The Effectiveness of A Combination of Mindfulness Meditation and Spiritual Care in Lowering Blood Pressure in Hypertension Patients
DOI:
https://doi.org/10.37287/ijghr.v7i6.414Keywords:
blood pressure, hypertension, mindfulness meditation, spiritual careAbstract
Hypertension is a global health problem known as a silent killer because it often presents without symptoms but can lead to serious complications such as stroke, kidney failure, and heart attack. In Pringsewu Regency, hypertension cases have continued to increase from 2021 to 2023, yet the coverage of healthcare services remains low. Non-pharmacological approaches such as mindfulness meditation and spiritual care have been proven to reduce blood pressure and improve the quality of life for individuals with hypertension. Objective to determine the effectiveness of a combination of mindfulness meditation and spiritual care in lowering blood pressure among individuals with hypertension in Pringsewu Regency. This study used a one-group pretest-posttest design. A total of 100 respondents were selected using purposive sampling based on the inclusion criteria. The intervention, consisting of a combination of mindfulness meditation and spiritual care, was administered during the period of June up to July 2025. Blood pressure was measured before and after the intervention and analyzed using the Paired Samples T-Test. The majority of respondents were female (55%), aged 36–55 years (44%). In terms of smoking history, most respondents were non-smokers (61%), and based on family history, most did not have a family history of hypertension (59%). The results of the Paired Samples T-Test showed a p-value = 0.000 (p ≤ 0.05), indicating a significant difference in blood pressure before and after the intervention. The combination of mindfulness meditation and spiritual care is effective in lowering blood pressure among individuals with hypertension in Pringsewu Regency.
References
Adivtian Ragayasa, Sylvina Rahmawati, & Emdat Suprayitno. (2022). The Effect of Psychoreligy Dzikir Intervention on Self Efficacy and Blood Pressure on Hypertension. Journal Of Nursing Practice, 5(2), 248–254. https://doi.org/10.30994/jnp.v5i2.217
Chen, Q., Liu, H., & Du, S. (2024). Effect of mindfulness-based interventions on people with prehypertension or hypertension: a systematic review and meta-analysis of randomized controlled trials. BMC Cardiovascular Disorders, 24(1), 1–13. https://doi.org/10.1186/s12872-024-03746-w
Dewi, V. N. L., & Fuaida, F. I. (2023). Efektivitas Terapi Meditasi Untuk Menurunkan Tekanan Darah Pada Lansia Hipertensi: Literatur Review. Journal of Health Sciences Leksia (JHSL), 1(1), 37–45. https://jhsljournal.com/index.php/ojs/article/view/11
Dinas Kesehatan Kabupaten Pringsewu. (2023). Profil Kesehatan Kabupaten Pringsewu Tahun 2023. Dinas Kesehatan Kabupaten Pringsewu.
Geiger, C., Cramer, H., Dobos, G., & Kohl-Heckl, W. K. (2023). A systematic review and meta-analysis of mindfulness-based stress reduction for arterial hypertension. Journal of Human Hypertension, 37(3), 161–169. https://doi.org/10.1038/s41371-022-00764-z
Intarakamhang, U., Macaskill, A., & Prasittichok, P. (2020). Mindfulness interventions reduce blood pressure in patients with non-communicable diseases: A systematic review and meta-analysis. Heliyon, 6(4), e03834. https://doi.org/10.1016/j.heliyon.2020.e03834
Kementerian Kesehatan Republik Indonesia. (2023). Laporan Survei Kesehatan Indonesia (SKI). https://layanandata.kemkes.go.id/katalog-data/ski/ketersediaan-data/ski-2023
Kementerian Kesehatan Republik Indonesia. (2024). Bahaya Hipertensi, Upaya Pencegahan dan Pengendalian Hipertensi. https://kemkes.go.id/id/rilis-kesehatan/bahaya-hipertensi-upaya-pencegahan-dan-pengendalian-hipertensi
Lee, E. K. P., Yeung, N. C. Y., Xu, Z., Zhang, D., Yu, C. P., & Wong, S. Y. S. (2020). Effect and Acceptability of Mindfulness-Based Stress Reduction Program on Patients with Elevated Blood Pressure or Hypertension: A Meta-Analysis of Randomized Controlled Trials. Hypertension, 76(6), 1992–2001. https://doi.org/10.1161/HYPERTENSIONAHA.120.16160
Mayefis, D., Suhaera, & Sari, Y. S. (2022). Hubungan Karakteristik Pasien Hipertensi Dengan Kepatuhan Minum Obat di UPT Puskesmas Meral Kabupaten Karimun Tahun 2020. SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat, 1(3), 266–278. https://doi.org/10.55123/sehatmas.v1i3.460
Mir, I. A., John, A. T., Humayra, S., Khan, Q. I., Chong, T. F., & Manan, H. A. (2024). Effect of mindfulness-based meditation on blood pressure among adults with elevated blood pressure and hypertension: A systematic review of randomized controlled trials. Complementary Therapies in Medicine, 85, 103084. https://doi.org/https://doi.org/10.1016/j.ctim.2024.103084
Mu’afiro, A., Nursalam, Suwito, J., Kiaonarni, O. W., & Hidayati, S. (2024). The effect of mindfulness interventions on blood pressure and stress in hypertensive patients: A Literature Review. Gaceta Medica de Caracas, 132(Supl 2), s266–s282. https://doi.org/10.47307/GMC.2024.132.s2.14
Ningsi, B. A., & Arofah, I. (2021). HUBUNGAN UMUR DAN RIWAYAT PADA KELUARGA SEBAGAI FAKTOR NON MODIFEABLE DENGAN KEJADIAN HIPERTENSI. 15(10), 5097–5104.
