Progressive Muscle Relaxation Combined with Lavender Aromatherapy: A Nursing Approach to Blood Pressure Control in Elderly
DOI:
https://doi.org/10.23917/bik.v19i1.13512Keywords:
elderly, Hypertension, Lavender, aromatherapy, Proggressive muscle relaxation, nursing intervventionAbstract
Hypertension remains a common health problem in the elderly and often requires additional non-pharmacological interventions in addition to pharmacological treatment. This study aims to be able to evaluate the effect of progressive muscle relaxation combined with lavender aromatherapy on systolic and diastolic blood pressure in the elderly with hypertension. This quantitative research uses a pre-experimental design of one pretest-posttest group. The target population consists of elderly people with hypertension who live in Balapulang Wetan Village, Indonesia. A total of 23 participants were selected as research samples through proportional random sampling in all environmental units or RWs. All selected participants underwent progressive muscle relaxation exercises with a combination of lavender aromatherapy, performed once a day for three consecutive days. Lavender essential oil with 15 drops dissolved in 30 mL of water is given using a diffuser at each session. Blood pressure was measured before and after the intervention using a digital sphygmomanometer. Data was analyzed with a pair of sample t-tests. The results of the study indicate a statistically significant decrease in systolic and diastolic blood pressure after the intervention or p < 0.05. The combination of progressive muscle relaxation and lavender aromatherapy has been proven to reduce blood pressure in the elderly with hypertension and can be used as an effective non-pharmacological nursing intervention.
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Aminiyah, R., Ariviana, I. S., Dewi, E. W., Fauziah, N. H., Kurniawan, M. A., Susumaningrum, L. A., & Kurdi, F. (2022). The Effectiveness of Progressive Muscle Relaxation Techniques on Blood Pressure in the Elderly at UPT PSTW Jember. Florence Nightingale Journal of Nursing, 5(2), 43–49. https://doi.org/10.52774/jkfn.v5i2.106
Apriyeni, E., Rahayuningrum, D. C., Patricia, H., & Irman, V. (2023). Hypertension Health Education in the Elderly. Journal of Community Service Creativity, 6(2), 104–116.
Arifiani, J. P., & Fijianto, D. (2021). Application of progressive muscle relaxation therapy to lower blood pressure in elderly people with hypertension. Consider using the three paragraphs beginning with, 1732–1736.
Chen, F., Lee, C., Chen, Y., Lin, Y., Yeh, C., Lin, C., & Cheng, H. (2025). Pathophysiology and blood pressure measurements of hypertension in the elderly. Journal of the Formosan Medical Association, 124(March).
Gianaros, P. J., & Wager, T. D. (2015). Brain-Body Pathways Linking Psychological Stress and Physical Health. Pyschological Science, 24(4), 313–321. https://doi.org/10.1177/0963721415581476
Hidayati, A., Purwanto, N. H., & Siswantoro, E. (2022). The Relationship of Stress with Increased Blood Pressure in Hypertensive Patients. Journal of Nursing, 15(2), 37–44.
Ministry of Health. (2023). Health Profile. See also Doctrine, 14, 100.
Kim, M., Nam, E. S., Lee, Y., & Kang, H. (2021). Effects of Lavender on Anxiety , Depression , and Physiological Parameters : Systematic Review and Meta-Analysis. Asian Nursing Research, 15(5), 279–290. https://doi.org/10.1016/j.anr.2021.11.001
Lakens, D. (2022). Sample Size Justification Collabra : Psychology. Collabra: Psychology, 8(1), 1–28.
Lukitaningtyas, D., & Cahyono, E. A. (2023). hypertension; Article Review. Journal of Health Science and Practice Development, 2(2), 100–117.
Makawekes, E., Suling, L., & Kallo, V. (2020). The Effect of Physical Activity on Blood Pressure in the Elderly 60-74 Years. Journal of Nursing, 8(1), 83. https://doi.org/10.35790/jkp.v8i1.28415
Pratiwi, E., Muflihatin, S. K., Purnomo, S., Astuti, Z., & Milkhatun, M. (2024). Analysis of clinical nursing practice in cephalgia patients with innovative interventions of lavender aromatherapy effectiveness and deep breathing relaxation to reduce pain intensity. Young Ners, 5(1), 9. https://doi.org/10.26714/nm.v5i1.14342
Putro, G., Administrator, A., & Sugiastuti, R. R. B. S. (2019). Analysis of the Management of the Hypertension Chronic Disease Management Program (Prolanis) at Pratama Dinayla Utama Clinic 84. Journal of Business Management, 2(02), 169–178. https://doi.org/10.37504/jmb.v2i02.135
Rahmadhani, D. Y. (2022). The Effectiveness of Lavender Aromatherapy on Blood Pressure among Elderly with Essential Hypertension. The Journal of Palembang Nursing Studies, 1(1), 1–8.
Rimadia, A., & Khoiriyah, K. (2023). Reduction of High Blood Pressure in Hypertensive Patients Who Apply Progressive Muscle Relaxation Therapy. Young Ners, 4(2), 133. https://doi.org/10.26714/nm.v4i2.10450
Rini, R. A. Pramesti. (2020). The Effect of the Combination of Lavender Aromatherapy and Hand Massage on Changes in Anxiety, Blood Pressure and Cortisol in Hypertensive Patients. Journal of Health Research "Forikes Voice", 11(2), 178. https://doi.org/10.33846/sf11217
Rosdiana, I., & Cahyati, Y. (2019). Effect of Progressive Muscle Relaxation (PMR) on Blood Pressure among Patients with Hypertension. International Journal of Advancement in Life Sciences Research, 2(1), 28–35. https://doi.org/10.31632/ijalsr.2019v02i01.005
Sutamiyanti, N. L., Suniyadewi, N. W., & Devhy, N. L. P. (2020). Progressive Muscle Relaxation Affects Blood Pressure Reduction in the Elderly with Primary Hypertension. Journal of Health Sciences, 11(1), 1–14.
Wang, J. G., Palmer, B. F., Vogel Anderson, K., & Sever, P. (2023). Amlodipine in the current management of hypertension. Journal of Clinical Hypertension, 25(9), 801–807. https://doi.org/10.1111/jch.14709
Widyastuti, Noviar, & Putra, M. (2022). Overview of the Use of Antihypertensive Drugs in the Internal Medicine Ward of Dr. Achmad Darwis Hospital. SITAWA: Journal of Pharmacy Science and Traditional Medicine, 1(2), 59–70. https://doi.org/10.62018/sitawa.v1i2.10
World Health Organization. (2023a). Global report on hypertension: The race against a silent killer.
World Health Organization. (2023b). Hypertension. World Health Organization.
Wulandari, A. N., & Samara, D. (2023). Systolic blood pressure is higher in the afternoon than in the morning at the age of 45-65 years. Journal of Research and Scientific Works, Trisakti University Research Institute, 8(2), 377–386. https://doi.org/10.25105/pdk.v8i2.16220
Yoo, S., Kim, C., Kim, H., & Kim, S. (2022). Effect of progressive muscle relaxation therapy with home exercise on pain, fatigue, and stress in subjects with fibromyalgia syndrome: A pilot randomized controlled trial. Journal of Back and Musculoskeletal Rehabilitation, 35(2), 1–11. https://doi.org/10.3233/BMR-191703
Yuli Astuti, Sutiawati, D. N., & Uum Safari. (2024). Reducing Pain in Children with Cancer Using A Combination of Benson Relaxation and Peppermint Essential Oil Aromatherapy. Caring: Indonesian Journal of Nursing Science, 6(2), 68–73. https://doi.org/10.32734/ijns.v6i2.18725

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