The use of five-finger relaxation techniques for reducing stress and sleep quality in hypertension patients

Rosliana Dewi; Johan Budhiana; Dilla Nurul Arsyi; Maria Yulianti; Syiva Dwi Fatmala

doi:10.31101/jhes.2990

Authors

Rosliana Dewi Lincoln University College, Indonesia http://orcid.org/0000-0003-4686-1642
Johan Budhiana Lincoln University College, Indonesia https://orcid.org/0000-0003-3064-0773
Dilla Nurul Arsyi Sekolah Tinggi Ilmu Kesehatan Sukabumi, Indonesia
Maria Yulianti Sekolah Tinggi Ilmu Kesehatan Sukabumi, Indonesia
Syiva Dwi Fatmala Sekolah Tinggi Ilmu Kesehatan Sukabumi, Indonesia

DOI:

https://doi.org/10.31101/jhes.2990

Keywords:

five-finger relaxation technique, hypertension, sleep quality, stress

Abstract

One of the efforts to overcome hypertension experienced by its sufferers is to reduce stress and improve their sleep quality. Patients will usually overcome hypertension by taking drugs (which are chemical). Some use alternative methods. However, not many studies have been conducted to reveal efforts to reduce stress and improve sleep quality in hypertensive patients through this alternative method. It is the main reason research is carried out on non-pharmacological efforts to overcome stress and improve sleep quality that is effective, easy, and can be done alone by patients. This study aimed to determine the effect of five-finger relaxation techniques on stress and sleep quality in hypertensive patients in the working area of the Sukabumi Health Center. This study was a quasi-experiment with two groups of pre-tests and post-tests. The population and sample were hypertensive patients in the working area of the Sukabumi Health Center, with as many as 70 respondents divided into control and intervention groups of 35 respondents, each using purposive sampling techniques. The DASS-42 standard questionnaire was used for stress variables, while the PSQI standard questionnaire was used for sleep quality variables.Â Data analysis using a paired sample t-test showed differences in the pre-test and post-test stress scores in the control and intervention groups and in the control and intervention groups' sleep quality scores in the pre-test and post-test. The five-finger relaxation technique can lower hypertensive patients' stress and sleep quality scores. This technique is also an easy, inexpensive technique that is very likely to be done by hypertensive patients to maintain stable blood pressure and is an alternative non-pharmacological therapy for overcoming stress problems and sleep quality in hypertensive patients.

Author Biographies

Dilla Nurul Arsyi, Sekolah Tinggi Ilmu Kesehatan Sukabumi

Keperawatan Medikal Bedah

Maria Yulianti, Sekolah Tinggi Ilmu Kesehatan Sukabumi

Keperawatan Medikal Bedah

Syiva Dwi Fatmala, Sekolah Tinggi Ilmu Kesehatan Sukabumi

Keperawatan Komunitas

References

Aqsho, I. B., & Pudjijuniarto. (2021). Hubungan Tingkat Stress Terhadap Tekanan Darah Pada Usia Madya Di Desa Katikan Kabupaten Ngawi. Jurnal Kesehatan Olahraga, 09(04), 75â€“84.

Ayanaw, T., Temesgen, M., Azagew, A. W., & Ferede, Y. M. (2022). Sleep quality and associated factors among adult hypertensive patients attending a chronic follow up care clinic in northwest Amhara regional state referral hospitals, Northwest Ethiopia. PLOS ONE, 17(7), e0271072. https://doi.org/10.1371/journal.pone.0271072

Bhattarai, S., Tandstad, B., Shrestha, A., Karmacharya, B., & Sen, A. (2021). Socioeconomic Status and Its Relation to Hypertension in Rural Nepal. International Journal of Hypertension, 2021, e5542438. https://doi.org/10.1155/2021/5542438

Birhanu, T. E., Getachew, B., Gerbi, A., & Dereje, D. (2021). Prevalence of poor sleep quality and its associated factors among hypertensive patients on follow up at Jimma University Medical Center. Journal of Human Hypertension, 35(1), 94â€“100. https://doi.org/10.1038/s41371-020-0320-x

Dewhurst, M. J., Dewhurst, F., Gray, W. K., Chaote, P., Orega, G. P., & Walker, R. W. (2013). The high prevalence of hypertension in rural-dwelling Tanzanian older adults and the disparity between detection, treatment and control: A rule of sixths? Journal of Human Hypertension, 27(6), 374â€“380. https://doi.org/10.1038/jhh.2012.59

Dewi, R. (2019). The Influence of Five Relaxation Techniques on Pain in Breast Cancer Patients. Proceeding of The 3rd International Seminar on Global Health, 3(1), 149â€“155.

