Non-pharmacological Methods Research Articles

The feasibility of a Swiss complex interprofessional intervention to improve the management of procedural pain in neonates in the Finnish context: A qualitative study.

To evaluate the feasibility of the Swiss complex interprofessional intervention, NEODOL© (NEOnato DOLore), for improving the management of procedural pain in neonates in the Finnish context. Interprofessional collaboration is important for all professionals involved in the care of neonates and for neonates' parents, to understand the appropriate use of non-pharmacological and/or pharmacological methods for each pain situation and how to assess pain in real-life situations. Appropriate methods of pain relief for neonates should be preferred as they protect the development of the neonate's brain. A descriptive qualitative design. Data were collected through semi-structured focus group discussions following the Medical Research Council's framework for evaluation of complex interventions, in this case NEODOL© which aims to improve the procedural pain management of neonates. A purposive sample (n = 13) included eleven professionals representing various professions within Finnish Neonatal Intensive Care Units and two parents of infants who have received care in a Neonatal Intensive Care Unit. Data were analysed using inductive content analysis, and the results were reported in accordance with the COREQ guidelines. Professionals' and parents' evaluations suggest that NEODOL© is feasible, because it is consistent and addresses a current need. They assessed its overall content to be relevant and accessible, and its components to be internally coherent. However, they emphasise the need for further evaluation and refinement of the intervention to achieve the desired outcomes and cost-effectiveness. While NEODOL© is considered feasible, it requires further evaluation and refinement in the local context of each hospital before implementation.

Nonpharmacologic Treatment Options in Pediatric Tension-Type Headache Patients: A Systematic Review.

Objective: This systematic review aims to examine effects of nonpharmacologic treatment options for pediatric tension-type headache patients as well as evaluate current results from these treatment options. Background: Headache is a worldwide problem among both adults and children, with tension-type headache among the most common. Methods: Eighteen relevant studies were found using PubMed and evaluated in this review. These include therapy programs, biofeedback, alternative medicine, strength exercise, physical therapy, mindfulness therapy, and psychotherapy. Results: Several nonpharmacologic treatment methods showed improvement in pediatric headache patients, with few reported adverse effects. This suggests that nonpharmacologic treatment is safe for use and might have an effect in most cases. Conclusion: No single intervention has been proven superior to another, and some studies would need replication with a control group to confirm the findings. This study illustrates the variety of nonpharmacologic treatment options and the importance of future research on this topic.

Efficacy of a Religious-Based Slow Deep Breathing Technique in Reducing Postoperative Pain: A Quasi-Experimental Study

Non-pharmacological methods offer a noninvasive solution for postoperative pain reduction, enhancing patient quality of life, and expediting recovery post-surgery. The aim of this study was to analyze differences in pain scale reduction in postoperative patients after administering slow deep breathing distraction-relaxation techniques with a religious approach. The design was experimental with pre- and post-tests by providing treatment to respondents using slow deep breathing exercises with a religious approach (the activity related to relaxation using sentences and special treatment explained in the data collection section) to postoperative patients. Pain scale scores ranged from 0 to 10. The total number of participants was 60 (laparotomy, mastectomy, or fracture surgery). A dependent t-test was used to analyse data . The pain scale score for patients after slow deep breathing surgery with a religious approach ranged from 4 to 10 on a numerical rating scale. The average reduction in pain scale score for patients after slow deep breathing surgery with a religious approach was 2.17 with a standard deviation of 0.994. The results of the statistical tests with the dependent t-test obtained a p-value of 0.000. This shows a significant reduction in pain levels among postoperative patients who perform slow deep breathing exercises with a religious approach. These findings suggest that this method is an effective and accessible way to manage postoperative pain. In conclusion, slow deep breathing with a religious approach is effective in reducing postoperative pain

Is Really Birth Ball Sitting Effective on Labour Outcomes Among Prim Mothers?

