This study aims to determine the effectiveness of Isometric Handgrip Exercise and Slow Respiratory Respiratory Exercise. Quasi Experimental Research design with research design Two Group Pretest Postest Design on 32 respondents. The results showed that there was systolic and diastolic after Handgrip Isometric Exercise intervention (t = 8,279, p = 0,000), (t = 6,154, p = 0,000), and the importance was done after Slow Deep Slow Deep Respiratory Exercise (t = 3,632 , p = 0.002), (t = 4.226, p = 0.001). Thus, it can be concluded that good or slow isometric exercise exercises in breathing exercises can reduce blood pressure. The results of the study were handgrip isometric training and slow slow breathing exercises as nursing interventions that can be carried out independently in providing nursing care for patients with hypertension. 
Keywords: Hypertension, Isometric Handgrip Exercise, Slow Deep Breathing Exercise,   Blood Pressure.

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Efektivitas Isometric Handgrip Exercise dan Slow Deep Breathing Exercise terhadap Perubahan Tekanan Darah pada Penderita Hipertensi

Hipertensi menjadi silent killer karena sebagian besar kasus tidak menunjukkan gejala apapun. Hipertensi terus meningkat seiring bertambahnya umur . Penemuan kasus Hipertensi di Puskesmas Ubung meningkat dimana tahun 2016 ditemukan 931 kasus dan tahun 2017 ditemukan 1.240 kasus hipertensi. Lansia yang mengalami hipertensi sebanyak 805 orang. Pengobatan non farmakologi bisa didapatkan dengan melakukan slow deep breathing , selain dengan olahraga atau senam dan mengkonsumsi obat-obatan dapat memberikan keterampilan pada pasien dalam mengatasi tekanan darah pada pasien hipertensi. Tujuan penelitian ini adalah untuk mengetahui pengaruh slow deep brething terhadap tekanan darah lansia hipertensi. Metode: Jenis penelitian ini adalah kuantitatif, metode penelitian Quasy Experiment dengan desain Non Equivalent Control Group. Sampel dalam penelitian ini adalah lansia hipertensi yang mendapat senam. Jumlah sampel dalam penelitian ini adalah 30 orang dengan teknik pengambilan sampel menggunakan purposive sampling. Instrument penelitian menggunakan lembar observasi tekanan darah. Teknik pengolahan data dalam penelitian ini menggunakan uji Paired T-test. Hasil: Hasil Penelitian menunjukkan rata-rata tekanan darah sistol kelompok intervensi sebelum diberi perlakuan sebesar 151,33 mmHg dan diastol sebesar 96,00 mmHg dan sistol kelompok intervensi sesudah diberi perlakuan sebesar 136,00 mmHg dan diastol sebesar 85,33 mmHg dengan nilai signifikansi sistol (ρ value) 0.000 dan diastol (ρ value) 0.000 sehingga Hₒ ditolak. Kesimpulan : Kesimpulan menunjukan adanya pengaruh slow deep breathing terhadap tekanan darah lansia hipertensi di Puskesmas Ubung Lombok Tengah.

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Pengaruh Slow Deep Breathing Terhadap Tekanan Darah Lansia Hipertensi di Puskesmas Ubung Lombok Tengah

Background: Dyspnea and physiological changes are clinical manifestations of Congestive Heart Failure (CHF) due to respiratory failure. Deep breathing exercise combined with active range of motion increases respiratory muscles and blood circulation. As a result, it reduces breathing effort and decreases blood pressure. Purpose: This research aimed to analyze the influence of deep breathing exercise and active range of motion (ROM) on physiological response of CHF patients. Methods: This study used a quasi-experiment with pretest-posttest control group design recruiting 32 respondents by stratified random sampling technique. The intervention was done three times a day for three days. Deep breathing exercise for thirty times and continued with active range of motion for five times each movement was given. Digital sphygmomanometer and digital watch were used as measuring instruments. Data were analyzed using independent and paired t-tests. Result: The results showed that there were significant differences in the systole ( p =0.000), diastole ( p =0.000) and respiratory rates ( p =0.003) after the intervention compared to the control group. There was also a significant difference in systolic blood pressure between the intervention and the control group ( p =0.003). However, no significant difference in diastole and respiratory rates was found. Conclusion: Deep breathing exercise combined with active range of motion decreases the systole in CHF patients. Further research is expected to lengthen the time of intervention to allow better significance.

