<abstract xmlns="http://www.w3.org/1999/xhtml">

<sec><h3>Objective</h3>
<p>Maintaining blood pressure (BP) could improve the quality of life among farmers in agricultural health. The study aims to evaluate the effects of progressive muscular relaxation and stretching exercises (SEs) for BP in farmer subjects in rural areas.</p>
</sec>
<sec><h3>Methods</h3>
<p>A randomized controlled design was applied for this study. We performed a method, which is the combination of progressive muscle relaxation (PMR) and SEs for participants (30 in the control group and 60 in the intervention group). The intervention group self-practiced PMR and SEs through a video that providing instructions for 15 min. PMR practiced before going to sleeping in the night, and SEs practiced before going to farms in the morning per day for 3-months. Wilcoxon signed-rank test was performed to measure the difference between systolic blood pressure (SBP) and diastolic blood pressure (DBP) as one pre- and post-test comparison of baseline and 3 months data in control and intervention groups.</p>
</sec>
<sec><h3>Results</h3>
<p>There were no significant differences between SBP and DBP pre- and post-test in control group (<italic>P</italic> > 0.050). Meanwhile, there were significant differences in reducing SBP (<italic>M</italic> = 126.67; SD = 18.07; 95% CI = 120–147.5 mmHg) and DBP (<italic>M</italic> = 80.67; SD = 6.91; 95% CI = 80–90 mmHg) pre- and post-test combination of PMR and SEs in intervention group (<italic>P</italic> &lt; 0.001). After 3-months of follow-up data, number type SBP and DBP still remained at the same levels of baseline and 3-month data in control group. While, there was an increased number of normal and prehypertension for SBP and DBP (10% <italic>vs</italic>. 10% and 20% <italic>vs</italic>. 31.6%) and reduced of hypertension stage I for SBP and DBP (30% <italic>vs</italic>. 41.6%).</p>
</sec>
<sec><h3>Conclusions</h3>
<p>This pilot study demonstrated effectively to reduce SBP and DBP among farmers using the combination of PMR and SEs in the agricultural health setting.</p>
</sec>
</abstract>

Objective
Maintaining blood pressure (BP) could improve the quality of life among farmers in agricultural health. The study aims to evaluate the effects of progressive muscular relaxation and stretching exercises (SEs) for BP in farmer subjects in rural areas.

Methods
A randomized controlled design was applied for this study. We performed a method, which is the combination of progressive muscle relaxation (PMR) and SEs for participants (30 in the control group and 60 in the intervention group). The intervention group self-practiced PMR and SEs through a video that providing instructions for 15 min. PMR practiced before going to sleeping in the night, and SEs practiced before going to farms in the morning per day for 3-months. Wilcoxon signed-rank test was performed to measure the difference between systolic blood pressure (SBP) and diastolic blood pressure (DBP) as one pre- and post-test comparison of baseline and 3 months data in control and intervention groups.

Results
There were no significant differences between SBP and DBP pre- and post-test in control group (P > 0.050). Meanwhile, there were significant differences in reducing SBP (M = 126.67; SD = 18.07; 95% CI = 120–147.5 mmHg) and DBP (M = 80.67; SD = 6.91; 95% CI = 80–90 mmHg) pre- and post-test combination of PMR and SEs in intervention group (P < 0.001). After 3-months of follow-up data, number type SBP and DBP still remained at the same levels of baseline and 3-month data in control group. While, there was an increased number of normal and prehypertension for SBP and DBP (10% vs. 10% and 20% vs. 31.6%) and reduced of hypertension stage I for SBP and DBP (30% vs. 41.6%).

Conclusions
This pilot study demonstrated effectively to reduce SBP and DBP among farmers using the combination of PMR and SEs in the agricultural health setting.

Effects of progressive muscular relaxation and stretching exercises combination on blood pressure among farmers in rural areas of Indonesia: a randomized study<xref ref-type="fn" rid="j_fon-2021-0036_fn_001"><sup>†</sup></xref>

Community, Family, and Geriatric Nursing Department, Faculty of Nursing

Basic Sciences Nursing and Management Nursing Department, Faculty of Nursing

Psychiatric Nursing Department, Faculty of Nursing

Graduate School of Biomedical and Health Sciences

Frontiers of Nursing

This work is licensed under the Creative Commons Attribution 4.0 International License.

Effects of progressive muscular relaxation and stretching exercises combination on blood pressure among farmers in rural areas of Indonesia: a randomized study

Objective
Maintaining blood pressure (BP) could improve the quality of life among farmers in agricultural health. The study aims to evaluate the effects of...

Effects of progressive muscular relaxation and stretching exercises combination on blood pressure among farmers in rural areas of Indonesia: a randomized study^†

Article Category: Original article

Published Online: Dec 30, 2021

Page range: 365 - 374

Received: Feb 14, 2021

Accepted: Mar 26, 2021

DOI: https://doi.org/10.2478/fon-2021-0036

Keywords
progressive muscular relaxation, stretching exercises, blood pressure, farmer, agricultural

© 2021 Tantut Susanto et al., published by Sciendo

This work is licensed under the Creative Commons Attribution 4.0 International License.

Effects of progressive muscular relaxation and stretching exercises combination on blood pressure among farmers in rural areas of Indonesia: a randomized study†

Article Category: Original article

Published Online: Dec 30, 2021

Page range: 365 - 374

Received: Feb 14, 2021

Accepted: Mar 26, 2021

DOI: https://doi.org/10.2478/fon-2021-0036

Keywordsprogressive muscular relaxation, stretching exercises, blood pressure, farmer, agricultural

© 2021 Tantut Susanto et al., published by Sciendo

This work is licensed under the Creative Commons Attribution 4.0 International License.

Effects of progressive muscular relaxation and stretching exercises combination on blood pressure among farmers in rural areas of Indonesia: a randomized study^†

Keywords
progressive muscular relaxation, stretching exercises, blood pressure, farmer, agricultural