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DOI: 10.31983/jrk.v8i2.3879
http://ejournal.poltekkes-smg.ac.id/ojs/index.php/jrk
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a
Akademi Keperawatan Bina Insan ; Kramat Raya 22 ; Jakarta Utara ; Indonesia
b,c
Poltekkes Kemenkes Jakarta III ; Melati 2 ; Bekasi ; Indonesia
Abstract
Hypertension is often suffered by older adults, which directly can impact their health and quality
of life. One of the non-pharmacological management for patients with hypertension is through
acupressure to accelerate blood-flow circulation and to reduce blood pressure. This study aims to
determine the self-acupressure effect on the elderly with hypertension in Cilincing Health Center
in North Jakarta. This research used a quasi-experimental involving control and intervention
group. Thirty-six elderlies were involved in this study divided into two groups. Findings showed
that there were significant differences in the intervention group between the results of systolic and
diastolic measurements before and after acupressure (p-value= 0.000). The findings suggest that
families can apply self-acupressure as a support system for older adults with hypertension.
the results of the first and second systolic The results of Afrila, Pristiana, and Erwin
measurements (p-value= 0.000 and α= 0.05). The (2015) research prove that the administration of
average diastolic measurement in the first a combination of slow stroke back massage and
measurement is 92.78 mmHg, and the second acupressure therapy is proven effective in
measurement was 83.89 mmHg. There is a reducing blood pressure in patients with
significant difference between the results of the hypertension. Relaxation is an action that must
first and second diastolic measurements be performed on every anti-hypertensive
(p-value= 0.000 and α= 0.05). therapy. If the blood pressure increases, the
Most respondents are approximately aged relaxed blood vessels will become vasodilation
70-79 years old. Older adults tend to have a so that it will cause the blood pressure to drop
higher blood pressure than younger people and will slowly return to normal (Muttaqin,
because physiological function decreases due to 2009). The results of this study are in line with
the aging process so that many Adam's (2011) study that stimulation to
non-communicable diseases occur in old age. acupressure points can stimulate mast cells to
The elderly are also susceptible to infectious release histamine as a mediator of vasodilation
diseases due to weakened immunity (Ministry of of blood vessels, resulting in increased blood
Health, 2013). circulation that causes the body to relax and
Patients with hypertension in this study are ultimately reduce blood pressure. The existence
mostly women. These are because after turning of various interventions carried out on the
55, around 60% of older adults who suffer from decline experienced by the elderly is expected
hypertension are women due to the decrease of to influence and to give meaningful changes.
estrogen hormone (Pratiwi & Mumpuni, 2017). Inline to the results of research conducted by
Women who are not yet facing menopause, their Prasetyo (2015) that there are significant
estrogen plays a role in increasing High-Density differences between the cognitive functions of
Lipoprotein (HDL) that protects blood vessels the elderly after taking action memory training.
from damage. As we age, the hormone estrogen
decreases so that women are prone to 4. Conclusion and Suggestion
hypertension after menopause. Supported by
Independent acupressure that can be done
research where as significant relation between
by the elderly alone with family can significantly
hormonal contraception usage with hypertension
reduce systolic blood pressure by 18.05 mmHg.
incidence (Suryanda, 2017).
Acupressure or emphasis on specific points on
Based on the results of blood pressure
the body is one of the non-pharmacological
measurements conducted before the intervention,
interventions that are efficient and relatively safe
the average systolic is 140-159 mmHg, and the
because they do not carry out invasive actions.
diastolic is 90-99 mmHg. After administering
It is expected that nursing education can be
self-acupressure intervention, there is a decrease
used as learning material in the laboratory and
in systolic to 110-130 mmHg and diastolic to
become one of the alternatives or complementary
70-80 mmHg. There is a significant difference
therapies in the community in the management of
between the results of the first and second
hypertension in the elderly. For nurses in the
systolic measurements (p-value 0.000), and there
community who handle the elderly program can
are significant differences between the results of
motivate the elderly and families to be able to
the first and second diastolic measurements
carry out independent acupressure on the elderly
(p-value 0.000) in the elderly group acquire the
regularly. As a reference material for further
intervention. Acupressure is done by involving
research on family experience doing acupressure.
the elderly independently accompanied by
The limitation of this study is it only takes one
family. A decrease in both systolic and diastolic
blood pressure measurement for intervention and
blood pressure occurs after acupressure. This is
control group.
also in line with research conducted by Majid
(2016) explaining that there is a decrease in
5. Acknowledgements
average systolic and diastolic blood pressure
with a p-value (0.001) after administering This work is supported by Akper Bina Insan
acupressure for three times. Mustapha's research Director who gave the golden opportunity doing
(2017) states that acupressure interventions can a lot of research.
help improve circulation in post-stroke patients.