The Effectiveness of Virtual Reality-Based Balinese Gamelan Selonding (Gambling) Music On Anxiety And Blood Pressure In The Elderly
DOI:
https://doi.org/10.51601/ijhp.v5i4.450Abstract
Aging brings with it the consequence of an increase in various cardiovascular diseases, one of which is hypertension. Long-term use of antihypertensive drugs can cause various side effects, one of which is mental changes, thus non-pharmacological therapies such as music therapy are needed. There are many types of music therapy that can be applied, one of which is traditional music (gamelan). There are inconsistencies in previous research, so a combination of Balinese gamelan selonding music therapy with VR or Virtual Reality is needed. VR has become one of the leading innovations in the field of health and wellness, especially in the context of therapy and rehabilitation. The purpose of this study is to determine the effectiveness of VR-based Balinese gamelan selonding music therapy in reducing anxiety and blood pressure in the elderly with hypertension. The research method uses a quasi-experimental pre-post control group design. The sampling technique is purposive sampling according to inclusion and exclusion criteria. The instruments in this study used an anxiety questionnaire, tensimeter, MP3/handphone, earphones and a VR Box. The results of this study show that the provision of VR-based Balinese gamelan selonding music therapy can reduce anxiety and blood pressure in the elderly.
Downloads
References
. Akbar, AA, Merdekawati, D. and Sari, LA (2022) 'Literature Review: The Effect of Music Therapy on Blood Pressure in Hypertensive Patients', Surya Medika: Scientific Journal of Nursing and Public Health Sciences, 17(2), pp. 75–81. Available at: https://doi.org/10.32504/sm.v17i2.508.
. Aprilia, D. and Arifiyanto, D. (2023) 'The Effect of Religious Music Therapy on Blood Pressure Control in Elderly Hypertension Sufferers in the Sragi II Community Health Center Work Area', Journal of Health and Nursing Research, 2(2), pp. 54–61.
. Artana, IW, Widiyani, Y. and Dewi, SPAAP (2022) 'Traditional Balinese Selonding Gamelan Music Reduces Anxiety in the Elderly', Nursing World: Journal of Nursing and Health, 8(2), p. 253. Available at: https://doi.org/10.20527/dk.v8i2.8504.
. Astuti, NF et al. (2019) 'Decreased blood pressure among community-dwelling older adults following progressive muscle relaxation and music therapy (RESIK)', BMC Nursing, 18(Suppl 1), pp. 1–5. Available at: https://doi.org/https://doi.org/10.1186/s12912-019-0357-8.
. Cahyanti, L. and Hirmawati, ER (2021) 'Instrumental Music Therapy in Reducing Background Hypertension is a non-communicable disease (NCD) that needs to be watched out for and must receive immediate treatment. Hypertension is an increase in systolic blood pressure of at least 140 mmHg', Journal of Nursing Profession, 8(2), pp. 202–214.
. Collins, SP et al. (2021) 'Effectiveness of Music Therapy in Lowering Blood Pressure in Patients with Hypertension', 5, pp. 167–186.
. Bali Provincial Health Office (2023) 'Bali Provincial Health Profile 2023', in. Denpasar: Bali Provincial Health Office.
. Eki Yuliarti, Diyanah Syolihan Rinjani Putri, HIH (2019) 'The Effect Of Virtual Reality (Vr) Relaxation On The Pain Scale During Vascular Access Cannulation Procedures', Indonesian Journal of Global Health Research, 2(4), pp. 1–10. Available at: https://doi.org/10.37287/ijghr.v2i4.250.
. Hendriyani, IGAD (2020) Minister of Tourism and Creative Economy: Bali Prepared to Become a Leading Health Tourism Destination, Ministry of Administrative and Bureaucratic Reform of the Republic of Indonesia.
. Ho, C.-Y. et al. (2020) 'Effect of music on patients with cardiovascular diseases and during cardiovascular interventions A systematic review', Wiener Klinikche Wochenschrift, 1(1), pp. 1–12. Available at: https://doi.org/10.1007/s00508-020-01782-y.
. Inayati, B. and Aini, DN (2023) 'Application of Five Finger Hypnosis Therapy in Overcoming Anxiety in Hypertension Patients in Tratemulyo Village, Weleri, Kendal', 3rd Widya Husada Semarang Nursing Conference, 3(1), pp. 1–5. Available at: http://journal.uwhs.ac.id/index.php/whnc/article/view/561/515.
