<p><strong>Absstract</strong></p><p><em><strong>The number of people with hypertension is increasing over time. The most frequest complaint experienced by people with hypertension is pain. Complications of pain can be avoided through correct pain management. Listening to music and murotal Al Quran on some researches can provide a relaxation effect that potentially reduces pain. This study was aimed to identify differences effect in listening mozart music with murotal Al Quran in order to purifying pain of hypertensive sufferers. This research was quasi experiment with pre-test and post-test with two groups design. Data were collected using consecutive sampling technique with 15 respondents for each group. Pain measurement was taken twice before and after listening to music mozart or murotal Al Quran for 15 minutes. Statistic test using mann whitney showed that there was significant mean difference of pain before and after treatment in the murotal group of Al Quran (value p = 0,002). While in the mozart group the difference of pain before and after treatment was not significant (p = 0,051). Listening to murotal Al Quran is more effective in reducing pain in hypertensive sufferers compared to that in mozart music.</strong></em></p><p><em><strong>Abstrak</strong></em></p><p><em><strong>Jumlah penerita hipertensi terus mengalmi peningkatan. Salah satu keluhan yang sering dialami oleh penderita hipertensi adalah rasa sakit. Komplikasi dari nyeri dapat dihindari melalui manajemen nyeri yang benar. Mendengarkan musik dan murotal Al Quran pada beberapa penelitian dapat memberikan efek relaksasi yang berpotensi mengurangi rasa sakit. Penelitian ini bertujuan untuk mengidentifikasi perbedaan dalam efek mendengarkan musik mozart dengan murotal Al Quran dalam memurnikan rasa sakit penderita hipertensi. Penelitian ini merupakan eksperimen semu dengan pre test dan post test dengan dua desain kelompok. Data dikumpulkan menggunakan teknik consecutive sampling dengan 15 responden untuk setiap kelompok. Data nyeri masing-masing responden diambil dua kali sebelum dan sesudah mendengarkan musik mozart atau murotal Al Quran selama 15 menit. Uji statistik menggunakan mann whitney menunjukkan bahwa ada perbedaan rerata nyeri sebelum dan sesudah perlakuan pada kelompok murotal Al Quran (nilai p = 0,002). Sedangkan pada kelompok mozart perbedaan nyeri sebelum dan sesudah perlakuan tidak signifikan (p = 0,051). Mendengarkan murotal Al Quran lebih efektif dalam mengurangi rasa sakit penderita hipertensi dibandingkan dengan musik mozart.</strong></em></p>

Pain results in sympathetic stimulation, which leads to releasing of epinephrine, and affects in rapid heart rate, rapid and shallow breathing, increased artheries pressure. Selected drugs for pain promote side effects such as nausea, vomiting and dependence. A nonpharmacological such as reciting Quran is required. This study was to examine the effect listening recited Ar Rahmaan on physiological responses among post section caesarean patients in dr. Goeteng Hospital. A quasy experimental study with Control Group pre-test and post-test desing was conducted. A consecutive sampling recruited 40 respondents divided into a control group (20) and treatment (20). The treatment group accepted standard therapy plus listening Ar Rahman murotal therapy for 13 minutes 55 seconds once. While the control group accepted standard therapy. Measurements conducted before and after the treatments. Changes of physical responses were analysed by Wilcoxon and Paired Samples t-test. Then, the differences in physiological responses changes and pain intensity between two groups were analysed Mann Whitney test. Results showed a significant differences in blood pressure between before and after treatment both in the control group and the treatment with p systole 0.003 and p diastole 0.018. However, there were no significant differences on the pulse rate and respiratory rate p (0.429 and 0,0666) respectively. It concluded that among post section cesarean patients murotal Ar Rahman decreased blood pressure but not it was not for pulse and respiratory rate. Keywords: murotal Ar Rahman, physiological responses, post SC ABSTRAKStimulasi simpatik oleh nyeri menyebabkan pelepasan epineprin ditandai denyut jantung cepat, pernafasan cepat dan dangkal, dan peningkatan tekanan arteri. Sedangkan obat Terapi non farmakologik, salah satunya dengan bacaan Al Qur'an dapat membantu. Penelitian ini untuk menguji efek terapi murotal Ar Rahmaan terhadap respon fisiologis pasien pasca operasi caesar di RSUD dr. R. Goeteng. Penelitian Quasy Experimental dengan rancangan pre-test and post-test design control group dilakukan. Consecutive sampling memperoleh 40 responden dibagi dalam kelompok kontrol (20) dan perlakuan (20). Kelompok perlakuan mendapatkan terapi standar dan terapi murotal Surat Ar Rahman selama 13 menit 55 detik sebanyak satu kali. Hasil pengukuran sebelum dan sesudah terapi dianalisis dengan uji Wilcoxon dan Paired Samples Test. Perubahan respon fisiologis dan intensitas nyeri antara kedua kelompok dianalisis dengan uji Mann Whitney. Hasil penelitian menunjukkan ada perbedaan bermakna tekanan darah antara sebelum dan sesudah perlakuan pada kedua kelompok (p sistole 0,003; p diastole 0,018), tetapi frekuensi nadi dan pernapasan tidak menjukkan perbedaan bermakna dengan nilai p berturutan (0,429; 0,666). Disimpulkan bahwa ada pengaruh murotal Ar Rahman terhadap penurunan tekanan darah pasien pasca operasi caesar tetapi tidak demikian pada penurunan frekuensi nadi dan pernapasan. Kata Kunci: murotal Ar Rahman, respon fisiologis, pasca SC

