“IMAJINER”: Imajinasi Terbimbing dan Aromaterapi Lavender Memengaruhi Tingkat Kenyamanan Lansia Hipertensi dalam Masa Pandemi Covid-19

Authors

  • Ni Luh Putu Dian Yunita Sari STIKES Bina Usada Bali
  • Ni Made Dwi Ayu Martini Stikes Bina Usada Bali
  • I Kadek Prastikanala STIKES Bina Usada Bali

DOI:

https://doi.org/10.32583/keperawatan.v15i1.403

Keywords:

hipertensi, imajinasi terbimbing, lansia, lavender

Abstract

Lansia hipertensi dalam masa pandemi COVID-19 rentan mengalami fluktuasi tekanan darah karena adanya kondisi ketidaknyamanan fisik maupun psikologis.Kondisi ini memerlukan intervensi komplementer di samping pengobatan antihipertensi. Tujuan penelitian ini adalah untuk mengetahui pengaruh kombinasi imajinasi terbimbing dan aromaterapi lavender terhadap tingkat kenyamanan lansia dalam masa pandemi.Quasi-experimental method with control group and pre-post test design digunakan dalam penelitian ini. Populasi dalam penelitian ini adalah seluruh lansia hipertensi yang ada di wilayah kerja puskesmas se-Kabupaten Tabanan. Teknik pengambilan sampel dalam penelitian ini menggunakan purposive sampling. Besar sampel dalam penelitian ini adalah 64 orang, dengan distribusi 32 kelompok intervensi dan 32 kelompok kontrol. Intervensi diberikan selama sepuluh sesi dengan durasi 25 menit per sesi. Tingkat kenyamanan diukur dengan General Comfort Questionarre (GCQ) yang sudah diuji validitas dan reliabilitasnya. Analisis pada data berpasangan menggunakan Wilcoxon sign rank test dan data tidak berpasangan menggunakan Mann-Whitney test.Terdapat perbedaan yang signifikan dalam kelompok intervensi pada sebelum dan setelah intervensi (p value of 0,001). Selain itu, terdapat perbedaan yang signifikan antara kelompok intervensi dan kelompok kontrol setelah diberikan intervensi (p value of 0,001).

References

Alligood, M. R. (2014). Nursing theorist and their work (eight). Missouri: Elsevier.

Anshari, Z. (2020). Komplikasi hipertensi dalam kaitannya dengan pengetahuan pasien terhadap hipertensi dan upaya pencegahannya. Jurnal Penelitian Keperawatan Medik, 2(2), 44–51. https://doi.org/10.36656/jpkm.v2i2.289.

Aprilyawan, G. (2019). Analysis of lavender aroma and guided imagery on insomnia in lansia in technical specific unit social tresna wherda glenmore district Banyuwangi. Journal for Quality in Public Health, 2(2), 151–160. https://doi.org/10.30994/jqph.v2i2.38.

Apryanti, Y. P., Suhartono, & Ngadiyono. (2017). The impact of lavender aromatherapy on pain intensity and beta-endorphin levels in post-caesarean mothers. Belitung Nursing Journal, 3(5), 487–495. Retrieved from http://belitungraya.org/BRP/index.php/bnj/%0A.

Baek, T., Lee, H., Lim, N., & Park, H. (2015). Gender differences in the association between socioeconomic status and hypertension incidence: The Korean Genome and Epidemiology Study ( KoGES ). BMC Public Health, 15(852), 1–7. https://doi.org/10.1186/s12889-015-2175-6.

Bell, B. B., & Rahmouni, K. (2016). Leptin as a mediator of obesity-induced hypertension. Current Obesity Reports, 1–8. https://doi.org/10.1007/s13679-016-0231-x.

Cardia, G. F. E., Silva-Filho, S. E., Silva, E. L., Uchida, N. S., Cavalcante, H. A. O., Cassarotti, L. L., … Cuman, R. K. N. (2018). Effect of Lavender (Lavandula angustifolia) essential oil on acute inflammatory response. Evidence-Based Complementary and Alternative Medicine, 2018(1), 1–10. https://doi.org/10.1155/2018/1413940.

Chrysant, S. G., & Chrysant, G. S. (2014). The age-related hemodynamic changes of blood pressure and their impact on the incidence of cardiovascular disease and stroke: New evidence. The Journal of Clinical Hypertension, 16(2), 87–90. https://doi.org/10.1111/jch.12253.

Coelho, A., Parola, V., Sandgren, A., Fernandes, O., Kolcaba, K., & Apostolo, J. (2018). The effects of guided imagery on comfort in palliative care. Journal of Hospice & Palliative Nursing, 20(4), 392–399. https://doi.org/10.1097/NJH.0000000000000460.

Currie, G., & Delles, C. (2018). Blood pressure targets in the elderly. Journal of Hypertension, 36(2), 234–236. https://doi.org/10.1097/HJH.0000000000001576.

