International Journal of Psychosocial Rehabilitation, Vol.

24, Issue 09, 2020

ISSN: 1475-7192

The Effect of Listening to Asmaul Husna,

Isometric Handgrip Exercise, and Foot
Hydrotherapy Intervention to Reduce Blood
Pressure in the Elderly with Hypertension
Abu Bakar1*, Indah Mahmudah Khusniyah1, Ika Nur Pratiwi1

Abstract--- This study aimed to assess the effectiveness of the influence of listening to Asmaul Husna (the
names of God are beautiful, good, great, and noble), isometric handgrip exercise, and foot hydrotherapy
interventions on blood pressure in elderly with hypertension. Background: Hypertension or high blood pressure
often appears without symptoms, so it is called a silent killer. Based on these problems, non-pharmacological
methods can reduce blood pressure, namely the intervention of listening to Asmaul Husna, isometric handgrip
exercise, and foot hydrotherapy. Method: Quasi-experimental research design with pre-post test control group
design involving 60 respondents using probability sampling techniques. The independent variable in this study was
listening to Asmaul Husna, isometric handgrip exercise, and foot hydrotherapy intervention, while the dependent
variables were systolic, diastolic blood pressure, and pulse. The data obtained were then analyzed using the
Independent t-Test or Wilcoxon Signed Rank Test and Mann Whitney with a degree of significance α ≤ 0.05. Results:
Results of data analysis using the Independent t-Test statistic in the treatment group and control group were, for
pulse (p = 0.000). The results of tests with Mann Whitney obtained the following result for systolic (p = 0.000) and
diastolic (p = 0.000), which means that there were changes in systolic, diastolic, and pulse before and after listening
to Asmaul Husna, isometric handgrip exercise, and foot hydrotherapy. Discussion: Listening to Asmaul Husna,
isometric handgrip exercise, and foot hydrotherapy interventions have positive benefits for reducing systolic and
diastolic blood pressure, and pulse in the elderly with hypertension. For further research, the researchers suggest
that more studies about the effectiveness of this intervention should be conducted by increasing the number of
dependent variables.

Keywords--- Asmaul Husna; Isotonic Handgrip Exercise; Foot Hydrotherapy; Blood Pressure; Hypertension;
Elderly

I. INTRODUCTION
Hypertension can be a problem in old age; more than 50% of hypertension patients reside in for 60 years. The most
significant disease from the death of the effect of disease noncommunicable ( NCD) Or disease is not catching because of
disease cardiovascular. The World Health Statistics ( 2012) reporting that 57 million death in the world because of disease

Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia.

