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Jurnal Riset Rumpun Ilmu Kesehatan 2022 Pusat riset dan Inovasi Nasional

A common disease experienced by the elderly is hypertension. Cases of hypertension in Demak are quite high, one of them is in Mranggen village. This reality proves that many people still ignore hypertension. Because there are sufferers who feel no symptoms and there are symptoms such as headaches, weakness, fatigue, shortness of breath and blurred vision. If not treated immediately it will cause complications such as kidney failure, stroke, coronary heart disease and retinopathy. It is of course important to make efforts to control blood pressure. A combination of non-pharmacological management of deep breathing exercise and religious music is one of the efforts that can be made. The purpose of this study was to describe the administration of a combination of deep breathing exercise and religious music therapy to the blood pressure of elderly hypertensive patients. This research uses descriptive case study research with a nursing care process approach.The number of samples is 2 respondents, with the criteria of elderly clients who have hypertension, clients who do not take medication during hypertension in order to determine the effectiveness of the action, clients who can communicate well, and clients who are willing to be respondents. Deep breathing exercises and religious music are carried out once a day for 3 days in 1 week with a duration of 15 minutes. Blood pressure measurement using a sphygmomanometer and stethoscope. Blood pressure measurements were taken before and after the procedure. The results showed that the blood pressure of respondent 1 before and after being given deep breathing exercise therapy and religious music for 3 consecutive days with a duration of 15 minutes, the blood pressure on the first day before receiving therapy was 160/70 mmHg and after being given therapy for 3 days on the last day the blood pressure became 150/60 mm Hg. In respondent 2 before and after being given deep breathing exercise therapy and religious music for 3 consecutive days with a duration of 15 minutes the blood pressure on the first day before receiving therapy was 179/80 mmHg and after being given therapy for 3 days on the last day the blood pressure was 156/70 mmHg .

Wiyani, Ni Putu; Sukarja, I Made; Krisnayani, Wina Ni Made; Daryaswanti, Putu Intan

Jurnal Kesehatan Medika Udayana 2022 Sekolah Tinggi Ilmu Kesehatan Kesdam IX/Udayana

Background: Chronic Kidney Failure is one of the important health problems in Indonesia and the world community. In Indonesia, according to data from Penetri (Persatuan Nefrologi Indonesia) the number of patients with kidney failure is estimated at 4500 people, but those detected suffering from terminal stage chronic kidney failure from those undergoing dialysis (hemodialysis) are only around 4 thousand - 5 thousand people. Cases of kidney failure in Indonesia are still relatively high every year, because there are still many Indonesian people not maintaining their diet and health. This means that chronic kidney failure ranks as one of the highest rates of disease causing death. The purpose of this study was to describe the level of adherence to patients with chronic kidney failure in undergoing a hemodialysis program in the hemodialysis room at Sanjiwani Hospital in Gianyar. Methods: This research is a descriptive observational type. This study uses a sampling technique that is purposive sampling with a total sample of 30 people. Results: In this study the results of the rate of compliance of CRF patients with hemodialysis were 27 respondents (90%) who were obedient and non-adherent as many as 3 respondents (10%). Thus most patients with chronic renal failure adhere to undergoing hemodialysis in the hemodialysis room of Sanjiwani Hospital in Gianyar. Conclusions: The conclusion of this study is that patients with chronic renal failure are expected to seek treatment regularly in accordance with the rules set by health workers. Delay of dialysis causes pulmonary complications, seizures, decreased consciousness, severe electrolyte disturbances, heart failure, which can cause death.Keywords : Chronic Kidney Failure; Hemodialysis, Compliance