scholarly journals SLOW DEEP BREATHING EXERCISE ON PATIENTS’ BLOOD PRESSURE WITH HYPERTENSION IN WORKING AREA OF KERTOSARI HEALTH CENTER BANYUWANGI 2020

2021 ◽  
Vol 1 (3) ◽  
pp. 233-240
Author(s):  
Rima Ambarwati ◽  
Masroni ◽  
Anita Dwi Ariyani

Slow deep breathing exercise is a non-pharmacological therapy in hypertension patients without comorbidities that can reduce blood pressure. This study aimed to investigate the effect of slow deep breathing exercise on patients’ blood pressure with hypertension in working area of Kertosari Health Center Banyuwangi. This study used experimental design with One-Group Pre-test - Post-test. The sample consisted of 11 respondents who fit the inclusion criteria recruited from an observation sheet of blood pressure measurement using a digital sphygmomanometer, then processed by conducting scoring, tabulating and statistical analysis using Paired T-Test from SPSS 25 for windows. The average respondent's SBP (Systolic Blood Pressure) before SDB (slow deep breathing) was 162.82 mmHg and after SDB was 133.27 mmHg. The average DBP before SDB was 87.91 mmHg and after SDB was 80.09 mmHg. Further analysis used Paired T-Test found ρ value = 0.000, α = 0.05 or ρ value < 0.05. It can be concluded that there was a significant Effect of Slow Deep Breathing Exercise on Patients' Blood Pressure with Hypertension in Working Area of Kertosari Health Center Banyuwangi 2020.

2018 ◽  
Vol 6 (1) ◽  
Author(s):  
Hartin Suidah ◽  
Ninik Murtiyani ◽  
Arif Susanto ◽  
Yufi Aris Lestari ◽  
Shindy Sofyaning Fitra

ABSTRAKMasih tingginya penderita hipertensi merupakan salah satu masalah yang berpengaruh terhadap gaya hidup dan sikap yang mendorong timbulnya hipertensi. Untuk menangani tekanan darah pada penderita hipertensi umumnya minum obat-obatan dari puskesmas, rutinitas ini sering tidak disukai oleh penderita. Penelitian ini bertujuan untuk mengetahui efektifitas air rebusan daun seledri terhadap perubahan tekanan darah pada lansia di Posyandu Ngudi Konco Desa Donomulyo Kecamatan Donomulyo Kabupaten Malang.Desain penelitian ini Pre-Experimental dengan rancangan One- Group Pre-Post test design. Populasi dalam penelitian ini adalah semua lansia penderita hipertensi di Posyandu Ngudi Konco Desa Donomulyo Kecamatan Donomulyo Kabupaten Malang sebanyak 30 responden. Sampel diambil dengan teknik total sampling. Variabel penelitian yaitu pemberian air rebusan daun seledri sebagai variabel independent dan tekanan darah sebagai variabel dependen. Data yang di dapat melalui lembar observasi tekanan darah kemudian di uji dengan menggunakan uji paired t Test.Hasil uji paired t Test menunjukkan bahwa p = 0,000 α= 0,05 Ho di tolak dan H1 diterima sehingga air rebusan daun seledri efektif terhadap perubahan tekanan darah pada lansia di Posyandu Ngudi Konco Desa Donomulyo Kecamatan Donomulyo Kabupaten Malang.Terdapat penurunan jumlah penderita hipertensi sebelum dan sesudah diberikan air rebusan daun seledri. Responden agar dapat meningkatkan informasi tentang pelaksanaan tekanan darah sehingga dapat mengurangi tekanan darah yang dialami dengan cara non formakologi sehingga responden tidak hanya menggantungkan pada obat-obatan farmakologi dalam menurunkan tekanan darah.Kata kunci : Air Rebusan Daun Seledri, Tekanan Darah, Lansia ABSTRACTStill high hypertension was  one of the problems that affect the lifestyle and attitudes that encourage the emergence of hypertension. To handle blood pressure in people with hypertension generally take  medication from puskesmas, this routine was often disliked by the patient. This study aims to determine the effectiveness of boiling water celery leaves on changes in blood pressure in the elderly at Posyandu Ngudi Konco Donomulyo Village Donomulyo District Malang Regency.The design of this research was  Pre-Experimental with the design of One- Group Pre-Post test design. Population in this research was all elderly patient of hypertension in Posyandu Ngudi Konco Village Donomulyo District Donomulyo Malang Regency as many as 30 respondents. Samples were taken with total sampling technique. The research variable was giving boiled water of celery leaves as independent variable and blood pressure as dependent variable. The data can be through blood pressure observation sheet then tested by using paired t test.The result of paired t - test showed that p = 0.000 α = 0.05 Ho in rejection and H1 accepted so that boiling water celery leaf effective against blood pressure changes in elderly at Posyandu Ngudi Konco Donomulyo Village Donomulyo District Malang Regency. There was a decrease in the number of hypertensive patients before and after being given boiled water of celery leaves. Respondents in order to improve information about the implementation of blood pressure so as to reduce blood pressure experienced by non-formakologi way so that respondents not only rely on pharmacological drugs in lowering blood pressure. Key Words: Water Stew of Celery leaves, Blood Pressure, Elderly


