Borneo Nursing Journal · Nov 5, 2026
Effectiveness of Hypertension Exercises in Reducing Blood Pressure in Mr. P with Hypertension
By Azzahra F, Rahayu HT
Hypertension is a noncommunicable disease that commonly occurs in older adults and is a public health problem because of its high morbidity and mortality rates. Hypertension is controlled not only through pharmacological therapy but also through nonpharmacological interventions, including hypertension exercises, which play a role in increasing blood circulation, improving blood vessel elasticity, and helping lower blood pressure. This study aimed to analyze the effectiveness of hypertension exercises in reducing blood pressure in Mr. P with hypertension at Mulyorejo Community Health Center in Malang. The study used a case study design with a nursing process approach. Data were collected through interviews, observation, physical examination, and documentation. The intervention consisted of hypertension exercises performed for 20-30 minutes every day for seven consecutive days. Blood pressure was measured using a sphygmomanometer, pain intensity using the Numeric Rating Scale (NRS), and pain characteristics using the Provocation, Quality, Regio, Severity, Time (PQRST) method, while geriatric assessment included the Short Portable Mental Status Questionnaire (SPMSQ), Mini Mental State Examination (MMSE), Geriatric Depression Scale (GDS), and Activity of Daily Living (ADL). Before the intervention, the patient's blood pressure was 155/82 mmHg, with posterior neck pain rated at NRS 6. After hypertension exercises were performed for 20-30 minutes/session for seven days, blood pressure decreased to 129/88 mmHg, pain intensity decreased to NRS 3, sleep quality improved, and the patient's knowledge of hypertension management increased. Hypertension exercises are effective as a nonpharmacological nursing intervention to help reduce blood pressure and pain intensity and improve sleep quality and patient knowledge, and can therefore be recommended as an adjunctive intervention in hypertension management in older adults.