Penerapan Relaksasi Otot Progresif Terhadap Penurunan Tekanan Darah Pada Pasien Hipertensi

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

scholarly journals Penerapan Terapi Relaksasi Otot Progresif Untuk Menurunkan Hipertensi Di Desa Glandang Bantarbolang

2021 ◽  
Vol 1 ◽  
pp. 1501-1508
Author(s):  
Hema Agustian ◽  
Wiwiek Natalya ◽  
I Isytiaroh
Keyword(s):  
Blood Pressure ◽  
Muscle Relaxant ◽  
Muscle Relaxation ◽  
Progressive Muscle Relaxation ◽  
Lower Blood Pressure ◽  
Relaxation Therapy ◽  
Hypertensive Patients ◽  
Lower Blood ◽  
Health Field ◽  
Descriptive Method

AbstractHypertension is the increase of blood pressure which is higher than or equal to 140 mmHg at systolic blood pressure and higher or equal to 90 mmHg at diastolic blood pressure. The purpose of this study is to implement actions of progressive muscle relaxant therapy to lower blood pressure on hypertensive patients. This research uses descriptive method and tye subjects of this research are two hypertension clients with blood pressure higher than 140/100 mmHg at Glandang Village, Bantarbolang. Intervention is done by giving progressive muscle relaxation therapy for six days and is done once a day. The result of the study shows a drop in blood pressure on both clients, for client 1 to drop blood pressure from 160/100mmhg to 130/90mmhg and for the second client to drop in blood pressure from 170/100mmhg to 130/100mmhg. The study of the case indicates that progressive muscle relaxation therapy reduces blood pressure on hypertensive people. It is recommended for nurses or people working in health field to provide therapy in order to lower blood pressure in the form of progressive muscle relaxation therapy in hypertensive people.Keywords: Progressive Muscle Relaxation, Hypertension AbstrakHipertensi merupakan penyakit the silent killer yang menyebabkan 1 dari 3 orang dewasa terkena penyakit hipertensi dan diperkirakan 7,5 juta kematian didunia ini akibat hipertensi. Pada umumnya penyakit hipertensi ini tidak disadari oleh penderitanya, 50% penderita hipertensi tidak memperlihatkan pertanda yang pasti, terutama apabila sedang dalam taraf awal. Tujuan studi kasus ini adalah untuk mengaplikasikan tindakan terapi relaksasi otot progresif untuk menurunkan tekanan darah pada penderita hipertensi. Rancangan Karya Tulis Ilmiah ini menggunakan metode studi kasus deskriptif dengan subyek dua klien hipertensi yang mengalami tekanan darah tinggi diatas 140/100mmHg di Desa Glandang Bantarbolang. Intervensi yang dilakukan adalah pemberian terapi relaksasi otot progresif selama enam hari dan dilakukan satu kali sehari. Hasil studi ini menunjukan adanya penurunan tekanan darah pada kedua klien, untuk klien 1 mengalami penurunan tekanan darah dari 160/100mmHg menjadi 130/90mmHg dan untuk klien kedua mengalami penurunan tekanan darah dari 170/100mmHg menjadi 130/90mmHg jadi rata-rata penurunan tekanan darah dari kedua klien adalah untuk tekanan darah sistolik sebanyak 30-40mmHg dan untuk tekanan diastolik sebanyak 10mmHg. Simpulan studi kasus ini menunjukan bahwa terapi relaksasi otot progresif mampu menurunkan tekanan darah pada penderita hipertensi. Saran bagi tenaga kesehatan diharapkan dapat memberikaan tindakan terapi untuk menurunkan tekanan darah yang berupa terapi relaksasi otot progresif pada penderita hipertensi.Kata kunci: Relaksasi Otot Progresif, Hipertensi

scholarly journals Penerapan Terapi Relaksasi Otot Progresif Untuk Menurunkan Tekanan Darah Pada Lansia Yang Mengalami Hipertensi

2021 ◽  
Vol 1 ◽  
pp. 1572-1577
Author(s):  
Jessica Putri Arifiani ◽  
Dwi Fijianto
Keyword(s):  
Blood Pressure ◽  
Muscle Relaxation ◽  
Blood Pressure Reduction ◽  
The Elderly ◽  
Progressive Muscle Relaxation ◽  
Lower Blood Pressure ◽  
Relaxation Therapy ◽  
Measuring Device ◽  
Lower Blood