AbstrakLatar belakang: Sampai saat ini, hipertensi masih merupakan tantangan besar di Indonesia. Kepatuhan pasien dalam menggunakan obat berpengaruh terhadap keberhasilan terapi pengobatan. Adanya ketidakpatuhan pasien hipertensi dalam minum obat dapat memberikan efek negative yang sangat besar, seperti munculnya komplikasi. Tujuan: Mengetahui hubungan kepatuhan minum obat dengan tekanan darah pada penderita hipertensi di Puskesmas Karangjambu Kabupaten Purbalingga. Metode: Desain penelitian ini adalah cross sectional study. Responden dalam penelitian ini adalah pasien hipertensi di Puskesmas Karangjambu Kbupaten Purbalingga. Sampel diambil menggunakan teknik accidental sampling dengan jumlah 86 responden. Data dikumpulkan pada bulan Mei 2021 menggunakan kuesioner 8 – Item Morisky Medication Aderence Scale (MMAS – 8) dan pengukuran tekanan darah secara langsung. Hasil: Penelitian ini menunjukkan bahwa Sebagian besar responden adlaah perempuan (86%), sebgain besar berada pada kategori tingkat kepatuhan sedang (47%) dan pada kategori hipertensi tahap 2 (63%). Uji stastistik didapatkan nilai p value 0.901 menunjukkan bahwa tidak ada hubungan kepatuhan minum obat dengan tekanan darah pada penderita hipertensi. Kesimpulan: Tidak ada hubungan kepatuhan minum obat dengan tekanan darah pada penderita hipertensi AbstractBackground: In Indonesia, hypertension is still a major problem. Adherence to treatment is critical for hypertension patients' long-term health and well-being. Adherence are required for hypertension therapy to be effective, and altering these patients' behavior has the greatest potential for improving hypertensive control. Objectives: To explore the relationship between medication adherence and blood pressure in hypertension patients. Methods: We used the cross-sectional study. This research sample was hypertension patients at Karangjambu Health Centre Purbalingga Regency. We included 89 respondents by accidental sampling technique. We collected the data by questionnaire. The Gamma & Sommers’d test was performed to analyze the data. Results: This research showed that that the majority of respondents were women (86%), the moderate category had the highest level of adherence (47%) and the most respondents suffer from hypertension stage 2 (63%). The statistical test result of 0.910 suggested that there was no relationship between medication adherence and blood pressure in hypertensive patients. Conclusions: There was also no significant between medication adherence and blood pressure.

Hypertension is a global health problem resulting in increased morbidity and mortality and the burden of health costs, including in Indonesia. The purpose of this study was to find out the difference between Ar Rahman Murotal Therapy and Progressive Muscle Relaxation in decreasing blood pressure in hypertension patients at Rw 3, Sumampir village. This was a quantitative research with cross over design with The One Group Pretest-Posttest Design approach. The population in this study were all patients with hypertension in Sumampir, North Purwokerto of Banyumas according to data obtained from Puskesmas (Community Health Center). The sampling technique used was purposive sampling. The number of samples used were 13 people who were present at the time of data collection divided into control and treatment groups. The instrument used were speaker and digital sphygmomanometer. Data was analyzed using independent sample test. All respondents were female (100%). Significance value in systolic and diastolic blood pressure reduction in both treatments was not statistically significant (p> 0.05), but the mean systolic blood pressure (4.15) and diastolic (4.53) in therapy using Ar Rahmaan murotal higher than the value of added systolic blood pressure (2.93) and diastolic (1.46) on the therapy of Progressive Muscle Relaxation techniques. This means that clinically Ar Rahman murottal therapy is more effective in helping to reduce blood pressure compared to Progressive Muscle Relaxation therapy. Significance value in systolic and diastolic blood pressure reduction in both treatments was not statistically significant that clinically Ar Rahman's murotal therapy is more effective in helping to reduce blood pressure than Progressive Muscle Relaxation therapy.

Background: Headache in the occipital region is the most common symptom of hypertension, caused by enhanchement intra-cranial pressure and vasoconstriction resulting in decreased perfusion of cerebral tissue. This causes insomnia, decreased concentration and decreased ability of daily living activity. Autogenic relaxation causes vasodilation and a calm emotional response that increases the response of the parasympathetic system. This modulation stimulus can decrease perception of headache. Objective: The aims of this study was to find out how the reduction of headache on hypertension before and after autogenic relaxation. Methods: The design of this research was pre experimental with one group pretest-postest design approach. The sample are 38 patients with hypertension who complained of headache in Mersi Purwokerto. Selection has been using purposive sampling. Measurement of head pain using visual analog scale. Data analysis using Wilcoxon test. Results: The mean headache before the autogenic relaxation technique was 5.24, and the mean headache after autogenic relaxation technique was 3.47, including the range of moderate pain. There was a significant difference between headache before and after the autogenic relaxation technique with p value: 0,000. Conclusion: Autogenic relaxation can be used by the elderly with hypertension to reduce headache.