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

Hypertension 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

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

Hypertension 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

Penerapan Isometric Handgrip Exercisedan Slow Deep Breathing Exercise Untuk Menurunkan Tekanan Darah

Hypertension is an increase in blood pressure with systolic above 140 mmHg and diastolic above 90 mmHg. One of the non-pharmacological methods to lower blood pressure is to do isometric handgrip exercise and slow deep breathing exercise. The purpose of this case study is to evaluate blood pressure by implementing isometric handgrip exercise and slow deep breathing exercise toward hypertensive patients within five day of training (twice per day). There were two hipertensive patients involvid in this study. The results of this case study showed that the blood pressure of both patients dropped to normal. The firt patients blood pressure dropped to normal from 160/100 mmHg to 130/80 mmHg after the intervention. Similarly, the second patients blood pressure reduced from 170/100 mmHg to 120/80 mmHg. This study conclusion that the isometric handgrip exercise and slow deep breathing exercise can lower blood pressure.Keywords: Hypertension; Isometric Handgrip; Slow Deep Breathing AbstrakHipertensi adalah peningkatan tekanan darah dengan sistolik diatas 140 mmHg dan diastolik diatas 90 mmHg.salah satu tindakan nonfarmakologi yang dapat menurunkan tekanan darah adalah dengan melakukan latihan isometric handgrip exercise dan slow deep breathing exercise. Tujuan dilakukannya penerapan studi kasus ini adalah untuk menurunkan tekanan darah dengan menggunakan latihan isometric handgrip exercise dan slow deep breathing exercise pada keluarga dengan hipertensi. Metode yang digunakan adalah dengan penerapan latihan isometric handgrip exercise dan slow deep breathing exercise. Hasil dari studi kasus ini menunjukkan adanya penurunan tekanan darah pada klien I dan II yang disertai dengan penurunan rasa nyeri, klien I dengan tekanan darah 160/100 mmHg turun menjadi 130/80 mmHg dan klien II dengan tekanan darah 170/100 mmHg turun menjadi 120/80 mmHg. Kesimpulan dari penerapan isometric handgrip exercise dan slow deep breathing exercise adalah bahwa penerapan latihan isometric handgrip exercise dan slow deep breathing exercise dapat menurunkan tekanan darah selama 5 hari latihan dengan 2 kali pertemuan setiap harinya.Kata kunci: Hipertensi; Isometric Handgrip; Slow Deep Breathing

Penerapan Tindakan Senam Hipertensi Untuk Menurunkan Tekanan Darah Pada Pasien Lansia

Hypertension in the elderly is those who experience an increase in systolic blood pressure above 140 mmHg and diastolic pressure above 90 mmHg. This paper aims to apply hypertension exercises to lower blood pressure in the elderly.Two elderly people with hypertension in Johosari Village, Kandeman, Batang were taken as the subject. The result showed both have experienced a decrease in pain and blood pressure. At the visit, a pain scale was 6, TD: 160/90 mmHg and it has decreased into 1, and TD: 120/80 mmHg at the last visit on the first case. Meanwhile, on the second case, a pain scale was 7, TD: 170/90 mmHg in the first visit and it has decreased into 1, TD: 120/90 mmHg in the last visit. Therefore, it could be concluded the exercises are effectively applied to lowe blood pressure on the elderly. And, it is expected as one of the ways to reduce blood pressure on the elderly with hypertension.Keywords: Hypertension, The elderly, Hypertension exercises AbstrakHipertensi pada lansia adalah lansia yang mengalami peningkatan tekanan darah sistolik diatas 140 mmHg dan tekanan diastolik di atas 90 mmHg.Tindakan untuk menurunkan tekanan darah salah satunya adalah dengan senam hipertensi.Senam hipertensi mampu untuk menurunkan tekanan darah.Tujuan Karya Tulis Ilmiah ini adalah untuk mengaplikasikan tindakan senam hipertensi untuk menurunkan tekanan darah pada lansia yang mengalami hipertensi. Metode Karya Tulis Ilmiah ini adalah penerapan tindakan senam hipertensi pada lansia.Subyek studi kasus yang digunakan dua lansia yang mengalami hipertensi di desa Johosari Kecamatan Kandeman kabupaten Batang.Hasil penerapan menunjukkan selama 7 kali kunjungan dua lansia mengalami penurunan nyeri dan penurunan tekanan darah, pada kasus satu kunjungan pertama skala nyeri 6, TD: 160/90 mmHg dan kunjungan ketujuh skala nyeri menjadi 1, TD: 120/80 mmHg, sedangkan kasus dua kunjungan pertama skala nyeri 7, TD: 170/90 mmHg dan kunjungan ketujuh skala nyeri menjadi 1, TD: 120/90 mmHg.Kesimpulan dari studi kasus ini menunjukkan senam hipertensi efektif digunakan untuk menurunkan tekanan darah pada lansia.Saran dari penulis diharapkan senam hipertensi dapat dijadikan sebagai tindakan untuk menurunkan tekanan darah pada lansia hipertensi.Kata kunci: Hipertensi, lansia, senam hipertensi

