Key result
A community-based stress management model using slow deep breathing significantly reduced systolic blood pressure by an average of 15.80 mmHg compared to standard care in hypertensive patients.
Why the study?
Hypertension prevalence in East Java is high with low control rates due to treatment fatigue, necessitating evaluation of complementary interventions.
Does a community-based stress management model using slow deep breathing reduce blood pressure and psychological stress in patients with hypertension?
Does a community-based stress management model using slow deep breathing reduce blood pressure and psychological stress in patients with hypertension?
A community-based stress management intervention using slow deep breathing, facilitated by health cadres, significantly lowers blood pressure and psychological stress in patients with primary hypertension.
Background: Hypertension in East Java reaches a prevalence of 32.8% with a low control rate of only 16.3% due to treatment fatigue. This study aimed to prove the clinical effectiveness of music therapy as a community-based complementary intervention on blood pressure reduction among primary hypertension patients in Ardimulyo Health Center. Subjects and Method: This study utilized a quasi-experimental design with a pretest-posttest control group approach. A total of 60 respondents were selected through purposive sampling and evenly distributed into intervention and control groups. The intervention group received instrumental music therapy (tempo 60-80 bpm) for 15 minutes daily over 4 weeks with family and health cadres support. Data were analyzed using Paired Sample T-Test and Independent Sample T-Test. Results: The intervention group showed a highly significant reduction in blood pressure (Systolic: 155.20 to 135.30 mmHg, p=0.000; Diastolic: 96.40 to 85.20 mmHg, p=0.000). Conversely, the control group showed no significant reduction (p>0.05). There was a highly significant difference in the reduction margin between groups (Δ systolic p=0.001; Δ diastolic p=0.001). Conclusion: The integration of music therapy with a community social support system is empirically effective in reducing blood pressure and increasing self-efficacy and compliance in primary hypertension patients compared to sole pharmacotherapy
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Utomo et al. (2026) studied Hypertension (n=70). Community-based stress management (slow deep breathing) vs. Standard care was evaluated on Mean decrease in systolic blood pressure (p=0.001). A community-based stress management model using slow deep breathing significantly reduced systolic blood pressure by an average of 15.80 mmHg compared to standard care in hypertensive patients.
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