Author(s):  
Pradnja Paramitha Chandra Devi ◽  
Rudi Hamarno ◽  
Roni Yuliwar

Penelitian ini bertujuan untuk mengetahui perbedaan tingkat nyeri dan tekanan darahsebelum dan sesudah dilakukan DBE pada pasien yang mengalami pembedahan laparatomi di RSLavalette Malang. Metode penelitian yang digunakan adalah one group pre-post test design. Subyekpenelitian adalah pasien post laparatomi yang dipilih dengan teknik purposive sampling sebanyak 20responden. Hasil uji statistik paired t-test menunjukkan bahwa terdapat perbedaan signifikan sebelumdan sesudah deep breathing exercise (DBE) dari tingkat nyeri dengan p-value=0,000 (p<0,05). Namuntidak terdapat perbedaan signifikan pada tekanan darah sistole dengan p-value=0,725 dan tekanandarah diastole dengan p-value=0,428 (p>0,05). Saran bagi perawat agar melakukan DBE pada pasienpost laparatomi karena dapat menurunkan tingkat nyeri.


Jurnal NERS ◽  
2019 ◽  
Vol 14 (3) ◽  
pp. 141
Author(s):  
Rahmatul Fitriyah ◽  
Gratsia Victoria Fernandez ◽  
Wahyu Sukma Samudera ◽  
Hidayat Arifin ◽  
Shenda Maulina Wulandari

Various non-pharmacological therapies can be used to reduce blood pressure. One of them is deep breathing relaxation. This study aimed to know the influence of deep breath relaxation to decrease the blood pressure of people with hypertension. The design of this study was an Pre-Experimental One Group Pretest-Post-test design which covered 30 respondents as the sample. They fulfilled the inclusion criteria and were chosen through purposive sampling. The independent variable in this study was deep breath relaxation and the dependent variable was blood pressure. The data collection technique was using the observation sheet of blood pressure measurement. Data were analyzed using the paired t test. The findings of this study majority there were decrease blood pressure after deep breath. Before doing the breath relaxation exercise, most of the respondents were hypertension level 1. Nonetheless, after the deep breath relaxation had been executed, most found that their blood pressure decreased although several respondents were at hypertension level 2 with stable blood pressure. The results showed that there were differences in the blood pressure patients with hypertension before and after the deep breath relaxation. There were several points which influenced the decrease in blood pressure after implementing the deep breath relaxation such as stress, cigarettes etc.


Author(s):  
Tiurmaida Simandalahi ◽  
Honesty Diana Morika ◽  
Puteri Fannya

Background: Changes in vital signs such as tachycardia, dyspnea, tachipnea, decreased oxygenation, caused by the inability of the heart to pump enough blood to meet the needs of oxygen and nutrients needed by the tissue, so that alternative therapies are needed: alternate nostril breathing exercise (ANBE) as a companion to pharmacological therapy for congestive heart failure (CHF) patients. The purpose of this study was to see the effect of ANBE on the vital sign of CHF patients.Methods: This Quasy experimental study was used one group pretest and Posttes design, conducted at one of the Padang City Hospitals from March to August 2019. Study population includes CHF sufferers, with a sample of 16 people, using accidental sampling technique. Univariate data analysis to get the mean of vital sign and bivariate measurements using parametric test i.e. Paired t-test to see the effect of this therapy.Results: Mean vital signs pretest and posttest was given in a row The observations are: respiratory rate (RR): 5.4978; 4.6078, pulse: 10.1804; 8,7770, systolic blood pressure (SBP): 12,5963; 11,1481, and diastolic blood pressure (DBP): 10,3009; 8.8606. Paired t-test obtained p-value of RR, pulse, SBP and DBP: 0.000, and existing t count> from t table (t count> 2.13145), so that there is an effect of ANBE on vital signs.Conclusions: ANBE affects the vital sign of CHF patients and can be continued as an intervention that can be carried out independently by CHF sufferers.


