BACKGROUND
Hypertension is high blood pressure in the arteries (Muhammadun, 2010), according to ISH / WHO and JNC 7 Report, 2009, someone said memeiliki hypertension when blood pressure greater than 140/90 mm Hg. Hypertension is a disease caused by blood circulation ganaguan still a problem in public health (Muttaqin, 2009). Many patients with hypertension have not received proper penatalksanaan in controlling blood pressure, so it will increase morbidity and health problems in the community more and more difficult to repair.
The prevalence of hypertension in Indonesia is based on the measurement and history of the disease was 32.2% (Rahajeng, 2009) the prevalence of hypertension in the island of Java was 41.9% (setiawan 2011). Data hypertensive patients kediri city health department in the southern region of the city health center in 2011 there were 4807 people. In 2012 there were 4807 people, in January 2013 there were 540 people with hypertension. the data shows that the prevalence of hypertension patients are so large that they require proper
penatalakasanaan.
Hypertension may occur due to an increase in heart rate and stroke volume as a result of the activity of the sympathetic nervous system (Corwin, 2009). so menngakibatkan increase in contractility of the heart muscle fibers by means of selective organ vasokontraksi pariver (Muttaqin, 2009). if it happens continuously it will jatung thickened muscle (hypertrophy), the pump function of the heart as to be disrupted, the result can damage the blood vessels of the brain, the eyes (retinopathy), and kidney failure (Muhammadun, 2010). if n blood pressures in hypertensive patients can be maintained in the normal value of hypertensive patients can obtain optimal health, avoid the risk of cardiovascular disease complications, and the patient's quality of life increased.
Disease nurses is to help maintain blood pressure in hypertensive patients at optimal level by giving kepeerawatan care interventions, ie deep breathing relaxation therapy (deep breathing) (breathing Izzo) mechanical relaxation deep breathing (deep breathing) in the form of a state of inspiration and expression breathing with respiratory frequency be 6-10 times per minute resulting in a decrease in cardiac output, the contraction of heart muscle fibers, and the volume of blood makes blood pressure is lowered (Muttaqin, 2009) the mechanism of slow stroke back message (gentle massage on the back), which promotes relaxation by lowering the activity of nerve The sympathetic and parasympathetic nerve activity increases, causing vasodilation of arterioles diameter. Meek research results showed that the nursing implications mesase back with a slow massage can lower blood pressure, heart rate and body temperature (Smeltzer, 2008). mak researchers interested in studying the activity of slow deep breathing dam massage strokes to decrease blood pressure in hypertensive patients in primary southern town of Kediri.
METHODE
At this penenlitian design or design researchers used addalah based design experiment the researchers tru solomon three-group design Diman all groups performed a pretest and a second group was given the experimental treatment after being treated all groups in lkukan post test and one control group. Variable in this research is sisitolik blood pressure, diastolic blood pressure and a decrease in diastolic blood. the population in the study were all patients with hypertension in the southern region of the city health centers of the city.
(blood pressure) by using the tool spigmamometer mercury. deep breathing treatment outcome data in stastik mengunkan Wilcoxon test (sisitolik) and paired t-test (diastolic), while the data of slow stroke back message statically tested using paired T-test (systolic) and Wilcoxon (diastolic). To see Yag treatment is most effective in lowering systolic blood pressure and diastolic post hoc statistical test wann Whitney.
RESULTS
The characteristics of hypertensive patients in health centers kendiri city of the southern city that the respondents in this study distinguished: gender by age, education level, possible causes and characteristics hpertensi complaints.
Hypertensive patients with a prevalence of 50% at most were female (76.7) while those aged> 55 years as much as 58.3% .perbandinganjumblah patients with hypertension at age> 55 tahunmenurut sexes, male and female, namely: 1: 4 which means that at age> 55 years of a person who manifold effectiveness of deep breathing and slow stroke back message
Female sex four times more at risk for hypertension.
Level of education most hypertensive patients do not complete primary education as much as 36.7% and mostly has an education below secondary school as much as 70% can be
concluded that most hypertensive patients have low education.
History originator of hypertensive patients with prevalence of> 50% on puskesmas psien hypertension in the southern town of Kediri, based on the largest percentage is genetic (71.7%), garm intake (58.3%) jelatah consumption (66.7%) and a history of using contraceptive pills (54.3%).
