ASUHAN KEPERAWATAN KELUARGA KOMBINASI KOMPRES HANGAT DAN RELAKSASI NAFAS DALAM MENGATASI NYERI HIPERTENSI
Abstract
Hypertension remains a critical global health challenge, directly contributing to cardiovascular morbidity and persistent symptoms such as neck pain due to vasoconstriction, which increases intracranial pressure and impairs quality of life. In Indonesia, low medication adherence and limited access to non-pharmacological management exacerbate this condition. This case study implemented family-centered nursing care, integrating non-pharmacological strategies to reduce pain and improve treatment adherence in uncontrolled hypertensive adults in Pasutan Hamlet, Bantul. Methods: This case study implemented family-centered nursing care that integrated non-pharmacological strategies to reduce pain and improve treatment adherence in adults with uncontrolled hypertension in Pasutan Hamlet, Bantul. The intervention focused on Mrs. S (51 years old). Data were collected through in-depth interviews, participatory observation, and physical examinations over three days (November 19–21, 2025), following a standard nursing process. The nursing diagnoses identified were Acute Pain and Risk-Prone Health Behavior. Implementation (November 22–24, 2025) included: (1) combined non-pharmacological therapy—warm neck compresses once daily for 10–15 minutes and deep breathing relaxation training for 15 minutes during pain episodes, and (2) health education on antihypertensive medication adherence. Evaluation on the third day showed significant outcomes: pain intensity decreased from 5 to 1 on the numeric scale, blood pressure improved from 143/92 mmHg to 128/84 mmHg, and the patient demonstrated greater independence in applying non-pharmacological techniques and stronger commitment to regular medication use. Family-centered nursing emphasizing education and combined warm compress and breathing relaxation therapy proved effective in reducing pain, controlling blood pressure, and enhancing self-management in hypertensive patients.
Keywords: Family nursing care, hypertension, neck pain, warm compress, deep breathing relaxation
References
DAFTAR PUSTAKA
Agus, A. I., Asnaniar, W. O. S., Alam, R. I., & Amir, H. (2021). Effect Of Complementary Therapy On Hypertension Patients: Systematic Review. STRADA Jurnal Ilmiah Kesehatan, 10(2), 1499–1508. https://doi.org/10.30994/sjik.v10i2.855
Ainnur Rahmanti, & Krido Aromanis Setia Pamungkas. (2022). Penerapan Kompres Hangat Pada Leher Terhadap Penurunan Skala Nyeri Kepala Pada Pasien Hipertensi Di Rumkit TK III 04.06.02 Bhakti Wira Tamtama Semarang. JURNAL FISIOTERAPI DAN ILMU KESEHATAN SISTHANA, 4(2).
Arita Murwani, Fatimah Sari, & Juda Julia K. (2023). Pendidikan Kesehatan Hipertensi dan Cek Kesehatan di Dusun Tambalan, Pleret, Bantul, Yogyakarta. The Journal of Community Service, 1(1), 1–5. http://jurnal.samodrailmu.org/index.php/jopjop@samodrailmu.org
Canavan, M., & O’Donnell, M. J. (2022). Hypertension and Cognitive Impairment: A Review of Mechanisms and Key Concepts. Frontiers in Neurology, 13. https://doi.org/10.3389/fneur.2022.821135
Chairani, R., & Satriadi, A. (2022). Application of Family Nursing Care in Patients with Hypertension: A Case Study. Asian Journal of Pharmaceutical Research and Development, 10(2), 48–52. https://doi.org/10.22270/ajprd.v10i2.1118
Fauziah, D. W., & Mulyani, E. (2022). Hubungan Pengetahuan Terhadap Tingkat Kepatuhan Minum Obat Anti Hipertensi. Indonesian Journal of Pharmaceutical Education, 2(2), 94–100. https://doi.org/10.37311/ijpe.v2i2.15484
Herlina, A., Iswandi, F., & Rika Nofia, V. (2023). Penerapan Manajemen Nyeri Pada Asuhan Keperawatan Keluarga Dengan Pasien Hipertensi Di Klinik Polda Sumbar Application Of Pain Management In Family Nursing Care With Hypertensive Patients At The Clinic Sumbar Police Station. Jurnal Kesehatan Saintika Meditory. https://jurnal.syedzasaintika.ac.id
Hidayat, C. T. (2021). Pengaruh Pelaksanaan Asuhan Keperawatan Keluarga terhadap Perawatan Kesehatan Anggota Keluarga Lansia. The Indonesian Journal of Health Science, 13(1), 103–109. https://doi.org/10.32528/ijhs.v13i1.5150
Joko Tri Wahyudi, & Dhia Ritaj Rahmadani. (2024). Efektivitas Relaksasi Nafas Dalam Terhadap PenurunanTekanan Darah Pada Pasien Hipertensi: Literature Review. Journal Health Applied Science and Technology, 2(1), 48–59. https://doi.org/10.52523/jhast.v2i1.40
Kartiningrum, E. D., Ningtyas, A., Keperawatan, P. D., & Mojokerto, S. M. (2021). Studi Kualitatif Perawatan Keluarga Pasien Hipertensi Di Dusun Sumber Desa Sebaung Gending Probolinggo.