PENGARUH PEMBERIAN AIR KELAPA MUDA TERHADAP PENURUNAN TEKANAN DARAH TINGGI PADA IBU HAMIL

Hypertension of pregnancy is one of the causes of morbidity and mortality worldwide for both mother and fetus. One of the treatment for high blood pressure is herbal treatment by drinking young coconut water. Young coconut water has content such as sugar, protein, potassium, calcium, magnesium, vitamin C. The high potassium content in young coconut can lower blood pressure, so young coconut water can be used to lower blood pressure. The purpose of this study was to determine the effect of giving young coconut water on blood pressure in pregnant women at Nining Pelawati Pratama Clinic, Deli Serdang Regency. The method used in this study is quantitative research using a Quasy Experiment research design with a pre test and post test design with a sample of 20 respondents. The study was conducted using the Wilcoxon test, it was found that 90% of respondents who had been given young coconut water experienced a decrease in high blood pressure and 10% of respondents did not experience a change in high blood pressure. The results of the analysis showed that the p value for systolic and diastolic respondents was 0.001 (p < 0.05) which indicated that there was an effect of giving young coconut water to blood pressure in patients with high blood pressure. It can be concluded that young coconut water can reduce systolic and diastolic blood pressure in patients with high blood pressure.

LITERATUR REVIEW: MENGKAJI EFEKTIVITAS PEMBERIAN MENTIMUN TERHADAP PENURUNAN TEKANAN DARAH

Introduction: Hypertension is a degenerative disease. Those aged ?55 years are at risk for suffering from hypertension, previously blood pressure prehypertension before being diagnosed with hypertension occurred between the third and fifth decades. The World Health Organization reports as many as 839 million cases of hypertension, by 2025 this figure is expected to increase to 1.15 billion or around 29% of the world's total population, where female sufferers are more than 30% compared to male hypertension sufferers, namely 29%. One of the non-pharmacological treatments to treat hypertension is consuming cucumber. Methods: International and national literature searched through electronic media with keyword hints. Eight articles were selected, each of which represents an effectiveness of giving cucumber to reduce blood pressure and provides various information. Results: There was an effect of giving cucumber on reducing blood pressure in respondents. Discussion: One alternative that can be used to lower blood pressure is by consuming cucumber. The diuretic effect on cucumber causes the salt content in the blood to decrease. Reduced levels of salt that absorbs or retains water will reduce blood volume so that it can lighten the work of the heart in pumping blood, and eventually blood pressure will decrease. Conclusion: The conclusion based on the analysis that has been done is that cucumber is effective for lowering blood pressure.

Pengaruh Pemberian Terapi Akupresur terhadap Tekanan Darah Lansia di Puskesmas Kediri I Tabanan

Long as the elderly are getting older, the cardiovascular system will experience changes such as arteries losing their elasticity, leading to an increase in pulse and systolic blood pressure. Acupressure is a development of acupuncture therapy that can lower blood pressure; stimulation at the acupressure point causes the release of endorphin hormones which reduce lactic acid production to provide a relaxed and comfortable condition. This study used a pre-experimental research design with a one-group pre-posttest design with simple random sampling, which involved 34 elderly with hypertension. According to the standard operational procedure (SOP), blood pressure was measured with a sphygmomanometer, and acupressure therapy was the standard operational procedure (SOP). Data analysis was carried out using a paired t-test because the data were normally distributed. The results showed that the mean blood pressure before the intervention was 152.35/97.65 mmHg, while after the intervention, the average blood pressure was 140.74/90.59 mmHg. Analysis with paired sample t-test obtained p-value = 0.001 in systolic and diastolic pressures. There were differences in blood pressure before and after acupressure therapy intervention in the elderly at Kediri I Public Health Center, Tabanan Regency. It is hoped that nurses can independently provide acupressure therapy to older adults with hypertension to lower blood pressure.

