Efforts to Control Blood Pressure among Hypertension Patients in the Community Health Center of Sei Mencirim Working Area, Medan, Indonesia

https://doi.org/10.22146/jpkm.61945

Agustina Boru Gultom(1*), Arbani Batubara(2)

(1) Department of Nursing, Polytechnic of Health Ministry of Health, Medan, Indonesia
(2) Department of Nursing, Polytechnic of Health Ministry of Health, Medan, Indonesia
(*) Corresponding Author

Abstract


Community Health Center of  Sei Mencirim working area had various health problems, one of which was hypertension. There were 2 villages have many cases of hypertension, including Sei Beras Sekata and Sei Mencirim Village. Lifestyle interventions can reduce blood pressure and other interventions such as pharmacology. Lifestyle interventions include dietary behavior, weight management, regular physical exercise and, stress management through progressive muscle relaxation exercises. Participants  were 45 people with hypertension, divided into 2 groups consisting of 22 participants from Sei Beras Sekata  and 23 participants from Sei Mencirim Village. The team has given educational intervention about efforts to control blood pressure and progressive muscle relaxation exercises by explaining, asking questions, giving examples, and  inviting participants to do it. Measurement of knowledge used a questionnaire and, blood pressure used an Omron digital sphygmomanometer. Implementation activities included pre-test, intervention, and post-test were given on the same day. This activity was carried out in September 2020. The results of the intervention showed an increase in knowledge of 1.09, a decrease in systolic blood pressure of 9.42 mmHg and, a diastolic score of 4.64 mmHg. Education with progressive muscle relaxation exercises has increased knowledge scores, decreased systolic and diastolic blood pressure scores.


Keywords


Education; Progressive Muscle Relaxation Exercises; Knowledge; Blood Pressure

Full Text:

PDF


References

Gultom,A,B.Indrawati. (2020). Relaksasi Otot Progresif Terhadap Tekanan Darah Pada Pasien Hipertensi Dengan Waktu Yang Cepat. Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist), 15(1), 52–59. https://doi.org/10.36911/pannmed.v15i1.649

Gupta, R., & Guptha, S. (2010). Strategies for initial management of hypertension. Indian Journal of Medical Research, 132(5), 531–542. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3028941/

Hasandokht, T., Farajzadegan, Z., Siadat, Z. D., Paknahad, Z., & Rajati, F. (2015). Lifestyle interventions for hypertension treatment among iranian women in primary health-care settings: Results of a randomized controlled trial. Journal of Research in Medical Sciences.

James, P. A., Oparil, S., Carter, B. L., Cushman, W. C., Dennison-Himmelfarb, C., Handler, J., Lackland, D. T., LeFevre, M. L., MacKenzie, T. D., Ogedegbe, O., Smith, S. C., Svetkey, L. P., Taler, S. J., Townsend, R. R., Wright, J. T., Narva, A. S., & Ortiz, E. (2014). 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). In JAMA - Journal of the American Medical Association. https://doi.org/10.1001/jama.2013.284427

Kementerian Kesehatan RI. (2018). Laporan Nasional Riskesdas 2018.

Mackereth,P,A.,Tomlinson,L. (2010). Progressive Muscle Relaxation: a remarkable tool for therapists and patients. In B. Cawthorn,A.,Mackereth,P (Ed.), Integrative Hypnotherapy. Complementary Approaches In Clinical Care (pp. 82–96). Churchill Livingstone Elsevier.

Manoppo,A,J.,Anderson,E. (2019). Effect of Progressive Muscle Relaxation and Slow Deep Breathing on Blood Pressure and Heart Rate on Hypertensive Clients. International Conference on Healthcare and Technology, 497–509. https://doi.org/https://doi.org/10.18502/kls.v4i13.5281

Nelwan, J. E. (2019). Pengaruh Penyuluhan Kesehatan Terhadap PerPubahan Pengetahuan Masyarakat Tentang Hipertensi Di Kota Manado. Journal PHWB.

Setyoadi., Kushariyadi. (2011). Terapi Modalitas Keperawatan Pada Klien Psikogeriatrik. Salemba Medika.

Sheu, S., Irvin, B. L., Lin, H. S., & Mar, C. L. (2003). Effects of Progressive Muscle Relaxation on Blood Pressure and Psychosocial Status for Clients with Essential Hypertension in Taiwan. Holistic Nursing Practice. https://doi.org/10.1097/00004650-200301000-00009

Shinde, N., Shinde, K., Khatri, S., & Hande, D. (2013). Immediate Effect of Jacobson’s Progressive Muscular Relaxation in Hypertension. Indian Journal of Physiotherapy and Occupational Therapy - An International Journal. https://doi.org/10.5958/j.0973-5674.7.3.098

Siregar,A,H.,Gultom, A, B. (2018). The influence of progressive muscle relaxation on stress, blood pressure, and quality of life in hypertension patients in the working area of Muliorejo Puskesmas, deli Serdang regency. International Journal of Advanced Nursing Studies, 7(1), 39–43. https://doi.org/10.14419/ijans.v7i1.8931

WHO. (2014). Global status report on NCDs 2014. In WHO.

Williams, B.,Mancia, G., Spiering,W., Rosei,E,A., Azizi, M.,Burnier, M., Clement,D,L.,Coca, A., Simone,G,d.,Dominiczak, A.,Kahan,T.,Mahfoud,F., Redon,J.,Ruilope, L.,Zanchetti, A.,Kerins, M., Kjeldsen,S,E.,Kreutz,R., Narkiewicz,K.,Ruschitzka,F.,Schmieder, R. (2018). 2018 ESC/ESH Guidelines for the management of arterial hypertension: The Task Force for the management of arterial hypertension of the European Society of Cardiology (ESC) and the European Society of Hypertension (ESH. European Heart Journal, 39(33), 3021–3104. https://doi.org/https://doi.org/10.1093/eurheartj/ehy339



DOI: https://doi.org/10.22146/jpkm.61945

Article Metrics

Abstract views : 2339 | views : 1409

Refbacks

  • There are currently no refbacks.




Copyright (c) 2021 Jurnal Pengabdian kepada Masyarakat (Indonesian Journal of Community Engagement)

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Jurnal Pengabdian kepada Masyarakat (Indonesian Journal of Community Engagement)

ISSN (print) 2460-9447ISSN (online) 2541-5883