scholarly journals Pengaruh Pemberian Daun Kelor Terhadap Penurunan Tekanan Darah Pada Penderita Hipertensi Lansia Selama Masa Pandemi Covid-19

2021 ◽  
Vol 8 (2) ◽  
pp. 101
Author(s):  
Wahyu Riniasih ◽  
Wahyu Dewi Hapsari

Hipertensi menjadi salah satu penyakit yang menjadi faktor risiko terbesar kematian. Hipertensi menjadi penyakit penyerta yang banyak di temukan pada penderita COVID-19. Sekitar 15% kasus hipertensi yang terdapat pada pasien COVID-19 dan kejadian hipertensi mayoritas terjadi pada usia lansia  sebesar 54,60%.  Diperlukan suatu tindakan non farmakologi untuk menurunkan tekanan darah salah satunya dengan daun kelor. Tujuan penelitian ini untuk mengetahui pengaruh pemberian daun kelor terhadap penurunan tekanan darah pada penderita hipertensi lansia selama masa pandemi covid -19 di Kabupaten Grobogan. Metode penelitian kuantitatif dengan rancangan  quasy eksperimen with control group design. Pengambilan sampel adalah non probability sampling dengan teknik qouta sampling (Judgement Sampling). Hasil diperoleh rata rata penurunan tekanan darah sistole adalah 16,00 dan hasil signifikansi dari perbedaan  didapatkan r (0,000) < α (0,05). rata-rata penurunan tekanan darah diastole adalah 14,33 dengan  hasil signifikansi dari perbedaan  didapatkan r (0,000) < α (0,05) yang artinya ada pengaruh pemberian daun kelor terhadap penurunan tekanan darah. Simpulan terdapat perbedaan penurunan tekanan darah pada kelompok perlakuan dan kelompok kontrol pada lansia hipertensi di kabupaten Grobogan.Kata Kunci : hipertensi; lansia; daun kelorThe Effect Of  Moringa Oleifera  Leaf  On  Blood Pressure Reduction In Elderly With Hypertension Patients  During The Covid-19 PandemicsAbstractHypertension is one of the diseases that are the biggest risk factor for death. Hypertension is a comorbid disease that is often found in patients with COVID-19. About 15% of hypertension cases found in COVID-19 patients and the majority of hypertension cases occurred in the elderly at 54.60%. A non-pharmacological action is needed to lower blood pressure, one of which is Moringa Oleifera leaves. The purpose of this study was to determine the effect of giving Moringa Oleifera leaves on reducing blood pressure in elderly hypertensive patients during the COVID-19 pandemic in Grobogan Regency. Quantitative research method was used with a quasi-experimental design control group design. The sampling technique was Non Probability Sampling with Qouta Sampling technique (Judgement Sampling). The results obtained that the average decrease in systolic blood pressure was 16.00 and the significance of the difference was  (0.000) (0.05). The average decrease in diastolic blood pressure was 14.33 with the results of the significance of the difference obtained (0.000) (0.05) which means that there is an effect of giving Moringa Oleifera leaves to decrease blood pressure. In conclusion, there are differences in blood pressure reduction in the treatment group and the control group in the elderly with hypertension in Grobogan district. Keywords: hypertension, elderly, moringa leaf.

2020 ◽  
Vol 86 ◽  
pp. 01002
Author(s):  
S Awaludin ◽  
A Sumeru ◽  
G N Alivian ◽  
D Novitasari

Uncontrolled hypertension can lead to heart disease, kidney disease, and stroke. Hence, it needs therapy. There are complementary therapies that can reduce high blood pressure. Music provides a relaxing effect so that blood vessel dilates and blood pressure drops. Humor therapy can provide a relaxation response and decrease blood pressure. Prayer therapy has a positive effect on body physiology that can lower blood pressure. The purpose of this study was to identify the effect of combination of music, humor, and prayertherapy on blood pressure. This study used true experiment pre and post control group design. The number of samples in this study were 131 respondents with primary hypertension on the elderly in Banyumas Regency. The sampling technique used was simple random sampling. Wilcoxon was used to test the difference of blood pressure before and after the intervention in one group, while the difference test among groups employed Mann Whitney test. The result indicated that respondent’s hypertension is categorized into moderate. There is difference on the mean of blood pressure before and after SIKKOMODO therapy and combination of music, humor, and humor therapy. There is a significant difference in term of systolicblood pressure betweentreatment and control group, and there is no difference on the systolic blood pressure between the two groups.


