Five-Finger Relaxation as a Complementary Nursing Intervention for Blood Pressure Management in Patients with Hypertension: A Multiple-Case Report

Prima Trisna Aji(1*), Arief Shofyan Baidhowy(2), Akhmad Mustofa(3), Ahmad Redho(4)


(1) Universitas Muhammadiyah Semarang
(2) Universitas Muhammadiyah Semarang
(3) Universitas Muhamamdiyah Semarang
(4) Institut Kesehatan dan Teknologi Al Insyirah Pekanbaru
(*) Corresponding Author

Abstract


Hypertension requires continuous management through pharmacological therapy and complementary nursing interventions to support blood pressure control. Five-finger relaxation is a simple non-pharmacological technique that may promote relaxation and support hypertension management. This multiple-case report aimed to describe the application of five-finger relaxation and changes in blood pressure among two patients with hypertension. The intervention was administered for 15 minutes once daily for three consecutive days, while both patients continued their prescribed antihypertensive therapy. Blood pressure was measured using a calibrated digital sphygmomanometer before and after each session, and serial measurements were analyzed descriptively. Blood pressure decreased after each session in both patients. In Patient 1, mean blood pressure decreased from 162.7/94.0 to 155.3/90.0 mmHg, while in Patient 2, it decreased from 168.7/96.0 to 161.3/92.0 mmHg. Both patients demonstrated mean reductions of 7.3 mmHg in systolic blood pressure and 4.0 mmHg in diastolic blood pressure. No clinical deterioration was observed during the intervention period. These findings suggest that five-finger relaxation may serve as a simple complementary nursing intervention associated with short-term blood pressure reductions. However, its independent effectiveness cannot be established because both patients continued antihypertensive therapy and no comparison group was included.


Keywords


blood pressure; five-finger relaxation; hypertension

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References


World Health Organization. Global report on hypertension 2025: high stakes - turning evidence into action [Internet]. 2025. Available from: https://www.who.int/publications/i/item/9789240115569

Survey kesehatan indonesia (Ski). Survei Kesehatan Indonesia 2023 (SKI). Kemenkes. 2023;2(2):1–926.

WHO. Global report on hypertension: the race against a silent killer [Internet]. 1st ed. Taskeen Khan (WHO Department of Noncommunicable Diseases), editor. Vol. 01, World Health Organization (WHO). Geneva, Switzerland: World Health Organization (WHO); 2023. 1–7 p. Available from: https://www.who.int/publications/i/item/9789240081062?utm

Mancia G, Kreutz R, Brunström M, Burnier M, Grassi G, Januszewicz A, et al. 2023 ESH Guidelines for the management of arterial hypertension The Task Force for the management of arterial hypertension of the European Society of Hypertension: Endorsed by the International Society of Hypertension (ISH) and the European Renal Associat. J Hypertens. 2023;41(12):1874–2071.

Aji PT, Tania M, Ching G, Rizkasari E. Effectiveness of Hybrid Digital Learning for Hypertension Self- Management Education among Hypertensive Patients. J Educ Teach Train Innov [Internet]. 2026;4(1):338–57. Available from: https://journal.pusmedia.com/JETTI/article/view/338

Rahma D, Putri D, Ayu D, Indrawati D. Application of the Five-Finger Hypnosis Relaxation Technique in Nursing Care for Hypertensive Patients. Prof Heal J [Internet]. 2026;7(2):690–9. Available from: https://www.ojsstikesbanyuwangi.com/index.php/PHJ/index

Olina, Yanuan Ben, Aji PT. Penerapan Kombinasi Progressive Muscle Relaxation dan Slow Deep Breathing terhadap Penurunan Tekanan Darah pada Pasien Hipertensi di Komunitas : Multiple Case Study. Ners Muda. 2026;7(1):1–11.

De Benedittis G. Hypnotic Modulation of Autonomic Nervous System (ANS) Activity. Brain Sci. 2024 Mar;14(3):1–14.

Chen Q, Liu H, Du S. Effect of mindfulness-based interventions on people with prehypertension or hypertension: a systematic review and meta-analysis of randomized controlled trials. BMC Cardiovasc Disord [Internet]. 2024;24(1):104. Available from: https://doi.org/10.1186/s12872-024-03746-w

Webster KE, Halicka M, Bowater RJ, Parkhouse T, Stanescu D, Punniyakotty AV, et al. Effectiveness of stress management and relaxation interventions for management of hypertension and prehypertension: systematic review and network meta-analysis. BMJ Med. 2025;4(1):e001098.

Prima Trisna Aji, Marta Tania Gabriel Ching Cing ER. Determinan Kepatuhan Self-Management Pada Pasien Hipertensi di Pelayanan Kesehatan Primer. J Nurs Sci Res. 2026;3(1):1–11.

Stergiou GSPPGP. 2021 European Society of Hypertension practice guidelines for office and out-of-office blood pressure measurement. J Hypertens. 2021;12(1):1293–302.

