Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 5 Issue 3. December 2025, pp 350-358 https://ebsina. id/journals/index. php/jkki eISSN 2503-2801, pISSN 2985-3435 Implementation of Benson Relaxation to Lower Blood Pressure in Elderly Hypertensive Patients in Joyotakan Village. Serengan District. Surakarta Kurnia Ayu RahmawatiA*. Mulyaningsih1 'Aisyiyah University Surakarta. Indonesia Article History Submitted: 21-09-2025 Revised: 10-11-2025 Accepted: 06-12-2025 org/10. 58545/jkki. Copyright . 2025 Kurnia Ayu Rahmawati This is an open-access article under the CC-BY-SA License. Abstract Background: Hypertension is a common health condition among older adults and a major risk factor for cardiovascular complications. Nonpharmacological interventions, such as Benson relaxation, offer a safe and accessible approach to blood pressure management in the elderly. Objective: This study aimed to evaluate the effect of Benson relaxation therapy on blood pressure reduction among older adults with hypertension in Joyotakan Village. Serengan District. Surakarta City. Indonesia. Methods: A descriptive case study design was employed with two elderly respondents diagnosed with stage I hypertension. Benson relaxation was administered once daily for three consecutive days, with each session lasting 10Ae20 minutes. Blood pressure was measured before and after each intervention. Inclusion criteria were: diagnosed hypertension, age Ou35 years, ability to communicate verbally, and willingness to participate. Exclusion criteria included altered consciousness or concurrent use of antihypertensive medication during the study. Results: Both respondents showed consistent reductions in systolic and diastolic blood pressure across all three days. Respondent Mrs. SAos blood pressure decreased from 145/100 mmHg to 130/80 mmHg . reduction of 15/20 mmH. , shifting from Stage I hypertension to Respondent Mr. SAos blood pressure decreased from 142/105 mmHg to 120/77 mmHg . reduction of 22/28 mmH. , reaching the normal range. Daily reductions ranged from 5Ae15 mmHg in systolic and 5Ae15 mmHg in diastolic pressure. Conclusion: Benson relaxation therapy demonstrated a positive effect in lowering blood pressure among elderly individuals with hypertension, supporting its use as an effective non-pharmacological nursing intervention in community settings. Keywords: Benson relaxation. Hypertension. Elderly. Blood pressure Correspondence Kurnia Ayu Rahmawati. AoAisyiyah University of Surakarta. Jl. Ki Hajar Dewantara No. Jawa. Kec. Jebres. Kota Surakarta. Jawa Tengah 57146 Email: Kurniaayur2@gmail. How to cite: Rahmawati. , & Mulyaningsih. Implementation of Benson Relaxation to Lower Blood Pressure in Elderly Hypertensive Patients in Joyotakan Village. Serengan District. Surakarta. Jurnal Kesehatan Komunitas Indonesia, 5. , 350358. https://doi. org/10. 58545/jkki. BACKGROUND process, not just starting at a certain point. Elderly is the final stage of the aging but rather from the beginning of life. Aging is a condition that occurs in Growing old is a natural process, which human life. The aging process is a lifelong means a person has gone through three Implementation of Benson Relaxation to Lower Blood Pressure in Elderly Hypertensive Patients Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 5 Issue 3. December 2025, pp 350-358 https://ebsina. id/journals/index. php/jkki eISSN 2503-2801, pISSN 2985-3435 stages, namely childhood, adulthood, and been widely used, such as herbal old age. The large number of declines in body function experienced by an elderly relaxation, progressive muscle relaxation, person can lead to a decrease in quality of soaking the feet in warm water, and Benson life, including balance problems (Puput. Kurdi et al. , 2. pharmacological therapies to lower blood Based on WHO data . , around One pressure is Benson relaxation therapy. 28 billion adults aged 30-79 years Benson worldwide suffer from hypertension. The breathing relaxation techniques with number of people with hypertension elements of faith or spirituality, which increases every year. By 2025, it is helps create an internal environment estimated that there will be around 1. billion people affected by hypertension in (Hidayat, 2022. Pangestu et al. , 2. well-being various countries in the world, including The research results align with those Indonesia. Based on the results of of Simahati et al. , which indicate Hypertension in Indonesia, the prevalence of hypertension based on measurement results in the population aged >18 years is pressure ranged from 130/75 mmHg