2017 ◽  
Vol 8 (3) ◽  
pp. 396
Author(s):  
Nehemia Bangkit Pangestu ◽  
Maria Dyah Kurniasari ◽  
Antonius Tri Wibowo

<p>Old age is often attacked the cardiovascular diseases such as hypertension. Ministry of Health Republic of Indonesia (2012) states that hypertension is one of the most influential risk factors for the incidence of heart disease and blood vessels. High blood pressure continuously increases the burden of the arteries slowly. The arteries undergo hardening process becomes thick and rigid, thus reducing its elasticity. Hypertension can also lead to heart disease because if high blood pressure is left without regular treatment, the heart must pump very strongly to push blood into the arteries, over time the walls of the heart muscle become thicker. An abnormally enlarged heart is an unhealthy heart because the heart becomes stiff and the beat tends to be irregular. This will make pumping less effective and eventually lead to heart failure. Pharmacologic treatment using drugs have the risk of side effects. The purpose of this study was to analyze the effectiveness of laughter yoga as non-pharmacological therapy in the elderly with hypertension by measuring the difference in blood pressure before and after being treated laughter yoga. Quantitative experimental research with pretest-posttest with a control group design. The sample used purposive sampling that is 20 elderly that is 10 elderly with treatment and 10 elderly as a control. The instrument was used analog tensimeter. Wilxocon different test results obtained from pre-treatment group of post systole and diastole p-value 0,007 and 0,003. While in control group of pre-post systole and diastole p-value 0,831 and 0,084. Laughter yoga effectively against decreased blood pressure in the elderly with grade 2 hypertension at the Panti Wredha Salib Putih Salatiga.</p>


2021 ◽  
Vol 3 (2) ◽  
pp. 45
Author(s):  
Edy Soesanto ◽  
Salsabella Zulino

Hypertension is a condition of increasing a person's blood pressure beyond normal limits, causing increased morbidity and mortality. Hypertension can be reduced by consuming cucumber which contains potassium which inhibits the release of renin so that there is an increase in sodium and water excretion. In addition, it can also be reduced by consuming honey which can prevent the formation of plaque attached to the walls of blood vessels so that it can eliminate bad cholesterol for the body. This study aimed to determine the effect of giving cucumber and honey water immersion on Elderly Hypertension. This study used a Quasy Experimental design with a Pretest and Posttest with Control Group design. Sampling using a simple random sampling technique. The sample in this study amounted to 30 elderly people using the paired sample t-test statistical test. The results showed that the average blood pressure of the intervention group before being given the cucumber and honey water immersion was 153.6/84 mmHg and after it was 148.3/82.1 mmHg. The average blood pressure of the control group before being given the cucumber and honey water immersion was 158.5/80.2 mmHg and after it was 163.5/80.2 mmHg with p = 0.000. In the results of the independent sample test the intervention group before being given therapy, namely Sig. (2-tailed) = 0.027, the control group before treatment was Sig. (2-tailed) = 0.045. While the test results of the intervention group after being given therapy are Sig. (2-tailed) = 0.124, the control group after being given therapy is Sig. (2-tailed) = 0.139. There is an effect of giving cucumber and honey water immersion therapy on changes in blood pressure in the elderly with hypertension. But there is no difference in the average blood pressure of the Hypertensive Elderly. It is expected that the elderly with hypertension can make cucumber and honey water immersion as an alternative therapy to reduce hypertension