Dinas Kesehatan Provinsi Bali. (2020). Profil kesehatan Provinsi Bali. Retrieved from https://diskes.baliprov.go.id/profil-kesehatan-provinsi-bali/.

Dogan, A., & Saritas, S. (2021). The effects of neuro-inguistic programming and guided imagery on the pain and comfort after open-heart surgery. Cardiac Surgery, (February), 1–9. https://doi.org/10.1111/jocs.15505.

Endeshaw, M., Abebe, F., Bedimo, M., & Asrat, A. (2016). Family history of hypertension increases risk of preeclampsia in pregnant women: A case-control study. Universa Medicina, 35(3), 181–191. https://doi.org/10.18051/UnivMed.2016.v35.181-191.

Genc, H., & Saritas, S. (2019). The effects of lavender oil on the anxiety and vital signs of benign prostatic hyperplasia patients in preoperative period. Explore, 000, 1–7. https://doi.org/10.1016/j.explore.2019.07.008.

Grace, H. L., Shanmugam, A., & Gowri, M. (2017). Effectiveness of swedish massage therapy on blood pressure among patients with hypertension at Saveetha Medical College Hospital. International Journal Development Research, 7(7), 14133–14136.

Gultom, A. B., Ginting, S., & Silalahi, E. L. (2016). The influence of lavender aroma therapy on decreasing blood pressure in hypertension patients. International Journal of Public Health Science (IJPHS), 5(4), 470–478.

Hall, J. E., Carmo, J. M., Silva, A. A., Wang, Z., & Hall, M. E. (2015). Obesity-induced hypertension: Interaction of neurohumoral and renal mechanisms. Circulation Research, 116, 991–1007. https://doi.org/10.1161/CIRCRESAHA.116.305697.

Haruna, M., Matsuzaki, M., Ota, E., Shiraishi, M., Hanada, N., & Mori, R. (2019). Guided imagery for treating hypertension in pregnancy (review). Cochrane Database of Systematic Reviews, 2019(4), 1–28. https://doi.org/10.1002/14651858.CD011337.pub2.www.cochranelibrary.com.

Hayati, K., Sofiatin, Y., Rahayuningsih, S. E., & Roesli, R. M. A. (2017). Familial analysis of patients with hypertension in Jatinangor, West Java, Indonesia. Althea Medical Journal, 4(3), 449–455. https://doi.org/doi: http://dx.doi.org/10.15850/amj.v4n3.1197.

Hedayati, B. (2015). The effect of implementation of family-centered empowerment model on the self-esteem of the old people with hypertension. Journal of Education and Health Promotion, 4(74), 1–14. https://doi.org/10.4103/2277-9531.171787.

James, P. A., & Ortiz, E. (2014). JNC 8 hypertension guideline algorithm. Jama, 311(5), 507–520. https://doi.org/10.1001/jama.2013.284427.

Kasar, K. S., Yildirim, Y., Aykar, F. S., Uyar, R. M., Sagin, F. G., Atay, S., & The. (2020). Effect of inhalation aromatherapy on pain, anxiety, comfort, and cortisol levels during trigger point injection. Holistic Nursing Practice, 2020(January/February), 57–64. https://doi.org/10.1097/HNP.0000000000000350.

Lenkeit, J., Chan, J., Hopfenbeck, T. N., & Baird, J.-A. (2015). A review of the representation of PIRLS related research in scientific journals. Educational Research Review, 16, 102–115. https://doi.org/http://dx.doi.org/10.1016/j.edurev.2015.10.002.

Li, C., Lin, W., Lu, C., Chung, Y. S., & Cheng, Y. (2022). Prevalence of pain in community ‑ dwelling older adults with hypertension in the United States. Scientific Reports, 12(8387), 1–10. https://doi.org/10.1038/s41598-022-12331-0.

Lippi, G., Wong, J., & Henry, B. M. (2020). Hypertension in patients with coronavirus disease 2019 (COVID-19): A pooled analysis. Polish Archives of Internal Medicine, 130(4), 304–309. https://doi.org/10.20452/pamw.15272.

López, V., Nielsen, B., Solas, M., Ramírez, M. J., & Jäger, A. K. (2017). Exploring pharmacological mechanisms of lavender (Lavandula angustifolia) essential oil on central nervous system targets. Frontiers in Pharmacology, 8(1), 1–8. https://doi.org/10.3389/fphar.2017.00280.

Mashouf, S., Aflaki, M., Zanjani, S. E., & Mojab, F. (2017). The effects of aromatherapy by Lavender oil on agitation and hemodynamic Parameters in mechanically ventilated patients in ICU. Traditional and Integratif Medicine, 2(3), 119–128. Retrieved from https://jtim.tums.ac.ir/index.php/jtim/article/view/102.

Miller, C. A. (2012). Nursing wellness in older adults. Philadelphia: Lippincot Williams & Wilkins.

