Massage Therapy on Blood Pressure, Anxiety, Pain, and Cholesterol Levels in Hypertensive Patients

Authors

  • Tri Wijayanto Program Studi Keperawatan, Universitas Muhammadiyah Pringsewu, Pringsewu, Indonesia
  • Mizan Sahroni Program Studi Terapan Teknologi Laboratorium Medis, Universitas Muhammadiyah Pringsewu, Pringsewu, Indonesia
  • Egita Windrianatama Puspa Program Studi Terapan Teknologi Laboratorium Medis, Universitas Muhammadiyah Pringsewu, Pringsewu, Indonesia

DOI:

https://doi.org/10.36590/jika.v7i3.1718

Keywords:

anxiety, blood pressure, hypertension, massage, pain

Abstract

Hypertension is one of the leading causes of mortality worldwide and can be managed through pharmacological and non-pharmacological approaches, including massage therapy. This study aimed to examine the effects of massage therapy on blood pressure, pain, anxiety, and cholesterol levels in patients with hypertension. A quasi-experimental design with a pretest–posttest control group approach was used. The sample consisted of 22 hypertensive patients divided into intervention and control groups. Blood pressure, pain, anxiety, and cholesterol levels were measured before the first intervention and after the second intervention. Within-group differences were analyzed using paired t-tests, while between-group comparisons were conducted using independent t-test with a significance level of p-value< 0,05. The results showed that massage therapy significantly reduced blood pressure in the intervention group. Systolic blood pressure decreased from 161,81 ± 13,28 mmHg to 143,63 ± 12.06 mmHg (p-value = 0,004), and diastolic blood pressure decreased from 97,27 ± 9,04 mmHg to 85,00 ± 5,91 mmHg (p-value < 0,001). Pain and anxiety scores also decreased significantly, from 7,09 ± 1,00 to 2,18 ± 0,40 (p-value < 0,001) and from 29,82 ± 3,00 to 22,45 ± 3,90 (p-value = 0,03), respectively, and were lower than those in the control group at posttest. Although cholesterol levels increased significantly within the intervention group, no significant difference was found compared to the control group. In conclusion, massage therapy effectively reduces blood pressure, pain, and anxiety in hypertensive patients but does not significantly affect cholesterol levels.

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Author Biographies

Tri Wijayanto, Program Studi Keperawatan, Universitas Muhammadiyah Pringsewu, Pringsewu, Indonesia

Program Studi Keperawatan, Universitas Muhammadiyah Pringsewu, Pringsewu, Indonesia

https://scholar.google.com

Mizan Sahroni, Program Studi Terapan Teknologi Laboratorium Medis, Universitas Muhammadiyah Pringsewu, Pringsewu, Indonesia

Program Studi Terapan Teknologi Laboratorium Medis, Universitas Muhammadiyah Pringsewu, Pringsewu, Indonesia

https://scholar.google.com/

Egita Windrianatama Puspa, Program Studi Terapan Teknologi Laboratorium Medis, Universitas Muhammadiyah Pringsewu, Pringsewu, Indonesia

Program Studi Terapan Teknologi Laboratorium Medis, Universitas Muhammadiyah Pringsewu, Pringsewu, Indonesia

https://scholar.google.com

References

Agus, A.I., Asnaniar, W.O.S., Alam, R.I., Amir, H., 2021. Effect of Complementary Therapy on Hypertension Patients: Systematic Review. Jurnal Ilmiah Kesehatan 10(2), 1499–1508. https://doi.org/10.30994/sjik.v10i2.855

Ajani, A.T., Novera, M., Movitaria, M.A., Asman, A., 2023. Hand Massage Therapy Against Anxiety in Surgical Patients. South East Asia Nursing Research 5(2), 30–35. https://jurnal.unimus.ac.id/index.php/SEANR/article/view/13249

Astuti, N.L.S., Wisnama, I.N.D., Astawa, I.G.S., 2022. The Impact of Effleurage Technique Massage on Blood Pressure Toward Elderly Hypertension in Peguyangan Village. Nursing and Health Sciences Journal 2(3), 280–284. https://nhs-journal.com/index.php/nhs/article/view/155

Balahura, A.M., Moroi, S.I., Udriște, A.C., Weiss, E., Japie, C., Bartos, D., Badila E., 2022. The Management of Hypertensive Emergencies is There a “Magical” Prescription for All? Jurnal Clinical Medicine 11(11), 1-17. https://doi.org/10.3390/jcm11113138.

