Effect of Taichi Exercise on Blood Pressure in a Family  with Hypertension in Banjarsengon Village: A Case Study

Syifa Amalia; Fahruddin Kurdi

doi:10.58545/jrcnp.v2i2.398

Authors

Syifa Amalia Faculty of Nursing, Universitas Jember, Indonesia
Fahruddin Kurdi Department of Community, Family and Geriatric Nursing, Faculty of Nursing, Universitas Jember, Indonesia https://orcid.org/0000-0002-3565-2637

DOI:

https://doi.org/10.58545/jrcnp.v2i2.398

Abstract

Hypertension is a critical global health issue that affects quality of life and increases the risk of cardiovascular disease. The purpose of this case study is to assess the efficacy of Taichi exercise as a nonpharmacological therapy for decreasing blood pressure in the family with hypertension. Mrs. H, a 49-year-old single mother with a history of hypertension lived in Banjarsengon Village, Jember. The Taichi exercise intervention was performed twice a week for three weeks. Following six sessions of Taichi exercise, total systolic blood pressure decreased by 10 mmHg and diastolic by 6 mmHg. Family empowerment through the participation of Mrs. H's children in supporting the implementation of Taichi exercise is key in this therapeutic approach. The results of this study suggest that Taichi exercise has potential as a safe and effective alternative therapy for the management of hypertension. In order for the hypertension management program in families to have maximum impact, it is very necessary to increase family empowerment through health workers in community health centers who are monitored periodically.

Keywords:

Exercise, Hypertension, Family, Nursing, Tai chi

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References

Akinyede, A. A., Nwaiwu, O., Fasipe, O. J., Olusanya, A., Olayemi, S. O., & Akande, B. (2020). A prospective study of the effect of antihypertensive medications on the sexual functions of hypertensive adult male patients. Future science OA, 6(6), 1-10. https://doi.org/10.2144/fsoa-2020-0030

Albasri, A., Hattle, M., Koshiaris, C., Dunnigan, A., Paxton, B., Fox, S. E., Smith, M., Archer, L., Levis, B., Payney, R.A., & Riley, R.D. (2021). Association between antihypertensive treatment and adverse events: systematic review and meta-analysis. BMJ, 372, 1-15. https://doi.org/10.1136/bmj.n189

Breit, J. P. S., & Kelley, G. A. (2022). Response variation as a result of tai chi on resting blood pressure in hypertensive adults: an aggregate data meta-analysis. Complementary Therapies in Clinical Practice, 49. https://doi.org/10.1016/j.ctcp.2022.101641

Bulsara, K., Patel, P. & Makaryus, N. (2024). Candesartan. https://www.ncbi.nlm.nih.gov/books/NBK519501/ [Accessed on July 30, 2024].

Dong, X., Ding, M., & Yi, X. (2020). Meta‐analysis of randomized controlled trials of the effects of tai chi on blood pressure. Evidence‐Based Complementary and Alternative Medicine, 2020(1), 1-11. https://doi.org/10.1155/2020/8503047

Fan, H., Lu, F., Yang, A., Dong, Y., Liu, P., & Wang, Y. (2019). A review on the nonpharmacological therapy of traditional Chinese medicine with antihypertensive effects. Evidence‐Based Complementary and Alternative Medicine, 2019(1), 1-7. https://doi.org/10.1155/2019/1317842

Friedman, M.M. (1998). Family Nursing Theory & Practice (3th ed.). New York: Appleton & Lange.

Indonesia Ministry of Health. (2023a). Pedoman Pengendalian Hipertensi di Fasilitas Kesehatan Tingkat Pertama. Jakarta: Kemenkes RI.

Indonesia Ministry of Health. (2023b). Survei Kesehatan Indonesia (SKI) dalam Angka. Jakarta: Badan Kebijakan Pembangunan Kesehatan Kemenkes RI.

Kaakinen, J.R., Coehlo, D.P., Steele, R., Tabacco, A., & Hanson, S.M.H. (2015). Family Health Care Nursing:Theory, Practice, and Research.Philadelphia: F.A. Davis Company.

Kurdi, F., Abidin, Z., Priyanti, R. P., & Kholis, A. H. (2021). Management of diabetes mellitus type 2 for elderly: taichi exercise to reduce blood sugar levels. Nursing and Health Science Journal, 1(2), 112-117. https://doi.org/10.53713/nhs.v1i2.51

Kurdi, F., Sunaryo, M. M. F., Romadhonia, F., Amini, D. A., & Ramadhan, K. (2022). CERDIK Behavior in Elderly with Hypertension During the COVID-19 Pandemic. Jurnal Kesehatan Komunitas Indonesia, 2(1), 42-56. https://doi.org/10.58545/jkki.v2i1.2

Kurdi, F., Susumaningrum, L. A., Rasni, H., & Susanto, T. (2022). Implementasi Pencegahan Komplikasi Hipertensi Melalui Therapeutic Nape Massage Pada Lansia. Diseminasi: Jurnal Pengabdian kepada Masyarakat, 4(1), 41-45. https://doi.org/10.33830/diseminasiabdimas.v4i1.2177

Lewis, S.L., Dirksen, S.R., Heitkemper, M.M., & Bucher, L. (2014). Medical-Surgical Nursing: Assessment and Management of Clinical Problems (9th ed.). St. Louis, Missouri: Elsevier.

