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Effect Of Combination Benson Relaxation Therapy And Lavender Aromatherapy On The Decrease Blood Pressure In The Elderly With Hypertension In Working Area Of Madurejo Health Center Pangkalan Bun Province Central Borneo qorahman, wahyudi; Syahleman, Rukmini; Fatmawati, Zuliya Indah; Setiawan, Jodi
Holistic Nursing Plus Vol. 2 No. 1 (2024): Holistic Nursing Plus
Publisher : Sahabat Publikasi Kuu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58439/hnp.v2i1.231

Abstract

Background: Hypertension is a condition where blood pressure exceeds normal limits, namely systolic blood pressure ≥ 140 mmHg and/or diastolic blood pressure ≥ 90 mmHg on repeated examinations. Hypertension, commonly known as high blood pressure, is caused by abnormalities in the blood arteries, preventing oxygen and nutrients from reaching the body's tissues. As an alternative treatment, the combination of Benson relaxation therapy and lavender aromatherapy has similarities in the mechanism of action, as seen in how the Benson relaxation technique works, namely focusing on specific words or sentences that are repeated repeatedly with a regular rhythm accompanied by an attitude of surrender to God Almighty while drawing deep breaths. While lavender aromatherapy works on both the physical and emotional levels, it can also help to lower anxiety, high blood pressure, heart rate, and stress. Lavender also stimulates the production of the hormones melatonin and serotonin. Aromatherapy can be used in a variety of methods, such as steam, inhalation, and compresses. Purpose : the aim of this study was to determine whether there is a combination effect of Benson relaxation therapy and lavender aromatherapy on reducing blood pressure in elderly hypertension at Madurejo Public Health Center in Pangkalan Bun. Methods: This type of quasi-experimental research used a one-group pre-test and post-test design with a sample of 30 respondents and purposive sampling. Blood pressure measurement using a tensimeter and an observation sheet using the Wilcoxon test. Results: The results showed that the blood pressure of hypertension sufferers pre-tested in category 1 was mild at 33.3%, moderate at 56.7%, and severe at 10.0%. The results of the level of type 2 diabetes mellitus post-test were in the good category (83.7%) and sufficient (16.3%). The Wilcoxon test results obtained a p value of 0.000. Conclusion: There is an effect of a combination of Benson relaxation therapy and lavender aromatherapy on reducing blood pressure in elderly hypertension at Madurejo Public Health Center, Pangkalan Bun, Central Kalimantan.
Correlation of Adequate Urea Reduction Rate (URR) with the Degree of Uremic Pruritus and Sleep Quality in Chronic Kidney Disease Patients Undergoing Hemodialysis Rahayu, Sri; Ningtyas, Ni Wayan Rahayu; Syahleman, Rukmini
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i4.7045

Abstract

Chronic kidney disease (CKD) patients undergoing hemodialysis are at risk of dialysis inadequacy, which can be assessed through the Urea Reduction Rate (URR) parameter. A low URR reflects a suboptimal hemodialysis process, leading to the accumulation of uremic toxins in the body. This inadequacy can trigger complications such as uremic pruritus, a chronic itching sensation that disrupts comfort and reduces the patient's quality of life. Furthermore, the accumulation of toxic substances due to inadequate URR impacts sleep quality, characterized by difficulty falling asleep, frequent awakenings, and restless sleep. These two conditions are often overlooked in clinical practice, yet they significantly contribute to the decline in the physical and psychosocial well-being of hemodialysis patients. The study aims to analyze the Correlation of Adequate Urea Reduction Rate (URR) with the Degree of Uremic Pruritus and Sleep Quality in Chronic Kidney Failure Patients Undergoing Hemodialysis. This study used a correlational analytical design with a cross-sectional approach. The sample consisted of 50 respondents of chronic kidney failure patients undergoing hemodialysis using a purposive sampling technique. URR data were obtained from laboratory records and using the URR calculation formula using the formula URR = 100 × (1 - C1/C0), while data on the degree of pruritus were collected using a Numerical Rating Scale (NRS) questionnaire and sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI). Data analysis was performed using the Spearman Rank test to determine the relationship between variables. The results of the study showed that there was a significant relationship between URR and the degree of uremic pruritus p value 0.001 (p < 0.05) with a Correlation Coefficient value of 0.628 meaning a strong level of relationship, and there was a significant relationship between URR and the sleep quality of respondents undergoing hemodialysis p value 0.001 (p < 0.05) with a Correlation Coefficient value of 0.656 meaning a strong level of correlation. Dialysis adequacy measured by URR has an important role in reducing uremic pruritus symptoms and improving sleep quality in CKD patients.