Publication Search

Hypertension is one of the most common chronic diseases among the elderly and is often accompanied by insomnia. This condition can increase anxiety and reduce quality of life. Progressive Muscle Relaxation (PMR) is an effective non-pharmacological therapy to lower blood pressure and improve sleep quality. This paper describes nursing care for elderly patients with hypertension and insomnia through PMR application at RSUD Embung Fatimah Batam City in 2025. A case study approach was used through the nursing process, including assessment, nursing diagnosis, intervention, implementation, and evaluation. The main nursing diagnosis was sleep pattern disturbance related to physical discomfort and anxiety. Interventions included education and PMR exercises for six consecutive days. Results showed blood pressure decreased from 180/100 mmHg to 130/80 mmHg, sleep quality improved from difficulty sleeping to 6–7 hours per night, and anxiety levels reduced. Progressive muscle relaxation therapy proved effective as an independent nursing intervention to reduce blood pressure and improve sleep quality in elderly patients with hypertension and insomnia. Nurses should use this therapy as a routine non-pharmacological intervention in gerontological nursing practice.

Hypertension is a non-communicable disease that can lead to cardiovascular complications and requires both pharmacological and non-pharmacological management. One of the non-pharmacological therapies that can be applied is warm water foot soaking and progressive muscle relaxation, which may help reduce blood pressure through peripheral vasodilation, stimulation of the parasympathetic nervous system, and decreased sympathetic nervous system activity. This study aimed to analyze the implementation of nursing care through warm water foot soaking therapy and progressive muscle relaxation to reduce blood pressure in patients with hypertension. The method used was a case study with a pre-experimental design using a one group pre-test post-testapproach involving three hypertensive patients, with the intervention administered once daily for three days. The results showed a decrease in blood pressure in all patients. The average systolic reduction was 5.3 mmHg, 12.3 mmHg, and 5.6 mmHg, while the diastolic reduction was 1.6 mmHg, 2.6 mmHg, and 4 mmHg, respectively. In addition, all patients reported a reduction in pain scale. It can be concluded that warm water foot soaking therapy combined with progressive muscle relaxation is effective as a complementary nursing intervention to help reduce blood pressure in patients with hypertension.

Hypertension is one of the most common chronic diseases among the elderly and is often accompanied by insomnia. This condition can increase anxiety and reduce quality of life. Progressive Muscle Relaxation (PMR) is an effective non-pharmacological therapy to lower blood pressure and improve sleep quality. This paper describes nursing care for elderly patients with hypertension and insomnia through PMR application at RSUD Embung Fatimah Batam City in 2025. A case study approach was used through the nursing process, including assessment, nursing diagnosis, intervention, implementation, and evaluation. The main nursing diagnosis was sleep pattern disturbance related to physical discomfort and anxiety. Interventions included education and PMR exercises for six consecutive days. Results showed blood pressure decreased from 180/100 mmHg to 130/80 mmHg, sleep quality improved from difficulty sleeping to 6–7 hours per night, and anxiety levels reduced. Progressive muscle relaxation therapy proved effective as an independent nursing intervention to reduce blood pressure and improve sleep quality in elderly patients with hypertension and insomnia. Nurses should use this therapy as a routine non-pharmacological intervention in gerontological nursing practice.

Hypertension is an increase in systolic blood pressure of more than 140 mmHg or diastolic blood pressure of more than 90 mmHg. Hypertension is not only at high risk of suffering from heart disease, but also suffering from other diseases such as nerve, kidney, and blood vessel diseases and the higher the blood pressure the greater the risk, Signs and symptoms of hypertension that are often felt are dizziness, sleep disturbances, blurred vision, and headaches. One of the non-pharmacological treatments that can be done for hypertension sufferers is progressive muscle relaxation. The purpose of this paper is to discuss progressive muscle relaxation therapy for lowering blood pressure in hypertensive patients. The writing method uses a descriptive design with a nursing process approach. The results of the writing show that there is a decrease in blood pressure after progressive muscle relaxation therapy is carried out for 5 days, the results obtained before 150/80 mmHg and after 120/80 mmHg.

