The Effect of Deep Breathing Relaxation on Stress Levels in Hypertension Patients
Keywords:
deep breathing relaxation, hypertension, stressAbstract
Introduction: Hypertension is a significant risk factor for morbidity and mortality associated with cardiovascular disease. The relationship between hypertension and stress is bidirectional, where hypertension can trigger stress through physiological and emotional response mechanisms. Stress activates the nervous system by increasing the production of hormones such as cortisol and adrenal.
Objective: This study aims to analyze the effect of deep breathing relaxation on stress levels of hypertension patients.
Method: This study used a quasi eksperiment one-group Pretest-Posttest design conducted in May 2025 at the Tambora District Health Center, West Jakarta. The sample size was 34 with a purposive sampling technique. Stress levels were measured using the Depression Anxiety Stress Scale (DASS-21) questionnaire. The intervention provided was deep breathing relaxation for 14 days.
Result: The results showed that the average stress level before the intervention 21.71 in the moderate category, then after the intervention the stress level score decreased to 10.41 in the normal category. The Wilcoxon test showed a p-value of 0.00 (p<0.05), indicating a significant difference between stress levels before and after deep breathing relaxation.
Conclusion: This study concluded that deep breathing relaxation is effective in reducing stress levels in hypertension patients and can be used as a non-pharmacological intervention for hypertension patients that is easily implemented in primary health care.
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References
Alisa, F., & Trivina, A. Y. (2020). Relationship Of Obesity and Stress with Hypertension Events In Women In Nadgalo Padang Health Center. Jurnal Vokasi Keperawatan (JVK), 3(2), 109–121.
Anggraini, Y. (2020). Efektifitas teknik relaksasi nafas dalam terhadap tekanan darah pada pasien hipertensi di jakarta. Jurnal JKFT, 5(1), 41. https://doi.org/10.31000/jkft.v1i1.2806
Argaheni, N. B., Amir, N., Dewi, S. U., Sari, P. I. A., Harahap, Y. W., Rahmi, U., Sepang, L., Utami, R. A., Wuisang, M., & Nasution, J. D. (2023). Terapi Komplementer pada Remaja. Yayasan Kita Menulis.
Arif, M., Malaka, T., & Novrikasari, N. (2021). Hubungan Faktor Pekerjaan Terhadap Tingkat Stres Kerja Karyawan Kontrak Di Pt. X. Jurnal Kesmas (Kesehatan Masyarakat) Khatulistiwa, 8(1), 44–53.
Azhar, A., Dekawaty, A., & Yuniza. (2023). Pengaruh Terapi Relaksasi Nafas Dalam Terhadap Stres pada Lansia. 1(1).
Cahyani, C. N. (2024). Penerapan Teknik Relaksasi Nafas dalam Upaya Menurunkan Tekanan Darah pada Lansia Penderita Hipertensi di Desa Mipitan Kelurahan Mojosongo. 2.
Elliya, R., Sari, Y., & Chrisanto, E. Y. (2021). Keefektifan Relaksasi Nafas Dalam Terhadap Penurunan Stres Pada Lansia Di Uptd Pelayanan Sosial Lanjut Usia Tresna Werdha Natar Lampung Selatan. Malahayati Nursing Journal, 3(1), 50–60.
Folkman, S. (2020). Stress: appraisal and coping. In Encyclopedia of behavioral medicine (pp. 2177–2179). Springer.
Halawa, A., Artini, B., & Manutmasa, Y. S. (2023). Hubungan Tingkat Stres Dengan Kejadian Hipertensi Pada Usia Awal (18-40 Tahun). Jurnal Keperawatan, 12(2), 34–45.
Herawati, I., Fitri, A., Ludin, M., Ishak, I., & Mutalazimah, M. (2025). Impact of combined high ‑ intensity bodyweight interval training and breathing exercise on cardiometabolic health in normal ‑ weight middle ‑ aged adults with hypertension. BMC Public Health. https://doi.org/10.1186/s12889-025-22139-y
Herien, Y. (2024). Terapi Relaksasi Untuk Mengatasi Berbagai Masalah Keperawatan.
Hidayati, A., Purwanto, N. H., & Siswantoro, E. (2022). Hubungan Stres Denga Peningkatan Tekanan Darah Pada Pasien Hipertensi. Jurnal Keperawatan, 15(2), 37–44.
Ibrahim, Sari, I., & Fakhruzzaman, M. I. (2023). Hubungan Aktivitas Fisik, Pola Makan, Dan Merokok Dengan Kejadian Hipertensi Pada Lansia Di Kampung Tua Bakau Serip Tahun 2022. Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam, 13(2), 350–364.
