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Efek Pemberian Hydrotherapy untuk Menurunkan Tekanan Darah pada Pasien Hipertensi: Sebuah Tinjauan Literatur: Effects of Presenting Hydrotherapy to Lower Blood Pressure in Hypertensive Patients: A Literature Review Rini Angraini; Andi Masyitha Irwan; Rosyidah Arafat
Jurnal Sains dan Kesehatan Vol. 3 No. 6 (2021): J. Sains Kes.
Publisher : Fakultas Farmasi, Universitas Mulawarman, Samarinda, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25026/jsk.v3i6.647

Abstract

Sebanyak 53% penderita hipertensi tidak dapat mengontrol tekanan darahnya, sehingga berisiko terjadi komplikasi. Saat ini pengobatan hipertensi dengan modifikasi gaya hidup dan farmakologis. Strategi pengobatan farmakologis direkomendasikan, namun adanya efek samping yang dapat menjadi alasan utama tidak patuh dalam menjalani pengobatan. Salah satu terapi komplementer untuk mengontrol dan menurunkan tekanan darah dengan hydrotherapy. Hydrotherapy mudah untuk semua orang, tidak mahal, tidak memiliki efek samping yang berbahaya dan dapat dilakukan di rumah. Tujuan dari tinjauan literatur ini untuk mengidentifikasi efek pemberian hydrotherapy dalam menurunkan tekanan darah pada hipertensi dengan berbagai penelitian yang relevan. Metode yang digunakan adalah tinjauan literatur dengan pencarian literatur menggunakan: PubMed, Sciencedirect, Proquest, EBSCO host, Wiley, dan Garuda. Berfokus pada Hydrotherapy untuk menurunkan tekanan darah pada hipertensi, dipublikasikan pada tahun 2010 sampai 2020, full text, berbahasa Inggris dan Indonesia. Daftar periksa CASP digunakan untuk menganalisis setiap artikel. Sepuluh studi teridentifikasi dan dimasukkan dalam tinjauan literatur yaitu latihan akuatik pada wanita hipertensi pasca menopause dapat menurunkan tekanan darah, latihan air wanita yang lebih tua lebih efektif pada hipertensi yang tidak diobati, latihan berbasis air panas berefek pada penurunan tekanan darah hipertensi resisten, latihan aerobik air dapat mengurangi tekanan darah sistolik pada hipertensi esensial, latihan pemanasan berbasis air mengurangi tekanan darah dalam 24 jam pada hipertensi resisten, latihan berbasis air efektif menurunkan tekanan darah dengan usia lebih tua, pelatihan gabungan berbasis air dapat memperbaiki tekanan darah sistolik, hydrotherapy berefek terhadap penurunan rata - rata tekanan darah sistolik dan diastolik dan perendaman kaki dalam air hangat. Hasil penelitian ini menunjukkan bahwa Hydrotherapy dapat menurunkan tekanan darah sistolik dan diastolik pada hipertensi. Sehingga dapat digunakan sebagai salah satu pengobatan tambahan untuk menurunkan tekanan darah pada pasien hipertensi. Kata kunci: Hydrotherapy;Hipertensi; Tekanan darah. As many as 53% of people with hypertension cannot control their blood pressure, so they are at risk of complications. Currently the treatment of hypertension is with lifestyle and pharmacological modifications. Pharmacological treatment strategies are recommended, but side effects can be the main reason for non-adherence to treatment. One of the complementary therapies to control and lower blood pressure with hydrotherapy. Hydrotherapy is easy for everyone, inexpensive, has no harmful side effects and can be done at home. The aim of this literature review is to identify the effect of hydrotherapy in lowering blood pressure in hypertension with various relevant studies. The method used was literature review with literature search using: PubMed, Sciencedirect, Proquest, EBSCO host, Wiley, and Garuda. Focusing on Hydrotherapy to lower blood pressure in hypertension, published in 2010 to 2020, full text, in English and Indonesian. The CASP checklist was used to analyze each article. Ten studies were identified and included in the literature review, namely aquatic exercise in postmenopausal hypertensive women can lower blood pressure, older women water exercise is more effective in untreated hypertension, hot water-based exercise has an effect on lowering blood pressure in resistant hypertension, water aerobic exercise can reduce systolic blood pressure in essential hypertension, water-based warm-up exercises reduce blood pressure within 24 hours in resistant hypertension, water-based exercises can effectively lower blood pressure with older age, combined water-based training can improve systolic blood pressure, hydrotherapy has an effect on lowering the average - average systolic and diastolic blood pressure and soaking the feet in warm water. The results of this study indicate that Hydrotherapy can reduce systolic and diastolic blood pressure in hypertension. So that it can be used as an additional treatment to lower blood pressure in hypertensive patients. Keywords: Hydrotherapy;Hypertention; blood pressure.
A Pilot Study on Diabetes Distress, Insulin Growth Factor-I, Insulin-Like Growth Factor Binding Protein-3, and HbA1c in Diabetic Patients Tahiruddin, Tahiruddin; Indriastuti, Diah; Syahrul, Syahrul; Irwan, Andi Masyitha; Pranata, Satriya
Nurse Media Journal of Nursing Vol 15, No 1 (2025): (April 2025)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v15i1.58052

Abstract

Background: Diabetes distress refers to the emotional and psychological burden experienced by individuals in managing their condition, which can influence physiological outcomes and overall well-being. However, the relationship between HbA1c, insulin growth factor-I (IGF-I), and insulin-like growth factor binding protein-3 (IGFBP-3) with diabetes distress in diabetic patients remains elusive.Purpose: The objective of this study was to evaluate the association of IGF-I, IGFBP-3, and HbA1c with diabetes distress in diabetic patients.Methods: A cross-sectional design with purposive sampling was used to recruit subjects from the public health center in Kendari City, Southeast Sulawesi, Indonesia, from May to November 2021. A total of 30 diabetic patients were recruited for the study. Distress data were collected using the Indonesian version of the Diabetes Distress Scale (DDS) questionnaire. HbA1c levels were measured using High-Performance Liquid Chromatography (HPLC). Serum levels of IGF-I and IGFBP-3 were measured using the ELISA (Enzyme-Linked Immunosorbent Assay) kit method. The data were analyzed using regression analysis.Results: Most respondents had moderate distress, with a DDS score of 53.4%, a high IGF-I level of 76.7%, and a low IGFBP-3 level of 76.7%. As many as 60% of respondents had an HbA1c level above 6.4%. IGF-I (ρ-value=0.024) and IGFBP-3 levels (ρ-value=0.042) showed a significant correlation with diabetes distress. However, HbA1c levels did not significantly correlate with diabetes distress (ρ-value=0.155).Conclusion: IGF-I and IGFBP-3 levels were associated with diabetes distress, but HbA1c was not. Patients with higher distress were found to have elevated serum levels of IGF-I and IGFBP-3. Future research should focus on stress management strategies that support efforts to prevent disease and complications associated with diabetes mellitus.