Background Patients with hypertension are estimated to reach 1 billion globally, where 972 million (26%) of the adults in the world suffer from hypertension. Predicted by 2025, about 29% of adults worldwide suffer from hypertension, and two-thirds of them are in developing countries. Increased blood pressure that takes place in a long time can cause damage to the kidneys, heart, and brain when not detected early and received adequate treatment. The intervention of hypertension is still constrained in chemical drug pharmacological therapy. For non-pharmacological or complementary treatment such as deep breath relaxation and roasted garlic, consumption is already known in the community but not maximized utilized. Hence, a combination of this intervention needs to be developed to assess the effect of synergies.
Methods: The study was conducted in the west Bogor district with samples of 34 Pre-elderly and elderly respondents. Design of pre-experiment One Group Pre-Post Test Design by working combination intervention. Analysis of T-dependent tests and simple linear regression correlation.
Results and Conclusions: There is an influence of combination intervention on the second measurement of the day of intervention of the Systolic blood pressure (P-Value 0.006), a mean of 6.56 mmHg decrease, against diastole blood pressure (P-Value Vauile) is disclosed difference of 3.82 mmHg. In the post-intervention measurement of the Systolic blood pressure (P-Value 0.000) is a mean 8.86 mmHg, of diastole blood pressure not the influence (P-Value 0.103) with a decrease of 2.60 mmHg, there is an age correlation to the average of the decision of blood pressure of the system of the Systole (P-Value 0.006) shows the relationship and patterned positive. They recommended research results to alternative, complementary therapy effectively lowering blood pressure in the community.
The purpose of the study is to analyze the effectivity of Diabetic self management program oriented to the family at effort to increase self efficacy, self management, glicaemic control and obedience to the Diabetic therapeutic program. The design of the study in quasy experiment with pre test and post test design with control group. Based on data release by Center of Health Distric Pasar Minggu South Jakarta, which took as the respondent of intervention and control group, using interview and questionnaire method. Analysis of data statistic has shown that there is a significant different on health condition between the intervention and control group. On the control group has score 1, 937 (4,002 – 2,065) meanwhile the score of intervention group 4,312(-15.056 to -10.744) with p-value 0,000 <0,05. The result of test different mean from diabetic self management has score of intervention group 7,62 ( 5.15- 2.77) with p-value 0.000 <0,05. Meanwhile in the control group the score are 7.56 (5.18 - 12.74). Score of influence of self management upon stage of obedience in control group 1,324 (-3,062 to -1,738) meanwhile on the intervention group 1,852(-7,226 to -5374). The score of influence of self efficacy upon the obedience in control group 0,906 (-1,120 to -0,214) meanwhile in intervention group 2.889 (-8,611 to - 5,722) with p-value 0.000. on the influence of knowledge upon the obedience the score in control group is 0,928 (1.564 – 0,636) with p-value 0,000 < 0,05. Meanwhile in the intervention group the score is 2,043 (7,055 – 5,012).
A fall is an event that causes a person to suddenly lie down accidentally on the ground or floor or lower level. This condition is often experienced by 1 in 3 elderly people every year. Falls can be caused by behavioral, biological, environmental and socio-economic risk factors. Nurses can make efforts to reduce the risk of falls in the elderly through education for the elderly and their families. This study aims to determine the extent of the influence of fall prevention education for the elderly using booklets on the knowledge of the elderly in the family context. This study used a quasi-experiment, two group pretest posttest, education was carried out using a fall prevention booklet for the elderly in the intervention group and without a booklet in the control group. Through the purposive sampling method using inclusion criteria, 60 respondents were obtained, consisting of 30 respondents in the intervention group and 30 respondents in the control group, with 6 interactions carried out. The results of research using the independent sample t test showed that there was a difference in the average posttest value of fall prevention knowledge between the group that received education using booklets and the group that received education without using booklets with a p-value of 0.000. The conclusion of the research is that educational interventions in nursing practice using booklet media in preventing falls in the elderly can increase client and family understanding compared to without using booklet media. The suggestion is to create an attractive media booklet containing concise information and attractive images to obtain optimal client understanding.
Hypertension is a worldwide health problem that causes complications of kidney damage, coronary heart disease, stroke, disability, and even death. Roasted garlic, slow deep breathing relaxation, and autogenic relaxation are complementary alternative therapies that have not been fully utilized. These therapies are scientifically meaningful, so they need to be developed. This study aimed to determine the effectiveness of roasted garlic consumption, autogenic relaxation, deep breath relaxation on blood pressure reduction. The research design is Quasi-Experiment with control group Pre-test Post-test. Sampling method using non-probability random sampling - purposive sampling. The sample in 1 group is at least 30 respondents. Anticipating lost to follow-up of 10%, each group was 31-32 respondents. The sample was of productive age in the West Bogor. All groups were given hypertension management leaflets. Intervention group I consumed roasted garlic for 3 days at the rate of 15-17 grams morning and evening. Intervention group II performed breath relaxation morning and evening for 3 days. Intervention group III performed autogenic relaxation, while the control group was only given hypertension management leaflets. The results showed that consumption of roasted garlic compared to the control on systole p=0.001 and diastole p=0.001, autogenic relaxation compared to the control, systole p=0.042 and diastole p=0.009, deep breath relaxation compared to the control, obtained systole p=0.367 and diastole p=0.125. It is concluded that roasted garlic is more effectively used to reduce hypertensive patients' systole and diastole blood pressure. The recommendation is that roasted garlic can reduce blood pressure in hypertensive patients.
