1. Home
  2. Vol 7, No 4
  3. Sari

Olahraga Hidup Baru (ORHIBA): Lowering Anxiety Level and Blood Pressure of Hypertensive Elderly

Ni Luh Putu Dian Yunita Sari(1*), Ni Made Dwi Ayu Martini(2), Komang Yogi Triana(3)
(1) Stikes Bina Usada Bali
(2) Stikes Bina Usada Bali
(3) Stikes Bina Usada Bali
(*) Corresponding Author
DOI : 10.30604/jika.v7i4.1386

Abstract

The effort to control blood pressure in the hypertensive elderly during the pandemic have not been optimal. The limitation of physical distancing also creates a new problem for the elderly, namely anxiety. The purpose of this study was to determine the effect of  ORHIBA on the level of anxiety and blood pressure in the elderly hypertensive elderly during the pandemic. This study used a quantitative approach with a quasi-experimental pre-post test design with the control group. The sampling technique used is purposive sampling by setting inclusion and exclusion criteria. The sample size obtained is 64 people (32 per group). Data were collected for four weeks and the frequency of intervention was twice a week. Blood pressure variables were not normally distributed. So that both variables were tested with the Wilcoxon test for paired data and the Mann-Whitney test for unpaired data. The results obtained are that there is an effect of ORHIBA on the level of anxiety (p-value 0.001), systolic blood pressure (p-value 0.001, and diastolic blood pressure (0.001) in the hypertensive elderly. These results can be used as a reference in providing nursing care for hypertensive elderly during the pandemic to continue to undergo physical exercise even though individually at home.

Abstrak: Upaya pengontrolan tekanan darah lansia hipertensi di masa pandemi COVID-19 belum optimal. Adanya pembatasan kontak fisik juga menimbulkan masalah baru pada lansia, yaitu kecemasan. Tujuan penelitian ini adalah untuk mengetahui pengaruh latihan fisik ORHIBA terhadap tingkat kecemasan dan tekanan darah lansia hipertensi dalam masa pandemi. Penelitian ini menggunakan pendekatan kuantitatif dengan desain quasi experimental pre-post test with control group. Teknik sampling yang digunakan adalah purposive sampling dengan menetapkan kriteria inklusi dan eksklusi. Besar sampel yang didapatkan adalah 64 orang (32 orang per kelompok). Pengambilan data dilakukan selama empat minggu dan dengan frekuensi pemberian intervensi dua kali seminggu. Variabel tekanan darah tidak berdistribusi normal. Sehingga kedua variabel diuji dengan uji Wilcoxon untuk data berpasangan dan uji Mann-Whitney untuk data tidak berpasangan. Hasil yang didapatkan adalah terdapat pengaruh latihan fisik ORHIBA terhadap tingkat kecemasan (p value 0,001), tekanan darah sistolik (p value 0,001,  dan tekanan darah diastolik (0,001) lansia hipertensi. Hasil ini dapat dijadikan acuan dalam memberikan asuhan keperawatan bagi lansia hipertensi selama masa pandemi agar tetap menjalani latihan fisik walaupun secara individu di rumah.

Keywords


Aged; Anxiety; Exercise; Hypertension

References


Abebe, S. M., Berhane, Y., Worku, A., & Getachew, A. (2015). Prevalence and associated factors of hypertension: A cross sectional community based study in Northwest Ethiopia. PLoS ONE, 10(4), 1–11. https://doi.org/10.1371/journal.pone.0125210.

Aliberti, S., & Raiola, G. (2021). Effects of line dancing on mental health in seniors after COVID-19 pandemic. Education Sciences, 11(667), 1–8. https://doi.org/https://doi.org/10.3390/educsci11110677

Alligood, M. R. (2014). Nursing theorist and their work (eight). Missouri: Elsevier.

Anshari, Z. (2020). Komplikasi hipertensi dalam kaitannya dengan pengetahuan pasien terhadap hipertensi dan upaya pencegahannya. Jurnal Penelitian Keperawatan Medik, 2(2), 44–51.

Arini, L. A. (2018). Kualitas hidup menopause yang rutin melakukan latihan fisik orhiba: Studi pengukuran menggunakan kuisioner WHOQOL-BREF. In Seminar Nasional Riset Inovatif (pp. 27–35).

Atinyi, R., Takramah, W., Axame, W. K., Owusu, R., Parbey, P. A., Takase, M., … Kweku, M. (2017). Prevalence and awareness of hypertension among urban and rural adults in Keta Municipality, Ghana. The Journal of Medical Research, 3(3), 136–145. Retrieved from www.medicinearticle.com.