Birthing ball exercises are one of the non-pharmacological methods for speeding the start of labour. Exercises with birth balls have the potential to reduce discomfort by relaxing muscles and improving blood flow to the uterus. This study aimed to determine the effectiveness of birth ball use on labour outcomes among primi mothers at a selected hospital in Salem. A quantitative research approach with a quasi-experimental post-test control group design was used. The sample size was 60; each 30 in the experimental group and control group were selected by using the non-probability purposive sampling technique. Written consent was obtained from the samples. A modified partograph was used to assess the labour outcomes. Both birth balls utilised in this study were found to affect labour outcomes. There were statistically positive correlations between the birth ball exercise effects on the progress of labour in terms of decreasing labour pain (z = 4.910 at p level of P<0.001), the highest effect on cervical dilatation (z =2.856 at p level of P<0.001), promoting normal modes of delivery (z = 4.538 at p level of P<0.001), and reducing the perineal tear (z = 3.693 at p level of P<0.001) in the experimental group group, while the control group showed less progress with highly statistically significant differences. Moreover, the control group expressed a higher pain score and perineal tear. This study revealed that the birth ball sitting helps to reduce the indensity of labour pain, promote cervical dilatation, and promote normal delivery.

The effects of aromatherapy and music on pain, anxiety, and stress levels in palliative care patients.

Pain and anxiety levels in palliative care patients negatively impact their quality of life, highlighting the need for research on non-pharmacological methods. This study aimed to evaluate the effects of music and aromatherapy interventions on pain, anxiety, and stress levels in these patients. The research was designed as a single-blind, four-group, randomized controlled trial. The sample consisted of 88 patients hospitalized in a palliative care center (receiving palliative care services with terminal or advanced diseases). Patients were randomly assigned to four groups (n = 22, music, aromatherapy, music and aromatherapy, and control group). Patients in the experimental groups received the intervention to which they were assigned for 20min each day for three consecutive days: music, aromatherapy, or music accompanied by aromatherapy. No intervention was applied to the control group. The patients' levels of pain, anxiety, and stress were assessed before and after the intervention using the Visual Analog Scale (VAS), the Facial Anxiety Scale (FAS), and the Distress Thermometer. No significant differences were found in the demographic characteristics of the groups (p > 0.05). The Wilcoxon Signed-Rank and Kruskal-Wallis tests indicated statistically significant differences in pre- and post-intervention scores for VAS, FAS, and Distress across all experimental groups on all follow-up days (p < 0.05). Implementing music, aromatherapy, and their combination effectively reduced pain, anxiety, and stress levels in palliative care patients, suggesting these non-pharmacological interventions can improve their quality of life. ClinicalTrails.gov (Registration number: NCT06024954) at 05-SEP-2024.

Effectiveness of Centella Asiatica (Pegagan) Spray Gel on Perineal Wound Healing in Postpartum Women

Perineal wounds in postpartum mothers can potentially cause infections. The perineal area exposed to lochia and moisture creates an environment conducive to bacterial growth, thus hindering the wound healing process. Infections of perineal wounds can involve various types of bacteria that naturally colonize the skin and genital mucosa. The application of centella asiatica spray gel is one of the non-pharmacological methods for healing perineal wounds in postpartum mothers. This study aims to determine the effectiveness of applying centella asiatica spray gel 3 times a day with a concentration of 25% for 7 days on perineal wound healing and the growth of Staphylococcus aureus bacteria in postpartum mothers. This is a True Experimental study with a pretest–posttest control group design. Based on the inclusion criteria of second-degree perineal wounds with sutures were selected using random sampling, 17 participants to receive centella asiatica spray gel and 17 participants received standard dry-clean care. The level of wound healing was measured using the REEDA score. The growth of Staphylococcus aureus bacteria was measured using a colony counter. REEDA score data were analyzed using the Friedman and Mann-Whitney tests, while Staphylococcus aureus growth was analyzed using the Wilcoxon and Mann-Whitney tests. Based on the average decrease in REEDA scores by 1.06, the application of centella asiatica spray gel was effective for perineal wound healing (p=0.000). There was a significant difference in the average growth of S.aureus (p=0.040) in perineal wounds of postpartum mothers, with the intervention group showing an average difference of 6.34. The application of centella asiatica spray gel 3 times a day with a concentration of 25% for 7 days was effective for perineal wound healing and reducing Staphylococcus aureus growth in postpartum mothers.

