Guided Imagery Relaxation Effectively Lowers Blood Pressure in Hypertension Patients

Authors

  • Indra Aliando Politeknik Negeri Indramayu (POLINDRA), Indonesia
  • Kayubi Politeknik Negeri Indramayu, Indonesia
  • Hasim Asyari Politeknik Negeri Indramayu, Indonesia

DOI:

https://doi.org/10.54832/phj.v7i2.1203

Keywords:

Guided Imagery, Relaxation Therapy, Hypertension, Blood Pressure Reduction, Non-pharmacological Intervention

Abstract

Introduction: Hypertension is a leading risk factor for cardiovascular diseases and is prevalent in various age groups. Effective interventions are needed to manage hypertension, particularly in primary healthcare settings. This study explores the effect of guided imagery relaxation on reducing blood pressure in hypertensive patients at Puskesmas Babadan, Indramayu.

Objectives: This study aimed to determine the effectiveness of guided imagery relaxation in lowering systolic and diastolic blood pressure in hypertensive patients.

Methods: A pre-experimental design was used involving 30 hypertensive patients from Puskesmas Babadan. Participants underwent a guided imagery relaxation intervention for 15 minutes daily over one week. Blood pressure was measured before and after the intervention. Data were analyzed using paired t-tests to assess changes in blood pressure.

Results: The results showed a significant reduction in both systolic and diastolic blood pressure after the intervention. The mean systolic blood pressure decreased from 152.3 mmHg to 140.5 mmHg (p = 0.000), while diastolic blood pressure decreased from 94.6 mmHg to 88.1 mmHg (p = 0.001).

Conclusions: Guided imagery relaxation was effective in lowering blood pressure in hypertensive patients. This non-pharmacological approach may be a valuable complementary therapy in managing hypertension in primary healthcare settings. Further research is recommended to explore the long-term effects and the integration of this technique into routine healthcare practices.

Downloads

Download data is not yet available.

Author Biography

Indra Aliando, Politeknik Negeri Indramayu (POLINDRA)

I am a Lecturer in Polindra D3 Nursing Study Program with the rank of Associate Professor, I am in the Mental and Community Nursing family, including Mental Nursing, Family Nursing, Gerontic Nursing and Health Services

References

Ayada, C., Toru, & Korkut, Y. (2015). The relationship of stress and blood pressure effectors. Hippokratia, 19(2), 99. https://pmc.ncbi.nlm.nih.gov/articles/PMC4938117/

Dinkes Kabupaten Indramayu. 2023. Profil Kesehatan Tahun 2023. Indramayu: Dinkes Kabupaten Indramayu.

First WHO report details devastating impact of hypertension and ways to stop it. (n.d.). Retrieved May 2, 2025, from https://www.who.int/news/item/19-09-2023-first-who-report-details-devastating-impact-of-hypertension-and-ways-to-stop-it

Hadjibalassi, M., Lambrinou, E., Papastavrou, E., & Papathanassoglou, E. (2018). The effect of guided imagery on physiological and psychological outcomes of adult ICU patients: A systematic literature review and methodological implications. Australian Critical Care, 31(2), 73–86. https://doi.org/10.1016/J.AUCC.2017.03.001

Heart Disease and Stroke | National Institutes of Health (NIH). (n.d.). Retrieved May 2, 2025, from https://www.nih.gov/about-nih/what-we-do/nih-turning-discovery-into-health/our-biggest-health-challenges/heart-disease-stroke

Kumari, D., & Patil, J. (2023). Guided imagery for anxiety disorder: Therapeutic efficacy and changes in quality of life. Industrial Psychiatry Journal, 32(Suppl 1), S191. https://doi.org/10.4103/IPJ.IPJ_238_23

Kvarnström, K., Westerholm, A., Airaksinen, M., & Liira, H. (2021). Factors Contributing to Medication Adherence in Patients with a Chronic Condition: A Scoping Review of Qualitative Research. Pharmaceutics, 13(7), 1100. https://doi.org/10.3390/PHARMACEUTICS13071100

Maria Mantiri, S., Erwin Nicolaas Wantania, F., & Nurmansyah Program Studi Ilmu Keperawatan Fakultas Kedokteran Universitas Sam Ratulangi Bagian Ilmu Penyakit Dalam Fakultas Kedokteran Universitas Sam Ratulangi Program Studi Ilmu Keperawatan Fakultas Kedokteran Universitas Sam Ratulangi, M. (2024). PENGARUH GUIDED IMAGERY TERHADAP TEKANAN DARAH PADA MASYARAKAT DENGAN HIPERTENSI. JURNAL KEPERAWATAN, 12(1), 81–88. https://doi.org/10.35790/J-KP.V12I1.48715

Meditation and a relaxation technique to lower blood pressure - Harvard Health. (n.d.). Retrieved May 2, 2025, from https://www.health.harvard.edu/heart-health/meditation-and-a-relaxation-technique-to-lower-blood-pressure

Morgan, S. P., Lengacher, C. A., & Seo, Y. (2024). A Systematic Review of Breathing Exercise Interventions: An Integrative Complementary Approach for Anxiety and Stress in Adult Populations. Journal of Holistic Nursing. https://doi.org/10.1177/08980101241273860/SUPPL_FILE/SJ-DOCX-1-JHN-10.1177_08980101241273860.DOCX

Peltzer, K., & Pengpid, S. (2018). The Prevalence and Social Determinants of Hypertension among Adults in Indonesia: A Cross-Sectional Population-Based National Survey. International Journal of Hypertension, 2018, 5610725. https://doi.org/10.1155/2018/5610725

Puskesmas Babadan Kabupaten Indramayu. 2023. Laporan Tahunan 2023. Indramayu: Puskesmas Babadan Kabuapeten Indramayu.

Survei Kesehatan Indonesia (SKI) 2023 - Badan Kebijakan Pembangunan Kesehatan | BKPK Kemenkes. (n.d.). Retrieved May 2, 2025, from https://www.badankebijakan.kemkes.go.id/hasil-ski-2023/

Thomopoulos, C., Parati, G., & Zanchetti, A. (2014). Effects of blood pressure lowering on outcome incidence in hypertension.1. Overview, meta-analyses, and meta-regression analyses of randomized trials. Journal of Hypertension, 32(12), 2285–2295. https://doi.org/10.1097/HJH.0000000000000378,

Toussaint, L., Nguyen, Q. A., Roettger, C., Dixon, K., Offenbächer, M., Kohls, N., Hirsch, J., & Sirois, F. (2021). Effectiveness of Progressive Muscle Relaxation, Deep Breathing, and Guided Imagery in Promoting Psychological and Physiological States of Relaxation. Evidence-Based Complementary and Alternative Medicine : ECAM, 2021, 5924040. https://doi.org/10.1155/2021/5924040

Downloads

Published

2025-08-06

How to Cite

Aliando, I., Kayubi, K., & Asyari, H. (2025). Guided Imagery Relaxation Effectively Lowers Blood Pressure in Hypertension Patients. PROFESSIONAL HEALTH JOURNAL, 7(2), 682–689. https://doi.org/10.54832/phj.v7i2.1203

Issue

Section

Articles

Citation Check