Penurunan Tekanan Darah pada Pasien Hipertensi Menggunakan Teknik Alternate Nostril Breathing Exercise
Abstract
This study aims to determine the effect of alternative nostril breathing exercises on reducing blood pressure in hypertensive patients in the Telaga Dewa Health Center work area, Bengkulu City. This research is quantitative research with a quasi-experimental research design. The results of the univariate analysis obtained that the respondent's age was 64 years, all genders of the respondents were found, and most of them had a family history. The results of the bivariate analysis showed that the p-value <0.05. In conclusion, there was a decrease in systolic and diastolic blood pressure before and after an alternative breathing exercise intervention in hypertension patients in the Telaga Dewa Health Center work area, Bengkulu City. Keywords: Nostril Alternative Breathing, Blood Pressure
References
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Andri, J., Waluyo, A., Jumaiyah, W., & Nastashia, D. (2018). Efektivitas Isometric Handgrip Exercise dan Slow Deep Breathing Exercise terhadap Perubahan Tekanan Darah pada Penderita Hipertensi. Jurnal Keperawatan Silampari, 2(1), 371–384. https://doi.org/10.31539/jks.v2i1.382
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Goleman, D., & Boyatzis, R. (2018). Slow Deep Breathing. Journal of Chemical Information and Modeling, 53(9), 1689–1699. https://doi.org/10.1017/CBO9781107415 324.004
Harsismanto, J., Andri, J., Payana, T, D., Andrianto, M. B., & Sartika, A. (2020). Kualitas Tidur Berhubungan dengan Perubahan Tekanan Darah pada Lansia. Jurnal Kesmas Asclepius, 2(1), 1-11. https://doi.org/10.31539/jka.v2i1.1146
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Khatib, M. N., Kirubakaran, R., Gaidhane, S., Shankar, A., & Syed, Z. Q. (2017). Yoga for Improving Functional Capacity, Quality of Life and Cardiovascular Outcomes in People with Heart Failure. Jhon Wiley & Son, Ltd, 1(1), 1-7. DOI: 10.1002/14651858.CD012015.pub2
Muliani, R., Rahayu, M. N. T., Bose, D., & Nambiar, N. (2021). Alternative Nostril Breathing on Blood Pressure in the Elderly with Hypertension. Malaysian Journal of Medicine and Health Sciences, 17(4), 79-82. https://medic.upm.edu.my/upload/dokumen/2021061711392117_MJMHS_007.pdf
Nivethitha, L., Mooventhan, A., & Manjunath, N. K. (2016). Effects of Various Pranayama On Cardiovascular and Autonomic Variables. Ancient Science of Life, 36(2), 72-77. DOI: 10.4103/asl.asl_178_16
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Sartika, A., Wardi, A., & Sofiani, Y. (2018). Perbedaan Efektivitas Progressive Muscle Relaxation (PMR) dengan Slow Deep Breathing Exercise (SDBE) terhadap Tekanan Darah Penderita Hipertensi. Jurnal Keperawatan Silampari, 2(1), 356–370. https://doi.org/10.31539/jks.v2i1.380
Septrya, W. (2018). Asuhan Keperawatan pada Pasien NSTEMI dan CHF dengan Penerapan Latihan ernapasan Alternate Nostril Breathing di Ruangan Cardiovascular Care Unit (CVCU) RSUP DR. M. Djamil Padang 2018. Universitas Andalas. http://scholar.unand.ac.id/38221/
Sirriya, K. A. (2017). Efektifitas Teknik Pernapasan Nostril Alternatif terhadap Penurunan Tekanan Darah pada Pasien Hipertensi di Ruang Rawat Inap RSI Sultan Agung Semarang. http://repository.unissula.ac.id/7280/
