The effectiveness of cupping therapy and cucumber juice on blood pressure and total cholesterol levels among patients with hypertension

Kusrina Kusrina; Supriyadi Supriyadi; Rr. Sri Endang Pujiastuti

doi:10.33024/minh.v7i6.305

Authors

Kusrina Kusrina Program Studi Magister Terapan Keperawatan, Poltekkes Kemenkes Semarang
Supriyadi Supriyadi Program Studi Magister Terapan Keperawatan, Poltekkes Kemenkes Semarang
Rr. Sri Endang Pujiastuti Program Studi Magister Terapan Keperawatan, Poltekkes Kemenkes Semarang

DOI:

https://doi.org/10.33024/minh.v7i6.305

Keywords:

Cucumber Juice, Cupping, Hypertension, Total Cholesterol Level

Abstract

Background: Hypertension is a non-communicable disease that poses a growing public health concern, with its prevalence increasing annually. High levels of total cholesterol are a risk factor for hypertension because cholesterol can lead to plaque buildup in blood vessels. Over time, this plaque can thicken, harden the blood vessels, and cause blockages or atherosclerosis. Treatment and prevention of hypertension typically involve regular medication and routine health check-ups. In addition, non-medical therapies, such as a combination of cupping therapy and a high-fiber diet including cucumber juice consumption, can be employed.

Purpose: To determine the effectiveness of cupping therapy and cucumber juice in reducing blood pressure and total cholesterol levels in patients with hypertension.

Method: This quantitative study employed a quasi-experimental design using a pre-posttest control group design. The study involved 60 participants divided into four groups: the cupping therapy intervention group, the cucumber juice intervention group, the combined cupping therapy and cucumber juice group, and a control group that received the medications captopril 25 mg and simvastatin 10 mg.

Results: Administering cupping therapy three times a week and 150 ml of cucumber juice twice a week for 14 days effectively reduced the average systolic blood pressure from a pretest value of 153 mmHg to a posttest value of 125 mmHg (p = 0.004). The average diastolic blood pressure decreased from a pretest value of 90.6 mmHg to a posttest value of 77 mmHg (p = 0.083), and the average total cholesterol level dropped from a pretest value of 283 mg/dl to 188 mg/dl (p = 0.011).

Conclusion: Administering cupping therapy three times a week and cucumber juice twice a week for 14 days effectively reduces blood pressure and total cholesterol levels in patients with hypertension.

References

Aisyah, A., & Probosari, E. (2014). Pengaruh Pemberian Jus Mentimun (Cucumis sativus l) Terhadap Penurunan Tekanan Darah Pada Penderita Hipertensi Wanita Usia 40-60 Tahun (Doctoral dissertation, Diponegoro University).

Aleyeidi, N., Aseri, K., & Kawthar, A. (2015). The efficacy of wet cupping on blood pressure among hypertension patients in Jeddah, Saudi Arabia: A randomized controlled trial pilot study. Altern Integr Med, 4(1), 183.

Andriani, M., Trisnowati, T., & Shafie, Z. M. (2022). An Overview of Systematic Review on Cupping Therapy: Case Study of Hypertension. Journal of Pharmaceutical Negative Results, 13(4), 1190-1198.

Annisa, Z. S., Rudiyanto, R., & Sholihin, S. (2021). Efektivitas Terapi Bekam Pada Penderita Hipertensi: Studi Literatur. Nursing Information Journal, 1(1), 36-41.

Antika, I. D., & Mayasari, D. (2016). Efektivitas mentimun (Cucumis sativus l) dan daun seledri (Apium graveolens L) sebagai terapi non-farmokologi pada hipertensi. Medical Journal of Lampung University [MAJORITY], 5(5), 119-123.

Ashar, N., Mardiyono, M., & Ramlan, D. (2022). Kombinasi Terapi Totok Punggung Dengan Bekam Basah Terhadap Penurunan Profil Lipid Dan Tekanan Darah Pada Pasien Hipertensi Dengan Hiperkolesterolemia. Jurnal Perawat Indonesia, 6(3), 1129-1139.

Faizal, K. M., Nurvinanda, R., & Zupera, Z. (2020). Pengaruh Terapi Bekam terhadap Kadar Kolesterol di Rumah Sakit Bakti Timah Pangkalpinang. Malahayati Nursing Journal, 2(2), 259-267.

Hermawan, N. S. A., & Novariana, N. (2018). Terapi Herbal Sari Mentimun untuk Menurunkan Tekanan Darah pada Penderita Hipertensi. Jurnal Aisyah: Jurnal Ilmu Kesehatan, 3(1), 1-8.

