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Pengaruh Terapi Komplementer Massage Punggung Terhadap Tekanan Darah pada Lansia dengan Hipertensi IGA Ari Rasdini; Ni Made Wedri; VM Endang SP Rahayu; IDP Putrayasa
Jurnal Smart Keperawatan Vol 8, No 1 (2021): JUNI 2021
Publisher : Sekolah Tinggi Ilmu Kesehatan (STIKes) Karya Husada Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34310/jskp.v8i1.426

Sekitar 90% usia dewasa dengan tekanan darah normal akan berkembang menjadi hipertensi pada usia lanjut. Hipertensi pada usia lanjut mempunyai beberapa kekhususan, umumnya disertai dengan faktor resiko yang lebih berat. Masage punggung bermanfaat melancarkan peredaran darah dan memberikan efek tenang sehingga tekanan darah menjadi stabil. Penelitian ini bertujuan untuk mengetahui pengaruh terapi masase punggung terhadap tekanan darah pada lansia dengan hipertensi. Rancangan penelitian menggunakan quasy experiment dengan desain pretest-posttest control group design, jumlah sampel 20 orang tiap kelompok, dengan tehnik random sampling. Hasil penelitian menunjukkan rata rata kelompok perlakuan berusia 73 tahun dan kontrol berusia 75 tahun, jenis kelamin tiap kelompok 10 orang laki laki dan 10 orang perempuan. Pada kelompok perlakuan nilai systole pre-post (164-148.5 mmHg), diastole pre-post (85-80 mmHg). Kelompok control rata rata nilai systole pre-post (167,7 - 151.2 mmHg), diastole (87.5-77.5 mmHg). Uji Wilcoxon test didapatkan ada perbedaan yang signifikan tekanan darah pada kelompok perlakuan dengan p value systole adalah 0.000, p value diastole 0.025. Tidak ada perbedaan yang signifikan tekanan darah pada kelompok kontrol baik systole dengan p value 0.086 dan p value diastole 0.140. Ada pengaruh yang signifikan terapi komplementer massage punggung terhadap tekanan darah systole dengan p value 0.000 dan p value diastole adalah 0,028. Direkomendasikan terapi massage punggung sebagai terapi non farmakologi untuk menstabilkan tekanan darah guna mencegah komplikasi kardiovaskuler Kata Kunci : massage punggung; tekanan darah; hipertensi; lansia. THE INFLUENCE OF COMPLEMENTER THERAPY ON BLOOD PRESSURE IN ELDERLY WITH HYPERTENSION AT GIANYAR SUKAWATI II HEALTH CENTRE ABSTRACT Approximately 90% of adults with normal blood pressure will develop hypertension in old age. Hypertension in the elderly has several characteristics, generally accompanied by more severe risk factors. Back massage is useful for blood circulation and provides a calming effect so that blood pressure becomes stable. This study was aimed to determine the effect of back massage therapy on blood pressure in the elderly with hypertension. The research design used a quasi-experimental design with a pretest-posttest control group design, the number of samples were 20 people per group, with random sampling technique. The results showed that the average age of the treatment group was 73 years old and the control group was 75 years old, the sexes of each group were 10 men and 10 women. In the treatment group the value of pre-post systole (164-148.5 mmHg), pre-post diastole (85-80 mmHg). The control group averaged pre-post systole values (167.7 - 151.2 mmHg), diastole (87.5-77.5 mmHg). The Wilcoxon test showed that there was a significant difference in blood pressure in the treatment group with p-value of systole being 0.000, p-value of diastolic 0.025. There is no significant difference in blood pressure in the control group, both systole with p value 0.086 and p value diastole 0.140. There is a significant effect of complementary back massage therapy on systolic blood pressure with a p value of 0.000 and a diastolic p value of 0.028. Back massage therapy is recommended as a non-pharmacological therapy to stabilize blood pressure to prevent cardiovascular complications Key Ward ; back massage; blood pressure; hypertension; elderly