1

Corresponding author:
Abu Bakar
E-mail: abu.bakar@fkp.unair.ac.id

837
International Journal of Psychosocial Rehabilitation, Vol.24, Issue 09, 2020
ISSN: 1475-7192

NCD. Hypertension frequently does not show the symptom, so that becomes the sneaking murderer ( the silent killer of
death) and becomes the root cause incidence of heart sickness, stroke, and kidney [1]. More and more population of old
age in Indonesia, more and more also morbidities of disease degenerative one of them is is hypertension.
Hypertension disease has hit entire/all nations in the world, according to research NHANES ( 2017), at age 60 years
to for the natural of hypertension in the United States of equal to 63,1% during the year 2015-2016 [2]. According to the
exceptional result of, Riskesdas which is in releasing by Kementrian of Health of the Republic Of Indonesia noted by the
resident with age more than 18 years in the year 2013 diagnosed by hypertension of equal to 25,8% and in the year 2018
equal to 34,1% [3]. In East Java of prevalence hypertension according to diagnosed by a doctor of a resident old age more
than 18 the year 2018 equal to 8,3%. [4]. Prevalence Hypertension in Surabaya of equal to 13,47% or about 935.736
resident with the mean proportion of equal to 13,78% ( 387.913 resident) and woman of equal to 13,25% ( 547.823
resident) [5]. Data of individualness sum up the hypertension patient with the above population age 60 years of January
period - September 2019 that is about 40.403 from the amount 256.007 elderly ( 63,4%) experiencing hypertension in
Surabaya. At the date of 03 December 2019 amount elderly in UPTD Griya Wredha Surabaya and Panti Werdha
Hargodedali is as much 197 elderly and about 32,8% elderly experience of the hypertension.
Hypertension of at elderly caused to increase its age progressively, change of at downhill aorta wall elasticity, thick
heart spillway becomes stiff, improving venous resistance of peripheral and elasticity degradation of at vein, so that blood
pressure automatically becomes to go up and result in the happening of hypertension [6]. Morbidity And mortality that
happened at the elderly with hypertension can be done/conducted by handling early on by maintaining the blood pressure
of below/under 140 / 90 mmHg covering handling by pharmacology and non-pharmacology [7]. Form the handling by
pharmacology use the chemical Iihat vitamin upon which it's making, can generate the other; dissimilar disease as side
effects medication [7].
Society nowadays more amount chosen medication by non-pharmacology, with it's his low reason is side effects
possibility [8]. Effort Non-Farmakologi always become an essential matter done/conducted at hypertension patient who
has old age [1]. During the time intervention applied, more amount of society is intervention listen to instrumental music,
isometric handgrip exercise, and hydrotherapy foot/feet separately. At the same time, in this research, the researcher
wishes to combine the intervention listen the Asmaul Husna, isometric handgrip exercise, and hydrotherapy foot/feet to
know furthermore how third significant influence of the intervention if combined in degrading blood pressure of
hypertension patient of because is accessible to done/conducted self-supportingly and more practical without negating
medication by pharmacologist as other; dissimilar treatment intervention intended in functional consequence theory of
Miller [9]. According to Miller ( 2012), the nurse can improve the prosperity elderly of through/ passing action of
promotion of health and other; dissimilar treatment actions to overcome the happening of negative functional consequence
[9]. Therefore, a researcher interested in checking farther about gifts intervenes in the combination of asmaul husna (the
names of God are beautiful, good, great and noble), isometric handgrip exercise, and hydrotherapy foot/feet which is
useful in degrading blood pressure for elder with hypertension.

AI. METHODS
Desain of Research of quasi-experiment with the device pre-post test the control group design entangle 60
responders consisted of 30 elderly in the treatment group and 30 elderly in group control with the technique of probability
sampling. This research has been done/conducted in UPTD Griya Wredha Surabaya and Panti Werdha Hargo Dedali

838
International Journal of Psychosocial Rehabilitation, Vol.24, Issue 09, 2020
ISSN: 1475-7192

Surabaya. Independent Variable in this research that is intervening to listen to the Asmaul Husna (the names of God are
beautiful, good, great, and noble), isometric handgrip exercise, and hydrotherapy foot/feet of while variable dependent that
is blood pressure systolic, diastolic, and pulse. The treatment group is given by intervention of Asmaul Husna, isometric
handgrip exercise, and hydrotherapy foot/feet of at elderly with the hypertension of thrice within a week during two weeks
of for 12 minutes. The principle of ethics applied in this research is that the respondents were informed and filled in the
informed consent agreement before the data collection process. They have the right to have their data remain confidential
and only be published by their initials only.
Interventionthis done/conducted by listening Asmaul Husna from Dr. Ari Ginanjar Agustian and soak the responder
foot/feet till boundary 10-15 cm of[is above ankle use the warm water with the temperature 38-40oC which have been
measured by a mercurial thermometer. But, at a minute to 7, given by the addition of warm water with the temperature 40-
45oC as much 250 ml utilize to compare to the temperature of early. After 5 minutes of therapy, gift, done/conducted by
post-test the blood pressure of a treatment group. After done/held by post-test in the final of the session, later; then group
control is also done/conducted by the intervention of Asmaul Husna, isometric handgrip exercise, and hydrotherapy
foot/feet of while for the group of treatment shall no longer be given. This matter is done/conducted to take care of the
value of ethics justice in research. Data obtained is later; then analyzed to use the Independent t-Test or Wilcoxon Signed
Rank Test and Mann Whitney with the degree of meaning a = 0.05.

