Penerapan Terapi Relaksasi Genggam Jari Dan Slow Deepbreathing Terhadap Penurunan Tekanan Darah Pada Pasien Hipertensi Di Igd Rsud Kartini Karanganyar

Q: What is the clinical evidence from this study?

Study design: Case Report. Population: Hypertension (n=2). Intervention: Combined finger grip relaxation and slow deep breathing. Primary outcome: Change in systolic and diastolic blood pressure after 15 minutes.

Q: What does this research mean for the field?

A 15-minute combination of finger grip relaxation and slow deep breathing gradually reduces blood pressure in hypertensive emergency department patients. Novelty: ClaimNovelty.CONFIRMATORY. Consensus alignment: ConsensusAlignment.NEUTRAL.

Sinta Ayu Rahmadita; Ika Silvitasasri; Sugito Sugito

doi:10.58738/jhn.v4i1.1932

September 29, 2026Journal of Health and Nursing.Open Access

Penerapan Terapi Relaksasi Genggam Jari Dan Slow Deepbreathing Terhadap Penurunan Tekanan Darah Pada Pasien Hipertensi Di Igd Rsud Kartini Karanganyar

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Why the study?

Hypertension increases cardiovascular, cerebrovascular, and renal risk and may be supported by non-pharmacological relaxation techniques alongside pharmacological therapy. This study aimed to describe the effect of combining finger grip relaxation and slow deep breathing on blood pressure in emergency department patients.

Does a 15-minute combination of finger grip relaxation and slow deep breathing reduce blood pressure in hypertensive patients in the emergency department?

Key Points

To describe the effects of combining finger grip relaxation and slow deep breathing on blood pressure among hypertensive patients in an emergency department setting.
Conducted a case study in two hypertensive patients (Mrs. S and Mr. S) on February 18, 2026, at the Emergency Department of RSUD Kartini Karanganyar.
Administered a 15-minute combined non-pharmacological intervention consisting of slow deep breathing and alternating finger grip relaxation during a single visit.
Measured blood pressure before the intervention and at 5-minute intervals throughout the procedure (at the 5th, 10th, and 15th minutes).
In Mrs. S, blood pressure decreased progressively from 180/113 mmHg at baseline to 150/92 mmHg at the 15th minute.
In Mr. S, blood pressure decreased progressively from 175/100 mmHg at baseline to 150/88 mmHg at the 15th minute.

Study Design

Type

Case Report (n=2)

Blinding

Open-label

Multicenter

No

Structured PICO

Does a 15-minute combination of finger grip relaxation and slow deep breathing reduce blood pressure in hypertensive patients in the emergency department?

P

Population

2 middle-aged adults (ages 43 and 47; 50% female) with hypertension presenting to the emergency department of RSUD Kartini Karanganyar in Indonesia, observed during a single 15-minute session.

I

Intervention

Combination of finger grip relaxation (alternating finger holding for 3-5 minutes per finger) and slow deep breathing (inhaling slowly through the nose for a count of 1-6, holding for ~3 seconds, and exhaling slowly through the mouth for a count of 1-6) performed during a single 15-minute session alongside medical therapy (including amlodipine)

O

Outcome

Change in systolic and diastolic blood pressure (mmHg) measured before the intervention and at 5, 10, and 15 minutes during the proceduresurrogate

Limitations

Very small sample size of only two patients prevents generalization of the findings.
Intervention was performed only once for 15 minutes, so long-term effects could not be evaluated.
Patients had differing clinical presentations and symptoms in the emergency department (e.g., dizziness, weakness, fever, nausea, and vomiting) which may affect blood pressure.
Both respondents received concurrent pharmacological therapy including amlodipine, confounding the isolated effect of the relaxation intervention.
Lack of a control group and absence of inferential statistical analysis.
Small sample size of only two patients prevents generalization of results
Single 15-minute intervention session does not assess long-term effects
Differences in baseline acute clinical symptoms (dizziness, weakness, fever, nausea, vomiting) in the emergency department setting may influence blood pressure
Concomitant medical therapy (including amlodipine) confounds the isolated effect of the relaxation intervention
Lack of a control group and absence of inferential statistical analysis

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Implication

In this two-patient descriptive case study, a 15-minute session of combined finger grip relaxation and slow deep breathing alongside standard medical therapy was accompanied by acute reductions in blood pressure in the emergency department.

Abstract

Hypertension is a major health problem that can increase the risk of cardiovascular, cerebrovascular, and renal complications. Its management includes pharmacological therapy and may be supported by non-pharmacological relaxation techniques. This study aimed to describe the results of applying a combination of finger grip relaxation and slow deep breathing to blood pressure in hypertensive patients at the Emergency Department of RSUD Kartini Karanganyar. A case study design involving two hypertensive respondents was used. The intervention was conducted on February 18, 2026, during one visit for 15 minutes. Blood pressure was measured before the intervention and every five minutes during the procedure. Both respondents experienced a decrease in blood pressure. In Mrs. S, blood pressure decreased from 180/113 mmHg to 150/92 mmHg, while in Mr. S it decreased from 175/100 mmHg to 150/88 mmHg. The decrease occurred gradually at the 5th, 10th, and 15th minutes. The combined technique showed a reduction in blood pressure in both respondents and may be considered a supportive non-pharmacological intervention in nursing care, while clinical condition and medical treatment should remain the primary considerations.

Discussion

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Cite This Study

Rahmadita et al. (2026) conducted a case report in Hypertension (n=2). Combined finger grip relaxation and slow deep breathing was evaluated on Change in systolic and diastolic blood pressure after 15 minutes.

synapsesocial.com/papers/6ae28dedcbadf70daf6c3f56 https://doi.org/10.58738/jhn.v4i1.1932

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Penerapan Terapi Relaksasi Genggam Jari Dan Slow Deepbreathing Terhadap Penurunan Tekanan Darah Pada Pasien Hipertensi Di Igd Rsud Kartini Karanganyar

Key Points

Study Design

Structured PICO

Limitations

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

Penerapan Terapi Relaksasi Genggam Jari Dan Slow Deepbreathing Terhadap Penurunan Tekanan Darah Pada Pasien Hipertensi Di Igd Rsud Kartini Karanganyar

Key Points

Study Design

Structured PICO

Limitations

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

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