Progressive Muscle Relaxation to Reduce Chronic Pain in Elderly with Hypertension: A Case Study

Authors

  • Moch. Azzam Miftahurroziqin Faculty of Nursing, University of Jember, Indonesia
  • Latifa Aini Susumaningrum Department of Community, Family & Geriatric Nursing, Faculty of Nursing, Jember University, Indonesia https://orcid.org/0000-0002-0619-7700
  • Fahruddin Kurdi Department of Community, Family & Geriatric Nursing, Faculty of Nursing, Jember University, Indonesia https://orcid.org/0000-0002-3565-2637
  • Achmad Ali Basri Universitas dr. Soebandi Jember, Indonesia

DOI:

https://doi.org/10.58545/jkki.v4i1.163

Abstract

Increased blood pressure causes vascular damage to the blood vessels in the neck when carrying blood to the brain, resulting in pressure on the muscle nerve fibres, which causes head pain. One of the independent nursing interventions that can be used is Progressive Muscle Relaxation (PMR). This case study is to determine the application of PMR to reduce pain scale in elderly with hypertension at UPT PSTW Jember. This Final Scientific Work uses a descriptive design with the Case report method, which describes the application of Evidence-Based Nursing Practice, namely PMR, for headaches in the elderly with hypertension. Therapy is given to a patient in two meetings a day for seven days for 15 minutes. Measurement of pain scale using the Numeric Rating Scale (NRS). The results after being given PMR showed a decrease in pain levels by reviewing complaints of decreased pain, the average pain scale from 4.4 NRS to 3.4 NRS, the average systolic blood pressure from 155.7 mmHg to 142.8 mmHg and the average diastolic blood pressure from 94.2 mmHg to 90 mmHg. PMR therapy can reduce chronic pain by increasing the elasticity of blood vessels, reducing muscle tension and reducing headaches.

Keywords:

Elderly, Pain, Hypertension, Progressive Muscle Relaxation

Downloads

Download data is not yet available.

References

Adam, L. (2019). Determinan Hipertensi Pada Lanjut Usia. Jambura Health and Sport Journal, 1(2), 82–89. https://doi.org/10.37311/jhsj.v1i2.2558

Amanda, H., Prastiwi, S., & Sutriningsih, A. (2017). Hubungan kualitas tidur dengan tingkat kekambuhan hipertensi pada lansia di kelurahan tlogomas Kota Malang. Nursing News, 2(3), 437–447. https://doi.org/10.33366/nn.v2i3.680

Aminiyah, R., Ariviana, I. S., Dewi, E. W., Fauziah, N. H., Kurniawan, M. A., Susumaningrum, L. A., & Kurdi, F. (2022). Efektivitas Pemberian Teknik Relaksasi Otot Progresif Terhadap Tekanan Darah pada Lansia di UPT PSTW Jember. Jurnal Keperawatan Florence Nightingale, 5(2), 43–49. https://doi.org/10.52774/jkfn.v5i2.106

Apriliani, M. W. & J. (2019). Penerapan Terapi Progressive Muscle Relaxation ( PMR ) Dalam Menurunkan Tekanan Darah Pada Lansia Dengan Hipertensi Di Desa Wangunrejo KecamatanMargorejo Kabupaten Pati. Jurnal Profesi Keperawatan, 6(2), 145–162. https://jprokep.jurnal.centamaku.ac.id/index.php/jpk/article/view/70

Azizah, C. O., Hasanah, U., Pakarti, A. T., Dharma, A. K., & Metro, W. (2021). Penerapan Teknik Relaksasi Otot Progresif Terhadap Tekanan Darah Pasien Hipertensi Implementation of Progressive Muscle Relaxation Techniques To Blood Pressure of Hypertension Patients. Jurnal Cendikia Muda, 1(4), 502–511. https://jurnal.akperdharmawacana.ac.id/index.php/JWC/article/view/244

Bell, K., Sekolah, P. D. C., Twiggs, J., Sekolah, P. D. C., Harrison, F., Auburn, U., Olin, B. R., & Pharm, D. (2018). Hypertension : The Silent Killer : Updated JNC-8 Guideline Recommendations. https://cdn.ymaws.com/www.aparx.org/resource/resmgr/CEs/CE_Hypertension_The_Silent_K.pdf

Dinas Kesehatan Kabupaten Jember. (2020). Profil Kesehatan Kabupaten Jember Tahun 2020. Dinas Kesehatan Kabupaten Jember. https://jemberkab.bps.go.id/subject/30/kesehatan.html