Sofyan, S., Azzam, R., & Mustikasari, M. (2020). Effect of Breathing Nostril Nostril and Back Massage on Blood Pressure Reduction in Hypertension Patients in the Working Area of Hospital Pertamina Jaya. STRADA Jurnal Ilmiah Kesehatan, 9(2), 1396-1402. https://sjik.org/index.php/sjik/article/view/484/360
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Sumartini, N. P., & Miranti, I. (2019). Pengaruh Slow Deep Breathing terhadap Tekanan Darah Lansia Hipertensi di Puskesmas Ubung Lombok Tengah. Jurnal Keperawatan Terpadu (Integrated Nursing Journal), 1(1), 38. https://doi.org/10.32807/jkt.v1i1.26
Suranata, F. M., Waluyo, A., Jumaiyah, W., & Natashia, D. (2019). Slow Deep Breathing dan Alternate Nostril Breathing terhadap Penurunan Tekanan Darah pada Pasien Hipertensi. Jurnal Keperawatan Silampari, 2(2), 160-175. https://doi.org/https://doi.org/10.31539/jks.v2i2.702
Tackling G., & Borhade MB. (2021). Hypertensive Heart Disease. StatPearls [Internet]. https://www.ncbi.nlm.nih.gov/books/NBK539800/
Tirtasari, S., & Kodim, N. (2019). Prevalensi dan karakteristik hipertensi pada usia dewasa muda di Indonesia. Tarumanagara Medical Journal, 1(2), 395–402. http://www.depkes.go.id/resources/download/general/Hasil Riskesdas 2013.pdf
Umara, A. F., Wulandari, I. S. M., Supriadi, E., Rukmi, D. K., Silalahi, L. E., Malisa, N., Damayanti, D., Sinaga, R. R., Siagian, E., Faridah, U., Mataputun, D. R., Yunding, J., & Jainurakhma, J. (2021). Keperawatan Medikal Bedah Sistem Respirasi. Sumatera Utara: Yayasan Kita Menulis
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World Health Organization (WHO). (2020). Hypertension Guideline Committee. Guidelines of the management of hypertension. J Hypertension. 2020;21(11):1983-92
Yusuf, B., Isnaniah, I., & Yuliati, Y. (2021). Penerapan Latihan Slow Deep Breathing terhadap Penurunan Tekanan Darah pada Penderita Hipertensi: Literature Review. Jurnal IMJ: Indonesia Midwifery Journal, 4(2), 18–23. http://jurnal.umt.ac.id/index.php/imj/article/view/4272
Andri, J., Padila, P., Sartika, A., Andrianto, M. B., & Harsismanto, J. (2021). Changes of Blood Pressure in Hypertension Patients Through Isometric Handgrip Exercise. JOSING: Journal of Nursing and Health, 1(2), 54-64. https://doi.org/10.31539/josing.v1i2.2326
Andri, J., Permata, F., Padila, P., Sartika, A., & Andrianto, M. B. (2021). Penurunan Tekanan Darah pada Pasien Hipertensi Menggunakan Intervensi Slow Deep Breathing Exercise. Jurnal Keperawatan Silampari, 5(1), 255-262. https://doi.org/10.31539/jks.v5i1.2917
Andri, J., Waluyo, A., Jumaiyah, W., & Nastashia, D. (2018). Efektivitas Isometric Handgrip Exercise dan Slow Deep Breathing Exercise terhadap Perubahan Tekanan Darah pada Penderita Hipertensi. Jurnal Keperawatan Silampari, 2(1), 371–384. https://doi.org/10.31539/jks.v2i1.382
Anitasari, A. (2019).Hari Hipertensi Dunia 2019: “Know Your Number, Kendalikan Tekanan Darahmu dengan CERDIK. http://p2ptm.kemkes.go.id/kegiatan-p2ptm/pusat-/hari-hipertensi-dunia-2019-know-your-number-kendalikan-tekanan-darahmu-dengan-cerdik
Ansar, J., Indra, D., & Apriani, M. (2019). Determinan Kejadian Hipertensi Pada Pengunjung Posbindu Di Wilayah Kerja Puskesmas Ballaparang Kota Makassar. Jurnal Nasional Ilmu Kesehatan, 1(3), 28–35. https://journal.unhas.ac.id/index.php/jnik/article/view/6083
Ardi, M., & Ekowatiningsih, D. (2018). Efektivitas Slow Stroke Back Massage dalam Meningkatkan Relaksasi Pasien Stroke di Rumah Sakit Umum Daerah Kota Makassar. Media Kesehatan Politeknik Kesehatan Makassar, 12(1), 20. https://doi.org/10.32382/medkes.v12i1.32
