pressure observation sheet was used as an instrument in collecting data. The intervention given to the participant during this study was the application of Warm Water Foot Soak Therapy for 15 minutes four times for each participant within two weeks. The blood pressure in case I before and after the application of the therapy decreased from 149/98 mmHg to 126/80 mmHg, and in case II it decreased from 162/104 mmHg to 132/80 mmHg. In conclusion, the application of Warm Water Foot Soak Therapy could reduce blood pressure of hypertensive pregnant women. Hence, health workers are expected to apply Warm Water Foot Soak Therapy to pregnant women with hypertension. Keywords :Hypertension; pregnant women; Warm Water Foot Soak Therapy Abstrak Hipertensi dalam kehamilan menjadi penyebab utama kesakitan dan kematian ibu. Terapi non-farmakologis untuk menurunkan tekanan darah pada ibu hamil dengan hipertensi salah satunya terapi rendam kaki air hangat. Karya tulis ilmiah ini bertujuan untuk menggambarkan penerapan terapi rendam kaki air hangat dalam menurunkan tekanan darah pada ibu hamil dengan hipertensi. Desain karya tulis ilmiah ini berupa studi kasus pada dua ibu hamil dengan hipertensi. Instrumen yang digunakanya itu lembar observasi tekanan darah. Intervensi dengan menerapkan terapi rendam kaki air hangat selama 15 menit sebanyak empat kali dalam waktu dua minggu. Hasil penerapan sebelum terapi pada kasus I yaitu 149/98 mmHg dan kasus II yaitu 162/104 mmHg. Setelah dilakukan terapi, tekanan darah pada kasus I dan II turun yaitu 126/80mmHg dan 132/80mmHg. Simpulan studi kasus yaitu penerapan terapi rendam kaki air hangat dapat menurunkan tekanan darah pada ibu hamil dengan hipertensi. Saran bagi tenaga kesehatan untuk dapat menerapkan terapi rendam kaki air hangat pada ibu hamil yang mengalami hipertensi.Kata kunci :Hipertensi;ibuhamil;rendam kaki air hangat

2020 ◽  
Vol 11 (1) ◽  
pp. 43
Author(s):  
Lestari Puji Astuti ◽  
Zuliah Zuliah ◽  
Tri Ismu Pujiyanto

ABSTRACTBackground: According to the Indonesian Health Demographic Survey (IDHS) in 2017, the direct cause of the maternal mortality rate (MMR) of 30% was preeclampsia. Preeclampsia can be treated pharmacologically and non pharmacologically. Non-pharmacological treatment is a natural treatment including effluerage massage and music therapy.Objective: To identify and analyze differences in blood pressure reduction in pre-eclampsia mothers before and after massage effleurage and music therapy in the Kragan II Puskesmas maternity room.Methods: The study design used the Two Group Post Test With Control Design. Sampling by accidental sampling. Sampling in this study were 40 women with preeclampsia. Test results using the Mann-Whitney test.Results: With effluarge massage the average blood pressure value was 22.0 while in music therapy 19.00 and obtained ρ was 0.002 (<0.05). So Ho refused Ha accepted, which means there are differences in the effectiveness of massage effleurage and music therapy to reduce blood pressure in mothers giving birth with pre-eclampsia in health center II.Conclusion: Massage effleurage is more effective when compared to music therapy in reducing maternal blood pressure. It is expected that health workers to implement an effleurage massage program in women with preeclampsia. Keywords: Massage effleurage, Music Therapy, Preeclampsia 


Author(s):  
Miftah Nurlaily El Akhlaq ◽  
Suharyo Hadisaputro ◽  
Suhartono . ◽  
Sri Sumarni ◽  
M. Choiroel Anwar

Bay leaf (Syzygiumpolyanthum) or Daun Salam is one of the plants that has many benefits, one of them is to reduce blood pressure. The aim of this study is to prove the effect of adding nanoparticles supplementation of bay leaf (Syzygiumpolyanthum) to systolic and diastolic blood pressure in pregnancy hypertension.The study was quasi-experiment. 39 respondents were divided into 19 pregnant women in intervention group and 20 pregnant women in the control group. The intervention was given for 14 days by consumingnifedipine 10mg plus 80mg bay leaf nanoparticle capsules to the intervention group.The results of data analysis showed a decrease in systolic blood pressure (p = 0.000) and diastolic blood pressure (p = 0.004) when compared with the control group, which means that there were differences in the mean systolic and diastolic blood pressure between the two groups after treatment. The addition of bay leaf nanoparticle supplementation 1x80 mg for 14 days affected the decrease in systolic and diastolic blood pressure in pregnancy hypertension. So that the supplementation of bay leaf nanoparticles can be used as adjunctive therapy in pregnancy hypertension


2020 ◽  
Vol 15 (2) ◽  
pp. 81-89
Author(s):  
Nadia Aryani ◽  
Nofri Zayani

Hydrotherapy non-pharmacological treatment for hypertension during pregnancy needs to be developed because it is safe for mother and fetus. Hydrotherapy soaking feet using warm water can increase vasodilation and increase blood flow, thereby lowering blood pressure. The purpose of this study was to determine the effectiveness of foot soaking with warm water to reduce hypertension in pregnant women. The pre-experimental research design was one group pretest posttest, which measured blood pressure before and after warm water therapy was given to pregnant women with hypertension for three days. The research sample was selected using purposive sampling method and the number was 15 people. Data analysis was performed by using paired sample T-Test. Results: Giving hydrotherapy soaking feet using warm water reduced systolic and diastolic blood pressure in pregnant women (p = 0.000 <0.05). Hydrotherapy is effective in reducing systolic blood pressure by 13-16 mmHg and diastolic by 8-9 mmHg. Conclusion: Hydrotherapy soaking feet using warm water is effective in reducing hypertension of pregnant women who go to dr. Jerry Kp. Kulon waterfall. Suggestion: Apply the foot soaking method with warm water as a non-pharmacological method of hypertension in pregnant women.


2019 ◽  
Vol 8 (1) ◽  
pp. 77-86
Author(s):  
Retno Mawarti ◽  
Lailatuz Zaidah

Background: Hypertension in pregnancy is a disease that gets attention given the negative effects it has on both the mother and the fetus. Hypertension in pregnancy if not treated properly will develop into superimposed Preeclampsia along with the increase in gestational age. Massage with aromatherapy oil is a non-pharmacological therapy to reduce and maintain blood pressure in a range that can be tolerated by the body. Objective: This study aims to determine the effect of a foot massage with lavender essential oil on reducing blood pressure in pregnant women with hypertension. Methods: The methodology used in this study was pre-experimental with the control group. Respondents consist of 15 pregnant women with hypertension who had been given blood pressure-lowering therapy, 8 people performed foot massage and 7 people made the control with accidental sampling technique. Massage with lavender essential oil conducted for 15-20 minutes every day for 7 days. Data were obtained by measuring blood pressure before and after the intervention, and then recorded into the observation sheet. The control group performed pressure measurements before and after given by blood pressure-lowering drugs, then analyzed by descriptive and bivariate statistical tests. Results: The results showed that the blood pressure difference before and after systole intervention was 6,52, diastole 0.82 in the control group of blood pressure difference before and after being given systole drug 7,902 diastole 4,847 Paired t-test results in the systole intervention group 0.340, diastole 0.40 and in the systole control group 0.068, diastole 0.137 (p = 0.05). Conclusion: The conclusion is the effect of a foot massage with lavender essential oil in pregnant women with hypertension. Suggestions for pregnant women with primary hypertension should do foot massage to help lower blood pressure. Keywords: Aromatherapy, foot massage, hipertension, lavender, pregnancy.


2021 ◽  
Vol 6 (2) ◽  
pp. 75-81
Author(s):  
Rizki Muji Lestari ◽  
Fitriani Ningsih

Pregnancy is something that every married couple always looks forward to, but over time not all pregnancies go smoothly. Hypertension in pregnancy is one of the complications that often occur in pregnant women. Hypertension in pregnancy is common and is the leading cause of maternal death and has other serious effects during labor. Hypertension in pregnancy occurs in 5% of all pregnancies. Garlic is one type of natural wealth that can reduce blood pressure because garlic has active compounds that are known to affect the availability of ions for the contraction of smooth muscle in blood vessels. This study used a sample of 30 respondents of pregnant women with hypertension who came to the KIA room at the Pahandut Health Center, Palangka Raya City, totaling 30 respondents. In this study, the independent variable was garlic extract intervention, while the dependent variable was blood pressure. In this study, using a Paired Sample T-Test statistical test using a computerized. From the results of the study, it can be seen that the mean difference between the first and second measurements is 8.63 with a standard deviation of 5. This difference is then tested with the paired T-test resulting in a test that is obtained by 0.00, so it can be concluded that there is a significant difference in blood pressure at the first measurement and the second measurement.