Li, L., Li, X., Huang, Y., Li, H., Li, C., Ma, Y., Zhang, J., Peng, F., & Lyu, S. (2024). An RCT META analysis based on the effect of tai chi exercise therapy on the outcome of elderly patients with moderate-to-severe sleep disorders-A systematic review study. Heliyon, 10(2), 1-12. https://doi.org/10.1016/j.heliyon.2024.e24085

Liang, H., Luo, S., Chen, X., Lu, Y., Liu, Z., & Wei, L. (2020). Effects of Tai Chi exercise on cardiovascular disease risk factors and quality of life in adults with essential hypertension: A meta-analysis. Heart & Lung, 49(4), 353-363. https://doi.org/10.1016/j.hrtlng.2020.02.041

Nies, M.A. & McEwen, M. (2015). Community/Public Health Nursing: Promoting the Health of Populations (6th ed.). St. Louis, Missouri: Elsevier.

Pan, X., Tian, L., Yang, F., Sun, J., Li, X., An, N., Xing, Y., Su, X., Liu, C., & Gao, Y. (2021). Tai chi as a therapy of traditional Chinese medicine on reducing blood pressure: a systematic review of randomized controlled trials. Evidence‐Based Complementary and Alternative Medicine, 2021(1), 1-13. https://doi.org/10.1155/2021/4094325

Persatuan Perawat Nasional Indonesia (PPNI). (2017). Standar Diagnosis Keperawatan Indonesia : Definisi dan Indikator Diagnostik Edisi 1. Jakarta: Persatuan Perawat Nasional Indonesia.

Persatuan Perawat Nasional Indonesia (PPNI). (2018a). Standar Intervensi Keperawatan Indonesia : Definisi dan Tindakan Keperawatan Edisi 1. Jakarta: Persatuan Perawat Nasional Indonesia.

Persatuan Perawat Nasional Indonesia (PPNI). (2018b). Standar Luaran Keperawatan Indonesia : Definisi dan Kriteria Hasil Keperawatan Edisi 1. Jakarta: Persatuan Perawat Nasional Indonesia.

Pires, A. M., Oqui, M., Soares, V., Xavier, B. O. F., & Mahyuvi, T. (2022). Relations Between Stress Level With Recurrence Of Hypertension Disease To Patients Aged 40-60 Years Old In Community Health Center Level II Municipality Lospalos, Timor Leste. Journal of Applied Nursing and Health, 4(2), 319-329. https://doi.org/10.55018/janh.v4i2.118

Public Health of Jember. (2023). Laporan 15 Besar Kesakitan di Wilayah Kerja Puskesmas Banjarsengon. Jember: Dinas Kesehatan Jember.

Pujihasvuty, R., Subeqi, A. T., & Murniati, C. (2021). Single parents in Indonesia: how to carry out the practice of the eight family functions?. The Family Journal, 20(10), 1-13. https://doi.org/10.1177/1066480720986500

Qiu, T., Jiang, Z., Chen, X., Dai, Y., & Zhao, H. (2023). Comorbidity of anxiety and hypertension: common risk factors and potential mechanisms. International Journal of Hypertension, 2023(1), 1-14. https://doi.org/10.1155/2023/9619388

Shariq, O. A., & McKenzie, T. J. (2020). Obesity-related hypertension: a review of pathophysiology, management, and the role of metabolic surgery. Gland surgery, 9(1), 80-93. https://doi.org/10.21037/gs.2019.12.03

Simorangkir, L., Sigalingging, V.Y.S., & Situmorang, R. (2023). Peran Keluarga dalam Merawat Anggota Keluarga Covid-19 Isolasi Mandiri Tahun 2021. Jurnal Darma Agung Husada. 10(1): 39-47. http://dx.doi.org/10.46930/darmaagunghusada.v10i1.3127

Smeltzer, S.C. & B. Bare. (2018). Brunner & Suddarth’s Texbook of Medical-Surgical Nursing (14th ed.). Philadelphia, US: Lippincot Williams & Wilkins.

Tsoi, K., Lam, A., Tran, J., Hao, Z., Yiu, K., Chia, Y. C., Turana, Y., Siddique, S., Zhang, Y., Cheng, H.M., & Wang, J.G. (2023). The Western and Chinese exercise training for blood pressure reduction among hypertensive patients: An overview of systematic reviews. The Journal of Clinical Hypertension. 1-15. https://doi.org/10.1111/jch.14610

World Health Organization (WHO). (2023). More Than 700 Million People with Untreated Hypertension. https://www.who.int/news/item/25-08-2021-more-than-700-million-people-with-untreated-hypertension [Accessed on July 30, 2024].

Zhang, P., Zhang, D., & Lu, D. (2024). The efficacy of Tai Chi for essential hypertension: A systematic review and meta‐analysis. International Journal of Nursing Practice, 30(2), 1-16. https://doi.org/10.1111/ijn.13211

Zhong, D., Li, J., Yang, H., Li, Y., Huang, Y., Xiao, Q., Liu, T., & Jin, R. (2020). Tai Chi for essential hypertension: a systematic review of randomized controlled trials. Current Hypertension Reports, 22, 1-12. https://doi.org/10.1007/s11906-020-1031-y