Lowering Anxiety and Blood Pressure in Hypertensive Patients with a Combination of Progressive Muscle Relaxation and Binaural Beats Music


crossmark

Authors

  • Ibnu Cahyono Universitas STRADA Indonesia
  • Sentot Imam Suprapto Universitas STRADA Indonesia
  • Joko Prasetyo Universitas STRADA Indonesia

DOI:

https://doi.org/10.69606/jps.v2i03.150

Keywords:

Progressive Muscle Relaxation, Binaural Beats, Anxiety, Blood Pressure, Hypertension

Abstract

Hypertension, or high blood pressure, is a non-communicable disease that, if untreated, can lead to severe health issues and even death. Anxiety caused by health problems can contribute to elevated blood pressure at any age. This study analyzed the effects of combining Progressive Muscle Relaxation (PMR) with binaural beats music on anxiety and blood pressure in hypertensive patients. The research used a quasi-experimental design with pretest-posttest control groups and involved 44 hypertensive patients from the Sematu Jaya Health Center, selected through purposive sampling. The independent variable was the combination of PMR and binaural beats music, while the dependent variables were anxiety and blood pressure. Results from the Multivariate Analysis of Variance (MANOVA) showed significant effects on anxiety (p = 0.000, Eta² = 0.690), systolic blood pressure (p = 0.000, Eta² = 0.455), and diastolic blood pressure (p = 0.000, Eta² = 0.516). These findings indicate that the combination of PMR and binaural beats is effective in reducing both anxiety and blood pressure in hypertensive patients. This intervention is simple to implement and can be used as a nursing intervention to improve patient care in health centers.

References

References

Abbasiah, Ernawati, & Novianti, R. (2023). The Effect Of Progressive Muscle Relaxation On Blood Pressure And Anxiety Of Hypertension Patients. Proceeding International Conference of Health Polytechnic of Jambi, 1, 2023–2066. http://journal.poltekkesjambi.ac.id/index.php/

Bacha, D., & Abera, H. (2019). Knowledge, Attitude and Self-Care Practice towards Control of Hypertension among Hypertensive Patients on Follow-up at St. Paul’s Hospital, Addis Ababa. Ethiopian Journal of Health Sciences, 29(4), 421–430. https://doi.org/10.4314/ejhs.v29i4.2

Desinta, R., Surya, D. O., Yeni, G. P., Amardya, V., & Maiga, E. (2023). Edukasi Terapi Progressive Muscle Relaxation (PMR) untuk Mengontrol Tekanan Darah pada Lansia Hipertensi. JURNAL ABDI MERCUSUAR, 3(1), 001–006. https://doi.org/10.36984/jam.v3i1.337

Donelli, D., Antonelli, M., Bellinazzi, C., Gensini, G. F., & Firenzuoli, F. (2019). Effects of lavender on anxiety: A systematic review and meta-analysis. In Phytomedicine (Vol. 65). Elsevier GmbH. https://doi.org/10.1016/j.phymed.2019.153099

Fiari, D. A. A., Aini, N., Octary, T., Arfianto, M. A., & Husna, C. H. Al. (2023). The Effectiveness of Spiritual Therapy in Reducing the Anxiety Level of Preoperative Patients. KnE Medicine. https://doi.org/10.18502/kme.v3i2.13076

Hafid, M. A. (2022). The Effectiveness of Progressive Muscle Relaxation Therapy and Guided Imagery Techniques for Reducing Blood Pressure in Hypertension Patients. Open Access Macedonian Journal of Medical Sciences, 10(G), 689–693. https://doi.org/10.3889/oamjms.2022.9806

Ibrahim, A., Koyuncu, G., Koyuncu, N., Suzer, N. E., Cakir, O. D., & Karcioglu, O. (2019). The effect of Benson relaxation method on anxiety in the emergency care. Medicine (United States), 98(21). https://doi.org/10.1097/MD.0000000000015452

Isrianawati, E., Rusdianingseh, R., Hatmanti, N. M., & Khafid, M. (2023). Application Of Progressive Muscle Relaxation To Reducing The Anxiety Of Hypertension Clients. Nurse and Holistic Care, 3(1), 21–25. https://doi.org/10.33086/nhc.v3i1.3935

Jubaedah, & Pratiwi, A. (2021). Kemampuan Koping Dengan Tingkat Kecemasan Klien Hipertensi. Adi Husada Nursing Journal, 7(2), 99–106.

Kemenkes RI. (2019). Hasil Utama Riset Kesehatan Dasar Tahun 2018. Lembaga Penerbit Badan Penelitian dan Pengembangan Kesehatan.

Kemenkes RI. (2021). Profil Kesehatan Indonesia 2021. Kementerian Kesehatan Republik Indonesia.

Leung, A. A., Williams, J. V. A., Tran, K. C., & Padwal, R. S. (2022). Epidemiology of Resistant Hypertension in Canada. Canadian Journal of Cardiology, 38(5), 681–687. https://doi.org/10.1016/j.cjca.2022.01.029

Mahyuvi, T., Fanani, M., Indasah, & Joko Prasetyo. (2024). Self Management berbasis Pemberdayaan Komunitas untuk Meningkatkan Kualitas Hidup Penderita Hipertensi. Tata Mutiara Hidup Indonesia.