AbstractHypertension in the elderly is the elderly who experience an increase in blood pressure above normal with a normal range of 120/80 mmHg on blood pressure examinion using a blood pressure measuring device. One of the actions to lower blood pressure is the progressive musle relaxation technique. The purpose of this scientific paper is to apply progressive muscle in Proto Tambahrejo village, Bandar sub district,Batang district. Case study method by applying muscle relaxation therapy progressive blood pressure reduction in the elderly with hypertension in Proto Tambahrejo Village Bandar Distract Batang Regency. The data Collection.The results of the application showed that during the 6-day visit, two elderly people were able to lower blood pressure, on the first day the client was 170/100 mmHg and the sixth day it was 130/90 mmHg, while on the second day the client was 160/100 mmHg and the sixth day 120/90 mmHgm Conclusion This case study shows that progressive muscle relaxation therapy is effective in the elderly with hypertension. Suggestions from the authors are expected that progressive muscle relaxation therapy can be used as an effective application in the elderly who have hypertension.Keywords: Hypertension, Progressive muscle relaxation, the elderly. AbstrakHipertensi pada lansia adalah lansia yang mengalami peningkatan tekanan darah diatas normal yaitu dengan rentang normal 120/80 mmHg pada pemeriksaan tensi darah menggunakan alat pengukur tekanan darah.Tindakan untuk menurunkan tekanan darah salah satunya adalah dengan teknik relaksasi otot progersif. Tujuan Karya Tulis Ilmiah ini adalah mengaplikasikan tindakan teknik relaksasi otot progresif untuk menurunkan tekanan darah pada lansia yang mengalami hipertensi. Metode studi kasus dengan menerapkan terapi relaksasi otot progresif untuk menurunkan tekanan darah pada lansia yang mengalami hipertensi. Subyek studi kasus yang digunakan adalah dua lansia yang mengalami hipertensi. Metode pengumpulan data yang digunakan berupa wawancara dan observasi. Hasil penerapan menunjukkan selama 6 hari kunjungan dua lansia mampu menurunkan nyeri tekanan darah, pada klien I hari pertama skala nyeri 7 tekanan darah 170/100 mmHg dan hari keenam menjadi skala nyeri 1 tekanan darah 130/90 mmHg, Sedangkan pada klien II hari pertama skala nyeri 5 tekanan darah 160/100 mmHg dan hari keenam menjadi skala nyeri 1 tekanan darah 120/90 mmHg. Kesimpulan dari studi kasus ini menunjukkan terapi relaksasi otot progresif efektif digunakan untuk menurunkan tekanan darah pada lansia yang mengalami hipertensi. Kata kunci: Hipertensi, relaksasi otot progresif, lansia

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
Keyword(s):  
Blood Pressure ◽  
Literature Review ◽  
Communicable Disease ◽  
Muscle Relaxation ◽  
Intervention Group ◽  
Progressive Muscle Relaxation ◽  
Control Group ◽  
P Value ◽  
Relaxation Therapy ◽  
Significant Difference

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

scholarly journals Pengaruh Teknik Relaksasi Otot Progresif Terhadap Penurunan Tekanan Darah Pada Pasien Hipertensi Di Puskesmas Mariat Kabupaten Sorong

Nursing Arts ◽  
2019 ◽  
Vol 12 (1) ◽  
pp. 31-35
Author(s):  
Norma Norma ◽  
Ade Supriatna
Keyword(s):  
Blood Pressure ◽  
Health Center ◽  
Diastolic Blood Pressure ◽  
Statistical Tests ◽  
Muscle Relaxation ◽  
Blood Pressure Reduction ◽  
Progressive Muscle Relaxation ◽  
Relaxation Techniques ◽  
Hypertensive Patients ◽  
Quasi Experimental

Effect of Progressive Muscle Relaxation Technique on Decreasing Blood Pressure in Hypertensive Patients in Mariat Health Center, Sorong Regency. Hypertension is a disease that results from an increase in systolic and diastolic blood pressure consistently above 140/90 mmHg. Hypertension is a factor that contributes to stroke deaths and factors that aggravate myocardial infarction (heart attack). The number of people with hypertension continues to increase along with the growing population, the world prevalence reaches 29.2% in men and 24% in women. This study was conducted with the aim to determine whether there is an effect of progressive muscle relaxation techniques on the reduction of blood pressure in hypertensive patients at the Mariat Health Center in Sorong Regency. In this study the researchers used the Quasi experimental Design design with a one-group pretest-posttest design approach (one pretest-posttest group). The population in this study were hypertensive patients who came to the Mariat Health Center in 2018 as many as 32 patients. While the research sample is a total population of 32 respondents. The results of the statistical test using the Paired Sample t-test obtained a value of p_value for systolic blood pressure 0,000 smaller than 0.05 and the value of p_value for a diastolic blood pressure of 0,000 less than 0.05. From the results of statistical tests show that there is an effect of progressive muscle relaxation techniques on blood pressure reduction in hypertensive patients at Mariat Health Center, Sorong Regency.  

