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The Effectiveness of Wet Cupping and Dry Cupping in Reduccing Blood Pressure in Hypertension Patients

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The Effectiveness of Wet Cupping and Dry Cupping in Reduccing Blood Pressure in Hypertension Patients Proceedings of the international nursing conference on Chronic Disease Management Pekalongan, Indonesia, August, 7-8, 2019 The Effectiveness Of Wet Cupping And Dry Cupping In Reduccing Blood Pressure In Hypertension Patients Windi Imaningtias1, M. Projo Angkasa2, Sri Mumpuni Yuniarsih3 1 Nursing Student of Health Faculty, University of Pekalongan 2 Nursing Lecturer in Poltekes Kemenkes 3 Nursing Lecturer in University of Pekalongan [email protected] Abstract Hypertension is the 5th deadliest disease in the world at various ages. Management of hypertension can be done with a pharmacological, non-pharmacological, or alternative treatments that can treat hypertension is cupping therapy. The purpose of study was to find out the differences in the effect of wet cupping therapy and dry cupping therapy on the back point to decrease blood pressure in hypertension patients in Wonopringgo Village, Pekalongan Regency. This research used a type of pre-experimental design with a pre-post-test design. There are 2 groups (two groups) on this research without a control group. The result of Mann Whitney Test obtained p-value 0,000 <0,05 which mean there is a difference in blood pressure reduction between wet cupping therapy with dry cupping therapy, this is because wet cupping has an effect on blood pressure in hypertension patients, one of which is reducing the volume of blood in the body by removing some of the blood, while dry cupping has a relaxing effect on the heart, kidneys, back veins, such relaxation effect will occur vasodilatation of blood vessels that have previously undergone vasocontriction resulting in a decrease in blood pressure in patients with hypertention. The conclusion of this study is that wet cupping therapy with dry cupping therapy can reduce blood pressure in patients with hypertension. Key word : Hypertension, Blood Pressure, Wet Cupping, Dry Cupping, Alternative Medicine many as 29% of adults worldwide are affected by Introduction WHO (2015) data shows that around 1.13 billion people in the world suffer from hypertension. Hypertension has resulted in the hypertension. That is, 1 in 3 people in the world deaths of around 8 million people each year, of are diagnosed with hypertension and only 36.8% which 1.5 million deaths occur in Southeast Asia of them take medication. Whereas in Indonesia, where 1/3 of the population suffers from based on the 2013 Riskesdas data, the hypertension which can cause an increase in the prevalence of hypertension in Indonesia is burden of health costs. (Indonesian Ministry of 25.8%, the highest prevalence occurs in Bangka Health, 2017). Belitung (30%) and the lowest in Papua Hypertension can be defined as persistent (16.8%). Meanwhile, the 2016 National Health blood pressure with systolic pressure above 140 Indicator Survey (Sirkesnas) data showed an mmHg and diastolic blood pressure above 90 increase in the prevalence of hypertension in mmHg (Aspiani, 2014). Management of people aged 18 years and over by 32.4% (RI hypertension can be done with a Ministry of Health, 2018). According to pharmacological, non-pharmacological, or Indonesia's 2014 Sample Registration System alternative approach. Indonesian people, (SRS), complications with hypertension (5.3%) especially those with low economics, prefer were the number 5 (five) deaths at all ages. Data alternative therapies because they are affordable, from the World Health Organization (WHO) in do not use chemicals and have significant 2011 showed that one billion people in the world healing effects and one alternative treatment that suffer from hypertension, 2/3 of which are in can treat hypertension is cupping therapy (Umar, developing countries with low to moderate 2008). income. Hypertension prevalence will continue In a study conducted by Nouran Aleyeidi1, to increase sharply and is predicted in 2025 as Khaled Aseri2 and Abeer Kawthar in 2014 entitled "The Efficacy of Wet Cupping on Blood 163 Proceedings of the international nursing conference on Chronic Disease Management Pekalongan, Indonesia, August, 7-8, 2019 Pressure among Hypertension Patients in Results and discussion Jeddah, Saudi Arabia: A Randomized Controlled The results of this study outline the Trial Pilot Study" found that differences in differences in the effect of wet cupping therapy systolic values in groups intervention before and and dry cupping therapy on the back point to after cupping therapy was 1.8 while the decrease blood pressure in patients with difference in diastolic value was 0.0. While the hypertension. difference in systolic values in the control group Characteristics of Respondents' Data before and after cupping therapy is 10.5 while the difference in diastolic values is 5.4. in this Table 1. Frequency Distribution of Respondent study also explained that the results after Characteristics of Hypertension Patients by Age cupping therapy had no serious side effects