Mahyuvi, T., Katmini, Indasah, & Prasetyo, J. (2023). Mengenali dan Mencegah Hipertensi di Masyarakat. Tata Mutiara Hidup Indonesia.

Mahyuvi, T., Pradana, A. F., Indasah, & Prasetyo, J. (2023). Recognizing and Preventing Hypertension in the Community. Tata Mutiara Hidup Indonesia.

Mahyuvi, T., Prasetyo, J., Puspitasari, Y., Amar, M., & Kristiya Marta, D. (2023). Counseling: Improving Hypertension Handling Behavior in the Public. Jurnal Abdi Masyarakat, 7(1), 30–36. https://doi.org/10.30737/jaim.v7i1.5018.

Maqodasah, S. M., Naralia, T. W., & Wahyuvingsih, S. A. (2023). Studi Kasus Penerapan Terapi Relaksasi Otot Progresif (ROP) untuk Menurunkan Tekanan Darah Tinggi Pada Lansia di Slipi. Jurnal Keperawatan Degeneratif, 01(1). http://ejournal.akper-pelni.ac.id/index.php/jkp

Marbun, E. V. Y. (2018). Pengaruh Progressive Muscle Relaxation terhadap Tekanan Darah pada Lansia di Gereja Santa Theresia Perumnas Simalingkar Medan [SKRIPSI]. STIKes Santa Elisabeth.

Marliana, T., Kaban, I. S., & Chasanah, U. (2020). Hubungan Kecemasan Lansia Dengan Hipertensi Di Puskesmas Kecamatan Kramat Jati Jakarta Timur. Konas Jiwa XVI Lampung, 306.

Mrwaha, S. F., Evelianti, M., & Wowor, T. J. (2022). Faktor-Faktor Yang Berhubungan Dengan Kejadian Hipertensi Usia Dewasa Pada Masa Pandemi Covid-19 Di Kelurahan Pabuaran Cibinong Bogor. Jurnal Keperawatan, 10(1), 45–52.

Nisa, A. H., Saputri, A. D., Fadila, A. N., Piningit, B. F. A., & Putri, B. K. (2022). Evidence Based Nursing Efektifitas Progressive Muscle Relaxation Therapy Terhadap Tekanan Darah Pada Pasien Hipertensi Di Ruang Rawat Inap Aster RSUD Dr. Haryoto Lumajang [Karya Ilmiah]. Universitas dr.Soebandi.

Novita, M., Luh Emilia, N., Alfira Yunita Assa, A., & Wahyu Purwanza, S. (2023). Application of Benson’s Relaxation Therapy to Reducing Anxiety in Patients Hypertension: Case Study. ADI HUSADA Nursing Journal, 9. https://doi.org/10.37036/ahnj.v9i1.387

Nurkemala, S., & Srifianti. (2019). Pengaruh Progressive Muscle Relaxation Training Terhadap Taraf Kecemasan Dan Tekanan Darah Tinggi pada Penderita Hipertensi Primer. Jurnal Psikologi : Media Ilmiah Psikologi.

Rankhambe, D., & Ainapure, B. (2022). Effect Of Binaural Beats Music Therapy On Anxiety Via Eeg Using Ann & Machine Learning-A Survey. Journal of Theoretical and Applied Information Technology, 15(3). www.jatit.org

Sari, R. Y., Muhith, A., Rohmawati, R., Soleha, U., Faizah, I., Afiyah, R. K., & Rahman, F. S. (2021). Spiritual emotional freedom technique against anxiety and psychological well-being of type 2 dm patients during the covid-19 pandemic. Open Access Macedonian Journal of Medical Sciences, 9, 260–265. https://doi.org/10.3889/oamjms.2021.7217

Thoyibah, Z., Purqoti, D. N. S., & Oktaviana, E. (2019). Spiritual counseling on anxiety level in (Lombok) Indonesian earthquake victims. Malahayati International Journal of Nursing and Health Science, 2(2), 92–99. https://doi.org/10.33024/minh.v2i2.2208

Wulansari, D., Binarto, J., Hadikrishna, I., & Sjamsudin, E. (2019). Pengaruh Terapi Musik Relaksasi Binaural-Beat Terhadap Tekanan Darah dan Denyut Nadi Pada Pasien Pra Ekstraksi Gigi. Jurnal Pengabdian Kepada Masyarakat.

Youssef, J., Abdelsaid, G., Mostafa El-Geneidy, M., Maximos, M. H., Magdy, R., & Abd El-Salam, M. (2019). Effect of Progressive Muscle Relaxation Technique on Blood Pressure, Anxiety and Stress among Elders in Assisted Living Facilities. In Progressive Muscle Relaxation, Elders’ Blood Pressure (Vol. 21, Issue 2).

Yusim, A., & Grigaitis, J. (2020). Efficacy of Binaural Beat Meditation Technology for Treating Anxiety Symptoms: A Pilot Study. Journal of Nervous and Mental Disease, 208(2), 155–160. https://doi.org/10.1097/NMD.0000000000001070

Downloads

Published

2024-09-29

How to Cite

Cahyono, I., Sentot Imam Suprapto, & Joko Prasetyo. (2024). Lowering Anxiety and Blood Pressure in Hypertensive Patients with a Combination of Progressive Muscle Relaxation and Binaural Beats Music. Journal of Pubnursing Sciences, 2(03), 98–107. https://doi.org/10.69606/jps.v2i03.150

Issue

Section

Original Research Articles