Control of Elderly Hypertension with Merona Program

Authors

  • Didi Kurniawan universitas riau
  • Etty Rekawati Departemen Keperawatan Komunitas, Fakultas Ilmu Keperawatan Universitas Indonesia
  • Junaiti Sahar Departemen Keperawatan Komunitas, Fakultas Ilmu Keperawatan Universitas Indonesia

DOI:

https://doi.org/10.25311/keskom.Vol7.Iss3.1028

Abstract

Hypertension is a silent killer is the most common health problem experienced by the elderly. Control of hypertension in the elderly is very necessary to reduce complications of hypertension. Based on these conditions, the MERONA Program was developed. The purpose is to provide an overview of the implementation of the blush program in the elderly with hypertension. The method used is a family case study and an aggregate using a family and community nursing process approach involving 10 foster families and 60 elderly people in the community selected using cluster random sampling. This program is an integration of hypertension self-management and relaxation therapy, namely music therapy, progressive muscle relaxation, and deep breathing relaxation which is carried out for 12 weeks. Evaluation of changes in behavior and family independence was carried out at the end of the 12th week using a questionnaire. Blood pressure measurements were carried out at weeks 4, 8, and 12. The results of the implementation were an increase in the behavior of the elderly, an increase in the level of family independence, and a significant decrease in systolic and diastolic blood pressure (p<0.05). The MERONA program is recommended to be applied in community health services.

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References

Allender JA., Rector C., Warner KD (2014). Community & Public Health Nursing.Wolters Kluwer Health; Lippincott William &Wilkins.

American Heart Association, Newsroom. (2017). High Blood Pressure Redefined for First Time in 14 Years: 130 Is the New High, American Heart Association / American College of Cardiology guidelines.

Amigo, T. A. E., Sahar, J., & Sukihananto. (2012). Hubungan Karakteristik dan Pelaksanaan Tugas Perawatan Kesehatan Keluarga Dengan Status Kesehatan Pada Aggregate Lansia Dengan Hipertensi Di Kecamatan Jetis Yogyakarta. Universitas Indonesia, Depok -- Indonesia.

Anderson, E., McFarlane, J. (2004). Community as Partner: Theory and Practice in Nursing, 4th edition. Philadelphia: Lippincott Williams & Wilkins.

Astuti, N.F., Rekawati, E., & Kusumawati, D.N. (2019). Decreased blood pressure among community dwelling older adults following progressive muscle relaxation and music therapy (RESIK). BMC Nurs. 2019; 18 (Suppl 1): 36.

Aswad, Y., & Loleh, S. (2019). Effect of Slow Deep Breathing and Aromatherapy of Lavender (Lavandula Angustifolia) on Blood Pressure in Hypertension Patients

in Panti Werdha Ilomata of Gorontalo City. Proceeding of IICSDGs 2019 Yusrin Aswad.

Bengtsson, U., Kjellgren, K., Hallberg, A., Lundin, M., & Meakitalo, A. (2018). Patient contributions during primary care consultations for hypertension after self- reporting via a mobile phone self- management support system. Scandinavian Journal of Primary Health Care. vol. 36, NO. 1, 70–79.

Bolmsjo, B.B., Wolffa, M., Nymberga, V.M., Sandberg, M., & Callinga, S. (2020). Text message-based lifestyle intervention in primary care patients with hypertension: a randomized controlled pilot trial. Scandinavian Journal of Primary Health Care. vol. 38, NO. 3, 300–307.

Butcher, H.K., Bulechek, G.M., Dochterman, J.M., & Wagner, C.M. (2018). Nursing Intervenstions Classification (NIC). Edisi

Indonesia: Elsevier

Classen. F., (2010). Using Family History Information to Promote Healthy Lifestyles and Prevent Disease: A Discussion of the Evidence. BMC Public Health, 10 (248): 1-7.

Dinas kesehatan kota depok (2020). Profil dinas kesehatan Kota Depok tahun 2019.

Ekarini, N.L.P., Heryati, & Maryam, R.S. (2019). Pengaruh Terapi Relaksasi Otot Progresif terhadap Respon Fisiologis Pasien Hipertensi. Jurnal Kesehatan Vol. 10 No. 1. ISSN 2086-7751 (Print)

Ervin, Naomi E. (2002). Advanced Community Health Nursing Practice: Population- Focused Care. New Jersey: Prentice Hall. Felton, M.V.A., Grigsby, H.S., & McConnell,

A.K. (2021). Effects of slow and deep breathing on reducing obstetric intervention in women with pregnancy induced hypertension: a feasibility study protocol. Hypertension in Pregnancy, 40:1, 81-87

Friedman, M., Bowden, V., & Jones, E. (2003). Family Nursing Research. Theory & Practice. New Jersey: Pearson Education Hamarno, R. (2010). Pengaruh Latihan Relaksasi Otot Progresif terhadap Penurunan Tekanan Darah Klien Hipertensi Primer Di Kota Malang. Tesis.