Author(s):  
Niken Setyaningrum ◽  
Andri Setyorini ◽  
Fachruddin Tri Fitrianta

ABSTRACTBackground: Hypertension is one of the most common diseases, because this disease is suffered byboth men and women, as well as adults and young people. Treatment of hypertension does not onlyrely on medications from the doctor or regulate diet alone, but it is also important to make our bodyalways relaxed. Laughter can help to control blood pressure by reducing endocrine stress andcreating a relaxed condition to deal with relaxation.Objective: The general objective of the study was to determine the effect of laughter therapy ondecreasing elderly blood pressure in UPT Panti Wredha Budhi Dharma Yogyakarta.Methods: The design used in this study is a pre-experimental design study with one group pre-posttestresearch design where there is no control group (comparison). The population in this study wereelderly aged over> 60 years at 55 UPT Panti Wredha Budhi Dharma Yogyakarta. The method oftaking in this study uses total sampling. The sample in this study were 55 elderly. Data analysis wasused to determine the difference in blood pressure before and after laughing therapy with a ratio datascale that was using Pairs T-TestResult: There is an effect of laughing therapy on blood pressure in the elderly at UPT Panti WredhaBudhi Dharma Yogyakarta marked with a significant value of 0.000 (P <0.05)


2018 ◽  
Vol 2 (2) ◽  
pp. 163
Author(s):  
Arum Reyan Safitri ◽  
Rita Ismawati

Background: Hypertension is the silent disease which a person will not know if he has increased blood pressure. The incidence rate of hypertension is very high especially in the elderly population over 60 years. Hypertension management can be done in pharmacological ways such as medicines and can use natural ingredients in lowering blood pressure that is by utilizing the noni fruit.Objectives: This study aimed to analyze the effectiveness of Noni fruit tea in lowering elderly blood pressure with hypertensionMethod: This research was quasy experimental throug with Pretest-Postest Control Group Design design. Determination of research sample by using inclusion and exclusion criteria. The sample of the study was 34 respondents divided into two groups. Intervention of Noni fruit tea given as much as 5 gram for 30 days with frequency of giving 2 times a day in the morning and afternoon. Blood pressuremeasurement was performed at the beginning of the study and at the end of the study. Data were analysed using wilcoxon test and Mann Whitney test.Result: Mann Whitney test results showed that there was significant effect after the intervention of noni fruit tea in treatment group compared with control group with systolic blood pressure value (p =0.000171) and diastolic blood pressure (p = 0.000480) with α = 0.05Conclusions: Blood pressure in the treatment group after the intervention of noni fruit tea decreased blood pressure compared with the control group. It is Suggested of research, need to do periodic nutrition education and giving noni fruit tea as alternative medicine that effectively decrease hypertension, scheduled.ABSTRAKLatar Belakang : Hipertensi merupakan the silent disease dimana seseorang tidak akan mengetahui jika dirinya mengalami peningkatan tekanan darah. Angka insiden hipertensi sangat tinggi terutama pada populasi lanjut usia diatas 60 tahun. Penatalaksaan hipertensi dapat dilakukan dengan cara farmakologis seperti obat-obatan serta dapat menggunakan bahan alami dalam menurunkan tekanan darah yaitu dengan memanfaatkan buah mengkudu.Tujuan : Penelitian ini bertujuan menganalisis efektifitas teh buah mengkudu dalam menurunkan tekanan darah lansia dengan hipertensiMetode : Penelitian ini bersifat quasy eksperimental dengan desain Pretest-Postest Control Group Design. Penentuan sampel penelitian dengan menggunakan kriteria inklusi dan eksklusi. Sampel penelitian sebanyak 34 responden yang dibagi menjadi dua kelompok. Intervensi teh buah mengkudu diberikan sebanyak 5 gram selama 30 hari dengan frekuensi pemberian 2 kali sehari pada pagi dan sore hari. Pengukuran tekanan darah darah dilakukan pada awal penelitian dan di akhir penelitian. Analisis data penelitian menggunakan uji wilcoxon dan uji Mann Whitney.Hasil : Hasil uji Mann Whitney menunjukkan bahwa terdapat pengaruh yang signifikan sesudah intervensi teh buah mengkudu pada kelompok perlakuan dibandingkan kelompok kontrol dengan nilai tekanan darah sistolik (p=0.000171) dan tekanan darah diastolik (p=0,000480) dengan α=0.05Kesimpulan : Tekanan darah pada kelompok perlakuan susudah intervensi teh buah mengkudu mengalami penurunan tekanan darah dibandingkan dengan kelompok kontrol. Saran penelitian, perlu dilakukan pendidikan gizi secara berkala dan pemberian teh buah mengkudu sebagai obat alternatif yang efektif menurunkan hipertensi, secara terjadwal.