Prevention and management of urinary incontinence-associated dermatitis: A systematic review

BackgroundTo prevent incontinence-associated dermatitis (IAD) and manage the treatment, the cause of IAD must be determined correctly and distinguished from other skin problems. IAD can be prevented with professional care. AimThis systematic review aims to systematically examine the methods used in the prevention and treatment of urinary incontinence-associated dermatitis. Materials and methodsThe PRISMA-P (Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols) criteria were taken as the basis for creating the systematic review protocol and writing the article. In this systematic review, the scans are combinations of words and word groups determined by the MeSH (Medical Subject Headings) terms “incontinence”, “incontinence-associated dermatitis”, “prevention of urinary incontinence”, “treatment of urinary incontinence” and “randomized controlled”. Studies conducted in the last eight years were examined in the PubMed, Cochrane Library, Web of Science, and Scopus databases between January and March 2024. Studies were selected by determining inclusion and exclusion criteria according to the PICOS method and these studies included in the review were evaluated according to the Joanna Briggs Institute (JBI) critical evaluation lists according to their types. ResultsFive randomized controlled trials with a total of 644 participants were included in this systematic review. In all five studies included in the review, it was determined that pharmacological and non-pharmacological methods significantly reduced dermatitis associated with urinary incontinence. ConclusionIn the reviewed studies, it was observed that pharmacological and non-pharmacological methods had a positive effect on dermatitis in individuals with IAD. It is recommended to conduct more studies of high methodological quality, using larger sample groups, with different interventions and randomization and blinding methods, and examining the effectiveness of pharmacological and non-pharmacological methods in individuals with urinary incontinence-associated dermatitis.

Health Education for Adolescent Girls in Overcoming Dismenorhea without Medication

Dysmenorrhea is pain in the lower abdomen during menstruation which is generally caused by contractions of the myometrium due to prostaglandin production. In Indonesia, 43-93% girls experiencing dysmenorrhea. When experiencing unbearable menstrual pain, many women need medication to relieve it. However, the use of drugs often has side effects on the body. One of the non-pharmacological management methods that can be used is relaxation techniques that inhibit the brain from producing pain sensations and do not cause side effects for the body. The purpose of the community service activities carried out at Senior High School 1 Kandat, Kediri Regency is to provide education about non-pharmacological therapy methods in reducing the intensity of dysmenorrhea pain that are easy to apply, especially to adolescent girls when experiencing menstrual pain. The population of this community service is female students. The implementation of this community service activity is by providing health education on how to overcome menstrual pain without medication. The result of this activity was an increase in the level of knowledge of 85% of female students on how to overcome menstrual pain without medication. This activity concludes that it was implemented and resulted in changes by the target output, namely knowledge on overcoming menstrual pain without medication. It is hoped that the counseling provided can be implemented routinely and applied.

Baduanjin Exercise Improves Cognitive Function in Older Adults With Mild Cognitive Impairment: A Systematic Review and Meta-analysis.

