PENERAPAN FOOT MASSAGE THERAPY TERHADAP PENURUNAN TEKANAN DARAH PADA LANSIA DENGAN HIPERTENSI BERBASIS ASUHAN KEPERAWATAN KELUARGA DI WILAYAH PUSKESMAS KEDUNGMUNDU

Abstrak

Latar belakang: Lanjut usia mengalami penurunan fungsi fisik dan perubahan sistem kardiovaskular seiring bertambahnya usia yang dapat meningkatkan risiko terjadinya hipertensi. Hipertensi pada lansia sering sulit dikendalikan dan berisiko menimbulkan komplikasi serius apabila tidak ditangani secara optimal. Selain terapi farmakologis, diperlukan pendekatan nonfarmakologis yang aman, mudah diterapkan, dan minim efek samping. Salah satu terapi nonfarmakologis yang dapat digunakan adalah terapi pijat kaki (foot massage therapy), yang bermanfaat meningkatkan sirkulasi darah, merelaksasikan otot, menurunkan stres, serta memberikan rasa nyaman sehingga berkontribusi dalam menurunkan tekanan darah pada lansia. Tujuan Penelitian: Mengetahui efektifitas penerapan foot message therapy terhadap penurunan tekanan darah pada lansia dengan hipertensi berbasis asuhan keperawatan keluarga di Wilayah Puskesmas Kedungmundu. Metode penelitian: Jenis penelitian ini adalah studi kasus dengan pendekatan asuhan keperawatan keluarga. Subjek penelitian adalah lansia dengan hipertensi yang diberikan intervensi terapi foot massage secara rutin sesuai prosedur. Pengukuran tekanan darah dilakukan sebelum dan sesudah intervensi. Hasil penelitian: Menunjukkan adanya penurunan tekanan darah sistolik dan diastolik setelah diberikan terapi foot massage. Selain itu, lansia merasakan tubuh lebih rileks, nyaman, dan tingkat stres menurun. Dapat disimpulkan bahwa terapi foot massage efektif sebagai intervensi keperawatan nonfarmakologis dalam membantu menurunkan tekanan darah pada lansia dengan hipertensi dan dapat diterapkan dalam asuhan keperawatan keluarga. Simpulan: Terapi pijat kaki (foot massage therapy) terbukti efektif sebagai intervensi keperawatan nonfarmakologis dalam membantu menurunkan dan mengontrol tekanan darah pada lansia dengan hipertensi.

Background: Elderly individuals experience a decline in physical function and changes in the cardiovascular system with increasing age, which can increase the risk of developing hypertension. Hypertension in the elderly is often difficult to control and may lead to serious complications if not managed optimally. In addition to pharmacological therapy, safe, easily applicable, and low–side effect nonpharmacological approaches are needed. One such nonpharmacological therapy is foot massage therapy, which helps improve blood circulation, relax muscles, reduce stress, and provide comfort, thereby contributing to the reduction of blood pressure in the elderly. Research Objective: To determine the effectiveness of foot massage therapy in reducing blood pressure among elderly patients with hypertension based on family nursing care in the Kedungmundu Primary Health Care area. Research method: This study employed a case study design with a family nursing care approach. The subjects were elderly patients with hypertension who received routine foot massage therapy according to established procedures. Blood pressure measurements were taken before and after the intervention. The results of the study: The results showed a decrease in both systolic and diastolic blood pressure after the administration of foot massage therapy. In addition, the elderly participants reported feeling more relaxed, comfortable, and experienced reduced stress levels. These findings indicate that foot massage therapy is effective as a nonpharmacological nursing intervention in helping to reduce blood pressure in elderly patients with hypertension and can be applied in family nursing care. Conclusion: Foot massage therapy has been proven effective as a nonpharmacological nursing intervention in helping to reduce and control blood pressure in elderly patients with hypertension.