Hubungan Aktivitas Fisik dengan Diabetik Neuropati Perifer pada Pasien DM Tipe 2 di Wilayah Kerja Puskesmas Abiansemal II Tahun 2019 I Dewa Putu Gede Putra Yasa; I Kadek Oki Wanjaya; VM Endang SP Rahayu; I Gusti Ayu Ari Rasdini
Jurnal Gema Keperawatan Vol 13, No 1 (2020): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v13i1.1173

Type 2 diabetes mellitus (DM) occurs due to insulin resistance which causes high blood glucose and if it continues to be uncontrolled it can cause several complications, one of which is diabetic peripheral neuropathy. The effort that can be done is by changing lifestyle by increasing physical activity. The purpose of this study was to determine the correlation of physical activity with diabetic peripheral neuropathy. the type of research used is correlational research with a cross sectional design. The study was conducted at the Abiansemal II Community Health Center with 78 respondents selected by consecutive sampling. Diabetic variable peripheral neuropathy was measured by the DNS questionnaire and physical activity variables using the IPAQ questionnaire. The results showed 40 respondents (51.3%) were male with an average age of 62.8 years and 53 respondents (67.9%) were still working. The highest level of physical activity is at the moderate level of activity as much as 58 respondents (74.4%), low activity as many as 15 respondents (19.2%) and 50 respondents (64.1%) experience diabetic peripheral neuropathy. hypothesis testing using the chi square test with a p value of 0.022 (α = 0.05). It was concluded that there was a significant relationship between physical activity and diabetes peripheral neuropathy.

Latihan Aerobik Jalan Kaki pada Pasien Diabetes Mellitus Tipe II I Dewa Putu Gede Putra Yasa; VM Endang SP Rahayu
Jurnal Gema Keperawatan Vol 7, No 1 (2014): JURNAL GEMA KEPERAWATAN
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v7i1.1734

The purpose of this study is to determine effect of walking aerobik exercise of capillary refill time of the lower extremities of diabetic type II patients. This study used quasy experiment design with non-equivalent group design performed on 30 samples. The samples was taken by purposive sampling. The data was collectted by physical examination capillary refill time (CRT) using stopwatch.The results showed an average CRT lower extremities before doing walking aerobik exercise in the treatment group is 2,87 seconds and 2,72 seconds for control groups. After given walking aerobik exercise obtained an average CRT lower extremities in the treatment group is 1,48 seconds and 2,77 seconds for control group. The results of data analysis with independent ttest there was a significant effect of walking aerobik exercise with CRT from the lower extremities in patients with diabetes mellitus type II, p = 0.001 (α = 0.05)

Pengaruh Pendidikan TB Melalui Whatsapp Reminder Berkala Terhadap Tingkat Pengetahuan Remaja di SMA Negeri 2 Denpasar I Dewa Putu Gede Putra Yasa; I Putu Bayu Suadnyana; N Adi Sumartawan; I Made Widastra
Jurnal Gema Keperawatan Vol 13, No 2 (2020): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v13i2.1024

Tuberculosis that attacks adolescents aged 10-18 years tends to increase. Health education is one way to increase adolescent knowledge about how to prevent tuberculosis, one of the media that can be used for health education is WhatsApp. This study aims to determine the effect of TB education through WhatsApp periodic reminder on the level of knowledge of adolescents in SMA Negeri 2 Denpasar in 2019. The research design used was one-group pre-post test design. The number of samples was 44 people selected by quota sampling technique. The study was conducted in July to August 2019. Data collection used knowledge level questionnaires about TB. The results of this study the average value of knowledge of adolescents before being given health education at 11.68 and after being given health education at 19.02. Hypothesis testing uses paired t-test with p value = 0.001 (p 0.05). The conclusion of this research is the effect of TB education through WhatsApp periodic reminder on the level of knowledge of adolescents, then it is recommended to do health education using WhatsApp media