Arum, Y. T. G. (2019). Hipertensi pada Penduduk Usia Produktif (15-64 Tahun). Higeia Journal of Public Health Research and Development, 1(3), 625–634. https://journal.unnes.ac.id/sju/index.php/higeia/article/view/30235
Dinas Kesehatan Provinsi Bengkulu. (2019). Sebagian Besar Penderita Hipertensi tidak Menyadarinya. Diambil kembali dari http://www.depkes.go.id/article/view/ 17051800002/sebagian-besarpenderita-hipertensi-tidak menyadarinya.html
Goleman, D., & Boyatzis, R. (2018). Slow Deep Breathing. Journal of Chemical Information and Modeling, 53(9), 1689–1699. https://doi.org/10.1017/CBO9781107415 324.004
Harsismanto, J., Andri, J., Payana, T, D., Andrianto, M. B., & Sartika, A. (2020). Kualitas Tidur Berhubungan dengan Perubahan Tekanan Darah pada Lansia. Jurnal Kesmas Asclepius, 2(1), 1-11. https://doi.org/10.31539/jka.v2i1.1146
Irawan, O. (2017). Pengaruh Terapi Rendam Air Hangat pada Kaki Sambil Mendengarkan Musik Klasik terhadap Penurunan Tekanan Darah pada Penderita Hipertensi di Wilayah Kerja Puskesmas Basuki Rahmad Kota Bengkulu. Poltekkes Kemenkes Bengkulu
Jahan, I., Begum, M., Akhter, S., Islam, Z., Haque, M., & Jahan N. (2020). Effects of Alternate Nostril Breathing Exercise on Cardiac Functions in Healthy Young Adults Leading a Stressful Lifestyle. Journal of Population Therapeutics and Clinical Pharmacology, 27(2), e68-e77. DOI: 10.15586/jptcp.v27i2.675
Kalaivani, S., Kumari, M. J., Pal, G. (2019). Effect of Alternate Nostril Breathing Exercise on Blood Pressure, Heart Rate, and Rate Pressure Product among Patients with Hypertension in JIPMER, Puducherry. J Educ Health Promot, 18(1),145. doi: 10.4103/ jehp.jehp_32_19
Kamath, A., Urval, R. P., & Shenoy, A. K. (2017). Effect of Alternate Nostril Breathing Exercise on Experimentally Induce Anxiety in Healthy Volunteers Using The Stimulated Public Speaking Model : A Randomized Controlled Pilot Study. Biomed Research International, 1(1), 1-7. https://pubmed.ncbi.nlm.nih.gov/29159176/
Kementerian Kesehatan Republik Indonesia. (2017). Sebagian Besar Penderita Hipertensi Tidak Menyadarinya. http://www.depkes.go.id/article/view/17051800002/sebagian-besar-penderita-hipertensi-tidak-menyadarinya.html
Kementerian Kesehatan RI. (2018). Pharmaceutical Care Untuk Hipertensi. Departemen Kesehatan RI: Jakarta
Khatib, M. N., Kirubakaran, R., Gaidhane, S., Shankar, A., & Syed, Z. Q. (2017). Yoga for Improving Functional Capacity, Quality of Life and Cardiovascular Outcomes in People with Heart Failure. Jhon Wiley & Son, Ltd, 1(1), 1-7. DOI: 10.1002/14651858.CD012015.pub2
Muliani, R., Rahayu, M. N. T., Bose, D., & Nambiar, N. (2021). Alternative Nostril Breathing on Blood Pressure in the Elderly with Hypertension. Malaysian Journal of Medicine and Health Sciences, 17(4), 79-82. https://medic.upm.edu.my/upload/dokumen/2021061711392117_MJMHS_007.pdf
Nivethitha, L., Mooventhan, A., & Manjunath, N. K. (2016). Effects of Various Pranayama On Cardiovascular and Autonomic Variables. Ancient Science of Life, 36(2), 72-77. DOI: 10.4103/asl.asl_178_16
Sartika, A., Betrianita, B., Andri, J., Padila, P., & Nugrah, A. V. (2020). Senam Lansia Menurunkan Tekanan Darah pada Lansia. Journal of Telenursing (JOTING), 2(1), 11-20. https://doi.org/10.31539/joting.v2i1.1126