Calisanie, N.N.P., Preannisa, S., 2022. The Influence of Foot Massage on Blood Pressure and Anxiety in Hypertensive Patients. KnE Life Sciences 394–403. https://doi.org/10.18502/kls.v7i2.10333

Carey, R.M., Muntner, P., Bosworth, H.B., Whelton, P.K., 2018. Prevention and Control of Hypertension: JACC Health Promotion Series. Journal of the American College of Cardiology 72(11), 1278–1293. https://doi.org/10.1016/j.jacc.2018.07.008

Carey, R.M., Moran, A.E., Whelton, P.K., 2022. Treatment of Hypertension: A Review. JAMA 328(18), 1849–1861. https://doi.org/10.1001/jama.2022.19590

Dai, H., Bragazzi, N.L., Younis, A., Zhong, W., Liu, X., Wu, J., Grossman, E., 2021. Worldwide Trends in Prevalence, Mortality, and Disability-Adjusted Life Years for Hypertensive Heart Disease from 1990 to 2017. Hypertension 77(4), 1223–1233. https://www.ahajournals.org/doi/10.1161/HYPERTENSIONAHA.120.16483

Darni, D., Azlia, N., Syampurma, H., 2022. Pengaruh Sport Massage terhadap Penurunan Kadar Kolesterol. Jurnal Ilmiah Bidang Pendidikan Olahraga 7(1), 21–30. http://menssana.ppj.unp.ac.id/index.php/jm/article/view/231

Delano, E.H., Kushartanti, W., Amajida, A., 2022. The Effectiveness of Massage Therapy Combined with Stretching toward Blood Pressure of Elderly People with Hypertension. Jurnal Keolahragaan 10(2) 196–207. https://jurnal.uny.ac.id/index.php/jolahraga/article/view/47877

Dhungana, R.R., Pedisic, Z., Courten, M., 2022. Implementation of Non-Pharmacological Interventions for the Treatment of Hypertension in Primary Care: A Narrative Review of Effectiveness, Cost-Effectiveness, Barriers, and Facilitators. BMC Primary Care 23(1), 1–12. https://doi.org/10.1186/s12875-022-01884-8

Ekim, M., Ekim, H., Yılmaz, Y.K., Özdemir, Z.T., 2015. The Effects of Lymphatic Massage on Serum Lipid Levels and Venous Flow in Patients with Lymphedema. Eastern Journal of Medicine 20, 210–214. https://pdf.journalagent.com/ejm/pdfs/EJM_20_4_210_214.pdf

Fu, J., Liu, Y., Zhang, L., Zhou, L., Li, D., Quan, H., Zhu, L., Hu, F., Li, X., Meng, S., Yan, R., Zhao, S., Onwuka, J.U., Yang, B., Sun, D., Zhao, Y., 2020. Nonpharmacologic Interventions for Reducing Blood Pressure in Adults with Prehypertension to Established Hypertension. Journal of the American Heart Association 9(19), 8-20. https://doi.org/10.1161/JAHA.120.016804

Fuchs, F.D., Whelton, P.K., 2020. High Blood Pressure and Cardiovascular Disease. Hypertension 75(2), 285–292. https://doi.org/10.1161/HYPERTENSIONAHA.119.14240

Givi, M., Sadeghi, M., Garakyaraghi, M., Eshhinezhad, A., Moeini, M., Ghasempour, Z., 2018. Long-Term Effect of Massage Therapy on Blood Pressure in Prehypertensive Women. Journal of Education and Health Promotion 7(54), 1-9. https://pmc.ncbi.nlm.nih.gov/articles/PMC5903169/

Hunter, P.G., Chapman, F.A., Dhaun, N., 2021. Hypertension: Current Trends and Future Perspectives. British Journal of Clinical Pharmacology 87(10), 3721–3736. https://doi.org/10.1111/bcp.14825

Islam, M., Chaudhuri, I., Islam, M.S., Kamrujjaman, M., 2023. A Review on Hypertension: Practice and Diagnosis. Journal of Biology and Life Sciences 14(2), 18-38. https://ideas.repec.org/a/mth/jbls88/v14y2023i2p18-38.html