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Deep Breathing Exercise and Active Range of Motion Influence Physiological Response of Congestive Heart Failure Patients

Hypertension is a main risk factor of cardiovascular disease which is ranked as number one cause of death in the world. The increase of life expectancy and changes in life style have increased the prevalence of hypertension risk factor in both developed and developing countries. The objectives of this study are (1) To know the prevalence and distribution of hypertension in di Java island, in year 2004. (2) To know sosiodemographic factors related to hypertension. (3) To know the contribution of each sosiodemographic factor toward hypertension. The study used multilevel ecologic study design that integrated both individual and ecological level variables measurement. The analysis method used in this study was contextual analysis and multiple logistic regression with hypertension status as dependent variable. The individual level measurement of variables such as hypertension status and age, job, education and sex is taken from Household Health Survey (SKRT) 2004. The sosiodemographic data which was ecological measurement level served as the main independent variables were taken from Indonesian Health Profile, Indonesian Health Statistics, Public Welfare Statistics and data from Department of Internal Affair, particularly from Province Surveillance Unit. The study results showed that the prevalence of hypertension in Java Island was 41,9%, with range of prevalence in provincial level of 36,6%-47,7%. The prevalence in urban areas was 39,9% (37,0%-45,8%) and in rural areas was 44,1% (36,2%-51,7%). Key words: Hypertension, sosiodemographic factors

Prevalensi dan Determinan Hipertensi di Pulau Jawa, Tahun 2004

Congestive heart failure (CHF) is a non-communicable disease caused by failure to pump blood. An alternative treatment with complementary therapies, such as recitation Al-Qur'an intervention and deep breathing exercise, improved oxygen saturation, and anxiety levels CHF patients. This study aimed to examine the effectiveness of recitation Al-Qur'an intervention and deep breathing exercises on strengthening the vital signs (oxygen saturation) and anxiety level among patients with congestive heart failure (CHF). The true experimental study approach post-test only with a control group design was applied in this study. Forty congestive heart failure (CHF) patients were selected through simple random sampling. The intervention group received the recitation Al-Qur'an therapy and deep breathing exercise, while the control group only received the medical treatment according to hospital standards. The findings showed that the intervention group was better on oxygen saturation and lowering anxiety levels than the control group (p-value = <0.05). In conclusion, recitation Al-Qur'an intervention and deep breathing exercises are useful to increase oxygen saturation and lowering anxiety levels in patients with congestive heart failure (CHF). This study can be used as a source for further research with larger sample size and better control over medical therapy

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The Effectiveness of Recitation Al-Qur’an Intervention and Deep Breathing Exercise on Improving Vital Sign and anxiety Level among Congestive Heart Failure (CHF) Patients

Abstrak Tujuan penelitian untuk mengidentifikasi penurunan tekanan darah dan tingkat kecemasan pasien hipertensi primer setelah melakukan latihan slow deep breathing antara kelompok intervensi dan kelompok kontrol. Penelitian menggunakan desain kuasi eksperimen Pretest-Posttest Control Group melibatkan 28 responden untuk setiap kelompok. Hasil menunjukkan perbedaan penurunan rata-rata tekanan darah sistolik sebesar 15,5 mmHg, perbedaan penurunan rata-rata tekanan darah diastolik sebesar 9,9 mmHg dan perbedaan penurunan rata-rata skor tingkat kecemasan sebesar 3,2. Analisis lebih lanjut menunjukkan ada perbedaan penurunan yang signifikan rata-rata tekanan darah sistolik, tekanan darah diastolik dan tingkat kecemasan antara kelompok intervensi dengan kelompok kontrol (p= 0,000, α= 0,05). Latihan Slow deep breathing dalam pelayanan keperawatan dapat digunakan sebagai intervensi keperawatan mandiri dalam memberikan asuhan keperawatan pada pasien hipertensi primer. Abstract The purpose of this study is to identify the reduction of blood pressure and anxiety level in patients with primary hypertension after slow deep breathing exercise between intervention and control groups. This research utilized a Quasi-Experimental Pre – post test Control Group design involved 28 subjects for each group. The result indicated that there is a decrease of 9.9 mm Hg in the average of systolic blood pressure and the anxiety level of 3.2 after the intervention. Further result demonstrated that there is a significant reduction of the average systolic and diastolic pressure, and anxiety level between intervention and control groups (p= 0,000, α= 0,05 ). Therefore, the slow deep breathing exercise can be applied as one of the independent nursing therapies in nursing care of patients with primary hypertension.

