The The Combination of Slow Deep Breathing and Qur’anic Murottal Therapy in Reducing Blood Pressure in Hypertension: A Case Study
DOI:
https://doi.org/10.26630/jkmsw.v18i1.5188Keywords:
Hypertension, Murottal Al-Qur’an, slow deep breathing, nonpharmacological therapyAbstract
Hypertension is a non-communicable disease that often occurs without symptoms and is a leading cause of premature death. In addition to persistently elevated blood pressure, hypertensive patients frequently experience unstable blood pressure variability (BPV), both short- and long-term. While antihypertensive medications are effective, they often cause undesirable side effects. Therefore, a safe and practical non-pharmacological approach is needed, such as slow deep breathing techniques and Qur'anic murottal therapy. This study aims to explore the effect of combining slow deep breathing and Qur'anic murottal therapy on blood pressure in hypertensive patients. This research used a descriptive approach with a case study method involving one hypertensive patient who met the inclusion criteria, namely having a blood pressure >140/90 mmHg, no hearing impairment, and having provided informed consent. The intervention was carried out once daily for 30 minutes over three consecutive days. The intervention followed the SOP for slow deep breathing combined with Qur'an murottal therapy. Blood pressure was measured before and after each session. There was a consistent decrease in blood pressure, pulse rate, and respiratory rate over the three-day period. These findings suggest that the combined therapy promotes relaxation and lowers blood pressure. The stable reduction also indicates its potential in managing blood pressure fluctuations. Further research with a quantitative design and a larger sample size is recommended to strengthen the generalization of results and support the broader application of this therapy in various healthcare settings.
References
Andri, J., Permata, F., Padila, & Sartika, A. (2021). Penurunan Tekanan Darah pada Pasien Hipertensi Menggunakan Intervensi Slow Deep Breathing Exercise. Jurnal Keperawatan Silampari, 5, 255–262. https://journal.ipm2kpe.or.id/index.php/JKS/article/view/2917
Arshed, M., Kiran, M., Umer, M. F., Samkari, J. A., hassan, S. M. ul, Qamer, S., Gillani, A. H., Hameed, S., Ashraf, W., Mujtaba, H., & Khan, M. N. (2025). Prevalence and Associated Factors of Adherence to Antihypertensive Medication: A Nationwide Cross-Sectional Study. BMC Public Health, 25(1). https://doi.org/10.1186/s12889-025-21456-6
Azhari, R. (2019). Pengaruh Slow Deep Breathing terhadap Tekanan Darah pada Penderita Hipertensi di Puskesmas Simpang IV Sipin Kota Jambi. Riset Informasi Kesehatan, 7(2), 155. https://doi.org/10.30644/rik.v7i2.178
Candrawati, S., Oktaviana, H. A. R., Bening Ati, V. R., & Mustofa, M. (2025). A Preliminary Study: The Effect of Slow Deep Breathing Exercise (SDBE) on Resting Heart Rate and Respiration Rate of Hypertension Patients. E3S Web of Conferences, 609, 5–9. https://doi.org/10.1051/e3sconf/202560904010
Chaiduang, S., Klinsophon, T., & Wattanapanyawech, J. (2024). The Effect of Breathing Exercise on Hemodynamics and Heart Rate Variability Parameters in Hypertensive Patients: A Systematic Review. Journal of Bodywork and Movement Therapies Home, 40, 42–52. https://www.sciencedirect.com/science/article/abs/pii/S1360859224001505
Dafriani, P., Sartiwi, W., & Dewi, R. I. S. (2023). Edukasi Hipertensi pada Lansia di Lubuk Buaya Kota Padang. Abdimas Galuh, 5(1), 90. https://doi.org/10.25157/ag.v5i1.8901
Harmawati, Hardini, S., & Patricia, H. (2020). Pengaruh Pemberian Terapi Murottal Surat Ar-Rahman terhadap Tekanan Darah pada Lansia dengan Hipertensi di Puskesmas Tanah Kampung. Prosiding Seminar Nasional Stikes Syedza Saintika, 1, 1. http://www.jurnal.syedzasaintika.ac.id/index.php/PSNSYS/article/view/958/693