BI. RESULTS
Tables 1 showing the most group of treatment of having gender to a woman ( 66,7%), while at group control entirely
have gender to a woman ( 100%). Responder age of at treatment group of most that are 60-70 year or elderly ( 63,3%),
while at group control at age 75-90 year or old ( 60%). Elementary School Education ( SD) of most at treatment group that
is 33,3% and Junior High School education ( SMP) of at group control that is 30%. At treatment group and control, most
do not work that is 93,3% and 83,35%. Entire/All treatment group and control to consume the drug of anti-
hypertension( 100%) where most treatment group and control to consume the Amlodipin 5 mg that is 96,7% and 56,7%.
At treatment group and control, most do not own the history consume the alcohol and also cigarette that is 93,3% and
96,7%. Athletics habit done/conducted by a group of treatment and controlling that is 96,7% and 76,7%. While to
consume the salt ½ teaspoon every day and intervene, the non-pharmacologic have been conducted by entire/all treatment
groups and control ( 100%).
Research Result posed at the tables of 2 this happened by the difference of mean or average having a meaning (of)
among/between each group of at variable of blood pressure systolic ( 132,07), blood pressure diastolic ( 80,83) and
frequency pulse ( 79,70) at tables of 2. Result test the independent t-test ( by significant is p=0,05) found by the existence
of degradation of blood pressure of systolic and frequency pulse by significant after getting intervention of Asmaul Husna,
isometric handgrip exercise, and hydrotherapy foot/feet, this matter is shown by p=0,000 or p<0,05. While at the resulting
test the Mann Whitney Test used to know the difference of score of blood pressure of systolic of among/between the group
of treatment and group control at elderly with hypertension. A value of blood pressure of diastolic done/conducted by a
test of Mann Whitney Test to show the p=0,000 or p<0.05.

Table 1. Distribution of characteristics of respondents' general data (n = 60)

Treatment Control
No Characteristics Indicator p
n % n %
1 Gender Male 10 33,3 0 0 0,001

839
International Journal of Psychosocial Rehabilitation, Vol.24, Issue 09, 2020
ISSN: 1475-7192

Treatment Control
No Characteristics Indicator p
n % n %
Female 20 66,7 30 100
2 Age 60 - 74 Years old (elderly) 19 63,3 12 40 0,203
75 - 90 years old (old) 11 36,7 18 60
3 Education No school 8 26,7 4 13,3 0,095
Yunior school 10 33,3 5 16,7
Middle school 2 6,65 9 30
High school 8 26,7 5 16,7
Bachelor 2 6,65 7 23,3
4 Profession Does not work 28 93,3 26 86,67 0,302
Civil servants 2 6,7 3 10
Entrepreneur 0 0 1 3,3
5 Consumption of Anti- Hypertensio (OAH) Yes 30 100 30 100 -
6 Name of OAH Amlodipin 5 mg 29 96,7 17 56,7 0,000
Amlodipin 10 mg 1 3,3 0 0
Captropil 12,5 mg 0 0 4 13,3
Nifedipin 10 mg 0 0 9 30
7 History alcohol Yes 2 6,7 0 0 0,155
No 28 93,3 30 100
8 Consumption of salt ¼ - ½ spoon tea 30 100 30 100 -
9 History smoke Yes 2 6,7 1 3,3 0,561
No 28 93,3 29 96,7
10 Sport Yes 29 96,7 23 76,7 0,023
No 1 3,3 7 23,3
11 Non Pharmacologist Intervention Yes 30 100 30 100 -
Total 30 100 30 100

Table 2. Effects of Asmaul Husna intervention, isometric handgrip exercise, and foot hydrotherapy on decreases in
systolic, diastolic, and pulse blood pressure in the elderly with hypertension (n = 60)
Treatment Control
Variable p
Mean ± SD Mean ± SD
Systolic Blood Pressure 132,07 ± 10,907 131,67 ± 7,145 0,000**
Diastolic Blood Pressure 80,83 ± 3,724 79,53 ± 3,048 0,000**
Pulse 79,70 ± 4.340 80,90 ± 4.873 0,000*

IV. DISCUSSION
The Influence intervenes the Asmaul Husna (the names of God are beautiful, good, great and noble), isometric
handgrip exercise, and hydrotherapy foot/feet to degradation of blood pressure of systolic of at elderly with hypertension
in UPTD and Panti Werdha Surabaya.
The result of the research shows the influence interventionthe Asmaul Husna, isometric handgrip exercise, and
hydrotherapy foot/feet to degradation of blood pressure of systolic of at elderly with hypertension own the influence which
significant. Results of research shows there is a difference in having a meaning (of) at blood pressure good systolic at
treatment group and control before given by intervention of Asmaul Husna, isometric handgrip exercise, and hydrotherapy
foot/feet. Result of blood pressure of systolic hereafter interventionin the Asmaul Husna, isometric handgrip exercise and
hydrotherapy foot/feet by duration ± 12 minutes given by three times each week during a 2-week show happened by the
degradation of blood pressure of systolic with the value 10,907 at treatment group. Assess the average blood pressure of
systolic at treatment group and control in the normal boundary.
This Research results in line with the result of research of Alfiyanto ( 2017) expressing that there is influence having
a meaning of blood pressure of systolic of before treatment of dzikir Asmaul Husna and blood pressure of systolic