Author(s):  
Komang Achjar ◽  
Dwi Agustanti ◽  
Sri Parasitha ◽  
Moses Glorino Rumambo Pandin

Diabetes is a chronic disease that often causes progressive complications in the elderly. Along with the decline in cognitive function in the elderly, it causes dependence on disciplined management of diabetes mellitus. This dependence causes a very important mentoring role to be given. The purpose of this study is to provide knowledge, attitudes, and family skills to care for the elderly with diabetes mellitus at home through the empowerment of elderly cadres in Lampung. This research method is a quasi-experimental research with a control group design with a total of 64 elderly respondents and 64 families selected by simple random sampling technique. The assessment used an instrument for assessing family abilities that the researcher developed included aspects of knowledge, attitudes, and skills. The results of the dependent t-test analysis showed a significant increase in the knowledge and skills variable in the intervention group (0.000) but decreased in the attitude variable with p 0.198. Meanwhile, the increase in value also occurred in the attitude and skill variables in the control group. So that the results of the independent t-test only showed a significant difference in the attitude score (0.000) with the highest score in the control group. So that there is no significant increase in the ability of the family after the implementation of elderly cadres empowerment.


2020 ◽  
Vol 2 (2) ◽  
pp. 55-61
Author(s):  
Madiyo Madiyo ◽  
Dardiri Dardiri

This research is aimed to know (1) the difference of the students’ cognitive study results that used integrated-interconnected (confirmative models) physics module and physics module of heat. (2) the effect of using integrated-interconnected (confirmative models) physics module concering about the student’ cognitive study result. (3) the effect of using integrated-interconnected (confirmative models) physics module concering about the student’ interest in learning. This is a quasi-experiment research with Matching Pretest-Posttest Control Group Design. The variables consist of free variable that has the integrated-interconnected (confirmative models) physics module and bound variable that has the students’ interest and their study result. The population are all of 11th grade students of MAN 1 Bandar Lampung. Taking sample in this research is done by simple random sampling technique, so XI MIA2 is chosen as the experimental class and XI MIA3 is chosen as the controlling class. Instrument used in this research consist of pretest and posttes question, quesionnaire of the students’ interest and respons in learning. The technique of analysing data use T-test and simple regression analysis. The results of this research show that (1) there is a defference of the students’ cognitive study results that used integrated-interconnected (confirmative models) physics module and physics physics module of heat (tcalculation = 2,365 > ttable = 2,023, so Ha accepted). (2) there is a effect of using integrated-interconnected (confirmative models) physics module concering about the student’ cognitive study result with coefficient of regression 1,082. (3) there is a effect of using integrated-interconnected (confirmative models) physics module concering about the student’ interest in learning with coefficient of regression 0,624.


2018 ◽  
Vol 4 (2) ◽  
pp. 192
Author(s):  
Dwi Gita Oktaviani ◽  
Ahmad Harjono ◽  
I Wayan Gunada

Lesson material presented in the form of data or facts and specific concepts on expository learning model helps learners to connect new material with material that precedes it, so organizers help is provided to instill meaningful learning. This study aims to determine the difference of influence of the implementation of learning model of assisted advance organizer and post organizer expository. The population in this study is all students of class X MIA SMA Negeri 3 Mataram academic year 2017/2018. Sampling is done by purposive sampling technique, and quasi experimental research uses non-equivalent control group design with pre-test-and post-test. The results obtained from the classroom given the treatment of expository learning model assisted by advance organizer and post organizer have the same tendency improvement. In both classes there is a relatively similar increase in the mastery of the previous concept, but the difference between the two is not much different. Therefore, there is no difference of influence between expository model of assisted advance organizer and post organizer to the mastery of work and energy concepts of learners.