Ferdisa, R. J., & Ernawati, E. (2021). Penurunan Nyeri Kepala Pada Pasien Hipertensi Menggunakan Terapi Relaksasi Otot Progresif. Ners Muda, 2(2), 47. https://doi.org/10.26714/nm.v2i2.6281

Harianja, B., P Nadapdap, T., & Anto, A. (2021). Analisis Faktor Yang Memengaruhi Kejadian Hipertensi Pada Suku Batak Di Wilayah Kerja Puskesmas Cikampak Kabupaten Labuhan Batu Selatan. Jurnal Kesmas Prima Indonesia, 3(1), 7–12. https://doi.org/10.34012/jkpi.v3i1.1691

Hua, Q., & Fan, L. (2019). 2019 Chinese Guideline for the Management of Hypertension in the Elderly. Journal of Geriatric Cardiology, 16(2), 67–99. https://doi.org/10.11909/j.issn.1671-5411.2019.02.001

Jabani, A. S., Kusnan, A., & B, I. M. C. (2021). Prevalensi dan Faktor Risiko Hipertensi Derajat 2 Di Wilayah Kerja Puskesmas Poasia Kota Kendari. Jurnal Ilmiah Ilmu Keperawatan, 12(4), 31–42. https://stikes-nhm.e-journal.id/NU/article/view/494

Indonesian Ministry of Health. (2022). Lansia Berdaya, Bangsa Sejahtera. In Info Datin, Pusat Data dan Informasi Kementrian Kesehatan RI (p. 12). Kementerian Kesehatan Republik Indonesia. https://www.kemkes.go.id/article/print/22111500004/2022-lansia- berdaya-bangsa-sejahtera.html

Kholifah, S. N. (2016). Modul Bahan Ajar Keperawatan Gerontik. Kementerian Kesehatan Republik Indonesia. http://repository.uki.ac.id/2742/1/ModulBahanAjarKeperawatanGerontik.pdf

Sudin, M. S. & Kartini, H. H. (2023). Faktor Yang Berhubungan Dengan Kejadian Hipertensi Pada Lansia di Wilayah Kerja Puskesmas Pertiwi Kota Makassar. 6(1), 37–47. http://journal.unpacti.ac.id/index.php/JPP/article/view/662

Manoppo, A. J., & Anderson, E. (2019). Effect of Progressive Muscle Relaxation and Slow Deep Breathing on Blood Pressure and Heart Rate on Hypertensive Clients. KnE Life Sciences, 2019, 497–509. https://doi.org/10.18502/kls.v4i13.5281

Murhan, A., Purbianto, & Sulastri. (2020). Pengaruh Relaksasi Progresif Terhadap Penurunan Tekanan Darah Tinggi Pada Lansia. Jurnal Ilmiah Keperawatan Sai Betik, 16(2), 165–170. https://doi.org/10.52646/snj.v3i2.83

Noefitasari, I., & Idris, D. N. T. (2022). Reducing Blood Pressure on Elderly with Hypertension with Progressive Muscle Relaxation Therapy. Jurnal Ners Dan Kebidanan (Journal of Ners and Midwifery), 9(3), 370–378. https://doi.org/10.26699/jnk.v9i3.art.p370-378

Novitri, S., Prasetya, T., & Artini, I. (2021). Hubungan Kualitas Tidur Dan Pola Makan (Diet Dash) Dengan Kejadian Penyakit Hipertensi Pada Usia Dewasa Muda Di Puskesmas Simbarwaringin Kecamatan Trimurjo Kabupaten Lampung Tengah Provinsi Lampung. Jurnal Medika Malahayati, 5(3), 154–162. https://doi.org/10.33024/jmm.v5i3.4208

Nugroho, R. A., Ayubbana, S., & Atika, S. (2022). Penerapan Pemberian Kompres Hangat Pada Leher Terhadap Skala Nyeri Kepala Pada Pasien Hipertensi Di Kota Metro. Jurnal Cendikia Muda, 2(4), 514–520. https://jurnal.akperdharmawacana.ac.id/index.php/JWC/article/view/379/0

Nuraeni, E. (2019). Hubungan Usia Dan Jenis Kelamin Beresiko Dengan Kejadian Hipertensi Di Klinik X Kota Tangerang. Jurnal JKFT, 4(1), 1. https://doi.org/10.31000/jkft.v4i1.1996

Peraturan Menteri Kesehatan Republik Indonesia. (2016). Rencana Aksi Nasional Kesehatan Lanjut Usia Tahun 2016-2019. Permenkes No 25.