As a nonpharmacological method for cognitive rehabilitation, older adults with mild cognitive impairment (MCI) may benefit from Baduanjin exercise (BE), a moderate-intensity aerobic exercise. This meta-analysis was conducted to determine if BE is effective in enhancing cognitive performance in older adults with MCI. Using a combination of topic phrases and free words, systematic searches were executed in nine databases. Review Manager 5.4 was used to retrieve and statistically evaluate the data. Fourteen randomized controlled studies comprising 994 individuals aged ≥60 years were included in the meta-analysis. BE enhanced the general cognitive performance in individuals with MCI as measured by the Montreal Cognitive Assessment (standardized mean difference [SMD] = 2.56; 95% confidence interval [CI], 2.17, 2.96; p < 0.001). The level of memory decline (Wechsler Memory Scale; SMD = 12.46; 95% CI, 8.36, 16.57; p < 0.001), executive function (Trail Making Test; SMD = -7.08; 95% CI, -11.21, -2.94; p < 0.001), and frailty (Edmonton Frailty Scale; SMD = -0.97; 95% CI, -1.30, -0.64; p < 0.001) were all improved with BE for older adults with MCI. This study presented a therapeutic practice guide for using BE for cognitive rehabilitation in older adults. BE notably improves cognitive function in older adults with MCI and can be an excellent nonpharmaceutical therapy option.

The annoyance of singultus: a case report of a rare adverse effect after epidural steroid injection

ObjectiveCervical epidural steroid injections (ESIs) can provide effective pain management for patients suffering from chronic neck pain due to various pathological changes of the cervical spine. There are several rare adverse effects reported from interventional pain procedures, including persistent hiccups (“singultus”). Based on a limited number of cases, we propose a modified treatment algorithm for this adverse outcome (Fig. 3).Case reportSingultus has been documented as an adverse effect of interventional pain procedures, including epidural steroid, facet joint, and sacroiliac joint injections. We describe the case of a general contractor who presented to our clinic with chronic neck pain and central canal stenosis. The patient received an uncomplicated lumbar ESI in the past and was recommended for a cervical interlaminar ESI. After an uneventful C6-C7 interlaminar ESI with dexamethasone, 1% lidocaine, and normal saline the patient developed singultus. Baclofen was sent to his pharmacy, but this was unsuccessful at alleviating his hiccups. The patient was subsequently started on chlorpromazine and found relief from his symptomatology.ConclusionPersistent hiccups after ESI or interventional pain procedures can be treated with conservative measures and non-pharmacologic methods, with escalation to therapy with baclofen, gabapentin, pregabalin, metoclopramide, chlorpromazine, other antipsychotic or antidopaminergic agents, and possible dual or triple therapy if further indicated.

Hypercholesterolemia - non-pharmacological treatment, monotherapy or combination therapy. Review of the literature

Introduction: As the number of scientific studies on lipid metabolism disorders increases, awareness among the medical community and the general population about the impact of hypercholesterolemia on the risk of cardiovascular diseases is growing. Elevated cholesterol levels in the blood are a major factor in the development of atherosclerosis, thereby increasing the likelihood of sudden cardiovascular events such as heart attacks or strokes. Maintaining normal cholesterol levels in the blood requires effective collaboration between the doctor and the patient, combining optimal pharmacotherapy with effective non-pharmacological methods based on the introduction of a balanced diet and moderate, regular physical activity. Current guidelines, based on numerous scientific studies, provide a clear framework for lipid-lowering treatment, with statins being an integral part. In cases where monotherapy is ineffective, ezetimibe and monoclonal antibodies, among others, can be used. In our work, we will discuss the possibilities of both non-pharmacological therapy and pharmacotherapy. Aim of the study: The aim of this study is to review current knowledge on non-pharmacological and pharmacological therapy in hypercholesterolemia. Material and method: This article presents the current state of knowledge about non-pharmacological and pharmacological therapy in hypercholesterolemia. Publications reviewed using the PubMed platform contain recent report in field of lipid metabolism disorders. The search included the keywords: ‚Hypercholesterolemia’, ‚LDL-C’, ‚Statin’, ,Ezetimibe’, ,PCSK9 inhibitors’.