840
International Journal of Psychosocial Rehabilitation, Vol.24, Issue 09, 2020
ISSN: 1475-7192

hereafter dzikir Asmaul Husna in Social Panti of Tresna Werdha of Nirvana of Puri Samarinda [10]. Others, research
conducted by Hess ( 2016), happened by the reduction systolic having a meaning of but do not make significant
statistically after done/conducted by isometric handgrip exercise during six weeks [11]. Same research conducted by Nurul,
Gresty, and Julia ( 2017) that is there is the influence which significant therapy soak the foot/feet with the warm water to
degradation of blood pressure of a patient with hypertension in Puskesmas of Shoulder Manado [12].
Responder at most is which have age to 75-90 year or old, which is where hypertension in line with increasing its age,
which is because of structure change of at vein so that cause the make-up of blood pressure systolic. At this research,
83,3% responder of has gender to of woman which at-risk experience of the make-up of blood pressure because of the
process of change of hormone of estrogen post-menopause. Others, drugs use of anti-hypertension of like amlodipine,
captopril, and nifedipine with the dose which different each other influence the result from a blood pressure of systolic of
each; every moment responder conducted by an intervention seen result of from pre-test the group interventionand also
control group having a history of hypertension of show of blood pressure of systolic in phase prehypertension.
From above solution each three, the intervention gives the influence to degradation of blood pressure of systolic of at
treatment group as according to previous research and combination from three the intervention that is intervening to listen
the Asmaul Husna, isometric handgrip exercise, and hydrotherapy foot/feet proven to give the influence to degradation of
blood pressure of systolic of at treatment group of during 12 minutes by 6 is meeting times; rill in 2 weeks in UPTD Griya
Wredha Surabaya and Panti Werdha Hargo Dedali Surabaya. Flatten to flatten the ( means) of blood pressure of systolic of
a group of treatment of having taken steps interventionthe Asmaul Husna, isometric handgrip exercise, and hydrotherapy
foot/feet of equal to 132,07. Measurement of blood pressure of systolic of at group control from 131,73, becoming 131,67
or experience of the degradation of the same to 0,06. Inexistence of Change significant mounts the blood pressure of
systolic of at group control caused for lack of special treatment is such as those who done/conducted at treatment group
and group responder control only follow the routine activity which is performed an in UPTD of the core important in
hypertension prevention of like gymnastics elderly of each; every morning.

 Influence interventionthe Asmaul Husna, isometric handgrip exercise, and hydrotherapy foot/feet to
degradation of blood pressure or diastolic of at elderly with hypertension in UPTD and Panti Werdha Surabaya.
Result of influence research intervenes the Asmaul Husna, isometric handgrip exercise and hydrotherapy foot/feet to
degradation of blood pressure or diastolic of at elderly with hypertension own the influence which significant. The result
of the research shows there is a difference in having a meaning (of) at blood pressure good diastolic at treatment group and
control before given by intervention of Asmaul Husna, isometric handgrip exercise, and hydrotherapy foot/feet. Result of
blood pressure of diastolic hereafter interventionin the Asmaul Husna, isometric handgrip exercise and hydrotherapy
foot/feet by duration ± 12 minutes given by three times each week during a 2-week show happened by the degradation of
blood pressure of diastolic with the value 3.724 at treatment group. Assess the average blood pressure or diastolic of at
treatment group and control in the normal boundary.
This Research results in line with the result of research Ida, Urgent, and I Made ( 2017). There is an influence of
isometric practice on the blood pressure of diastolic of hypertension patients in region work, the UPT Puskesmas
Banjarangkan I [13]. Same Research did/conducted by Ernawati and Ali ( 2015) that is there are therapy influences soak
the warm water foot/feet to degradation of blood pressure or diastolic of at elderly of hypertension patient in region work
the UPK Puskesmas of Equator of Town Pontianak[14].