2020 ◽  
Vol 3 (1) ◽  
pp. 82-88
Author(s):  
Damayanti . ◽  
Fitriani . ◽  
Dwi Handayani ◽  
Diah Evawanna Anuhgera ◽  
Novita Br Ginting Munthe

Calcium is an important supplement that is useful to supply calcium needs of pregnant women. Calcium is given by midwife special health workers to all pregnant women to support the health of mothers and babies. This free calcium tablet is often forgotten and avoided by health workers whether or not consumed properly by pregnant women. This study aims to see if the influence of calcium tablets on the decrease in blood pressure of pregnant women who have one of the criteria of high risk of hypertension, including primigravida, obesity, pregnancy history with hypertension or family with a history of hypertension, extreme age of pregnant women and twin pregnancies. Research place in Payalombang Public Health Center in Payalombang Subdistrict, Tebing Tinggi City with quasy experiment method and prospective cohort. The study subjects consisted of 19 mothers who were given calcium with help and 20 pregnant women who were not given calcium, according to the inclusion and exclusion criteria. Data characteristics used using a questionnaire. To assess the outcome using an observation sheet and a calibrated blood pressure gauge) get it twice before and after the intervention. Data analysis using, Paired T Test, Independent T-Mann-Whitney U Test. The results of the study address, a sample study of changes in systole (p = 0.032) and diastole (p = 0.015) significant (p> 0.05) value even though it means the difference between before and the difference rates. Conclusion : Calcium tablets have a significant effect on hypertension of pregnant women


Hypertension ◽  
2020 ◽  
Vol 76 (Suppl_1) ◽  
Author(s):  
Debra S Brandt ◽  
April B Prunty ◽  
Daniel M Zagoren ◽  
Madeline E Holm ◽  
Molly S Brennan ◽  
...  

Hypertension in pregnancy is a leading cause of maternal morbidity and mortality. Studies demonstrate that body positions affect the blood pressure (BP) measurements and have led to guidelines for proper positioning by the ACC and AHA. However, studies excluded pregnant women and did not include all common patient positions, such as semi-Fowlers. These studies cannot be applied to pregnant women due to dynamic cardiovascular changes in pregnancy. We measured BP in pregnant women in inpatient and outpatient settings in various positions. These BPs were compared to the published ACC/AHA guideline position: seated with arms and feet supported. Trained team members used an aneroid sphygmomanometer and stethoscope and/or a validated electronic BP machine. There is no significant difference between BP measurements using a sphygmomanometer/stethoscope vs. an electronic BP machine in the ACC/AHA guideline position (systolic p=0.60 diastolic p=0.91). There was not a significant difference in either systolic or diastolic means in the semi-Fowlers position (at 45 degrees measured by goniometer) (systolic=0.60 diastolic=0.95). Positioning did affect the diastolic BP measurement in the seated without support position (p=0.01) and both the systolic (p< 0.001) and diastolic (p<0.001) measurements in the left lateral recumbent position. Our data demonstrate that an accurate BP measurement in pregnancy is dependent upon patient position. Monitoring BP position in left lateral recumbent may mask an elevated BP. This study also suggests that it may be possible to substitute semi-Fowlers position for reliable BP measurements when chair sitting is not practical, such as labor.