Idhayanti, R. I., Fugianti, A., & Chunaeni, S. (2022). Hipnoterapi Dan Teknik Nafas Dalam Efektif Menurunkan Tingkat Stress Mahasiswa Baru Pada Masa Covid-19. Jurnal’Aisyiyah Medika, 7(2).
Juni, R., & Rahman, S. (2024). Tingkat Stres Yang Berbeda Antara Pria dan Wanita Terhadap Kejadian Hipertensi di RSU Haji Medan. Jurnal Pandu Husada, 5(3), 66–74.
Kementerian Kesehatan Republik Indonesia. (2018). Laporan Provinsi DKI Jakarta: Riskesdas 2018. In Lembaga Penerbit Badan Penelitian dan Pengembangan Kesehatan. https://www.litbang.kemkes.go.id/laporan-riset-kesehatan-dasar-riskesdas/
Kementrian Kesehatan RI. (2024). Bahaya Hipertensi Upaya Pencegahan dan Pengendalian Hipertensi. Redaksi Sehat Negriku. https://search.app/gS123JqAg5vbfLPN6
Lawalata, O. E. J., Ayu, I. M., Handayani, P., Handayani, R., & Situngkir, D. (2024). Beban Kerja Dan Hubungan Kerja Berkaitan Dengan Stres Kerja Pada Pekerja Lapangan Perusahaan Bongkar Muat Kapal Laut di PT. X. Jurnal Kesmas Jambi, 8(1), 28–37.
Mayo Clinic. (2025). Refresh With Relaxation. Mayo Clinic. https://link.gale.com/apps/doc/A823090973/PPNU?u=fjkthlt&sid=bookmark-PPNU&xid=beb3c9d8
Natasha, S., Anugrahini, H. N., & Arna, Y. D. (2024). HubunganTingkat Sres Dengan Status Hemodinamik Pada Pasien Hipertensi Di Wilayah Kerja Puskesmas Jagir Kota Surabaya. Jurnal Penelitian Keperawatan, 10(1), 26–33.
Pujiastuti, C., Hindriyastuti, S., & Winarsih, B. D. (2022). Hubungan Tingkat Stres Dengan Kejadian Hipertensi Pada Pasien Rawat Inap Di Rumah Sakit Mardi Rahayu Kudus. TSCD3Kep Journal, 7(01), 1–14. https://doi.org/10.35720/tscd3kep.v7i01.331
Puspitasari, D. I., Suprayitno, E., & Bustami, B. (2021). Tingkat Stres Kerja Perawat Instalasi Gawat Darurat Pada Masa Pandemi Covid-19. Wiraraja Medika: Jurnal Kesehatan, 11(1), 25–29.
Santi, A., & Adriani, L. (2024). Hubungan Lama Menderita Hipertensi Dengan Tingkat Kecemasan. Darussalam Indonesian Journal of Nursing and Midwifery, 6(2), 124–132.
Sari, N. W., & Mutmainna, A. (2024). Hubungan Stres Dengan Kejadian Hipertensi Pada Penderita Hipertensi Di Wilayah Kerja Puskesmas Tamangapa Kota Makassar. JIMPK: Jurnal Ilmiah Mahasiswa & Penelitian Keperawatan, 4(2), 225–231.
Seitz, M., & Steger, D. (2025). The Mind Under Pressure : What Roles Does Education Play in the Relationship Between Chronic Stress and Cognitive Ability ? Jornal of Intelligence.
SKI. (2023). Survei Kesehatan Indonesia Dalam Angka. In Badan Kebijakan Pembangunan Kesehatan.
Wahyuni, S., & Pratiwi, W. N. (2021). Depresi, Stres, Kecemasan, dan Faktor Demografi terhadap Kejadian Hiper5tensi Usia 35-65 Tahun : Studi Cross-Sectional. Pharmacognosy Magazine, 75(17), 399–405.
WHO. (2020). World Health Statistics. World Health, 1-177. https://cdn.who.int/media/docs/default-source/gho-documents/world-health-statistic-reports/worldhealthstatistics_2022.pdf
Yuniartika, W., & Murti, T. B. (2020). Hubungan Jenis Kelamin dan Lama Sakit dengan Kejadian Depresi Pada Lansia Penderita Hipertensi. Journal of Holistic Nursing Science, 7(2), 99–105. https://doi.org/10.31603/nursing.v7i2.3076
Zhang, L., Dailey, R., Brook, R. D., Opara, I. N., Liu, X., Carbone, J. T., & Levy, P. D. (2024). Lower Socioeconomic Status, Psychological Distress, and Self-reported Hypertension: A Longitudinal Moderated Mediation Analysis. American Journal of Hypertension, 37(3), 207–219. https://doi.org/10.1093/ajh/hpad113
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