Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery)
Vol 6, No 3 (2019)

Efektivitas Terapi Tertawa tehadap Insomnia dan Tekanan Darah pada Lansia

Idris, Desi Natalia Trijayanti (Unknown)
Astarani, Kili (Unknown)



Article Info

Publish Date
05 Dec 2019

Abstract

Menua bukanlah suatu penyakit melainkan proses berkurangnya daya tahan tubuh dalam menghadapi stressor dari dalam maupun dari luar tubuh. Masalah-masalah yang terjadi pada lansia diantaranya mudah jatuh, mudah lelah, gangguan kardiovaskuler, nyeri atau ketidaknyamanan, gangguan eliminasi, gangguan ketajaman pengelihatan, gangguan pendengaran, gangguan tidur, mudah gatal. Insomnia merupakan gangguan tidur yang sering ditemukan pada lansia yang dapat menurunkan kualitas hidup lansia. Lansia yang mengalami insomnia cenderung terjadi peningkatan tekanan darah. Penatalaksanaan yang dapat dilakukan untuk mengatasi insomnia dan peningkatan tekanan darah pada lansia yang dapat dilakukan oleh lansia secara mandiri ataupun berkelompok yaitu dengan non farmakologi salah satunya adalah terapi tertawa. Tujuan menganalisis pengaruh terapi tertawa  terhadap insomnia dan tekanan darah pada lansia di Panti Wredha Santo Yoseph Kediri. Desain penelitian ini mengunakan Quasi Eksperimental dengan menggunakan metode one group pre-test post-test design. Jumlah sampel penelitian ini sebanyak 14 lansia yang diambil secara kuota sampling dari 28 lansia yang ada. Penelitian dilaksanakan pada bulan juni-juli 2019. Pengumpulan data dengan mengukur insomnia dan tekanan darah sebelum dilakukan terapi tertawa. Analisis data mengunakan uji wilcoxon. Hasil penelitian menunjukkan ada pengaruh terapi tertawa dengan insomnia berdasarkan uji wilcoxon (p=0.002), tidak ada pengaruh terapi tertawa dengan tekanan darah pada lansia berdasarkan uji wilcoxon (p=0.190). Terapi tertawa dapat digunakan sebagai penatalaksaan secara non faramkologi tindakan mandiri perawat dalam mengurangi insomnia yang terjadi pada lansia. Tekanan darah pada lansia tidak terdapat perubahan dengan terapi tertawa hal ini dapat dikarenakan perubahan fisiologi lansia salah satunya adalah fungsi kardiovaskuler. Aging is a natural process and is not a disease that can result in reduced endurance in dealing with stressors from within and from outside the body. Many problems that can occur in the elderly include fatigue, impaired balance that makes the elderly easy to fall, disorders of the cardiovascular system, pain or discomfort, disturbances in elimination of frequent urination or unable to hold urine, impaired vision, hearing, resting disorders and sleep, and itch easily. Insomnia is a sleep disorder or problem that is often found in the elderly which can reduce the quality of life of the elderly. Elderly people who experience insomnia tend to increase blood pressure. Management that can be done to overcome insomnia and increased blood pressure in the elderly is done independently or in a group that is by means of nonpharmacology for example is laughter therapy. The purpose of this study was to analyze the effect of laughter therapy on insomnia and blood pressure in the elderly at the St. Yoseph Kediri Nursing Home. The design uses Quasi Experimental with one group pre-test post-test design method. The samples of this study were 14 elderly taken by sampling quota from 28 existing elderly. The study was conducted in June until July 2019. Collection data by measuring insomnia and blood pressure (BP) before laughing therapy. Analysis data using Wilcoxon test. The results showed there was an effect of laughing therapy with insomnia based on the Wilcoxon test (p = 0.002) and there was no effect of laughing therapy with blood pressure in the elderly based on the Wilcoxon test (p = 0.190). Laughter therapy can be used as a non-faramchologic treatment of nurses' independent actions in reducing insomnia that occurs in the elderly. Blood pressure in the elderly there is no change with laughter therapy this can be due to changes in the physiology of the elderly one of which is cardiovascular function.

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Journal Info

Abbrev

jnk

Publisher

Subject

Health Professions Medicine & Pharmacology Nursing Public Health

Description

Jurnal Ners dan Kebidanan (JNK) published by STIKes Patria Husada Blitar. JNK published three times in a year, its in April, August and December, JNK only receive original manuscripts related to science development and have not been published in domestic and foreign journals. The content of the ...