Dewi, R. (2021). Pengaruh Teknik Relaksasi Lima Jari Terhadap Kualitas Tidur, Fatique, dan Nyeri Pada Pasien Kanker Payudara. Deepublish.

Dewi, R., Panduragan, S. L., Umar, N. S., Yulianti, M., & Budhiana, J. (2022). The Five-Finger Relaxation Techniques on Anxiety, Stress and Quality of Life in Breast Cancer Patients. Malaysian Journal of Medicine and Health Sciences, 18, 96â€“100.

Dewi, R., Panduragan, S. L., Umar, N. S., Yulianti, M., & Budiana, J. (2022). Teknik Relaksasi Lima Jari untuk Kecemasan , Stres , dan Kualitas Hidup Pasien Kanker Payudara. 18, 96â€“100.

Dewi, R., Rahayuwati, L., & Kurniawan, T. (2018). The Effect of Five-Finger Relaxation Technique to The Sleep Quality of Breast Cancer Patients. Jurnal Keperawatan Padjadjaran, 6(2), 183â€“192. https://doi.org/10.24198/jkp.v6i2.739

Di Chiara, T., Scaglione, A., Corrao, S., Argano, C., Pinto, A., & Scaglione, R. (2017). Education and hypertension: Impact on global cardiovascular risk. Acta Cardiologica, 72(5), 507â€“513. https://doi.org/10.1080/00015385.2017.1297626

Dzau, V. J., & Balatbat, C. A. (2019). Future of Hypertension. Hypertension, 74(3), 450â€“457. https://doi.org/10.1161/HYPERTENSIONAHA.119.13437

Fuchs, F. D., & Whelton, P. K. (2020). High Blood Pressure and Cardiovascular Disease. Hypertension, 75(2), 285â€“292. https://doi.org/10.1161/HYPERTENSIONAHA.119.14240

Hariawan, H., Haryanto, J., & Ulfiana, E. (2017). Wudu Improving Sleep Quality In Elderly With Insomnia. 12â€“15. https://doi.org/10.2991/inc-17.2017.3

Hartono, D., Somantri, I., & Februanti, S. (2019). Hipnosis Lima Jari dengan Pendekatan Spiritual Menurunkan Insomnia pada Lansia. Jurnal Kesehatan, 10, 187â€“192.

Hossain, F. B., Adhikary, G., Chowdhury, A. B., & Shawon, M. S. R. (2019). Association between body mass index (BMI) and hypertension in south Asian population: Evidence from nationally-representative surveys. Clinical Hypertension, 25(1), 28. https://doi.org/10.1186/s40885-019-0134-8

Jamilah, N. W. (2020). Pengaruh Hipnosis Lima Jari Terhadap Kualitas Tidur Pada Ibu Hamil Trimester III DI Wilayah Kerja Puskesmas Sumbersari Kabupaten Jemberv. Repository Universitas Jember, 1â€“81.

Kementerian Kesehatan RI. (2019). Laporan Riskesdas 2018 Nasional. Lembaga Penerbit Badan Penelitian dan Pengembangan Kesehatan Kementerian KesehatanRI. https://kesmas.kemkes.go.id/assets/upload/dir_519d41d8cd98f00/files/Hasil-riskesdas-2018_1274.pdf

Landi, F., Calvani, R., Picca, A., Tosato, M., Martone, A. M., Ortolani, E., Sisto, A., Dâ€™Angelo, E., Serafini, E., Desideri, G., Fuga, M. T., & Marzetti, E. (2018). Body Mass Index is Strongly Associated with Hypertension: Results from the Longevity Check-Up 7+ Study. Nutrients, 10(12), 1976. https://doi.org/10.3390/nu10121976

Lechan, M., & Margiyati. (2021). Penerapan Terapi zikir Terhadap Stres Pada KLien Dengan Hipertensi Esensial Di Wilayah Binaan Puskesmas Rowosari Semarang. Jurnal Keperawatan Sisthana, 6(1), 2021.