to The number of hypertension 159/77 mmHg. After being taught the sufferers in Indonesia is estimated at 15 Benson million people. pressure decreased from 130/60 mmHg to Proper management of hypertension 158/75 Benson mmHg, can control blood pressure and prevent complications that are very risky to health. pressure in hypertensive patients. Management of hypertension to control Based on the description of research blood pressure is grouped into two, results (Yulendasari & Djamaludin, 2. including pharmacological therapy and Research suggests that Benson may benefit non-pharmacological from relaxation for 5 minutes every night Management of pharmacological treatment before bed for 5 days. The effect of Benson can be carried out using chemical drugs. relaxation therapy on reducing blood Globally, non-pharmacological therapies pressure in hypertensive patients, as to lower blood pressure have measured by the difference in average Rahmawati . Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 5 Issue 3. December 2025, pp 350-358 https://ebsina. id/journals/index. php/jkki eISSN 2503-2801, pISSN 2985-3435 systolic blood pressure between the their activity, particularly the adrenal intervention group and the control group. glands, thereby leading to a decrease in This happens because Benson's relaxation blood pressure. A decrease in blood focus is on specific phrases that are said pressure, resulting from a decrease in heart with complete confidence, repeated over pumping activity, also affects the pulse. and over again, using a regular rhythm, accompanied by a resigned attitude. Based on a preliminary study, there were elderly people in Joyotakan Village The results of research conducted by RT 02 RW 02, it was found that the Ibrahim et al. , benson relaxation number of residents was 164 from 53 technique can lower blood pressure. This families, with 40 people suffering from can help break the cycle of anxiety and The results of interviews relieve the symptoms that accompany it. conducted by researchers with elderly This study aims to determine the results of people with hypertension found that 5 implementing Benson relaxation for the 2 residents usually took medicine from the respondents in providing relief to elderly health center to lower blood pressure and 4 people suffering from hypertension. This residents who felt dizzy, had pain in the research was conducted over 3 days within nape of the neck and did not know how to a single week. The results of the study treat hypertension and they had never showed that before applying Benson practiced non-pharmacological therapy to lower blood pressure. Based on the After administering Benson background of the problem and the results relaxation for a duration of 10-20 minutes, obtained above, the author is interested in carried out over 1 week and 3 days, the taking nursing action to apply. Blood pressure measurements were taken after METHODS resting for both respondents, and there was The design of this research is a case a decrease in systolic blood pressure of 7-10 study with a descriptive method. This mmHg and a decrease in diastolic blood research investigates the implementation pressure of 5 mmHg. Benson relaxation has of Benson Relaxation therapy for blood been shown to affect blood pressure. pressure changes in patients in Joyotakan Benson relaxation therapy causes the Village. organs in the endocrine system to reduce Implementation of Benson Relaxation to Lower Blood Pressure in Elderly Hypertensive Patients Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 5 Issue 3. December 2025, pp 350-358 https://ebsina. id/journals/index. php/jkki eISSN 2503-2801, pISSN 2985-3435 The Serengan. Surakarta. This implementation approach involving two respondents, was carried out over 3 days with 2 respondents, each taking 10-20 minutes. assessment to data collection, surgical The research took place from April 19 to 21, diagnosis, planning, implementation, and independent surgical action carried out, specifically the provision of Relaxation Therapy to the two respondents. RESULTS The location of this research was RT 2 RW 2 Joyotakan. Serengan. Surakarta The subjects in this application are City. Joyotakan Village is one of seven patients who have hypertension in their villages in Serengan District, with an area The subject of this research 43 kmA, making it one of the smallest involves two patients. Respondents will be villages in the District. Joyotakan sub- given the application, namely Benson Relaxation, taking into account the Joyotakan Joyotakan Wetan, inclusion