The Effect Of Guided Imagery Based On Spiritual Care On Stress Level And Blood Pressure Of Hypertension Patients
Main Article Content
Abstract
Background: Stress and increased blood pressure experienced by a person are factors that cause hypertension. Hypertension that is not realized and not treated immediately can cause various complications that can end in death.
Methods: The sample size is 34 respondents, and the sampling technique is purposive sampling. The intervention group was given Guided Imagery-Based On Spiritual Care for 15-20 minutes, and the control group was given standard intervention (usual care) for one week. The variables studied were stress levels and blood pressure. The analysis used the Wilcoxon Signed Rank Test for pre and post-treatment as well as the Mann-Whitney test to determine the difference between the intervention group and the control group, with a significant value of <0.05.
Results The results of the analysis of systolic blood pressure using the Wilcoxon Signed Rank Test showed a p-value of 0.001 in the intervention group and a p-value of 0.564 in the control group. The results of the analysis of Diastolic Blood Pressure using the Wilcoxon Signed Rank Test were a p-value of 0.003 in the intervention group and a p-value of 0.046 in the control group. The results of the analysis using Mann-Whitney obtained a p-value of 0.000 stress, a Systolic Blood Pressure p-value of 0.000, and a Diastolic Blood Pressure p-value of 0.000 between the intervention group and the control group.
Conclusion Guided Imagery-Based Spiritual Care is effective in reducing stress levels and blood pressure of hypertensive patients. This technique is easy to do, so it can be applied as a nursing intervention in inpatient rooms for the development of nursing science in hospitals.
Article Details
References
A’yunin, Q., Noerjoedianto, D., & Lesmana, O. (2022). Knowledge, Attitudes, Age, Education Level Factors to Waste Management. Journal of Applied Nursing and Health, 4(1 SE-Articles), 9–15. https://doi.org/10.55018/janh.v4i1.27
Alifianingrum, K. (2020). Pengaruh Terapi Guided Imagery Terhadap Tekanan Darah Pada Pasien Hipertensi Di Rsi Sultan Agung Semarang. Universitas Sultan Agung Semarang.
Antara, I. G. N. P. J., Yanti, N. P. E. D., & Susiladewi, I. A. M. V. (2022). Reducing Nurse Stress at Covid-19 Isolation Room Through Guided Imagery Training. Jurnal Keperawatan, 14, 247–254.
Christian, P., Patel, S., & Tiwari, A. (2020). Effectiveness Of Guided Imagery Therapy On Stress And Quality Of Life Among Infertile Women. Indian Journal Of Aplied Research, 6–8. https://doi.org/10.18203/2320-1770.ijrcog20160846.
Fatmasari, D., Widyana, R., & Budiyani, K. (2019). Spiritual Emotional Freedom Technique ( SEFT ) untuk Menurunkan Stres pada Pasien Hipertensi. Jurnal Psikologi, 15(1), 10–19.
Gurvinder, K., Poonam, S., & Adiba, S. (2015). Effectiveness of Guided Imagery Technique on Blood Pressure and Stress Level among Elderly People. International Journal of Science and Research (IJSR), 4(7), 2281–2284.
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.
Khasanah, T. A. (2021). Relationship Between Stress Level and Sodium Intake with Blood Pressure in Hypertensive Patients. Jurnal Pangan Kesehatan Dan Gizi, 2(November), 72–81.
Kirnawati, A., Susumaningrum, L. A., Rasni, H., & Susanto, T. (2021). Hubungan Tingkat Spiritual dan Religiusitas dengan Tekanan Darah pada Lansia Hipertensi. JKEP, 6(1), 26–39.
Kozier, B. (2011). Buku Ajar Fundamental Keperawatan : Konsep, Proses, & Praktik Volume 2. EGC.
Kulthe, V. R., & Bhattacharya, C. (2020). Effectiveness of Guided Imagery ( GI ) in Reduction of Stress among Patients with Chronic Renal Failure ( CRF ) Undergoing Haemodialysis in Selected Hospital. International Journal of Health Sciences and Research, 10(May).
Lefu, A. R. L. (2018). Pengaruh pemberian terapi guided imagery terhadap penurunan tingkat stres pada mahasiswa akhir dalam menyusun skripsi di Program Studi Teknik Sipil Universitas Tribhuwana Tunggadewi Malang. Universitas Tribhuwana Tunggadewi.
Mahyuvi, T., & Nursalam. (2020). The Effect Of Social Cognitive Theory-Based Psycho- Education Towards Depression And Blood Pressure Of Ischemic Stroke Patients. Journal for Quality in Public Health, 4(1), 202–207. https://doi.org/10.30994/jqph.v4i1.140
Muryati. (2015). The Effect Of Guided Imagery Towards Reduction Of Stress Level In The Coronary Heart Patient. Healthy Journal, III(1).
Muslim, A., & Arofiati, F. (2019). Efektifitas Kombinasi Latihan Pernafasan Dalam Dan Terapi Spiritual Terhadap Perubahan Parameter Kardiovaskuler Pada Pasien Hipertensi Di Desa Darungan Kabupaten Kediri. Nursing of Journal STIKES Insan Cendekia Medika Jombang, 17(1), 30–39.
