Effectiveness of Progressive Muscle Relaxation (PMR) in Older Adults with Hypertension in RW 07, Rawasari Village

Abstract

Background & Objective: Hypertension is a common non-communicable disease among the elderly that can cause serious complications if blood pressure is poorly controlled. Management includes pharmacological therapy (antihypertensive drugs) and non-pharmacological therapy as a complement, such as lifestyle modification, dietary adjustment, physical activity, stress management, and complementary therapies like Progressive Muscle Relaxation (PMR). This study aimed to determine the effectiveness of PMR on blood pressure in elderly people with hypertension in RW 07, Rawasari Village. Method: Nursing care was provided to three elderly hypertensive patients using the nursing process: assessment, diagnosis, intervention, implementation, and evaluation. PMR was performed for 3 consecutive days according to the SOP at each elderly person's home. Result: On the first day, the average blood pressure decrease was 5 mmHg for both systolic and diastolic pressure. On the second day, the average decrease was 7.3 mmHg, and on the third day, it was 8.7 mmHg. The average decrease in the pain scale over three days was 1. These findings prove that PMR is effective in reducing blood pressure and pain in elderly individuals with hypertension. Conclusion: The application of Progressive Muscle Relaxation (PMR) in elderly hypertensive patients with pain problems is proven effective. This non-pharmacological therapy can be recommended as a nursing intervention in the management of hypertension in the elderly.