PPNI. (2018). Standar Intervensi Keperawatan Indonesia (SIKI). Dewan pengurus pusat PPNI.

Putra, A.A. (2018). Perbedaan efektivitas antara pemberian tepid sponge bath dan kompres plester terhadap perubahan suhu tubuh anak batita yang mengalami demam di ruang anak rsud dr. R. Soedjono selong lombok timur. https://www.semanticscholar.org/paper

Putri, L.M. & Ruqowiyah, T. (2021). Analisis Defisiensi Kesehatan Komunitas Pada Kelompok Hipertensi. Real in Nursing Journal (RNJ), 4(2), 98–110. https://dx.doi.org/10.32883/rnj.v4i2.1263

Putri, R. R., Widiarini, R., & Marsanti, A. S. (2021). Faktor Yang Berhubungan Dengan Kejadian Hipertensi Pada Lansia Di Posyandu Lansia Abimanyu Kelurahan Tawangrejo Kota Madiun. Jurnal Kesmas (Kesehatan Masyarakat) Khatulistiwa, 8(2), 82. https://doi.org/10.29406/jkmk.v8i2.2164

Rahmad, A. N. (2020). Determinan Kejadian Hipertensi Pada Pra Lansia Dan Lansia Prolanis di Puskesmas Sukowono Kabupaten Jember Tahun 2019. In Repository.Unej.Ac.Id. https://repository.unej.ac.id/handle/123456789/99403

Sarida, M., & Hamonangan, D. (2020). Buku Ajar Keperawatan Gerontik.

Setiyorini, E., & Wulandari, N. A. (2018). Asuhan Keperawatan Lanjut Usia dengan Penyakit Degeneratif. In Mnc. https://www.google.co.id/books/edition/Asuhan_Keperawatan_Lanjut_Usia_dengan_Pe/mMVGEAAAQBAJ?hl=id&gbpv=0

Tata Dewanti Mehhta, A., & Nurrohmah, A. (2022). Penerapan Teknik Relaksasi Otot Progresif terhadap Perubahan Tekanan Darah pada Lansia di Desa Karanglo. Indogenius, 1(3), 125–132. https://doi.org/10.56359/igj.v1i3.90

Waryantini, & , Reza Amelia, L. H. (2021). Pengaruh Relaksasi Otot Progresif terhadap Tekanan Darah pada Lansia dengan Hipertensi. Healthy Journal, 5(3), 248–253. https://doi.org/10.55222/healthyjournal.v10i1.514

Widiyono, Suwarni, A., Indriyati, Sutrisno, Putra, F. A., & Vitri Dyah Herawati. (2022). Buku Ajar Terapi Komplementer Keperawatan. Lembaga Chakra Brahmana Lentera. https://www.google.co.id/books/edition/Buku_Ajar_Terapi_Komplementer_Keperawata/U6SnEAAAQBAJ?hl=id&gbpv=1&dq=terapi+progressive+muscle+relaxation+adalah&pg=PA65&printsec=frontcover

Wulandari, F. W., Ekawati, D., Harokan, A., & Murni, N. S. (2023). Faktor-Faktor Yang Berhubungan Dengan Kejadian Hipertensi. Jurnal Aisyiyah Palembang, 8(1), 286–299. https://jurnal.stikes-aisyiyah-palembang.ac.id/index.php/JAM/article/view/1005

Yuniati, I., & Sari, I. M. (2022). Pengaruh Relaksasi Otot Progresif Terhadap Tekanan Darah Pada Lansia Dengan Hipertensi. Healthy Journal, 2(2), 72–82. https://doi.org/10.55222/healthyjournal.v10i1.514

Downloads

Published

30-04-2024

How to Cite

Miftahurroziqin, M. A., Susumaningrum, L. A., Kurdi, F., & Basri, A. A. (2024). Progressive Muscle Relaxation to Reduce Chronic Pain in Elderly with Hypertension: A Case Study. Jurnal Kesehatan Komunitas Indonesia, 4(1), 79–96. https://doi.org/10.58545/jkki.v4i1.163

Issue

Vol. 4 No. 1: April 2024

Section

Articles

License

Copyright (c) 2024 Moch. Azzam Miftahurroziqin, Latifa Aini Susumaningrum, Fahruddin Kurdi, Achmad Ali Basri

Creative Commons License

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

PlumX Metrics

Crossref
Scopus
Google Scholar
Europe PMC

Most read articles by the same author(s)

1 2 > >> 

Similar Articles

You may also start an advanced similarity search for this article.