The Effects of Slow Stroke Back Massage and Lavender Aromatherapy on Blood Pressure in Hypertensive Patients
Abstract
Background: Elderly is an age group which is extremely susceptible to suffer from health problems such as hypertension. Hypertension among the elderly is instigated by structural and functional changes in blood vessels. The changes include atherosclerosis, loss of connective tissue elasticity, and decreased vascular muscle relaxation that it reduces the distension and tensile strength of blood vessels. One of the therapies that may be implemented to elderly with hypertension is slow stroke back massage (SSBM) and lavender aromatherapy. The study aims to discover the effects of slow back massage (SSBM) and lavender aromatherapy toward the reduced blood pressure among hypertensive elderly.
Subjects and Method: It was a quasi-experiment study with no control group which had been conducted in Posyandu (Integrated Health Post) Kamboja, Plesungan, Gondangerjo, Karanganyar, Central Java, in July 2019. A sample of 40 elderlies was selected by using total sampling. The dependent variables were systolic and diastolic blood pressure. The independent variables were slow stroke back mass-age (SSBM) and lavender aromatherapy. Blood pressure was measured by sphygmomanometer. The data were analyzed by using Wilcoxon.
Results: The average systolic blood pressure post slow stroke back massage therapy and la-vender aroma therapy was (Mean=133.63; SD= 7.34) compared with prior therapy was (Mean= 167.80; SD= 6.12) with the value of p<0.001. The average diastolic blood pressure post slow stroke back massage therapy and lavender aroma therapy was (Mean= 68.28; SD= 4.25) compared with the prior therapy was (Mean= 68.88; SD= 5.72) with the value of p<0.001.
Conclusion: Slow stroke back massage (SS-BM) lavender aromatherapy may lower down blood pressure of hypertensive elderly.
Keywords: Hypertension, slow stroke back massage, Lavender aromatherapy, elderly
Correspondence: Fakhrudin Nasrul Sani. School of Health Sciences Kusuma Husada, Surakarta. Email: fakhrudin_ns@ymail.com.
Indonesian Journal of Medicine (2020), 05(03): 178-184
https://doi.org/10.26911/theijmed.2020.05.03.01
References
Ali B, Al-Wabel NA, Shams S, Ahamad A, Khan SA, Anwar F (2015). Essential oils used in aromatherapy: A systemic review. Asian Pac J Trop Biomed. 5(8): 601-611. https://doi.org/10.1016/j.apjtb.2015.05.007.
Benavente SBT, Costa ALS (2011). Physio-logical and emotional responses to stress in nursing students: an integrative review of scientific literature. Acta paul. enferm. 24(4): 571-576. http://doi.org/10.1590/S0103-21-002011000400019.
Cinar S, Eser I (2012). Effect on sleep quality of back massage in older adults in rest home. Deuhyo ED, 5(1): 2-7. https://pdfs.semanticscholar.org/4a-8b/e6ec43d89c016a71f3068a74e2c5ea5469e7.pdf
Corwin, Elizabeth J (2013). Buku saku patofisiologi(Pathophysiology pocket book). Jakarta: Buku Kedokteran EGC.
Damayati D (2013). Sembuh total diabetes, asam urat, hipertensi tanpa obat (Total cure of diabetes, gout, hypertension without drugs). Yogyakarta: Pinang Merah Publisher.
Diego MA, Field T (2009). Moderate pressure massage elicits a parasympathetic nervous system response. Int J Neurosci. 119(5): 630–638. https://doi.org/10.1080/00207450802329605.
Gudmundsdottir H, Høieggen A, Stenehjem A, Waldum B, Ingrid Os (2012). Hypertension in women: latest findings and clinical implications. Ther Adv Chronic Dis. 3(3): 137–146. https://doi.org/10.1177/2040622312438935
Harris M, Richards KC (2010). The physio-logogical and psychological effects of slow stroke back masase and hand masase on relaxation in older people. J Clin Nurs. 19(7-8): 917-926. https:-//doi.org/10.1111/j.1365-2702.2009.-03165.x
Head T, Daunert S, Goldschmidt-Clermont PJ (2017). The aging risk and athero-sclerosis: A fresh look at arterial homeostasis. Front Genet. 8:216. doi: 10.3389/fgene.2017.00216.