Cheung AK, Whelton PK, Muntner P, Schutte AE, Moran AE, Williams B, et al. International Consensus on Standardized Clinic Blood Pressure Measurement - A Call to Action. Am J Med. 2023 May;136(5):438-445.e1.

Valešić M, Čivljak M, Puljak L. Informed consent and ethics committee involvement in case reports and case series: cross-sectional meta-research study. BMC Med Ethics [Internet]. 2025;26(1):64. Available from: https://doi.org/10.1186/s12910-025-01226-0

Wang JG, Palmer BF, Vogel Anderson K, Sever P. Amlodipine in the current management of hypertension. J Clin Hypertens (Greenwich). 2023 Sep;25(9):801–7.

Kurihara C, Kerpel-Fronius S, Becker S, Chan A, Nagaty Y, Naseem S, et al. Declaration of Helsinki: ethical norm in pursuit of common global goals. Front Med. 2024;11(1):1–15.

Parums D V. Declaration of Helsinki and its Continued Role as a Code of Ethics to Guide Medical Research. Med Sci Monit. 2024;30(1):1–3.

Trisna Aji P, Sofyan Bhadowy A, Amanda C. Non-Pharmacological Intervention To Reduce Blood Pressure in Elderly Hypertension: a Systematic Review. Pros Semin Nas Ipegeri Jateng [Internet]. 2025;3(1):20–33. Available from: https://pub.ipegerijateng.or.id/index.php/prosiding

Prasetiya RMCH. Penerapan Hipnosi Lima Jari Dalam Menurunkan Ansietas Pada Pasien Hipertensi Application Of Five Finger Hypnosis In Reducing Anxiety In Hypertension Patients. Pros Semin Nas Hasil-Hasil Penelit dan Pengabdi Masy. 2023;5(1):26–9.

Ardianto O, Aghadiati F. Pengaruh Terapi Hipnosis Lima Jari Terhadap Tingkat Kecemasan Pada Lansia Yang Mengalami Hipertensi Di Wilayah Kerja Puskesmas Rantau Suli The Influence of Five-Finger Hypnosis Therapy on Anxiety Levels in Elderly Individuals with Hypertension in the Work. J Heal Technol Med. 2024;10(1):33–43.

Charchar FJ, Prestes PR, Mills C, Ching SM, Neupane D, Marques FZ, et al. Lifestyle management of hypertension: International Society of Hypertension position paper endorsed by the World Hypertension League and European Society of Hypertension. J Hypertens. 2024;42(1):1–27.

Parasuraman A, Rajendran SS, Venkatachalam GP, Periyakaruppan GM, Ramachandran M, Dhakshnamoorthy M, et al. Nurse-led interventions for self-care and restitutive behaviors in hypertension: A quasi-experimental study. Bioinformation. 2025;21(08):2653–6.

Aji PT, Rizkasari E. Efektifitas Terapi Afirmasi Positif dan Relaksasi. Sinektik [Internet]. 2021;4(2):196–208. Available from: https://ejurnal.unisri.ac.id/index.php/sin/article/view/6716%0ADOI:

Trisna P. Effectiveness of family-based nursing intervention on self- management and blood pressure control among hypertensive patients : A quasi-experimental study. J Nurs Reports Clin Pract. 2026;4(5):1–10.

Aji PT, Bhadowy AS, Rizkasari E. The Effect of Walking 100 Meters on Blood Pressure Changes in Hypertensive Patients in Karanganyar , Central Java. Healthc Nurs J [Internet]. 2026;8(1):116–23. Available from: https://journal.umtas.ac.id/healtcare/article/view/7227

Aji PT, Rizkasari E. Sustainable Digital Health Education for Hypertension Self- Management in Rural Communities. J Lingkung dan Inov Berkelanjutan [Internet]. 2026;1(1):8–19. Available from: https://journal.pslhmb-ummat.id/index.php/jlib/index%0ASustainable

Rahimi. Pharmacological blood pressure lowering for primary and secondary prevention of cardiovascular disease across different levels of blood pressure: an individual participant-level data meta-analysis. Lancet (London, England). 2021 May;397(10285):1625–36.

Aji PT, Gabriel Ching MT, Rizkasari E. SMART-HTN Pocketbook Education and Improved Medication Adherence and Blood Pressure Control in Primary Care. J Keperawatan Komprehensif [Internet]. 2026;12(2):1–12. Available from: https://journal.stikep-ppnijabar.ac.id/jkk

Green J, Hanckel B, Petticrew M, Paparini S, Shaw S. Case study research and causal inference. BMC Med Res Methodol [Internet]. 2022;22(1):307. Available from: https://doi.org/10.1186/s12874-022-01790-8

Stergiou, George S.Paolo Palatini GP. 2021 European Society of Hypertension practice guidelines for office and out-of-office blood pressure measurement. J Hypertens. 2021;12(1):1293–302.

Narita K, Hoshide S, Kario K. Short- to long-term blood pressure variability: Current evidence and new evaluations. Hypertens Res [Internet]. 2023;46(4):950–8. Available from: https://doi.org/10.1038/s41440-023-01199-w


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DOI: https://doi.org/10.26714/seanr.8.3.2026.174-187

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