2021 ◽  
Vol 12 (2) ◽  
pp. 242
Author(s):  
Ahmady Ahmady ◽  
Zulhaini Sartika A. Pulungan ◽  
Edi Purnomo

<p class="JKKAbstrakBodyIndo">The problem for pregnant women is iron anemia. The natural material that contains iron is honey. The study aims to determine the difference in hemoglobin levels in pregnant anemic who are supplemented Fe tablets and honey. Quasi-experimental research with nonrandomized pretest and posttest with control group design. Samples amounted to 30 people with purposive sampling technique. Analysis using paired t-test and independent sample t-test. The hemoglobin levels of anemic pregnant given Fe tablets only increased by 0,31gr/dl (3,21%), while those given Fe tablets and honey increased 1,06gr/dl (12,20%). Combination Fe tablets and honey can be an alternative for increasing hemoglobin in anemic pregnant.</p><p> </p>


2020 ◽  
Vol 14 (2) ◽  
pp. 177-186
Author(s):  
Asep Badrujamaludin ◽  
Budiman Budiman ◽  
Tifany Desty Erisandi

The effect of celery (apium graveolens) leaf and bay leaf (Syzygium polyanthum wight) on the blood pressure in pre-elderly with primary hypertensionBackground: Hypertension, also known as high blood pressure, is as medical condition in which the blood pressure in arteries is persistently elevated. This condition can increase risk of cardiovascular diseases such as stroke, kidney failure, heart attack, and kidney damage. Hypertension requires proper treatment to prevent uncontrolled blood pressure that can cause damaged organs. One of traditional treatment for hypertension is using celery leaves (Apium graveolens L) and bay leaves (Syzygium polyantum).Purpose: This research is to determine the difference of blood pressure after the consumption of boiled water celery leaves and bay leaves in pre-elderly with hypertension at Cigugur Tengah Public Health Center.Method: The type of this research is the numerical comparative analytic with Quasi Experiment design with Non Equivalent Control Group Design. This research used purposive sampling technique using 22 responden with inclusion and exclusion criteria. Data collection was performed by measuring the blood pressure before and after the consumption of celery leaves and bay leaves boiled water that consume twice a day in one week. The data are processed including univariate and bivariate data analysis.Results: The statistical result of T-independent test obtain p value of 0,365 > α (0,05)  for the systolic blood pressure and 0,574 > α (0,05) for diastolic blood pressure.Conclusion: Result showed that there is no average difference of blood pressure in group intervention boiled water of celery leaves and bay leaves after consumption of boiled water celery leaves and bay leaves. However, both intervention have decreased blood pressure of hypertension patient.Suggestion of this research is to consume boiled water of celery leaves and bay leaves for longer time as additional therapy for hypertension patient.Keywords: Pre-elderly; Celery leaf; Bay leaf; Primary hypertensionPendahuluan: Hipertensi merupakan suatu keadaan tekanan darah yang tinggi di dalam arteri, sehingga meningkatkan risiko terhadap penyakit-penyakit yang berhubungan dengan kardiovaskuler seperti stroke, gagal ginjal, serangan jantung, dan kerusakan ginjal. Hipertensi membutuhkan penanganan yang tepat untuk mencegah tidak terkontrolnya tekanan darah yang dapat menyebabkan organ tubuh menjadi rusak. Salah satu pengobatan alami hipertensi yang dilakukan adalah pengobatan dengan menggunakan daun seledri (Apium graveolens L) dan daun salam (Syzygium polyanthum).Tujuan: Untuk mengetahui perbedaan tekanan darah sesudah pemberian air rebusan daun seledri dan air rebusan daun salam terhadap penurun tekanan darah pada pra lansia dengan hipertensi primerMetode: Analitik komparatif numerik tidak berpasangan dengan desain Quasi Eksperimen dengan rancangan Non Equivalent Control Group. Pengambilan sampel dilakukan secara teknik purposive sampling sebanyak 22 responden. Pengumpulan data dilakukan dengan cara mengukur tekanan darah responden sebelum dan sesudah diberikan perlakuan dua kali sehari selama satu minggu. Pengolahan dengan menggunkan uji T-independent diperoleh nilai p value tekanan darah sistolik 0,365 > α (0,05) dan p value tekanan darah diastolik 0,574 > α (0,05).Hasil: Tidak terdapat perbedaan yang signifikan rerata tekanan darah pada kelompok intervensi baik yang diberikan air rebusan daun seledri dan air rebusan daun salam.Simpulan: Terdapat penurunan tekanan darah dari kedua kelompok intervensi tersebut bagi penderita hipertensi. Saran dari penelitian ini diharapkan penderita yang mengalami hipertensi dapat mengaplikasikan air rebusan daun seledri dan air rebusan daun salam dalam kurun waktu lama sebagai tambahan terapi untuk hipertensi.


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