Effect of Progressive Muscle Relaxation (PMR) on Blood Pressure among Patients with Hypertension

Ida Rosdiana; Yanti Cahyati

Ida Rosdiana Lecturer, Tasikmalaya Health Polytechnics Ministry of Health, Republic of Indonesia
Yanti Cahyati Lecturer, Tasikmalaya Health Polytechnics Ministry of Health, Republic of Indonesia

Abstract

In the late 20th century, heart disease and blood vessels, including hypertension are expected to be the leading cause of death developed and developing countries, so that prevention and handling efforts need to be done through both pharmacological and non-pharmacological therapies. Nonpharmacological therapies including lifestyle modification, stress management, and anxiety are the first steps that must be taken. One of the efforts to manage stress and anxiety that can be done is by progressive muscle relaxation. The aim of this study was to obtain an overview of the effect of progressive muscle relaxation on blood pressure reduction in hypertensive patients. The research design used method quasi-experimental, with a pretest and posttest group design with a control group. The sampling technique was carried out by purposive sampling, totaling 52 people, namely 26 people in the intervention group and 26 people in the control group. Statistical analysis used was univariate, bivariate using dependent t-test (paired t-test) to test differences in blood pressure before and after exercise and independent t-test (unpaired t-test) to test differences in blood pressure after exercise in the control group and intervention group. The results showed that there were significant differences in the mean systolic and diastolic blood pressure between before and after PMR intervention (p-value = 0,000), but there was no significant difference in the mean systolic and diastolic blood pressure after intervention in both groups of respondents. In the intervention group, there was a decrease in systolic BP of 24.54 mmHg and a diastolic BP of 16.54 mmHg, whereas in the control group there was a decrease in systolic BP of 11.2 mmHg and a diastolic TD of 5.5 mmHg. The study recommends the need for the use of therapeutic PMR as a complementary therapy in treating patients with hypertension and need further research on the effect of PMR modified with other nonpharmacologic therapies.

Keywords: Hypertension, Progressive Muscle Relaxation, Systolic BP, diastolic BP

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References

Bhatt, S.P., Arafath, T.K. and Guleria, R., (2007). Non-pharmacological management of hypertension. Indian J Med Sci. 61(11), pp.616-24.
Campbell, N.R., Lackland, D.T., Niebylski, M.L. and World Hypertension League and International Society of Hypertension Executive Committees, (2014). High blood pressure: why prevention and control are urgent and important—a 2014 fact sheet from the World Hypertension League and the International Society of Hypertension. The Journal of Clinical Hypertension. 16(8), pp.551-553.
Cortas K, et al. (2016). Hypertension. Diakses pada tanggal 23 maret. http://emedicine.medscape.com/article/241381-overview.
Corwin, E..J., (2000). Hand Book Pathophysiology edisi pertama. Alih bahasa: Brahm U. Jakarta: EGC.
Essa, R.M., Ismail, N.I.A.A., Hassan, N.I., (2017). Effect of progressive muscle relaxation technique on stress, anxiety, and depression after hysterectomy. Journal of Nursing Education and Practice. 7(7), pp. 77.
Hahn. K., & Kim, S. (2006). Effect of progressive muscle relaxation technique on hypertension. American Journal of Hypertension. 6 (2), pp. 335-339
Kumutha, V., Aruna, S.& Poongodi, R., (2014). Effectiveness of Progressive Muscle Relaxation Technique on Stress and Blood Pressure among Elderly with Hypertension. IOSR Journal of Nursing and Health Science. 3(4), pp.1-6.
LeMone, P. & Burke, K., (2008). Medical surgical nursing critical thinking in client care. Canada: Pearson Education.
Lewis, S.L., Bucher, L., Heitkemper, M.M., Harding, M.M., Kwong, J., Roberts, D., (2016). Medical-Surgical Nursing-E-Book: Assessment and Management of Clinical Problems, Single Volume. Elsevier Health Sciences.
Martins, D., Nelson, K., Pan, D., Tareen, N. & Norris, K., (2001). The effect of gender on age-related blood pressure changes and the prevalence of isolated systolic hypertension among older adults: data from NHANES III. The Journal of Gender-Specific Medicine. 4(3), pp.10-3.
McCorry, L.K., (2007). Physiology of the autonomic nervous system. American Journal of Pharmaceutical Education, 71(4), 78.
Patel, H., Kathrotia, R., Pathak, N., Thakkar, H., (2012). Effect of relaxation technique on blood pressure in essential hypertension. Nat J Integr Res Med. 3, pp.10-4.
Pinto E. (2007). Blood pressure and ageing. Postgrad Med J. 83(976), pp.109-14.
Reckelhoff, J. F. (2001). Gender differences in the regulation of blood pressure. Hypertension. 37(5), pp.1199-208.
Sherwood, L., (2011). Fundamentals of human physiology. Cengage Learning. 4 edition, Cengage Learning.
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), pp.41-47.
Shinde, N., Shinde, K.J., Khatri, S.M. and Hande, D., (2013). Immediate effect of Jacobson's progressive muscular relaxation in hypertension. Indian Journal of Physiotherapy and Occupational Therapy. 7(3), pp.234.
Smeltzer, S. C. & Bare, B. G. (2008). Brunner&Suddart: Textbook of medical-surgical nursing. Philadelphia: Lippincott.
Smeltzer, S. & Brunner, B.B., Suddarth’s. (2000). Textbook of Medical-Surgical Nursing. 9th ed.[e-book] Philadelphia: Lippincott, pp.241-242.
Snyder, M. & Lindquist, R., (2002). An overview of complementary / alternative therapies. Complementary / Alternative Therapies in Nursing. 4th ed. New York, NY: Springer Publishing Co, pp.3-15.
World Health Organization, “Global brief on hypertension,” 2013, http://apps.who.int/iris/bitstream/10665/79059/1/WHO_DCO_WHD_2013.2_eng.pdf?ua=1.
Yoon, S.S., Fryar, C.D. and Carroll, M.D., (2015). Hypertension prevalence and control among adults: United States, 2011-2014. US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics.