Effectiveness of deep breathing relaxation technique education on blood pressure reduction in hypertensive patients

Authors

  • Abubakar Betan Departement of Nursing, STIKES Gunung Sari, South Sulawesi, Indonesia
  • Lilis Lilis Departement of Midwifery, Universitas Muhammadiyah, South Sulawesi, Indonesia
  • Hendrik Hendrik Politeknik Kesehatan Kementerian Kesehatan Makassar, South Sulawesi, Indonesia

DOI:

https://doi.org/10.61099/jih.v1i2.124

Keywords:

Blood Pressure, Deep Breathing Relaxation, Health Education, Hypertension, Non-Pharmacological Therapy

Abstract

Introduction: Hypertension is a significant non-communicable disease that remains a public health concern in Indonesia, especially in urban areas like Makassar. Pharmacological treatment often faces adherence challenges due to side effects and economic limitations. Non-pharmacological interventions such as deep breathing relaxation techniques offer a simple, low-cost, and effective alternative to manage blood pressure. This study aimed to analyze the effectiveness of educational interventions on deep breathing relaxation techniques in reducing blood pressure among hypertensive patients at Tamalanrea Jaya Public Health Center, Makassar.

Methods: This case study used a descriptive design involving two female hypertensive patients aged 59 and 60. The intervention consisted of deep breathing relaxation therapy administered over three days, accompanied by structured health education on proper breathing techniques. Blood pressure was measured before and after each session.

Results: Before the intervention, respondent 1 had a blood pressure of 160/120 mmHg, and respondent 2 had 170/120 mmHg. After three sessions of deep breathing relaxation, their blood pressure reduced to 130/90 mmHg and 140/90 mmHg, respectively. Both respondents reported improved comfort, relaxation, and adherence due to the simplicity and flexibility of the technique.

Conclusion: The results indicate that deep breathing relaxation techniques, combined with structured education, effectively lower blood pressure in hypertensive patients. This method is practical, non-invasive, and can be performed independently at home. It is recommended as a complementary approach in primary health care settings to help manage hypertension and reduce the risk of complications

Downloads

Download data is not yet available.

References

Suprapto, M. I. Kamaruddin, Herlianty, and D. Nurhanifah, “Building Nurse Competency Strategy at Public Health Center in Indonesia: A Descriptive Qualitative Approach,” Malaysian J. Nurs., vol. 15, no. 03, pp. 62–70, Jan. 2024, doi: https://doi.org/10.31674/mjn.2024.v15i03.008.

E. B. Linggi, D. Nurhanifah, M. I. Kamaruddin, W. O. N. Angreni, S. Suprapto, and K. Napolion, “Knowledge and Attitude Can Increase Participation in Elderly Posyandu Visits,” Wind. Heal. J. Kesehat., pp. 451–460, 2024, doi: https://doi.org/10.33096/woh.v7i4.1399.

S. Suprapto and Z. Salah Jalal, “The role of obesity in increasing the risk of hypertension in the elderly,” J. Edukasi Ilm. Kesehat., vol. 2, no. 3, pp. 86–93, Nov. 2024, doi: https://doi.org/10.61099/junedik.v2i3.59.

S. Suprapto, D. Arda, M. Kurni Menga, H. Hartaty, A. Halis, and B. Adji, “Increasing public awareness through education and the implementation of routine blood donations,” J. Pengabdi. Masy. Edukasi Indones., vol. 1, no. 3, pp. 93–99, Sep. 2024, doi: https://doi.org/10.61099/jpmei.v1i3.55.

I. A. Mir, A. T. John, S. Humayra, Q. I. Khan, T. F. Chong, and H. A. Manan, “Effect of mindfulness-based meditation on blood pressure among adults with elevated blood pressure and hypertension: A systematic review of randomized controlled trials,” Complement. Ther. Med., vol. 85, p. 103084, 2024, doi: https://doi.org/10.1016/j.ctim.2024.103084.

A. Gandhi et al., “Mindfulness training for cardiovascular health in type 2 diabetes: A critical review,” Curr. Probl. Cardiol., vol. 49, no. 12, p. 102833, 2024, doi: https://doi.org/10.1016/j.cpcardiol.2024.102833.

A. Clements-Cortés, H. Pascoe, M. Pranji?, and F. Nan, “An explanatory sequential pilot inquiry on music therapy and performance anxiety in university music education majors,” Arts Psychother., vol. 87, p. 102114, 2024, doi: https://doi.org/10.1016/j.aip.2023.102114.