Sartika, A., Wardi, A., & Sofiani, Y. (2018). Perbedaan Efektivitas Progressive Muscle Relaxation (PMR) dengan Slow Deep Breathing Exercise (SDBE) terhadap Tekanan Darah Penderita Hipertensi. Jurnal Keperawatan Silampari, 2(1), 356–370. https://doi.org/10.31539/jks.v2i1.380
Septrya, W. (2018). Asuhan Keperawatan pada Pasien NSTEMI dan CHF dengan Penerapan Latihan ernapasan Alternate Nostril Breathing di Ruangan Cardiovascular Care Unit (CVCU) RSUP DR. M. Djamil Padang 2018. Universitas Andalas. http://scholar.unand.ac.id/38221/
Sirriya, K. A. (2017). Efektifitas Teknik Pernapasan Nostril Alternatif terhadap Penurunan Tekanan Darah pada Pasien Hipertensi di Ruang Rawat Inap RSI Sultan Agung Semarang. http://repository.unissula.ac.id/7280/
Sofyan, S., Azzam, R., & Mustikasari, M. (2020). Effect of Breathing Nostril Nostril and Back Massage on Blood Pressure Reduction in Hypertension Patients in the Working Area of Hospital Pertamina Jaya. STRADA Jurnal Ilmiah Kesehatan, 9(2), 1396-1402. https://sjik.org/index.php/sjik/article/view/484/360
Sulistyawati, L., & Aminah, A. N. (2017). Seperempat Warga Indonesia Hipertensi. Republika. http://nasional.republika.co.id/berita/ nasional/umum/oq3seo384
Sumartini, N. P., & Miranti, I. (2019). Pengaruh Slow Deep Breathing terhadap Tekanan Darah Lansia Hipertensi di Puskesmas Ubung Lombok Tengah. Jurnal Keperawatan Terpadu (Integrated Nursing Journal), 1(1), 38. https://doi.org/10.32807/jkt.v1i1.26
Suranata, F. M., Waluyo, A., Jumaiyah, W., & Natashia, D. (2019). Slow Deep Breathing dan Alternate Nostril Breathing terhadap Penurunan Tekanan Darah pada Pasien Hipertensi. Jurnal Keperawatan Silampari, 2(2), 160-175. https://doi.org/https://doi.org/10.31539/jks.v2i2.702
Tackling G., & Borhade MB. (2021). Hypertensive Heart Disease. StatPearls [Internet]. https://www.ncbi.nlm.nih.gov/books/NBK539800/
Tirtasari, S., & Kodim, N. (2019). Prevalensi dan karakteristik hipertensi pada usia dewasa muda di Indonesia. Tarumanagara Medical Journal, 1(2), 395–402. http://www.depkes.go.id/resources/download/general/Hasil Riskesdas 2013.pdf
Umara, A. F., Wulandari, I. S. M., Supriadi, E., Rukmi, D. K., Silalahi, L. E., Malisa, N., Damayanti, D., Sinaga, R. R., Siagian, E., Faridah, U., Mataputun, D. R., Yunding, J., & Jainurakhma, J. (2021). Keperawatan Medikal Bedah Sistem Respirasi. Sumatera Utara: Yayasan Kita Menulis
Whelton, P. K., Carey, R. M., Aronow, W. S., Casey, D. E., Collins, K. J., Himmelfarb, C. D., DePalma, S. M., Gidding, S., Jamerson, K. A., Jones, D. W., MacLaughlin, E. J., Muntner, P., Ovbiagele, B., Smith, S. C., Spencer, C. C., Stafford, R. S., Taler, S. J., Thomas, R. J., Williams, K. A., & Hundley, J. (2018). 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults a Report of the American College of Cardiology/American Heart Association Task Force on Clinical pr. In Hypertension (Vol. 71, Issue 6). https://doi.org/10.1161/HYP.0000000000000065
World Health Organization (WHO). (2020). Hypertension Guideline Committee. Guidelines of the management of hypertension. J Hypertension. 2020;21(11):1983-92
Yusuf, B., Isnaniah, I., & Yuliati, Y. (2021). Penerapan Latihan Slow Deep Breathing terhadap Penurunan Tekanan Darah pada Penderita Hipertensi: Literature Review. Jurnal IMJ: Indonesia Midwifery Journal, 4(2), 18–23. http://jurnal.umt.ac.id/index.php/imj/article/view/4272