Managing Exercise-Induced Bronchoconstriction: A Comprehensive Review of Strategies for Athletes to Maintain Fitness and Health

Exercise-induced bronchoconstriction (EIB) significantly impacts athletes by impairing their performance and overall health. Characterized by airway narrowing during or after physical activity, EIB affects the quality of training and competition. This study employs a qualitative descriptive research model based on a comprehensive literature review to evaluate EIB management strategies in athletes. We systematically collected data from trusted scientific databases—Scopus, Science Direct, and Google Scholar—using keywords such as "Exercise-Induced Asthma," "Athlete," and "Sport." Relevant articles were identified, and key terms related to EIB management were reviewed. The data, including study designs, research objectives, sample sizes, and findings, were compiled and analyzed to determine effective management approaches. Key findings indicate that accurate diagnosis using spirometry and bronchial provocation tests is essential. Pharmacological management primarily involves inhaled corticosteroids (ICS) to reduce inflammation and control EIB, while short-acting beta agonists (SABAs) offer only temporary relief. Non-pharmacological strategies include avoiding triggers, implementing proper warm-up routines, and using breathing techniques. Supervised aerobic exercise programs were shown to improve cardiovascular fitness without worsening EIB symptoms. The study also reviewed the impact of environmental factors, such as air pollution and post-COVID-19 conditions, on EIB. Recommendations include personalized asthma action plans, training for coaches on environmental triggers, and exercising in controlled conditions. This study highlights the need for a holistic approach combining pharmacological and non-pharmacological methods to manage EIB effectively and maintain athletic performance. Further research is warranted to develop tailored strategies for athletes with EIB.

Effectiveness of Zilgrei Method Towards Labor Output Among Primigravida Mother in Indonesia

Aims : the study aimed to test the effectiveness of the zilgrei methode in primigravida mother with second stage labor of long second stage, incidence laceration, infant condition and the scale pain of labor. Methods : The study used a queasy experimental design with a control group, collecting primary data through observation, partographs, APGAR score, and pain scale assessment for 6 months. Result : The result of the bivariate test shows that the mean comparison of the long second stage was different between the two groups (p-value 0,001). No significant difference in the proportion of the incidence laceration (p= 0.370), APGAR score at first, fifth, and ten minutes (p&gt;0.005). There was a significant comparison of pain scale between a group with and without Zilgrei Method (p=0.000). Conclusions : Based on the results of this study Zilgrei method can be applied as an alternative non-pharmacological method to shorten the second stage and reduce pain on labor. For further research, it is necessary to consider controlling the weight of a born baby and maternal risk factors to determine the effect of applying the Zilgrei method optimally to the laceration of the birth canal and the condition of the baby at birth.

The Relationship of Work, Social Culture, and Family Support In Providing Exclusive Breastfeeding to Mothers of Babies (0-6 Months) in The Working Area of The Puskesmas Tana Lia, Tana Lia District

Spinal anaesthetic needle prick pain is an unpleasant experience that results in losses from spinal anaesthesia, so it needs to be treated. Deep breathing relaxation techniques and lavender aromatherapy are effective non-pharmacological pain management methods. In addition to increasing comfort, reducing pain can also provide convenience and speed in the process of injecting spinal anesthetic needles. The purpose of this study was to investigate the effects of deep breathing relaxation techniques and lavender aromatherapy on the pain intensity of spinal anaesthetic needle pricks at Kardinah Hospital, Tegal. This study employed a quasi-experiment research method, utilizing a two-group post-test design. The sampling technique used purposive sampling with a total of 72 respondents who were divided into groups of deep breathing relaxation techniques and lavender aromatherapy. Data analysis used the Mann-Whitney The results of the non-parametric statistical test with the Man Whitney test obtained p = 0.000 (p &lt;0.05), so Ha was accepted, meaning that there was a difference in the pain intensity of spinal needle stick anesthesia given deep breathing relaxation techniques and lavender aromatherapy. rapy. The study concluded that there were differences in the pain intensity of spinal anaesthetic needle pricks at Kardinah Hospital, Tegal, between deep breathing relaxation techniques and lavender aromatherapy.