R. M. Ferreira, P. N. Martins, and R. S. Gonçalves, “Non-pharmacological and non-surgical interventions to manage patients with knee osteoarthritis: An umbrella review 5-year update,” Osteoarthr. Cartil. Open, vol. 6, no. 3, p. 100497, 2024, doi: https://doi.org/10.1016/j.ocarto.2024.100497.

K. Singh, J. K. Gupta, D. Jain, S. Kumar, T. Singh, and S. Saha, “Exploring the ancient wisdom and modern relevance of Chinese medicine: A comprehensive review,” Pharmacol. Res. - Mod. Chinese Med., vol. 11, p. 100448, 2024, doi: https://doi.org/10.1016/j.prmcm.2024.100448.

H. Moran and K. Butler, “Managing Chronic Pain in Ventilated Critical Care Patients,” Crit. Care Nurs. Clin. North Am., vol. 36, no. 4, pp. 553–566, 2024, doi: https://doi.org/10.1016/j.cnc.2024.05.001.

L. Liu, J. Lv, W. Piao, X. Liu, S. Li, and X. Lu, “Research on the influence of yogalates comprehensive rehabilitation training on postoperative recovery of breast cancer patients,” EXPLORE, vol. 20, no. 3, pp. 340–346, 2024, doi: https://doi.org/10.1016/j.explore.2023.09.005.

F. Feng, H. T. Tang, G. A. Ding, D. Mischoulon, and A. Yeung, “Qigong as a non pharmaceutical therapy for sleep disturbance,” Brain Behav. Immun. Integr., vol. 7, p. 100073, 2024, doi: https://doi.org/10.1016/j.bbii.2024.100073.

N. Vasdev, T. Gupta, B. Pawar, A. Bain, and R. K. Tekade, “Navigating the future of health care with AI-driven digital therapeutics,” Drug Discov. Today, vol. 29, no. 9, p. 104110, 2024, doi: https://doi.org/10.1016/j.drudis.2024.104110.

R. A. V. Lacerda et al., “Sleep disorders and risk of alzheimer’s disease: A two-way road,” Ageing Res. Rev., vol. 101, p. 102514, 2024, doi: https://doi.org/10.1016/j.arr.2024.102514.

D. Arda and N. Andani, “Management of deep breathing relaxation to reduce pain in Bartholin cyst patients: Scoping Review,” J. Interdiscip. Heal., vol. 1, no. 1 SE-Systematic Reviews, pp. 8–18, May 2025, doi: https://doi.org/10.61099/jih.v1i1.102.

K. Ding, F. Song, W. Qi, H. Liu, M. Sun, and R. Xia, “Effects of 12 weeks of head-down strong abdominal breathing on motor and cognitive performance during dual-tasking in patients with chronic obstructive pulmonary disease: Study protocol for a randomised controlled trial,” Heliyon, vol. 10, no. 14, p. e34255, 2024, doi: https://doi.org/10.1016/j.heliyon.2024.e34255.

S. Susniati and N. Asiah, “Effect of family history on the incidence of hypertension in the pre-elderly,” J. Ilm. Kesehat. Sandi Husada, vol. 14, no. 1 SE-Book Review, Jun. 2025, doi: https://doi.org/10.35816/jiskh.v14i1.1261.

S. Syaharuddin, F. Fardi, and T. Damayanti, “Monitoring 30° Head Elevation to Enhance Cerebral Perfusion in Traumatic Brain Injury Patients,” J. Ilm. Kesehat. Sandi Husada, vol. 14, no. 1 SE-Book Review, Jun. 2025, doi: https://doi.org/10.35816/jiskh.v14i1.1247.

W. O. N. Angraeni, S. Suprapto, and S. Alshammari, “Workload, job satisfaction, and salary satisfaction with turnover intention of health workers,” J. Edukasi Ilm. Kesehat., vol. 3, no. 2, pp. 63–69, 2025.

M. Muhaimin, U. Lestari, R. Hirzan, and A. Y. Chaerunisaa, “The potential of medicinal plants in tuberculosis treatment: Indigenous plants used by the Anak Dalam tribe of Jambi, Indonesia,” South African J. Bot., vol. 180, pp. 688–709, 2025, doi: https://doi.org/10.1016/j.sajb.2025.03.046.