and exclusion criteria. Inclusion Mijipinilihan, and Mijipinilihan Kidul. Criteria: Patients with Hypertension, able Joyotakan Village is divided into 6 to communicate verbally, aged 35-64 years. Neighborhood consisting of 2 individuals . oth female Neighborhood Units (RT). RW 2 consists and mal. , and willing to participate as of Neighborhood Units (RT), namely RT 1. Exclusion Criteria: Patients RT 2. RT 3. RT 4. RT 5, and RT 6. This with illnesses or conditions that make it impossible . ecreased consciousnes. , or Joyotakan Village. RT 2 RW 2. Serengan, who are not willing to be a respondent, or Surakarta City, on April 19 - 21, 2025. The who are on medication. subjects of this implementation were two This application was conducted in the gerontic nursing practice stage, located Units (RW) respondents with cases of hypertension in Joyotakan Village. RT 02 RW 02. Table 1. Blood Pressure Before Giving Benson Relaxation Respondent Mrs. Mr. Date 19 April 2025 19 April 2025 Blood Pressure (Pr. 145/100 mmHg 142/105 mmHg Category Hypertension Grade I Hypertension Grade I Rahmawati . Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 5 Issue 3. December 2025, pp 350-358 https://ebsina. id/journals/index. php/jkki eISSN 2503-2801, pISSN 2985-3435 Based on Table 1, blood pressure mmHg, and Mr. S with Systolic 142 mmHg, before applying Benson Relaxation to Mrs. diastolic 105 mmHg, and included in the S with systolic 145 mmHg, diastolic 100 grade I hypertension category. Table 2. Blood Pressure After Being Given Benson Relaxation Respondent Mrs. Mr. Date 19 April 2025 19 April 2025 Blood Pressure (Pos. 130/80 mmHg 120/77 mmHg Category Pre Hypertension Normal Based on table 2, blood pressure after and Mr. S Systolic 120 mmHg, diastolic 77 applying Benson Relaxation to Mrs. S with mmHg and included in the Normal systolic 130 mmHg, diastolic 80 mmHg and included in the Pre Hypertension category Table 3. Results of the Development of Blood Pressure in the Elderly Before and After Being Given Benson Relaxation Respondent Mrs. Mr. Day/Date Saturday, 19 April 2025 Blood Blood Pressure Pressure Before After Benson Benson Relaxation Relaxation 145/100mmHg 135/90 mmHg Sunday, 20 April 2025 140/90 mmHg 130/85 mmHg Monday 21 April 2025 135/87 mmHg 130/80 mmHg Saturday, 19 April 2025 142/105mmHg 130/90 mmHg Sunday, 20 April 2025 140/90 mmHg 135/80 mmHg Monday 21 April 2025 135/85 mmHg 120/77 mmHg Information Decrease in systolic blood pressure of 10 mmHg and diastolic decrease of 10 mmHg Decrease in systolic blood pressure of 10 mmHg and diastolic decrease of 5 mmHg Decrease in systolic blood pressure of 5 mmHg and diastolic decrease of 7 mmHg Decrease in systolic blood pressure of 12 mmHg and diastolic decrease of 15 mmHg Decrease in systolic blood pressure of 5 mmHg and diastolic decrease of 10 mmHg Decrease in systolic blood pressure of 15 mmHg and diastolic decrease of 8 mmHg Based on Table 3, the results of the including those in the grade I hypertension development of blood pressure in the two Decrease in systolic blood respondents before and after applying pressure 1-15 mmHg, while diastolic 1-15 Benson Relaxation for 3 days are shown, mmHg. Implementation of Benson Relaxation to Lower Blood Pressure in Elderly Hypertensive Patients Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 5 Issue 3. December 2025, pp 350-358 https://ebsina. id/journals/index. php/jkki eISSN 2503-2801, pISSN 2985-3435 Table 4. Comparisons Before and After Giving Benson Relaxation Respondent Mrs. Before 145/100 142/105 Mr. Information Hypertension Grade I Hypertension Grade I After 130/80 120/77 Information Pre Hypertension Normal Difference 15/20 22/28 Based on Table 4, there is a families with genetic or hereditary factors comparison of the differences in blood that cause hypertension are at risk of pressure reduction after applying Benson suffering from hypertension as well. Relaxation. The blood pressure reduction specific gene mutation causes a person to in the Mrs. S is 15/20 mmHg, while for Mr. have the genetic formula for hypertension. S is 22/28. There were 91 . 