Introduction: The number of major abdominal surgical procedures is increasing around the world. A large number of the patients complain about postoperative pulmonary complications (PPCs) after abdominal surgery and show symptoms of breathing pattern disorder. Therefore, this study aimed to investigate the effect of deep breathing exercise on the oxygenation of patients undergoing major abdominal surgery. Methods: This single-blind randomized clinical trial was conducted on 40 patients who needed major abdominal surgery in Qom, Iran, in 2014. The participants were divided into two equal experimental (n=20) and control (n=20) groups. The cases in both groups received routine care, however, those in the experimental group exercised repeated deep breathing four times per hour for two consecutive hours after the surgery as well. The condition of the patients in both groups was similar in terms of position, mobility, and oxygen therapy. The patient’s oxygen saturation, respiratory rate (RR), heart rate, and the severity of pain in the surgery site were measured. The collected data were analyzed in SPSS software (Version. 18) using paired t-test, independent t-test, Mann-Whitney U test, Wilcoxon rank-sum test, Multiple regression analyses, Chi-square test, and Fischer’s exact test. A p-value less than 0.05 was considered statistically significant. Results: Based on the study findings, the deep breathing exercise significantly reduced the surgery site pain and mean blood pressure and increased O2 saturation in the experimental group after the intervention (P<0.05). Moreover, there was a statistically significant difference between the experimental and control groups, and a significantly higher O2 saturation was observed in the experimental group after deep breathing exercise post-operation (β=2.01, P<0.001). Conclusion: Deep breathing exercises can reduce the severity of pain in the surgery site and mean arterial blood pressure and increase O2 saturation in patients after major abdominal surgery.


2020 ◽  
Vol 5 (1) ◽  
pp. 71
Author(s):  
Sri Muharni ◽  
Utari Christya Wardhani

<div class="Section1"><p><em><em>Hypertension is one of the most common cardiovascular problem in elderly.  Prolonged high blood pressure canlead to destructionof the blood vessels throughout the body. However it can be controlled with pharmacology and non-pharmacology technique, one of the non-pharmacological therapy is ergonomic exercise. Ergonomic exercise is the gymnastic motion which is combined with breathing techniques. This study aimed was to know about the effect of ergonomic exercise to decreasing blood pressure in elderly with hypertensions in Community Health Center Sei Pancur region. The design was One Group Time Series, intervention given to one group only, without control group. Ergonomic exercise efectivity rated by comparing blood pressure pre and post exercise, during first, second, and third week. Sampling technique was used purposive sampling with 50 respondents. The respondents were given interventions four times. The data analysis used Paired T-Test and Annova Test. The results were shown that the blood pressure significantly decreased during fourth week, with p value: 0.00 for both systolic and diastolic blood pressure. As conclusions, ergonomic exercise had effect to decreasing blood pressure in elderly with hypertensions</em></em></p><p><em><br /></em></p><p><em>Hipertensi adalah salah satu masalah kardiovaskular yang sering terjadi pada lansia. Tekanan darah yang tinggi akan mengakibatkan kerusakan pembuluh darah di seluruh tubuh, kerusakan  tersebut dapat kita  kendalikan dengan terapi farmakologi maupun non farmakologi, salah satunya adalah senam ergonomik. Senam ergonomik adalah  suatu gerakan senam yang dikombinasikan dengan teknik pernapasan. Penelitian ini bertujuan untuk mengetahui pengaruh senam ergonomik terhadap penurunan tekanan darah  pada lansia  hipertensi di wilayah kerja Puskemas Sei Pancur. Desain dalam penelitian ini adalah One Group Time Series Design dengan mengintervensi satu kelompok saja tanpa kelompok pembanding. Efektifitas perlakukan senam ergonomik dinilai dengan cara membandingkan tekanan darah sebelum diberikan senam ergonomik dengan hasil tekanan darah setelah senam ergonomik minggu pertama,kedua dan ketiga. Dimana Teknik sampling yang digunakan adalah Purposive Sampling dengan jumlah sampel 50 responden. Pemberian sebanyak 4  kali intervensi. Analisa data menggunakan uji Paired T-Test dan Annova Test. Hasil penelitian menunjukkan bahwa tekanan darah mulai turun signifikan pada minggu ke-4, dengan nilai p = 0,00 untuk tekanan darah sistole dan 0,00 untuk tekanan darah diastol. Kesimpulan dalam penelitian ini adalah senam ergonomik berpengaruh terhadap penurunan tekanan darah pada lansia dengan hipertensi</em></p></div>


Author(s):  
Siska Sakti Anggraini ◽  
Siti Aisyah Nur ◽  
Honesty Diana Morika ◽  
Ratna Indah Sari Dewi

