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Pengaruh booklet pertolongan pertama cedera olahraga terhadap pengetahuan tentang perawatan cedera olahraga pada siswa Nurlita, Ela; Trismiyana, Eka; Rianty, Dian Asih; Keswara, Umi Romayati
JOURNAL OF Qualitative Health Research & Case Studies Reports Vol 5 No 5 (2025): October Edition 2025
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/quilt.v5i5.1391

Abstract

Background: Sports injuries are injuries usually limited to sudden tissue damage that occurs during exercise, such as sprains and tears of the soft tissue in the musculoskeletal system. These injuries can be caused by many things, one of which is overuse syndrome. In children aged 7-14, injuries are the leading cause of death, with rates ranging from 20% to 60%, with the highest rate of sports injuries in Mesuji Regency (14.98%) and the lowest in Tulang Bawang (2.61%). However, in South Lampung Regency, the rate is 9.23%. Students' knowledge of first aid for sports injuries is lacking. Purpose: To determine the effect of the sports injury first aid booklet on students' knowledge of sports injury care. Method: Quantitative research with an experimental design. The population in this study were 30 students who are members of the PMR SMP N 2 Katibung, with a sample of 20 respondents drawn using random sampling. Data analysis used the t-dependent statistical test. Results: The average knowledge before the booklet counseling was 45.25. After the booklet counseling, the mean was 74.75, with a statistical test result of p-value = 0.000 <α. Conclusion: There is an effect of health counseling on the influence of the sports injury first aid booklet on knowledge about sports injury treatment in students.   Keywords: Booklet; Knowledge; Sports Injury.   Pendahuluan: Cedera olahraga adalah cedera biasanya terbatas pada kerusakan jaringan secara tiba-tiba yang terjadi selama berolahraga seperti terkilir dan robeknya jaringan lunak pada sistem muskuloskeletal dapat disebabkan oleh banyak hal, salah satunya adalah overuse syndrome. Anak berusia 7-14 tahun, cedera menjadi penyebab utama kematian dengan angka berkisar antara 20% hingga 60% dengan angka tertinggi cedera olahraga berada di kabupaten Mesuji 14.98% dan angka terendah berada di Tulang Bawang 2.61%. Namun di kabupaten Lampung Selatan terdapat 9.23%. Kurangnya pengetahuan siswa siswi tentang pertolongan pertama cedera olahraga. Tujuan: Untuk mengetahui pengaruh booklet pertolongan pertama cedera olahraga terhadap pengetahuan tentang perawatan cedera olahraga pada siswa. Metode: Penelitian kuantitatif dengan desain eksperimen. Populasi dalam penelitian ini adalah siswa siswi anggota PMR SMP N 2 Katibung sejumlah 30 orang dengan jumlah sampel sebanyak 20 responden yang diambil secara sample random sampling. Analisa data menggunakan uji statistik t-dependen. Hasil: Rata-rata pengetahuan sebelum dilakukan penyuluhan dengan booklet dengan mean 45.25. Sesudah dilakukan penyuluhan dengan media booklet mean 74.75 dengan hasil uji statistik didapatkan p-value = 0.000< α. Simpulan: Adanya pengaruh penyuluhan kesehatan tentang Pengaruh booklet pertolongan pertama cedera olahraga terhadap pengetahuan tentang perawatan cedera olahraga pada siswa siswi.   Kata Kunci: Booklet; Cedera Olahraga; Pengetahuan.
Hubungan pengetahuan dengan kesiapsiagaan dalam menghadapi bencana banjir pada siswa siswi Indriana, Dwi Liza; Trismiyana, Eka; Romayati, Umi
JOURNAL OF Qualitative Health Research & Case Studies Reports Vol 5 No 5 (2025): October Edition 2025
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/quilt.v5i5.1450

