The influence of yoga excercise towards blood pressure in patient hypertension

The incidence of hypertension in Indonesia, aged 18 years and over, is 34.1%. Hypertension majority is experienced more by people who live in urban areas than in rural areas as seen from the prevalence of hypertension of 34.4% of the population living in urban areas while the population living in rural areas is 33.7%. One effort to treat non-pharmacological hypertension that can be done is giving yoga.The aim of this research to determine the influence of yoga exercises on reducing blood pressure in hypertensive patients at Puskesmas Musuk 1 Boyolali. The research type of this study is a quasi-experimental using a one-group pretest-posttest design. The sampling technique used was purposive sampling of 24 respondents. The research instruments used were SOP yoga and pretest-posttest blood pressure observation sheets. The data analysis was tested by using the Wilcoxon Test. Most of the blood pressure in hypertensive patients before being given yoga was in the moderate category as many as 24 respondents (100%) and after being given yoga exercise, most of the hypertensive patients were in the normal category as many as 13 respondents (54.2%). There is an effect of yoga on reducing blood pressure in hypertensive patients at Puskesmas Musuk 1 marked by p-value = 0.000 (p <0.05)


INTRODUCTION
The incidence of hypertension in Indonesia, aged 18 years and over, is 34.1%. Hypertension majority is experienced more by people who live in urban areas than in rural areas as seen from the prevalence of hypertension of 34.4% of the population living in urban areas while the population living in rural areas is 33.7%. One effort to treat non-pharmacological hypertension that can be done is giving yoga.The aim of this research to determine the influence of yoga exercises on reducing blood pressure in hypertensive patients at Puskesmas Musuk 1 Boyolali.
The research type of this study is a quasi-experimental using a one-group pretest-posttest design. The sampling technique used was purposive sampling of 24 respondents. The research instruments used were SOP yoga and pretest-posttest blood pressure observation sheets. The data analysis was tested by using the Wilcoxon Test. Most of the blood pressure in hypertensive patients before being given yoga was in the moderate category as many as 24 respondents (100%) and after being given yoga exercise, most of the hypertensive patients were in the normal category as many as 13 respondents (54.2%). There is an effect of yoga on reducing blood pressure in hypertensive patients at Puskesmas Musuk 1 marked by p-value = 0.000 (p <0.05).
Several forms of treatment efforts that can be carried out in patients with hypertension can be done in two ways, including pharmacology and non-pharmacology. Pharmacological treatment can be carried out using treatment efforts in the form of antihypertensive drugs such as diuretic class drugs.
Meanwhile, non-pharmacological forms of treatment include maintaining a healthy lifestyle such as maintaining normal body weight, increasing intake of nutritious vegetables and fruits, managing a nutritious diet by consuming various types of low-salt foods, checking blood pressure regularly. , as well as increasing the frequency of exercise or physical activity which is a form of physical activity or exercise that can be used as an alternative treatment for hypertension sufferers, namely yoga (Soenarto et al, 2015). Triyanto (2014) explained that yoga practice can provide several benefits, including being able to increase positive energy, apart from that yoga exercises also provide poses or movements that can release nervous tension so that the mind will feel calmer, stretch muscles, and can relieve emotions. Murtiyani, 2018). Brain yoga can help in producing natural sedatives that can create a sense of wellbeing and increase the levels of endorphins in the body so as to reduce blood pressure. Yoga is a holistic intervention that combines body postures or asanas, breathing techniques or pranayama and meditation. Yoga exercise can reduce the symptoms of hypertension and overcome the symptoms caused by hypertension sufferers. By doing yoga, blood circulation will run more smoothly, the body's muscles will be more flexible and blood pressure will be normal. Based on the description above, the researchers were motivated and motivated to conduct research on the effect of giving yoga exercises on blood pressure in hypertensive patients at the Musuk I Health Center.

METHOD
The type of research used in this research is quasiexperimental research with quantitative methods, the research design uses one group pretest-posttest.
The population in this study were hypertension sufferers at the Musuk I Public Health Center. The number of samples in this study were 24 respondents.