Pengaruh Slow Stroke Back Massage Terhadap Tekanan Darah pada Pasien Stroke

Abstract

Stroke currently ranks third among the ten leading causes of death worldwide. Stroke occurs due to brain damage caused by reduced cerebral perfusion. The body increases blood pressure as a compensatory mechanism, triggering uncontrolled hypertension. Uncontrolled hypertension increases the risk of hemorrhagic transformation, cerebral edema, and worsens the prognosis. High blood pressure also triggers further bleeding or hemorrhagic transformation, which increases the likelihood of long-term disability and death. One non-pharmacological management method for controlling blood pressure is slow-stroke back massage in stroke patients. This technique is a gentle massage technique performed slowly and rhythmically on the back area, starting from the base of the neck to the waist, using both palms. The purpose of this study was to determine the effect of slow-stroke back massage on blood pressure in stroke patients. This study used a pre-experimental research design with a one-group pretest-posttest approach. The sampling technique was accidental sampling, with a total of 18 respondents. Data were taken from measurements and observations of research subjects using observation sheets and SSBM SOP sheets. The analysis technique used the Wilcoxon test. The results showed a Z value of -2.508 with an Asymp. Sig. (2-tailed) value of 0.012 (p < 0.05). This finding indicates a significant difference in diastolic blood pressure between before and after treatment. There is an effect of slow-stroke back massage on blood pressure in stroke patients. Based on these results, it is hoped that education on the correct slow-stroke back massage technique can be provided so that it can be performed independently at home as a supportive therapy for blood pressure control, of course after receiving guidance from a health professional