Cultural of Deep Breathing Against Blood Pressure Reduction to Elderly People

Elderly is a process of disappearing in the ability of tissues to repair themselves or replace themselves and maintainth normal structure and function. This study aims to find out the effectiveness of deep breathing against decreased blood pressure in the elderly who have hypertension. The study used the one group pre-post test. The sample used as many as 13 participants. The study used Purposive Sampling techniques and the tool used to obtain the data. The study used a paired sample t-test with a significance value of α=0.05. The results of this study showed that there was an effect of deep breathing on the decrease in blood pressure in the elderly who had hypertension on the first day and the third day with a value of p= 0.000<α = 0.05. There is an effect of giving deep breathing to decrease blood pressure in elderly people who have hypertension on the 4th day and the sixth day with a value of p= 0.000<α = 0.05. There is an effect of giving deep breathing to the decrease in blood pressure in the elderly who have hypertension.


Introduction
Elderly is a process of disappearing in the ability of tissues to repair themselves or replace themselves and maintain their normal structure and function so that it cannot be gradually against the cells and repair damage that causes degenerative diseases e.g., hypertension, arteriosclerosis, diabetes mellitus and cancer Nurrahmani, 2012, [1]. According to Jubaidi 2008 In [1] there are several physical changes in the elderly can be a condition of the elderly stricken with disease, such as cardiovascular changes that decrease the elasticity of blood vessels, changes in respiration, namely decreased strength of respiratory muscles, as well as changes in hearing and changes in vision. There are several types of diseases that commonly affect to the elderly, including hypertension, diabetes mellitus, coronary diseases, stroke, cataracts, and so on.
These kinds of health problems are often afflict the elderly which can be causes of various other cardiovascular problems that are more serious.
Today the increase in welfare, especially in the field of health, is an important highlight. The onset of various diseases in community has a great impact on their lives. One type of disease that continues to grow and increase the number of cases are hypertension or known by ordinary people as High Blood Pressure.
Changes in lifestyle and community needs are considered to have a great influence on the occurrence of hypertension. Hypertension itself can be monitored through blood pressure measurements.
Hypertension is a persistent high blood pressure where the systolic pressure is above 140 mmHg and the diastolic pressure is above 90  [2]).
Hypertension is found several risk factors that can cause high blood pressure, namely old age and presence of a history of high blood in the family. In addition, there are also so many causes of hypertension that causing hypertension is a disease with many sufferers even referred to as the silent diseases (Cold-blooded Killer) [3]

Material and Method
This study uses one-group pretest-posttest design research.
This design is a Pre experimental study in which researchers give treatment to a measured study group or in the next pretest after the treatment of the study group is measured or in the retest (Posttest).

This research will be conducted at Panti Trisna Werdha Gau
Mabaji Gowa Regency. Using purposive sampling is a sample taken from elderly respondents who meet the criteria that have been determined by researchers with inclusion criteria and exclusion criteria. Primary data is taken and collected using questionnaires that have been available to obtain the general identity of the patient and make observations based on Deep Breathing or deep breath relaxation techniques carried out in this case observation of deep breathing in the intervention group [5][6][7][8][9][10].

Result and Discussion
In this discussion, researchers will discuss the effectiveness of Based on research and theory above as a researcher I agree that deep breathing relaxation techniques given to the elderly who have hypertension will be very effective to lower blood pressure.
And also, deep breath relaxation techniques include one of the best

Am J Biomed Sci & Res
Copy@ Agussalim non-pharmacological treatments for the elderly and not difficult to do even elderly people who are already unable to walk or get out of bed.

Proof of Hypothesis
Based Researchers assume that after the act of giving deep breathing relaxation techniques on day 1 to day 9, it can be known the effectiveness of deep breathing against the decreased blood pressure in elderly people who experience hypertension in tresna werdha gau mabaji gowa regency. This can be seen in the administration of deep breathing techniques on the first day to day 9. Thus it is known that deep breath relaxation techniques are effective for lowering blood pressure in the elderly. According to the assumption of researchers with relaxation techniques that are easy to do and without any side effects for the elderly, it is very important to apply in everyday life and can be done alone by respondents to lower blood pressure because with this relaxation technique helps the body to stay relaxed, can supply exigent with the levels needed by the body and help relieve the work of the heart, and keep the blood vessels in order.

Conclusion
After study conducted with the title "Effectiveness of Cultural with a standard deviation of 9,268. After the statistical test obtained a value of p value = 0.108 > α = 0.05 which means there is no effect of giving Deep Breathing to decrease blood pressure [11][12][13][14][15].