Program Magister Ilmu Keperawatan FIK-UI. Depok

Hammersley, V., Parker, R., Paterson, M, Hanley, J., et.al. (2020). Telemonitoring at scale for hypertension in primary care:

An implementation study. PLoS Med

(6): e1003124.

Hanson, S. M. H., Gedaly-Duff, V., & Kaakinen,

J. R. (2005). Family Health Care Nursing: Theory, Practice, and Research. Philadelphia: Davis Company.

Haris, H., Herawati, L., Norhasanah, N., & Irmawati, I. (2020). Pengaruh Kunjungan Rumah terhadap Indeks Keluarga Sehat (IKS) dan Tingkat Kemandirian Keluarga. Media Karya Kesehatan Volume 3 No 2.

Harrison CE, Wild K. (2017). Using telehealth in the management of hypertension. Nursing Standard. Vol. 31, 48, 44-49.

Herdman, T.H & Kamitsuru, S. (2018). NANDA-I Diagnosis Keperawatan definisi dan Klasifikasi 2018-2020. Edisi

Jakarta: EGC

Jindal, N.S. & Yogesh. (2019). Acute effect of slow abdominal breathing on heart rate variability in pre-hypertensive. International Journal Science Res. Vol 8. Kaakinen. JR. Gedaly-Duff. Coehlo, D. P. Hanson. S. M. H (2010). Family Health

Care Nursing: Theory. Practice. and Research. 4th ed. Philadelphia

Kemenkes RI. (2018). Hasil utama RISKESDAS 2018. http://www.depkes. go.id/resources/download/info- terkini/materi_rakorpop_2018/Hasil%20 Riskesdas, 202018.

Kemenkes, R. I. (2019). Laporan Provinsi Jawa Barat RISKESDAS 2018. Jakarta: Lembaga Penerbit Badan Penelitian dan Pengembangan Kesehatan.

Kow, F.P., Adlina, B., Sivasangari, S., Punithavathi, N., et al. (2018). The impact of music guided deep breathing exercise on blood pressure control-A participant blinded randomized controlled study, Med. J. Malaysia vol. 73: 233–238.

Maglaya, A. S., Cruz-Earnshaw, R. G., Pambid- Dones, L. B. L., Maglaya, M. C.S., Lao-

Nario, M. B. T., & Leon, W. O. U.-D.

(2009). Nursing Practice in the Community. Marikina: Argonauta Corporation.

Mahatidanar, A.H. (2017). Pengaruh musik klasik terhadap penurunan tekanan darah pada lansia penderita hipertensi. Jurnal AgromedUnila Vol. 4 No. 2 hal. 268

Martin. J (2008). Hypertension Guidelines: Revisiting the JNC 7 Recommendations. The Journal of Lancaster General Hospital. vol. 3- No.3.

Miller, C. A. (2012). Nursing for wellness in older adult: theory and practice (6th ed.). Philadelphia: Lippincott Williams & Wilkins.

Nurman, M. (2017). Efektifitas Antara Terapi Relaksasi Otot Progresif dan Teknik Relaksasi Nafas Dalam Terhadap Penurunan Tekanan Darah Pada Penderita Hipertensi. Jurnal Ners Universitas Pahlawan Tuanku Tambusai Vol 1, No 2. Rosdiana, I. & Cahyati, Y. (2019). Effect of Progressive Muscle Relaxation (PMR) on Blood Pressure among Patients with Hypertension. International Journal of Advancement in Life Sciences Research.

Volume 2(1): 28-35. Journal homepage: http://ijalsr.org

Sherwood, L., (2011). Fundamentals of human physiology. Cengage Learning. 4edition, Cengage Learning.

Sheu, S., Irvin, L.B., Lin, S.H., & Mar, L.C. (2003). Effect of Progressive Muscle Relaxation on Blood Pressure and Psychososial Status for Client with essential Hypertension in Taiwan.

Sidik, A.B. (2020). Pengaruh Terapi Musik Klasik terhadap Penurunan Tekanan Darah Penderita Hipertensi pada Lansia. Babul Ilmi_Jurnal Ilmiah Multi Science Kesehatan. Vol 12, No 2.

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.

Stanhope, M. & Lancaster, J. (2012). Public health nursing population centred health care in the community. (8th ed.) Missouri: Elsevier

Vasuki, G. & Sweety, L.M. (2017). The study of usefulness of deep breathing exercise (non-pharmacological adjunct) on blood pressure in hypertensive patients. Journal Dent and Med Sci (ISOR_JDMS) vol. 16; 59–62.

World Health Organization, Hypertension. (2019). Hypertension prevalence by WHO region. https://www.who.int/health- topics/hypertension/#tab=tab_1, 2019.

Submitted

2021-11-23

Accepted

2021-12-14

Published

2021-12-31

How to Cite

1.
Kurniawan D, Rekawati E, Sahar J. Control of Elderly Hypertension with Merona Program. J Keskom [Internet]. 2021 Dec. 31 [cited 2024 Apr. 25];7(3):347-53. Available from: https://jurnal.htp.ac.id/index.php/keskom/article/view/1028