. Coordinating Ministry (2021) 'Coordinating Ministry for Human Development and Culture of the Republic of Indonesia', Achieve the Target! Stunting Prevalence Must Decrease by 3 Percent Per Year KEMENKO, pp. 5–6.
. Ministry of Health of the Republic of Indonesia. (2022) Indonesian Health Profile 2021. Jakarta: Ministry of Health of the Republic of Indonesia.
. Khaliri and Ramadhanti (2023) 'Effectiveness of Campursari Music Therapy on Reducing Blood Pressure in Elderly Patients with Hypertension: A Case Study', Accident Analysis and Prevention, 183(2), pp. 153–164.
. Kunoviana, RD and Maliya, A. (2025) 'Level of anxiety regarding quality of life in productive age hypertension sufferers', Holistic Health Journal, 18(11), pp. 1338–1346. Available at: https://doi.org/10.33024/hjk.v18i11.532.
. Martiniano, E.C. et al. (2019) 'Musical auditory stimulus acutely influences heart rate dynamic responses to medication in subjects with well-controlled hypertension', Scientific Reports, 8(1), pp. 1–9. Available at: https://doi.org/10.1038/s41598-018-19418-7.
. Oktaviani, NPW et al. (2021) 'The Effect of Meditation on Hypertension in the Elderly in Banjar Angkling, Bakbakan Village, Gianyar Community Health Center Working Area', Jurnal Kesehatan, 8(1), pp. 41–53.
. Rusmadhani and Dafid (2024) 'The Effect of Music Therapy on Reducing Blood Pressure in Elderly People with Hypertension in the Kedungwuni I Community Health Center, Pekalongan Regency', Ventilator Journal, 2(2), pp. 54–61. Available at: https://doi.org/10.59680/ventilator.v2i2.1158.
. Suidah, H. and Cahyono, EA (2020) 'Classical Music Therapy Intervention as a Treatment for Depression in the Elderly', Jurnal Keperawatan, pp. 9–16. Available at: 22 May 2025.
. Sulistiyarini, NTP (2021) 'The Effect of Mozart Music Therapy on Reducing Mild to Moderate Pain in Postoperative Patients at Permata Bunda General Hospital, Purwodadi', Nursing Journal, 6(1), pp. 1–15.
. Vorwerg-Gall, S., Stamm, O. and Haink, M. (2023) 'Virtual reality exergame in older patients with hypertension: a preliminary study to determine load intensity and blood pressure', BMC Geriatrics, 23(1), pp. 1–14. Available at: https://doi.org/10.1186/s12877-023-04245-x.
. Wardani, NPS (2020) 'Description of the Quality of Life of the Elderly in Gianyar Bali', Muara Journal of Social Sciences, Humanities, and Arts, 4(2), p. 383. Available at: https://doi.org/10.24912/jmishumsen.v4i2.8254.2020.
. Widiana, IWP (2019) 'Characteristics of Gamelan Selonding Bebandem and Selonding Tenganan “Intramusical Comparative Study”', MUDRA Journal of Arts and Culture, 34(1), pp. 61–72.
. Winarto, A., Kusnanto and Harmayetty (2021) 'The Music Therapy Effect on Lowering Blood Pressure in Elderly With Hypertension: A Systematic Review', STRADA Health Scientific Journal, 10(1), pp. 1108–1126. Available at: https://doi.org/10.30994/sjik.v10i1.768.
. World Health Organization (2023) Hpertension.
. Yudhawati, NLPS (2022) 'The Impact of Javanese Gending Entertainment Arts Management on the Degradation of Elderly Anxiety', Scientific Journal of Nursing, 8(2), pp. 338–345. Available at: https://doi.org/10.33023/jikep.v8i2.1062.
. Yudhawati, NLPS et al. (2022) 'The Impact of Gending Java's Entertainment Arts Management On Degradation of Elderly Anxiety', Scientific Journal of Nursing, 8(2). Available at: https://doi.org/https://doi.org/10.33023/jikep.v8i2.1062.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 A.A Bagus Suryantara, Ari Wina Sani, I Made Hendra Wijaya
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
