Effect of Progressive Muscle Relaxation on Blood Pressure Reduction in Hypertensive Patients

International Journal of Research and Scientific Innovation (IJRSI) | Volume V, Issue XI, November 2018 | ISSN 2321–2705

Effect of Progressive Muscle Relaxation on Blood Pressure Reduction in Hypertensive Patients

 Hurun Ain1, Nurul Hidayah2, Marsaid3

1,2,3Malang State Health Polytechnic, Ijen Street 77C, Malang 65112, East Java, Indonesia

Abstract—Hypertension is one of the most influential risk factors for the incidence of heart disease and blood vessels. The purpose of this study to determine the effect of progressive muscle relaxation on blood pressure decrease in hypertensive patients. This study aims to determine the effectiveness of progressive muscle relaxation to decrease blood pressure. This study using a quasy experimental design, by non equivalent control group. Fifty sample were recruited by consecutive sampling with the criteria that they had hypertension with systolic blood pressure ≥140-160 mmHg and/or diastolic blood pressure ≥90 – 100 mmHg, aged <60 years. Sample divided into 2 groups. The treatment group was given progressive muscle relaxation for 3 consecutive days and measured the systolic and diastolic blood pressure. Data were analyzed by Paired t test, wilcoxon sign rank test, Independent t test, and Mann Whitney test with significance level of 95%. The result showed that there was significant effect of progressive muscle relaxation on decreasing systolic blood pressure (p=0.00) but not for diastolic blood pressure (p=0.39). The progressive muscle relaxation effective to decrease blood pressure on hypertensive patient. Suggested nurses apply this intervention in helping to lower the patient’s blood pressure.

Keywords—blood pressure, hypertension,muscle, relaxation

I. INTRODUCTION

The high incidence of hypertension in Indonesia is a result of hypertension becoming a public health problem. Hypertension is one of the most influential risk factors for the incidence of heart disease and blood vessels [1]. The prevalence of hypertension in the population aged 18 years and over according to data riskesd as in 2014 in Indonesia was 31.7% [1]. Based on the annual report of all hospitals in East Java Province in 2012 most cases of inpatients in public hospitals type A are hypertension [2].
Preliminary study in the last 1 year the number of outpatient hypertension patients in Lawang Hospital were totally about 3267 people. Treatment in hypertensive patients is pharmacological therapy, such as diuretic, sympathetic, beta-blocker and vasodilator medications,and not yet applied nonpharmacologic therapy for patients with hypertension Risk factors that occur in primary hypertension include age, sex, family disease history, obesity, smoking, high saltintake, alcohol consumption, and emotional stress [3].

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