The Effect of Acupressure Therapy on Blood Pressure in Hypertensive Patients at Dawan Usadha Nurse Practitioner

Authors

  • Kresna Aditya I Gusti Ngurah STIKES Wira Medika Bali Author
  • Candrawati Sang Ayu Ketut STIKES Wira Medika Bali Author
  • Desak Made Ari Dwi Jayanti STIKES Wira Medika Bali Author
  • Theresia Anita Pramesti STIKES Wira Medika Bali Author

DOI:

https://doi.org/10.55887/nrpm.v5i2.225

Keywords:

Acupressure, Blood Pressure, Complementary, Hypertension

Abstract

Background: Hypertension is one of the most prevalent non-communicable diseases and a major risk factor for cardiovascular disorders; therefore, its management should not rely solely on pharmacological therapy but also needs to be supported by safe, effective, and easily applicable non-pharmacological interventions in nursing practice, one of which is acupressure therapy. Objective: This study aimed to determine the effect of acupressure therapy on blood pressure among patients with hypertension at Dawan Usadha Independent Nurse Practice. Method: This study employed a pre-experimental one-group pretest–posttest design involving 20 hypertensive patients selected using purposive sampling. The sample size was determined based on the number of hypertensive patients who met the inclusion criteria during the study period. Acupressure therapy was administered at LI11, LI4, LR3, SP6, and GB20 points twice weekly for four weeks. Blood pressure was measured before and after intervention using a calibrated digital sphygmomanometer. Data were analyzed using the Wilcoxon Signed Rank Test. Result: The results demonstrated a reduction in blood pressure following the acupressure intervention, in which the mean systolic blood pressure decreased from 150.30 mmHg to 142.30 mmHg, with a mean difference of 8.00 mmHg and a p-value of <0.001, while the mean diastolic blood pressure decreased from 89.40 mmHg to 85.60 mmHg, with a mean difference of 3.80 mmHg and a p-value of 0.002. Conclusion: Acupressure therapy significantly reduced blood pressure among hypertensive patients and may serve as an effective complementary non-pharmacological intervention in hypertension management.

References

Bali Provincial Health Service. (2025). Bali Province Health Profile 2024. In Bali Provincial Health Service.

Farrell, M., & Dempsey, J. (2018). Smeltzer and Bare’s Textbook of Medical-surgical Nursing (2nd ed.). Lippincott Williams & Wilkins.

Goorani, S., Zangene, S., & Imig, J. D. (2024). Hypertension : A Continuing Public Healthcare Issue. Int J Mol Sci, 26(1), 1–18. https://doi.org/10.3390/ijms26010123

Manullang, E. S. H. B., Sianipar, H. L., & Sitohang, N. A. (2024). he Effectiveness of Acupressure Therapy in Reducing Blood Pressure in Hypertensive Patients as an Application of Holistic Care: A Literature Review. (Journal of Nursing Sciences, 13(1), 7–20. https://doi.org/10.35328/keperawatan.v13i1.2634

Ministry of Health of the Republic of Indonesia. (2023). Indonesia Health Survey in Figures: Accurate Data, Sound Policy.

Rajagopalan, S., Brook, R. D., & Münzel, T. (2025). Environmental Hypertensionology and the Mosaic Theory of Hypertension. Hypertension, 82(4), 561–572. https://doi.org/10.1161/HYPERTENSIONAHA.124.18733

Saputra, A., Pebriani, S. H., Tafdhila, & Syafe’i, A. (2023). The Effect of Acupressure Therapy on Blood Pressure in Patients with Hypertension. Manuju: Malahayati Nursing Journal, 5(1), 80–87. https://doi.org/10.33024/mnj.v5i1.7665

Sarfika, R., Sulistiawati, Afriyanti, E., & Saifudin, I. M. M. Y. (2023). Self-care behavior among adult patients with hypertension in Padang , West Sumatra , Indonesia : A cross-sectional study. Belitung Nursing Journa, 9(6), 595–602. https://doi.org/10.33546/bnj.2915

Sitoresmi, H., Irwan, A. M., Sjattar, E. L., & Usman, S. (2020). The effect of foot massage in lowering intradialytic blood pressure at Hemodialysis Unit in Indonesian Hospital. Clinical Epidemiology and Global Health, 8(4), 1272–1276. https://doi.org/10.1016/j.cegh.2020.04.026

Sukmadi, A., Alifariki, L. O., Mardhiah, I., & Kasman, A. (2021). Jurnal Kesehatan Jurnal Kesehatan. Jurnal Kesehatan, 9(2), 109–114. https://doi.org/10.25047/j-kes.v9i2

Suwarni, N. M., Sukmandari, N. M. A., & Wulandari, M. R. S. (2021). The Effect Of Acupressure Therapy Toward Elderly Blood Pressure At Kediri I Public Health Center, Tabanan Regency. Jurnal Surya Medika, 7(1), 243 – 247. https://doi.org/10.33084/jsm.v7i1.2181

Wahyuningsih, D. A., Astuti, R. T., Amin, M. K., Pinilih, S. S., & Magelang, U. M. (2025). Acupressure therapy for reducing blood pressure in elderly with hypertension. The International Conference of Advancements in Nursing Care (ADNURS), 2(2), 73–76.

Webster, K. E., Halicka, M., Bowater, R. J., Parkhouse, T., Stanescu, D., Punniyakotty, A. V., Savović, J., Huntley, A., Dawson, S., Clark, C. E., Johnson, R., Higgins, J. P. T., & Caldwell, D. M. (2025). Effectiveness of stress management and relaxation interventions for management of hypertension and prehypertension : systematic review and network meta- ­ analysis. BMJMedicine, 4(1), 1–15. https://doi.org/10.1136/bmjmed-2024-001098

Whelton, P. K., Carey, R. M., Aronow, W. S., Casey, D. E., Collins, K. J., Himmelfarb, C. D., DePalma, S. M., Gidding, S., Jamerson, K. A., Jones, D. W., MacLaughlin, E. J., Muntner, P., Ovbiagele, B., Smith, S. C., Spencer, C. C., Stafford, R. S., Taler, S. J., Thomas, R. J., Williams, K. A., … Wright, J. T. (2018). 2017 ACC/AHA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: Executive summary. In Hypertension (Vol. 71, Issue 6). American Heart Association. https://doi.org/10.1161/HYP.0000000000000066

World Health Organization. (2023). Hypertension. World Health Organization/News-Room. https://www.who.int/news-room/fact- sheets/detail/hypertension

Yao, C., Zeng, X., Zhang, S., Xiao, B., Sun, P., Kong, L., & Tao, J. (2025). Acupoint massage : a comprehensive descriptive review of its forms , applications , and underlying mechanisms. Chinese Medicine, 20(54), 1–21. https://doi.org/10.1186/s13020-025-01105-1

Downloads

Published

30-06-2026

How to Cite

The Effect of Acupressure Therapy on Blood Pressure in Hypertensive Patients at Dawan Usadha Nurse Practitioner. (2026). Journal Nursing Research Publication Media (NURSEPEDIA), 5(2), 59-65. https://doi.org/10.55887/nrpm.v5i2.225