Efe ktifi tas Kombinasi Terapi Musik Dan SlowDeep Breathing Terhadap Penurunan Tekanan Darah Pada Pasien Hipertensi
Journal Title: IJNP (Indonesian Journal of Nursing Practices) - Year 2015, Vol 2, Issue 2
Abstract
Hypertension is an increasing of blood pressure that does not cause symptoms for many years until there is asigniicant organ damage and the cause of the increasing of morbidity and mortality in Indonesia. The combination of music therapy and slow deep breathing help controlling blood pressure gradually. This condition will maintain the patient to not experience complications. The purpose of this research is to determine the efects of music therapy combined with slow deep breathing to decrease blood pressure in patients with hypertension. This research is quasy-experiment with pretest- posttest control group design. Samples in this study are 56 respondents who are the patients with primary hypertension in Alak Public Health Centerwhich are divided into 28 people for treatment group and 28 people for control group by simple random sampling. The irst stage iscarrying out the measurements of blood pressure and giving intervention in the treatment group for 20 minutes, then measuring blood pressure. Meanwhile, the blood pressureof control group is measured. The second stage is 4 times monitoring visits in the group treated for 2 weeks and the post data in the control group at the end of the second week. The dataof average changes in per-post are analyzed using the Wilcoxon test and comparison of two groups using the Mann-Whitney test. The result shows the average change in blood pressure treatment group is higher than the control group. The statistic analysis of p value of systolic and diastolic blood pressure is<0.05. There is a decrease in changes in systolic and diastolic blood pressure (p value = 0.000) of treatment group and the control group. It can be concluded that the combination of music therapy with slow deep breathing is efective in lowering the blood pressure of patients with primary hypertension and there is a change in blood pressure of treatment group and control group. Hipertensi merupakan peningkatan tekanan darah yang tidak menimbulkan gejala selama bertahun-tahun sampai terjadi kerusakan organ bermakna dan penyebab morbiditas meningkat di Indonesia. Kombinasi terapi musik dan slow deep breathing membantu mengontrol tekanan darah secara bertahap, sehingga menncegah pasien tidak mengalami komplikasi. Tujuan penelitian ini adalah mengetahui efek kombinasi terapi musik dengan slow deep breathing terhadap penurunan tekanan darah pada pasien hipertensi primer. Jenis penelitian ini adalah quasy-experiment dengan pretest-posttest control group design. Sampel sebanyak 56 responden penderita hipertensi primer di Wilayah Kerja Puskesmas Alak yang dibagi menjadi 28 orang kelompok perlakuan dan 28 orang kelompok kontrol diambil dengan metode simple random sampling. Variabel independen: kombinasi terapi musik dan slow deep breathing sedangkan dependen: tekanan darah. Tahap pertama dilakukan pengukuran tekanan darah dan diberikan perlakuan kombinasi terapi musik dan slow deep breathing pada kelompok perlakuan selama 20 menit kemudian diukur tekanan darah, sedangkan kelompok kontrol hanya diukur tekanan darah saja. Tahap kedua monitoring 4 kali kunjungan pada kelompok perlakuan selama 2 minggu dan post pada kelompok kontrol pada akhir minggu ke 2. Data tidak terdistribusi normal sehingga perubahan rata-rata tekanan darah dianalisis dengan uji Wilcoxon dan perbedaan antara kelompok perlakuan dan kontrol menggunakan uji Mann-Whitney. Hasil penelitian menunjukkan penurunan rata-rata tekanan darah kelompok perlakuan lebih besar dibandingkan kelompok kontrol. Hasil analisis statistik dengan Wilcoxon p-value tekanan darah sistolik (p=0,000) dan diastolik (p=0,000). Terdapat penurunan perubahan tekanan darah sistolik dan diastolik (p-value = 0,000) antara kelompok perlakuan dan kontrol. Disimpulkan kombinasi terapi musik dengan slow deep breathing efektif menurunkan tekanan darah pasien hipertensi primer.
Authors and Affiliations
Sebastianus K. T, Tri Wulandari K, Azizah Khoiriyati
Keywords
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