Isnaeni, Y., Sari, D.N.A., Hartiningsih, S.N., 2023. The Relationship between Hypertension and Anxiety Level in The Elderly in Mandungan Srimatani Sub-District, Piyungan, Bantul Regency, Yogyakarta. Java Nursing Journal 1(2), 150–159. http://goicare.web.id/index.php/JNJ/article/view/22

Kandasamy, G., Subramani, T., Almanasef, M., Orayj, K., Shorog, E., Alshahrani, A. M., Alsaab, A., Alshahrani, Z.M., Palayakkodan, S., 2025. Mental Health and Hypertension: Assessing the Prevalence of Anxiety and Depression and Their Associated Factors in A Tertiary Care Population. Frontiers in Public Health 13, 1-10. https://doi.org/10.3389/fpubh.2025.1545386

Kim, M.S., Ahn, H.S., 2003. Study on The Effect of Obesity Management Program in Middle-Aged Abdominal Obese Women: with Focus on Aroma Massage. Journal of The Korean Society for The Study of Obesity 12(1), 54–67. https://www.scirp.org/reference/referencespapers?referenceid=2521338

Liao, I.C., Chen, S.L., Wang, M.Y., Tsai, P.S., Shan, P., 2016. Effects of Massage on Blood Pressure in Patients with Hypertension and Prehypertension: A Meta-Analysis of Randomized Controlled Trials. Journal of Cardiovascular Nursing 31(1), 73–83. https://doi.org/10.1097/JCN.0000000000000217

Lisnawati, L., Nazaruddin, N., Sanatang, S., 2025. Alternative Therapy Tactics: Integration of Cupping Therapy and Massage in Managing Low-Density Lipoprotein (LDL) in Hypertension Patients with Hypercholesterolemia. Professional Health Journal 6(2), 635–642. https://doi.org/10.54832/phj.v6i2.906

Meidayanti, G.A.M.D.D., Candrawati, S.A.K., Lestari, N.K.Y., 2023. The Effect of Slow Stroke Back Massage on Blood Pressure in Elderly Patients with Hypertension. Holistic Nursing and Health Science 6(1), 30–37. https://ejournal2.undip.ac.id/index.php/hnhs/article/view/17367

Miake-Lye, I.M., Mak, S., Lee, J., Luger, T., Taylor, S.L., Shanman, R., Severin, J., Shekelle, P.G., 2019. Massage for Pain: An Evidence Map. Journal of Alternative and Complementary Medicine 25(5), 475–502. https://doi.org/10.1089/acm.2018.0282

Mirahmadizadeh, A., Vali, M., Hassanzadeh, J., Dehghani, S.P., Razeghi, A., Azarbakhsh, H., 2022. Mortality Rate and Years of Life Lost Due to Hypertension in The South of Iran between 2004 and 2019: A Population-Based Study. International Journal of Hypertension 2022(1), 1-7. https://doi.org/10.1155/2022/7759699

Moeini, M., Givi, M.M., Ghasempour, Z., Sadeghi, M., 2011. The Effect of Massage Therapy on Blood Pressure of Women with Pre-Hypertension. Iranian Journal of Nursing and Midwifery Research 16(1), 61–70. https://pubmed.ncbi.nlm.nih.gov/22039381/

Mujadzic, H., Skeete, J., DiPette, D.J., 2022. Historical, Present, and Emerging Biomarkers in Hypertension: A Narrative Review. Journal of Laboratory and Precision Medicine 7(30), 1-17. https://doi.org/10.21037/jlpm-22-27

Nasihin, N., 2023. The Effect of Hand Massage on Reducing the Anxiety Level of Pre-Surgery Clients in Tangerang City Regional Public Hospital. Jurnal Ilmu Kesehatan 17(1), 1–7. https://doi.org/10.33860/jik.v17i1.2025

Oparil, S., Acelajado, M.C., Bakris, G.L., Berlowitz, D.R., Cifkova, R., Dominiczak, A., Grassi, G., Jordan, J., Poulter, N.R., Rodgers, A., Whelton, P.K., 2018. Hypertension. Nature Reviews Disease Primers 4, 1-12. https://doi.org/10.1038/nrdp.2018.14

Qiu, T., Jiang, Z., Chen, X., Dai, Y., Zhao, H., 2023. Comorbidity of Anxiety and Hypertension: Common Risk Factors and Potential Mechanisms. International Journal of Hypertension 2023(1), 1-14. https://doi.org/10.1155/2023/9619388

