EFEKTIFITAS PROGRESSIVE MUSCLE RELAXATION DAN SLOW DEEP BREATHING TERHADAP PENURUNAN TEKANAN DARAH PADA PENDERITA HIPERTENSI DI WILAYAH KERJA PUSKESMAS GAMPING 2 YOGYAKARTA

Niken Setyaningrum

Abstract


Background : Hypertension is one of the deadliest diseases in the world and is currently listed as the third killer disease after heart disease and cancer. Based on the 2014 survey sample registration hypertension is the fifth leading causes of death in Indonesia. WHO estimated in 2025 the incidence rate of hypertension increased by 29.2%. If not identified properly it can worsen the condition of patients with hypertension. Hypertension can be controlled by non-pharmacological therapy using progressive muscle relaxation techniques and slow deep breathing relaxation.

Objective : The purpose of this study was to determine the effectiveness of progressive muscle relaxation and slow deep breathing techniques to decrease blood pressure in the working area of gamping 2 public health centre of Yogyakarta

Methods : The design of this research is Quasi-experimental Design with Comparison Group. Sampling technique was using purposive sampling. The study was conducted in Gamping 2 Yogyakarta public health center’s working area. The sample size in this study were 60 respondents to the division of each sample of 20 respondents in the intervention group, control group 1 and the control group 2. Analysis of the data in this study using kruskal-Wallis and post-hoc post-hoc Mann-Whitney.

Result : The results of this research is that there is a significant difference of the decrease of systolic blood pressure between the intervention group and control group 1 and control group 2 (p=0.001), diastolic blood pressure (p=0.026) and slow deep breathing is done simultaneously be used to lower blood pressure. 

Keywords: Hypertension, Progressive Muscle Relaxation, Slow Deep Breathing


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References


Adib, M. (2009). Cara Mudah Memahami dan Menghindari Hipertensi, Jantung, dan Stroke. Yogyakarta: Dianloka

Ariyanto (2006). Faktor-faktor risiko yang berhubungan dengan kejadian hipertensi pada nelayan di pelabuhan tegal. Undergraduate thesis, Diponegoro University. http://eprints.undip.ac.id/38229/ diakses tanggal 2 Juni 2015

Armilawaty, dkk, (2007), Hipertensi dan Faktor Risikonya Dalam Kajian Epidemiologi, Bagian Epidemiologi FKM UNHAS.

Black & Hawks. (2009). Medical Surgical Nursing: Clinical Management for Positive Outcomes. Edition 8. Vol 2. Singapure: Elsevier.

Bluerufi. (2009). Terapi Relaksasi. http://bluerufi.blogspot.com/2009/01/terapirelaksasi.html, diakses tanggal 4 September 2015.

Denise, M.L. (2007). Sympathetic Storning After Severe Traumatic Brain Injury.Critical Care Nurse Journal, 27 (1), 30-37.

Departemen Kesehatan RI. (2013)a Diakses 6 April 2015, dari Data Pasien Hipertensi di Indonesia: www.depkes.go.id/download.php?file=download/pusdatin

Anonim, (2013) b Hasil Riset Kesehatan Dasar Riskerdas. Diakses 1april 2015, dari www.depkes.go.id

Anonim, (2009), Pedoman Pengendalian Faktor Risiko Penyakit Jantung dan Pembuluh Darah, Direktorat Jendral PP & PL, Jakarta.

Dehdari. (2009). Effects of progressive muscular relaxation training on quality of life in anxious patients after coronary artery bypass graft surgery .diakses tanggal 2 Februari 2015 dari www.ncbi.nlm.nih.gov/pubmed/19675392

Downey, L.V. (2009). The Effects of Deep Breathing Training on Pain Management in The Emergency Department. Southern Medical Journal, (102), 688-692.

Hapsari. Pengaruh Diaphragmatic Breathing Exercise Terhadap Penurunan Insomnia Pada Lansia Wanita. Skripsi. Universitas Muhammadiyah surakarta. Diakses tanggal 13 Agustus 2015 dari http://www.distrodoc.com/268127-pengaruh-diaphragmatic-breathing-exercise terhadap-penurunan

Muttaqin, Arif. (2009). Buku Ajar Asuhan Keperawatan Klien dengan Gangguan Sistem Kardiovaskular dan Hematologi. Jakarta. Salemba Medika. Hal 9, 10-16, 18-20, 23-25, 28, 263-265, 267, 269.

