Efektifitas Terapi Akupuntur Terhadap Penderita Hipertensi
DOI:
https://doi.org/10.32504/sm.v18i1.761Abstract
Background of Study :Â Hypertension in elderly caused by many factors that were closely related with aging process. One of the non-pharmacological treatment methods is acupuncture therapy. The needle prick method in acupuncture will stimulate the release and activation of active substances such as Nitric Oxide (NO). Needle prick at the acupuncture will stimulate impulses parasympathetic nervous and pressed sympathetic nervous. The parasympathetic dominant will issue of acetylcholine, Where ties acetylcholine in endothelial cells to induce the formation of local nitrite oxide, Which are then diffuses passing through the smooth muscle blood vessels, and then affect blood flow and local, circulation so there. smooth muscle relaxation of the blood vessels. Â Research purposes determine the effect of acupuncture on hypertensive patients.
Methods : This research was conducted in Klinik pakualaman II Omah Gandok Tajem Sleman. This research is a pre-experimental research design with One-Group Pretest-Posttest Design. The population in this study were patients with hypertension and the sample was taken by purposive sampling method. The data were processed and analyzed using paired t-test with a significance value of p<0.05.
Results : The results obtained that the value of p = 0.000 in the systole measurement and p = 0.007 in the diastolic measurement (p <0.05) means that there is a significant difference in the respondent's blood pressure before acupuncture is performed with blood pressure after acupuncture is performed.
Conclusion : there is a difference in the decrease in blood pressure before and after being given acupuncture therapy
References
Aggara D, P.N. (2013) ‘Faktor-Faktor yang berhubungan dengan tekanan darah di Puskesmas Telaga Murni Cikarang Barat’, Jurnal Ilmiah Kesehatan, 5((1)).
Du, Y. zheng et al. (2017) ‘Acupuncture lowering blood pressure for secondary prevention of stroke: A study protocol for a multicenter randomized controlled trial’, Trials, 18(1), pp. 1–10. Available at: https://doi.org/10.1186/s13063-017-2171-5.
Feigin VL, Roth GA, N.M. et al. (2016) ‘lobal burden of stroke and risk factors in 188 countries, during 1990–2013: A systematic analysis for the Global Burden of Disease Study 2013’, The Lancet [Preprint].
Frank A. Flachskampf, J.G. at all (2007) ‘Randomized Trial of Acupuncture to Lower Blood Pressure’, Circulation, 115(24), pp. 3121–3129. Available at: https://doi.org/10.1161/CIRCULATIONAHA.106.661140open_in_ne.
Haidir, Asih, S.W. and Shodikin, M. (2016) ‘Hubungan Gaya Hidup Dengan Kejadian Hipertensi Pada Masyarakat Di Desa Slawu Kecamatan Patrang Kabupaten Jember’, Jurnal UNMUH Jember, 9(1), p. 1.
James P.A., Oparil S., Carter B.L., Cushman W.C., et all (2014) ‘Evidence-based guideline for the management of high blood pressure in adults: Report from the panel members appointed to the Eighth Joint National Committee (JNC 8). JAMA’, JAMA, 311 (5), pp. 507–520. Available at: https://doi.org/10.1001/jama.2013.284427.
Kearney PM, Whelton M, R.K. et al (2005) ‘Global burden of hypertension: analysis of worldwide data.’, Lancet, 365(9455)(217–23). Available at: https://doi.org/10.1016/S0140-6736(05)17741-1.
Lin, G.H. et al. (2016) ‘Effectiveness of Acupressure on the Taichong Acupoint in Lowering Blood Pressure in Patients with Hypertension: A Randomized Clinical Trial’, Evidence-based Complementary and
Alternative Medicine, 2016. Available at: https://doi.org/10.1155/2016/1549658.
Malingi, Z. (2017) Hipertensi Kemenkes RI 2017. Info Datin.
Noer, E. R., & Laksmi, K. (2014) Peningkatan Angka Kejadian Obesitas dan Hipertensi pada Pekerja. Shift. JNH.
Nompo, R.S. (2020) ‘Pengaruh Aplikasi Akupuntur Pada Pasien Hipertensi di Puskesmas Sentani Kabupaten Jayapura’, Jurnal Keperawatan Muhammadiyah, 5(2), pp. 241–246. Available at: https://doi.org/10.30651/jkm.v5i2.6608.
Perhimpunan Dokter Hipertensi Indonesia (2021) ‘Konsensus Penatalaksanaan Hipertensi 2021 : Update Konsensus PERHI 2019’, Perhimpunan Dokter Hipertensi Indonesia, pp. 1–66. Available at: https://bit.ly/3nBRKad.
Pramana, L. (2016) ‘Faktor-Faktor yang berhubungan dengan tingkat Hipertensi di Wilayah kerja Puskesmas Demak II Semarang’, Fakultas Kesehatan Masyarakat Universitas Muhamadiyah Semarang [Preprint].
Saxena T, Ali AO, and S.M. (2018) ‘Pathophysiology os essensial hypertension: an update.’, Expert Rev Cardiovasc Ther, 16(12): 87.
Zhou, W. et al. (2005) ‘Afferent mechanisms underlying stimulation modality-related modulation of acupuncture-related cardiovascular responses’, Journal of Applied Physiology, pp. 872–880. Available at: https://doi.org/10.1152/japplphysiol.01079.2004.

.jpg)