The Effect of Guided Imagery Techniques on Elderly Blood Pressure Hypertension in South Purwokerto
Abstract
Background: Hypertension has become a leading cause of death globally, often referred to as "The Silent Killer." The therapeutic management of hypertension includes both pharmacological and non-pharmacological approaches, one of which is guided imagery relaxation.
Objective: To assess the influence of guided imagery relaxation techniques on blood pressure in elderly individuals with hypertension in South Purwokerto.
Method: This study utilizes a quasi-experimental design with a pretest-posttest control group, employing purposive sampling to obtain 30 control and 30 intervention groups of elderly individuals with hypertension. The intervention includes guided imagery techniques via video and audio guides for 10-15 minutes before sleep over one week. Measurements are taken before and after the intervention from days one to six. Statistical analyses involve the Paired T-Test, Mann Whitney U, and Wilcoxon Signed Rank tests.
Results: The analysis of blood pressure using the Mann-Whitney U test shows a p-value of 0.000 for systolic pressure and 0.014 for diastolic pressure. The Paired T-test results indicate a p-value of 0.000 for systolic intervention and 0.021 for diastolic control. The Wilcoxon Signed Rank test results show a p-value of 0.393 for systolic control and 0.000 for diastolic intervention.
Conclusion: Guided imagery significantly lowers both systolic and diastolic blood pressure in the intervention group compared to the control group (p-value < 0.05). It is recommended as an effective therapy for hypertension in the elderly, underscoring the need for meticulous nursing care documentation.
References
Akbar, F., Nur, H., Humaerah. (2020) Karakteristik Hipertensi Pada Lanjut Usia Di Desa Buku (Characteristics Of Hypertension In The Elderly), Jurnal Wawasan Kesehatan, 5(2), 2548-4702.
Dinas Kesehatan Kabupaten Banyumas (2021) ‘Profil Kesehatan Kabupaten Banyumas Tahun 2021’, IT - Information Technology, 48(1), 6–11.
Irawan, D., Siwi, A.S. and Susanto, A. (2020) ‘Analisis Faktor-Faktor Yang Memengaruhi Kejadian Hipertensi’, Jurnal of Bionursing, 3(2), 164–166. https://doi.org/10.20884/1.bion.2020.2.3.70.
Lufianti, A. and Sutrisno (2019) ‘Efektifitas Terapi Relaksasi Imajinasi Terbimbing Menurunkan Tekanan Darah Pada Lansia Hipertensi Di Wilayah Kerja Puskesmas Purwodadi 1 Kabupaten Grobogan’, Media Keperawatan Indonesia, 2(2). https://doi.org/10.26714/mki.2.2.2019.25-30.
Nafiah, D., Pertami, S.B. and M. (2020) ‘Efektifitas Guided Imagery Dan Slow Deep Breathing Terhadap Penurunan Tekanan Darah Pada Pasien Hipertensi Di Rsud Dr. R. Soedarsono Pasuruan’, Journal of Applied Nursing (Jurnal Keperawatan Terapan), 6(01), 01. https://doi.org/10.31290/jkt.v6i01.395.
Oktaviani, E. Noor Prastia, T., Dwimawati, E.. (2022) ‘Faktor-Faktor Yang Berhubungan Dengan Kejadian Hipertensi Pada Pra Lansia Di Puskesmas Bojonggede Tahun 2021’, Jurnal Mahasiswa Kesehatan Masyarakat, 5(2), 135. https://doi.org/10.32832/pro.v5i2.6148.
Oktaviani, M. and Nur, H.A. (2019) ‘Pemberian Relaksasi Imajinasi Terbimbing Untuk Penurunan Tekanan Darah Pada Lansia Penderita Hipertensi di Wilayah Puskesmas Jepang Kecamatan Mejobo Kabupaten Kudus’, Jurnal Profesi Keperawatan, 6(2), 163–176.
Pramitasari, A. and Hary Cahyati, W. (2022) ‘Kejadian Hipertensi pada Lansia di Wilayah Kerja Puskesmas Banyudono 1 Kabupaten Boyolali’, Higeia Journal Of Public Health Research And Development, 6(4). https://doi.org/10.15294/higeia/v6i4/57037.
Samsu, S.H., Budiono, B. and Mustayah, M. (2020) ‘Pengaruh Kombinasi Diaphragmatic Breathing Exercise Dan Guided Imagery Terhadap Perubahan Tekanan Darah Pada Pasien Hipertensi Di Ruang Interna I Rsud Dr. R. Soedarsono Kota Pasuruan’, Journal of Applied Nursing (Jurnal Keperawatan Terapan), 5(2), 155. https://doi.org/10.31290/jkt.v5i2.1015.
Sari, Y.N.I. (2017) Berdamai Dengan Hipertensi. Jakarta. Tim Bumi Merdeka.
Setyani, H.I., Arifianto and Rohana, N. (2019) ‘Pengaruh Terapi Relaksasi Guided Imagery Terhadap Tekanan Darah Pada Lansia Penderita Hipertensi’, Jurnal Ners Widya Husada, 6(2), 542–550. https://doi.org/10.52523/maskermedika.v9i2.468.
Sukmaningtyas, W. and Utami, T. (2020) ‘Faktor Risiko Hipertensi pada Lansia’, Atlantis Press, 20(Icch 2019), 215–221.
Sumarliyah, E., Nasrullah, D., Lailatul B, F., & Afifah, Z. (2018) ‘Penurunan Tekanan Darah Dengan Relaksasi Autogenik Dan Guided Imagery Pada Pasien Hipertensi’, Jurnal Manajemen Kesehatan Yayasan RS Dr. Soetomo, 4(2), 144–152.
Trisna Aji, P., Rizkasari, E. (2022) ‘Pengaruh Terapi Guided Imagery terhadap Perubahan Tekanan Darah pada Penderita Hipertensi di Wilayah Puskesmas Jayengan Surakarta’, Aisyiyah Surakarta Jurnal Of Nursing, 3(2). https://doi.org/10.30787/asjn.v3i2.896.
World Health Organization (2021) Hypertension Indicators For Improving Quality And Coverage Of Service (Issue March). Swiss: World Health Organization.
Yeci, Y. (2020) Pengaruh Terapi Guided Imagery Terhadap Respon Fisiologis dan Kualitas Tidur Pasien CHF di PJT RSUP Dr. Wahidin Sudirohusodo Makassar. Diakses pada tanggal 26 Juli 2023, dari website Repository Universitas Negri Hasanuddin. Website: http://repository.unhas.ac.id/id/eprint/1186/.
Yulistika, D. and Sulistiyowati, R. (2022) ‘Pemantaun Tekanan Darah Dan Terapi Non Farmakologi Pada Kegiatan Posyandu Lansia Di Ranting Aisyiyah Karangnanas’. jurnal pengabdian masyarakat Al-Irsyad, 4(1), 91–100. ttps://doi.org/10.36760/jpma.v4i1.375.