Abstract

Background: A pre-survey conducted by researchers on 10 students found that approximately 7 (70%) still lacked knowledge and preparedness for potential flooding in their neighborhood. Furthermore, it was discovered that SDN 2 Rajabasa does not hold disaster preparedness classes or training. It appears there are still issues with flood preparedness behavior. Purpose: It is known that there is a relationship between knowledge and preparedness in facing flood disasters among students. Method: The type of quantitative research is a cross-sectional approach. The population used is all 5th grade students, namely 94 respondents and the number of samples is 94 respondents with a total sampling technique with a correlation test is the Chi-square test. Result: Of the 94 respondents, the results showed that the majority of knowledge levels were in the good category, namely 58 people (61.7%), while the majority of preparedness levels were in the very ready category, namely 49 people (52.1%). After conducting statistical tests using chi-square, a p-value of 0.000 (p<0.05) was obtained. Conclusion: There is a significant relationship between knowledge and preparedness for flooding among students at SDN 2 Rajabasa Bandar Lampung. It is hoped that the school and teachers will not only implement or explain the theory but also implement it practically through flood disaster training.   Keywords: Knowledge, flood disaster preparedness, elementary school children   Pendahuluan: Hasil pre survey yang dilakukan peneliti pada 10 siswa di didapatkan bahwa, sekitar 7 anak (70%) masih memiliki pengetahuan dan kesiapsiagaan yang kurang untuk menghadapi bencana banjir yang akan terjadi di lingkungan mereka. Selain itu, diketahui bahwa SDN 2 Rajabasa tidak mengadakan kelas atau pelatihan kesiapsiagaan bencana. Sepertinya masih ada masalah dengan perilaku kesiapsiagaan untuk bencana banjir. Tujuan: Untuk mengetahui hubungan pengetahuan dengan kesiapsiagaan dalam menghadapi bencana banjir pada siswa. Metode: Jenis penelitian kuantitatif dengan pendekatan cross sectional. Populasi yang digunakan seluruh siswa kelas 5 yaitu 94 responden dan jumlah sampel 94 responden dengan teknik total sampling dengan uji korelasi adalah uji Chi-square. Hasil: Sebanyak 94 responden diperoleh hasil, untuk tingkat pengetahuan mayoritas berada pada kategori baik yaitu sebanyak 58 orang (61.7%), sedangkan tingkat kesiapsiagaan mayoritas berada pada kategori sangat siap, yaitu sebanyak 49 orang (52.1%). Setelah dilakukan uji statistik menggunakan chi-square diperoleh nilai p-value sebesar 0.000 (p<0.05). Simpulan: Terdapat hubungan yang signifikan antara pengetahuan dengan kesiapsiagaan dalam menghadapi bencana banjir pada siswa siswi SDN 2 Rajabasa Bandar Lampung. Diharapkan pihak sekolah maupun guru bukan hanya menerapkan atau menjelaskan secara teoritis tetapi juga harus diterapkan secara praktik melalui pelatihan mengenai bencana banjir.   Kata Kunci: Anak Sekolah Dasar; Pengetahuan; Kesiapsiagaan Bencana Banjir.
Factors Associated With Incomplete Abortion At H.M. Ryacudu Regional General Hospital Of Kotabumi North Lampung Regency Lukitasari, Eli; Astriana, Astriana; Nurliyani, Nurliyani; Trismiyana, Eka
JKM (Jurnal Kebidanan Malahayati) Vol 10, No 7 (2024): Volume 10,No.7 Juli 2024
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v10i7.11518

