Progressive Muscle Relaxation (PMR) Intervention with Slow Deep Breathing Exercise (SDBE) on Blood Pressure of Hypertension Patients
Abstract
This study aims to determine the difference between Intervention Effectiveness Progressive Muscle Relaxation (PMR) and Slow Deep Breathing Exercise (SDBE) in TD patients with hypertension. This type of research is an experimental design with a randomized pre-test and post-test three-group design without a control group. The results showed that there was a decrease in systolic and diastolic BP after the intervention in all groups. There was no significant difference in effectiveness between the three groups after the intervention; the optimal time to decrease systolic BP in the PMR and SDBE groups occurred on day 3. On the other hand, the diastolic BP does not show time. Optimal BP reduction. The conclusion of the three relaxation techniques effectively reduces blood pressure in patients with hypertension. Adequate time to lower blood pressure occurs on the third day.
Keywords: Hypertension, Progressive Muscle Relaxation (PMR), Slow Deep Breathing Exercise (SDBE), Blood Pressure
References
Akhriansyah, M. (2019). Pengaruh Progressive Muscle Relaxation (PMR) terhadap Penurunan Tekanan Darah pada Lansia Hipertensi di Panti Sosial Tresna Wherda Palembang Provinsi Sumatera Selatan Tahun 2018. Jurnal Ilmiah Universitas Batanghari Jambi, 19(1), 11. https://doi.org/10.33087/jiubj.v19i1.544
Al-Mahdi, E. A. R., Ros, A. L., Moya, R. R. M., & Gómez, J. L. Z. (2021). Hypertension and the Heart. Medicine (Spain), 13(36), 2089–2098. https://doi.org/10.1016/j.med.2021.06.013
Andari, F., Vioneery, D., Panzilion, P., Nurhayati, N., & Padila, P. (2020). Penurunan
Tekanan Darah pada Lansia dengan Senam Ergonomis. Journal of Telenursing
(JOTING), 2(1), 81-90. https://doi.org/https://doi.org/10.31539/joting.v2i1.859
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/https://doi.org/10.31539/jks.v5i1.2917
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., 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
Anggreini, S. N., & Alfianur, A. (2021). Pengaruh Slow Deep Breathing (SDB) Dapat Menurunkan Tekanan Darah pada Penderita Hipertensi Primer. Holistik Jurnal Kesehatan, 15(2), 340–347. https:/doi.org/10.33024/hjk.v15i2.5182
Atmojo, J. T., Putra, M. M., Astriani, N. M. D. Y., Dewi, P. I. S., & Bintoro, T. (2019). Efektifitas Terapi Relaksasi Benson terhadap Tekanan Darah pada Penderita Hipertensi. Interest : Jurnal Ilmu Kesehatan, 8(1), 53–60. https://doi.org/10.37341/interest.v8i1.117
Febrianingrum, A. M., Norlinta, S. N. O., & Aisyah, N. U. (2021). Study Narrative Review pengaruh Slow Deep Breathing Exercise terhadap Penurunan Tekanan Darah Penderita Hipertensi Derajat I. Universitas ‘Aisyiyah Yogyakarta. http://digilib.unisayogya.ac.id/id/eprint/5610
Harsismanto, J., Andri, J., Payana, T., 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/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 BKL
Ismansyah, I., Parellangi, A., Firdaus, R., Wiadiastuti, W., & Prawita, H. (2019). The Effect of Progressive Muscle Relaxation and Slow Deep Breathing Toward Vital Signs of Patients’ Hypertension in The Working Area of Bengkuring Medical Center (Puskesmas). Asian Community Health Nursing Research, 1(2), 33. https://doi.org/10.29253/achnr.2019.13320
Kementerian Kesehatan RI. (2018). Laporan Riskesdas 2018. In Laporan Nasional Riskesdas 2018 (Vol. 53, Issue 9)
Moura, M. P. (2019). Non-Pharmacological Treatment For Hypertension: A Systematic Review. Journal of Hypertension, 37, e251–e252. https://doi.org/10.1097/01.hjh.0000573216.49484.4c
Nurman, M. (2017). Efektifitas antara Terapi Relaksasi Otot Progresif dan Teknik Relaksasi Nafas Dalam terhadap Penurunan Tekanan Darah pada Penderita Hipertensi di Desa Pulau Birandang Wilayah Kerja Puskesmas Kampar Timur Tahun 2017. Jurnal Ners, 1(2), 108–126. https://doi.org/10.31004/jn.v1i2.122