Background: Hypertension is called the silent killer because it does not provide specific symptoms, it can increase the incidence of strokes, heart attacks, chronic kidney disease if not controlled and controlled properly. Management of hypertension is generally with pharmacological therapy that has not shown improvement. Non-pharmacological treatment using rosella flower tea which functions to open blood vessels wider, reduce blood viscosity and increase urine production so as to reduce blood volume. The purpose of this study was to study the effect of rosella tea on reducing blood pressure in hypertensive patients.  Methods: This study uses a quasi-experiment design with the two-group pre-test and post-test design approach. This research was conducted on patients with hypertension at the Padang city health center with an intervention group of 16 respondents and a control of 16 respondents. Data analysis in this study used univariate and bivariate using independent t-test statistics.  Results: The results of the study showed the average blood pressure in the systolic pretest intervention group 147.81 for 94.69 diastole and posttest systole 129.06 posttest diastole 78.75 while the control group for systole pretest 154.6 for diastole 96.25 and posttest without posttest treatment systole 129.06 postest diastole 78.75. Obtained a p value 0,000 statistical test for systole and a p value 0,000 diastole.  Conclusions: There is an effect of rosella flower tea on reducing blood pressure in patients with hypertension at the Padang city health center.


2021 ◽  
Vol 14 (1) ◽  
pp. 50
Author(s):  
Noor Fitriyani ◽  
Fakhrudin Nasrul Sani

Abstrak. Kasus hipertensi di Indonesia tahun 2018 meningkat 8,3 % dari tahun sebelumnya, disebabkan penderita merasa sudah sehat dan riwayat minum obat tidak rutin. Meningkatnya prevalensi penderita hipertensi setiap tahunnya, penting dilakukan upaya dalam mengontrol tekanan darah. Kombinasi management non farmakologis dengan Deep Breathing Exercise dan Terapi Musik Religi sebagai salah satu upaya yang dapat dilakukan. Tujuan  penelitian  mengetahui pengaruh deep breathing exercise dan terapi musik religi  terhadap tekanan darah Pasien hipertensi. Penelitian ini merupakan quasy eksperiment dengan desain pre test and post test without control. Sampel penelitian sejumlah 20 lansia dengan teknik pengambilan sampel total sampling. Uji normalitas data penelitian dengan menggunakan shapiro wilk dengan hasil data berdistribusi tidak normal sehingga uji korelasi menggunakan uji wilcoxon test. Hasil penelitian didapatkan rata-rata tekanan darah responden sebelum dan sesudah diberikan terapi deep breathing exercise dan terapi musik religi  tekanan darah sistolik 161,00 mmHg menjadi 148,50 mmHg dan diastolik 99,00 mmHg menjadi 89,50 mmHg. Hasil analisa uji korelasi menunjukkan ada pengaruh pemberian deep breathing exercise dan terapi musik religi  terhadap tekanan darah pasien hipertensi, ditunjukkan dengan nilai p-value = 0,000 (p-value < 0,05).  Kata kunci: Deep Breathing Exercise, Musik Religi, Hipertensi   The Effect of Deep Breathing Exercise and Religious Music Therapy on Blood Pressure in Hypertensive Patients  Abstract: Hypertension sufferers in 2018, increased by 8.3% compared to the previous year because of the healthy patient feeling and a history of irregular taking medication. It is important to conduct actions in controlling blood pressure because of the increasing prevalence of hypertension sufferers every year. The combination of non-pharmacological management with a deep breathing exercise and religious music therapy is the effort that can be performed. The research objective was to identify the effect of deep breathing exercise and religious music therapy on blood pressure in hypertensive patients. This research adopted the quasi-experimental research method with pre- and post-test without a control group. A total sampling technique was applied to determine its samples, which consisted of 20 elderly. The normality test of research data applied the Shapiro Wilk with abnormal distribution results therefore the correlation test used the Wilcoxon test. The result revealed that the average blood pressure of respondents in pre and post- Deep Breathing exercise therapy and Religious Music therapy presented a systolic blood pressure of 161.00 mmHg to 148.50 mmHg and diastolic 99.00 mmHg to 89.50 mmHg. The results of the correlation test analysis indicated that there was an effect of deep breathing exercise and religious music therapy on the blood pressure of hypertensive patients as indicated by the p-value = 0,000 (p-value <0.05). There is an effect of providing Deep Breathing Exercise and Religious Music therapy on the blood pressure of hypertensive patients as indicated by a p-value = 0,000 (p-value <0.05).  Keywords: Deep Breathing Exercise, Religious Music, Hypertension.


