RELAKSASI NAFAS DALAM KOGERTA TERHADAP PENURUNAN TEKANAN DARAH PADA KLIEN HIPERTENSI

Abstract

Relaksasi nafas dalam kogerta salah satu terapi non farmakologis pada klien hipertensi yang dilakukan dengan cara menarik nafas melalui hidung secara maksimal dan lambat kemudian menghembuskan nafas melalui mulut secara perlahan dengan kombinasi berbagai gerakan tangan yang terdiri dari gerakan pemanasan, inti, dan pendinginan. Tujuan penelitian untuk mengidentifikasi efektifitas latihan teknik relaksasi nafas dalam kogerta terhadap penurunan tekanan darah klien hipertensi. Desain penelitian yang digunakan pra eksperimental one group pretestt-posttest design. Populasi penelitian ini adalah seluruh klien hipertensi di desa Kesamben Kabupaten Blitar yang berjumlah 58 orang. Teknik sampling yang digunakan Purposive sampling, besar sampel sebanyak 30 klien hipertensi primer yang memenuhi kriteria inklusi diantaranya bersedia menjadi responden, rentang usia 45 tahuan – 70 tahun, pengukuran tekanan darah ≥ 140/90 mmHg dan tidak sedang mendapatkan terapi farmakologis. Sedangkan kriteria eksklusi yakni klien dengan penyakit kronis (jantung, diabetes mellitus, gagal ginjal, dan lain-lain). Pengumpulan data dilakukan dengan cara pengukuran tekanan darah saat pretest dan postes. Analisis menggunakan paired t-test dengan p: a<0,05. Hasil penelitian menunjukkan rata-rata nilai tekanan darah untuk pretestt systole 162,33 mmHg dan diastole 94,55 mmHg dan posttest systole 147,17 mmHg dan diastole 86,36 mmHg. Hasil analisis didapatkan nilai p=0,000. Latihan teknik relaksasi nafas dalam kogerta efektif dalam menurunkan tekanan darah klien hipertensi. Klien hipertensi diharapkan menggunakan teknik relaksasi nafas dalam kogerta sebagai alternatif terapi non farmakologis untuk menurunkan tekanan darah.

Kata Kunci: Relaksasi; Nafas Dalam; Hipertensi

 

Abstract

Deep breathing relaxation is a non-pharmacological therapy for hypertensive clients which is done by inhaling through the nose maximally and slowly then exhaling through the mouth slowly with a combination of various hand movements consisting of heating, core, and cooling movements. The purpose of this study is to identify the effectiveness of Kogerta deep breathing relaxation techniques in reducing blood pressure in hypertensive clients. The research design used was a pre-experimental one group pretestt-posttest design. The population were all hypertensive clients in Kesamben village with 58 respondents. The sampling technique used was purposive sampling, a sample size of 30 primary hypertension clients who met the inclusion criteria including willing to be respondents, age range 45-70 years, blood pressure measurement ≥ 140/90 mmHg and did not currently receiving pharmacological therapy. While the exclusion criteria were clients with chronic diseases (heart, diabetes mellitus, kidney failure, etc.). Data collection was carried out by measuring blood pressure during the pretest and posttest. Paired t-tests was used for analysis and obtained p = 0.000. The results showed an average blood pressure value for the pretestt systole was 162.33 mmHg and diastole by 94.55 mmHg, while the posttest systole was 147.17 mmHg and diastole was 86.36 mmHg. Kogerta deep breathing relaxation technique exercise is effective in reducing the blood pressure of the hypertensive clients. The hypertensive clients are expected to use the kogerta deep breathing relaxation techniques as an alternative to non-pharmacological therapy to reduce their blood pressure.

Keywords: Relaxation; Deep Breathing; Hypertension