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Wahyu Sukma Samudera
Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia

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Deep Breathing Relaxation for Decreasing Blood Pressure in People with Hypertension Rahmatul Fitriyah; Gratsia Victoria Fernandez; Wahyu Sukma Samudera; Hidayat Arifin; Shenda Maulina Wulandari
Jurnal Ners Vol. 14 No. 3 (2019): Special Issue
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v14i3.16945

Abstract

Various non-pharmacological therapies can be used to reduce blood pressure. One of them is deep breathing relaxation. This study aimed to know the influence of deep breath relaxation to decrease the blood pressure of people with hypertension. The design of this study was an Pre-Experimental One Group Pretest-Post-test design which covered 30 respondents as the sample. They fulfilled the inclusion criteria and were chosen through purposive sampling. The independent variable in this study was deep breath relaxation and the dependent variable was blood pressure. The data collection technique was using the observation sheet of blood pressure measurement. Data were analyzed using the paired t test. The findings of this study majority there were decrease blood pressure after deep breath. Before doing the breath relaxation exercise, most of the respondents were hypertension level 1. Nonetheless, after the deep breath relaxation had been executed, most found that their blood pressure decreased although several respondents were at hypertension level 2 with stable blood pressure. The results showed that there were differences in the blood pressure patients with hypertension before and after the deep breath relaxation. There were several points which influenced the decrease in blood pressure after implementing the deep breath relaxation such as stress, cigarettes etc.
Home-Based Exercise Training for Heart Failure Patients: a Systematic Review Roby Aji Permana; Wikan Purwihantoro Sudarmaji; Wahyu Sukma Samudera; Agostinha Soares; Yanuar Aga Nugraha
Jurnal Ners Vol. 14 No. 3 (2019): Special Issue
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (319.486 KB) | DOI: 10.20473/jn.v14i3.16954

Abstract

Exercise training is one of the recommendations for a cardiac rehabilitation program to increase exercise capacity and thus quality of life, decreasing both readmission and mortality in terms of heart failure. In spite of the evidence on the benefits and safety of cardiac rehabilitation, the uptake and participation of cardiac rehabilitation by patients with heart failure is currently poor. This study aimed to systematically review the effect of home-based exercise training on heart failure patients. The studies were systematically identified by searching through the chosen electronic databases (Scopus, Science Direct, Proquest, Pubmed, and CINAHL) for articles from the 5 last years. The search algorithm identified a total 164 articles and 15 articles were selected based on the inclusion and exclusion criteria. For the 15 articles, 13 were RCTs, 1 was quasi-experimental and 1 was a retrospective study. The major result of this review shows that home-based exercise has an effect on functional and exercise capacity, quality of life and a decreased rate of readmission within 2-12 months follow up. Home-based exercise has a long-term effect that is more effective than exercise that is hospital-based.
A Review of Personality Type D on Cardiovascular Disease Patients Gratsia Viktoria Fernandez; Rahmatul Fitriyah; Wahyu Sukma Samudera; Hidayat Arifin; Shenda Maulina Wulandari
Jurnal Ners Vol. 14 No. 3 (2019): Special Issue
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v14i3.16976

Abstract

Introduction: The type of personality that a patient has as a psychosocial factor has been associated with the incidence and progression of cardiovascular disease. The aim of the study was to review the evidence and correlation between personality type and the development of cardiovascular disease.Methods: Articles were searched for using the PRISMA approach in the CINAHL, Science Direct and Scopus databases, limited to the last 5 years. The articles were from 2013 to 2018 and the language used was English. The studies focused on personality type D and cardiovascular disease, and the participants were above 18 years old.Results: Most of the findings of the studies showed that individuals with a type D personality have a relationship with more severe heart disease, which relates to several physiological factors, namely emotion increase, anxiety, stress, biological factors, cognitive decline and the decrease in quality of life.Conclusion: Individuals with type D personality have a higher level of stress, significant blood pressure, higher pulse and they experience an increase in cortisol compared to non-type D personalities. Individuals who suffer from cardiovascular disease with personality type D tend to experience a more severe progression of the condition of cardiovascular disease.