EMPOWERMENT OF THE ELDERLY WITH HYPERTENSION THROUGH PROGRESSIVE MUSCLE RELAXATION EXERCISE AT UPT PSTW JEMBER
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Abstract
Hypertension in the elderly is a common problem that is often found. Many factors affect hypertension in the elderly, so it is necessary to empower them elderly. The purpose of this empowerment to control the blood pressure of the elderly through progressive muscle relaxation (PMR) techniques. The method used is counselling and exercise demonstration, which consists of 3 main activities: screening, PMR technique training, and activity evaluation. The empowerment was attended by nine elderly at UPT PSTW Wisma Cempaka Jember. The evaluation of activities is to measure blood pressure with a stethoscope and sphygmomanometer. Wilcoxon statistical test was used to determine changes in blood pressure before and after PMR intervention. The elderly are 100% male, 55.6% are 60-70 years old, 44.4% live in an orphanage for 1-5 years, and 66.7% are from outside Jember and have itching 44.4%. The p-value was 0.02<0.05 in systole, which means there was a difference before and after PMR, and the p-value was 0.705>0.05 in diastole, which means there was no difference in blood pressure after PMR. PMR focuses on maintaining a relaxed state that can secrete CRH (Corticotropin-releasing Hormone) and ACTH (Adrenocorticotropic releasing hormone) so that adrenaline and non-adrenaline secretion decrease, which has an impact on heart contraction activity and decreased blood pressure. Elderly empowerment with progressive muscle relaxation can control blood pressure, specifically systolic, after one week of exercise. This exercise must be included in the PSTW exercise program, which can be done regularly to control blood pressure.
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References
Adam, L. 2019. Determinan hipertensi pada lanjut usia. Jambura Health and Sport Journal. 1(2):82–89. DOI: https://doi.org/10.37311/jhsj.v1i2.2558
Anwari, M., R. Vidyawati, R. Salamah, M. Refani, N. Winingsih, D. Yoga, R. Inna, dan T. Susanto. 2018. Pengaruh senam anti hipertensi lansia terhadap penurunan tekanan darah lansia di desa kemuningsari lor kecamatan panti kabupaten jember. The Indonesian Journal of Health Science. 160–164. DOI: https://doi.org/10.32528/ijhs.v0i0.1541
Arisjulyanto. 2018. Primary health care : open access the effect of progressive muscle relaxation techniques to decrease blood pressure for patients with hypertension in mataram. Prim Health Care. 8(4):10–13.
Baharuddin, R. 2016. Pengaruh relaksasi otot progresif terhadap tekanan darah pada klien hipertensi primer. Jurnal Ilmiah Kesehatan IQRA. IV:82–89.
Delacroix, S., R. G. Chokka, dan S. G. Worthley. 2014. Journal of neurology & neurophysiology hypertension : pathophysiology and treatment. Journal of Neurology & Neurophysiology. 5(6) DOI: https://doi.org/10.4172/2155-9562.1000250
Fitriani, D., R. D. Pratiwi, P. Cahyaningtyas, dan S. Poddar. 2020. Effect of classical music on blood pressure in elderly with hypertension in bina bhakti werdha elderly nursing home , indonesia. Malaysian Journal of Medicine and Health Sciences. 16(4):142–144.
Kemenkes RI. (2016). Pedoman dan Tatalaksana Hipertensi. http://p2ptm.kemkes.go.id/uploads/2016/10/Pedoman-Teknis-Penemuan-dan-Tatalaksana-Hipertensi.pdf
Konitatillah, S. K. M., L. A. Susumaningrum, H. Rasni, T. Susanto, dan R. Dewi. 2021. Hubungan kemampuan mobilisasi dengan risiko jatuh pada lansia hipertensi. JKEP. 6(1):9–25. DOI: https://doi.org/10.32668/jkep.v6i1.323
Kurdi, F., L. A. Susumaningrum, H. Rasni, dan T. Susanto. 2022. IMPLEMENTASI pencegahan komplikasi hipertensi melalui therapeutic nape massage. Diseminasi: Jurnal Pengabdian Kepada Masyarakat. 4(1):41–45. DOI: https://doi.org/10.33830/diseminasiabdimas.v4i1.2177
Linda, D., A. Aristi, H. Rasni, L. A. Susumaningrum, T. Susanto, dan S. Siswoyo. 2020. The relationship between high sodium food consumption and the incidence of hypertension among farm workers at public health. Buletin Penelitian Sistem Kesehatan. 23(1):53–60. DOI: https://doi.org/10.22435/hsr.v23i1.2741
Murhan. 2020. Pengaruh relaksasi otot progresif terhadap penurunan tekanan darah pada lansia. Jurnal Ilmiah Keperawatan Sai Betik. 16(2):165–170. DOI: https://doi.org/10.26630/jkep.v16i2.3101
Owenga, J., Odhiambo, J., Olayo, R. and Awiti, L., (2019). Factors Influencing Hypertension Prevalence in Patients Attending Hypertensive Clinic in Siaya County Referral Hospital, Kenya. International Journal of Emerging Trends in Social Sciences, 5(1), pp.21-32. DOI: https://doi.org/10.20448/2001.51.21.32
Rahayu, S. M., N. I. Hayati, S. L. Asih, F. Keperawatan, dan U. B. Kencana. 2018. Pengaruh teknik relaksasi otot progresif terhadap tekanan darah lansia dengan hipertensi. Media Karya Kesehatan. 3(1):91–98. DOI: https://doi.org/10.24198/mkk.v3i1.26205
Rihiantoro & Widodo. 2017. Hubungan pola makan dan aktivitas fisik dengan kejadian hipertensi di kabupaten tulang bawang. Jurnal Keperawatan. XIII(2):159–167. DOI: https://doi.org/10.26630/jkep.v13i2.924
Sari, I. P., L. A. Susumaningrum, H. Rasni, T. Susanto, dan D. Kholida. 2022. Hubungan kesepian dengan gangguan pola tidur pada lansia hipertensi dan tekanan darah normal di upt pstw banyuwangi. NERS: Jurnal Keperawatan. 18(1):8–16.
Wijaya, E. dan T. Nurhidayati. 2020. Penerapan terapi relaksasi otot progresif dalam menurunkan skala nyeri sendi lansia. Ners Muda. 1(2):88–92. DOI: https://doi.org/10.26714/nm.v1i2.5643