Penerapan Relaksasi Otot Progresif dalam Menurunkan Tekanan Darah pada Keluarga dengan Hipertensi : Literature Review

2020 ◽  
Vol 8 (2) ◽  
pp. 86-93
Author(s):  
Habibi Habibi
Keyword(s):  
Blood Pressure ◽  
Literature Review ◽  
Muscle Relaxation ◽  
Empirical Studies ◽  
Progressive Muscle Relaxation ◽  
Google Scholar ◽  
Lower Blood Pressure ◽  
Relaxation Therapy ◽  
Control Blood Pressure ◽  
Lower Blood

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 

Effects of progressive muscle relaxation therapy with home exercise on pain, fatigue, and stress in subjects with fibromyalgia syndrome: A pilot randomized controlled trial

2021 ◽  
pp. 1-11
Author(s):  
Seoung-A. Yoo ◽  
Chang-Yong Kim ◽  
Hyeong-Dong Kim ◽  
Suhng-Wook Kim
Keyword(s):  
Blood Pressure ◽  
Perceived Stress ◽  
Pulse Rate ◽  
Fibromyalgia Syndrome ◽  
Controlled Trial ◽  
Muscle Relaxation ◽  
Progressive Muscle Relaxation ◽  
Home Exercise ◽  
Relaxation Therapy ◽  
Before And After

BACKGROUND: Fibromyalgia is accompanied by symptoms of fatigue, depression, sleep disorders, and physical and mental stress [1]. It is a difficult-to-treat disorder because its exact causes are unknown. OBJECTIVE: This study aimed to examine the effect of progressive muscle relaxation therapy (PMRT) on pain, fatigue, and stress in patients with fibromyalgia syndrome. METHODS: Thirty-seven patients with fibromyalgia syndrome (age: 20–65 years) were randomly allocated to the PMRT group (n1= 18, 2 men and 16 women) or non-PMRT group (n2= 19, 2 men and 17 women). The PMRT group received PMRT twice a week for 8 weeks and the non-PMRT group received conventional physical therapies such as electro-stimulation and heat therapies during this period. The outcome was evaluated before and after 8 week sofintervention using the Visual Analogue Scale, Multidimensional Assessment of Fatigue, Perceived Stress Scale, and measurement of the blood pressure and pulse rate. RESULTS: Pain and fatigue significantly decreased in the PMRT group compared with the non-PMRT group (both P< 0.001). In addition, perceived stress (P< 0.001), systolic blood pressure (P< 0.001), diastolic blood pressure (P< 0.05), and pulse rate (P< 0.001) significantly decreased in the PMRT group compared with the non-PMRT group. CONCLUSIONS: The findings indicate that progressive muscle relaxation therapy is a viable rehabilitative therapy for pain, fatigue, and stress symptoms in patients with fibromyalgia syndrome.

PENGARUH TERAPI RELAKSASI OTOT PROGRESIF TERHADAP PENURUNAN TEKANAN DARAH PADA PASIEN HIPERTENSI DI WILAYAH KERJA PUSKESMAS CENDANA PUTIH II TAHUN 2017

2018 ◽  
Vol 6 (08) ◽  
pp. 56-63
Author(s):  
Lestari Lorna Lolo ◽  
Komang Ayu Rusmadewi
Keyword(s):  
Blood Pressure ◽  
Practical Knowledge ◽  
Muscle Relaxation ◽  
Community Health Center ◽  
Progressive Muscle Relaxation ◽  
Relaxation Therapy ◽  
Static Test ◽  
Blood Pressure Decrease ◽  
Pressure Decrease ◽  
Work Area