Lainsamputty, F., & Gerungan, N. (2022). Korelasi Gaya Hidup Dan Stres Pada Penderita Hiperkolesterolemia. Jurnal Ilmiah Kesehatan Sandi Husada. 138–146

Lolo, L. L., & Sumiati, S. (2019). Dampak Edukasi Hipertensi Berbasis Budaya Luwu Terhadap Pengetahuan Penderita Hipertensi. Voice of Midwifery, 9(1), 823-832.

Lovindy, P. (2020). Pengaruh Pemberian Jus Mentimun (Cucumis Sativus L.) Terhadap Tekanan Darah Sistolik Dan Diastolik Pada Penderita Hipertensi.

Marnil, L., Razak, A., & Ardi, S. M. (2021). The Effect of Cucumber Juice on Blood Pressure in Hypertension Patients in the West Pauh Community, Pariaman Health Center Working Area in 2021. Central Asian Journal of Medical and Natural Science, 2(6), 321-329.

Maulidah, K. (2022). Hubungan Pengetahuan, Sikap Dan Dukungan Keluarga Dengan Upaya Pengendalian Hipertensi Pada Lansia Di Wilayah Kerja Puskesmas Cikampek Kabupaten Karawang (Doctoral dissertation, Universitas Siliwangi).

Meinisasti, R., Farizal, J., & Patroni, R. (2019). Perbedaan Kadar Kolesterol Sebelum Dan Sesudah Terapi Bekam Basah Di Kota Bengkulu. Journal of Nursing and Public Health, 7(2), 19-22.

Negara, C. K., Erna, E., & Anna, A. (2018). The effect of cucumber juice (cucumis sativus) toward hypertension of elderly at tresna werdha budi sejahtera social institution of banjarbaru south borneo 2017. IJNP (Indonesian Journal of Nursing Practices), 2(1), 16-21.

Nonasri, F. G. (2021). Perilaku mencari pengobatan (health seeking behavior) pada penderita hipertensi. Jurnal Medika Hutama, 2(02 Januari), 680-685.

Putri, R., & Anggraini, D. I. (2022). The Potency of Cucumber (Cucumis Sativus L.) Peel Extract as Anticholesterol. Jurnal Farmasi Sains dan Praktis, 78-86.

Riau Islands Provincial Health Service. (2021). Renstra Dinas Kesehatan Provinsi Kepulauan Riau 2021-2026. Retrieved from: https://ppid.kepriprov.go.id/resources/informasi_publik/41/RENSTRA_DINKES_DAN_RSUD_PROV_KEPRI_TAHUN_2021-2026_(FIX).pdf

Rosalina, N., & Saputra, D. (2019). Efektivitas terapi bekam terhadap kadar kolesterol. Darussalam Indonesian Journal of Nursing and Midwifery, 1(1), 1-10.

Safrianda, E. (2015). Efektivitas Terapi Bekam Basah Terhadap Perubahan Tekanan Darah Pada Penderita Hipertensi Di Rumah Terapi Thibbun Nabawy Pontianak. ProNers, 3(1).

Saputra, Y. (2021). Survey pengetahuan masyarakat tentang terapi komplementer. REAL in Nursing Journal, 4(2), 122-131.

Setyawan, A., & Hasnah, K. (2020). Efektivitas Wet Cupping Therapy Terhadap Kecemasan Pada Pasien Hipertensi. Jurnal Kesehatan Kusuma Husada, 212-217.

Suhaily, M. H., Ismail, A. A., & Najib, M. Y. (2017). Randomized control trial study on the effect of wet cupping on lipid profile. IIUM Medical Journal Malaysia, 16(2).

Suswitha, D., Arindari, D. R., Saputra, A., Astuti, L., & Aini, L. (2022). Efektivitas Pemberian Terapi Bekam Terhadap Kadar Kolesterol Di Holistic Center Asy-Syaafi Palembang. Jurnal Ilmu Kedokteran dan Kesehatan, 9(2), 796.

Thiagarajah, K., Ong, M. K., Teh, L. K., & Lye, H. S. (2019). Plants infused water as preferred healthy drinks. In Bottled and packaged water (pp. 367-402). Woodhead Publishing.

Tiawati, S., & Putriningtyas, N. D. (2023). Pengaruh Kombinasi Jus Buah Belimbing Wuluh (Averrhoa blimbi, L.) dan Mentimun (Cucumis sativus, L.) terhadap Tekanan Darah dan Kolesterol Total pada Lansia Hipertensi. Nutrizione: Nutrition Research And Development Journal, 3(3), 86-95.

Wahyuni, S., & Ibrahim, A. (2022). Faktor-faktor yang berhubungan dengan hipertensi pada lansia di Desa Alue Bili Geulumpang Kecamatan Baktiya Kabupaten Aceh Utara Tahun 2022. Journal of Health and Medical Science, 129-136.

World Health Organization. (2023). Hypertension. Retrieved from: https://www.who.int/news-room/fact-sheets/detail/hypertension