2018 ◽  
Vol 1 (1) ◽  
Author(s):  
Emy Huriyati ◽  
Tri Ratnaningsih ◽  
Abdul Wahab ◽  
Arta Farmawati ◽  
Nur Imma Fatimah Harahap ◽  
...  

ABSTRAK Fokus Dinas Kesehatan Kabupaten Sleman untuk penanggulangan anemia dewasa ini bukan hanya pada ibu hamil saja, melainkan sudah dimulai dari remaja puteri, jauh sebelum mereka hamil. Langkah pemerintah dalam menanggulangi anemia dengan adanya suplementasi besi dikhawatirkan tidak tepat sasaran. Sejauh ini deteksi anemia oleh petugas puskesmas hanya sebatas pemeriksaan haemoglobin saja dan kejadian anemia yang terdeteksi masih bersifat general, tidak spesifik anemia defisiensi besi. Subjek dalam kegiatan ini adalah petugas puskesmas meliputi dokter, ahli gizi dan ahli teknologi laboratorium medis yang diambil secara purposive sampling. Metode yang diterapkan dalam kegiatan ini adalah pelatihan dengan rangkaian kegiatan yaitu penyuluhan dengan pre-test dan post-test, tutorial kasus, dan praktikum. Analisis data hasil kegiatan menggunakan uji paired t-test antara nilai pre-test dan post-test. Uji statistik dikatakan signifikan bila p-value kurang dari 0,05. Total peserta yang mengikuti kegiatan adalah 71 orang dari target awal 75 orang (persentase kedatangan= 94,67%). Pelatihan terkait anemia defisiensi besi untuk petugas puskesmas dapat meningkatkan tingkat pemahaman sebesar 32,82 poin (p<0,0001), yang merupakan delta kenaikan nilai pre-test dan post-test. Pemilihan metode untuk kegiatan pelatihan dirasa sudah tepat dengan pertimbangan hasil evaluasi kegiatan menunjukkan sebagian besar peserta kegiatan menilai metode pelatihan efektif atau sangat efektif (74,7%). Program pelatihan dapat meningkatkan pemahaman petugas puskesmas di Kabupaten Sleman terkait anemia defisiensi besi.KATA KUNCI pelatihan; puskesmas; pengetahuan; anemia defisiensi besi ABSTRACT The focus of the Sleman District Health Office in the prevention of anemia is not only on pregnant women anymore as it currently involves young women, long before they become pregnant. The government's step in overcoming anemia with iron supplementation is argued to fail to hit the target. So far the detection of anemia by health center officials is only limited to hemoglobin examination, indicating that the detection of anemia is still general and not specific to iron deficiency anemia. The subjects of this study were community health center staffs including doctors, nutritionists and medical laboratory technology experts who were picked by purposive sampling. The methods used were training with a series of activities: education with pre-test and post-test, case tutorials, and practicum. Paired t-test was performed to compare the difference of value between pre-test and post-test. P-value of less than 0.05 was considered statistically significant. The total participants who took part in the activity were 71 people from the initial target of 75 people (percentage of arrivals = 94.67%). Training related to iron deficiency anemia for health center officers can increase the level of understanding by 32.82 points (p <0,0001). The methods chosen for training activities were considered appropriate with around three-quarters (74,7%) of the participants rated the training method effective or very effective. The training program can improve the understanding of health center staff in Sleman Regency regarding iron deficiency anemia.KEYWORDS training; community health center; knowledge; iron deficiency anemia 


2017 ◽  
Vol 6 (2) ◽  
pp. 168
Author(s):  
Fithri Yani

Abstract   Background : Based on health surveys, 30% of Indonesians are hypertension. Hypertension is a risk factor for third-leading cause of death after stroke and tuberculosis i.e. 67% of the population death at all ages. Total patients with essential hypertension at the public health center Putri Ayu Jambi city year 2016 as many as 2490 patients. This study aimed to determine is there any effect of provision of nursing interventions in the form of deep breathing relaxation to changes in blood pressure in patients with essential hypertension at the public health center Putri Ayu Jambi city. Method :This study used one group pre-post test design method; it used purposive sampling technique, with total samples as many as 30 respondents from total population as many as 378 patients. Instruments are Blood pressure measurement results, data analyzed as univariate and bivariate by using paired t-test analysis. Results :The findings indicated that p-value Systole blood pressure p-value = 0.000 and diastole p-value = 0.006, so it concluded that there is significant effect to Changes in blood pressure in patients with essential hypertension Before and after being given deep breathing exercises at the public health center Putri Ayu Jambi city. Conclusion :It is expected that health officer to increase the Giving nursing care and can provide knowledge about deep breathing exercises so that people with essential hypertension can control blood pressure independently at home.     


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