M. Amer, H. O. AlMubayedh, S. Bolesta, and C. Gélinas, “Analgesia First in Critically Ill Adults: Current Practices and Future Directions,” Crit. Care Clin., 2025, doi: https://doi.org/10.1016/j.ccc.2025.05.002.

A. Pannu and R. K. Goyal, “From Evidence to Practice: A Comprehensive Analysis of Side Effects in Synthetic Anti-Depressant Therapy,” Curr. Drug Saf., vol. 20, no. 2, pp. 120–147, 2025, doi: https://doi.org/10.2174/0115748863301630240417071353.

H. Aslan, A. Akçin, and H. Çeli?k, “The effect of laughter yoga’s on perceived stress and anxiety levels in nursing students: Randomized controlled trial,” Adv. Integr. Med., vol. 12, no. 1, pp. 49–56, 2025, doi: https://doi.org/10.1016/j.aimed.2024.10.007.

N. A. Allameen et al., “Physiotherapy and occupational therapy in rheumatoid arthritis: Bridging functional and comorbidity gaps,” Best Pract. Res. Clin. Rheumatol., vol. 39, no. 1, p. 102032, 2025, doi: https://doi.org/10.1016/j.berh.2024.102032.

H. Mo and Y. Li, “Effects and comparisons of a 16-week resistance training vs. yoga intervention on psychological distress in older adults,” Acta Psychol. (Amst)., vol. 258, p. 105207, 2025, doi: https://doi.org/10.1016/j.actpsy.2025.105207.

T. Cai, J. Ma, and S. Ge-Zhang, “Smart cities and smart health: Innovations in home medical devices for efficient healthcare delivery,” Results Eng., vol. 27, p. 105739, 2025, doi: https://doi.org/10.1016/j.rineng.2025.105739.

C. C. Ee et al., “Mindfulness-based interventions for adults with type 2 diabetes mellitus: A systematic review and meta-analysis,” Integr. Med. Res., vol. 14, no. 2, p. 101138, 2025, doi: https://doi.org/10.1016/j.imr.2025.101138.

D. Solé et al., “V Brazilian Consensus on Rhinitis – 2024,” Braz. J. Otorhinolaryngol., vol. 91, no. 1, p. 101500, 2025, doi: https://doi.org/10.1016/j.bjorl.2024.101500.

Z. Eskimez, A. Keskin, E. Kurt, H. S. Özbarlas, M. Tekin, and B. Kundakç?, “4-7-8 Breathing Techniques Make It Possible to Reduce Pain Associated With Total Knee Arthroplasty: A New Technique in Respiratory Exercises,” J. PeriAnesthesia Nurs., 2025, doi: https://doi.org/10.1016/j.jopan.2025.04.009.

D. A. Kalmbach et al., “A randomized controlled trial of telemedicine CBTI and PUMAS for prenatal insomnia: Reducing nocturnal cognitive arousal is a treatment mechanism for alleviating insomnia and depression during pregnancy,” Sleep Med., vol. 133, p. 106570, 2025, doi: https://doi.org/10.1016/j.sleep.2025.106570.

F. Bano et al., “Recent Development of Zolmitriptan Formulation in Migraine Therapy: Production, Metabolism and Pharmaceutical Aspects,” CNS Neurol. Disord. - Drug Targets, vol. 24, no. 3, pp. 219–233, 2025, doi: https://doi.org/10.2174/0118715273306929240820071521.

J. Kumawat and K. G. Metri, “Effects of an eight-week yoga intervention on cognitive, mental, and autonomic function in female students with elevated stress: A randomized controlled trial protocol,” Ment. Health Phys. Act., vol. 29, p. 100709, 2025, doi: https://doi.org/10.1016/j.mhpa.2025.100709.

R. Shishira, H. C. Shashikiran, K. J. Sujatha, and P. Shetty, “Vitality and metabolic responses to integrated naturopathy and yogic interventions among metabolic syndrome – A protocol for randomized controlled trial,” Adv. Integr. Med., vol. 12, no. 1, pp. 67–74, 2025, doi: https://doi.org/10.1016/j.aimed.2024.10.010.

Downloads

Published

2025-08-07

How to Cite

Betan, A., Lilis, L., & Hendrik, H. (2025). Effectiveness of deep breathing relaxation technique education on blood pressure reduction in hypertensive patients. Journal Interdisciplinary Health, 1(3), 73–80. https://doi.org/10.61099/jih.v1i2.124

Similar Articles

1 2 3 > >> 

You may also start an advanced similarity search for this article.