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Penurunan Tekanan Darah dan Kecemasan Melalui Latihan Slow Deep Breathing Pada Pasien Hipertensi Primer

Deep diaphragmatic breathing adalah tindakan non farmakologi pada pasien gagal jantung yang dapat meningkatkan saturasi oksigen. Tujuan penelitian untuk mengidentifikasi peningkatan saturasi oksigen, penurunan dyspnea, tekanan darah, nadi dan respirasi setelah melakukan latihan deep diaphragmatic breathing di RSD Mardi Waluyo Blitar. Metodologi penelitian ini merupakan penelitian kuantitatif dengan desain Pra-Experimental dengan pendekatan Pretest-Posttest . Sampel penelitian terdiri dari 50 responden yaitu pasien gagal jantung yang menjalani rawat jalan di poli penyakit dalam. Pengambilan sampel dilakukan dengan cara purposive sampling . Latihan deep diaphragmatic breathing ini dilakukan selama 14 hari dan saturasi oksigen nadi, tekanan darah serta respirasi diobservasi pada hari ke-1, ke-7 dan ke-14. Hasil penelitian menunjukkan adanya peningkatan rata-rata saturasi oksigen 0,9%, penurunan derajat dyspnea 2,14 poin, tekanan darah sistolik 3 mmHg, diastolik 6,2 mmHg, nadi 2,98 kali permenit dan respirasi 4,76 kali permenit. Analisis lebih lanjut menunjukkan deep diaphragmatic breathing efektif dalam meningkatkan saturasi oksigen dan menurunkan derajat dyspnea, tekanan darah, nadi dan respirasi pada pasien gagal jantung (p=-0,000, a=0,05). Deep diaphragmatic breathing mampu meningkatkan volume tidal, meningkatkan efisiensi ventilasi dan meningkatkan aktifitas sistem saraf parasimpatis serta sensitivitas baroreseptor. Latihan deep diaphragmatic breathing dalam pelayanan keperawatan dapat digunakan intervensi keperawatan mandiri dalam memberikan asuhan keperawatan pada pasien gagal jantung. Rekomendasi dari penelitian ini perlu dilanjutkan dengan sampel yang lebih kompleks dan dilakukan secara random. Kata kunci: Saturasi oksigen, deep diaphragmatic breathing , gagal jantung

Peningkatan saturasi oksigen melalui latihan deep diaphragmatic breathing pada pasien gagal jantung

Latar belakang: Gastritis merupakan suatu keadaan peradangan mukosa lambung yang dapat bersifat akut dan kronik diakibatkan kurangnya perhatian penderita terhadap kesehatan salahs satunya penerapan pola hidup yang tidak sehat. 
Tujuan: Mengidentifikasi gambaran mengenai Studi Kasus Asuhan Keperawatan Pada Pasien Dengan Masalah Gastritris di RS Wonolangan Probolinggo. 
Metode: Penelitian kualitatif ini menggunakan desain studi kasus yang dirancang khusus untuk mempelajari secara rinci dan mendalam mengenai sebuah kasus dan menyertakan berbagai sumber informasi. 
Hasil: Pengkajian yang telah dilakukan terhadap Tn. A didapatkan bahwa defisit nutrisi berhubungan dengan mual. Setelah dilakukan tindakan asuhan keperawataan, mual yang dialami Tn. A berkurang ditandai dengan meningkatnya nafsu makan Tn. A. 
Kesimpulan: Bahwa masalah keperawatan difisit nutrisi pada telah teratasi. Motivasi dan pendidikan kesehatan sangat diperlukan untuk penderita gastritis diantaranya dengan menjaga oral hygiene, makan dengan porsi sedikit tapi sering, dan menjaga pola makan yang baik