Helpitnati, B. A. et al. (2023). Implementation of Slow Deep Breathing on Blood Pressure In Hypertension Patients in Internal Disease Room B General Hospital Ahmad Yani Metro City in 2022. Jurnal Cendikia Muda, 3, 86–94. https://www.jurnal.akperdharmawacana.ac.id/index.php/JWC/article/view/443/278#
Hossain, A., Ahsan, G. U., Hossain, M. Z., Hossain, M. A., Sutradhar, P., Alam, S. E., Sultana, Z. Z., Hijazi, H., Rahman, S. A., & Alameddine, M. (2025). Medication adherence and blood pressure control in treated hypertensive patients: first follow-up findings from the PREDIcT-HTN study in Northern Bangladesh. BMC Public Health, 25(1). https://doi.org/10.1186/s12889-025-21409-z
Humaeroh, D. (2024). The Effect of Al-Qur’an Murottal Therapy Surah Ar-Rahman on Reducing Blood Pressure in Menopausal Women Suffering from Hypertension in Purwakarta Regency, Indonesia. Journal of Anesthesiology and Clinical Research, 5(1), 552–555. https://doi.org/10.37275/jacr.v5i1.519
Indriani, L., Rokhmah, N. N., & Shania, N. (2022). Penilaian Efektivitas Antihipertensi dan Efek Samping Obat di RSUP Fatmawati. Jurnal Sains Farmasi & Klinis, 9(sup), 146. https://doi.org/10.25077/jsfk.9.sup.146-151.2022
Kemenkes. (2019). PERATURAN MENTERI KESEHATAN REPUBLIK INDONESIA. http://hukor.kemkes.go.id/uploads/produk_hukum/PMK_No._25_ttg_Rencana_Aksi_Nasional_Kesehatan_Lanjut_Usia_Tahun_2016-2019_.pdf
Kemenkes. (2023). Prevalensi, Dampak, serta Upaya Pengendalian Hipertensi & Diabetes di Indonesia. Kementerian Kesehatan, 1–2. https://drive.google.com/file/d/1RGiLjySxNy4gvJLWG1gPTXs7QQRnkS--/view
Kim, H. C., Lee, H., Lee, H. H., Son, D., Cho, M., Shin, S., Seo, Y., & kim, E. J. (2024). Korea Hypertension Fact Sheet 2023: analysis of nationwide population-based data with a particular focus on hypertension in special populations. Clinical Hypertension, 30(1), 1–5. https://doi.org/10.1186/s40885-024-00262-z
Kokasih, R., Mahdaviqa, M. K., & Tan, N. (2024). Kegiatan Skrinning Tekanan Darah Dan Penyakit Hipertensi Pada Populasi Usia Produktif Di Sekolah SMA Kalam Kudus II, Kelurahan Duri Kosambi, Jakarta. Cakrawala: Jurnal Pengabdian Masyarakat Global, 3(2), 235–242. https://doi.org/10.30640/cakrawala.v3i2.2711
Larson, M., Chantigian, D. P., Asirvatham-Jeyaraj, N., Van de Winckel, A., & Keller-Ross, M. L. (2020). Slow-Paced Breathing and Autonomic Function in People Post-stroke. Frontiers in Physiology, 11(October). https://doi.org/10.3389/fphys.2020.573325
Lastaro, B., Apriliyani, I., & Susanti, I. H. (2023). Pengaruh Terapi Murottal Al-Qur’an terhadap Tingkat Kecemasan Pasien Pre Operasi Sectio Caesaria. Jurnal Penelitian Perawat Profesional, 6(2), 667–674. https://doi.org/10.37287/jppp.v6i2.2178
Muflih, M., & Halimizami, H. (2021). Hubungan Tingkat Pengetahuan Dan Gaya Hidup Dengan Upaya Pencegahan Stroke Pada Penderita Hipertensi Di Puskesmas Desa Binjai Medan. Indonesian Trust Health Journal, 4(2), 463–471. https://doi.org/10.37104/ithj.v4i2.79
Muli, S., Meisinger, C., Heier, M., Thorand, B., Peters, A., & Amann, U. (2020). Prevalence, Awareness, Treatment, and Control of Hypertension in Older People: Results From The Population-Based KORA-Age 1 Study. BMC Public Health, 20:1049, 1–10. https://doi.org/10.1186/s12889-020-09165-8
Nafiah, D., Pertami, S. B., & . M. (2020). Efektifitas Guided Imagery dan Slow Deep Breathing terhadap Penurunan Tekanan Darah pada Pasien Hipertensi di RSUD Dr. R. Soedarsono Pasuruan. Journal of Applied Nursing (Jurnal Keperawatan Terapan), 6(01), 01. https://doi.org/10.31290/jkt.v6i01.395
Natarajan, A., Emir-Farinas, H., & Su, H. W. (2023). Mindful Breathing as an Effective Technique in the Management of Hypertension. Frontiers in Physiology, 14(January), 1–10. https://doi.org/10.3389/fphys.2023.1339873