Barili, A., Corralo, S., Machado, A., Aline, C., Rosa, S., Margarete, B., … Sá, A. De. (2018). Acute responses of hemodynamic and oxidative stress parameters to aerobic exercise with blood flow restriction in hypertensive elderly women. Molecular Biology Reports, 0(0), 0. https://doi.org/10.1007/s11033-018-4261-1.

Callow, D. D., Arnold-nedimala, N. A., Jordan, L. S., Pena, G. S., Won, J., Woodard, J. L., … Ph, D. (2020). The mental health benefits of physical activity in older adults survive the COVID-19 pandemic. Am J Geriatr Psychiatry, 10(October), 1046–1057. https://doi.org/10.1016/j.jagp.2020.06.024.

Chrysant, S. G., & Chrysant, G. S. (2014). The age-related hemodynamic changes of blood pressure and their impact on the incidence of cardiovascular disease and stroke: New evidence. The Journal of Clinical Hypertension, 16(2), 87–90. https://doi.org/10.1111/jch.12253.

Currie, G., & Delles, C. (2018). Blood pressure targets in the elderly. Journal of Hypertension, 36(2), 234–236. https://doi.org/10.1097/HJH.0000000000001576.

Ejiri, M., Kawai, H., Kera, T., Ihara, K., & Fujiwara, Y. (2021). Exercise as a coping strategy and its impact on the psychological well-being of Japanese community-dwelling older adults during the COVID-19 pandemic : A longitudinal study. Psychology of Sport & Exercise, 57, 102054. https://doi.org/10.1016/j.psychsport.2021.102054.

Endeshaw, M., Abebe, F., Bedimo, M., & Asrat, A. (2016). Family history of hypertension increases risk of preeclampsia in pregnant women: A case-control study. Universa Medicina, 35(3), 181–191. https://doi.org/10.18051/UnivMed.2016.v35.181-191.

Goethals, L., Barth, N., Guyot, J., Hupin, D., Celarier, T., & Bongue, B. (2020). Impact of home quarantine on physical activity among older adults living at home during the COVID-19 pandemic: Qualitative interview study. JMIR Aging, 3(1), 1–5. https://doi.org/10.2196/19007.

Grace, H. L., Shanmugam, A., & Gowri, M. (2017). Effectiveness of swedish massage therapy on blood pressure among patients with hypertension at Saveetha Medical College Hospital. International Journal Development Research, 7(7), 14133–14136.

Herrod, P. J. J., Doleman, B., Blackwell, J., Boyle, F. O., John, P., Lund, J. N., & Phillips, B. E. (2018). Exercise and other non-pharmacological strategies to reduce blood pressure in older adults: A systematic review and meta-analysis. Journal of the American Society of Hypertension, 2018. https://doi.org/10.1016/j.jash.2018.01.008.

James, P. A., & Ortiz, E. (2014). JNC 8 hypertension guideline algorithm. Jama, 311(5), 507–520. https://doi.org/10.1001/jama.2013.284427.

Kusumaningtiyas, D. P. H. (2021). Factors related to anxiety level in the elderly in the time of the Covid-19 pandemic in elderly Posyandu Lelateng Village. STRADA Jurnal Ilmiah Kesehatan, 10(1), 1287–1296. https://doi.org/10.30994/sjik.v10i1.785

Lippi, G., Wong, J., & Henry, B. M. (2020). Hypertension in patients with coronavirus disease 2019 (COVID-19): A pooled analysis. Polish Archives of Internal Medicine, 130(4), 304–309. https://doi.org/10.20452/pamw.15272.

Miller, C. A. (2012). Nursing wellness in older adults. Philadelphia: Lippincot Williams & Wilkins.

Moccia, F., Gerbino, A., Lionetti, V., Miragoli, M., Munaron, L. M., Pagliaro, P., … Angelone, T. (2020). COVID-19-associated cardiovascular morbidity in older adults: a position paper from the Italian Society of Cardiovascular Researches. GeroScience, 42(4), 1021–1049. https://doi.org/10.1007/s11357-020-00198-w.

Mohamadi, M., Goodarzi, A., Aryannejad, A., Fattahi, N., & Alizadeh-khoei, M. (2020). Geriatric challenges in the new coronavirus disease-19 (COVID-19) pandemic: A systematic review. Medical Journal of the Islamic Republic of Iran (MJIRI) Med, 17 Sep(34), 1–8. https://doi.org/https://doi.org/10.34171/mjiri.34.123 Geriatric.