This study aims to determine the effectiveness of progressive muscle relaxation techniques in reducing headache pain in hypertensive patients in the inpatient ward of Harapan Anda Hospital in Tegal City. Hypertension is often accompanied by complaints of headaches, which is a significant problem for patients. One non-pharmacological approach that can be used to alleviate headaches caused by hypertension is progressive muscle relaxation therapy. In this study, 55 respondents with hypertension and complaints of headache were involved. The research used a quasi-experimental design with a quantitative approach. Before and after the intervention, patients underwent progressive muscle relaxation therapy for three consecutive days, with a duration of fifteen minutes per session. Pain levels were assessed using a pain scale before and after the intervention. Data analysis was conducted using the Wilcoxon test. The results showed that 53 patients (96%) experienced a decrease in pain levels after the therapy. The average pain scale significantly decreased, with moderate pain levels reducing from 89.1% to 3.6%, while mild pain increased from 10.9% to 85.5%. The Wilcoxon test results indicated a p-value of 0.000 (p < 0.05), indicating that progressive muscle relaxation therapy is effective in reducing headache pain in hypertensive patients. This therapy has been shown to be a simple, safe method that can be applied both independently by patients and in healthcare services. Therefore, progressive muscle relaxation can be an effective alternative in managing headaches in hypertensive patients.

Hypertension, commonly known as high blood pressure, is a condition where blood pressure in the blood vessels consistently exceeds the normal range of 140/90 mmHg. Central Java Province has the highest prevalence of hypertension in Indonesia, at 13.4%. In 2020, Purbalingga Regency reported 268,936 cases of hypertension. According to data from the Bojongsari Health Center, there were 11,596 hypertension patients in 2023. Among the 13 villages in Bojongsari District, there are villages that have experienced an increase in hypertension cases of over 20% annually, one of which is Karangbanjar Village, with 542 cases of hypertension in 2022 and an increase to 858 cases (26%) in 2023. Hypertension treatment can be done through complementary therapy such as progressive muscle relaxation therapy and hydrotherapy. This Community Service Program (PkM) was attended by 20 participants. The results from the pre-test to the post-test showed an increase in the average score, from 59 to 81.5. The evaluation of participants' skills indicated an improvement, with 90% in the “good” category and 10% in the “adequate” category. In addition, there was a significant change in participants' blood pressure after receiving therapy. This activity was carried out using lectures and discussions, with PowerPoint presentations, leaflets, and videos demonstrating how to perform progressive muscle relaxation therapy and hydrotherapy. This educational activity showed an increase in knowledge among the elderly in performing progressive muscle relaxation therapy and hydrotherapy to reduce hypertension.

Hypertension, which is common in the elderly, is a condition when blood pressure increases abnormally when measured in the systolic and diastolic phases. Blood pressure that exceeds 140/90 mmHg (systolic/diastolic) may indicate the presence of a health condition in the individual. comparison of the effectiveness of progressive muscle relaxation therapy and slow deep breathing on blood pressure of hypertensive clients at Perdha Pucang Gading Semarang is the main objective of this study. This study used a quantitative quasy-experiment method with a two group pretest and posttest group design, with 48 respondents selected through nonprobability sampling techniques. To ensure the normality assumption was met, the data was tested using the Shapiro-wilk test. Furthermore, statistical analysis was carried out with two types, namely paired t-test and independent t-test, to compare differences between data groups. The results showed that the elderly aged 60-75 years in the Panti experienced mild hypertension. Statistical analysis concluded that progressive muscle relaxation therapy and slow deep breathing were effective in reducing systolic and diastolic blood pressure significantly (p<0.05). However, no substantial variation was found in the effectiveness between the two therapies in reducing systolic blood pressure (p 0.066>0.05).

One of the health issues that can lead to significant consequences, including heart disease and organ damage, is hypertension. For hypertensive patients, non-pharmacological treatments such as progressive muscle relaxation (PMR) offer an alternative to reduce discomfort and blood pressure. This study uses a quantitative methodology and a quasi-experimental design. For two weeks, 66 hypertensive patients from Puskesmas Bangetayu Semarang participated in the ROP intervention. The T-Test and Wilcoxon statistical tests were used to measure blood pressure and pain levels before and after the intervention. According to the Numeric Rating Scale (NRS), ROP therapy reduced pain from 2.68 to 1.76 and systolic blood pressure from an average of 150.15 mmHg to 133.64 mmHg. With a p-value of less than 0.05, statistical analysis revealed a significant difference. It has been proven that progressive muscle relaxation helps hypertensive individuals with their pain and blood pressure. This approach can be used both independently and in healthcare settings as a simple and safe non-pharmacological treatment. the effect of progressive muscle relaxation on pain and blood pressure in hypertensive patients

Hypertension in the elderly is characterized by an increase in systolic and diastolic blood pressure, namely ≥ 140/90 mmHg consistently and often occurs in the elderly aged ≥ 55 years. Progressive Muscle Relaxation is a technique that can relax tense muscles and create a relaxed feeling so that it can lower blood pressure. This study aims to determine the effect of progressive muscle relaxation on reducing the pain scale in middle-aged elderly with hypertension in the Siulak Gedang Health Center work area in 2024. The research design used was one group pretest and post-test design with a purposive sampling method, namely 16 middle-aged elderly respondents in the Siulak Gedang Health Center work area. The instruments used in data collection were SOP, observation sheets, stethoscopes, sphygmomanometers. The results of the study showed that there was an effect of progressive muscle relaxation therapy on reducing the pain scale in hypertensive patients with the results of the paired sample t-test obtained a p-value = 0.000, because the p-value <0.05.

