Application of the 4R Combination Therapy in Reducing Blood Pressure Among Clients with Hypertension

Abstract

The incidence and mortality rates related to hypertension continue to increase each year. Pharmacological management alone has not yet achieved optimal outcomes, highlighting the need for simple and accessible non-pharmacological interventions such as combination relaxation therapy to enhance overall effectiveness. Thisstudy aimed to determine the effect of the 4R combination therapy (autogenicrelaxation, classical music relaxation, deep-breathing relaxation, and rosearomatherapy) on the blood pressure of older adults with hypertension. This research employed a pre-experimental one-group pre- and post-test design, withsamples selected using purposive sampling. Sample criteria included individualsaged 45–70 years with blood pressure ≥140/90 mmHg. The research instruments consisted of a digital sphygmomanometer and standardized operating procedures for the intervention. Data were analyzed using the paired-sample t-test. The findings showed a reduction in systolic blood pressure by 7.9 mmHg and diastolic pressure by 4.5 mmHg, with a p-value of <0.05. The results indicate that administering the 4R therapy for three consecutive days is effective in lowering both systolic and diastolic blood pressure in clients with hypertension. Thesefindings provide valuable input for healthcare practitioners to adopt the 4R combination therapy as a non-pharmacological intervention for individuals with hypertension.