Koerniawan, D., Daeli, N. E., & Srimiyati, S. (2020). Aplikasi Standar Proses Keperawatan: Diagnosis, Outcome, dan Intervensi pada Asuhan Keperawatan. Jurnal Keperawatan Silampari, 3(2), 739–751. https://doi.org/10.31539/jks.v3i2.1198
Maisaro, E., Yulianti, S., & keperawatan Justitia, A. (2024). Asuhan Keperawatan Keluarga pada Ny. H yang Menderita Hipertensi di Wilayah Kerja Puskesmas Talise Kota Palu Family Nursing Care to Mrs. H Who Suffers from Hypertension in the Working Area of the Talise Public Health Center Palu City. JURNAL KOLABORATIF SAINS, 7. https://doi.org/10.56338/jks.v7i1.4320
Malikul Mulki, M., & Sunarjo, L. (2020). Effectiveness of Deep Breath Relaxation Techniques and Music Therapy on Reducing Anxiety Level among Pre-operative Patients. International Journal of Nursing and Health Services (IJNHS), 4(1), 59–65. https://doi.org/10.35654/ijnhs.v4i1.389
Maria, D. (2022). Finger clasp relaxation as therapeutic for reducing headache scale in hypertension cases. International Journal Of Community Medicine And Public Health, 9(11), 4230. https://doi.org/10.18203/2394-6040.ijcmph20222922
Muslimah, V. I., Nurhidayat, S., Sukamto, F. I., & Artikel, S. (2025). Efektifitas Penerapan Kompres Hangat Dalam Penurunan Skala Nyeri Pada Pasien Hipertensi. http://studentjournal.umpo.ac.id/index.php/HSJ
Nazar, K. A., Ayubbana, S., Pakarti, A. T., Dharma, K., & Metro, W. (2023). Penerapan Kompres Hangat Terhadap Nyeri Kepala Pada Pasien Hipertensi Application Of Warm Compres To The Scale Of Head Pain In Hypertension Patient. Jurnal Cendikia Muda, 3(3).
Ni Luh Asti Astari, & Kadek Primadewi. (2022). Pengaruh Terapi Relaksasi Tatik Nafas Dalam Terhadap Penurunan Tekanan Darah Pada Lansia Penderita Hipertensi Di Desa Tihingan Banjarangkan Klungkung. Jurnal Medika Usada |, 5, 51.
Nopriani, Y., & Ariska2, C. L. (2022). PengaruhTerapi Musik Klasik (Mozard) Kombinasi Dengan Kompres Hangat Untuk Menurunkan Tekanan Darah Penderita Hipertensi. In Jurnal Kesehatan dan Pembangunan (Vol. 12, Issue 24).
Nurul Laili, Nove Lestari, & Sutiyah Heni. (2022). Peran Keluarga Terhadap Kepatuhan Mengkonsumsi Obat Anti Hipertensi Pada Pasien Hipertensi.
Puspita, T., Yekti Widadi, S., Alfiansyah, R., Vava Rilla, E., Octavia, D., & Estria, S. (2023). Pengaruh Kompres Hangat Terhadap Nyeri Pada Penderita Hipertensi. JUKEKE, 2(1), 8–11. https://doi.org/10.56127/j
Rikerdas. (2018). Riskesdas 2018.
Safitri, J. P. (2020). Pengaruh Tehnik Relaksasi Nafas Dalam Terhadap Penurunan Tekanan Darah Pada Pasien Hipertensi Di Wilayah Kerja Puskesmas Sidangkal. Indonesian Trust Health Journal, 3(2).
Saputri, R., Ayubbana, S., Atika, S., Hs, S., Dharma, A. K., & Metro, W. (2022). Penerapan Relaksasi Nafas Dalam Terhadap Nyeri Kepala Pasien Hipertensi Di Ruang Jantung RSUD Jend. Ahmad Yani Kota Metro Implementation Of Odeep Breath Relaxation On Head Pain In Hypertension Patient In The Heart Room Of RSUD Jend. Ahmad Yani Metro City. Jurnal Cendikia Muda, 2(4).
Wahyu Utami Mauliddia, Suci Khasanah, & Asmat Burhan. (2022). Penerapan Kompres Hangat dan Tarik Nafas dalam Mengatasi Nyeri Akut Pasien Hipertensi. ABDISOSHUM: Jurnal Pengabdian Masyarakat Bidang Sosial Dan Humaniora, 1(3), 374–380. https://doi.org/10.55123/abdisoshum.v1i3.1013
