Effectiveness of Balinese Selonding Gamelan Music Therapy in Reducing Blood Pressure and Anxiety in Older Adults with Hypertension: A Quasi-experimental Study
DOI:
https://doi.org/10.60099/prijnr.2024.269259Keywords:
Anxiety, Blood pressure, Older adults, Hypertension, Music therapyAbstract
Despite various efforts, controlling blood pressure among older adults remains suboptimal. This condition highlights the necessity for non-pharmacological interventions to complement pharmacological ones, such as music therapy. This quasi-experimental study examined the effect of Selonding Gamelan Music Therapy on anxiety and blood pressure in older adults with hypertension. Eighty older adults with hypertension were randomly selected using proportionate stratified sampling in Banjarangkan district, Bali province, Indonesia. Forty participants were entered into a control group, and after complete data collection, the same procedure was used to recruit 40 participants for an experimental group (n = 40). The experimental group listened to Selonding gamelan for 15 minutes per day at least three days a week for four weeks, but the control group did not receive it. Systolic and diastolic blood pressure measurements were taken twice, before and after the program.
The intervention instruments included Handphones, Earphones, an Onemed 200 Aneroid Blood Pressure machine, Observation Sheets, the Geriatric Anxiety Scale, and music therapy booklets. Data were analyzed using descriptive statistics, and paired and independent t-tests. The results revealed that after completing the Selonding gamelan music therapy, the experimental group had significantly decreased systolic blood pressure and anxiety compared to the control group but did not have significantly decreased diastolic blood pressure. Selonding gamelan can be provided simultaneously with medicine to lower blood pressure among older adults with hypertension. However, further study is needed with long-term follow-up in a large sample using a randomized controlled trial before it can be widely recommended in practice.
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