Murukesu, R. R., Kaur, D., Singh, A., Shahar, S., & Subramaniam, P. (2021). Physical activity patterns , psychosocial well-being and coping strategies among older persons with cognitive frailty of the “ WE-RISE” trial throughout the COVID-19 movement control order. Clinical Interventions in Aging, 16, 415–429.

Nurhayati, T., Susumaningrum, L. A., Rasni, H., Susanto, T., & Kholida, D. (2020). Hubungan kecemasan dengan pola tidur lansia hipertensi dan tidak hipertensi. JKEP, 5(2), 122–136.

Olack, B., Wabwire-Mangen, F., Smeeth, L., Montgomery, J. M., Kiwanuka, N., & Breiman, R. F. (2015). Risk factors of hypertension among adults aged 35-64 years living in an urban slum Nairobi, Kenya. BMC Public Health, 15(1), 1–9. https://doi.org/10.1186/s12889-015-2610-8.

Patnaik, L., Paul, K. K., Pattnaik, S., & Sahu, T. (2017). Lifestyle pattern and hpertension related knowledge, attitude and practices among diagnosed patients of hypertension attending a tertiary care hospital. Journal of Cardiovascular Disease Research, 8(4), 108–111. https://doi.org/10.5530/jcdr.2017.4.25.

Purnamayanti, N. K. D., Dewi, N. L. P. T., & Bukian, P. A. W. Y. (2021). Pengaruh senam orhiba terhadap dukungan sosial lansia di Kabupaten Buleleng. Jurnal Kesehatan MIDWINERSLION, 6(1), 25–28.

Puzserova, A., & Bernatova, I. (2016). Blood pressure regulation in stress: Focus on nitric oxide-dependent mechanisms. Physiological Research, 65(3), S309–S342. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/27775419.

Ruangthai, R., & Phoemsapthawee, J. (2019). Combined exercise training improves blood pressure and antioxidant capacity in elderly individuals with hypertension. Journal of Exercise Science & Fitness, 17(2), 67–76. https://doi.org/10.1016/j.jesf.2019.03.001.

Sari, M. K., & Hidayatullah, M. R. (2020). Pengaruh laser acupoint terhadap ansietas pada lansia. Jurnal Kesehatan Medika Udayana, 6(2), 103–110.

Seifu, W., Hussein, M., Ibrahim, M., & Sigale, A. (2017). Behavioral risk factors of hypertension among pastoral and agro pastoral adult communities, Eastern Ethiopia, Somali Regional State, 2016. Journal of Tropical Diseases, 5(1), 8–13. https://doi.org/10.4172/2329-891X.1000234.

Suwarningsih. (2018). Koping dengan tingkat ansietas pada lansia yang tinggal di wilayah rawan bencana longsor Kabupaten Bandung. Jurnal Ilmiah Kesehatan, 10(1), 90–96.

Tutpai, G., Unja, E. E., & Nura, F. (2021). Family support for controlling blood pressure of elderly patients in health facilities during the covid-19 pandemic in Banjarmasin. In The 4th International Virtual Conference on Nursing (Vol. 2021, pp. 268–277). https://doi.org/10.18502/kls.v6i1.8614.

Wenger, N. K., Arnold, A., Merz, C. N. B., Cooper-DeHoff, R. M., Ferdinand, K. C., Fleg, J. L., … Pepine, C. J. (2018). Hypertension across a woman’s life cycle. Journal of The American College of Cardiology, 71(16), 1797–1813. https://doi.org/10.1016/j.jacc.2018.02.033.

Weyer, G. W., Dunlap, B., & Shah, S. D. (2016). Hypertension in women: Evaluation and management. Obstetrics and Gynecology Clinics, 1–20. https://doi.org/10.1016/j.ogc.2016.01.002

Yildirim, H., I?ik, K., & Aylaz, R. (2021). The effect of anxiety levels of elderly people in quarantine on depression during covid-19 pandemic. Social Work in Public Health, 36(2), 194–204. https://doi.org/10.1080/19371918.2020.1868372.

Yulistina, F., Deliana, S. M., & Rustiana, E. R. (2017). Unnes Journal of Public Health. Unnes Journal of Public Health, 6(1), 1–8.


Article Statistic

Abstract view : 111 times
PDF (Bahasa Indonesia) views : 61 times

Dimensions Metrics

How To Cite This :

Refbacks

  • There are currently no refbacks.


Copyright (c) 2022 Ni Luh Putu Dian Yunita Sari, Ni Made Dwi Ayu Martini, Komang Yogi Triana

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