Musslifah, A. R. (2022). Optimization Of Islamic Counseling And Understanding Of Well Being in Reducing Anxiety and Stress In Face-To-Face Learning After The Covid-19 Pandemic. Journal of Applied Nursing and Health, 4(1 SE-Articles), 103–109. https://doi.org/10.55018/janh.v4i1.60
Naryati, & Sartika, J. (2021). Faktor-Faktor Yang Berhubungan Dengan Pengendalian Tekanan Darah Pada Penderita Hipertensi Di Rw 01 Kelurahan Pulau Panggang Kecamatan Kepulauan Seribu Utara. MANUJU: Malahayati Nursing Journal, 3.
Nuwa, M. S., & Kiik, S. M. (2020). Pengaruh Spiritual Guided Imagery and Music terhadap Kecemasan Pasien Kanker yang Menjalani Kemoterap. Jurnal Ners Dan Kebidanan (JNK) Http://Jnk.Phb.Ac.Id/Index.Php/Jnk, 95–106. https://doi.org/10.26699/v7i1.ART.p095
Potter, P. A., Perry, A. G., Stockert, P., & Hall, A. (2014). Fundamental Keperawatan Edisi 7.
Rismawan, W., Irmayanti, E., & Aprianti, R. (2022). Spiritual terhadap Stress pada Pengguna Narkoba. Syntax Literate: Jurnal Ilmiah Indonesia, 7(4).
Saragih, P. P. (2021). Literature Review : Hubungan Stres Dengan Kejadian Hipertensi. Politeknik Kesehatan KEMENKES Medan.
Setyan, H. I., Arifianto, & Rohana, N. (2019). The Effect Of Guided Imagery Relaxsation Therapy On Reducing Blood Pressure In The Patient With Hypertension. Jurnal Ners Widya Husada, 6(2), 49–56.
Sholikhah, N. P. N., Laksmi, A. T., & Supratman. (2021). Gambaran Tingkat Stres dan Kecemasan Penderita Hipertensi. Prosiding Seminar Nasional Keperawatan Universitas Muhammadiyah Surakarta 2021, 69–75.
Smeltzer, S. C., & Bare, B. G. (2014). Keperawatan Medikal Bedah Brunner and Suddarth’s. EGC.
Sumarsih, T., Wahyuningsih, T., & Sawiji. (2019). Pengaruh Relaksasi Spiritual terhadap Perubahan Tingkat Ansietas dan Stres Pasien Tuberkulosis Paru di RS PKU Muhammadiyah Sruweng. Sekolah Tinggi Ilmu Kesehatan Muhammadiyah Gombong, 645–653.
Susanti, N. K. M., Ayubbana, S., & HS, S. A. S. (2022). Application Of Guided Imagery Relaxation Therapy On Blood Pressure Of Hypertension Patients. Jurnal Cendikia Muda, 2.
Suwardianto, H. (2021). Critical Nursing Care With Nursing Problems, Impaired Gas Exchange and Inhibition of Spontaneous Ventilation in Patient with Coronary Heart Disease: A Case Study. STRADA Jurnal Ilmiah Kesehatan, 10(1), 632–638. https://doi.org/https://doi.org/10.30994/sjik.v10i1.679
Trihandini, B., Fatmasari, D., Hartati YK, L. E., & Sudirman, S. (2018). Effect of Spiritual Nursing Care on the Level of Anxiety in Patients With Stroke. Belitung Nursing Journal, 4(1), 98–103. https://doi.org/10.33546/bnj.346
Tyas, S. A. C., & Zulfikar, M. (2021). Hubungan Tingkat Stres Dengan Tingkat Tekanan Darah Pada Lansia. Jurnal Penelitian Keperawatan Kontemporer, 75–82.
Wisnusakti, K. (2018). The Relationship Between Levels Of Spiritual Welfare and Anxiety in Elderly. Jurnal Pendidikan Keperawatan Indonesia, 4(2), 91–96. https://doi.org/10.17509/jpki.v4i2.13638
Wulandari, F., Majid, Y. A., & Zairinayati. (2021). Pengaruh Terapi Relaksasi Guided Imagery Terhadap Tekanan Darah Pada Lansia Penderita Hipertensi. Jurnal Masker Medika, 9, 542–550.
Yunitasari, E., Sutrisno, I. T., & Santoso, B. (2020). The effects of spiritual caring with murottal on stress anxiety, and depression among cervical cancer patients undergoing chemotherapy. EurAsian Journal of BioSciences, 14(June), 1663–1668.
Yusuf, A., Iswari, M. F., Sriyono, S., & Yunitasari, E. (2020). The effect of combination of spiritual deep breathing exercise therapy on pain and anxiety in postoperative nonpatological orthopedic fracture patients. EurAsian Journal of BioSciences, 14(1), 1625–1631.
Yusuf, A., Nihayati, H. E., Iswari, M. F., & Okviasanti, F. (2016). Kebutuhan Spiritual Konsep Dan Aplikasi Dalam Asuhan Keperawatan. Mitra Wacana Media.
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