Abstract

ABSTRAK : FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN ABORTUS INKOMPLETUS  DI RSUD H.M. RYACUDU KOTABUMI  KABUPATEN LAMPUNG UTARA Latar Belakang : Salah satu masalah kehamilan yang banyak terjadi yaitu abortus, dari 46 juta kelahiran pertahun didapatkan 20 juta kasus karena abortus. Abortus menyumbang angka sebesar 5% dari komplikasi kehamilan yang menyebabkan kematian ibu. Tujuan penelitian untuk mengetahui faktor-faktor yang berhubungan dengan kejadian Abortus Inkompletus di Rumah Sakit Umum Daerah H.M Ryacudu Kotabumi Kabupaten Lampung Utara tahun 2020-2022Metode Penelitian : Jenis penelitian yang digunakan adalah rancangan cross sectional.  Populasi penelitian ini adalah ibu-ibu hamil yang mengalami Abortus dan dirawat di ruang rawat inap Rumah Sakit H.M Ryacudu Kotabumi Lampung Utara tahun 2020 – 2022 yang berjumlah 167 orang. Sampel dalam penelitian ini berjumlah 167 orang. Variabel Independen Usia ibu, usia kehamlan, paritas dn riwayat aboertus. Tehnik sampling total sampling Analisa menggunkan uji Chi Square.Hasil penelitian : Didapatkan Kejadian abotrus inkompleteus sebanyak 112 kasus (67,1%). Usia ibu hamil yang mengalami kejadian abotrus >35 tahun sebanyak 89 orang (53,3%). Usia kehamilan ibu hamil yang mengalami kejadian abotrus <12 minggu sebanyak 135 orang (80,8%). Paritas ibu hamil yang mengalami kejadian abotrus < 4 kali sebanyak 125 orang (74,9%) Ibu hamil yang tidak memiliki riwayat abortus sebanyak 118 orang (70,7%). Ada hubungan usia Ibu dengan Kejadian Abortus Inkompletus p-Value 0,025. Ada hubungan usia kehamilan dengan kejadian abortus inkompletus p-Value 0,000. Ada hubungan paritas dengan kejadian abortus inkompletus p-Value 0,000.  Ada hubungan riwayat abortus dengan kejadian abortus inkompletus p-Value 0,016.Kesimpulan : Ada hubungan Usia ibu, Usia Kehamilan, Paritas, Riwayat Abortus dengan kejadian abortus Inkompletus di Rumah Sakit Umum Daerah H.M Ryacudu Kotabumi Kabupaten Lampung Utara tahun 2020-2022.Saran : Disarankan kepada ibu hamil untuk melakukan ANC secara rutin dan mengatur paritas serta usia kehamilan untuk menghindari kejadian abortus.                Kata kunci : Usia, Usia Kehamilan, Paritas, Riwayat Abortus ABSTRACT Background: One of the prevalent issues during pregnancy is abortion, with 20 million cases out of 46 million annual births resulting from abortions. Abortion contributes about 5% of pregnancy complications that lead to maternal death. The research aims to identify factors associated with the incidents of incomplete abortions at H.M. Ryacudu Regional General Hospital, Kotabumi, North Lampung Regency, from 2020 to 2022.Research Method: The study employed a cross-sectional design. The research population consisted of pregnant mothers who experienced abortion and were admitted to the inpatient ward of H.M. Ryacudu Regional General Hospital in Kotabumi, North Lampung from 2020 to 2022, totaling 167 individuals. The sample for this research was also 167 individuals. Total sampling technique was utilized, and Chi-Square test was employed for analysis.Research Findings: The study found 112 cases (67.1%) of incomplete abortion incidents. Pregnant mothers aged >35 years accounted for 89 individuals (53.3%). Pregnant mothers with a gestational age of <12 weeks during the abortion incident totaled 135 individuals (80.8%). Pregnant mothers with a parity of <4 accounted for 125 individuals (74.9%). Pregnant mothers without a history of abortion amounted to 118 individuals (70.7%). There is a correlation between Maternal Age and Incomplete Abortion Incident with a p-Value of 0.025. There is a correlation between Gestational Age and Incomplete Abortion Incident with a p-Value of 0.000. There is a correlation between Parity and Incomplete Abortion Incident with a p-Value of 0.000. There is a correlation between Abortion History and Incomplete Abortion Incident with a p-Value of 0.016.Conclusion: There is a relationship between maternal age, gestational age, parity, history of abortion with the incidence of incomplete abortion at the H.M Ryacudu Kotabumi Regional General Hospital, North Lampung Regency in 2020-2022.Suggestions : Pregnant mothers are advised to undergo regular antenatal care and manage their parity and gestational age to prevent abortion incidents. Keywords : Maternal Age, Gestational Age, Parity, Abortion History 
Asuhan Keperawatan Lansia Penderita DM dengan Perfusi Perifer Tidak Efektif Menggunakan Terapi Range of Motion (ROM) Ankle di RS Pertamina Bintang Amin Safutri, Apriyanti; Trismiyana, Eka; Keswara, Umi Romayati
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 11 (2024): Volume 7 No 11 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i11.17039