02%) hypertensive sufferers who had a family history of DISCUSSION These results also show that Blood pressure in the elderly before a family history of hypertension is related Benson Relaxation to the incidence of hypertension. Genetic Based on Table 1, the blood pressure factors alone account for approximately values measured before Benson relaxation 30% of the variations in blood pressure in Mrs. S were 145 mmHg systolic and 100 observed among different groups of people. mmHg diastolic. In Mr. S, with a systolic blood pressure of 142 mmHg and a diastolic Blood pressure in the elderly after being blood pressure of 105 mmHg, the blood Benson Relaxation pressure measurement results for both Based on Table 2, the results of respondents showed high values. The applying Benson relaxation to elderly factors that influence changes in blood people with hypertension showed that the pressure include age, genetics, gender, lack blood pressure of both respondents was of physical activity, stress, smoking, and The first responder. Mrs. high cholesterol. experienced a decrease in blood pressure Based on these results, there is a after Benson relaxation to 130/80mmHg. difference in blood pressure because Mrs. Meanwhile. Mr. S experienced a decrease and Mr. S have a family history of in blood pressure after Benson relaxation This is in line with the to 120/77 mmHg. In line with research conducted by (Simahati et al. , 2. with Lamangida et al. , which shows that the results of research after Benson Rahmawati . Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 5 Issue 3. December 2025, pp 350-358 https://ebsina. id/journals/index. php/jkki eISSN 2503-2801, pISSN 2985-3435 relaxation was carried out, it was found patterns, which can cause an increase in that there was a significant reduction in heart rate and narrowing of blood vessels, blood pressure with results of >10mmHg, so while Mr. S has a healthy diet, and reducing it can be interpreted that giving Benson salt can keep blood volume and cardiac relaxation can reduce blood pressure in output optimal. Mr. S gets enough activity hypertension sufferers and the same results and rest to keep his heart rate normal and were obtained in research (Yunizar et al. prevent an increase in blood pressure There is a self-soothing component caused by stress and fatigue. Benson's technique is a method designed to reduce Comparison of blood pressure in the stress and help individuals cope with high- elderly before and after being given stress situations. Benson Relaxation Based on the results presented in Development of blood pressure in the Table 4, comparing the final results between the two respondents, the results Benson Relaxation showed differences in the reduction in Based on Table 3, the Development of blood pressure levels before and after deep blood pressure reduction in hypertensive breath relaxation for both respondents. patients before and after receiving Benson This can be proven by the results of Mrs. S's relaxation revealed a decrease in blood blood pressure before and after the therapy pressure between the before and after was administered, which decreased from The application in this 145/100 research was carried out once every 3 days Meanwhile. Mr. S found a decrease in with a duration of 20 minutes. systolic and diastolic blood pressure, with 120/80 mmHg. Mrs. S's blood pressure being higher a difference of 22/28 mmHg. This is due to than Mr. S's is influenced by several factors, the effects of Benson's relaxation, which namely age and heredity, which result in helps overcome high blood pressure and thickening and stiffness of the blood irregular heart rates. Irregular eating patterns and a lack relaxation, there is a decrease in emotional of salt reduction can cause the body to retain more water, thereby increasing cardiovascular function, such as the blood volume and cardiac output. The posterior hypothalamus, which will reduce activities carried out by Mrs. S affect sleep blood pressure. In a state of Implementation of Benson Relaxation to Lower Blood Pressure in Elderly Hypertensive Patients Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 5 Issue 3. December 2025, pp 350-358 https://ebsina. id/journals/index. php/jkki eISSN 2503-2801, pISSN 2985-3435 ACKNOWLEDGMENT CONCLUSION Based on the findings of this study, it The author would like to thank the can be concluded that the application of RT 2 RW 2 Joyotakan. Serengan. Surakarta the Benson relaxation technique had a for facilitating this research. positive effect on reducing blood pressure presented with Grade I hypertension. Following three consecutive days of Benson CONFLICT OF INTEREST The authors declare that there are no conflicts of interest in this research. DATA AVAILABILITY STATEMENT meaningful reductions in systolic and The data are available from the diastolic blood pressure. Specifically. Mrs. corresponding author upon reasonable S transitioned from Grade I hypertension to the prehypertension category, with a total reduction of 15/20 mmHg, while Mr. REFERENCES