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PENERAPAN TERAPI AKUPRESUR MANDIRI SEBAGAI UPAYA PENURUNAN TEKANAN DARAH PADA PENDERITA HIPERTENSI Sri Rahayu; Ade Sucipto; Rukmini Syahleman
Community Development Journal : Jurnal Pengabdian Masyarakat Vol. 4 No. 4 (2023): Volume 4 Nomor 4 Tahun 2023
Publisher : Universitas Pahlawan Tuanku Tambusai

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Abstract

Hipertensi adalah suatu kondisi ketika tekanan pada pembuluh darah meningkat dengan sistol >140 mmHg dan diastole >90 mmHg, disebut silent killer yang menjadi masalah serius di dunia termasuk negara Indonesia. Prevalensi hipertensi yang tinggi jika tidak terkontrol menyebabkan masalah kesehatan dan komplikasi seperti, stroke, penyakit jantung koroner, dan ginjal. Pengabdian masayarakat ini bertujuan untuk meningkatkan pengetahuan serta kemampuan penderita hipertensi dan keluarga dalam menerapkan akupresur secara mandiri untuk mengontrol tekanan darah dan mencegah segala resiko komplikasi. Pelaksanaan kegiatan meliputi edukasi, pelatihan dan pendampingan masyarakat dalam menerapkan terapi akupresur sebagai terapi komplementer, media yang digunakan leaflet dan penayangan power point terkait terapi akupresur.Peserta yang hadir saat kegiatan sebanyak 30 orang penderita hipertensi grade 1 dan 2. Pada postest setelah diberikan edukasi, pelatihan dan pendampingan masyarakat dalam menerapkan terapi akupresur sebagai terapi komplementer menunjukkan terdapat perbedaan bermakna penurunan tekanan darah sistol dan diastol pada peserta sebelum dan sesudah diberikan terapi akupresur, selisih penurunan pada sistol 22,33 mmHg dan selisih penurunan pretest-posttest diastol 10,67 mmHg. Terdapat peningkatan pengetahuan peserta terkait hipertensi dan manfaat penerapan terapi komplementer akupresur mandiri sebagai salah satu penatalaksanaan nobfarmakologi yang dapat menurunkan tekanan darah serta masyarakat mampu mengikuti demonstrasi teknik dan titik-titik akupresur untuk hipertensi dan masyarakat mampu menerapkan terapi akupresur tersebut yang berkaitan dengan penatalaksanaan hipertensi.
The Effectiveness of Hypnotherapy Movement and Affirmation (HYMA) on Anxiety Status with A Review of Changes in Blood Profiles and Cortisol Hormone Levels in Schizophrenia Patients Ade Sucipto; Sri Rahayu; Iqlila Romaidha; Nurul Maulidatul Khabsy
Indonesian Journal of Global Health Research Vol 6 No S6 (2024): 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.v6iS6.5061

Abstract

Schizophrenia is a condition characterized by abnormal social behavior and an inability to understand reality. Mental health Schizophrenia is a severe and serious mental disorder that can become chronic from a young age because it involves changes in physical, psychological and socio-cultural aspects. Inappropriate treatment of schizophrenia patients will always have an impact on anxiety conditions, slurred or confused thinking, decreased auditory hallucinations, reduced social involvement and emotional expression, and lack of motivation. Management is carried out with pharmacological and non-pharmacological complementary, one of which is Hypnotherapy Movement And Affirmation. Objective: The study aims to analyze the effect of Hypnotherapy Movement And Affirmation (HYMA) On Anxiety Status With A Review Of Blood Profile Changes and Cortisol Hormone In Schizophrenia Patients. Method: The research design used quasi-experimental with a pretest - posttest approach with control group design. The research population was Schizophrenia patients with purposive sampling. The sample in this study was 18 respondents, divided into an experimental group of 9 respondents and a control group of 9 respondents. The experimental group was given Hypnotherapy Movement and Affirmation with the implementation of the action carried out for 2 weeks and each session was carried out for 20 minutes, while the control group only received basic treatment from the Health Center. Result: Based on the Mann Whitney test of the experimental group of cortisol measurements obtained significant results of 0.017 (p <0.05), Erythrocyte measurements obtained significant results of 0.507 (p> 0.05), and Leukocyte measurements 0.930 (p> 0.05). It can be concluded that there is a significant difference in the Complementary Hypnotherapy Movement And Affirmation (HYMA) combination group on cortisol hormone measurements, while there is no significant difference in the measurements of erythrocytes and Leukocytes of respondents. Conclusions: Combination of Hypnotherapy Movement And Affirmation (HYMA) therapy is able to reduce anxiety scale and cortisol hormone levels. Although the profile of Erythrocyte and Leukocyte values has not shown significant changes and associations with schizophrenia in the experimental group or the control group.
Correlation of Adequate Urea Reduction Rate (URR) with the Degree of Uremic Pruritus and Sleep Quality in Chronic Kidney Disease Patients Undergoing Hemodialysis Sri Rahayu; Ni Wayan Rahayu Ningtyas; Rukmini Syahleman
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.