Abstract

ABSTRACT The number of DM sufferers in the world has reached 425 million people. Based on the Central Statistics Agency / BPS (2019), the total population in Indonesia experiencing DM has reached 13.7 million people and in Pertamina Bintang Amin Hospital Lampung in 2023 there will be 6555 people. Neuropathy is the most common chronic complication of DM (Putri, et al, 2020). Peripheral neuropathy is a microvascular disease that affects the small arteries that supply blood to the periphery (Putri, et al., 2020). Ineffective peripheral tissue perfusion in DM patients can cause frequent tingling sensations, this is related to decreased peripheral blood circulation down to the nerve fibers (Lestari, 2016). Blood circulation disorders at the ends or edges of the body in people with diabetes are caused by poor blood circulation because the blood is too thick and contains a lot of sugar. Narrowing and blockage of peripheral (main) blood vessels often occurs in the lower legs (especially the feet) (Permatasari et al., 2020). To make nursing care for the elderly with peripheral perfusion ineffective, use Ankle range of motion (ROM) therapy at Pertamina Bintang Amin Hospital.. The case study method for 2 respondents focuses on nursing care for elderly people with ineffective peripheral perfusion using ankle range of motion (ROM) therapy at Pertamina Bintang Amin Hospital. In both cases of DM in Mr. S and Mrs. Y both showed improvement. Improvements in symptoms that can be observed include: warm palpable acral, CRT <3 seconds, good skin turgor, no pallor around the skin in the foot area, increased dorsalis pedis pulse, increased ABI value. Ankle ROM therapy can increase ABI values in ineffective peripheral perfusion  Keywords: Elderly, Ineffective Peripheral Perfusion Type II DM, Ankle ROM Exercises  ABSTRAK Jumlah penderita DM di dunia telah mencapai 425 juta jiwa. Berdasarkan Badan Pusat Statistik / BPS (2019) menyatakan bahwa total penduduk di Indonesia yang mengalami DM mencapai 13,7 juta orang dan di RS Pertamina Bintang  Amin Lampung pada tahun 2023 sebanyak 6555 orang. Neuropati merupakan komplikasi kronik DM yang paling umum ditemui (Putri, Dkk, 2020). Neuropati perifer merupakan penyakit mikrovaskular yang mengenai pembuluh darah arteri kecil yang menyuplai darah ke perifer (Putri, Dkk, 2020). Ketidak efetifan perfusi jaringan perifer ini pada pasien DM dapat menyebabkan rasa kesemutan yang sering timbul, hal ini berkaitan sirkulasi darah perifer menurun hingga ke serabut saraf (Lestari, 2016). Gangguan sirkulasi darah pada bagian ujung atau tepi tubuh pada penderita penyakit diabetes diakibatkan karena peredaran darah yang kurang lancar karena darah terlalu kental dan banyak mengandung gula. Penyempitan dan penyumbatan pembuluh darah perifer (yang utama), sering terjadi pada tungkai bawah (terutama kaki) (Permatasari et al., 2020). Untuk membuat asuhan keperawatan lansia dengan keperawatan lansia dengan Perfusi ferifer tidak efektif menggunakan terapi range of motion (ROM) Ankle di RS Pertamina Bintang Amin. Metode studi kasus 2 responden memfokuskan pada asuhan keperawatan lansia dengan Perfusi ferifer tidak efektif menggunakan terapi range of motion (ROM) Ankle di RS Pertamina Bintang Amin. Pada kedua kasus DM pada Tn. S dan Ny. Y sama-sama menunjukkan perbaikan. Perbaikan gejala yang dapat diamati antara lain: akral teraba hangat, CRT <3 detik, turgor kulit baik, tidak ada pucat disekitar kulit area kaki, nadi dorsalis pedis meningkat, nilai ABI meningkat.Terapi ROM Ankle dapat meningkatkan Nilai ABI pada Perfusi ferifer tidak efektif Kata Kunci: Lansia, Perfusi Perifer Tidak Efektif DM Tipe II, Latihan ROM Ankle
Asuhan Keperawatan Keluarga dengan Penerapan Slow Deep Breathing Terhadap Nyeri Akut pada Penderita Hipertensi di Desa Kotahara Sukarami Balik Bukit Khorip, Patrur; Trismiyana, Eka; Winarno, Rudi
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 10 (2024): Volume 7 No 10 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i10.16761

