Implementation of Combined Slow Stroke Back Massage and Slow Deep Breathing Exercise in a Patient with Ischemic Stroke and Hypertension: A Case Report
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Abstract
Ischemic stroke is commonly associated with hypertension, which may contribute to impaired cerebral perfusion and increased risk of complications. Non-pharmacological nursing interventions based on relaxation techniques may provide complementary support for blood pressure management, however, evidence regarding the combined application of Slow Stroke Back Massage and Slow Deep Breathing Exercise in acute stroke settings remains limited. This case study aimed to describe the implementation and observed changes in blood pressure following the application of combined Slow Stroke Back Massage and Slow Deep Breathing Exercise in a patient with ischemic stroke and hypertension. A case study was conducted in the Emergency Department of Bethesda Hospital Yogyakarta. One patient with ischemic stroke and elevated blood pressure received the combined intervention, and changes in vital signs were monitored before and after the intervention. Before the intervention, the patient's blood pressure was 195/106 mmHg with a mean arterial pressure of 136 mmHg. Post-intervention observations showed fluctuations in blood pressure, with measurements of 207/100 mmHg, 206/108 mmHg, and 187/103 mmHg, respectively. The final assessment demonstrated a reduction in systolic blood pressure accompanied by a decrease in pulse rate, while other vital signs remained stable. The application of combined Slow Stroke Back Massage and Slow Deep Breathing Exercise was accompanied by observed changes in blood pressure in this patient with ischemic stroke and hypertension. Further studies with larger samples and controlled designs are required to evaluate its clinical effectiveness.
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