Asuhan Keperawatan pada Pasien Gastritis di RS Wonolangan Probolinggo: Studi Kasus

There have been numerous young people with hypertension and need treatment. The treatment measures experienced have side effects and are felt throughout life. Efforts to reduce side effects require non-pharmacological measures, incorporate effleurage back massage. The objective of this study is to assess the effectiveness of effleurage back massage on vital signs, oxygen saturation, and anxiety of patients with primary hypertension aged 45-54 years. The method in this study employed a quasi-experimental design with a non-randomized pretest-posttest control group design approach. The sample of this study were patients with primary hypertension aged 45-54 years who received regular treatment at UPTD Kesehatan (Health Unit) in Blitar City area, as many as 101 patients (51 treatment groups, 50 control groups). The inclusion criteria of patients were having a systolic blood pressure of 140-180 mmHg and diastolic 90-100 mmHg, obtaining a maximum of 2 standard antihypertensive treatments and not smoking. The analysis administered descriptive, time series, t-test and ANOVA. The results of this study presented that after the effleurage back massage, there was a decrease in systolic blood pressure of 13.88 mmHg, diastolic blood pressure of 10.08 mmHg, pulse 9.76 times per minute and respiration 0.67 times per minute. Effleurage back massage is effective if it is performed after 5 times and it spends time for the next massage to pause. Back massage can be performed alone by patients with hypertension every week for 20 minutes each massage.

The Effectiveness of Effleurage Back Massage on Vital Signs, Oxygen Saturation, and Anxiety of Patients with Hypertension

Kusta adalah penyakit kronik yang terutama menyerang kulit dan saraf tepi serta mengakibatkan ulserasi mutilasi dan deformitassehingga dapat menimbulkan masalah sosial, psikologis, dan ekonomis.. Tujuan penelitian ini mengetahui upaya penderita kusta dalam mencegah peningkatan derajat kecacatan. Metode penelitian ini adalah deskriptif dengan populasi seluruh penderita kusta yang mengikuti Kelompok Perawatan Diri (KPD) di Puskesmas Sutojayan dan Ponggok kabupaten Blitar. Jumlah sampel sebanyak 26 orang diambil dengan teknik sampling jenuh. Pengumpulan data dilakukan dengan kuesioner dan observasi. Hasil penelitian menunjukkan bahwa upaya yang dilakukan penderita kusta dalam mencegah peningkatan derajat kecacatan kusta meliputi 42.3% kategori baik, 50% kategori cukup, dan sisanya 7.7% dalam kategori kurang. Upaya pencegahan kecacatan akibat kusta yang kurang dilakukan adalah senam kaki maupun jari tangan untuk mencegah kekakuan pada bagian tersebut. Rekomendasi penelitian ini diharapkan peran Puskesmas dan tenaga kesehatan untuk meningkatkan dukungan dan motivasi kepada penderita kusta dalam melakukan upaya pencegahan derajat kecacatannya.

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Tri Cahyo Sepdianto

Papers

Penurunan Tekanan Darah dan Kecemasan Melalui Latihan Slow Deep Breathing Pada Pasien Hipertensi Primer

Peningkatan saturasi oksigen melalui latihan deep diaphragmatic breathing pada pasien gagal jantung

Asuhan Keperawatan pada Pasien Gastritis di RS Wonolangan Probolinggo: Studi Kasus

The Effectiveness of Effleurage Back Massage on Vital Signs, Oxygen Saturation, and Anxiety of Patients with Hypertension

Leprosy Patients' Efforts to Prevent Increasing Degrees of Disability