Abstract

ABSTRACT Hypertension is categorized as a non-communicable disease (NCD) which is a disease that is not caused by infection with microorganisms such as protozoa, bacteria, fungi, or viruses. Hypertension can be defined as persistent blood pressure with systolic pressure above 140 mmHg and diastolic blood pressure above 90 mmHg. One of the nonphanakological therapies that can be done is slow deep breathing therapy. To determine the effect of slow deep breathing therapy on lowering blood pressure. This study uses a descriptive method with a nursing care case study approach that discusses assessment, nursing diagnosis, planning, and evaluation. There is an effect of slow deep breathing therapy on lowering blood pressure, a decrease in systolic and diastolic blood pressure of 10 mmHg was obtained after being given slow deep breathing therapy for 15 minutes for 3 days and done every morning and evening. There is an effect of slow deep breathing therapy on lowering blood pressure Keywords: Slow Deep Breathing, Hypertension, Family  ABSTRAK Hipertensi dikategorikan Penyakit tidak menular (PTM) dimana merupakan penyakit yang tidak disebabkan oleh infeksi mikroorganisme seperti protozoa, bakteri, jamur, maupun virus. Hipertensi dapat didefinisikan sebagai tekanan darah persisten dengan tekanan sistolik di atas 140 mmHg dan tekanan darah diastolik diatas 90 mmHg. Salah satu terapi nonfarnakologis yang dapat dilakukan terapi slow deep breathing. Untuk mengetahui pengaruh pemberian terapi slow deep breathing terhadap penurunan tekanan darah. Penelitian ini menggunakan metode deskriptif dengan pendekatan studi kasus asuhan keperawatan yang membahas pengkajian, diagnose keperawatan, penrencanaan, dan evaluasi  terdapat pengaruh terapi slow deep breathing terhadap penurunan tekanan darah, didapatkan penurunan tekanan darah systolic dan diastolic 10 mmHg setelah di berikan terapi slow deep breathing selama 15 menit selama 3 hari dan dilakukan setiap pagi dan sore hari.  Terdapat pengaruh terapi slow deep breathing terhadap penurunan tekanan darah. Kata Kunci: Slow Deep Breathing, Hipertensi, Keluarga
Pemberian Terapi Jus Buah Bit untuk Meningkatkan Kadar Hemoglobin melalui Pendekatan Asuhan Keperawatan Keluarga pada Remaja Putri Penderita Anemia di Kecamatan Kemiling Kota Bandar Lampung Juliawan , Ladin; Trismiyana, Eka; Setiawati
Jurnal Keperawatan Muhammadiyah Vol 10 No 4 (2025): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v10i4.27582

