EFFECTIVENESS OF SLOW DEEP BREATHING ON DECREASING BLOOD PRESSURE IN PRIMARY HYPERTENSION: A RANDOMIZED CONTROLLED TRIAL OF PATIENTS IN ATAMBUA, EAST NUSA TENGGARA
DOI:
https://doi.org/10.20319/mijst.2015.12.0114Keywords:
Blood Pressure, Hypertension, Slow Deep BreathingAbstract
SDB is a no pharmacology therapy applied to reduce blood pressure in patients with primary hypertension. The purpose of this study was to determine the effectiveness of slow deep breathing exercise to reduce blood pressure in patients with primary hypertension in Atambua, East Nusa Tenggara. The study was a quantitative research employing a randomized controlled trial design with pretest and posttest control group. The total number of the respondents was 142 including 33 respondents from the LS group, 37 respondents from the SDB group, 39 respondents from the combination of SDB-LS group, and 33 respondents from the control group. The results showed that there were differences in the reduction of systolic blood pressure between SDB group accounting for 28.59 mmHg and diastolic blood pressure accounting for 16.92 mmHg. The result of Anova analysis showed that there was a significant decrease on average of systolic blood pressure (P value = 0.002) and diastolic blood pressure (P value = 0.007). This research suggests the application of non-pharmacological actions particularly toward SDB exercise in order to decrease the prevalence of hypertension. This will minimize consequences caused by this problem.
References
Amsriza, F. R. (2004). Obesity Influence to Blood Pressure and Blood Glucose Level in Elder. Penelitian, tidak dipublikasikan
Anderson, D. (2008). Bernapas Lambat dan Dalam Bisa Turunkan Tekanan Darah. http://www. keluargasehat.com, diperoleh 15 Pebruari 2010
Andri. (2008). Penatalaksanaan Hipertensi Terkini. Makalah Seminar Ilmiah Kedokteran. FK-UI. Tidak Dipublikasikan
Anggraini, dkk. (2009). Faktor-faktor yang berhubungan dengan Hipertensi pada Pasien yang berobat di Poliklinik Dewasa Puskesmas Bangkinang. http://www.yayanakhyar. wordpress.com. Diperoleh tanggal 20 Juni 2010
Astawan, M. (2010). Cegah Hipertensi dengan Pola Makan. http://www.depkes.go.id/ diperoleh tanggal 13 Januari 2010
Depkes RI (2005). Survei Kesehatan Rumah Tangga tahun 2004 volume 2
Franklin, S. S., Jacobs, M. J., Wong, N. D., Gilbert, J. L., & Lapuerta, P. (2001). Predominance of isolated systolic hypertension among middle-aged and elderly US hypertensives analysis based on National Health and Nutrition Examination Survey (NHANES) III. Hypertension, 37(3), 869-874.
Grossman, E., Grossman, A., Schein, M.H., Zimlichman, R., & Gavish, B. (2001). Breathing-control lower blood pressure, http:www.nature. com/jhh/journal/v15/n4/pdf/1001147a.pdf, diperoleh tanggal 7 Februari 2010
Gunawan, B., & Sumadiono (2007). Stres dan Sistem Imun Tubuh: Suatu Pendekatan Psikoneuroimunologi. (http://dennyhendrata. wordpress.com/2007/07/28/stres-dan-sistem-imun-tubuhsuatu-pendekatan-psikoneuro imunologi/. Diperoleh tanggal 15 Februari 2010)
Hastono, S. H. (2008). Analisa Data Kesehatan. FKM-UI. Tidak Dipublikasikan
Irawan. (2008). Pengaruh Teknik Relaksasi Yoga Terhadap Fatique. Skripsi, Tidak dipublikasikan
Jarky, et al. (2005). Prevalence of hypertension in young and middle age kuwaiti citizens in primary health care, http:www.kma.org.kw/KMJ/ Issues/june 2007/Orginal%20Article/64-03%20 Prevalence%20of%20Hyperte.pdf, diperoleh tanggal 12 Juni 2010.