Mohamadi, M., Goodarzi, A., Aryannejad, A., Fattahi, N., & Alizadeh-khoei, M. (2020). Geriatric challenges in the new coronavirus disease-19 (COVID-19) pandemic: A systematic review. Medical Journal of the Islamic Republic of Iran (MJIRI) Med, 17 Sep(34), 1–8. https://doi.org/https://doi.org/10.34171/mjiri.34.123 Geriatric.

Parab-Waingankar, P., & Rao, S. (2015). Obesity and hypertension among urban affluent adult males from Pune, India. The Indian Journal of Nutrition and Dietetic, 52(1), 32–43.

Parizad, N., Goli, R., Faraji, N., Mam-qaderi, M., & Mirzaee, R. (2021). Effect of guided imagery on anxiety, muscle pain, and vital signs in patients with COVID-19: A randomized controlled trial. Complementary Therapies in Clinical Practice, 43(November 2020), 101335. https://doi.org/10.1016/j.ctcp.2021.101335.

Rao, N., & Kemper, K. J. (2017). The feasibility and effectiveness of online guided imagery training for health professionals. Journal of Evidence-Based Complementary & Alternative Medicine, 22(1), 54–58. https://doi.org/10.1177/2156587216631903.

Ren, Q., Su, C., Wang, H., Wang, Z., Du, W., & Zhang, B. (2016). Change in body mass index and its impact on incidence of hypertension in 18-65 year-old Chinese adults. International Journal of Environmental Research and Public Health, 13(257), 1–9. https://doi.org/10.3390/ijerph13030257.

Rivasi, G., Menale, S., Turrin, G., Coscarelli, A., Giordano, A., & Ungar, A. (2022). The effects of pain and analgesic medications on blood pressure. Current Hypertension Reports, 0(0), 1–10. https://doi.org/10.1007/s11906-022-01205-5.

Roozbeh, N., Ghazanfarpour, M., Khadivzadeh, T., Kargarfard, L., & Dizavandi, F. R. (2019). Effect of lavender on sleep, sexual desire, vasomotor, psychological and physical symptom among menopausal and elderly women: A systematic review. Journal of Menopausal Medicine, 25, 88–93. https://doi.org/https://doi.org/10.6118/jmm.18158.

Singh, A. K., Gupta, R., & Misra, A. (2020). Comorbidities in COVID-19: Outcomes in hypertensive cohort and controversies with renin angiotensin system blockers. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 14(4), 283–287. https://doi.org/https://doi.org/10.1016/j.dsx.2020.03.016.

Tsitsi, T., Charalambous, A., & Papastavrou, E. (2017). Effectiveness of a relaxation intervention (progressive muscle relaxation and guided imagery techniques) to reduce anxiety and improve mood of parents of hospitalized children with malignancies : A randomized controlled trial in Republic of Cyprus and Gre. European Journal of Oncology Nursing, 26(2017), 9–18. https://doi.org/10.1016/j.ejon.2016.10.007.

Van, N. B., Van, Q. P., Hoang, L. V., Van, T. B., Hoang, N. N., Nam, K. Do, & Chu, D. (2018). Prevalence and risk factors of hypertension in two communes in the Vietnam Northern Mountainous, 2017. BioMed Research International, 2018, 1–8. https://doi.org/https://doi.org/10.1155/2018/7814195.

Wenger, N. K., Arnold, A., Merz, C. N. B., Cooper-DeHoff, R. M., Ferdinand, K. C., Fleg, J. L., … Pepine, C. J. (2018). Hypertension across a woman’s life cycle. Journal of The American College of Cardiology, 71(16), 1797–1813. https://doi.org/10.1016/j.jacc.2018.02.033

Widayati, D., & Hayati, F. (2017). Peningkatan kenyamanan lansia dengan nyeri rheumatoid arthritis melalui model comfort food for the soul. Jurnal Ilmu Keperawatan, 5(1), 6–15. Retrieved from https://jik.ub.ac.id/index.php/jik/article/view/56.

Xu, P., Wang, K., Lu, C., Dong, L., Gao, L., Yan, M., … Liu, X. (2017). The protective effect of Lavender essential oil and its main component Linalool against the cognitive deficits induced by d-galactose and aluminum trichloride in mice. Evidence-Based Complementary and Alternative Medicine, 2017(1), 1–11. https://doi.org/10.1155/2017/7426538.

Zaki, M. M., Ahmed, F. M., & Sayed, F. S. (2018). Effect of guided imagery in reduction of stress among elderly people in geriatric homes. American Journal of Nursing Research, 6(6), 380–387. https://doi.org/10.12691/ajnr-6-6-5.

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Published

01/12/2023

How to Cite

Ni Luh Putu Dian Yunita Sari, Ni Made Dwi Ayu Martini, & I Kadek Prastikanala. (2023). “IMAJINER”: Imajinasi Terbimbing dan Aromaterapi Lavender Memengaruhi Tingkat Kenyamanan Lansia Hipertensi dalam Masa Pandemi Covid-19. Jurnal Keperawatan, 15(1), 13–22. https://doi.org/10.32583/keperawatan.v15i1.403

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