Nurshahab, M. M., Ichwansyah, F., Muhammadiyah, U., & Aceh, B. (2022). Faktor Resiko Hipertensi di Wilayah Kerja Puskesmas Meuraxa Kecamatan Meuraxa Kota Banda Aceh Tahun 2022. Journal of Health and Medical Science, 1(4), 162–170.
Pratiwi, M. E., & Mutmainnah. (2021). Karakteristik Pasien Hipertensi di Puskesmas Pertiwi. Indonesian Journal of Health, 1(2), 108.
Rachmawati, F. A., Setyawan, F. E. B., & Wartiningsih, M. (2023). Identifikasi Faktor Risiko Peningkatan Kejadian Hipertensi. CoMPHI Journal: Community Medicine and Public Health of Indonesia Journal, 3(3), 235–243. https://doi.org/10.37148/comphijournal.v3i3.131
Riyada, F., Amanah Fauziah, S., Liana, N., & Hasni, D. (2024). Faktor yang Mempengaruhi Terjadinya Resiko Hipertensi pada Lansia. Scientific Journal, 3(1), 27–47. https://doi.org/10.56260/sciena.v3i1.137
Sammulia, S. F., Rachmayanti, A. S., & Chintia, E. (2022). Hubungan Karakteristik Penderita Hipertensi dengan Tingkat Kepatuhan Minum Obat di RSUD Embung Fatimah Kota Batam. SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat, 1(3), 257–265. https://doi.org/10.55123/sehatmas.v1i3.429
Sopiah, P., Nuryani, R., Sukaesih, N. S., Lindasari, S. W., & Assyfa, N. (2024). The Dhikir and Prayer Therapy on Reducing Blood Pressure in Hypertension Patients: Systematic Literature Review. Care : Jurnal Ilmiah Ilmu Kesehatan, 12(2), 238–252. https://doi.org/10.33366/jc.v12i2.5234
Sulistyowati, R., Kep, S., Kep, M., & Hipertensi, A. P. (2025). Keperawatan Komplementer bagi Pasien Hipertensi: Upaya Holistik dalam Menjaga Kesehatan Otak dan Sistem Kardiovaskular. Book Chapter of Hypertension, 1(2), 37–63.
Teixeira, M. E. F., Barroso, W. K. S., Brandão, A. A., Sousa, A. L. L., Esporcatte, R., de Borba, M. H. E., Baleeiro, A. C. N. Á., Gonçalves, B. C., Inumaru, E., de Sousa, E. M., Leal, G. B., de Araújo Pereira Farias, H. S., de Souza, J. A., da Silva, L. E. B., de Paiva Queiroz, M. C., Moreira, F. R., de Oliveira Vitorino, P. V., Eikelboom, J., & Avezum, Á. (2025). Spirituality-Based Intervention in Hypertension: EFfects on Blood PrEssure and EndotheliaL Function-FEEL Trial Results. Global Heart, 20(1), 6. https://doi.org/10.5334/gh.1390
World Health Organization. (2023). Hypertension Indonesia 2023 country profile. https://www.who.int/publications/m/item/hypertension-idn-2023-country-profile
Yanti, I., Nuraini, T., Edison, C., & Gayatri, D. (2024). Intervensi Spiritualitas untuk Menurunkan Tingkat Kecemasan dan Depresi terhadap Pasien Kanker. Journal of Telenursing (JOTING), 6(1), 1067–1075. https://doi.org/10.31539/joting.v6i1.9534
Zhang, H., Zhang, X., Jiang, X., Dai, R., Zhao, N., Pan, W., Guo, J., Fan, J., & Bao, S. (2024). Mindfulness-based intervention for hypertension patients with depression and/or anxiety in the community: a randomized controlled trial. Trials, 25(1), 1–11. https://doi.org/10.1186/s13063-024-08139-0
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