Joseph, C. N., at al. (2005). Slow Breathing Improves Arterial Baroreflex Sensitivity and Decreases Blood Pressure in Essential Hypertension. http://hyper.ahajournals.org/cgi/content/full/46/4/714. Diperoleh tanggal 7 Februari 2010)
Keller, et al. (2003). Nephron number in patients with primary hypertension, http:content.nejm.org/cgi /reprint/348/2/101.pdf, diperoleh tanggal 13 Juni 2010
Lee. (2009). Bernapas Secara Positif untuk Otak. Jakarta: Prestasi Pustaka
LeMone, P., & Burke, K. (2008). Medical surgical nursing critical thinking in client care. 4th Ed. Canada: Pearson Education, Inc
Lewis, S.M., Heitkemper, M.M., & Dirksen, A.R. (2000). Medical Surgical Nursing Assessment and Management of Clinical Problems. St.Louis: Mosby
Litbang Depkes. (2009). http://www.litbang.depkes. go.id/riskesdas/download/Pedoman Pengukuran. pdf, diperoleh tanggal 12 Januari 2010
Lovastatin, K. (2005). Penyakit Jantung dan Tekanan Darah Tinggi. Jakarta: Prestasi Pustaka
Mathias, C. E. G. (2002). Breathing Easy Lowers Blood Pressure. New Device Uses Breath to Keep BP in Check. http://www.webmd.com/hypertension-high-blood-pressure/news/20020717/breathing-easy-lowers-blood-pressure. Diperoleh, Minggu 7 Februari 2010
Muttaqin, A. (2009). Buku Ajar Asuhan Keperawatan Klien dengan Gangguan Sistem Kardiovaskuler dan Hematologi. Jakarta: Salemba Medika
Nash, et al. (2003). Blood lead, blood pressure, and hypertension in perimenopausal and postmenopausal women, http://jama.ama-assn.org/cgi/content/full/289/12/ 1523, diperoleh tanggal 12 Juni 2010
Padmawinata, K. (2000). Hentikan Hipertensi. http://www.trubus-online.co.id, diperoleh 14 Pebruari 2010
Pal, G.K., Velkumary & Madanmohan. (2003). Effect of short-term practice of breathing exercise on autonomic function in human volunteers, http:icmr. nic.in/ijmr/2004/0807.pdf, diperoleh tanggal 10 Juni 2010
Pradono, J. (2008). Prevalensi Penyakit Tidak Menular di Indonesia Menurut Pendekatan Faktor Resiko. http://www.litbang.depkes.co.id/. Diperoleh tanggal 20 Juni 2010
Profil Kes Kab Belu (2008). Laporan Tahunan Dinas Kesehatan Kabupaten Belu. Tidak dipublikasikan
Profil NTT. (2009). http://www.indonesia.go.id/id /index. Diperoleh 13 Januari 2010
Pudyastuti, S. (2009). Kalsium dan Hipertensi. http://majalah.tempointeraktif.com/ id/arsip/1992 /01/18/KSH/mbm.19920118.KSH9875.id.html. Diperoleh 15 Februari 2010.
Ridjab, D. A. (2007). Modifikasi Gaya Hidup dan Tekanan Darah. Majalah Kedokteran Indonesia. Vol. 57, nomor 3. http://www.google.com/ Diperoleh tanggal 13 Februari 2010
Sabri, L., & Hastono, S. P. (2008). Statistik Kesehatan. Jakarta: Rajawali PPers
Saputra, A., & Ahmadi. (1999). Profil Hipertensi di Indonesia (Analisis SKRT 1995). FKM-UI. Laporan Penelitian. Tidak Dipublikasikan
Sargowo, D. (2003). Disfungsi endotel pada penyakit kardiovaskuler. Malang: Bayumedia
Sastroasmoro, S., & Ismael, S. (2008). Dasar-dasar metodologi penelitian klinis. Jakarta: Binarupa Aksara
Schein, et al. (2001). Treating hypertension with a device that slow and regularises breathing : A randomised, double-blind controlled study, http:www.nature. com/jhh/journal/v15/n4/pdf/ 1001148a.pdf, diperoleh tanggal 14 Juni 2010
Sepdianto, T. C. (2008). Pengaruh Latihan Slow Deep Breathing Terhadap Penurunan Tekanan Darah Pada Pasien Hipertensi di Kota Blitar. Program Pasca Sarjana FIK-UI. Tesis. Tidak dipublikasikan.
Sherwood, L. (2001). Fisiologi manusia dari sel ke sistem (Human physiology : From cells to systems). Edisi 2. Jakarta: EGC
Smeltzer, S.C., & Bare, B.G. (2002). Buku Ajar Keperawatan Medikal – Bedah Brunner & Suddarth. Jakarta: EGC
Sudoyo, A.W., Setiyohadi, B., Alwi, M., Simadibrata, M.K., & Setiati, S. (2006). Buku Ajar Ilmu Penyakit Dalam. Jakarta: FKUI
Tank, et al. (2001). Genetic influences on baroreflex function in normal twins, http:hyper. ahajournals.org/cgi/reprint/37/3/907, diperoleh tanggal 14 Mei 2010
Turana, Y. (2008). Stress, Hipertensi dan Terapi Musik. http://www.tanyadokter.com/ newsdetail .asp?id=1000528. Diperoleh 14 Februari 2010
Vitahealth, K. (2005). Apa itu Hipertensi. Jakarta: Prestasi Pustaka
Wang, et al. (2008). Blood pressure change and risk of hypertension associated with parental hypertension, http:archinte.ama-assn.org /cgi/content/ abstract/168/6/ 643, diperoleh tanggal 14 Juni 2010
Yoe. (2009). Case Hypertention. http://www. google.com. Diperoleh 15 Februari 2010
Zachariah, et al. (2003). Prevalence, correlates, awareness, treatment, and control of hypertension in a middle-age urban population in kerala, http:indian heartjournal.com/2001-5/MayJune 2003/Prevalence-Correlates-Awareness-Treat-ment/Prevalence-Correlates-Awareness-Treatment.pdf, diperoleh tanggal 12 Juni 2010
Downloads
Published
How to Cite
Issue
Section
License
Copyright of Published Articles
Author(s) retain the article copyright and publishing rights without any restrictions.
All published work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.