Li, L., Li, L., Chai, J.-X., Xiao, L., Ng, C. H., Ungvari, G. S., & Xiang, Y.-T. (2020). Prevalence of Poor Sleep Quality in Patients With Hypertension in China: A Meta-analysis of Comparative Studies and Epidemiological Surveys. Frontiers in Psychiatry, 11. https://www.frontiersin.org/articles/10.3389/fpsyt.2020.00591

Liu, R.-Q., Qian, Z., Trevathan, E., Chang, J.-J., Zelicoff, A., Hao, Y.-T., Lin, S., & Dong, G.-H. (2016). Poor sleep quality associated with high risk of hypertension and elevated blood pressure in China: Results from a large population-based study. Hypertension Research, 39(1), Article 1. https://doi.org/10.1038/hr.2015.98

Lloyd-Sherlock, P., Beard, J., Minicuci, N., Ebrahim, S., & Chatterji, S. (2014). Hypertension among older adults in low- and middle-income countries: Prevalence, awareness and control. International Journal of Epidemiology, 43(1), 116â€“128. https://doi.org/10.1093/ije/dyt215

Lo, K., Woo, B., Wong, M., & Tam, W. (2018). Subjective sleep quality, blood pressure, and hypertension: A metaâ€analysis. The Journal of Clinical Hypertension, 20(3), 592â€“605. https://doi.org/10.1111/jch.13220

Mao, Y., Zhou, J., Chu, T. S., Luo, J. H., Lai, C. M., Zhang, Q., & Qi, B. X. (2016). [Association of sleep quality with hypertension in the elderly of Jino nationality: A multilevel model analysis]. Zhonghua Yi Xue Za Zhi, 96(46), 3757â€“3761. https://doi.org/10.3760/cma.j.issn.0376-2491.2016.46.013

Mawarti, I. (2021). Hipnotis lima jari pada klien ansietas. JMJ, 9(3), 297â€“304.

Monika, S., Rayasari, F., & Badriah, S. (2020). Pengaruh Wudhu Sebelum Tidur Terhadap Kualitas Tidur Pasien Hipertensi di RSUD Dr. Chasbullah Abdulmadjid Kota Bekasi. Jurnal Penelitian Kesehatan â€œSUARA FORIKESâ€ (Journal of Health Research â€œForikes Voiceâ€), 12(0), Article 0. https://doi.org/10.33846/sf12nk127

Nguyen, T. N., & Chow, C. K. (2021). Global and national high blood pressure burden and control. The Lancet, 398(10304), 932â€“933. https://doi.org/10.1016/S0140-6736(21)01688-3

Norkhalifah, Y., & Mubin, M. F. (2022). Pengaruh Hipnotis Lima Jari terhadap Kecemasan pada Penderita Hipertensi. Ners Muda, 3(3), 299â€“306. https://doi.org/10.26714/nm.v3i3.10390

Pilleron, S., Aboyans, V., Mbelesso, P., Ndamba-Bandzouzi, B., Desormais, I., Lacroix, P., Preux, P.-M., Guerchet, M., & EPIDEMCA group. (2017). Prevalence, awareness, treatment, and control of hypertension in older people in Central Africa: The EPIDEMCA study. Journal of the American Society of Hypertension: JASH, 11(7), 449â€“460. https://doi.org/10.1016/j.jash.2017.04.013

Rana, J., Ahmmad, Z., Sen, K. K., Bista, S., & Islam, R. M. (2020). Socioeconomic differentials in hypertension based on JNC7 and ACC/AHA 2017 guidelines mediated by body mass index: Evidence from Nepal demographic and health survey. PLOS ONE, 15(1), e0218767. https://doi.org/10.1371/journal.pone.0218767

Rubattu, S., Pagliaro, B., Pierelli, G., Santolamazza, C., Di Castro, S., Mennuni, S., & Volpe, M. (2015). Pathogenesis of Target Organ Damage in Hypertension: Role of Mitochondrial Oxidative Stress. International Journal of Molecular Sciences, 16(1), Article 1. https://doi.org/10.3390/ijms16010823

Sarkar, A., Roy, D., Chauhan, M. M., Dave, P., Makwana, N. R., & Parmar, D. V. (2019). A lay epidemiological study on coexistent stress in hypertension: Its prevalence, risk factors, and implications in patientsâ€™ lives. Journal of Family Medicine and Primary Care, 8(3), 966. https://doi.org/10.4103/jfmpc.jfmpc_60_19

Sugito. (2022). Gambaran Kunjungan Lansia Penderita Hipertensi Ke Posbindu Di Masa Pandemi Covid-19. Journal of TSCS1 Kep, 7(1), 52â€“60.

Sukohar, A. (2014). BUKU AJAR FARMAKOLOGI NEUFARMAKOLOGIâ€“ASETILKOLIN DAN NORE EFINEFRIN. Sai Wawai Publishing.

Sun, K., Lin, D., Li, M., Mu, Y., Zhao, J., Liu, C., Bi, Y., Chen, L., Shi, L., Li, Q., Yang, T., Wan, Q., Wu, S., Wang, G., Luo, Z., Qin, Y., Tang, X., Chen, G., Huo, Y., â€¦ Yan, L. (2022). Association of education levels with the risk of hypertension and hypertension control: A nationwide cohort study in Chinese adults. J Epidemiol Community Health, 76(5), 451â€“457. https://doi.org/10.1136/jech-2021-217006

Syarifah, N. Y., Asda, P., & Lupa, D. A. (2022). Tingkat Pengetahuan Covid-19 Terhadap Kecemasan Lansia Dengan Hipertensi Di Padukuhan Jamusan Desa Bokoharjo Prambanan Sleman Yogyakarta. Artikel Penelitian, 3(1), 1â€“6.

van der Veen, P. H., Geerlings, M. I., Visseren, F. L. J., Nathoe, H. M., Mali, W. P. T. M., van der Graaf, Y., & Muller, M. (2015). Hypertensive Target Organ Damage and Longitudinal Changes in Brain Structure and Function. Hypertension, 66(6), 1152â€“1158. https://doi.org/10.1161/HYPERTENSIONAHA.115.06268

Wati, D. A., Pangastuti, H. S., & Perdana, M. (2018). Gambaran Tingkat Stres Pada Penderita Hipertensi Di Perdesaan Dan Perkantoran Di Yogyakarta. Universitas Gajah Mada.

WHO. (2013). A global brief on hypertension: Silent killer, global public health crisis: World Health Day 2013. https://www.who.int/publications-detail-redirect/a-global-brief-on-hypertension-silent-killer-global-public-health-crisis-world-health-day-2013

WHO. (2019, June 20). Hypertension. Hypertension. https://www.who.int/health-topics/hypertension

Yang, Z., Heizhati, M., Wang, L., Li, M., Pan, F., Wang, Z., Abudureyimu, R., Hong, J., Yao, L., Yang, W., Liu, S., & Li, N. (2021). Subjective Poor Sleep Quality is Associated with Higher Blood Pressure and Prevalent Hypertension in General Population Independent of Sleep Disordered Breathing. Nature and Science of Sleep, 13, 1759â€“1770. https://doi.org/10.2147/NSS.S329024

Yuan, Y., Heizhati, M., Wang, L., Li, M., Lin, M., Gan, L., Cai, X., Yang, W., Yao, L., Wang, Z., Abudereyimu, R., & Li, N. (2021). Poor sleep quality is associated with new-onset hypertension in a diverse young and middle-aged population. Sleep Medicine, 88, 189â€“196. https://doi.org/10.1016/j.sleep.2021.10.021

Zein, U., & El Newi, E. (2019). Buku Ajar Ilmu Kesehatan (Memahami Gejala, Tanda Dan Mitos). Deepublish.