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Hypertension is the main trigger factor for stroke events, both hemorrhagic and ischemic strokes. One of the complications of hypertension is that it can cause an increase in peripheral blood pressure, causing a poor hemodynamic system and thickening of the blood vessels and hypertrophy of the heart muscle. Hypertension which continuously causes atherosclerotic plaque will trigger a stroke. Objective : to determine the results of applying dhikr therapy to reduce blood pressure in Hemorrhagic Stroke patients in the ICU. Method : Descriptive research using case studies, this application carried out blood pressure measurements before and after being given dhikr therapy, dhikr therapy was carried out 3 times a day for 3 days. Results : Blood pressure Mr. Y from 155/96 mmHg to 150/90 mmHg. Meanwhile, Mr. R from 156/116 mmHg to 148/94 mmHg. Conclusion : there was a decrease in blood pressure in both respondents after dhikr therapy.

Stroke is an acute clinical manifestation resulting from neurological dysfunction in the brain, spinal cord and retina, either partial or complete, that persists for 24 hours or causes death due to blood vessel disorders. According to the American Heart Association (AHA), in 2015 the prevalence of stroke reached 33 million patients worldwide. According to Basic Health Research (Riskesdas) in 2007, the national prevalence of stroke was 8.3 per 1,000 population. The highest stroke prevalence was found in Aceh (16.6 per 1,000 population) and the lowest in Papua (3.8 per 1,000 population). Many factors can influence the incidence of stroke, one of which is hypertension. Hypertension is a major risk factor for stroke. Often referred to as the silent killer because hypertension increases the risk of stroke by 6 times. It is said to be hypertension if blood pressure is greater than 140/90 mmHg. Stroke cases are included in the Doctor Competency Standards with grade 3B, which means a general practitioner must be able to make a clinical diagnosis based on anamnesis, physical examination and simple additional examinations. The general practitioner must be able to decide and provide preliminary therapy, as well as refer to relevant specialists (emergency cases).

Background:Nearly 70-94% of acute stroke patients experience increased blood pressure (hypertension). Hypertension is the main triggering factor for the occurrence of strokes, both hemorrhagic and ischemic strokes, one way is to provide non-pharmacological therapy with dhikr relaxation (remembrance of Allah). Objective: to find out the application of dhikr therapy to reduce blood pressure in acute stroke patients at HCU Neuro Anggrek 2 RSUD Dr. Moewardi Surakarta. Method: the application of this journal uses a descriptive method with a case study approach to 2 respondents according to the inclusion and exclusion criteria, the independent variable of the research is dhikr therapy, namely therapy that is carried out by reminding respondents to Allah SWT through recordings of reading recitation sentences, by adjusting the position of the respondent first first, namely supine position with head elevation of 30o, then listen to the recorded dhikr sentences using hands-free to the respondent 3 times a day for 10 minutes for 3 days. Results: Based on the results of the application that has been carried out, there is a decrease in blood pressure before and after the dhikr relaxation therapy is performed. Conclusion: There is a decrease in blood pressure before and after the application of dhikr from first degree hypertension to prehypertension.