RELAKSASI AUTOGENIK UNTUK MENURUNKAN TEKANAN DARAH DAN TINGKAT KECEMASAN PENDERITA HIPERTENSI ESENSIAL DI PANTI SOSIAL TRESNA WREDHA ABIYOSO PAKEM YOGYAKARTA

POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN

2016-09-01

en

Article

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Essential hypertension is 95% of cases of hypertension were there. Hypertension has been a deadly disease that many people in the developed and developing countries, called the silent killer because the disease does not have the typical symptoms that realized by the sufferer. Hypertension often ends in death. Therefore, various measures of anticipation by implementing custom-ability and a positive attitude is important to apply. To overcome the pharmacologic treatment of hypertension can be done with medications or treatment alternative (non-pharmacological therapies) include: acupressure, herbal medicine, juice therapy, massage therapy, yoga, aromatherapy, breathing and relaxation, treatment on the mind and body; biofeedback, meditation, hypnosis, home care etc. Objective: autogenic relaxation effect is known to decrease blood pressure and anxiety levels of patients with essential hypertension in PSTW Abiyoso Pakem Yogyakarta. This study is a quasi-experimental design with Non-Equivalent Control Group with pre and post test. The study was conducted in PSTW Abiyoso Pakem and in PSTW Budhi Luhur Kasongan Bantul with a sample of 30 in the intervention group and 30 in the control group. Sampling with purposive sampling. Sample criteria: the elderly with essential hypertension, aged at least 50 years experience minimal anxiety mild anxiety, no hearing loss, is able to communicate well and are willing to become respondents. Measurement of blood pressure and anxiety levels performed before granting autogenic relaxation techniques, then the intervention group was given the standard therapy plus autogenic relaxation and a control group given standard therapy alone. Data analysis is done by comparing the average blood pressure before and after the relaxation in each group by the Wilcoxon test and compared between groups by Mann Whitney test. Results: Most respondents were female, namely 70% in the intervention group and 80% in the control group. Age of respondents intervention group on average 72.4 years old, the youngest 56 years old and the oldest 85 years old. The control group average of 71.6 years, the youngest 50 and the oldest 86 years old. Results of statistical test intervention group for systolic BP before and after relaxation by the Wilcoxon test values obtained significancy 0.001 (p <0.05), the control group 0005. Diastolic blood pressure intervention group and the control group 0.001 0.012. From the results of the Mann-Whitney test between the intervention group and the control group, obtained p = 0520 for systolic blood pressure, p = 0411 for diastolic and p = 0.000 for anxiety levels. Conclusion: Relaxation Autogenic effect on lowering blood pressure and anxiety levels in patients with essential hypertension in PSTW Abiyoso Yogyakarta. Keywords: autogenic relaxation techniques, the level of anxiety, blood pressure, essential hypertension.