Perbedaan Teknik Relaksasi Pernafasan Dalam dengan Aromaterapi Lavender terhadap Intensitas Nyeri Tusukan Jarum Anestesi Spinal

Spinal anaesthetic needle prick pain is an unpleasant experience that results in losses from spinal anaesthesia, so it needs to be treated. Deep breathing relaxation techniques and lavender aromatherapy are effective non-pharmacological pain management methods. In addition to increasing comfort, reducing pain can also provide convenience and speed in the process of injecting spinal anesthetic needles. The purpose of this study was to investigate the effects of deep breathing relaxation techniques and lavender aromatherapy on the pain intensity of spinal anaesthetic needle pricks at Kardinah Hospital, Tegal. This study employed a quasi-experiment research method, utilizing a two-group post-test design. The sampling technique used purposive sampling with a total of 72 respondents who were divided into groups of deep breathing relaxation techniques and lavender aromatherapy. Data analysis used the Mann-Whitney The results of the non-parametric statistical test with the Man Whitney test obtained p = 0.000 (p &lt;0.05), so Ha was accepted, meaning that there was a difference in the pain intensity of spinal needle stick anesthesia given deep breathing relaxation techniques and lavender aromatherapy. rapy. The study concluded that there were differences in the pain intensity of spinal anaesthetic needle pricks at Kardinah Hospital, Tegal, between deep breathing relaxation techniques and lavender aromatherapy.

THE EFFECT OF ROSE AROMATHERAPY ON THE ANXIETY OF PREGNANT WOMEN IN THE PROCESS OF TRIPLE ELIMINATION BLOOD COLLECTION AT UPTD PUSKESMAS MARGA I

Intoduction: Pregnancy is a physiological process, therefore it is considered important for pregnant women to have their pregnancy monitored with integrated antenatal services. Triple elimination examination is one of the minimal benchmarks for integrated prenatal care. The triple elimination examination is performed by extracting blood, which can be stressful for patients. Rose aromatherapy is a non-pharmacological method that can provide a feeling of relaxation to patients. The aim of this study was to determine the effect of rose aromatherapy on pregnant women's anxiety during the triple elimination. Metohds: This study was conducted at UPTD Puskesmas Marga I from November to December 2023, utilizing a pre-experimental research design with a one-group pretest-posttest design. Non- probability sampling in the form of accidental sampling was used as the sample technique. Anxiety was measured using the HARS (Hamilton Anxiety Rating Scale) sheet, then data analysis was carried out using the Wilcoxon Sign Rank Test. Result: According to the findings of a study of 30 pregnant women, the average anxiety level before the intervention was 54.04, whereas the average anxiety level after the intervention was 26.50. The Wilcoxon test yielded a p-value (p-value = 0.000, = 0.05), so H0 was rejected and Ha was accepted, indicating that there was an effect of rose aromatherapy on pregnant women's anxiety during the triple elimination blood collection process at UPTD Marga I Public Health Centre. Suggestion: From the results of this study it is hoped that the administration of a combination of rose aromatherapy and hypnotherapy can be used as material for consideration in providing midwifery care to pregnant women, especially those who will carry out blood tests.

The Use of Birth Ball as A Non-Pharmacological Complementary Therapy in The Reduction of Labor Pain in Phase 1

Childbirth is the process of expelling the fetus to the placenta, the process of giving birth is identical to pain, while to reduce this pain, non-pharmacological methods are carried out, one of which is the Birth Ball method. This study aims to evaluate the effectiveness of using birth ball as a non-pharmacological complementary therapy in reducing labor pain in the first stage. The method used was a narrative literature review by searching for relevant articles on Google Scholar using keywords such as “Birth ball” and “Labor pain”. Inclusion criteria included Indonesian-language articles published between 2021-2023. Of the six studies analyzed, it was found that birth ball use significantly reduced the intensity of labor pain. These studies showed that birth balls can accelerate cervical opening and reduce anxiety of laboring mothers through movements that increase endorphin release. In conclusion, birth balls are effective as an alternative method to reduce labor pain in Stage I, providing the added benefit of increasing maternal comfort and relaxation during the labor process. This study suggests the use of birth ball as part of midwifery practice to reduce labor pain non-pharmacologically.