Novriani, H., & Johan, T. (2020). The Effect of Slowdeep Breathing Exercise on Blood Pressure Elderly in Pstw Sabai Nan Aluih, Sicincin Padang Pariaman, 2020. Proceeding International Conference Syedza Saintika, 25–33. https://jurnal.syedzasaintika.ac.id/index.php/PICSS/article/view/677
Oktalina, R., Antoro, B., & Maryuni, S. (2020). Pengaruh Terapi Kombinasi Murottal Al-Qur’an dan Rendam Kaki Air Hangat terhadap Perubahan Tekanan Darah. Riset Media Keperawatan, 3(1), 24–29. https://ojs.stikessaptabakti.ac.id/jrmk/article/view/74
PAHO. (2023). First WHO Report Details Devastating Impact of Hypertension and Ways To Stop It. Pan American Health Organization. https://www.paho.org/en/news/19-9-2023-first-who-report-details-devastating-impact-hypertension-and-ways-stop-it
Pratiwi, A. (2020). Pengaruh Slow Deep Breathing Terhadap Tekanan Darah pada Pasien Hipertensi. Masker Medika, 8(2), 263–267. https://doi.org/10.52523/maskermedika.v8i2.414
Schutte, A. E., Kollias, A., & Stergiou, G. S. (2022). Blood pressure and its Variability: Classic and Novel Measurement Techniques. Nature Reviews Cardiology, 19(10), 643–654. https://doi.org/10.1038/s41569-022-00690-0
Siregar, T., Asriwati, & Aini, N. (2023). Faktor yang memengaruhi terjadinya hipertensi di rumkit TK II putri hijau medan. Excellent Midwifery Jurnal, 6(2), 59–68.
Suaib, maryam, Dewiyanti, D., & Sumiati, S. (2025). Pengaruh Slow Deep Breathing terhadap Penurunan Tekanan Darah pada Lansia dengan Hipertensi di Puskesmas Berlian. Jurnal Pendidikan Dan Teknologi Kesehatan, 8(1), 32–47. https://ejournal.stikesbbmajene.ac.id/index.php/jptk
Sundari, R. K., Latifah, & Tasalim, R. (2024). Kepatuhan Minum Obat Antihipertensi pada Lansia Penderita Hipertensi. Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal, 14(3), 1063–1072. http://journal.stikeskendal.ac.id/index.php/PSKM
Trisnawati, E., Azizah, I. Al, & Jenie, I. M. (2021). Al-Qur’an Murottal Therapy to Reduce Cardiovascular Reactivity to Handgrip in Hypertensive Pre-Elderly Subjects. Proceedings of the 4th International Conference on Sustainable Innovation 2020–Health Science and Nursing (ICoSIHSN 2020), 33(ICoSIHSN 2020), 365–370. https://doi.org/10.2991/ahsr.k.210115.076
Unair. (2023). Masalah Terapi Obat dan Outcome Tekanan Darah pada Penderita Hipertensi. https://unair.ac.id/masalah-terapi-obat-dan-outcome-tekanan-darah-pada-penderita-hipertensi/
Verma, N., & Verma, R. (2024). The Positive Effect of Deep Breathing Exercises on Blood Pressure Values among Hypertensive Persons. Journal of Indian College of Cardiology, 14(2), 61–63. https://doi.org/10.4103/jicc.jicc_9_23
Wahyuningsih, I. S., Sukartini, T., Dewi, Y. S., Amal, A. I., & Kismana, M. L. (2024). The Effect of Murottal Auditory Therapy on Anxiety and Comfort Levels in Patient with Cardiovaskular Disease. Healthcare in Low Resource, 12(1). https://doi.org/10.4081/hls.2023.11816
WHO. (2023). Hypertension. https://www.who.int/news-room/fact-sheets/detail/hypertension
WHO. (2024). World health statistics 2024: monitoring health for the SDGs, sustainable development goals. https://www.who.int/publications/i/item/9789240094703
Wirakhmi, I. N., Utami, T., & Purnawan, I. (2018). Comparison of Listening Mozart Music With Murottal Al Quran on the Pain of Hypertension Patients. Jurnal Keperawatan Soedirman, 13(3), 100. https://doi.org/10.20884/1.jks.2018.13.3.813
Yuenyongchaiwat, K., Changsri, K., Harnmanop, S., Aiemthaisong, M., Pongpanit, K., & Pariyatkaraphan, T. (2024). Effects of slow breathing training on hemodynamic changes, cardiac autonomic function and neuroendocrine response in people with high blood pressure: A randomized control trial. Journal of Bodywork and Movement Therapies, 37, 136–141. https://www.sciencedirect.com/science/article/abs/pii/S1360859223002504
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