Upaya Menurunkan Tekanan Darah pada Lansia Melalui Terapi Shalat Dhuha

Hipertensi sudah menjadi masalah kesehatan yang cukup tinggi di dunia tidak hanya ditemukan pada Negara maju tapi dijumpai juga pada negara- negara berkembang. Ketika tensi berada pada angka diatas 140 mmHg untuk tekanan darah sistolik dan di atas angka 90 mmHg untuk tekanan darah diastolik maka kondisi inilah disebut hipetensi. Hipertensi banyak dijumpai pada lansia, beberapa faktor yang melatarbelakangi lansia mengidap hipertensi antara lain faktor kepekaan terhadap kadar garam, reaktivitas pembuluh darah terhadap vasokonstriktor, pola makan, kebiasaan merokok, stress emosi, kegemukan dan lain-lain. Adapun tata laksana pengendalian tekanan darah tinggi ada dua jenis yaitu pengebotan medis dengan obat-obatan dan pengendalian tanpa obat atau teknik relaksasi yang bertujuan untuk merelaks kan otot-otot dan organ sehingga mampu menurunkan tekanan darah. Tujuan dari kegiatan pengabdian ini adalah pengenalan cara pengendalian tekanan darah berupa pelaksanaan terapi shalat dhuha. Panti Sosial Tresna Werdha Provinsi Nusa Tenggara Barat merupakan mitra pada pelaksanaan pengabdian ini. Metode yang dikukan dalam kegiatan pengabdian ini dengan pelaksanaan terapi shalat dhuha selama 7 hari berturut-turut sebanyak 4 rokaat setiap harinya. Hasil dari kegiatan pengabdian ini didapatkan penurunan tekanan darah setelah dilakukannya terapi shalat dhuha. Setelah pelaksanaan kegiatan pengabdian ini diharapkan terapi shalat dhuha tetap dilaksanakan secara rutin untuk mengendalikan tekanan darah agar tetap stabil.---Hypertension has become a fairly high health problem in the world not only found in developed countries but also in developing countries. When tension is above 140 mmHg for systolic blood pressure and above 90 mmHg for diastolic blood pressure then this condition is called hipetension. Hypertension is found in the elderly, several factors behind the elderly have hypertension, among others, factors of sensitivity to salt levels, vascular reactivity to vasoconstrictor, diet, smoking habits, emotional stress, obesity and others. As for the procedure of controlling high blood pressure there are two types of medical sabotage with drugs and control without drugs or relaxation techniques aimed at relaxing the muscles and organs so as to lower blood pressure. The purpose of this devotional activity is the introduction of a way of controlling blood pressure in the form of the implementation of dhuha prayer therapy. Tresna Werdha Social Home in West Nusa Tenggara Province is a partner in the implementation of this service. The method carried out in this devotional activity with the implementation of dhuha prayer therapy for 7 consecutive days as many as 4 rokaat every day. The result of this devotional activity was obtained a decrease in blood pressure after the dhuha prayer therapy. After the implementation of this devotional activity, it is expected that dhuha prayer therapy will still be carried out regularly to control blood pressure in order to remain stable.

CareKnowDo – A Multichannel Digital Support Program for People With Chronic Kidney Disease: A Feasibility Randomized Controlled Trial (Preprint)

BACKGROUND Chronic Kidney Disease (CKD) is a common, progressive condition. Lifestyle changes and antihypertensive medication can slow progression to end stage kidney disease, requiring renal replacement therapy. However, adherence to these recommendations is often low. OBJECTIVE The aim of CareKnowDo was to assess the feasibility of rolling out a digital self-management support and adherence program integrated with a patient-facing electronic health record, Patient View (PV). METHODS A two arm, parallel, individual-level pragmatic feasibility pilot randomized controlled trial (RCT), running in two NHS sites in the UK. Sixty-one patients with CKD were randomized 1:1 into two groups and provided with either a new tailored, digital support program (CareKnowDo, n = 31) integrated with PV, or standard care (PV alone, n = 30). Quantitative measures included clinical and psychosocial measures. The primary outcomes were feasibility based; recruitment rate, drop-out, and exploration of associations. RESULTS Out of 1,392 patients screened in local kidney clinics, 269 met the basic inclusion criteria, the first eligible 61 of whom were recruited to participate in the study. Twenty-three patients (37.7%) completed the final 6-month follow-up survey. Reasons for attrition are explored. Higher belief in the ability of treatment to control CKD was associated with lower blood pressure at baseline (r = .52, P = 0.005), and higher perceived understanding of CKD at baseline was associated with lower blood pressure at follow-up (r = 0.66, P < .001). Beliefs about medicines at baseline were associated with blood pressure at baseline, but not at follow-up. This was true for both concerns about medicines (r = .A digital support program to enhance support for patients with CKD was piloted in two NHS sites, and found to be feasible and acceptable. However, to maximize the effectiveness of the intervention (and of future trials), consideration should be given to the target audience most likely to benefit, as well as how to help them access the program as quickly and easily as possible.58, P = .001) and perceived necessity of medicines (r = .42, P = .03). CONCLUSIONS A digital support program to enhance support for patients with CKD was piloted in two NHS sites, and found to be feasible and acceptable. However, to maximize the effectiveness of the intervention (and of future trials), consideration should be given to the target audience most likely to benefit, as well as how to help them access the program as quickly and easily as possible. CLINICALTRIAL Kidney disease, chronic; blood pressure; randomized controlled trial; telemedicine; mhealth; self-management; guideline adherence; medication adherence; illness beliefs; treatment beliefs; health psychology; preventative medicine; qualitative research