841
International Journal of Psychosocial Rehabilitation, Vol.24, Issue 09, 2020
ISSN: 1475-7192

A result of a mean or group average interventionand also group control to show the blood pressure of diastolic in
phase pra-hypertension that is 80.83 and 79.53. This matter is happened by caused by his/its is a difference of pressure
diastolic which is far from a blood pressure of systolic depicting inertia of aorta of the effect of the process atherosclerosis
at vein cause the blood pressure of diastolic of at elderly to tend to will lower or ordinarily referred as with the
hypertension of systolic insulation.
From above solution each three, the intervention gives the influence to degradation of blood pressure or diastolic of
at treatment group as according to previous research and combination from three the intervention that is intervening to
listen the Asmaul Husna, isometric handgrip exercise, and hydrotherapy foot/feet proven to give the influence to
degradation of blood pressure or diastolic of at treatment group of during 12 minutes by 6 are meeting times; rill in 2
weeks in UPTD Griya Wredha Surabaya and Panti Werdha Hargo Dedali Surabaya. Flatten to flatten the ( means) of blood
pressure or diastolic of a group of treatment of having taken steps interventionthe Asmaul Husna, isometric handgrip
exercise, and hydrotherapy foot/feet of equal to 80.83.
Measurement of blood pressure or diastolic of at group, control got by mean or average of equal to 79,53 caused for
lack of special treatment is such as those who done/conducted at treatment group. The happening of the change of blood
pressure of diastolic at group control caused by because having the character of fluctuating. Variation of Change of blood
pressure or diastolic of at elderly can be caused by because stress, sensitivity to food, and effect consume the drug of anti-
hypertension. To all the things represent the variable confounding which cannot be controlled entirely by the researcher.

 Influence interventionin the Asmaul Husna, isometric handgrip exercise, and hydrotherapy foot/feet to
degradation pulse of at elderly with hypertension in UPTD and Panti Werdha Surabaya.
Result of influence research intervenes the Asmaul Husna, isometric handgrip exercise and hydrotherapy foot/feet to
degradation pulse of at elderly with hypertension own the influence which significant. The result of the research shows
there is a difference in having a meaning (of) at good pulse at treatment group and control before and is hereafter given by
intervention of Asmaul Husna, isometric handgrip exercise, and hydrotherapy foot/feet. The result from pulse hereafter
intervenes the Asmaul Husna, isometric handgrip exercise, and hydrotherapy foot/feet by duration ± 12 minutes given by
three times each week during the 2-week show that happened by the degradation pulse with the value 4.340 at treatment
group. Assess the average pulse of at treatment group and control in reasonable boundary ( 79.70 – 80.90). This Research
results in line with research result have been done/conducted by Himawan ( 2019), that treatment dzikir affect on to
degrade the blood pressure and degradation pulse take a rest at the patient of pre-Operatif Fraktur [15].
At treatment group happened by the degradation pulse after given by intervention of equal to 3,60 while at group
control also experience of the degradation pulse of but only similar to 0,23. Natural somebody of age accretion and step
into the elderly (> 60 years) will be happened by the resistance periphery because of stricture of artery and arteriola,
capillary, venous density degradation, as well as degradation of elasticity peripheral. The mentioned enabling arrived by
the difference which significant usher second of the group. So that allows the necessary data from the second of the
responder group to show the pulse which variation and all its responders have is age > 60 years.
From above solution each three, the intervention gives the influence to degradation pulse of at treatment group as
according to previous research and combination from three the intervention that is intervening to listen the Asmaul Husna,
isometric handgrip exercise, and hydrotherapy foot/feet proven to degrade the pulse of at treatment group of during 12
minutes by 6 is meeting times; rill in 2 weeks in UPTD Griya Wredha Surabaya and Panti Werdha Hargo Dedali Surabaya.

842
International Journal of Psychosocial Rehabilitation, Vol.24, Issue 09, 2020
ISSN: 1475-7192

Flatten to flatten the ( means) pulse of a group of treatment of having taken steps interventionthe Asmaul Husna, isometric
handgrip exercise, and hydrotherapy foot/feet of equal to 79.70 x / minute.

IV. DISCUSSION
The Interventionthe Asmaul Husna (the names of God are beautiful, good, great and noble), isometric handgrip
exercise and hydrotherapy foot/feet degrade the blood pressure systolic, diastolic, and pulse of at elderly with hypertension
by significant.
Intervention of Asmaul Husna, isometric handgrip exercise, and hydrotherapy foot/feet own the positive benefit so
that health workers can use this intervention alternatively inactivity in UPTD to degrade the blood pressure of elderly with
hypertension. At researcher hereinafter can be continued by the research of about effective interventionthe Asmaul Husna,
isometric handgrip exercise, and hydrotherapy foot/feet with the addition sum up the variable of dependent and
intervention can be given with the time-intensity 4-6 week [is], so that found [by] more impact clinic of significant.