Pengaruh Pemberian Air Kelapa Muda terhadap Tekanan Darah pada Pasien Hipertensi V.M. Endang S.P. Rahayu; I Made Mertha; I Gusti Ayu Ari Rasdini; I Dewa Putu Gede Putra Yasa
Jurnal Gema Keperawatan Vol 14, No 2 (2021): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v14i2.1808

Hypertension is often called the “silent killer”. Hypertension is a condition when blood pressure in blood vessels continues to increase chronically where systolic blood pressure ≥ 140 mmHg and diastolic blood pressure ≥ 90 mmHg. Hypertension can be controlled with non pharmalocogical treatment, one of them is young coconut water, because the content of potassium contained in young coconut water is very useful to reduce systolic and diastolic blood pressure. This study aims to determine the effect of giving young coconut water against blood pressure in hypertension patients at UPTD Puskesmas 1 South Denpasar 2021. The type of this research was pre-experimental design with one group pretest-post test design using non probability sampling with purposive sampling. The number of sampels were 11 people. The study was conducted on April 2021. The result showed the mean systolic blood pressure and diastole before treatment 149,45/95,73 mmHg and after treatment 140,73/89,45 mmHg. Hypothesis testing used paired t-test with a value of p=0,000 0,05. It can be concluded that there is the effect of giving young coconut water on blood pressure in hypertension patients at UPTD Puskesmas 1 South Denpasar. Patients with hypertension should be able to use young coconut water as a cheap and efficient non-pharmacological therapy to lower blood pressure.

Kualitas Hidup Pasien Pasca Serangan Stroke I Dewa Putu Gede Putra Yasa; VM Endang SP Rahayu
Jurnal Gema Keperawatan Vol 6, No 2 (2013): JURNAL GEMA KEPERAWATAN
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v6i2.1730

The purpose of this qualitative, descriptive Phenomenology study was to enhance understanding about quality of life after a stroke from the patient's own perspective. The study is located at internal outpatient ward of General Sanglah Hospital with five participants were selected by using porpusive sampling method. Data were gathered through indeft interview with each participant on October 2012. The study finding four themes as follow: disable to activity daily living, Suffering emerges amid unaccustomed restrictions and losses, emotional response of social isolation after stroke attack and stroke patients need the health service professional.

Tugas Keluarga dan Perilaku Pencegahan Komplikasi Hipertensi pada Lansia I Dewa Putu Gede Putra Yasa; Ketut Sudiantara
Jurnal Gema Keperawatan Vol 6, No 1 (2013): JURNAL GEMA KEPERAWATAN
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v6i1.1661

The objective of study is to now correlation between health family task and behaviour of complication prevention of hypertension elderly. Design of study is descriptive correlation with cross sectional approach. Study is located at Public Health Centre III of Nort of Denpasar on 2012 with 40 respondent was selected by using Simple Random Sampling. The result of study showed 87.5% had good level of family task and 77.5% had good level of bahaviour of complication prevention. There are significant strong correlation between health family task and behaviour of complication prevention of hypertension elderly (p=0.000, r = 0.702)

NILAI ANKLE BRACHIAL INDEX (ABI) DENGAN NEUROPATI PERIFER DIABETIK PADA PASIEN DIABETES MELITUS TIPE 2 I Dewa Putu Gede Putra Yasa
Jurnal Gema Keperawatan Vol 12, No 1 (2019): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v12i1.818

The study aims to determine relationship between value ankle brachial index (ABI)and diabetic peripheral neuropathy on type 2 DM patients at public health center of I Klungkung. This study used an analytic correlational design with cross sectional approach. The sample this study were 82 person and was selected by using purposive sampling techniques. The results of the study found that the average age of respondents was 67.8 years, the average duration of DM respondents was 7.26 years, 61.0% of respondents were female, 42.7% of respondents had neuropathy and 32.9% had ABI for vascular disorders. The conclusion of this study is that there is a significant relationship between value ankle brachial index (ABI) and diabetic peripheral neuropathy (p = 0,000) and value of Odd Ratio = 1.45 which means that type 2 DM patients who experience vascular disorders have 1.45 times the chance of neuropathy peripheral diabetics.