National Center for Complementary and Alternative Medicine. (2010). Influence Progressive Muscle Relaxation for Sleep In Elderly. Diakses tanggal 4 september 2015. http://icbseverywhere.com

National Heart, Lung, and Blood Institut dari U.S. Department of Health and Human Services, 2009. Healthy Sleep. Diakses tanggal 24 Juni 2015 dari www.nhlbi.nih.gov.

Niskanen, L., et al. (2004). Inflammation, Abdominal Obesity, and Smoking as Predictors of Hypertension. http://hyper.ahajournals.org/cgi/reprint/44/6/859?maxtoshow=&hits=10&RESULTFORMAT=&fulltext=smoking&searchid=1&FIRSTINDEX=0&resourcetype=HWCIT, diperoleh tanggal 4 Mei 2015.

Nursalam. (2013). Metodologi Penelitian Ilmu Keperawatan Edisi 3. Jakarta: Salemba Medika

Oktavianis,D. (2010). Efektifitas relaksasi otot progresif untuk menurunkan tingkat stres pada pengasuh lanjut usia di Panti werdha X. 10 Juni 2015 dari http://www.distrodoc.com/268127

Potter, A.P., & Perry, A. (2006). Fundamentals of Nursing. 6 th Edition. St.Louis Missouri: Mosby-Year Book, Inc.

Potter, P. A. (2009). Basic Nursing; Essentials for Practice. Mosby :Elseiver.

Prayitno, N. & Anggara, F. H. (2012).Faktorfaktor yang berhubungan dengan tekanan darah di Puskesmas Telaga Murni,Cikarang Barat tahun 2012.Diperoleh tanggal 1 April 2015 dari www.scribd.com.

Ramdhani, N., Putra, A.A. (2009). Pengembangan Multimedia Relaksasi. http://neila.staff.ugm.ac.id/wordpress/wp-content/uploads/2009/08/relaksasiotot.pdf, diakses tanggal 4 September 2015

Raihan dkk (2013). faktor-faktor yang berhubungan dengan kejadian hipertensi primer pada masyarakat di wilayah kerja puskesmas rumbai pesisir. Program Studi Ilmu Keperawatan. Universitas Riau. JOM PSIK VOL.1 NO.2 OKTOBER 2014

Rebecca (2007). Hubungan Antara Tingkat Pendidikan Dan Hipertensi Pada Wanita Di Kabupaten Sukoharjo. https:// Fleonard.files.wordpress.com.hubungan-antara-tingkat-pendidikan-dan-hipertensi-pada-wanita.pdf&ei=5prLVdCqJInO0gSHuKSYBQ&usg=AFQjCNFxmsfoyvruhPiCzqYgiryRC-MSdw. diakses tanggal 2 Juni 2015

Siburian, Imelda, (2001). Gambaran Kejadian Hipertensi dan Faktor-faktor Yang Berhubungan Tahun 2001 (Analisis data sekunder SKRT 2001). Skripsi. Fakultas Kesehatan Masyarakat. Universitas Indonesia. Depok

Sigarlaki, H. J.O. (2006). Karakteristik Dan Faktor Berhubungan Dengan Hipertensi Di Desa Bocor, Kecamatan Bulus Pesantren, Kabupaten Kebumen, Jawa Tengah. http://www.google.co.id/search?hl=id&client=firefoxa&rls=org.mozilla:enUS:official&channel=s&q=penelitian+hubungan+umur +dan+hipertensi&start=10&sa=N, diperoleh tanggal 1 April 2015

Smeltzer, C.S., & Bare, G.B. (2002). Buku Ajar Keperawatan Medikal Bedah Brunner & Suddarth. Ed 8. Jakarta:EGC.

Suwardianto. (2011). pengaruh terapi relaksasi napas dalam (deep breathing) terhadap perubahan tekanan darah pada penderita hipertensi di puskesmas kota wilayah selatan kota kediri. Jurnal STIKES RS. Baptis Kediri Volume 4, No. 1, Juli 2011 ISSN 2085-0921

WHO. (2004). WHO Guidelines ; Hypertension. Diakses 1 April 2015, dari http://www.who.int/cardiovascular_diseases/guidelines/hypertension/en/

Velkumary, G.K.P.S., & Madanmohan. (2004). Effect of Short-term Practice of Breathing Exercise on Autonomic Function in Normal Human Volunteers. Indian Journal Respiration, (120), 115-121.




DOI: https://doi.org/10.32504/sm.v11i2.238

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