Abstract

Background: Anemia is defined as a condition in which blood hemoglobin levels fall below normal values. Adolescent girls are more susceptible due to monthly iron loss during menstruation. Beetroot juice has been identified as an effective non-pharmacological intervention, as it contains essential nutrients that support erythropoiesis and are rapidly absorbed by the body. In liquid form, beetroot is absorbed by the digestive system within approximately 20 minutes, compared to around 18 hours for whole fruit. Objective: The effectiveness of beetroot juice in increasing hemoglobin levels among adolescent girls with anemia was demonstrated through a family nursing care approach in Kemiling District, Bandar Lampung City. Method: This study employed a quantitative method with a one-group pre-test and post-test design. The sample consisted of two respondents selected through purposive sampling. The intervention was conducted over a period of seven days involving two subjects, An. H and An. T. Results: The evaluation of the seven-day beetroot juice intervention showed an increase in hemoglobin levels in both subjects. In An. H, hemoglobin increased from 9.5 g/dL to 11.6 g/dL (a rise of 2.1 g/dL), while in An. T, it increased from 9.9 g/dL to 11.8 g/dL (a rise of 1.9 g/dL). Conclusion: Based on the results, it can be concluded that beetroot juice has a positive effect on increasing hemoglobin levels in adolescent girls with anemia. This study is expected to serve as a reference for the use of beetroot juice as an effective non-pharmacological therapy for managing anemia in adolescents.
Efektifitas terapi progressive muscle relaxation (PMR) dalam menurunkan tekanan darah pada keluarga dengan hipertensi Rafli, Muhammad; Keswara, Umi Romayati; Trismiyana, Eka
JOURNAL OF Qualitative Health Research & Case Studies Reports Vol 5 No 7 (2025): December Edition 2025
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/quilt.v5i7.1497

Abstract

Background: Hypertension is a chronic disease often referred to as a "silent killer" because it frequently presents no symptoms while having serious health consequences. Non-pharmacological interventions such as Progressive Muscle Relaxation (PMR) can be used as alternative methods to help reduce blood pressure. Purpose: To determine the effectiveness of Progressive Muscle Relaxation therapy in lowering blood pressure among families with hypertension. Method: This study employed a quasi-experimental design with a one-group pretest-posttest approach. The research subjects consisted of two families in Dusun 6, Sukajaya Lempasing Village, Pesawaran, with members diagnosed with hypertension (blood pressure ≥140/90 mmHg). The intervention consisted of PMR therapy administered for three consecutive days, with each session lasting 15–30 minutes. Results: A decrease in blood pressure following the PMR therapy. In addition to reduced blood pressure, participants also reported alleviation of symptoms such as headaches and palpitations. Conclusion: Progressive Muscle Relaxation therapy is effective in helping to lower blood pressure in families with hypertension and can be considered a non-pharmacological nursing intervention. Keywords: Hypertension; Nursing Care; Non-Pharmacological; Progressive Muscle Relaxation. Pendahuluan: Hipertensi merupakan penyakit kronis yang sering disebut sebagai "silent killer" karena seringkali tidak menunjukkan gejala namun berdampak serius. Penanganan non-farmakologis seperti Progressive Muscle Relaxation (PMR) dapat digunakan sebagai metode alternatif untuk membantu menurunkan tekanan darah. Tujuan: Untuk mengetahui efektivitas terapi Progressive Muscle Relaxation dalam menurunkan tekanan darah pada keluarga dengan hipertensi. Metode: Penelitian ini menggunakan desain kuasi eksperimen dengan pendekatan one group pretest-posttest. Subjek penelitian terdiri dari dua keluarga di Dusun 6 Kelurahan Sukajaya Lempasing Pesawaran yang memiliki anggota keluarga dengan hipertensi (tekanan darah ≥140/90 mmHg). Intervensi berupa terapi PMR diberikan selama 3 hari berturut-turut dengan durasi 15–30 menit setiap sesi. Hasil: Pengukuran menunjukkan penurunan tekanan darah setelah diberikan terapi PMR. Selain penurunan tekanan darah, subjek juga melaporkan penurunan gejala seperti sakit kepala dan jantung berdebar. Simpulan: Terapi Progressive Muscle Relaxation efektif dalam membantu menurunkan tekanan darah pada keluarga dengan hipertensi dan dapat dijadikan sebagai intervensi keperawatan non-farmakologis. Kata Kunci: Asuhan Keperawatan; Hipertensi; Progressive Muscle Relaxation; Terapi Non-farmakologis.