Relaksasi Otot Progresif: Pendekatan Non-Farmakologis Untuk Menurunkan Tekanan Darah Pada Lansia Hipertensi
Abstract
Latar Belakang: Hipertensi merupakan salah satu masalah kesehatan kronis yang banyak dialami oleh lanjut usia (lansia) dan berkontribusi terhadap risiko penyakit kardiovaskular. Meskipun terapi farmakologis sering digunakan, intervensi non-farmakologis seperti terapi relaksasi otot progresif dinilai efektif dan aman untuk menurunkan tekanan darah. Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh terapi terapi relaksasi otot progresif terhadap penurunan tekanan darah pada lansia dengan hipertensi. Metode: Penelitian ini menggunakan pendekatan kuatitatif dengan desain quasy - experiment, yaitu pre - test dan post-test tanpa kelompok kontrol melibatkan 21 responden yang dipilih melalui teknik pulposive sampling. Analisis data dilakukan menggunakan uji Wilcoxon. Hasil: Hasil penelitian menunjukkan adanya penurunan signifikan pada tekanan darah sistolik (rata-rata dari 160,67 mmHg menjadi 152,57 mmHg; p = 0,002) dan diastolik (dari 94,67 mmHg menjadi 89,81 mmHg; p = 0,001) setelah diberikan intervensi. Kesimpulan: Terdapat pengaruh yang signifikan dari terapi relaksasi otot progresif terhadap penurunan tekanan darah pada lansia dengan hipertensi. Saran: Terapi relaksasi otot progresif dapat dijadikan intervensi non-farmakologis alternatif yang sederhana, murah, dan aman sebagai bagian pengolaan tekanan darah pada pasien lansia.References
Brook, R. D., Appel, L. J., Rubenfire, M., Ogedegbe, G., Bisognano, J. D., Elliott, W. J., ... & Rajagopalan, S. (2013). Beyond medications and diet: Alternative approaches to lowering blood pressure: A scientific statement from the American Heart Association. Hypertension, 61(6), 1360–1383. https://doi.org/10.1161/HYP.0b013e318293645f
Clegg, A., Young, J., Iliffe, S., Rikkert, M. O., & Rockwood, K. (2013). Frailty in elderly people. The Lancet, 381(9868), 752–762. https://doi.org/10.1016/S0140-6736(12)62167-9
Coppesstead, L. E., & Banasik, J. (2012). Pathophysiology: Biological and behavioral perspective. Philadelphia: W.B. Saunders Company.
Denic, A., Glassock, R. J., & Rule, A. D. (2016). Structural and functional changes with the aging kidney. Advances in Chronic Kidney Disease, 23(1), 19–28. https://doi.org/10.1053/j.ackd.2015.08.004
Ermayani, E., Muliawati, M., & Puspitasari, N. (2020). The effect of progressive muscle relaxation on blood pressure in patients with hypertension. Enfermería Clínica, 30(S1), 137–141. https://doi.org/10.1016/j.enfcli.2020.03.022
Faul, F., Erdfelder, E., Buchner, A., & Lang, A.-G. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41, 1149–1160. https://doi.org/10.3758/BRM.41.4.1149
Forouzanfar, M. H., Liu, P., Roth, G. A., Ng, M., Biryukov, S., Marczak, L., ... & Murray, C. J. (2017). Global burden of hypertension and systolic blood pressure of at least 110 to 115 mm Hg, 1990–2015. JAMA, 317(2), 165–182. https://doi.org/10.1001/jama.2016.19043
GBD 2019 Risk Factors Collaborators. (2020). Global burden of 87 risk factors in 204 countries and territories, 1990–2019: A systematic analysis for the Global Burden of Disease Study 2019. The Lancet, 396(10258), 1223–1249. https://doi.org/10.1016/S0140-6736(20)30752-2
Kearney, P. M., Whelton, M., Reynolds, K., Muntner, P., Whelton, P. K., & He, J. (2005). Global burden of hypertension: Analysis of worldwide data. The Lancet, 365(9455), 217–223. https://doi.org/10.1016/S0140-6736(05)17741-1
Kowalak, J. P., Welsh, W., Mayer, B. A. M. (2012). Asuhan keperawatan klien dengan gangguan sistem kardiovaskuler. Jakarta: Salemba Medika.
Kretchy, I. A., Owusu-Daaku, F. T., & Danquah, S. A. (2014). Mental health in hypertension: Assessing symptoms of anxiety, depression and stress on anti-hypertensive medication adherence. International Journal of Mental Health Systems, 8, 25. https://doi.org/10.1186/1752-4458-8-25
Niccoli, T., & Partridge, L. (2012). Ageing as a risk factor for disease. Current Biology, 22(17), R741–R752. https://doi.org/10.1016/j.cub.2012.07.024
Pathan, F. K. M., Pandian, J. S., Shaikh, A. I., Ahsan, M., Nuhmani, S., Iqbal, A., & Alghadir, A. H. (2023). Effect of slow breathing exercise and progressive muscle relaxation technique in the individual with essential hypertension: A randomized controlled trial. Medicine, 102(47), e35792. https://doi.org/10.1097/MD.0000000000035792
Sheu, S., Irvin, B. L., Lin, H. S., & Mar, C. L. (2003). Effects of progressive muscle relaxation on blood pressure and psychosocial status for clients with essential hypertension in Taiwan. Holistic Nursing Practice, 17(1), 41–47. https://doi.org/10.1097/00004650-200301000-00009
Toussaint, L., Nguyen, Q. A., Roettger, C., Dixon, K., Offenbächer, M., Kohls, N., ... & Sirois, F. (2021). Effectiveness of progressive muscle relaxation, deep breathing, and guided imagery in promoting psychological and physiological states of relaxation. Evidence-Based Complementary and Alternative Medicine, 2021, 5924040. https://doi.org/10.1155/2021/5924040
Varvogli, L., & Darviri, C. (2011). Stress management techniques: Evidence-based procedures that reduce stress and promote health. Health Science Journal, 5(2), 74–89. https://www.itmedicalteam.pl/articles/stress-management-techniques-evidencebased-procedures-that-reduce-stress-and-promote-health.pdf
Waruwu, N. K., Sembiring, P. U., Kalesaran, V. F., Manik, M. J., & Luturmas, A. D. (2023). The effects of progressive muscle relaxation on blood pressure and headache in hypertension. Jurnal Keperawatan Komprehensif, 9(4). https://doi.org/10.33755/jkk.v9i4.494
Webster, K. E., Halicka, M., Bowater, R. J., Parkhouse, T., Stanescu, D., Punniyakotty, A. V., ... & Caldwell, D. M. (2025). Effectiveness of stress management and relaxation interventions for management of hypertension and prehypertension: Systematic review and network meta-analysis. BMJ Medicine, 4, e001098. https://doi.org/10.1136/bmjmed-2024-001098
Whelton, P. K., Carey, R. M., Aronow, W. S., Casey, D. E., Jr., Collins, K. J., Dennison Himmelfarb, C., ... & Wright, J. T., Jr. (2018). 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults. Hypertension, 71(6), e13–e115. https://doi.org/10.1161/HYP.0000000000000065
World Health Organization. (2023). Global report on hypertension: The race against silent killer. World Health Organization. https://www.who.int/publications/i/item/9789240081062
World Health Organization. (2015). World report on ageing and health. World Health Organization. https://iris.who.int/handle/10665/186463
Zargarzadeh, M., & Shirazi, M. (2014). The effect of progressive muscle relaxation method on test anxiety in nursing students. Iranian Journal of Nursing and Midwifery Research, 19(6), 607–612.

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