Is physical activity an effective remedy for insomnia? - a review

Introduction and purpose This article explores the impact of physical activity on insomnia and sleep quality. It reviews existing research to clarify how exercise affects sleep patterns, identifies mechanisms through which exercise improves sleep, and evaluates practical recommendations for integrating physical activity into insomnia treatment. The goal is to offer valuable insights for individuals and healthcare professionals on using exercise as a non-pharmacological method to manage insomnia. State of knowledge The article reviews the literature on sleep, with a particular focus on the issue of insomnia. By understanding the causes of sleep disorders, it is possible to implement targeted diagnostics and subsequent treatment. The impact of physical activity on the overall problem of insomnia is also highlighted. Material and Methods A review of literature from 2004 to 2024 was conducted using databases such as PubMed, Science Direct, and Google Scholar. Keywords included "insomnia," "sleep disorder," and "sleep impairment." The review focused on English-language primary research articles from peer-reviewed journals. Summary The review highlights the role of physical activity in managing insomnia, emphasizing its positive effects. Evidence indicates that regular exercise significantly reduces the risk and severity of insomnia and improves sleep quality. This underscores the effectiveness of physical activity as a valuable non-pharmacological approach to enhancing sleep and overall well-being. Keywords Insomnia; physical activity; sleep disorders; quality of sleep; sport

Penerapan Terapi Murotal Al-Qur’an Surah Ar-Rahman Pada Tekanan Darah Klien Dengan Hipertensi

Background: Hypertension is a condition where systolic blood pressure exceeds 140 mmHg and/or diastolic pressure exceeds 90 mmHg. One non-pharmacological method to reduce blood pressure is the recitation of Quranic verses. Method: The method used in this research is quantitative, employing a case study approach by comparing pretest and posttest results. Objective: This study aims to describe the effectiveness of murottal therapy in reducing blood pressure in clients with hypertension. Results: The application of Al-Qur'an Surah Ar-Rahman murottal therapy for 11 minutes at a volume of 41-60 dB on two respondents showed a decrease in blood pressure from 161/94 mmHg and 164/100 mmHg to 140/85 mmHg and 145/90 mmHg, respectively. This study discusses an intervention focused on auditory therapy. Conclusion: There is a reduction in blood pressure following the application of Al-Qur’an Surah Ar-Rahman murottal therapy.

Orthostatic hypotension in elderly patients (case report)

Introduction. Orthostatic hypotension (OH) is a common problem in elderly people, characterized by a pathological decrease in blood pressure (BP) upon moving to an upright position and leading to weakness, dizziness, and syncope.Aim. To present a clinical case of OH in an elderly patient and discuss the features of diagnosis and treatment of OH in his patient category.Materials and methods. A clinical case of a 76-year-old patient with a history of cancer who was diagnosed with OH is described. A comprehensive examination was performed, including a passive orthostatic test (tilt table test).Results. During the orthostatic test, a decrease in systolic BP by 18 mmHg upon verticalization and impaired baroreflex sensitivity were revealed. Based on the discussion of the clinical case and a literature review, the features of management of elderly patients with OH were considered, including the need for an individual approach taking into account comorbidity, functional status, and the risk of adverse effects of therapy. Recommendations for non-pharmacological methods of OH correction and careful selection of medications when drug treatment is necessary are given. The importance of educating patients and their relatives about measures to prevent OH and associated complications is emphasized.Conclusion. Timely diagnosis and correction of OH in elderly patients are essential for preventing falls, injuries, and improving quality of life. Management of patients with OH requires a comprehensive approach, taking into account individual characteristics, and should include both non-pharmacological methods and rational pharmacotherapy.