CONFLICT OF IINTEREST
None

ACKNOWLEDGMENT
The author of this study would like to thank the UPTD Griya Wredha Surabaya and Panti Werdha Hargo Dedali
Surabaya for the highly valuable contribution. Finally, the author would like to thank the Faculty of Nursing Airlangga
University, providing the opportunity to present and publish the useful findings of this study.

REFERENCES
[1] Suiraoka IP. 9 Penyakit Degeneratif Dari Perspektif Preventif (Mengenal, Mencegah Dan Mengurangi
Faktor Resiko 9 Penyakit Degeneratif). 1st Ed. Yogyakarta: Nuha Medika; 2012.
[2] Khera R, Lu Y, Lu J, Saxena A, Nasir K, Jiang L, Et Al. Impact Of 2017 ACC/AHA Guidelines On
Prevalence Of Hypertension And Eligibility For Antihypertensive Treatment In United States And China:
Nationally Representative Cross Sectional Study. BMJ 2018;362:K2357. Doi:10.1136/Bmj.K2357.
[3] Kemenkes.RI. Pusdatin Hipertensi. Infodatin 2014. Doi:10.1177/109019817400200403.
[4] Riskesdas. Riset Kesehatan Dasar 2018. Kementrian Kesehat Republik Indones 2018. Doi:1 Desember 2013.
[5] Dinas Kesehatan Propinsi Jawatimur. Profil Kesehatan Provinsi Jawa Timur Tahun 2016 [East Java Health
Profile 2016]. Provinsi Jawa Timur, Dinkes 2016.
[6] Yuli Aspiani R. Asuhan Keperawatan Gerontik. 2. 2nd Ed., Jakarta: Trans Info Media; 2014.
[7] Smeltzer SC, Bare BG, Hinkle JL, Cherver KH. Bruner And Suddarths Text Book Of Medical Surgical
Nursing. 11th Ed. 2010.
[8] Kemenkes BL. Info DATIN: Situasi Kesehatan Jantung. Mari Menuju Masa Muda Sehat Hari Tua Nikmat
Tanpa PTM Dengan Perilaku Cerdik. Jakarta: Pusat Data Dan Informasi Kemenkes RI; 2014.
[9] Miller CA. Nursing For Wellness In Older Adults. 6th Ed. Philadelphia: Lippincott Williams & Wilkins Inc;
2012.
[10] Alfiyanto S, Wibowo TA. Pengaruh Dzikir Asmaul Husna Terhadap Penurunan Hipertensi Pada Lansia Di
Panti Sosial Tresna Werdha Nirwana Puri Samarinda. J Publ Sekol Tinggi Ilmu Kesehat Muhammadiyah
Samarinda 2017.
[11] Hess NCL, Carlson DJ, Inder JD, Jesulola E, Mcfarlane JR, Smart NA. Clinically Meaningful Blood
Pressure Reductions With Low Intensity Isometric Handgrip Exercise. A Randomized Trial. Physiol Res
2016;65:461–8. Doi:10.33549/Physiolres.933120.
[12] Solechah N, Masi G, Rottie J. Pengaruh Terapi Rendam Kaki Dengan Air Hangat. J Keperawatan 2016;5.
[13] Susiladewi IAM, Widyanthari, Made D, Adnyana IM. Pengaruh Latihan Isometrik Terhadap Tekanan Darah
Pasien Hipertensi. Coping Community Publ Nurs 2017;5:153--160.
[14] Ernawati DAS, Maulana MA. Pengaruh Terapi Rendam Kaki Air Hangat Kerja Upk Puskesmas
Khatulistiwa Kota Pontianak Dwi Agung Santoso Program Studi Keperawatan. J Kesehat Univ Tanjungpura

843
International Journal of Psychosocial Rehabilitation, Vol.24, Issue 09, 2020
ISSN: 1475-7192

2015.
[15] Himawan R, Rosiana AR, Yulisetiyaningrum Y, Ariyani N. Pengaruh Terapi Dzikir Terhadap Tingkat Nyeri
Pada Pasien Post Operasi Benigna Prostat HyperplasiA DI RSUD RA .Kartini Jepara. J Ilmu Keperawatan
Dan Kebidanan 2019;10:229. doi:10.26751/jikk.v10i1.646.

844