Negative Air Pressure on Wet Cupping in Decreasing Blood Pressures in Hypertensive Patients
Abstract: Wet cupping,
furthermore mentioned cupping, decreases blood pressures through the level of
negative air pressures added by hydrostatics filtration pressure to reinforce
the power of fluids filtration in capillaries. However, an appropriate negative
air pressure to decrease blood pressure remains an uncertainty.
Purpose: This study aimed to analyze negative air pressure differences on
cupping in decreasing blood pressures in hypertensive patients.
Methods: This is a quasi-experimental design conducted in three Community
Health Centers in Langsa City, Aceh, Indonesia. The samples were 36
hypertensive males with age from 45 to 55, who were randomly stratified into
two groups with cupping pressures 400 mbar (n=18) as the control group; and 540
mbar (n=18) as the intervention group. The cupping session was performed to
each group on T1 (alkahil) point and in the middle line of both shoulders blade
points. The systolic blood pressure (SBP) and diastolic blood pressures (DBP)
were measured by validated automatic sphygmomanometer. The follow-up periods
were one week and two weeks. The data were then analyzed by repeated measures
ANOVA.
Results: Cupping pressure of 400 mbar decreased the mean of SBP and DPB
with a p-value of 0.450 and 0.026, respectively after two weeks of
intervention. Meanwhile, cupping pressure of 540 mbar decreased the mean of SBP
and DBP with a p-value of 0.006 and 0.057, respectively. Tests of
within-subjects resulted in the p-value of 0.250 (SBP) and 0.176 (DBP) after
two weeks of intervention. There were no significant differences in SBP and DBP
between the intervention group and the control group.
Conclusion: The cupping pressure between 400 mbar and 540 mbar could
reduce blood pressure; however, the cupping pressure of 540 mbar yielded
greater effect in decreasing blood pressure than the 400 mbar. Negative air
vacuum pressure loads on cupping to decrease blood pressure should be
considered between 400 to 540 mbar, and further studies are needed.
Keywords: Blood pressure;
hypertension; negative air pressure; wet cupping
Author: Budi Darmawan, Diyah
Fatmasari, Rr. Sri Endang Pujiast
Journal Code: jpkeperawatangg170011
