Hipertensi adalah peningkatan tekanan darah sistole ≥140 mmHg dan diastole ≥90 mmHg, diukur dua kali, selang waktu lima menit dalam keadaan tenang. Prevalensi hipertensi di Indonesia tahun 2013 tercatat 25,8% dan menjadi 34,1% pada 2018. Pengobatan hipertensi selain menggunakan obat, dapat diberi terapi non-farmakologis, salah satunya adalah terapi musik. Tujuan penelitian ini menganalisis efek musik sebagai terapi tambahan terhadap pengendalian tekanan darah pada penderita hipertensi. Penelitian ini merupakan Scoping Review, dengan mencari artikel dari database Science Direct, Neliti, dan DOAJ diperoleh 2.784 artikel. Hasil skrining yang sesuai kriteria inklusi sebanyak 474 artikel. Hasil uji kelayakan berdasar atas PICOS dan setelah dilakukan telaah kritis terdapat enam artikel yang memenuhi syarat. Penelitian dilakukan pada periode September–Desember 2020. Hasil telaah dan analisis dari enam artikel menyatakan pemberian musik selama 15–25 menit memengaruhi tekanan darah dan terdapat perbedaan tekanan darah sebelum dengan setelah diberikan musik pada penderita hipertensi. Selain itu, lima artikel menyatakan terdapat perbedaan tekanan darah pada penderita hipertensi yang tidak diberikan terapi musik. Tiga artikel menyatakan terdapat perbedaan efek penurunan tekanan darah antara kelompok intervensi musik dan kelompok yang tidak diberikan intervensi musik. Alunan musik dapat menstimulasi tubuh mengeluarkan molekul nitric oxide yang menyebabkan pelebaran pembuluh darah sehingga dapat menurunkan tekanan darah. Kesimpulan penelitian ini adalah pemberian terapi musik efektif terhadap pengendalian tekanan darah pada penderita hipertensi. Scoping Review: Music Effects as Additional Therapy on Controlling Blood Pressure in Hypertensive PatientsHypertension was an increase in systolic blood pressure ≥140 mmHg and diastolic ≥90 mmHg, measured twice, five minutes apart in a calm state. The prevalence of hypertension in Indonesia in 2013 was recorded at 25.8% and became 34.1% in 2018. Treatment of hypertension in addition to using drugs, can be given non-pharmacological therapy, which is music therapy. The purpose of this study was to analyze the effect of music as an additional therapy on controlling blood pressure in hypertensive patients. This research is a Scoping Review, by searching articles from the database Science Direct, Neliti, and DOAJ obtained 2,784 articles. The screening results that matched the inclusion criteria were 474 articles. The results of the feasibility test were based on PICOS and after a critical review there were six articles that met the requirements. The research was conducted in the period September–December 2020. The results of the study and analysis of six articles stated that giving music for 15–25 minutes affected blood pressure and there were differences in blood pressure before and after being given music to people with hypertension. In addition, five articles stated that there were differences in blood pressure in hypertensive patients who were not given music therapy. Three articles stated that there were differences in the effect of lowering blood pressure between the music intervention group and the group that was not given music intervention. The music can stimulate body to release nitric oxide molecules which cause blood vessels to dilate so that can lower blood pressure. The conclusion of this study is that music therapy is effective in controlling blood pressure in hypertensive patients.
Benign prostatic hyperplasia (BPH) merupakan istilah histopatologis, yaitu hiperplasia sel stroma dan sel epitel kelenjar prostat,dan bersifat jinak. Prevalensi BPH terjadi sekitar 70% pada pria di atas usia 60 tahun. Tujuan terapi pada pasien BPH adalah memperbaiki kualitas hidup pasien. Salah satu pilihan terapi untuk BPH yaitu transurethral resection of prostate (TURP) yang merupakan metode paling banyak digunakan untuk mengatasi pembesaran prostat. Tujuan penelitian ini adalah melihat gambaran pengaruh terapi TURP terhadap BPH pada lansia. Penelitian ini merupakan Scoping Review, yang diambil dari database PubMed, Springer Link, dan Science Direct dengan metode original research articles (observasional). Penelitian ini dinilai secara PICOS untuk ditentukan sebagai kriteria eligible pada prisma flow chart yang sesuai yaitu population (pasien BPH, lansia), intervention (terapi TURP), comparison (terapi lain), outcome (kesembuhan pasien BPH) terdapat 10.025 artikel, dan hasil uji berdasar atas PICOS sebanyak 10 artikel. Hasil analisis dan review dari 10 artikel ini, yaitu terapi TURP memiliki banyak fungsi serta manfaat untuk perbaikan kondisi pasien. Indikator tersebut dapat dinilai dari penurunan risiko perdarahan, waktu operasi, waktu irigasi kandung kemih, durasi kateterisasi, durasi rawat inap, perbaikan pada IPSS, QoL, Qmax, PVR, Na+ serum, K+ serum, kadar hematokrit, volume cairan irigasi, kadar hemoglobin, kreatinin serum, volume prostat dasar, IIEF-5, CTCAE, SHIM, MSHQ-EjD, dan ISI. Pasien BPH juga dapat mengalami risiko komplikasi intraoperatif ataupun pascaoperatif. Kesimpulan penelitian ini menunjukkan bahwa pengaruh terapi TURP terhadap BPH pada lansia mempunyai hasil yang cukup baik, efisien, dan efektif. Scoping Review: the Effect of TURP Therapy on Benign Prostatic Hyperplasia in the ElderlyBenign prostatic hyperplasia (BPH) is a histopathological term, which is hyperplasia of stromal cells and epithelial cells of the prostate gland, and is benign. The prevalence of BPH occurs in about 70% in men over the age of 60. The goal of therapy in BPH patients is to improve the patient's quality of life. One of the treatment options for BPH is the transurethral resection of prostate (TURP) which is the most widely used method to treat an enlarged prostate. The purpose of this study was to describe the effect of TURP therapy on BPH in the elderly. This research is a Scoping Review, which is taken from the PubMed, Springer Link, and Science Direct databases using the original research articles (observational) method. This study was assessed by PICOS to be determined as eligible criteria on the appropriate prism flow chart, namely population (BPH patients, the elderly), intervention (TURP therapy), comparison (other therapies), 10,025 articles of outcome (recovery of BPH patients), and test results. based on PICOS as many as 10 articles. The results of the analysis and review of these 10 articles are: TURP therapy has many functions and benefits for improving the patient's condition. These indicators can be assessed from the decreased risk of bleeding, time of operation, time of bladder irrigation, duration of catheterization, duration of hospitalization, improvement in IPSS, QoL, Qmax, PVR, serum Na +, serum K +, levels of hematocrit, volume of irrigation fluid, hemoglobin levels, serum creatinine, baseline prostate volume, IIEF-5, CTCAE, SHIM, MSHQ-EjD, and ISI. Patients with BPH may also be at risk of intraoperative or postoperative complications. The conclusion of this study shows that the effect of TURP therapy on BPH in the elderly has good, efficient and effective results.
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