Implementation of Swedish Massage Therapy for Reducing Blood Pressure in Elderly Patients with Hypertension
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Abstract
Hypertension is a major health problem among older adults and requires appropriate management to prevent serious physical and psychological complications that can reduce quality of life. In addition to pharmacological treatment, nonpharmacological interventions are increasingly recommended as complementary approaches to blood pressure control. Swedish massage has been recognized as a safe and effective relaxation therapy that may help reduce blood pressure through improved circulation and decreased muscle tension. This study aimed to determine the effect of Swedish massage therapy on blood pressure in elderly patients with hypertension. A quantitative pre-experimental study with a one-group pretest-posttest design was conducted in Kedungdowo Village, Kaliwungu District, Kudus Regency. Blood pressure was measured before and after the intervention. Swedish massage, consisting of effleurage, petrissage, friction, tapotement, and vibration techniques, was administered for 20–30 minutes per session, three times a week for two weeks. Before the intervention, 72.7% of participants had Grade 1 hypertension and 27.3% had Grade 2 hypertension. After the intervention, 90.9% of participants were classified as prehypertensive, while only 9.1% remained in the Grade 1 hypertension category. The mean diastolic blood pressure decreased from 93.42 mmHg before treatment to 83.52 mmHg after treatment. The Wilcoxon Signed-Rank Test showed significant reductions in both systolic and diastolic blood pressure (p = 0.003 for each), indicating that Swedish massage significantly lowered blood pressure in elderly patients with hypertension. These findings suggest that Swedish massage is an effective complementary therapy for reducing blood pressure and may be incorporated into non-pharmacological hypertension management for older adults.
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