from in Wonopringgo Village, Pekalon Regency wet cupping. Age Frequency Presentage The results of research conducted by Arturo, (f) (%) Over 48 43 82,7 Brandon, Diana, Andrew in 2017 entitled years old "Effect of Dry Cupping Vascular Function Less than 48 9 17,3 among Young Individuals" that after 10 minutes years old of dry cupping treatment, individuals TOTAL 52 100,0 experienced a significant 36% increase in the Vascular Reactivity Index (VRI) from the Based on the research the frequency beginning (2.60 ± 0.40 to 3.53 ± 0.42, p <0.05). distribution of respondents based on the age of Participants did not experience complications hypertensive patients in Wonopringgo Village, due to the intervention (Arturo, Brandon, Diana, 43 respondents (82.7%) were over 48 years old Andrew, 2017). and 9 respondents (17.3%) were less than 48 years old. Methods Table 2 Distribution of Frequency of This research is a pre-experimental study Characteristics of Respondents of Hypertension using pre-experimental design with a pre-post- Patients by Gender in Wonopringgo Village, test design. In this design there are 2 groups Pekalongan Regency (two groups) without a control group by Gender Frequency Presentage (f) (%) examining the characteristics of respondents, Male 24 46,2 namely age, sex, occupation and blood pressure Female 28 53,8 before and after wet cupping therapy with dry TOTAL 52 100,0 cupping therapy which is presented in the Based on the research on the frequency frequency distribution (percentage). The distribution of respondents based on the sex of normality test technique used was using the hypertensive patients in Wonopringgo Village, Kolmogrof technique because respondents> 50. 24 respondents (46.2%) were male and 28 Based on the normality test, the results of the respondents (53.8%) were female. pre-test and post-cupping wet test and dry Table 3 Frequency Distribution of Respondent cupping therapy were obtained from 0,000, Characteristics of Hypertensive Patients Based which means that the distribution was not on Work in Wonopringgo Village, Pekalongan normal. Then the transformation of the pre test Regency and post test data using the Mann Whitney test Work Frequency Presentage (f) (%) and the results obtained 0,000 which means Enterpreneur 10 19,2 accepted or there are differences in the effect of Housewife 25 48,2 wet cupping therapy with dry cupping therapy to Labor 14 26,9 decrease blood pressure in patients with Trader 1 1,9 hypertension. Civil 2 3,8 Servants TOTAL 52 100,0 164 Proceedings of the international nursing conference on Chronic Disease Management Pekalongan, Indonesia, August, 7-8, 2019 Based on the research on the sensitivity to the causative factors for frequency distribution of respondents based on hypertension (Sharaf, 2012). the work of hypertensive patients in Wonopringgo Village, 10 respondents (19.2%) Table 5 Differences in Blood Pressure Before worked as entrepreneurs, 25 respondents and After Given Therapy of Dry Cupping (48.2%) worked as Housewifes, 14 respondents Against Hypertension Patients in Wonopringgo (26.9%) worked as laborers, 1 respondents Village, Pekalongan Regency (1.9%) worked as traders and 2 respondents (3.8%) worked as civil servants. Variable Mean P- Before After value Table 4 Differences in Blood Pressure Before Systolic 151,54 148,08 Diastolic 90,00 87,69 and After Given Wet Cupping Therapy Against Decline 0,000 Hypertension Patients in Wonopringgo Village, Systolic 3,46 Pekalongan Regency Diastolic 2,31 Variable Mean P- Before After value The results showed that the average value of Systolic 151,92 140,38 the systolic blood pressure of the respondents Diastolic 91,15 85,00 before being given dry cupping therapy was Decline 0,000 Systolic 11,54 151.54 mmHg. The average value of systolic Diastolic 6,15 blood pressure after being given dry cupping therapy was 148.08 mmHg. While the average The results showed that the average value of value of the diastolic blood pressure of the systolic blood pressure of the respondents respondents before being given dry cupping before being given wet cupping therapy was therapy was 90.00 mmHg, and the average value 151.92 mmHg. The average value of systolic of diastolic blood pressure after being given dry blood pressure after being given wet cupping cupping therapy was 87.69 mmHg. therapy was 140.38 mmHg. While the average Based on the results of the study put value of the diastolic blood pressure of forward by Yogie Bagus Pratama, Hanny Rasni, respondents before being given wet cupping and Wantiyah, it was shown that dry cupping therapy was 91.15 mmHg, and the average value has provided significant benefits in reducing of diastolic blood pressure after being given wet blood pressure with hypertension. Cupping cupping therapy was 85.00 mmHg. causes dilatation of blood vessels, decreases The results of this study indicate that after heart rate and improves blood vessel elasticity, wet cupping therapy the value of the all of which have a theoretical effect on reducing respondent's blood pressure decreased both blood pressure (Primary, Y.B; Rasni, H; systolic and diastolic in Wonopringgo Village, Wantiyah, W, 2018).
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