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Effectiveness Of Isometric Handgrip Excercise In Controlled Blood Pressure In Hypertension Patients: A Systematic Review and Meta-Analysis Trisno Putri, Noor Rochmah Ida Ayu; Astuti, Verra Widhi; Hamidah, Sofiatul; Ridiana, Marsela
Seminar Nasional Penelitian dan Pengabdian Kepada Masyarakat 2025 Prosiding Seminar Nasional Penelitian dan Pengabdian Kepada Masyarakat (SNPPKM 2025)
Publisher : Universitas Harapan Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/snppkm.v4i1.1377

Abstract

Hypertension is a major factor in cardiovascular disease, causing high morbidity and mortality. Several pharmacological therapies are available, but many patients do not achieve optimal blood pressure control. Isometric handgrip exercise is one of the non-pharmacological intervention that is inexpensive, practical and efficient. The research method use a literature search conducted in the PubMed, Cochrane, and Web of Science databases until May 2025. Article included were randomized controlled clinical trials (RCTs), cross-sectional trials, and quasi-experimental studies that examined the effect of isometric handgrip on blood pressure in patients with pre-hypertension or hypertension. The primary outcomes were systolic blood pressure, diastolic blood pressure and mean arterial pressure (MAP). The research result showed that isometric handgrip exercise can reduce systolic blood pressure by an average of 7.3 to 7.5 mmHg and diastolic blood pressure by 3.2 to 3.9 mmHg, and MAP by 5.9 to 7.2 mmHg, with tan effect equivalent to that of antihypertensive drugs. Exercise with an intensity of 30 o 60 MVP or 85 to 95% HRpeak performed to 3 to 5 times per week has been shown to be most effective. Isometric handgrip also reduce hypertension symptoms such as dizzies and fatigue, and no serious side effect were found. It can be concluded that isometric handgrip exercise can be used as a safe and effective complementary therapy for hypertension management and is worth considering as part of a lifestyle change for hypertension patients.
Nursing Care for Chronic Bronchitis Patients with Nursing Problems of Ineffective Airways Clearance Hamidah, Sofiatul; Yuliana, Retno; Trisno Putri, Noor Rochmah Ida Ayu
Seminar Nasional Penelitian dan Pengabdian Kepada Masyarakat 2025 Prosiding Seminar Nasional Penelitian dan Pengabdian Kepada Masyarakat (SNPPKM 2025)
Publisher : Universitas Harapan Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/snppkm.v4i1.1386

Abstract

Chronic bronchitis is a leading cause of global morbidity and mortality, with its prevalence increasing due to exposure to cigarette smoke, air pollution, and environmental factors. This condition is characterized by bronchial inflammation and excessive mucus buildup, resulting in ineffective airway clearance. If not optimally managed, this condition can weaken hypoxic tissue, trigger cardiopulmonary complications, and reduce the patient's quality of life. The role of nurses is crucial in providing interventions based on evidence-based practices to prevent disease progression. This study uses a case study approach through the stages of assessment, diagnosis, intervention, implementation, and evaluation in chronic bronchitis patients at RSUD X. The patient's appearance results in shortness of breath, ineffective cough, excessive sputum production, and activity intolerance. The diagnosis of bleeding that was confirmed was ineffective airway clearance and nutritional deficit. Interventions included airway management (semi-Fowler's position, effective coughing techniques, warm hydration, and collaboration of bronchodilators and expectorants) and nutritional management. The evaluation showed improved breathing patterns, decreased dyspnea, decreased phlegm, and improved nutritional status. In conclusion, maintenance with airway management and nutritional interventions has been shown to be effective in improving airway clearance in patients with chronic bronchitis, and plays an important role in preventing complications and meeting oxygen needs.