2019 ◽  
Vol 4 (1) ◽  
pp. 47
Author(s):  
Donna Budiyanthy

ABSTRACT   Mother's knowledge about the problem of hypertension in pregnancy is still relatively low. Lack of knowledge about hypertension in pregnancy reflects a lack of knowledge about the risks associated with their fetus and how to avoid them. Based on preliminary studies carried out in the  Padang pulau village Kabupaten Asahan regency  that has been conducted by researchers note that in 2013 there were 48 pregnant women whose blood pressure> 140 mmHg. In the January to April  2018 there were 35 pregnant women. This study aims to determine the relationship of health education on hypertension in pregnancy with the mother's knowledge in maintaining blood pressure in Padang pulau village Kabupaten Asahan regency This type of research was analytic observational with cross sectional design. The population in this research was all pregnant women and a sample of 35 people, engineering samples of the total sampling, methods of collecting data by interviewing indirectly by used a questionnaire, data analysis using Chi-Square test. Based on the results of the analysis showed that pvalue (0.004) <α (= 0.05), which shall mean the hypothesis was accepted that there was a relationship of health education on hypertension in pregnancy with the mother's knowledge in maintaining blood pressure. For it was expected that health workers in order to carry out health education as one of health promotion actions in order to prevent hypertension in pregnancy and can improve maternal and child health.


Circulation ◽  
2015 ◽  
Vol 131 (suppl_1) ◽  
Author(s):  
Galit Levi Dunietz ◽  
Kelly L Strutz ◽  
Claudia B Holzman ◽  
Yan Tian ◽  
David Todem ◽  
...  

Objectives: Hypertensive disorders in pregnancy carry a long-term risk of cardiovascular disease (CVD) for women. However, future hypertension status among pregnant women who have moderately elevated blood pressure (MEBP), that does not meet criteria for hypertensive disorders is unknown. We, therefore, investigated the risk of later hypertension among women with MEBP in pregnancy in addition to those diagnosed with gestational hypertensive disorders. Methods: Data are from the Pregnancy Outcomes and Community Health (POUCH) study, which enrolled pregnant women from 52 clinics in 5 Michigan Communities (1998-2004). We included 667 women with abstracted gestational BP measurements who also participated in the POUCHMoms follow-up 7-15 years later. MEBP was defined as systolic BP (SBP) ≥120mmHg or diastolic BP (DBP) ≥80mmHg among pregnant women who did not have a hypertensive disorder. Hypertensive disorders were defined as at least two SBP measurements ≥140 or DBP measurements ≥90 or regular use of anti-hypertensives, with or without proteinuria. Weighted multinomial logistic regression models were run to estimate the odds of prehypertension or hypertension at follow-up, before and after controlling for maternal prenatal confounders (e.g. age, parity, race) and time between pregnancy and follow-up. Results: The majority of participants (59.6%) met the criteria for MEBP which was significantly associated with hypertension at follow-up before and after adjustment for confounders (AOR=2.76; 95% CI 1.40, 5.46). Significant associations were seen for MEBP first identified prior to 20 weeks, and for MEBP observed due to elevated SBP either alone or in conjunction with elevated DBP. As expected, gestational hypertensive disorders also were associated with increased odds of hypertension at follow-up (AOR=16.99; 95% CI 6.11, 47.24). All of the above relationships held when body mass index (BMI) at follow-up was added into the models. Conclusions: Moderately elevated blood pressure in pregnancy may be a risk factor for hypertensive disorders later in life and may identify a group of women who need closer surveillance for CVD risk in the years following pregnancy. Elevated SBP appears to play a more influential role than DBP in the observed association.


Author(s):  
Purwati ◽  
Alfi Noviyana

The cause of preeclampsia until now has not been known with certainty, some studies say that psychological pregnancy can affect the occurrence of preeclampsia. Anxiety is one of the psychological disorders experienced by pregnant women. The purpose of this study was to determine the cause of anxiety in pregnant women who experience pre-eclampsia. qualitative research methods with a case study approach. Sampling was done by purposive sampling. Respondents consisted of 6 main respondents and 8 supporting respondents. The study was conducted in the Flambiyan Room of Goeteng Tarunadibrata Hospital, Purbalingga. The results showed that most of the age above 35 years had preeclampsia and less than 20 years also had preeclampsia. 5 respondents did not experience anxiety before knowing that their blood pressure had risen and there was an increase in blood pressure when they knew they would be referred.Conclusion anxiety in pregnant women occurs after knowing the diagnosis of preeclampsia submitted by health workers. This triggers fear in pregnant women, causing anxiety. Anxiety that occurs in pregnant women can worsen or increase blood pressure.


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