Resmiari, R., Handayani, N.D., Violita, V., Suciyatiningrum, R., 2021. Application of Foot Massage Therapy Procedures Using Lavender Essential Oil on Clients with Hypertension in RT 001 RW 01 Baru Village, Pasar Rebo District, East Jakarta. Jurnal Ilmu Keperawatan Indonesia 11(3), 159–164. DOI: https://doi.org/10.33221/jiiki.v11i03.1372

Rismayanthi, C., Refindo, D.T., 2023. The Effectiveness of Combination of Massage Therapy and Heat Therapy Towards Reducing Pain and Increasing Range of Motion (ROM) Knee Injury. Jurnal Olahraga Prestasi 19(2), 97–102. https://journal.uny.ac.id/index.php/jorpres/article/view/65958

Saccò, M., Meschi, M., Regolisti, G., Detrenis, S., Bianchi, L., Bertorelli, M., Pioli, S., Magnano, A., Spagnoli, F., Giuri, P. G., Fiaccadori, E., Caiazza, A., 2013. The Relationship Between Blood Pressure and Pain. The Journal of Clinical Hypertension 15(8), 600–605. https://doi.org/10.1111/jch.12145

Sarathy, H., Salman, L.A., Lee, C., Cohen, J.B., 2022. Evaluation and Management of Secondary Hypertension. Medical Clinics of North America 106(2), 269–283. https://doi.org/10.1016/j.mcna.2021.11.004

Sinaga, E.M., Musyabiq, S., 2024. The Relationship of Cholesterol Levels with Hypertension. Medical Profession Journal of Lampung 14(2), 260–265. http://www.journalofmedula.com/index.php/medula/article/view/960

Sovianti, V., Juwariyah, S., Sulistyaningrum, D.P., 2023. Application of Back Massage in Reducing Pain in Elderly with Hypertension: A Case Study. 4'rd International Conference on Health Practise and Research 4, 1–7. https://ojs.universitastelogorejo.ac.id/index.php/ichpr/article/view/387

Thomas, V., Mithrason, A.T., 2022. A Review on Biomarkers of Hypertension. International Journal of Clinical Biochemistry Research 9(3), 186–190. https://ijcbr.in/archive/volume/9/issue/3/article/15487

Verdecchia, P., Cavallini, C., Angeli, F., 2022. Advances in The Treatment Strategies in Hypertension: Present and Future. Journal of Cardiovascular Development and Disease 9(3), 1-16. https://doi.org/10.3390/jcdd9030072

Verma, N., Rastogi, S., Chia, Y.C., Siddique, S., Turana, Y., Cheng, H.M., Sogunuru, G.P., Tay, J.C., Teo, B.W., Wang, T.D., Tsoi, K.K.F., Kario, K., 2021. Non-Pharmacological Management of Hypertension. Journal of Clinical Hypertension 23(7), 1275–1283. https://doi.org/10.1111/jch.14236

Widayati, D., Rachmania, D., 2024. Pain Management in Hypertension through Pressure Point Massage. Journal of Applied Nursing and Health 6(2), 136–146. https://doi.org/10.55018/janh.v6i2.244

[WHO] World Health Organization., 2025. Hypertension [WWW Document] https://www.who.int/news-room/fact-sheets/detail/hypertension. [Diakses April 2025].

Wu, C., Zhou, J., Gao, Y., Cai, D., Lin, J., Zhao, M., 2025. Using Structural Equation Modeling to Analyze the Effect of Psychological Pressure on Blood Pressure and Blood Biochemical Indicators in Patients with Essential Hypertension. BMC Cardiovascular Disorders 25(350), 1-9. https://doi.org/10.1186/s12872-025-04795-5

Xiong, X.J., Li, S.J., Zhang, Y.Q., 2015. Massage Therapy for Essential Hypertension: A Systematic Review. Journal of Human Hypertension 29(3), 143–151. https://doi.org/10.1038/jhh.2014.52

Zung, W.W., 1971. A Rating Instrument for Anxiety Disorders. Psychosomatics 12(6), 371–379. https://doi.org/10.1016/S0033-3182(71)71479-0

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Published

2025-12-31

How to Cite

Wijayanto, T., Sahroni, M., & Puspa, E. W. (2025). Massage Therapy on Blood Pressure, Anxiety, Pain, and Cholesterol Levels in Hypertensive Patients. Jurnal Ilmiah Kesehatan (JIKA), 7(3). https://doi.org/10.36590/jika.v7i3.1718