Oni, O. O., Adebiyi, A. A., Aje, A., & Akingbola, T. S. (2020). Impact of Relative Systemic Hypertension on the Heart in Sickle Cell Anaemia. Indian Heart Journal, 72(3), 205–208. https://doi.org/10.1016/j.ihj.2020.05.007
Paduszyńska, A., Banach, M., Maciejewski, M., Dąbrowa, M., & Bielecka-Dabrowa, A. (2020). The Outcomes of Hypertension Treatment Depending on Gender in Patients Over 40 Years of Age. Menopausal Review, 19(4), 174–178. https://doi.org/10.5114/pm.2020.101947
Permata, F., Andri, J., Padila, P., Andrianto, M., & Sartika, A. (2021). Penurunan Tekanan Darah pada Pasien Hipertensi Menggunakan Teknik Alternate Nostril Breathing Exercise. Jurnal Kesmas Asclepius, 3(2), 60-69. https://doi.org/10.31539/jka.v3i2.2973
Rosdiana, I., & Cahyati, Y. (2019). Effect of Progressive Muscle Relaxation (PMR) on Blood Pressure among Patients with Hypertension. International Journal of Advancement in Life Sciences Research, 2(1), 28–35. https://doi.org/10.31632/ijalsr.2019v02i01.005
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
Setyaningrum, N., Permana, I., & Yuniarti, F. A. (2018). Progressive Muscle Relaxation dan Slow Deep Breathing pada Penderita Hipertensi. Jurnal Persatuan Perawat Nasional Indonesia (JPPNI), 2(1), 33–43. https://doi.org/10.32419/jppni.v2i1.81
Shrestha, J., Marasine, N. R., Lamichhane, R., Marasini, N. R., & Sankhi, S. (2021). Attitude and Self-Care Practice on Hypertension Among Antihypertensive Medication Users in a Tertiary Care Hospital Nepal. SAGE Open Medicine, 9, 205031212110407. https://doi.org/10.1177/20503121211040707
Siddiqui, M. A., Mittal, P. K., Little, B. P., Miller, F. H., Akduman, E. I., Ali, K., Sartaj, S., & Moreno, C. C. (2019). Secondary Hypertension and Complications: Diagnosis and Role of Imaging. RadioGraphics, 39(4), 1036–1055. https://doi.org/10.1148/rg.2019180184
Sudarso, S., Kusbaryanto, K., Khoiriyati, A., & Huriah, T. (2019). Efektivitas Pemberian Intervensi Gerakan Sholat terhadap Penurunan Tekanan Darah pada Lansia dengan Hipertensi. Jurnal Keperawatan, 12(1), 76–86. http://repository.umy.ac.id/handle/123456789/30519
Tim Riskesdas 2018, B. (2019). Laporan Provinsi Bengkulu RIKESDAS 2018. Lembaga Penerbit Balitbangkes. https://www.litbang.kemkes.go.id/laporan-riset-kesehatan-dasar-riskesdas/
Wulandari, R., & Puspita, S. (2019). Hubungan Pengetahuan, Dukungan Keluarga, dan Peran Petugas Kesehatan dengan Kepatuhan Penderita Hipertensi dalam Menjalani Pengobatan. Jurnal ’Aisyiyah Medika, 4(3).
https://doi.org/10.36729/jam.v4i3.206
Zainuddin, R., Aliwu, A. F., Rachmawaty, R., & Syam, Y. (2018). Efektivitas Progressive Muscle Relaxation terhadap Tekanan Darah pada Penyakit Hipertensi. Strada Jurnal Ilmia Kesehatan, 7(2), 42–46. https://doi.org/10.30994/sjik.v7i2.169
Al-Mahdi, E. A. R., Ros, A. L., Moya, R. R. M., & Gómez, J. L. Z. (2021). Hypertension and the Heart. Medicine (Spain), 13(36), 2089–2098. https://doi.org/10.1016/j.med.2021.06.013
Andari, F., Vioneery, D., Panzilion, P., Nurhayati, N., & Padila, P. (2020). Penurunan
Tekanan Darah pada Lansia dengan Senam Ergonomis. Journal of Telenursing
(JOTING), 2(1), 81-90. https://doi.org/https://doi.org/10.31539/joting.v2i1.859
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/https://doi.org/10.31539/jks.v5i1.2917
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., 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
Anggreini, S. N., & Alfianur, A. (2021). Pengaruh Slow Deep Breathing (SDB) Dapat Menurunkan Tekanan Darah pada Penderita Hipertensi Primer. Holistik Jurnal Kesehatan, 15(2), 340–347. https:/doi.org/10.33024/hjk.v15i2.5182
Atmojo, J. T., Putra, M. M., Astriani, N. M. D. Y., Dewi, P. I. S., & Bintoro, T. (2019). Efektifitas Terapi Relaksasi Benson terhadap Tekanan Darah pada Penderita Hipertensi. Interest : Jurnal Ilmu Kesehatan, 8(1), 53–60. https://doi.org/10.37341/interest.v8i1.117
Febrianingrum, A. M., Norlinta, S. N. O., & Aisyah, N. U. (2021). Study Narrative Review pengaruh Slow Deep Breathing Exercise terhadap Penurunan Tekanan Darah Penderita Hipertensi Derajat I. Universitas ‘Aisyiyah Yogyakarta. http://digilib.unisayogya.ac.id/id/eprint/5610