Pendampingan Kader Dalam Pemberian Terapi Massage Punggung Pada Lansia Dengan Hipertensi Di Desa Adat Mawang Lodtunduh Gianyar IGA Ari Rasdini; VM Endang SP Rahayu; IDP Putrayasa; Made Wedri
Jurnal Altifani Penelitian dan Pengabdian kepada Masyarakat Vol. 2 No. 3 (2022): Mei 2022 - Jurnal Altifani Penelitian dan Pengabdian kepada Masyarakat
Publisher : Indonesian Scientific Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25008/altifani.v2i3.226

Hipertensi pada usia lanjut umumnya disertai dengan faktor resiko yang lebih berat. Relaksasi merupakan tindakan yang harus dilakukan pada setiap terapi antihipertensi. Masage punggung merupakan salah satu terapi yang efektif untuk menurunkan tekanan darah. Berdasarkan catatan medik di Puskesmas pembantu desa adat Mawang Lodtunduh Gianyar masih banyak ditemukan lansia dengan hipertensi tidak terkontrol. Melalui pengabdian mayarakat ini diharapkan para kader kesehatan mampu memberikan terapi masage punggung untuk mencegah komplikasi. Metode pendampingan dilakukan secara bertahap meliputi; pembentukan tim kader, merumuskan tujuan, melakukan pre tes terkait tehnik melakukan masage punggung, sosialisasi modul, memberikan vidio tentang tehnik masage punggung, pendampingan dalam memberikan terapi masage punggung kepada lansia hipertensi dan evaluasi dengan post tes. Hasil pengabdian didapatkan sebagian besar 60% pengetahuan kader tentang terapi masage punggung masih kurang sebelum diberikan pendampingan dan 90% memperoleh nilai baik setelah diberikan pendampingan. Melalui pendampingan pengetahuan dan ketrampilan kader meningkat. Direkomendasikan kepada para kader untuk memberikan terapi masage punggung secara berkala kepada lansia dengan hipertensi guna untuk mencegah komplikasi kardiovaskuler.

Pengaruh Brisk Walking Exercise terhadap Tekanan Darah pada Pasien Hipertensi Anak Agung Sayu Risma Kusuma Dewi; V.M. Endang S.P. Rahayu; I Gusti Ayu Ari Rasdini; I Dewa Putu Gede Putra Yasa
Jurnal Gema Keperawatan Vol 15, No 2 (2022): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v15i2.1962

Hypertension is called the Silent Killer which is the leading cause of asymptomatic death. Around 1.13 billion people in the world have hypertension, which means 1 in 3 people in the world have hypertension. The number of hypertensive patients continues to increase every year, it is estimated that in 2025 there will be around 1.5 billion people who have hypertension. One of the efforts to reduce blood pressure in hypertensive patients is to do brisk walking exercises which is a type of aerobic exercise, namely moderate activity using brisk walking techniques for 30 minutes with an average speed of 4 km/hour which is done 4 times a week. The purpose of this study was to determine the effect of brisk walking exercise on blood pressure in hypertensive patients at Puskesmas I North Denpasar in 2022. The type of research used was quasi-experimental using a nonequivalent control group design. The sampling technique used is probability sampling with simple random sampling, namely 34 respondents (17 intervention groups and 17 control groups). The results of the Wilcoxon test for changes in systolic and diastolic blood pressure in the intervention group obtained p-value = 0.000 and 0.001 0.05. The results of the Mann-Whitney difference test obtained p values = 0.000 and 0.004 so that it can be concluded that there is an effect of brisk walking exercise on blood pressure in hypertensive patients. Therefore, it is expected to do brisk walking exercise regularly to reduce blood pressure in hypertensive patients.

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