High blood disease or hypertension is a condition which a person has increased systolic blood pressure more than 140 mmHg and diastolic blood pressure more than 90 mmHg. Hypertension is a major risk the factor for ischemia and hemorrhagic stroke, myocardial infarction, heart failure, chronic kidney disease, cognitive decrease and premature death.The aim of this research is to analyze the effect of progressive muscle relaxation therapy for blood pressure decrease in hypertension patients in the work area of Cendana Putih II community health center 2017. This research is being quantitative, using quasi experimental (pretest-posttest design). The population in this research was hypertension patients in the work area of cendana putih II as many as 82 people with the number of samples 40 people with the method of sampling using purposive sampling. Data collected by questionnaire and analyzed univariat and bivariate using static test of Wilcoxon Signed Ranks Test.The conclusion of research proved that there was the effect of progressive muscle relaxation therapy for blood pressure decrease in hypertension patients with value P= 0,000 where value P < 0,05.The suggestion of this research will expected to be information to society, especially hypertension patients about progressive muscle relaxation therapy that can effect in blood pressure decrease. The information will hoped to help hypertension in stress management experienced, and give practical knowledge to do muscle relaxation therapy independently.Key Words : Muscle Relaxation Therapy, Blood Pressure, Hypertensio

scholarly journals Control of Elderly Hypertension with Merona Program

2021 ◽  
Vol 7 (3) ◽  
pp. 347-353
Author(s):  
Didi Kurniawan ◽  
Etty Rekawati ◽  
Junaiti Sahar
Keyword(s):  
Blood Pressure ◽  
Muscle Relaxation ◽  
The Elderly ◽  
Community Health Services ◽  
Progressive Muscle Relaxation ◽  
Family Case ◽  
Cluster Random Sampling ◽  
Family Case Study ◽  
Elderly Control

Hypertension is a silent killer is the most common health problem experienced by the elderly. Control of hypertension in the elderly is very necessary to reduce complications of hypertension. Based on these conditions, the MERONA Program was developed. The purpose is to provide an overview of the implementation of the blush program in the elderly with hypertension. The method used is a family case study and an aggregate using a family and community nursing process approach involving 10 foster families and 60 elderly people in the community selected using cluster random sampling. This program is an integration of hypertension self-management and relaxation therapy, namely music therapy, progressive muscle relaxation, and deep breathing relaxation which is carried out for 12 weeks. Evaluation of changes in behavior and family independence was carried out at the end of the 12th week using a questionnaire. Blood pressure measurements were carried out at weeks 4, 8, and 12. The results of the implementation were an increase in the behavior of the elderly, an increase in the level of family independence, and a significant decrease in systolic and diastolic blood pressure (p<0.05). The MERONA program is recommended to be applied in community health services.

scholarly journals Complementary of Nursing Care for an Elderly Family: Management of Hypertension and Smoking Behaviour

2020 ◽  
Vol 2 (3) ◽  
Author(s):  
Imelda Rahmayunia Kartka ◽  
Mulya Ulfa
Keyword(s):  
Nursing Care ◽  
Muscle Relaxation ◽  
Complementary Therapy ◽  
Smoking Behaviour ◽  
Progressive Muscle Relaxation ◽  
Evidence Based ◽  
Relaxation Therapy ◽  
Hypertensive Patients ◽  
The Family ◽  
Evidence Based Nursing

Background: An elderly was closed to some medical problem, especially hypertension. Problems that occur in elderly patients with hypertension not only involve the patient itself but also involve the family as the closest person to the patient. One important aspect of family nursing is the family itself. To achieve good treatment outcomes, implementation of evidence-based nursing is needed. The purpose of this study is to present the implementation of evidence-based nursing to an eldelry in a family bu using coconut water to reduce high blood pressure and progressive muscle relaxation therapy to reduce pain intensity in hypertensive patients, as well as acupressure therapy in stopping smoking that is applied 1 week each other. Method: In the implementation, complementary therapy is applied to hypertensive patients by given young coconut water and progressive muscle relaxation therapy, and acupressure therapy in an effort to stop smoking. Results: showed significant results in the reduction of high blood pressure before being given an intervention was TD: 200/100 mmHg and after being given the intervention obtained TD: 140/80 mmHg and decreased pain intensity in hypertensive patients using relaxation therapy, as well as a decrease in the number of cigarettes smoked with acupressure therapy for 1 week. Conclusion: The application of complementary therapy carried out showed improvement in elderly patients suffering from hypertension and smoking behaviour, therefore, the application of evidence based nursing in providing nursing care is recommended. Suggestion: Complementary Nursing Case Study this is expended to be a reference material to improve health services and provide an overview in carrying out complementary nursing care to families, especially an elderly with comprehensive cases of hypertension (bio, psycho, social and spiritual).

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