Harsismanto, J., Andri, J., Payana, T., 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/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 BKL
Ismansyah, I., Parellangi, A., Firdaus, R., Wiadiastuti, W., & Prawita, H. (2019). The Effect of Progressive Muscle Relaxation and Slow Deep Breathing Toward Vital Signs of Patients’ Hypertension in The Working Area of Bengkuring Medical Center (Puskesmas). Asian Community Health Nursing Research, 1(2), 33. https://doi.org/10.29253/achnr.2019.13320
Kementerian Kesehatan RI. (2018). Laporan Riskesdas 2018. In Laporan Nasional Riskesdas 2018 (Vol. 53, Issue 9)
Moura, M. P. (2019). Non-Pharmacological Treatment For Hypertension: A Systematic Review. Journal of Hypertension, 37, e251–e252. https://doi.org/10.1097/01.hjh.0000573216.49484.4c
Nurman, M. (2017). Efektifitas antara Terapi Relaksasi Otot Progresif dan Teknik Relaksasi Nafas Dalam terhadap Penurunan Tekanan Darah pada Penderita Hipertensi di Desa Pulau Birandang Wilayah Kerja Puskesmas Kampar Timur Tahun 2017. Jurnal Ners, 1(2), 108–126. https://doi.org/10.31004/jn.v1i2.122
Oni, O. O., Adebiyi, A. A., Aje, A., & Akingbola, T. S. (2020). Impact of Relative Systemic Hypertension on the Heart in Sickle Cell Anaemia. Indian Heart Journal, 72(3), 205–208. https://doi.org/10.1016/j.ihj.2020.05.007
Paduszyńska, A., Banach, M., Maciejewski, M., Dąbrowa, M., & Bielecka-Dabrowa, A. (2020). The Outcomes of Hypertension Treatment Depending on Gender in Patients Over 40 Years of Age. Menopausal Review, 19(4), 174–178. https://doi.org/10.5114/pm.2020.101947
Permata, F., Andri, J., Padila, P., Andrianto, M., & Sartika, A. (2021). Penurunan Tekanan Darah pada Pasien Hipertensi Menggunakan Teknik Alternate Nostril Breathing Exercise. Jurnal Kesmas Asclepius, 3(2), 60-69. https://doi.org/10.31539/jka.v3i2.2973
Rosdiana, I., & Cahyati, Y. (2019). Effect of Progressive Muscle Relaxation (PMR) on Blood Pressure among Patients with Hypertension. International Journal of Advancement in Life Sciences Research, 2(1), 28–35. https://doi.org/10.31632/ijalsr.2019v02i01.005
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
Setyaningrum, N., Permana, I., & Yuniarti, F. A. (2018). Progressive Muscle Relaxation dan Slow Deep Breathing pada Penderita Hipertensi. Jurnal Persatuan Perawat Nasional Indonesia (JPPNI), 2(1), 33–43. https://doi.org/10.32419/jppni.v2i1.81
Shrestha, J., Marasine, N. R., Lamichhane, R., Marasini, N. R., & Sankhi, S. (2021). Attitude and Self-Care Practice on Hypertension Among Antihypertensive Medication Users in a Tertiary Care Hospital Nepal. SAGE Open Medicine, 9, 205031212110407. https://doi.org/10.1177/20503121211040707
Siddiqui, M. A., Mittal, P. K., Little, B. P., Miller, F. H., Akduman, E. I., Ali, K., Sartaj, S., & Moreno, C. C. (2019). Secondary Hypertension and Complications: Diagnosis and Role of Imaging. RadioGraphics, 39(4), 1036–1055. https://doi.org/10.1148/rg.2019180184
Sudarso, S., Kusbaryanto, K., Khoiriyati, A., & Huriah, T. (2019). Efektivitas Pemberian Intervensi Gerakan Sholat terhadap Penurunan Tekanan Darah pada Lansia dengan Hipertensi. Jurnal Keperawatan, 12(1), 76–86. http://repository.umy.ac.id/handle/123456789/30519
Tim Riskesdas 2018, B. (2019). Laporan Provinsi Bengkulu RIKESDAS 2018. Lembaga Penerbit Balitbangkes. https://www.litbang.kemkes.go.id/laporan-riset-kesehatan-dasar-riskesdas/
Wulandari, R., & Puspita, S. (2019). Hubungan Pengetahuan, Dukungan Keluarga, dan Peran Petugas Kesehatan dengan Kepatuhan Penderita Hipertensi dalam Menjalani Pengobatan. Jurnal ’Aisyiyah Medika, 4(3).
https://doi.org/10.36729/jam.v4i3.206
Zainuddin, R., Aliwu, A. F., Rachmawaty, R., & Syam, Y. (2018). Efektivitas Progressive Muscle Relaxation terhadap Tekanan Darah pada Penyakit Hipertensi. Strada Jurnal Ilmia Kesehatan, 7(2), 42–46. https://doi.org/10.30994/sjik.v7i2.169
Published
2022-02-28
Section
Articles
Copyright (c) 2022 Andry Sartika, Juli Andri, Padila Padila
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