Hutasoit (2012). Aromaterapi. Jakarta: Pustaka Populer Obor.
Indonesian Ministry of Health (2013). Basic Health Research. Jakarta.
Indonesian Ministry of Health. (2014). Hipertensi. Jakarta: Kementerian Kesehatan RI.
Jalalodini A, Nourian M, Saatchi K, Kavousi A, Ghaljeh M (2016). The effectiveness of slow stroke back massage on hospitalization anxiety and physio-logical parameters in school age children: A randomized clinical trial study. Iran Red Crescent Med J. 18(11): e36567. https:// doi.org/10.5812/ircmj.36567
Free PMC Article Jumarani L (2011). The essence of Indonesia spa: Spa Indonesia gaya Jawa dan Bali. Jakarta: PT Gramedia Pustaka Utama.
Lee YH, Park BNR, Kim SH (2011). The effects of heat and massage application on autonomic nervous system. Yonsei Med J. 52(6): 982–989. https://doi.org/10.3349%2Fymj.2011.52.6.982
Muttaqin A (2013). Buku ajar asuhan keperawatan klien dengan gangguan sistem. (Nursing care book for clients with system disorders) Jakarta: Salemba Medika.
Mook E, Woo CP (2014). The effects of slow-stroke back masase on anxiety and shoulder pain in elderly stroke patients. Complement Ther Nurs Midwifery. 10(4): 209-206. https://doi.org/10.1016/j.ctnm.2004.05.006
Nandhini S (2014). Essential hypertention a review artikel. J Pharm Sci Res. 6(9): 305-307. https://www.jpsr.pharmainfo.in/Documents/Volumes/Vol6Issue09/jpsr06091404.pdf
Nazari F, Mirzamohamadi M, Yousefi H (2015). The effect of massage therapy on occupational stress of Intensive Care Unit nurses. Iran J Nurs Mid wifery Res. 20(4): 508–515. https://doi.org/10.4103%2F1735-9066.161001.
Noto Y, Kudo M, Hirota K (2010). Back massage therapy promotes psycholo-gical relaxation and an increase in Salivary chromogranin A release. J Anesth. 24(6): 955-8. https://doi.org/10.1007/s00540-010-1001-7
Nuzzo A, Rossi R, Modena MG (2010). Hypertension alone or related to the metabolic syndrome in postmenopau-sal women. Expert Rev Cardiovasc Ther. 8(11): 1541-8. https://doi.org/10.1586/erc.10.147
Oparil S, Zaman MA, Calhoun DA (2003). Pathogenesis of hypertension. Ann Intern Med. (9): 761-76. https://doi.org/10.7326/0003-4819-139-9-2003-11040-00011.
Potter PA, Perry AG (2012). Buku ajar fun-damental keperawatan: Konsep, proses, & praktik. Edisi 4 Vol 2. Jakarta: Gramedia PustakaUtama.
Reckelhoff JF (2001). Gender differences in the regulation of blood pressure. Hypertension. 37(5): 1199-208. https://doi.org/10.1161/01.hyp.37.5.1199
Remington R (2012). Calming music and hand massage with agitated elderly. Nursing Research. 51(5): 317-323. Https://doi.org/10.1097/00006199-200209000-00008
Rafiei F, Ameri F, Haghani H, Ghobadi A (2018). Effect of aromatherapy massage with lavender and chamomile oil on the intensity of background pain in burn patients. Iran J Nurs. 31(114): 28-37. http://dx.doi.org/10.29252/ijn.31.114.28
Wang JC, Bennett M (2012). Aging and Atherosclerosis: Mechanisms, functional consequences, and potential therapeutics for cellular senescence. Circulation Res. 111(2): 245-259. https://doi.org/10.1161/CIRCRESAHA.111.261388