Hypertension is a condition where blood pressure increases beyond normal limits, with various variations according to age. Various trigger factors cause hypertension, although most (90%) of the causes of hypertension are unknown. The aim of this writing is to be able to understand the concept of hypertension and study nursing care for hypertensive patients as well as to provide the author with an understanding so that he can think logically and scientifically in accordance with the existing reality. The method used was to carry out progressive muscle relaxation therapy for 10 days in 5 visits, namely on 29-07 January 2024. The place for this activity was carried out at the Amplas Community Health Center. Based on the evaluation results, it was found that there was an influence of Progressive Muscle Relaxation therapy to help lowers blood pressure in hypertension patients whose pain scale goes from 6 down to pain scale 3. The conclusion of this paper shows that patients are able to carry out progressive muscle relaxation therapy and can reduce pain in the head and nape of the neck. It is hoped that the results of this research can be used as a medical intervention to reduce acute pain in hypertensive patients in the community.

Hypertension or high blood pressure has become a common condition among the people of Indonesia and other developing countries. This study aims to evaluate the effect of Progressive Muscle Relaxation (PMR) Therapy on reducing systolic and diastolic blood pressure in individuals with hypertension.The research employed a quasi-experimental design with a one-group pre-test-post-test approach. The study population included 1,395 individuals with hypertension, and a sample of 25 participants was selected using purposive sampling techniques. Data were analyzed using the Paired T-Test.The results showed that before therapy, the average systolic blood pressure of the respondents was 148.4 mmHg, which decreased to 127.2 mmHg after therapy, indicating a reduction of 21.2 mmHg with a p-value of 0.000. In contrast, the average diastolic blood pressure was 88.00 mmHg before therapy and slightly increased to 88.40 mmHg after therapy, showing an increase of 0.40 mmHg with a p-value of 0.558.Progressive Muscle Relaxation Therapy is effective in reducing systolic blood pressure but does not have a significant effect on diastolic blood pressure. It is recommended that the research site provides health education on non-pharmacological approaches to managing hypertension through Progressive Muscle Relaxation Therapy.

Background: The elderly are said to have a risk of developing various degenerative diseases, one of which is hypertension. According to data from the World Health Organization (WHO) in 2023 the prevalence of 1.28 billion people with hypertension aged 30-79 years. The prevalence of hypertension at Sibela Health Center in 2022 was 12,447 hypertensive patients with the highest incidence rate in Surakarta City, One of the non-pharmacological therapies that can be given to elderly hypertensive patients is progressive muscle relaxation. Objective: Describe the results of blood pressure comparison before and after the application of Progressive Muscle Relaxation in the elderly. Method: This study used a descriptive research design with a case study approach by observing blood pressure in 2 elderly respondents, carried out 2x a day for 3 consecutive days within 15 minutes. The instruments used were observation sheets, Blood Pressure Monitors, and stopwatches. Results: There is a decrease in blood pressure after giving Progressive Muscle Relaxation to Mrs. D from grade 1 hypertension to normal and in Mrs. S from grade 2 hypertension to grade 1 hypertension. Conclusion: The application of progressive muscle relaxation therapy can potentially reduce blood pressure in the elderly with hypertension in both respondents.

This study aims to determine the effect of a combination of Progressive Muscle Relaxation (PMR) exercises and back massage on blood pressure in hypertension sufferers in the RW001 Sarua Indah Ciputat area, South Tangerang. This research uses a descriptive study type of research with a quantitative approach. The appropriate method for this research is the pre-experimental research method. Design Pre-experimental design is a design that includes only one group or class that is given pre- and post-tests (Sugiyono, 2014). This research design only uses a single group, so it does not require a control group. Before being given treatment, the experimental group first underwent a pretest, followed by action (intervention), namely using a combination of Progressive Muscle Relaxation and Back Massage exercises, then continued with giving a posttest.

Hypertension is a non-communicable disease which is one of the main causes of death in the world. A person can be said to be diagnosed with hypertension if the systolic blood pressure is at a level of 140 mmHg or more and the diastolic blood pressure is at a level of 90 mmHg or more. Interventions that can be done in preventing and reducing high blood pressure by providing education on controlling progressive muscle relaxation exercises. This study aims to determine the effect of Progressive Muscle Relaxation Exercises on reducing blood pressure in the working area of the Kopeta Health Center, Alok District, Sikka Regency. Methods of data collection techniques through observation, interviews, physical examination and documentation. The results of data analysis showed several diagnoses, namely health behavior tends to be risky, risk of decreased cardiac output, readiness to increase knowledge. Hypertension education with control using progressive muscle relaxation is one of the non-pharmacological interventions that can be used to reduce blood pressure. Conclusion: based on the results of the case evaluation conducted, it was found that the application of progressive muscle relaxation exercises can lower blood pressure slowly, besides that this intervention can have a relaxing effect on Mr. I.B and Mr. F.W.

Background: Diabetes Mellitus (DM) is a group of metabolic diseases characterized by hyperglycemia. Type 2 diabetes mellitus is the most common type of diabetes mellitus, accounting for about 90% of all diabetes cases. If not treated immediately can cause damage to the eyes, kidneys, heart disease, hypertension, stroke and even cause gangrene. One of the non-pharmacological treatments is progressive muscle relaxation therapy. Objective: To determine changes in blood sugar levels in patients with type 2 diabetes mellitus before and after progressive muscle relaxation therapy. Method: Descriptive method with a case study approach to 2 respondents in Jengglong Hamlet, Karanganyar Regency. The duration of giving progressive muscle relaxation therapy to respondents was 20 minutes in the morning and evening for 7 days from 25 May 2023 to 31 May 2023. Results: The blood sugar levels of the two respondents before applying progressive muscle relaxation therapy were 243 mg/dL and 255 mh/dL. After application, blood sugar levels dropped to 167 mg/dL and 221 mg/dL. Conclusion: The application of progressive muscle relaxation is able to reduce blood sugar levels in both type 2 diabetes mellitus patients in Jengglong Hamlet, Karanganyar Regency.

Background; Hypertension is a "sillent killer" disease that is mostly experienced by the elderly. According to data from the World Health Organization (WHO) in 2021, the prevalence is 1.28 billion people with hypertension aged 30-79 years. The prevalence of the elderly in the world and Indonesia continues to increase because the elderly experience a decline in physical conditions, including the cardiovascular system, which increases the risk of degenerative diseases such as hypertension. Therefore, progressive muscle relaxation can be used as an alternative therapy for the elderly with hypertension. The Objectives of the research; Knowing the results of the implementation of progressive muscle relaxation on blood pressure in the elderly with hypertension. Method; This application uses a case study method by observing blood pressure in two elderly respondents. The instruments used are observation sheets, sphygmomanometer, and stopwatch. Results; After application for 20 minutes with a frequency of four times a week for two consecutive weeks showed a decrease in blood pressure in both respondents to prehypertension. Summary; Progressive muscle relaxation therapy can potentially reduce blood pressure in the elderly with hypertension.

Hypertension is a condition where the systolic pressure is above 140 mmHg, while the diastolic pressure is above 90 mmHg. Some hypertension patients often complain of headache, weakness, fatigue, shortness of breath, restlessness, nausea and vomiting, epistaxis and decreased consciousness. This can cause sleep problems in hypertensive patients. Sleep disorders are a collection of conditions characterized by disturbances in the amount, quality or timing of sleep in an individual. One technique to improve sleep quality is progressive muscle relaxation therapy and murotal Al-Quran.This research method uses Pre-Experimental with one group pre-post test approach. The population is 40 respondents and uses a total sampling (technique).The instrument used was a sleep quality questionnaire, measured by the Indonesian version of the Pittsburgh Sleep Quality Index (PSQI), then data were collected through Editing, Coding, Scoring, and Tabulating processes. The data obtained were analyzed using the Wilcoxon test.The results showed that the average value of sleep quality before progressive muscle relaxation and murotal Al-Quran therapy was performed was 8.30, while after progressive muscle relaxation and murotal Al-Quran the average value of sleep quality was 6.08. The results of the analysis test showed that there was an effect of progressive muscle relaxation therapy and murotal Al-Quran on improving sleep quality of hypertensive patients with -value = 0.000 <α = 0.05. This therapy performs 15 relaxation movements accompanied by the sound of murotal Al-Quran which makes a person relax and calm so that this calmness acts as a pain reliever that makes the patient happy and gives positive energy in a person. this makes the mood to be happy so as to create a good quality sleep.   Keywords: Hypertension, sleep quality, progressive muscle relaxation therapy and murotal Al-Quran.